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Electronic Poster

Probing the Myocardial Tissue Composition

Exhibition Hall Monday 8:15 - 9:15

3095
Computer 1
Reducing magnetization-transfer-induced T1 estimation error in myocardial T1 mapping for the MOLLI sequence: simulation, phantom and in vivo studies
Jiaxin Shao1, Dapeng Liu1, Kyung Hyun Sung1, Kim-Lien Nguyen2, and Peng Hu1

1Radiology, University of California, Los Angeles, CA, United States, 2Division of Cardiology, University of California, Los Angeles, CA, United States

The modified Look-Locker inversion-recovery (MOLLI) sequence is a widely used myocardial T1 mapping technique for tissue characterization. It is known that the MOLLI sequence underestimates myocardial T1 values (>10%) due to magnetization transfer (MT) effects and short myocardial tissue T2 values. In this work, we demonstrate that in vivo reduction of the inversion factor is predominantly responsible for the MT effect that reduces MOLLI T1 values. Thus, using an alternative T1 estimation algorithm with a measured inversion factor for the MOLLI sequence can reduce the MT effect on T1 estimation error.

3096
Computer 2
Ultrafast Cardiac Balanced Inversion Recovery with Interleaved Acquisition (UF-CABIRIA) for improved simultaneous T1 and T2 quantification of the heart at 3T.
Francesco Santini1,2, Grzegorz Bauman1,2, and Oliver Bieri1,2

1Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland

CABIRIA is a method for the simultaneous quantification of T1 and T2 values of the myocardium. As other T1-quantification sequences, it relies on a bSSFP readout, and it is thus susceptible to off-resonance effects. In this work, we show an improvement over the CABIRIA method that reduces the TR and therefore increases the robustness towards field inhomogeneities. This method can potentially be extended to other quantification techniques.

3097
Computer 3
Quantitative Tissue Characterization by Magnetization Transfer-Weighted Cardiac MRI Detects Fibrosis Progression without Gadolinium in Patients with End Stage Renal Disease
Tori A Stromp1,2, Rebecca M Kidney2, Tyler J Spear2, Kristin N Andres3, Joshua C Kaine3, Steve W Leung4, and Moriel H Vandsburger1,2,5,6

1Physiology, University of Kentucky, Lexington, KY, United States, 2Cardiovascular Research Center, University of Kentucky, KY, United States, 3College of Medicine, University of Kentucky, KY, United States, 4Gill Heart Institute, University of Kentucky, KY, United States, 5Biomedical Engineering, University of Kentucky, KY, United States, 6Bioengineering, University of California Berkeley, Berkeley, United States

Long term hemodialysis treatment for end stage renal disease (ESRD) is associated with a time dependent increase in cardiac death. The inability to use late gadolinium enhancement (LGE) cardiac MRI (CMR) in patients with renal dysfunction impedes the noninvasive monitoring of fibrosis progression and appropriate treatment selection in the population. We used magnetization transfer (MT) weighted CMR to monitor the progression of ventricular fibrosis over 1 year in patients with ESRD. While no major changes in hypertrophy or contractility were apparent, pervasive increases in myocardial signal was measured by MT-weighted CMR, consistent with reduced MT and progressive fibrosis development.

3098
Computer 4
Improved Detection of Right Ventricular Myocardial Infarction Using 3D Navigator-Gated Free Breathing Delayed Enhancement Cardiac Magnetic Resonance
Jiwon Kim1, Tara Shah1, Neil Mehta2, Jonathan Weinsaft1, Pascal Spincemaille3, Yi Wang3, and Thanh Nguyen3

1Department of Cardiology, Weill Cornell Medical College, New York, NY, United States, 2Department of Medicine, Weill Cornell Medical College, New York, NY, United States, 3Department of Radiology, Weill Cornell Medical College, New York, NY, United States

Right ventricular myocardial infarction (RV-MI) is a serious consequence of coronary artery disease that adversely affects outcomes. Conventional CMR employs 2D breath-held imaging (CMRBH) to detect RV-MI, an approach that may sacrifice spatial resolution to enable patient breath-holds, and is thus suboptimal for imaging the RV. This study compared 3D navigator-gated free breathing CMR (CMRNAV) to CMRBH for detection of RV-MI in 75 post-MI patients. Results demonstrated a 2-fold increase in detection rate of RV-MI by CMRNAV, accompanied by higher spatial resolution in 30% less scan time.

3099
Computer 5
Simultaneous Imaging of Myocardial Fat and Scar using Dark Blood Late Gadolinium Enhancement
Maryam Nezafat1,2, Ahmed S Fahmy2, Gifty Addae2, and René M. Botnar1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Department of Medicine, Beth Israel Deaconess Medical Centre and Harvard Medical School, Boston, MA, United States

Dark-Blood Late Gadolinium Enhancement (DB-LGE) sequence has been recently introduced to suppress the blood signal in order to enhance the contrast between blood and scar. However, it is difficult to distinguish scar from fat as both appear bright in DB-LGE images. In this study, we present a DB-LGE sequence that allows quantification of scar and fat volume in the heart in a single imaging sequence. Numerical simulation, phantom and in-vivo scans were performed to evaluate the proposed sequence.

3100
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3D high resolution imaging of human hearts for visualization of the cardiac structure
Julie Magat1, Valéry Ozenne1, Fanny Vaillant1, David Benoist1, Marion Constantin1, Virginie Dubes1, Stephen Gilbert2, Mark L Trew3, Jérôme Naulin1, Louis Labrousse4, Mélèze Hocini4, Michel Haissaguerre4, Olivier Bernus1, and Bruno Quesson1

1IHU LIRYC/U1045, Université de Bordeaux, Pessac, France, 2Mathematical Cell Physiology, Max Delbrück Center for Molecular Medicine, berlin, Germany, 3Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand, 4IHU LIRYC/U1045, CHU Bordeaux, Pessac, France

The motivation of this study is to develop high resolution 3D MR imaging of human hearts to characterize the cardiac structure non-invasively. For this purpose, T1-weighted images and diffusion MRI in 3D from intact and infarcted hearts were acquired and analyzed to compare myocyte and myolaminar orientations in healthy and pathological regions.

3101
Computer 7
Improving precision of myocardial T1 mapping with 3-parameter fit model using tissue characteristic-based denoising
Jihye Jang1,2, Shiro Nakamori1, and Reza Nezafat1

1Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States, 2Department of Computer Science, Technical University of Munich, Munich, Germany

For the reconstruction of pixel-wise T1 maps, 3-parameter fit model is highly accurate, but is sensitive to noise. Therefore, it is desirable to develop a robust method to reduce sensitivity to noise when 3-parameter fit model is used. In this work, we propose a robust denoising method based on tissue characteristics to improve precision of myocardial T1 mapping. In phantom and in-vivo studies, denoising filtering provided similar T1 measurements with significantly improved precision. This technique will make 3-parameter fit model more favorable by reducing sensitivity to noise and will allow for more accurate and precise myocardial T1 mapping.

3102
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Cine T1 Mapping: Look-Locker inversion recovery for phase resolved T1-Mapping with B1+ Correction At 3T
Sebastian Weingärtner1,2,3, Chetan Shenoy4, Lothar R. Schad3, and Mehmet Akçakaya1,2

1Electrical and Computer Engineering, University of Minnesota, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3Computer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany, 4Department of Cardiology, University of Minnesota, Minneapolis, MN, United States

Conventionally, evaluation of myocardial T1-times is limited to a single snapshot of the cardiac cycle, leaving much of the dependence between functional and tissue characterization unstudied. Here, we propose an ECG-triggered steady-state Look-Locker technique that allows for functional, cardiac phase-resolved native T1-mapping. Integratedly acquired phase-resolved B1+-maps are used for T1-time correction. High accuracy and good consistency of the T1-times across cardiac phases is shown in phantom scans. In-vivo T1-times show slight underestimation and similar precision compared to saturation-recovery T1-mapping. High visual image quality at all cardiac phases is obtained at temporal resolutions up to 40ms in a single breath-hold.

3103
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Active Shape Models Based Motion Correction for Myocardial T1 Mapping
Hossam El-Rewaidy1, Shiro Nakamori1, Gifty Addae1, Warren Manning1, and Reza Nezafat1

1Cardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States

A new framework based on Active Shape Models (ASM) is introduced to correct the motion artifacts induced by respiratory and cardiac motion in myocardial T1 mapping. This framework includes three main steps: training ASM model to capture intensity variations of T1 images at different inversion times, segmentation of T1 weighted images using the trained model, and estimating and applying the registration parameters to correct for motion between images. 

3104
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A comparison of STEAM and spin echo diffusion tensor CMR in hypertrophic cardiomyopathy patients
Zohya Khalique1, Andrew Scott1, Pedro Ferreira1, Margarita Gorodezky1, Ricardo Wage1, Sonia Nielles-Vallespin2, David Firmin1, and Dudley Pennell1

1NIHR Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, LONDON, United Kingdom, 2National Heart Lung and Blood Institute, NIH, Bethesda, MD, United States

Diffusion tensor (DT) cardiovascular magnetic resonance (CMR) can provide myocardial microstructural information using either motion compensated spin echo (SE) or stimulated echo acquisition mode (STEAM) sequences. Here we present the first DT-CMR data from a cohort of hypertrophic cardiomyopathy patients using SE, and compare parameters obtained from SE and STEAM sequences at 3T in two phases of the cardiac cycle. We demonstrate that whilst reliability measures, diffusivity, and anisotropy differ between the sequences, both approaches are able to detect the sheetlet microstructure that is integral to wall thickening during cardiac contraction and shown to be aberrant in this condition.

3105
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Identifying tissue changes of “normal-appearing” myocardium in pediatric myocarditis patients using quantitative T1 and T2 mapping techniques
Haipeng Wang1, Bin Zhao2, Cuiyan Wang1, Tianyi Qian3, Guangbin Wang2, Jing An4, Fei Gao2, Andreas Greiser5, and Junyu Zhao6

1Shandong Medical Imaging Research Institute, Ji'nan, People's Republic of China, 2Shandong Medical Imaging Research Institute, 3Siemens Healthcare, MR Collaborations NE Asia, Beijing, People's Republic of China, 4Siemens SSMR, APPL, 5Siemens Healthcare, Application Development, Erlangen, Germany, 6Shandong Provincial Qianfoshan Hospital

This study aimed to identify diffuse myocardial tissue changes in pediatric myocarditis patients by applying T1 and T2 mapping techniques. The correlations between T1 and T2 values and cardiac function were assessed. Abnormal post-contrast T1 values and extracellular volume (ECV) of “normal appearing” myocardium in pediatric myocarditis patients were found and were correlated with left ventricular cardiac function and stroke volume (SV) in children with chronic myocarditis. 

3106
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The Effect of Mixing Time on Diffusion Spectrum Imaging of the Ex-vivo Porcine Heart
Claudia Zanella1, Christian T Stoeck1, Constantin von Deuster1, and Sebastian Kozerke1

1Institute for Biomedical Engineering / University and ETH Zurich, Zurich, Switzerland

Higher order diffusion imaging has revealed new insights into myocardial microstructure. At the b-values required for diffusion kurtosis or diffusion spectrum imaging, translation into human in-vivo application requires Stimulated Echo Acquisition Mode imaging (STEAM) at prolonged mixing-times. In this study the effect of mixing time on diffusion parameters is investigated covering the range of current spin-echo and STEAM aproaches. Results show that fractional anisotropy increases and mean diffusivity decreases with mixing-time. Diffusional kurtosis was found to decrease with mixing-time by varying amounts along fiber, sheet and sheet-normal direction which needs to be considered when comparing spin-echo imaging with STEAM acquisitions.

3107
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Whole-heart T1 mapping using a 2D fat image navigator with 100% scan efficiency
Giovanna Nordio1, Gastao Cruz1, Claudia Prieto1, Torben Schneider1,2, Rene M. Botnar1, and Markus Henningsson1

1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom, London, United Kingdom, 2Philips Healthcare, Guildford Surrey, United Kingdom

In this study a whole-heart saturation-recovery T1-mapping technique in combination with a fat image navigator (fat-iNAV) is proposed. Myocardial fat is imaged by the fat-iNAV to estimate respiratory motion. Each of the T1-weighted images are subsequently motion corrected prior to reconstruction of the T1 map. Fat-iNAV motion correction let to an improvement in myocardial borders delineation and accuracy of the myocardial T1 values, while there was a general underestimation of myocardial T1 in the non-motion corrected T1 maps (1115.4±110ms vs 998.6±101ms). Further work will investigate non-rigid motion correction and undersampled reconstruction for T1 mapping.

3108
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Accelerating High-Resolution Whole-Heart 3D T2 Mapping
Dan Zhu1, Haiyan Ding2, Henry Halperin3, and Daniel A. Herzka1

1Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Biomedical Engineering, Tsinghua University, Beijing, People's Republic of China, 3Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States

In this work, we aim to determine an optimal strategy for accelerating high-resolution 3D myocardial T2 mapping. We quantitatively evaluate the performance of diverse methods involving different subsampling patterns and different reconstruction strategies relative to volume-by-volume SENSE reconstruction. Reconstructions which address all volumes as a single reconstruction problem (i.e. joint-sparsity SENSE or model-based SENSE) outperform volume-by-volume approaches, and variable density sampling outperforms equal spacing or CAIPIRIHNA undersampling. The T2 values observed in parametric maps proved to be more sensitive to data corruption than images themselves, limiting the degree of data reduction tolerable. 

3109
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In-vivo comparison of STEAM EPI and STEAM spiral diffusion-weighted sequences
Margarita Gorodezky1,2, Andrew D Scott1,2, Pedro F Ferreira1, Sonia Nielles-Vallespin3, Zohya Khalique1, Dudley J Pennell1, and David N Firmin1,2

1Cardiovascular Biomedical Research Unit, The Royal Brompton Hospital, London, United Kingdom, 2National Heart and Lung Institute, Imperial College, London, United Kingdom, 3National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, United States

A cardiac DTI STEAM spiral sequence with a novel asymmetric zonal excitation and a reduced FOV was implemented and compared to an established STEAM EPI sequence. 10 volunteers were scanned in systole and diastole and standard cDTI parameters were compared for both sequences. The spiral trajectory is both efficient and motion robust and its centre-out nature allows a shorter echo time and, therefore an increase in image SNR over EPI.  The spiral trajectory is also able to take full advantage of the two-dimensional reduced in-plane field-of-view (FOV) made possible by the 3 RF pulses used in the STEAM sequence.

3110
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Biopsy-based calibration of T2* magnetic resonance for estimation of liver iron concentration
Antonella Meloni1, Filippo Leto2, Daniele De Marchi1, Vincenzo Positano1, Laura Pistoia1, Aurelio Maggio2, and Alessia Pepe1

1Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy, 2Ospedale "V. Cervello", Palermo, Italy

An excellent linear agreement between R2* values and cardiac iron measured with emission spectroscopy was found. The results further validate the current clinical practice of monitoring cardiac iron in vivo by CMR.

3111
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Myocardial Motion Velocity in Patients with Cirrhotic Cardiomyopathy
Ting-Hsu Chen1, Ming-Ting Wu2, Mao-Yuan Su3, and Hsu-Hsia Peng1

1National Tsing Hua University, Hsinchu, Taiwan, 2Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 3Department of Medical Imaging, National Taiwan University Hospital, Taipei

In this study, we employed MR tissue phase mapping (TPM) to evaluate three-directional left ventricular velocity. The purpose of this study is to establish quantitative indices to comprehend the characteristics of myocardial motion in patients with cirrhotic cardiomyopathy. Compared with normal subjects, patients displayed lower systolic Vz and prolonged systolic TTPz. Lower systolic Vphi was also demonstrated in patient group. In conclusion, to analyze myocardial velocity and TTP can potentially provide helpful information for realizing the myocardial compensatory mechanism in patients with cirrhotic cardiomyopathy.

3112
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Dependence of the Precision of Myocardial Late Gadolinium Enhancement Quantification on Inversion Time Selection Simulated Using Synthetic Inversion Recovery MR Imaging
Akos Varga-Szemes1, Rob J van der Geest2, U. Joseph Schoepf1, Carlo N De Cecco1, Taylor M Duguay1, and Pal Suranyi1

1Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, United States, 2Leiden University Medical Center, Leiden, Netherlands

Clinical late gadolinium enhancement (LGE) imaging of the myocardium requires inversion time (TI) optimization for adequate image quality. As the optimal TI (TI0) depends on various factors, its influence on the precision of myocardial LGE quantification is of interest. In this study we aimed to prospectively investigate how the precision of LGE quantification varies in the clinically relevant TI range in 53 patients using T1-mapping-based synthetic inversion recovery (IRsynth) approach. We concluded that phase-sensitive IRsynth images provide precise quantification independent of TI, while magnitude IRsynth-based quantification is precise at TI0 or longer TIs, but showing decreased precision below TI0.

3113
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Precision and sensitivity of radial MOLLI sequence for fast myocardial T1 mapping
Benjamin Marty1,2, Bertrand Coppa1,2, and Pierre G Carlier1,2

1NMR Laboratory, Institute of Myology, Paris, France, 2NMR Laboratory, CEA, DRF, I²BM, MIRCen, Paris, France

Quantitative cardiac NMR imaging, and more particularly T1 mapping has become a most important modality to characterize myocardial tissue. In this work, we evaluated the precision and sensitivity of a fast radial MOLLI sequence by comparison with conventional MOLLI on 14 subjects presenting different heart rates, BMI and cardiac conditions. This sequence demonstrated the same precision on T1 estimates than conventional MOLLI, and was not influenced by heart rate variations. It might represent a good candidate for ultra-fast acquisition of myocardial T1 maps.

3114
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Temporal Diffusion Spectroscopy in the Heart with Oscillating Gradients
Irvin Teh1, Jürgen E. Schneider1, Hannah J. Whittington1, Tim B. Dyrby2,3, and Henrik Lundell2

1Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Denmark, 3Department of Applied Mathematics and Computer Science, Technical University of Denmark, Denmark

Conventional pulsed gradient spin echo, with its longer diffusion time, is poorly sensitive to diffusion at short length scales. Oscillating gradient spin echo enables assessment of diffusion at sub-cellular length scales, providing information about cell size and the intracellular environment. We observed that time dependence of diffusion in the myocardium was more pronounced along the 2nd and 3rd eigenvectors compared to the 1st eigenvector of the diffusion tensor. This is consistent with known anisotropic cardiomyocyte geometry. Furthermore, the measured diffusion at high frequencies still exhibited strong anisotropy that may reflect anisotropy of intracellular organelles such as actin-myosin filaments.

3115
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Cardiac CEST MRI with Dual-Echo Readout for B0 Correction: A Preliminary Reproducibility Study for Assessment of Metabolic Activity in the Heart
Zhengwei Zhou1,2, Xiaoming Bi3, and Debiao Li1,2

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3MR R&D, Siemens Healthcare, Los Angeles, CA, United States

Previous studies have shown that cardiac CEST technique can detect myocardial metabolic abnormalities in chronic myocardial infarction. However, this navigator-gated technique is still sensitive to B0 field variations caused by respiratory motion within the acceptance window. 

In this work, we developed a cardiac CEST dual-echo technique which not only acquires CEST-weighted image, but also enables acquisition of B0 map for each saturation frequency offset. The reproducibility of this technique was also assessed.


3116
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Dynamic Nitroxide-Enhanced MRI Detects Oxidative Stress in the Hearts of Mice Subject to Angiotensin II Infusion
Sophia Xinyuan Cui1, Rene J. Roy2, Brent A. French1,2, and Frederick H. Epstein1,2

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Radiology, University of Virginia, Charlottesville, VA, United States

Oxidative stress contributes importantly to the pathophysiology of many types of cardiovascular disease. Nitroxides are relatively stable free radicals that have been used as redox-sensitive MRI contrast agents in preclinical studies to assess tumor redox status. We implemented a dynamic nitroxide-enhanced MRI method to test the hypothesis that MRI can detect cardiac oxidative stress in vivo. Imaging was performed in untreated controls and mice infused with angiotensin II for 7 days. The MRI signal decay rate in the heart was significantly higher in the angiotensin II group, indicating that these methods detect cardiac oxidative stress due to angiotensin II infusion. 


Electronic Poster

Vascular Imaging: Lumen, Vessel Wall & Function

Exhibition Hall Monday 8:15 - 9:15

3117
Computer 25
Estimation of motion-corrupted data using parallel imaging for carotid artery vessel wall imaging
Robert Frost1,2,3, Luca Biasiolli4, Linqing Li5, Aaron T. Hess4, and Peter Jezzard3

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Radiology, Harvard Medical School, Boston, MA, United States, 3FMRIB Centre, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 4Oxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom, 5Section on Magnetic Resonance Spectroscopy, National Institute of Mental Health, Bethesda, MD, United States

Carotid artery imaging is hampered by motion artefacts, including those caused by occasional swallowing motion. In this work, we extend previous work on intelligent reacquisition to estimate and replace motion-corrupted data. ‘Bad’ phase-encode lines were synthesized from surrounding ‘good’ lines using parallel imaging techniques. Estimation and replacement of corrupted data reduced background ghosting levels in comparison to the previous reacquisition approach.  A small number of reacquisitions was maintained to ensure good quality data at the centre of k-space because these are essential for image quality and for calibration of the parallel imaging-based estimation.

3118
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Three-dimensional black-blood multi-contrast protocol for carotid imaging using compressed sensing: a repeatability study
Jianmin Yuan1, Ammara Usman1, Scott A. Reid2, Kevin F. King3, Andrew J. Patterson4, Jonathan H. Gillard1, and Martin J. Graves1,4

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2GE Healthcare, Amersham, United Kingdom, 3GE Healthcare, Waukesha, Wisconsin, United States, 4Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

Multi-contrast black-blood MRI protocol has demonstrated the ability to assess carotid plaque vulnerability. Current limitation for its wide application is the long scanning time. The purpose of this work is to evaluate the repeatability of a compressed sensing (CS) accelerated multi-contrast protocol at 3T.

3119
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3D black blood T2 mapping of the carotid artery wall with compressed sensing and data-driven parallel imaging
Jianmin Yuan1, Ammara Usman1, Scott A. Reid2, Kevin F. King3, Andrew J. Patterson4, Jonathan H. Gillard1, and Martin J. Graves1,4

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2GE Healthcare, Amersham, United Kingdom, 3GE Healthcare, Waukesha, Wisconsin, USA, 4Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

Quantitative MRI has many advantages over traditional contrast weighted methods, which may be more suitable for multi-centre studies across different MRI systems. This study describes the development of a 3D black blood T2 mapping sequence with the combination of compressed sensing and data-driven parallel imaging. Phantom and volunteer experiments were performed to optimise the parameters and patients with atherosclerotic carotid artery disease were scanned using the optimised sequence.

3120
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Whole-brain vessel wall imaging within 5 minutes using compressed sensing accelerated IR-SPACE
Zhaoyang Fan1, Xiaoming Bi2, Marcel Maya3, Qi Yang1,4, Shlee Song5, Nestor Gonzalez6, Schlick Konrad5, Esther Raithel7, Christoph Forman7, Gerhard Laub2, and Debiao Li1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Siemens Healthcare, Los Angeles, CA, United States, 3Imaging, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Xuanwu Hospital, Beijing, People's Republic of China, 5Neurology, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 6Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 7Siemens Healthcare, Erlangen, Germany

Inversion-recovery (IR) prepared SPACE was recently proposed as a whole-brain intracranial vessel wall imaging technique. This work aimed to investigate the feasibility of accelerating the scan from 8 min to <5 min using compressed sensing (CS). A prototype CS IR-SPACE sequence was implemented on a 3T system. Wavelet sparse regularization (λ) and iteration (Iter) were optimized for the scenario of sampling 15% of k-space data based on a volunteer study. Image quality was visually comparable between CS IR-SPACE and regular IR-SPACE scans. In addition, CS IR-SPACE and IR-SPACE showed comparable lesion delineation quality in patients despite markedly different scan times. 

3121
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Endothelial permeability in the aortic root of atherosclerotic mice: quantification using 3 dimensional, black blood, self-gated T1 mapping
Alison Pruzan1, Arthi Sridhar1, Gustav Strijkers1,2, Zahi A. Fayad1, and Claudia Calcagno1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Academic Medical Center, Amsterdam, Netherlands

Atherosclerotic plaques prone to rupture are characterized by endothelial dysfunction and increased endothelial permeability. The aortic root is a vascular territory where permeable atherosclerotic plaques form consistently and reliably.  However, morphological and quantitative parametric imaging of the mouse aortic root is very challenging, due to the small dimensions, rapid blood flow through the valves, and high heart rate. Here we demonstrate feasibility of pre and post-contrast T1 mapping of the mouse aortic root using a 3 dimensional, self-gated fast low angle shot (FLASH) sequence with black blood imaging for improved vessel wall delineation. Future studies will entail further development of this technique for the more accurate quantification of endothelial permeability and fractional blood volume in the mouse aortic root. 

3122
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Quantitative Multi-Contrast Atherosclerosis Characterization (qMATCH): Comprehensive Quantitative Evaluation of Atherosclerosis in a Single-Scan
Yibin Xie1, Anthony Christodoulou1, Nan Wang1,2, and Debiao Li1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States

Although MRI is an attractive imaging modality for the evaluation of carotid atherosclerosis thanks to its versatility and noninvasiveness, its current clinical usage is still limited. Major drawbacks of conventional protocols include long scan time and observer variability due to the qualitative nature of the images. In this work we proposed a fast, 3D, quantitative, multi-contrast MRI technique, qMATCH, for a comprehensive evaluation of carotid atherosclerosis in less than 8 minutes. Preliminary results from phantom and in vivo studies demonstrated excellent image quality and reliable quantification of tissue relaxation times. 

3123
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Aortic Vessel Wall Imaging Using 3D Phase Sensitive Inversion Recovery in Children and Young Adults
Animesh Tandon1,2, Tarique Hussain1,2, Andrew Tran3, René M Botnar4, Gerald F Greil1,2, and Markus Henningsson4

1Pediatrics, Radiology, BME, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Pediatric Cardiology, Children's Medical Center Dallas, Dallas, TX, United States, 3Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Biomedical Engineering, King’s College, London, London, United Kingdom

Currently, T2-weighted TSE black blood zoom imaging (T2Z) is used to visualize atherosclerosis, but volumetric, high isotropic resolution datasets would be preferable. We compared aortic luminal sharpness (ALS) of a novel 3D bSSFP phase-sensitive inversion recovery black blood sequence (3DPSIR) to T2Z in 10 children and young adults with familial hypercholesterolemia at 5 aortic locations. 3DPSIR sequence duration was 7.0 minutes compared to 11.4 minutes for T2Z with no significant difference in ALS overall. 3DPSIR high resolution volumetric datasets will enable rapid, detailed 3D vessel wall imaging in children and young adults, allowing improved exploration of vascular health.

3124
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Quantitative T1 and T2* carotid atherosclerotic plaque imaging using 3D multi-echo phase-sensitive inversion recovery sequence: a feasibility study
Yasuhiro Fujiwara1, Hirotoshi Maruyama2, Kanako Toyomaru3, Yuri Nishizaka3, Kazuma Yamasaki3, and Masahiro Fukamatsu4

1Department of Medical Imaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Radiological Center, National Hospital Organization Kumamoto Saisyunsou Hospital, Kumamoto, Japan, 3Graduate School of Health Sciences, Kumamoto University, Kumamoto, Japan, 4Radiological Center, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan

A quantitative evaluation of plaques is required in MR plaque imaging. The purpose of this study was to determine whether the 3D multi-echo Phase-Sensitive Inversion Recovery sequence can improve the T1 intra-plaque hemorrhage (IPH)-to-muscle contrast while simultaneously providing accurate T1 and T2* values for an IPH. This sequence may have potential to improve plaque MR imaging and make it possible to obtain detailed information about the components of carotid atherosclerotic plaques. 

3125
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Quantitative Evaluation of RECS-3D MERGE MR Imaging for Carotid Plaque Assessment
Bo Li1,2, Hao Li3, Guofu Huang1, Xia Qian1, Wei Wang1, and Li Dong4

1Center Laboratory, The First Hospital of Nanchang City, Nanchang, People's Republic of China, 2Department of Radiology, The Third Affiliated Hospital of Nanchang University, Nanchang, People's Republic of China, 3Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 4Department of Radiology, Beijing Anzhen Hospital, Beijing, People's Republic of China

We sought to quantitatively investigate the performances on blood suppression efficiency, wall-lumen CNR and plaque burden measurements for the RECS-3D MERGE sequence in carotid vessel wall MR imaging.

Twelve patients with carotid artery stenosis were recruited in this study. Lumen SNR and wall-lumen CNR were calculated and plaque burden measurements (i.e., lumen area, wall area, mean wall thickness and maximum wall thickness) were measured.

The RECS-3D MERGE was quantitatively demonstrated to have the ability to provide the comparable blood suppression, black-blood image quality and the highly correlated morphometry with the current plaque imaging protocol. The RECS-3D MERGE could be a promising tool for plaque burden measurement in a short scan time.


3126
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Evaluation of Four Injection Strategies for High Spatial Resolution Gadobenate Dimeglumine-Enhanced MR Angiography
Gregory J Wilson1 and Jeffrey H Maki1

1Radiology, University of Washington, Seattle, WA, United States

Four injection profiles were evaluated in 40 subjects (10 each). The profiles were designed to provide a signal intensity plateau for a 20 second contrast-enhanced MR angiography scan, using gadobenate dimeglumine. The injection profiles were: 1) standard, non-diluted, 1.6 mL/sec; 2) diluted, 1.6 mL/sec; 3) diluted, bi-phasic, and 4) diluted, patient-tailored. All subjects received a total dose of 0.1 mmol/kg, divided between a test bolus and a full bolus. The “diluted” protocols included dilution of the total dose to 40 mL with normal saline. Signal intensity profiles were measured and analyzed for width of plateau (FW80M) and peak signal intensity.

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3D segmentation of the Pulmonary Arteries on Magnetic Resonance Angiography
Christopher S Johns1, Alberto Biancardi1,2, Guilhem J Collier1, David A Capener1, Andy J Swift1,2, and Jim M Wild1

1Academic Radiology, The University of Sheffield, Sheffield, United Kingdom, 2Insigneo, Institute of In-Silico Medicine, Sheffield, United Kingdom

Contrast enhanced magnetic resonance angiography (MRA) is in common use in the assessment of pulmonary hypertension. We present a novel method for segmentation of the pulmonary arteries allowing rapid assessment of the proximal pulmonary arteries down to the 4th generation. Whilst the strongest correlation with mean pulmonary artery pressure was with the right main pulmonary artery, the torsion of the 4th generation pulmonary arteries was also associated with increasing mean pulmonary artery pressure. We hope quantitative vessel segmentation will improve our understanding of the impact of proximal pulmonary arterial remodelling in pulmonary hypertension. 

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The value of 3T contrast-enhanced whole-heart Coronary MRA in a integrated assessment of Cardiac Magnetic Resonance Protocol for Detection of suspected or known Coronary Artery Disease
lijun zhang 1, Yi He1, Zhan ming Fan1, and Debiao Li2

1Radiology Department, Beijing Anzhen Hospital, Capital Medical University, Beijing, People's Republic of China, 2Cedars-Sinai Medical Center, Biomedical Imaging Research Institute,University of California, Los Angeles, United States

We try to evaluate the additive diagnostic value of a 3T whole-heart CE-MRCA integration into a CMR-MPI/LGE protocol for the detection of coronary artery disease A total of 38 subjects were examined by CMR (including CMR-MPI, MRCA, and LGE)[j1]  and x-ray invasive coronary angiography (ICA). Diagnostic performances of MRCA, CMR-MPI/LGE, and MRCA+CMR-MPI/LGE integration were determined having XA as standard for coronary artery disease. In per-vessel analysis, integrated protocol (AUC=0.84) performed better than the isolated CMR-MPI/LGE (AUC=0.63). In this suspected or known coronary artery disease population, integration of CE-MRCA significantly improved per-vessel diagnostic accuracy of a comprehensive 3T CMR-MPI/LGE protocol.  

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A novel method for performing percutaneous transluminal renal angioplasty with the guide of non-contrast magnetic resonance angiography overlaid on fluoroscopy images
Yoshiaki Morita1, Tetsuya Fukuda1, Yoshiaki Watanabe1, Tatsuya Nishii1, Atsushi Kono1, and Naoaki Yamada1

1Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan

Herein, we present a new method for the performance of percutaneous transluminal renal angioplasty (PTRA) guided by non-contrast magnetic resonance angiography (NATIVE True FISP) overlaid on intra-procedural fluoroscopy images. This novel overlay system led to sufficient visualization as the overlaid vasculature on the live fluoroscopic image, and enabled the safe completion of PTRA with fewer angiographic procedures, thus requiring lower volumes of iodinated contrast material and shorter fluoroscopic times.

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Velocity-selective unenhanced peripheral MR angiography: Initial clinical testing compared with digital subtraction angiography
Taehoon Shin1, Rajiv G Menon2, Devin Watson3, Rajabrata Sarkar3, Sanjay Rajagopalan4, and Robert Crawford3

1Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore, MD, United States, 2New York University, New York, NY, United States, 3Vascular Surgery, University of Maryland, Baltimore, MD, United States, 4Cardiovascular Medicine, Case Western Reserve, Cleveland, OH, United States

We performed initial clinical testing of velocity-selective magnetization-prepared MR angiography (VS-MRA) in 31 patients with peripheral arterial disease with digital subtraction angiography (DSA) serving as the reference standard. The image quality score of VS-MRA was 2.8±0.6 in the scale of 0-3 (0: non-diagnostic, 3: excellent). The sensitivity and specificity for detecting significant stenosis were 90.1 % and 96.2%, respectively on a per-segment basis (n=286), and were 92.7% and 92.0 %, respectively on a per-region basis (n=105). The Fleiss-Cohen κ value for the agreement between VS-MRA and DSA was 0.91 on a per-segment basis and 0.88 on a per-region basis. 

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Super-Resolution Intracranial Quiescent-Interval Slice-Selective Magnetic Resonance Angiography
Ioannis Koktzoglou1,2, Shivraman Giri3, Jianing Pang3, Jeremy D Collins4, and Robert R Edelman1,4

1Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 2Radiology, University of Chicago Pritzker School of Medicine, Chicago, IL, United States, 3Siemens Healthineers, Chicago, IL, United States, 4Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, United States

We evaluated whether super-resolution reconstruction could be used to improve the vascular detail of quiescent-interval slice-selective (QISS) MRA of the intracranial circulation. Results suggest that super-resolution reconstruction can substantially improve intracranial arterial delineation without the signal-to-noise ratio penalty of directly acquiring thin-slice images.

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Simultaneous Bright and Black Blood Whole Heart Phase Sensitive Inversion Recovery (PSIR) for Non Contrast Enhanced Coronary Lumen and Plaque Characterization
Giulia Ginami1, Radhouene Neji2, Rene Botnar1, and Claudia Prieto1

1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

This study introduces a 3D whole-heart sequence with image-based navigation for non-contrast enhanced coronary lumen and coronary thrombus/haemorrhage characterization. The sequence is based on a phase sensitive inversion recovery (PSIR)-like approach enabling the acquisition of two bright-blood datasets for visualization of the coronary lumen and estimation of motion parameters. Furthermore, a third, fully co-registered dark-blood dataset for thrombus/haemorrhage characterization is obtained from the PSIR reconstruction. With the proposed approach the coronary lumen is visualized with improved SNR/CNR and vessel sharpness when compared to a conventional T2 prepared coronary MRA acquisition. In addition, effective blood signal suppression and feasibility for thrombus visualization is shown with the PSIR reconstructed black-blood dataset.

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Evaluating Circle of Willis using Simultaneous Non-Contrast Angiography and intraPlaque Hemorrhage (SNAP)
Yalun Chen1, Ling Tang2, Le He2, Xihai Zhao2, Zhensen Chen2, and Huijun Chen3

1Chongqing Medical University, Chongqing, People's Republic of China, 2Department of Biomedical Engineering, School of Medicine, Tsinghua University, 3Departement of Biomedical Engineering, School of medicine, Tsinghua University, Beijing, People's Republic of China

The purpose of this study is to evaluate the ability of SNAP to evaluate the CoW by comparing with an established non-contrast MRA technique, time of flight (TOF).We found SNAP have good agreement with TOF and similar intra-reader reproducibility in CoW evaluation. However, the agreement between TOF and SNAP and the reproducibility of each technique is moderate in the anterior communicating artery identification. Thus, SNAP shows great promise for imaging both intracranial artery and vessel wall with a single scan.

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Flow enhanced (FEED) Arterial Spin Labeling Angiography with segmented Zero Echo Time Readout
Jianxun Qu1, Bing Wu1, and Zhenyu Zhou1

1MR Research China, GE Healthcare, Beijing, People's Republic of China

ASL based MRA with continuous labeling has the optimal label efficiency. To achieve data acquisition efficiency, a long readout train is frequently used after labeling. Flow void might appear due to the lack of tagged blood entering the imaging volume during readout. A method named hybrid ASL address this problem with additional pulsed inversion. Yet, blood inverted by pulsed ASL still experiences considerable T1 decay during readout. We propose a method termed flow enhanced ASL (FEED). Interleaved labeling modules along with segmented readout was employed. As the results show, FEED could increase the signal level without prolonging scan time.

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Free-breathing non-contrast 3D radial respiratory motion-resolved versus motion-corrected whole-heart coronary MRA at 3T
Jessica AM Bastiaansen1, Lorenzo di Sopra1, Jérôme Yerly1,2, Davide Piccini3, Ruud B van Heeswijk1, and Matthias Stuber1,2

1Department of Radiology, Hospital Lausanne (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2Center for Biomedical Imaging, Lausanne, Switzerland, 3Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland

Coronary MRA performed using respiratory self-navigation techniques that apply retrospective motion-correction suffer from artifacts originating from static anatomical structures surrounding the heart. This becomes even more complicated at 3T due to insufficient fat suppression. Here we implemented free-breathing self-navigated 3D coronary MRA at 3T. Instead of using a motion model, we resolved the motion using 4D k-t sparse SENSE. Resulting images were then quantitatively compared with those reconstructed from the same datasets but using a 1D motion correction. We demonstrate that non-contrast whole-heart coronary MRA can be performed at 3T and that 4D motion-resolved reconstruction effectively minimizes adverse effects of respiratory-motion.

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Dual-Phase Whole-Heart Imaging Using Image Navigation in Congenital Heart Disease
Danielle M. Moye1,2, Tarique Hussain1,2, Rene M. Botnar3, Animesh Tandon1,2, Gerald F. Greil1,2, Adrian K. Dyer1,2, and Markus Henningsson3

1Pediatric Cardiology, UT Southwestern Medical Center Dallas, Dallas, TX, United States, 2Pediatric Cardiology, Children's Health, Children's Medical Center Dallas, Dallas, TX, United States, 3Division of Imaging Sciences, King's College London

Dual phase whole heart imaging allows accurate depiction of cardiac segmental anatomy for congenital heart disease. We applied image-based navigation (iNAV) to improve its clinical utility. Qualitative and quantitative image quality scoring showed that iNAV gave equivalent image quality compared to the standard respiratory navigator. However, the distal coronary arteries were better visualized and the sequence duration was shorter. Using dual-phase iNAV, complete segmental anatomy was delineated in 27/30 patients (90%). The use of iNAV dual phase 3D SSFP whole heart acquisition allows complete morphological diagnosis for congenital heart disease with high image quality with more clinically acceptable time constraints.


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Improved Golden-Angle Stack-of-Stars Non-Contrast Enhanced 4D Dynamic MR Angiography using Parallel Imaging and Compressed Sensing
Ziwu Zhou1, Fei Han1, Songlin Yu2, Dandan Yu2, Stanislas Rapacchi1, Danny J.J. Wang3, Lirong Yan3, and Peng Hu1

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Neurology, University of California, Los Angeles, Los Angeles, CA, United States, 3Neurology, University of Southern California, Los Angeles, CA, United States

In this study, we investigated the feasibility of accelerating a recently proposed arterial spin labeling (ASL) based, time-resolved non-contrast enhanced dynamic MR angiography (NCE-dMRA) technique using parallel imaging and compressed sensing. By taking advantage of the inherent and unique “subtraction sparsity” in ASL type acquisition, we combined a recently developed CS technique, which uses a magnitude subtraction to enhance sparsity in MRA data, with the ESPIRiT method for SENSE type PI reconstruction. Proposed method was compared with the previously used KWIC reconstruction to demonstrate its advantage in reducing temporal blurring caused by view-sharing.  

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Single-Shot Coronary QISS MRA in Children using Radial k-Space Sampling and Compressed Sensing
Daming Shen1, Robert R. Edelman2, Joshua D Robinson3, Hassan Haji-Valizadeh1, Shivraman Giri4, Ioannis Koktzoglou2, Cynthia K. Rigsby3, and Daniel Kim3

1Biomedical Engineering, Northwestern University, Chicago, IL, United States, 2Department of Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 3Department of Radiology, Northwestern University, Chicago, IL, United States, 4Cardiovascular MR R&D, Siemens Healthineers, Chicago, IL, United States

Coronary MRA is complex to set up (e.g., navigator gating to track respiratory motion), typically takes 5-10 min to complete, and often produces inconsistent results. Quiescent-Interval Slice-Selective (QISS) MRA is a promising method for rapid coronary imaging. We sought to develop a single-shot (real-time) coronary QISS MRA using compressed sensing.

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Automated Coronary Artery Ostia Detection in Magnetic Resonance Angiography
Bernhard Stimpel1, Christoph Forman2, Jens Wetzl1,3, Michaela Schmidt2, Andreas Maier1,3, and Mathias Unberath1,3

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Magnetic Resonance, Siemens Healthcare GmbH, Erlangen, Germany, 3Erlangen Graduate School in Advanced Optical Technologies (SAOT), Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany

Anomalies of the coronary ostia can have severe consequences. To provide a screening solution, automated ostia detection based on single breath-hold coronary MRA scans is presented. The aorta is segmented in the data sets to serve as an orientation point and vesselness enhancing filters are applied. Searching the aorta surface for high vessel responses by a ray-tracing procedure yields information about the position of the coronary ostia. The proposed approach was successfully validated in 10 volunteers with an average deviation of $$$7.6 \pm 1.0$$$° in angular and $$$1.2 \pm 0.58$$$ mm in superior-inferior direction. 

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Using Non-Contrast-Enhanced Magnetic Resonance Angiography (MRA) in Evaluating Preoperative Facial Artery of Vacularized Submental Lymph Node Flap: Compared to Conventional Contrast-Enhanced MRA
Ming-Chen Wu1, Ming-Yi Hsu1, Ren-Fu Shie1, Yui-Ping Fan1, Hsiao-Ching Yu1, Chien-Yuan Eddy Lin2,3, and Sung-Yu Chu1

1Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan, Taiwan, 2GE Healthcare, Taiwan, 3GE Healthcare MR Research China, Beijing, People's Republic of China

The aim of this study was to determine whether the recently developed non-contrast-enhanced Inhance 3D velocity magnetic resonance angiography (Inhance 3D MRA) technique is capable of evaluating the course of facial artery (branch artery) in preoperative evaluation of vacularized submental lymph node flap. The result shows that Inhance 3D MRA is a promising method for assessing facial artery course without concerning the contrast media (CM) travel time and the venous contamination.


Electronic Poster

Cardiac Function

Exhibition Hall Monday 8:15 - 9:15

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Age-stratified normal left atrial deformation assessed by novel longitudinal strain parameters on a 3T MR scanner
Shuang Leng1, Xiaodan Zhao1, Angela Su-Mei Koh1,2, Ru San Tan1,2, and Liang Zhong1,2

1National Heart Centre Singapore, Singapore, Singapore, 2Duke-NUS Medical School Singapore, Singapore, Singapore

The aim of this study was to examine the age-related normal left atrial (LA) longitudinal deformation by a novel and fast assessable strain parameter with standard cardiac magnetic resonance (CMR) imaging. A total of 60 heathy subjects (30 males, age between 20 and 80 years) were categorized by age into young, middle-aged, and elderly adults. The LA longitudinal strain and strain rate measurements corresponding to reservoir and conduit phases were negatively related to age, while no significant age-dependency was observed for LA contraction strain and strain rate values. These strain parameters can be used to evaluate LA deformation and functionality.

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Right ventricular deformation by CMR feature tracking in patients with volume-overload and pressure-overload congenital heart diseases
Shuang Leng1, Xiaodan Zhao1, Wen Ruan1, Ru San Tan1,2, Ju Le Tan1,2, and Liang Zhong1,2

1National Heart Centre Singapore, Singapore, Singapore, 2Duke-NUS Medical School Singapore, Singapore, Singapore

Two major patterns of right ventricular (RV) overload are volume overload and pressure overload. This study aimed to investigate the differences of RV myocardial deformation associated with volume and pressure overload congenital heart diseases. Cardiac magnetic resonance feature tracking was applied to RV 4-chamber and short axis view in a subject group comprising 23 patients with repaired tetralogy of Fallot (rTOF), 23 patients with pulmonary hypertension (PH), and 23 age- and gender-matched normal controls. Results indicated that PH patients had most diminished RV longitudinal and circumferential strain. Patients with rTOF had reduced RV longitudinal strain but higher circumferential strain.

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Accelerated Cardiac Cine “Watermark” MRI provides Cardiac Function via Magnitude Cine and 2D Myocardial Strain via Spatially Modulated Phase
Ronald J Beyers1, Davis M Vigneault2,3,4, Nouha Salibi1,5, David A Bluemke4, and Thomas S Denney1

1MRI Research Center, Auburn University, Auburn, AL, United States, 2Department of Engineering Science, University of Oxford, Oxford, United Kingdom, 3Sackler School of Graduate Biomedical Sciences, School of Medicine, Boston, MA, United States, 4Radiology and Imaging Sciences, National Institutes of Health, Bethesda, MD, United States, 5MR R&D, Siemens Healthcare, Malvern, PA

We developed a parallel imaging accelerated Cine Watermark (CWM) sequence to provide normal cine magnitude images plus phase image-only multi-directional spatial encoding for quantitative cine strain -- while requiring no extra operator effort.  Spatial cosine modulation post-processed by complex image sum/differencing produced separate normal magnitude cine and unique phase-only spatial modulation for strain calculation.  In vivo human scans demonstrated good magnitude cine and phase-only quantified displacement. Cardiac strains were tracked by a novel non-linear least squares method combining quadratic b-spline contours, nearest neighbor optimized phase tracking, and physically-motivated regularizers.  Cardiac left ventricular, short-axis, circumferential strain results agreed with previous literature.

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Left ventricular-arterial coupling and mechanical efficiency assessed by pressure-volume loop in pulmonary artery hypertension patients
Xiaodan Zhao1, Fei Xu2, Xiaoke Shang3,4, Yang Dong2, Wen Ruan1, Gangcheng Zhang5, Ru San Tan1,6, Ju Le Tan1,6, Yucheng Chen2, and Liang Zhong1,6

1National Heart Centre Singapore, Singapore, Singapore, 2West China Medical Centre of Sichuan University, People's Republic of China, 3Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China, 4Department of Cardiology, Second Clinical College of Wuhan University, WuHan, People's Republic of China, 5WuHan Asia Heart Hospital, People's Republic of China, 6Duke-NUS Medical School Singapore, Singapore, Singapore

Left ventricular end-systolic elastance (Ees), arterial elastance (Ea) and ventricular arterial coupling (VAC) (ratio of Ea/Ees) has been considered “gold” standard to assess ventricular contractility and performance. Ventricular arterial uncoupling due to impaired Ees or augmented Ea impaired ventricular mechanical efficiency (ME) and cardiac output. Ventricular contractility and arterial loading and the degree of their mismatching have yet been studied in pulmonary hypertension (PH). A total of 42 PH subjects who underwent both cardiac magnetic resonance (CMR) and right heart catheterization (RHC) were categorized into three groups – preserved LV ejection fraction (LVEF > 50%) and VAC < 0.8 (group 1); preserved LVEF and VAC > 0.8 (group 2); reduced LVEF (< 50%) (group 3). The results showed that VAC was correlated negatively with ME, which indicated arterial-ventricular uncoupling impaired mechanical efficiency. Importantly, the group 2 with ventricular arterial uncoupling had impaired mechanical efficiency despite its preserved ejection fraction.

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Cardiac function relation to preload variation based on free breathing motion
Teodora Chitiboi1, Rebecca Ramb1, Eve Piekarski2, Li Feng1, Anja Hennemuth3, and Leon Axel1

1Radiology, New York University School of Medicine, New York, NY, United States, 2Nuclear Medicine Ward, Pitié Salpétrière Hospital, Paris, Paris, France, 3Fraunhofer MEVIS, Germany

Free-breathing cardiac cine MRI provides novel information on cardiac dynamics. In this work, we investigate the relation between cardiac function and left-ventricular preload variations induced by respiratory motion, in normal subjects and patients. We used the left-ventricular diameter perpendicular to the septum as a measure of preload and the relative change in diameter between end-systole and end-diastole as a measure of functional response. There was a significantly larger change in diameter during the respiratory cycle for normal subjects compared to patients.  We also found a significant correlation between preload and cardiac function for normal subjects, which was reduced for patients.

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Quantitative Evaluation of Ultra-fast Real Time Imaging Compared to Cine at 1.5 T and Demonstration of Clinical Value in Atrial Fibrillation
Aaron T Hess1, Betty Raman1, Joana Leal1, Adam Lewandowski2, Jane Francis1, Masliza Mahmod1, Dirk Voit3, Markus Untenberger3, Jens Frahm3, Stefan Neubauer1, and Matthew David Robson1

1OCMR, Oxford University, Oxford, United Kingdom, 2RDM, Oxford University, Oxford, United Kingdom, 3Biomedizinishe NMR Forschungs GmbH, Max-Plank-Institut fur biophysikalische Chemie, Gottingen, Germany

Ultra-fast real time imaging allows cine imaging of the whole heart without gating or breath-holding in around 1 minute.  Here clinical cardiac metrics are evaluated and compared with those from a standard clinical acquisition in normal volunteers. We find agreement adequate for clinical use.  The real time approach is evaluated in a case of atrial fibrillation and found to provide a more robust evaluation of cardiac parameters in a shorter acquisition time.

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UNFOLDed spiral SPiRIT TPM enables high spatio-temporal resolution analysis of cardiac function
Marius Menza1, Moritz Braig1, Bend Jung2, Daniela Föll3, Jürgen Hennig1, and Axel Joachim Krafft1

1Dept. of Radiology, Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany, 2Institute of Diagnostic, Interventional and Pediatric Radiology, University Hospital Bern, Bern, Switzerland, 3Cardiology and Angiology, University Heart Center, Freiburg, Germany

A detailed TPM analysis of cardiac function necessitates high spatio-temporal resolution which leads to prolonged scan durations. These scan times are typically too long for data acquisition within a single breath hold. Respiratory navigator-gating can compensate breathing-related motion, but causes an additional increase in measurement time and images with residual motion artifacts. The aim of this study was to combine UNFOLD with variable density spiral SPiRIT TPM to achieve an additional scan time reduction by a factor of 2 and an effective undersampling factor of 6. UNFOLDed SPiRIT TPM demonstrates good results and enables scan times within very short breath holding.

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MOTION-RESOLVED 5D IMAGING OF THE HEART: TIME TO GET RID OF THE ECG?
Lorenzo Di Sopra1, Davide Piccini1,2, Simone Coppo3, Jessica A.M. Bastiaansen1, Matthias Stuber1,4, and Jérôme Yerly1,4

1Department of Radiology, University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 3Department of Radiology, Case Western Reserve University, Cleveland, OH, 4Center for Biomedical Imaging (CIBM), Lausanne, Switzerland

The performance of motion-resolved whole-heart MR imaging strongly depends on the quality of cardiac- and respiratory-gating signals. While navigators or self-navigation can be used to account for respiratory motion, ECG is a mainstay for synchronizing data acquisition with the cardiac cycle. We tested whether physiological motion information, directly extracted from k-space-center, can replace respiratory navigators and ECG signals. The proposed solution was applied in 9 healthy volunteers and results were compared to those obtained with the ECG-signal. Correlation between R-wave time-stamps from the ECG and the cardiac self-gating signal was excellent, while image quality and coronary artery conspicuity remained unchanged.

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Does Right Ventricular Myocardial Kinetic Energy Correlate With Pressure Overload in Repaired Tetralogy of Fallot Patients?
Meng-Chu Chang1, Ming-Ting Wu2, Ken-Pen Weng3, Mao-Yuan Su4, Marius Menza5, 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, 3Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 4Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan, 5Medical Physics, Department of Radiology, University Hospital Freiburg, Freiburg, Germany

The association of right ventricular (RV) myocardium adapted to pressure overload of repaired tetralogy of Fallot (rTOF) patient is still unclear. We evaluated three-directional myocardial kinetic energy (KE) and correlated it with RV-related pressure. The recruited rTOF patients presented decreased peak KERV both in systole and diastole. However, patient group exhibited increased percentage of radial KERV, accompanying with highly positive correlation with RV systolic pressure. In conclusion, the investigation of the correlation between myocardial kinetic energy and RV pressure overload may helpful to comprehend compensatory mechanism and myocardial remodeling in patients with rTOF.

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Myocardial Strain Imaging with Feature Tracking MRI in Patients with Cardiac Amyloidosis: Comparison with Normal Control Subjects
James Glockner1

1Radiology, Mayo Clinic, Rochester, MN, United States

Feature tracking (FT) myocardial strain analysis was performed in 87 patients with biopsy proven cardiac amyloidosis and in 64 control subjects using long and short axis ECG-triggered b-SSFP images and commercial software.  Radial, circumferential, and longitudinal peak systolic strain values were all significantly different between amyloid patients and control subjects, suggesting that this technique is feasible in assessing patients with suspected cardiac amyloidosis. 

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Feature-Tracking Regional Myocardial Strain:  Effects of Tag Strength and Flip Angle
Eric Schrauben1, Andreas Greiser2, Brett Cowan3, and Alistair Young3

1Physiology & Experimental Medicine, University of Toronto, Toronto, ON, Canada, 2Siemens Healthcare, Erlangen, Germany, 3Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand

Using feature-tracking combined with variable tag strength and flip angle, myocardial strain is measured and compared against traditional tagging MRI in healthy volunteers . 

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Free-Breathing Self-Navigated Isotropic 3-D CINE Imaging of the Whole Heart using Adaptive Triggering and Retrospective Gating
Jens Wetzl1,2, Felix Lugauer1, Randall Kroeker3, Michaela Schmidt3, Andreas Maier1,2, and Christoph Forman3

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Erlangen Graduate School in Advanced Optical Technologies (SAOT), Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 3Siemens Healthcare GmbH, Erlangen, Germany

We present a method for free-breathing whole-heart 3-D CINE imaging based on adaptive triggering and retrospective gating and compare it to a previously published method using prospective triggering. We show that our method is simultaneously robust to heart-rate variability during the scan and able to cover the entire cardiac cycle, which is not the case for prospective triggering. A validation in 6 volunteers shows reduced end-diastolic volume bias compared to a gold-standard 2-D reference for our method. Image reconstruction is integrated into the scanner system and takes less than 3 minutes.

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Real-time cardiac cine based on a radial bSSFP sequence and compressed sensing: initial experience on the evaluation of left ventricular function in patients
Xiaoyong Zhang1,2, Zhongzhou Chen2, Xiaohai Ma3, Lei Zhao3, Hui Chen3, Caiyun Shi2, Shi Su2, Xin Liu2, Bensheng Qiu4, Zhaoyang Fan5, and Guoxi Xie2

1Centers for Biomedical Engineering, University of Science and Technology of China, Hefei, People's Republic of China, 2Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, People's Republic of China, 3Beijing Anzhen Hospital, Capital Medical University, Beijing, People's Republic of China, 4Centers for Biomedical Engineering, University of Science and Technology of China, Heifei, People's Republic of China, 5Cedars-Sinai Medical Center, Los Angeles, CA, United States

Cardiac cine magnetic resonance imaging is a valuable technique for assessing cardiac function. However, conventional cardiac cine imaging is based on breath-holding and ECG-triggering, which has particularly difficulty to be used for the diagnosis of the patients with arrhythmia. In this work, a novel technique for real-time cardiac cine imaging was developed and used to evaluate the left ventricular (LV) function in patients with arrhythmia. Preliminary experiment results demonstrated that the proposed method can accurately evaluate patient’s LV function without the use of ECG triggering and improve the image quality of the patients with arrhythmia. 

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Global circumferential strain derived from feature tracking imaging can detect early subclinical myocardial disorders in patients with heart failure preserved ejection fraction: Comparison with tagged cine magnetic resonance imaging
Yoshiaki Morita1, Naoaki Yamada1, Makoto Amaki2, Yoshiaki Watanabe1, Tatsuya Nishii1, Atsushi Kono1, and Tetsuya Fukuda1

1Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan, 2Division of Cardiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan

The heart failure preserved ejection fraction (HFpEF) accounts for 40–50% of all causes of heart failure. For HFpEF, identification of strain disturbances where systolic function is seemingly preserved is a decisive step toward revealing hidden heart damage. Recently, the novel technique of feature tracking imaging (FTI) was introduced for myocardial strain measurement directly from conventional cine images. We demonstrated that FTI allows for detailed strain assessment with acceptable correlation with the tagging method. In particular, global circumferential strain, which cannot be detected by analysis using cine images, may possibly serve as a sensitive and early marker of cardiac dysfunction.

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The utility of fetal MRI using real-time cine imaging for the functional assessment of congenital cardiovascular abnormality
Yoshiaki Morita1, Mitsuhiro Tsuritani2, Naoaki Yamada1, Yoshiaki Watanabe1, Tatsuya Nishii1, Atsushi Kono1, Jun Yoshimatsu2, and Tetsuya Fukuda1

1Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan, 2Department of Perinatology and Gynecology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan

Volumetric analysis of the fetal heart by ultrasound (US) in congenital heart disease is often difficult due to its complex anatomy and US-specific artifacts. We implemented the real-time cine sequence without ECG triggering and the post-processing technique (PhyZiodynamics), which enabled noise reduction and interpolation based on motion coherence. Fetal MRI using real-time cine imaging allowed for detailed functional assessment in both ventricles and showed acceptable levels of correlation with both the prenatal and postnatal US findings, suggesting that this technique is a promising diagnostic tool for functional assessment of congenital cardiovascular abnormalities.

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Four Chamber Endocardial Surface Reconstruction from Cardiac MRI Data
Xiaoxia Zhang1,2, Steven Lloyd3,4, Himanshu Gupta3,4, James Davies3, Nouha Salibi1,5, Louis Dell’Italia3,4, and Thomas Denney1,2

1Auburn University MRI Research Center, Auburn University, Auburn, AL, United States, 2Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 3Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, United States, 4Birmingham Veterans Affairs Medical Center, Birmingham, AL, United States, 5MR R&D, Siemens Healthcare, Malvern, PA, United States

Shape analysis of cardiac chambers has important implications for cardiac diseases, most extensively studied in mitral regurgitation (MR). Here we present a novel algorithm for fitting surfaces to the endocardium of all four chambers through the entire cardiac cycle and demonstrate its use in patients with MR. This algorithm, which is based on standard CMR acquisitions, demonstrates improved visualization of the chambers and their function, which can help cardiologists and surgeons in treatment planning in conditions such as mitral regurgitation.

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Regions of spared hypertrophy in pressure overloaded hearts promote severe systolic dysfunction as assessed by comprehensive cardiovascular magnetic resonance
Sebastian Maximilian Haberkorn1,2, Joachim Schmitt3, Christoph Jacoby1, Jürgen Schrader2,4, Malte Kelm1,4, and Uli Flögel2,4

1Department of Cardiology, University Hospital Duesseldorf, Duesseldorf, Germany, 2Department of Molecular Cardiology, Heinrich-Heine University Duesseldorf, Duesseldorf, Germany, 3Heinrich-Heine University Duesseldorf, Department of Pharmacology and Clinical Pharmacology, Duesseldorf, Germany, 4Cardiovascular Research Institute, Heinrich-Heine University Duesseldorf, Duesseldorf, Germany

Regional heterogeneity of contractile function was described in patients with left ventricular (LV) hypertrophy, suggesting a predominant impairment of areas with distinct hypertrophy. Heterogeneity of myocardial hypertrophy therefore may contribute to global and regional abnormalities of LV function. Here, we systematically investigated the spatial and temporal patterning of myocardial hypertrophy in response to experimental pressure overload by cardiovascular MRI. Surprisingly, we identified a specific basolateral LV segment that is frequently spared from the development of myocardial hypertrophy and promotes systolic dysfunction. Moreover, the initial LV geometry and the vascular topology seemed to limit the extent of adaptation to pressure overload.

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Healthy aging of the left ventricle in relationship to cardiovascular risk factors:  The Multi-Ethnic Study of Atherosclerosis (MESA)
Chia-Ying Liu1, Shenghan Lai2, Nadine Kawel-Boehm3, Harjit Chahal4, Bharath Ambale-Venkatesh4, Joao Lima4, and David Bluemke5

1radiology and imaging sciences, national Institute of Health, bethesda, MD, United States, 2Johns Hopkins School of Medicine, 33Kantonsspital Graubuenden, Clinic of Radiology, 4Johns Hopkins Hospital, 5Radiology and Imaging Sciences, National Institutes of Health

We used cardiovascular magnetic resonance imaging to measure the LV and aortic structure and function in the Multi-Ethnic Study of Atherosclerosis (MESA). The cohort was divided into groups with or without traditional risk factors. In multivariable analyses adjusting for age, sex and race, individuals with risk factors had significantly larger LV mass index (by 17%) and lower LV contractibility (circumference strain, lower by 14%). LV structure and function are also better preserved in senescent hearts in the absence of traditional cardiovascular risk factors.

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MRI Feature Tracking Strain Provides Incremental Prognostic Information Over Serum Biomarkers in AL Amyloidosis
Jeffery E Illman1, James F Glockner1, Ian C Chang2, Arvin E Arani1, Shivaram Poigai Arunachalam1, Kiaran P McGee1, Martha E Grogan2, Angela E Dispenzieri3, and Philip A Araoz1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States, 3Department of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, United States

The association of MRI feature tracking (FT) strain with all-cause mortality was retrospectively performed on 76 patients with new diagnosis of AL amyloid.  Mean follow-up was 4 years.  MRI FT radial, circumferential, and longitudinal strain were each associated with all-cause mortality in univariate analysis.  In separate multivariate models with serum biomarker stage, radial, circumferential, and longitudinal strain each remained prognostic.  This study shows the incremental prognostic value of MRI FT strain in AL amyloidosis.  

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The impact of heterogeneity on regurgitation classification for pulmonary artery after repaired Tetralogy of Fallot
Pei-Hsin Wu1, Hsiao-Wen Chung2, Ming-Ting Wu3, and Cheng-Wen Ko4

1Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 2Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 3Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 4Computer Science and Engineering, National Sun Yat-Sen University, Kaohsiung, Taiwan

The degree of pulmonary regurgitation has been a determinant for re-intervention for patients with repaired TOF. However, in practice, the accurate assessment of regurgitation may be interfered by the simultaneous existence of forward flow and backward flow in any single cardiac phase, which may mislead clinical decision making. In this study, we investigated the impact of heterogeneity in blood flow profiles on guiding management and the classification of regurgitation. Preliminary results suggest that pixel-wise reexamination may be required for reclassification, especially for patients with marginal moderate regurgitant fraction value.

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Feasibility Study: 2-D Self-Navigation using Compressed Sensing Reconstruction for Respiratory Gating in Free-breathing 3-D CINE Imaging
Ivo Prochaska1, Jens Wetzl1,2, Christoph Forman3, Armin Nagel4, and Andreas Maier1,2

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Erlangen Graduate School in Advanced Optical Technologies (SAOT), Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 3Siemens Healthcare GmbH, Magnetic Resonance, Erlangen, Germany, 4Universitätsklinikum Erlangen, Erlangen, Germany

We investigate the feasibility of  using 2-D self-navigation for respiratory gating for free-breathing whole-heart 3-D CINE imaging, where respiration-induced cardiac motion may be more easily detected than in commonly used 1-D self-navigation methods. We compare self-navigation images, derived gating signals and resulting 3-D CINE images of the 1-D and 2-D methods and find that respiratory motion can be well visualized with the 2-D method; both methods show a good overlap of gating signals and little difference in resulting image quality. 2-D self-gating may thus be considered a promising alternative to 1-D self-navigation as it allows easier detection of respiratory motion.

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Accelerated 2D Cine MRI Featuring Compressed Sensing and ECG-triggered Retro-gating
Christoph Forman1, Randall Kroeker1, and Michaela Schmidt1

1Siemens Healthcare GmbH, Erlangen, Germany

We present the combination of ECG-triggered retrospective gating and compressed sensing for segmented 2D Cine imaging at high spatiotemporal resolution. This enables capturing the complete cardiac cycle in segmented acquisitions, while significantly reducing the total acquisition time with compressed sensing and auto-calibration. The method was evaluated in 8 healthy volunteers and ventricular function parameters were compared to reference 2D Cine acquisitions featuring ECG-triggered retro-gating. Both methods resulted in comparable image quality and equivalent quantitative values for ventricular function parameters.


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Identification and Measurement of Anatomical Landmarks Using Fetal Cardiac Cine MRI in Comparison with the Clinical Gold Standard Echocardiography
Jerome Yerly1,2, Jerome Chaptinel1, Yvan Mivelaz3, Milan Prsa3, Leonor Alamo1, Yvan Vial 4, Gregoire Berchier1, Jean-Baptiste Ledoux1,2, Chantal Rohner1,2, and Matthias Stuber1,2

1Department of Radiology, University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2Center for Biomedical Imaging (CIBM), Lausanne, Switzerland, 3Department of Pediatrics, University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 4Department of Gynecology-Obstetrics, University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland

The recent development of a self-gated framework to reconstruct cardiac cine MR images without the need for an external ECG signal has opened the door to prenatal cardiac examination with MRI. This study investigates the potential of this technique for fetal cardiac MRI and compares its performance with the clinical gold standard echocardiography. Standard views from clinical fetal echocardiographic examinations were acquired with both imaging modalities and two experienced readers independently compared them qualitatively and quantitatively. The results showed good agreement between the two modalities and validate the use of MRI for prenatal evaluation of the heart.


Electronic Poster

Body: Diffusion

Exhibition Hall Monday 8:15 - 9:15

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Contribution of DKI and IVIM to liver T1rho imaging in the prediction of hepatitis B virus-related liver fibrosis
shuangshuang xie1, qing li1, zhizheng zhuo2, yu zhang2, yue cheng1, and wen shen1

1Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Philips healthcare, Beijing, People's Republic of China

This study evaluated the individual T1rho and combined performances of T1rho, IVIM and DKI in predicting HBV related liver fibrosis. Twenty-two patients with HBV related liver fibrosis and twenty healthy control subjects were underwent whole-liver T1rho MR imaging, IVIM and DKI. The T1rho, D, D*, f , MD and MK values were compared between the two groups, and then the single and combined diagnostic efficiency of T1rho, IVIM and DKI was analyzed. Our results showed liver T1rho and MK increased and D, f, MD decreased in normal control group, and liver T1rho and MD had significantly difference between the two groups. T1rho had a moderate diagnostic efficiency, IVIM and DKI had a mild diagnostic efficiency to detect fibrosis. While, the combination of T1rho, IVIM and DKI improved the diagnostic efficiency significantly and had a good diagnostic efficiency to detect fibrosis. We conclude T1rho can be used to predicting liver fibrosis effectively, and IVIM and DKI can effectively complement existing T1rho MR imaging in predicting of liver fibrosis.

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Role of diffusion-weighted imaging in distinguishing thoracoabdominal neuroblastic tumors of various histological types and differentiation grades
Yang Wen1, Yun Peng1, Xiaomin Duan1, and Nan Zhang2

1Department of Radiology, Beijing Children's Hospital, Beijing, People's Republic of China, 2Department of Pathology, Beijing Children's Hospital, Beijing, People's Republic of China

Purpose: To evaluate whether DWI allow discrimination of thoracoabdominal neuroblastic tumors of various histological types and differentiation grades. Materials and Methods: The DWI scans of the thoracoabdominal neuroblastic tumors in twenty-five children were retrospectively evaluated. DWI was performed with 2 b values of 0 and 800s/mm2 on a 3.0T MR scanner. Results: In the 25 cases, ganglioneuroma (GN) was in 3 cases, ganglioneuroblastoma (GNB) -Intermixed in 4, GNB-Nodular in 3 and neuroblastoma (NB) in 15. The ADC values of the NBs were significantly lower than those of GNs/GNBs (P<.001). The ADC of GNB-Nodular/NB was significantly less than that of GN/GNB-Intermixed (p<0.0001). In GNB-Nodular and NB, the tumors with poorly differentiated and undifferentiated lesions (n=12) had significantly smaller ADC than those with differentiated composition (n=6) (P=.0012). Conclusion: ADC of DWI is highly valuable for discriminating thoracoabdominal neuroblastic tumors of different histological types and subtypes.

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Focus or Spread? An Investigation of the Effects of b-Value Acquisition Strategies on the Stability and Bias of Prostate Diffusion Imaging Results
Xiaodong Zhong1,2, Phil Young3, Peter Kollasch4, Venkata Chebrolu4, and Brian M. Dale5

1MR R&D Collaborations, Siemens Healthcare, Atlanta, GA, United States, 2Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States, 3Department of Radiology, Mayo Clinic, Rochester, MN, United States, 4MR R&D Collaborations, Siemens Healthcare, Rochester, MN, United States, 5MR R&D Collaborations, Siemens Healthcare, Cary, NC, United States

In order to investigate the effects of b-value acquisition strategies on the stability and bias of the prostate DWI results, including calculated b-value images and ADC, a framework was developed. Using the DWI data from 8 prostate patients, this study revealed that acquiring many averages at a few b-values increases bias compared to acquiring few averages at many b-values, particularly when large numbers of averages have been removed. The framework and strategies proposed in this work may provide a useful tool to design b-value acquisition protocols to achieve the stability of prostate DWI results in clinic.

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The IASLC/ ITMIG Thymic Epithelial Tumor Staging: Comparison of Staging Capability among Whole-Body PET/MRI, MRI including DWI, PET/CT and Conventional Radiological Examination
Yoshiharu Ohno1,2, Yuji Kishida3, Sinichiro Seki1,2, Kota Aoyagi4, Masao Yui4, Yoshimori Kassai5, Wakiko Tani6, Noriyuki Negi6, Katsusuke Kyotani6, and Takeshi Yoshikawa1,2

1Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 2Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 3Division of Radiology, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 4Center for Medical Research and Development, Toshiba Medical Systems Corporation, Otawara, Japan, 5MR Clinical Solution department, Toshiba Medical Systems Corporation, Otawara, Japan, 6Center for Radiology and Radiation Oncology, Kobe University Hospital, Kobe, Japan

Accurate stage assessment is essential for choosing the appropriate treatment strategy for thymic epithelial tumor patients.  Recently, the International Association for the Study of Lung Cancer (IASLC) and International Thymic Malignancies Interest Group (ITMIG) proposed a new IASLC/ITMIG thymic epithelial tumor stage classification system.  The purpose of this study was to compare the diagnostic capability for the IASLC/ ITMIG thymic epithelial tumor staging among whole-body FDG-PET/MRI, MRI, FDG-PET/CT and conventional radiological examinations based on guidelines.  

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Motion Correction of Multi-b-value Diffusion-Weighted Images in the Kidney by Pyramidal Lucas-Kanade Registration
Jun Lv1, Wenjian Huang1, Jue Zhang1,2, Xiaoying Wang1,3, and Jing Fang1,2

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2College of Engineering, Peking University, Beijing, People's Republic of China, 3Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

Intravoxel incoherent motion diffusion weighted imaging (IVIM-DWI) is a novel functional MRI technique which has been demonstrated with excellent diagnostic capability. Respiratory motion artifacts are the main source of error in the acquisition and quantification of parameters for multi-b-value DWI. This work develops a reliable approach to compensate for misalignments between multi-b-value images during free-breathing based on pyramidal Lucas-Kanade registration. Preliminary results show that our proposed approach can well correct motion-related artifacts misalignment. In addition, visual quality of the ADC, f, D and D* maps indicate that contours of kidney look better defined after registration.  


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Intravoxel Incoherent Motion Analysis for Perfusion Using Portal Vein Embolization Pig Model
Jia Ning1, Tilman Schubert2,3, Huijun Chen1, Chun Yuan1,4, and Scott B Reeder3,5,6,7,8

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Clinic for Radiology and Nuclear Medicine, Basel University Hospital, Basel, Switzerland, 3Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States, 4Department of Radiology, University of Washington, Seattle, WA, United States, 5Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 6Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 7Department of Medicine, University of Wisconsin-Madison, Madison, WI, United States, 8Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

Portal vein embolization (PVE) is often performed before liver tumor resection, to induce hypertrophy of the anticipated liver remnant and reduce the complications after partial liver resection. The perfusion changes of the embolized and non-embolized liver segments are of great interest. Intravoxel incoherent motion (IVIM) is a component of the diffusion weighted signal model that allows for separating estimation of perfusion. Estimation of IVIM from diffusion weighted imaging which may provide a unique way to measure the perfusion of liver tissue. This study aimed to test the intra-observer repeatability of IVIM and parameters change after PVE used a pig model.

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Free-breathing 3D Body Diffusion Imaging at 3T Using M1-compensated Diffusion Preparation and Stack-of-Stars Readout
Xiaoming Bi1, Christopher Nguyen2, Zhaoyang Fan2, Yutaka Natsuaki1, Rola Saouaf2, Debiao Li2, and Gerhard Laub1

1Siemens Healthcare, Los Angeles, CA, United States, 2Cedars-Sinai Medical Center, Los Angeles, CA, United States

Diffusion-weighted (DW) MRI enables qualitative and quantitative assessment of tissue diffusivity. Body diffusion imaging at 3T using conventional single-shot EPI sequence is challenged by respiratory and cardiac motions of subject, limited spatial resolution, and image distortion and ghosting. In this work, a new 3D imaging technique incorporating M1-compensated diffusion preparation and motion-robust stack-of-stars data acquisition was developed. Preliminary volunteer studies demonstrated its feasibility for free-breathing body diffusion imaging at 3T. From one patient underwent MR-PET scan, reduced ADC and increased FDG uptake was observed in the same focal lesion.

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A cardiac stationary phase based ECG trigger (CaspECG) of intravoxel incoherent motion diffusion MR in left liver lobe.
Zhiming Xiang1, Zhu Ai2, Jianke Liang2, Guijin Li3, Xiaolei Zhu4, Xu Yan5, Changhong Liang6, Suzanne Palmer7, and ChiShing Zee7

1Department of Radiology, Panyu Center Hospital of Guangzhou, 8 Fuyu Dong Road, Panyu District Guangzhou, P.R. China 510080, Guangzhou, People's Republic of China, 2Panyu Center Hospital of Guangzhou, 8 Fuyu Dong Road, Panyu District Guangzhou, P.R. China 510080, Guangzhou, People's Republic of China, 3Siemens Healthcare, Application NE Asia, Guangzhou, China, Guangzhou, People's Republic of China, 4Siemens Healthcare, MR Scientific Marketing NE Asia, Guangzhou, China, Guangzhou, People's Republic of China, 5Siemens Healthcare, MR Collaboration NE Asia, Shanghai, China, Shanghai, People's Republic of China, 6Department of Radiology, Guangdong General Hospital, 106 Zhongshan Er Road, Guangzhou, P.R. China 510080, Guangzhou, People's Republic of China, 7Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA, Los Angeles, CA, United States

Intravoxel incoherent motion (IVIM) Diffusion weighted imaging (DWI) showed high clinical value in liver disease evaluation. However, it suffers from signal loss and motion artifacts due to cardiac and respiratory movement, especially in the left lobe. To improve robustness and reproducibility of parameter estimation for IVIM DWI, a novel DWI acqusition technique was introduced, which uses ECG trigger with delay time optimized by the periods of cardiac relative stationary phase. The results showed that the proposed acquisition method improves SNR of DWI data, and the repeatability and stability of IVIM-DWI derived parameters.

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Intravoxel incoherent motion diffusion-weighted imaging of hepatic warm ischemia-reperfusion injury in a rabbit model
Qian Ji1, Zhi-qiang Chu2, Pan-li Zuo3, and Wen Shen1

1Radiology, Tianjin First Central Hospital, Tianjin, People's Republic of China, 2Transplantation, Tianjin First Central Hospital, Tianjin, People's Republic of China, 3MR Collaborations NE Asia, Siemens Healthcare, Beijing, People's Republic of China

Hepatic warm ischemia-reperfusion injury (WIRI) is clinically relevant in liver operation. We undertook this study to determine the feasibility of using IVIM for the early diagnosing and grading of hepatic WIRI. Fifty different grades of hepatic WIRI models and control rabbits were examined using a 3T clinical MR scanner, which followed by biochemical and histopathological analysis. There were significant differences of IVIM parameters between different groups. IVIM parameters corresponded well with biochemical parameters. ROC analysis showed the AUC of PF was the largest. This indicated that IVIM is a noninvasive and valuable technique for assessing and grading of hepatic WIRI.

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Elucidation of Male Urethral Sphincter Complex Using Diffusion Tensor Imaging (DTI) based Fiber-Tracking
Kyoko Sakamoto1, Mahadevan Rajasekaran1, Valmiki Bhargava2, Vadim Malis3, and Shantanu Sinha4

1VA Medical Center, San Diego, CA, United States, 2VA Medical Center, 3Physics, UC San Diego, San Diego, CA, United States, 4Radiology, UC San Diego, San Diego, CA, United States

Urethral sphincters play an important role in urinary incontinence, a major clinical problem affecting the aging population. We elucidate the anatomy of the urethral sphincter muscles pertinent to urinary continence function using in vivo, non-invasive proton-density and diffusion tensor imaging and DTI-based fiber tracking in young adults. Muscle fiber tracking consistently revealed, perhaps for the first time, the existence of two sphincter like muscles, with one proximal near the bladder neck and the other more distal, supporting the two sphincter concept to constrict/close the urethral opening with important implications for the effect of prostatectomy on urethral closure function.

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Is voxel-wise ADC histogram repeatable?
Masamitsu Hatakenaka1, Naomi Koyama1, Koichi Onodera1, Naoya Yama1, Maki Onodera1, Yoshifusa Kyuna1, and Mitsuhiro Nakanishi2

1Diagnostic Radiology, Sapporo Medical University, Sapporo, Japan, 2Division of Radiology, Sapporo Medical University Hospital, Sapporo, Japan

Skewness and kurtosis of voxel-wise apparent diffusion coefficient show low repeatability. Radiologist should take this characteristic into account when interpreting DWI of the prostate.

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Segmentation of Bone Marrow of Pelvis in Multi-parametric MRI (T1-w/ADC-map) of Metastatic Breast Cancer Patients
Mahsa Rostamie1, Anahita Fathi Kazerooni1,2, and Hamidreza Saligheh Rad1

1Quantitative MR Imaging and Spectroscopy Group, Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran, 2Department of Medical Physics and Biomedical Engineering, Tehran University of Medical Sciences, Tehran, Iran

To assess treatment response through quantitative analysis, in metastatic breast cancer patients, computer-aided segmentation of bone marrows is beneficial. We propose a semi-automatic segmentation method based on level-set and region growing techniques applied to T1-W images to facilitate extraction of apparent diffusion coefficient (ADC) features for the purpose of treatment response assessment from bone marrows of pelvic region. The results of applying the method on T1w/ADC-map of 10 patients shows a dice score of 81%, suggestive of high agreement of our proposed segmentation approach with expert’s opinion.

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Early evaluation of liver fibrosis in radiation-induced liver fibrosis rat models using intra-voxel incoherent motion theory
Zhongping Zhang1, Rong Ma2, Dong Zhang2, Changzheng Shi2, and Liangping Luo2

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

This study found that IVIM-derived D could efficiently detect and differentiate the liver fibrosis in radiation-treaed rats at the early stage in vivo.  

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Prognostic value of the pretreatment apparent diffusion coefficient (ADC) for outcome prediction of chemorefractory colorectal liver metastases undergoing 90-Yttrium Radioembolization
Frederic Carsten Schmeel1, Julian Alexander Luetkens1, Frank Träber1, Leonard Christopher Schmeel1, Amir Sabet2, Birgit Simon1, Hans Heinz Schild1, and Dariusch Reza Hadizadeh1

1Department of Radiology, University Hospital Bonn, Bonn, Germany, 2Department of Nuclear Medicine, University Hopsital Saarland, Homburg/Saar, Germany

Imaging-based prediction of therapeutic response is highly desireable for further therapy decisions in patients with advanced malignancies. Therefore, we investigated whether pre-treatment values of the apparent diffusion coefficient (ADC) on diffusion-weighted MRI could predict the outcome of patients with liver-predominant metastatic colorectal cancer prior to 90-Yttrium microspheres radioembolization. Uni- and multivariate analyses were performed comparing various variables with potential impact on progression-free and overall survival. Our results reveal that pathologic pre-treatment ADC, alongside with established clinical parameters, is a strong and independent predicor of both progression-free and overall survival before RE treatment.

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Clinical Robustness of Accelerated and Optimized Abdominal Diffusion Weighted Imaging
Jana Taron1, Jakob Weiss1, Petros Martirosian2, Alto Stemmer3, Konstantin Nikolaou1, and Mike Notohamiprodjo1

1Department of of Diagnostic and Interventional Radiology, University Hospital of Tuebingen, Tuebingen, Germany, 2Section on Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital of Tuebingen, Tuebingen, Germany, 3Siemens Healthcare GmbH, Erlangen, Germany

We evaluated the robustness of an accelerated and optimized diffusion-weighted sequence using the simultaneous-multislice (SMS) technique for scan time reduction and a 3D Diagonal diffusion mode to optimize image quality in clinical routine. 152 patients received clinically indicated abdominal MRI including the optimized diffusion-weighted sequence (DWIOPT). A subgroup of 41 patients additionally received a standard diffusion-weighted sequence (DWISTD) as reference. Qualitative and quantitative image parameters were evaluated. In the interindividual comparison, DWIOPT proved equal to superior to DWISTD with comparable ADC-values. In the patients receiving DWIOPT only, image quality maintained substantial proving constant and stable results in a large cohort.

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Mean Kurtosis discriminates between low- and high-risk prostate cancer better than Mean diffusivity does
Maria Giovanna Di Trani1,2, Alessandra Caporale2,3, Marco Nezzo4, Roberto Miano5, Alessandro Mauriello6, Pierluigi Bove7, Guglielmo Manenti4, and Silvia Capuani8

1SAIMLAL Dept., Morphogenesis and Tissue Engineering, Sapienza University of Rome, Rome, Italy, 2Physics Dept., CNR ISC UOS Roma Sapienza, Rome, Italy, 3SAIMLAL Dept., Morpho-functional Sciences, Sapienza University of Rome, Rome, 4Department of Diagnostic and Interventional Radiology, Molecular Imaging and Radiotherapy, PTV Foundation, “Tor Vergata” University of Rome, Rome, Italy, 5Urology Unit, Department of Experimental Medicine and Surgery, 6Anatomic Pathology, Department of Biomedicine and Prevention, PTV Foundation, “Tor Vergata” University of Rome, 7Urology Unit, Department of Experimental Medicine and Surgery, PTV Foundation, “Tor Vergata” University of Rome, 8CNR ISC UOS Roma Sapienza, Rome, Italy

This work was finalized to compare the diagnostic potential of Diffusion Tensor and Diffusion Kurtosis Imaging in discriminating between low- and high-risk prostate cancer (Pca). Maps of Mean Diffusivity (MD), apparent Kurtosis (K) and apparent diffusion coefficient (D) were obtained from DWIs of 24 patients with different tumour grade. K maps better highlight differences between periferal PCa, PCa and benign tissue. In particular K discriminates between low- and high-risk PCa with a higher statistical significance compared to that of MD. DKI can improve the accuracy of the current PCa diagnosis providing a useful tool for PCa detection and grading.

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Unbiased diffusional kurtosis measurements in the pelvis at low signal-to-noise ratio: A new approach for noise-level estimations
Olaf Dietrich1, Martina Brandlhuber1, Moritz J. Schneider1, Marco Armbruster1, Melvin D'Anastasi1, and Maximilian F. Reiser1

1Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Munich, Germany

The purpose of this study was to propose a robust technique for the determination of unbiased kurtosis values in body applications; for this aim, a new strategy to pixelwise estimate the noise level in DKI acquisitions is described and its feasibility for pelvic DKI is demonstrated in prostate tissue.

The "naive" evaluation (without considering the image noise) resulted in significantly biased positive kurtosis values of urine of $$$K=0.42\,($$$standard deviation: $$$0.06)$$$, indicating non-monoexponential signal decay caused by the influence of noise at higher b-values. This bias is almost completely removed ($$$K=-0.01\,(0.32)$$$) after including the pre-calculated noise-level map in the evaluation.


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Gradient First Moment Dependence of ADC in Liver Diffusion Weighting Imaging.
Kévin Moulin1, Eric Aliotta1,2, and Daniel B. Ennis1,2

1Department of Radiological Sciences, University of California, Los Angeles, CA, United States, 2Biomedical Physics IDP, University of California, Los Angeles, CA, United States

The effect of perfusion on Diffusion Weighting Imaging (DWI) and particularly the Apparent Diffusion Coefficient (ADC) at low b-value is a confounder in pathology assessment. In this study, in order to investigate the gradient first moment (M1) dependence of perfusion on the ADC, waveforms were generated using convex diffusion encoding (CODE) framework leading to a range of M1 for a given b-value. After comparing ADC calculated with different M1 and different b-value, we found that motion compensated waveform (M1=0) ensures independence of the ADC to perfusion even at low b-value, which can improve SNR.

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Prognostic Value of Pretreatment Diffusion Weighted Magnetic Resonance Imaging based Texture in Concurrent Chemo-radiotherapy of Esophageal Squamous Cell Cancer
Zhenjiang Li1, Chun Han2, Hongsheng Li1, Lan Wang2, Jian Zhu1, Weibo Chen3, and Baosheng Li1

1Shandong Cancer Hospital to Shandong University, Shandong Academy of Medical Sciences, Jinan, People's Republic of China, 2Department of Radiation Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China, 3Philips Healthcare, Shanghai, People's Republic of China

This study has important clinical significance. The pretreatment texture features combined with conventional prognostic factors may present a more accurate predictive tool for OS of ESCC patients. The parameters can be used to evaluate the prognosis of ESCC after CRT at an early time.

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Imaging non-enlarged abdominal lymph nodes and measuring their diffusion coefficient
Hannah Grace Williams1,2, Caroline L Hoad1,3, Luca Marciani2, Gordon Moran2, Giles Major2, Robert Scott3, and Penny A Gowland1

1Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom, 2Nottingham Digestive Diseases Centre, University of Nottingham, Nottingham, United Kingdom, 3NIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospital, Nottingham, United Kingdom

Inflammatory conditions such as Crohn’s disease cause changes in the lymphatics including enlargement and necrosis, and so improved measures of number, size and function of lymph nodes could provide novel markers of local inflammatory response. Being able to identify small nodes would allow the effect of inflammatory diseases and response to therapy to be monitored. DWIBS was used here to isolate the signal from small abdominal lymph nodes. The diffusion coefficient of the pelvic and abdominal lymph nodes and the cisterna chyli with IVIM effects eliminated, were 0.9±0.2, 1.4±0.3 and 1.7±0.6 x10-3 mm2/s. 

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Towards development of tools for quantitative body DWI
Raj Attariwala1, Amy Chamber, Wayne Picker, and Mikko Maatta

1AIM Medical Imaging, Vancouver, BC, Canada

Body DWI is a technique that is potentially quantifiable, and numerous clinical publications have demonstrated tissue variability of the ADC parameter. The variability of machine hardware and acquisition parameters impacts the signal from which ADC is calculated. To address the needs of standardization of machines, a body diffusion phantom and analysis software is being developed. Preliminary results are presented here.

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High Resolution Diffusion Weighted Imaging of the Liver using Readout Segmented EPI on 3T
Yishi Wang1, Zhe Zhang1, Xiaodong Ma1, Ha-Kyu Jeong2, Chun Yuan1,3, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2BIU Clinical Science MR, Philips Korea, Seoul, Korea, Republic of, 3Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

Readout segmented EPI (RS-EPI) can be used for high-resolution diffusion weighted imaging but there are still limited reports on its application to liver DWI. In this study, we reported to use RS-EPI for high resolution DWI of the liver.

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Training an Artificial Neural Network by Diffusion-Weighted MRI Data to Differentiate Between Prostate Cancer With High and With Low Gleason Score
Sebastiano Barbieri1 and Harriet C Thoeny1

1Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland

We prospectively assess the feasibility of using DW-MRI data to train an artificial neural network which distinguishes between prostate cancer lesions with high (≥7) and with low (=6) Gleason scores in 84 patients. The accuracy of the artificial neural network is compared with the accuracy of classification based on apparent diffusion coefficient (ADC) values.

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Diffusion and perfusion parameters extracted by bi-exponential model are markers of healthy human placenta development.
Michele Guerreri1,2, Silvia Capuani2, Amanda Antonelli3, and Lucia Manganaro3

1SAIMLAL Dept., Morphogenesis & Tissue Engineering, Sapienza University of Rome, Rome, Italy, 2Physics Dept., CNR ISC UOS Roma Sapienza, Rome, Italy, 3Radiology Dept., Department of Radiology, Sapienza University of Rome, Rome, Italy

The purpose was to investigate the potential of bi-exponential model of diffusion-weighted (DW) signal decay to quantify diffusion and perfusion in healthy human placentas. The relation between diffusion and perfusion parameters with microstructural changes occurring during placenta development was also investigated. 26 pregnant women underwent DW examination. Apparent diffusion coefficient D, pseudo-perfusion fraction f and pseudo-diffusion coefficient D* were obtained in specific placental regions. The Pearson correlations between D, D*,f and clinical data (Gestational Age, Body-Mass Index and basal Glycaemia) were evaluated. D and f show to be good indicators of placenta morphological changes due to Gestational Age. 


Electronic Poster

Liver

Exhibition Hall Monday 8:15 - 9:15

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Hepatic MR Elastography (MRE) System Longitudinal Quality Assurance (QA) Protocol
Jun Chen1, Phillip J Rossman1, Kevin J Glaser1, and Richard L Ehman1

1Radiology, Mayo Clinic, Rochester, MN, United States

A suitable quality assurance (QA) phantom and image acquisition and processing procedures were developed for confirming the proper function and longitudinal stability of these MRE systems. The goals of this educational poster are to demonstrate the QA phantom, the longitudinal testing protocol, and the utility of detecting a problem caused by discontinuous motion. 

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Radiologic-Pathologic Correlation and MR Analysis of Hepatocellular Adenoma Subtypes.
Daniel Kehler1, George Yang2, Christine Zwart1, Marcela Salomao3, and Alvin Silva1

1Radiology, Mayo Clinic Arizona, Scottsdale, AZ, United States, 2University of Pennsylvania, PA, United States, 3Pathology, Mayo Clinic Arizona, Scottsdale, AZ, United States

   Hepatocellular adenomas (HCA) present as four genetic subtypes that vary greatly in their clinical behavior and MR appearance.   Inflammatory HCA has the highest propensity for hemorrhage, is characterized by hyperintense T2 signal, and displays arterial hyper-enhancement that persists on portal venous and delayed phases.  HNF1-alpha mutated HCA portends a good prognosis, and is characterized by diffuse intracellular lipid.  Beta-catenin HCA  is less common and difficult to diagnose on imaging, though arguably the most important because of its high likelihood for malignant transformation. Unclassified HCA is not well understood in terms of imaging or clinical significance. 

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MRI Technique and Interpretation in the Evaluation of Hepatic Steatosis
Zachary Borden1 and Scott Reeder2

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

Hepatic steatosis is a common affliction with important prognostic implications.  Conventionally, liver biopsy has been required for the diagnosis of steatosis although this may result in inadequate spatial sampling and significant associated complications.  The non-interventional imaging methods of ultrasound and computed tomography may be used but are limited in accuracy.  MRI offers an ideal method to globally and accurately interrogate for liver fat.  Multiple MRI techniques including spectroscopy, in-phase/out-phase, conventional fat suppression, complex and magnitude-based CSE-MRI methods have been used in the evaluation of hepatic steatosis.   These techniques possess unique advantages and disadvantages which must be understood to optimize patient care. 

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Feasibility of measuring the T1 relaxation times before and after Gd-EOB-DTPA administration for characterization of liver tumors
Yoshihiko Fukukura1, Takashi Iwanaga2, Yuichi Kumagae1, Hiroto Hakamada1, Koji Takumi1, Kiyohisa Kamimura1, Masanoari Nakajo1, Hiroshi Imai3, and Takashi Yoshiura1

1Radiology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan, 2Radiological Technology, Kagoshima University Hospital, Kagoshima, Japan, 3Siemens Healthcare K.K., Tokyo, Japan

This study focused on the potential of T1 relaxation times measurement before and 20 min after Gd-EOB-DTPA administration to characterize liver tumors. T1 relaxation before Gd-EOB-DTPA administration showed the highest area under the receiver operating characteristic (ROC) curve for distinguishing hemangiomas and HCCs. T1 relaxation times 20 min after Gd-EOB-DTPA administration showed the highest the area under the ROC curve for differentiating HCCs from metastases. ΔR1 was considered to be useful for differentiation between hemangiomas and metastases because of the highest the area under the ROC curve.

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Dynamic contrast enhanced 3D T1WI at upper abdomen using combination of parallel imaging and compressed sensing on a wide-bore 3T unit: Comparison of effects with Gd-DTPA and Gd-EOB-DTPA
Motoyuki Katayama1, Takayuki Masui1, Kei Tsukamoto1, Mitsuteru Tsuchiya1, Yuki Hayashi1, Masako Sasaki1, Takahiro Yamada1, Yuji Iwadate2, Naoyuki Takei2, Kang Wang3, Kevin King4, and Harumi Sakahara5

1Radiology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan, 2Global MR Applications and Workflow, GE Healthcare Japan, Hino, Japan, 3Global MR Applications and Workflow, GE Healthcare, Madison, WI, United States, 4Global MR Applications and Workflow, GE Healthcare, Waukesha, WI, United States, 5Radiology, Hamamatsu University School of Medicine, Hamamatsu, Japan

Consecutive four phases of dynamic contrast enhanced 3D T1WI in the upper abdomen could be obtained during one breath-hold in combined use of parallel imaging and compressed sensing at wide-bore 3T system. The imaging protocols with Gd-DTPA and Gd-EOB-DTPA provided good image quality. Although image contrasts with Gd-EOB-DTPA might be inferior to those with Gd-DTPA, patterns of time intensity curves with study with dynamic contrast of each protocol were similar to each other.

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T2* measurements in liver at 1.5, 3 and 7T
E. Doran1, S. J. Bawden1, P. M. Glover1, A. M. Peters1, S. T. Francis1, R. Bowtell1, and P. A. Gowland1

1Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom

Whole body 7T MRI has the potential to improve monitoring of chronic liver disease by building on advances made in parallel transmit technology. This abstract outlays the measurement of T2* in the liver at 7T and compares with measurements on the same subjects at 3 and 1.5T. Acceptable values were obtained across all field strengths and T2* maps of the liver were obtained from analysis of multi-gradient echo imaging sequences. This work forms the start of a normative 7T data set that will provide vital information for developing other 7T MR liver sequences.

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Gadoxetic acid-enhanced MRI findings as a risk of multicentric recurrence of hepatocellular carcinoma after hepatectomy
Masaki Matsuda1, Shintaro Ichikawa1, Utaroh Motosugi1, Masanori Matsuda2, and Hiroshi Onishi1

1Radiology, University of Yamanashi, Chuoh-shi, Japan, 2First surgery, University of Yamanashi, Chuoh-shi, Japan

Nodules of non-hypervascular and low signal intensity during hepatobiliary phase (NLH nodules) detected by gadoxetic acid-enhanced magnetic resonance imaging (EOB-MRI), also known as hypovascular hypointense nodules, is important MR features that indicate the hepatocellular carcinoma (HCC) development in the future. The presence of NLH nodules is known as at high risk of HCC development in the liver. Hence, we hypothesized that NLH nodules can be also a risk of recurrence after surgical resection of HCCs. We evaluated the prognostic value of NLH nodules in patients with HCC. Presence of NLH nodules is at high risk of multicentric recurrence after hepatectomy.

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IDEAL-IQ MR Imaging at 3 T for the Quantification of Fat: A Phantom Study
Masatoshi Hori1, Nicoline F. Post1,2, Hiromitsu Onishi1, Hiroyuki Tarewaki3, Aliou A. Dia1, Takashi Ota1, Paul E. Sijens2, and Noriyuki Tomiyama1

1Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, Suita, Japan, 2University of Groningen, Groningen, Netherlands, 3Radiology, Osaka University Hospital, Suita, Japan

The purpose of this study was to evaluate the accuracy of fat quantification and the effects of iron on the measurement in IDEAL-IQ MR imaging at 3 Tesla by comparing the results of MRS using a fat-water-iron phantom. A gel phantom comprised of twenty-eight vials containing various proportions of fat and iron was constructed. Fat fraction and R2* value were measured by IDEAL-IQ and MRS on a 3-T scanner. This study showed that IDEAL-IQ yielded an accurate quantification of fat content with a smaller degree of error due to susceptibility effects of iron compared to MRS at 3 Tesla.

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Accurate hepatic MRI proton density fat fraction assessment can be achieved with four regions-of-interest
Cheng William Hong1, Tanya Wolfson2, Ethan Z Sy1, Alexandra Schlein1, Soudabeh Fazeli Dehkordy1, Adrija Mamidipalli1, Scott B Reeder3, Rohit Loomba4, and Claude B Sirlin1

1Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, CA, United States, 2Computational and Applied Statistics Laboratory, University of California, San Diego, San Diego, CA, United States, 3Departments of Radiology, Medical Physics, Biomedical Engineering, Medicine, and Emergency Medicine, University of Wisconsin, Madison, Madison, WI, United States, 4NAFLD Research Center, Division of Gastroenterology, Department of Medicine, University of California, San Diego, San Diego, CA, United States

A common approach to estimating a composite proton density fat fraction (PDFF) on MRI-PDFF maps is to draw a region-of-interest (ROI) in each of the nine Couinaud segments. This is laborious and technically challenging, however. In this secondary analysis of 398 patients, we demonstrate that 4-ROI sampling strategies that sample 2 ROIs in each hepatic lobe achieve close agreement with the 9-ROI composite. With further validation, a simple 4-ROI sampling strategy may become the new standard for measuring PDFF in clinical trials.

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Quantitative Estimation of Liver Function using Gadoxetic Acid-Enhanced MR Imaging: in Vitro and in Vivo Comparison between R1 and R2* Relaxometry
Keitaro Sofue1,2, Masakatsu Tsurusaki3, Takamichi Murakami3, Katsusuke Kyotani4, Yu Ueda5, Tomoyuki Okuaki6, Satoru Takahashi1, Mustafa R. Bashir7,8, and Kazuro Sugimura1

1Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 2Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan, 3Radiology, Kinki University Faculty of Medicine, 4Division of Radiology, Kobe University Hospital, Kobe, Japan, 5Philips Electronics Japan, 6Philips Healthcare, 7Radiology, Duke University Medical Center, Durham, NC, United States, 8Center for Advanced Magnetic Resonance Development, Duke University Medical Center

R2* relaxometry that is simultaneously obtained on proton density fat fraction map in gadxetic acid-enhanced MRI can quantitatively estimate liver function.  PDFF sequence can potentially quantify steatosis, iron overload, and liver function simultaneously.

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Estimation of Lobar Liver Function using Gadoxetic Acid-Enhanced MR Imaging: Comparison with 99mTc-GSA SPECT Imaging
Keitaro Sofue1,2, Masakatsu Tsurusaki3, Takamichi Murakami3, Kazuhiro Kitajima4, Utaru Tanaka1, Masato Yamaguchi1,2, Koji Sugimoto1,2, Satoru Takahashi1, and Kazuro Sugimura1

1Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 2Center for Endovascular Therapy, Kobe University Hospital, 3Radiology, Kinki University Faculty of Medicine, 4Nuclear Medicine and PET Center, Hyogo College of Medicine

Hepatobiliary phase image on gadoxetic acid-enhanced magnetic resonance (MR) imaging has been described as a way to quantify liver function and potential to estimate regional liver function.  The purpose of this study was to investigate whether gadoxetic acid-enhanced MR imaging can estimate lobar liver function by comparing with 99mTc-GSA SPECT imaging.

The results of this study showed that hepatic lobar function significantly differs according to the presence of biliary obstruction.  Combined volumetric and functional assessment calculated by hepatobiliary phase images on gadoxetic acid-enhanced MR images can estimate lobar liver function.


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Water-fat separated T1 mapping in the liver and correlation to hepatic fat fraction
Claudia Fellner1, Philipp Wiggermann1, Dominik Nickel2, Niklas Verloh1, Stephan Kannengießer2, Christian Stroszczynski1, and Michael Haimerl1

1Institute of Radiology, University Hospital Regensburg, Regensburg, Germany, 2MR Application Predevelopment, Siemens Healthcare, Erlangen, Germany

Fat signal fraction (FF) and R2* mapping as well as MRS of the liver were performed in 201 patients. Results for FF from imaging and MRS were compared to a newly defined parameter T1_FF. T1_FF was calculated from a variable flip angle 3D GRE technique with 2 echo times. Based on the Dixon method, T1 maps from in-phase and from water signal were calculated and T1_FF was deduced. T1_FF correlated well with FF and might be used as a novel estimation of fat fraction. Relevant discrepancies were seen in cases with high R2*.

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Quantitative Assessment of Liver Fibrosis using MR-Phase Information
Motohira Mio1, Tetsuya Yoneda2, Kazuki Tani1, Tatsuo Toyofuku1, Toshihiro Maeda1, and Syoichi Morimoto3

1Department of Radiology, Fukuoka University Chikushi Hospital, Fukuoka, Japan, 2Department of Medical Physics in Advanced Biomedical Sciences, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 3Department of Radiology, Fukuoka University Hospital, Fukuoka, Japan

The aim of this study was to evaluate a potential of MR-phase information for a quantification of liver fibrosis. We measured phase value of the liver and examined the correlation between that value and the stage of fibrosis. Additionally, we also evaluate the correlations among phase value and the serum biomarkers of fibrosis and cirrhosis. The phase value showed high statistical correlation to stages of fibrosis, and to be linearly proportional to the following biomarkers; PLT, APRI, FIB-4 index. In conclusion, MR-phase information may is to be a noninvasive quantitative tool for liver fibrosis and its progression.

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Weighted k-t SPIRiT with Golden Angle Radial Sampling for Dynamic Contrast-Enhanced Liver Imaging
Junyu Wang1,2, Fuyixue Wang2, Yajie Wang2, Jia Ning2, Zijing Dong2, Kui Ying3, and Huijun Chen2

1Department of Biomedical Engineering, Beijing Jiaotong University, Beijing, People's Republic of China, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 3Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Medical Engineering and Institute, Department of Engineering Physics, Tsinghua University, Beijing, People's Republic of China

Acquiring high spatial-temporal resolution images is important for dynamic contrast-enhanced (DCE) imaging. In this work, we proposed a weighted k-t SPIRiT method and tested it in both simulation and in-vivo liver imaging studies based on motion-insensitive golden angle radial stack-of-stars sampling. In this study, feasibility of the weighted k-t SPIRiT has been validated. The results showed that, weighted k-t SPIRiT can improve the image quality compared with SPIRiT, while preserve highly accurate temporal information.


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Assessment of early stage of liver fibrosis using MRI T1rho
Qing Li1, Shuangshuang Xie2, Zhizheng Zhuo3, Yue Cheng2, and Wen Shen2

1Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Tianjin First Center Hospital, People's Republic of China, 3Philips healthcare, Beijing, People's Republic of China

This study assessed the potential of MR T1rho for early liver fibrosis. Ten normal contrast (N), twelve patients with liver fibrosis stage F1 and seven with F2 took the MR T1rho scan. With the stage of liver fibrosis raising, T1rho value increased. And T1rho value of N vs. F1, N vs. F2 and N vs. F1-2 showed significant difference. And the AUC of N vs. F1, N vs. F2 and N vs. F1-2 were 0.858, 0.810, and 0.838. We conclude that MR T1rho has potential to diagnose the early stage of liver fibrosis.

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Use of intravoxel incoherent motion (IVIM) derived texture parameters in prediction of microvascular invasion of hepatocellular carcinoma (HCC) in patients with hepatitis B virus infection
Qungang Shan1, Jingbiao Chen1, Ronghua Yan1, Yao Zhang1, Hao Yang1, Xin Li2, Zhongping Zhang3, Yunhong Shu4, Churong Lin, Tianhui Zhang1, Bingjun He1, Zhuang Kang1, Xi Long1, and Jin Wang1

1Department of Radiology, the Third Affiliated Hospital, Sun Yat-sen University (SYSU), Guangzhou, People's Republic of China, 2GE Healthcare MR Research China, Guangzhou, People's Republic of China, 3MR Research China,GE Healthcare, Beijing, 4Mayo Clinic

Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver worldwide. Microvascular invasion (MVI) is a significant predictor of prognosis and preoperative prediction of MVI is useful for deciding treatment strategy. We assessed the value of ADC and IVIM texture parameters in predicting the MVI of HBV-related HCCs by whole tumor analysis. Our results showed that ADC and IVIM derived texture parameters were useful for the prediction of MVI of HCCs. Texture analysis of ADC and IVIM is a promising method for predicting MVI of HBV-related HCC.

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Liver R2 Quantification at 3 Tesla in Patients with Iron Overload - Interim Validation Result
Ali Pirasteh1, Qing Yuan1, Changqing Wang2, Diego Hernando2, Scott B Reeder3, Ivan Pedrosa4, and Takeshi Yokoo1

1Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Radiology, Medical Physics, University of Wisconsin, Madison, WI, United States, 3Radiology, Medical Physics, Biomedical Engineering, Medicine, Emergency Medicine, University of Wisconsin, Madison, WI, United States, 4Radiology, Advanced Imaging Research Center, University of Texas Southwestern Medical Center, TX, United States

Determination of liver iron concentration (LIC) by R2-relaxometry has been extensively validated at 1.5T but feasibility of translating this technology to 3T remains uncertain. The purpose of this study was to assess the feasibility of a R2 quantification at 3T against the standard 1.5T R2 in subjects with known or suspected iron overload. In 13 subjects enrolled thus far, we found that liver R2 at 3T linearly correlated with R2 at 1.5T over observed LIC range of 0.3-32.3 mg iron/g liver. We conclude that noninvasive liver LIC determination may be feasible by R2-relaxometry at 3T.

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Assessment of magnetic resonance imaging markers in the event of drug induced liver toxicity
Abigail Kaur Chahil 1, Dan Antoine 1, Atul Minhas2, Thomas Leather 2, Anja Kipar3, Kevin Park1, and Harish Poptani2

1Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom, 2Centre for Pre-Clinical Imaging, University of Liverpool, Liverpool, United Kingdom, 3Institute for Veterinary Pathology, University of Zurich, Zurich, Switzerland

Challenges faced in diagnosis and treatment of drug induced liver injury (DILI) have formed the aim of this project to quantify non-invasive MRI and MRS markers to aide research into future therapeutics of DILI. Using an acetaminophen overdose model, we have managed to quantify 4 different MRI biomarkers: liver volume, T2 mapping, ADC and water/fat ratio. Significant changes were observed with an increase in liver volume and T2 relaxation and water/fat ratio, with a decrease in diffusion coefficient. Some degree of normalization in T2 and ADC values was noted after NAC treatment indicating that MRI and MRS can play an important role in the diagnosis of DILI. 

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Quantitative characterization of disease progression in a mouse model of non-alcoholic steatohepatitis using molecular MR and non-contrast MR imaging
Philip Alan Waghorn1, Diego Ferreira1, Chloe Jones1, Nicholas Rotile1, Iris Chen1, Chuantao Tu1, Bryan Fuchs2, and Peter Caravan1

1A.A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 2Division of Surgery, Massachusetts General Hospital, Boston, MA, United States

To deliver a non-invasive quantitative measure of patients with nonalcoholic fatty liver disease (NAFLD) who are likely to develop a fibrotic pathology, we characterized the natural history of a nonalcoholic steatohepatitis (NASH) mouse model using MRI. Characterization included fat quantification and MR relaxometry measurements by imaging at 4 time points and comparing with histology and biochemical markers. Fibrogenesis was assessed using the novel Gd-based MR probe, Gd-Hyd which was previously shown to detect fibrogenesis in a mouse CCl4 model of liver fibrosis

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Using MRI to assess alterations in liver blood flow and oxygenation in response to physiological stress tests: meal challenge, hypercapnia and hyperoxia.
Eleanor F Cox1,2, Naveenthan Palaniyappan2, Richard Dury1, Robert Scott2, Guruprasad P Aithal2, I Neil Guha2, and Susan T Francis1,2

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2NIHR Nottingham Digestive Diseases Biomedical Research Unit, Nottingham University Hospitals Trust and the University of Nottingham, Nottingham, United Kingdom

Assessment of the capacity for dynamic changes in liver blood flow and oxygenation may provide a mechanism to improve the stratification of chronic liver injury. Here we assess dynamic hepatic blood flow and liver T2* alterations in response to postprandial hyperaemia following a meal, and hypercapnia and hyperoxia gas challenges. We show significant changes in blood flow and T2* in response to these challenges, and highlight that both the mode and FWHM of the T2* distribution should be assessed. However, such stress tests can only be applied in participants with higher baseline T2* for any change to be evident. 

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MR ARTS-GROWL: A Non-Iterative Motion-Resistant Technique for High Spatiotemporal Liver DCE Imaging
Zhifeng Chen1, Liyi Kang1, Zhongbiao Xu2, Chenguang Zhao3, Feng Huang4, Feng Liu5, and Ling Xia1,6

1Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China, 2School of Biomedical Engineering, Guangdong Provincial Key Laborary of Medical Image Processing, Southern Medical University, Guangzhou, People's Republic of China, 3Philips Healthcare (Suzhou) Co. Ltd., Suzhou, People's Republic of China, 4Neusoft Medical, Shanghai, China, 5School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia, 6State Key Lab of CAD&CG, Zhejiang University, Hangzhou, People's Republic of China

Motion, mainly caused by respiration, is an unavoidable problem in abdomen MR imaging, which often leads to image blurring and edge ghosting. We propose to combine motion-sorted information with dynamic artificial sparsity approach for radial dynamic contrast-enhanced (DCE) MR imaging. The results demonstrate that better image quality including SNR and low image bluring and more diagnostic information can be generated compared to non-motion-resistant scheme incorporated method.

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Variable Density CAIPIRINHA for Highly Accelerated Volumetric Dynamic Contrast-Enhanced Imaging of Liver
Fuyixue Wang1,2, Zijing Dong1, Feiyu Chen3,4, Yuxin Hu3,4, Jia Ning1, Feng Huang5, and Huijun Chen1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 3Department of Radiology, Stanford University, Stanford, CA, United States, 4Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 5Neusoft Medical System, People's Republic of China

Dynamic Contrast-Enhanced (DCE) imaging is widely used in detection and characterization of many liver diseases. In clinical practice, breath holding is commonly used to overcome respiratory motion and get high quality images. However, long breath holds can be painful or unavailable for some patients. To address this problem, we present a variable density 2D CAIPIRINHA sampling technique with a novel reconstruction framework for highly accelerated volumetric DCE liver imaging. Simulation and in-vivo experiments were performed to evaluate the performance of the proposed method compared with other current techniques. The results show great improvement of image quality within shorter acquisition time.

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Factors related to the failure of MR elastography of the liver: multivariate analysis
Kengo Yoshimitsu1

1Radiology, Fukuoka University, Fukuoka, Japan

 Seventy consecutive patients with chronic liver diseases and whose R2* values of the liver exceeded 100 s-1 were retrospectively recruited, and factors related to MR elastography failure were analyzed. Iron accumulation which corresponds to R2* value over 200 s-1 and Child-Pugh score 10 are found to be the two independently significant factors that are related to the failure of MR elastography of the liver. For the assessment of the degree of liver fibrosis in those associated with these factors, other modality, such as ultrasonic elastography, may be considered.

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Diagnosis of Liver Cirrhosis Using Morphological Score with Magnetic Resonance Laparoscopy
Satoshi Funayama1, Utaroh Motosugi1, Shintaro Ichikawa1, and Hiroshi Onishi1

1Department of Radiology, University of Yamanashi, Japan, Yamanashi, Japan

Liver biopsy is a gold standard for the diagnosis of liver cirrhosis. However, biopsy can be false negative because of small amount of tissue sampled. Laparoscopy has been also used as another gold standard for the diagnosis of cirrhosis by directly assessing the liver surface, which compensate for the limitation of biopsy. Laparoscopy like 3D image can be obtained by 3D reconstruction of gadoxetic acid-enhanced hepatobiliary phase images (MR laparoscopy). The two MR laparoscopy findings, i.e. the rib pitting of liver surface and the sharpness of edge, showed good performance for discriminating liver cirrhosis from non-cirrhosis.


Electronic Poster

Velocity & Flow

Exhibition Hall Monday 9:15 - 10:15

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Fast self-gated 4D flow measurements in the murine aortic arch with retrospective radial sampling
Patrick Winter1, Kristina Andelovic2, Thomas Kampf1,3, Peter Jakob1,4, Wolfgang Bauer2, and Volker Herold1

1Experimentelle Physik V, Universität Würzburg, Würzburg, Germany, 2Medizinische Klinik und Poliklinik I des Universitätsklinikums Würzburg, Würzburg, Germany, 3Universitätsklinikum Würzburg, Institut für Diagnostische und Interventionelle Radiologie, Würzburg, Germany, 4Fraunhofer IIS, Fraunhofer EZRT, Magnetresonanz- und Röntgenbildgebung (MRB), Universität Würzburg, Würzburg, Germany

A self-navigated radial 4D-PC sequence is presented for accelerated ECG-free 4D flow measurements in the murine aortic arch. Self-navigation signals were extracted from the radial DC signal and used for retrospective motion synchronization. 3D-Cines with 30 frames were reconstructed with a spatial resolution of 100 µm. The volume flow was determined at 4 2D slices extracted from the 3D dataset and the 3D flow was visualized with streamlines. The results are in good accordance with results reported for ECG-triggered measurements. The new method yields high potential for preclinical studies of hemodynamics and can also be transferred to applications in humans.

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Fast self-navigated PC-MRI for human cardiac flow measurements using retrospective radial sampling
Patrick Winter1, Kristina Andelovic2, Peter Jakob1,3, Wolfgang Bauer2, and Volker Herold1

1Experimentelle Physik V, Universität Würzburg, Würzburg, Germany, 2Medizinische Klinik und Poliklinik I des Universitätsklinikums Würzburg, Würzburg, 3Fraunhofer IIS, Fraunhofer EZRT, Magnetresonanz- und Röntgenbildgebung (MRB)

A self-navigated radial PC-MRI sequence is presented for fast ECG-free 2D-Cine measurements with 3-dimensional flow encoding. The radial DC signal was used for retrospective self-navigation. Reconstructions were performed with an iterative CG-Sense algorithm. For each flow encoding step 2D-Cines with 30 frames, respectively, and a spatial resolution of 2.34 mm were reconstructed.  The time-dependent volume flow through the pulmonary artery was quantified and the blood flow through the ventricles was visualized. The proposed method does not rely on ECG signals and is immune to distortions often observed with conventional triggering. It hence yields high potential for clinical applications.

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Cardiac 4D phase-contrast MRI at 9.4 T using self-gated ultra-short echo time (UTE) imaging
Martin Krämer1, Abdallah G Motaal2, Karl-Heinz Herrmann1, Bettina Löffler3, Jürgen R Reichenbach1,4,5,6, Gustav J Strijkers2,7, and Verena Hoerr3

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 3Institute of Medical Microbiology, 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, 5Abbe School of Photonics, Friedrich Schiller University Jena, Jena, Germany, 6Center of Medical Optics and Photonics, Friedrich Schiller University Jena, Jena, Germany, 7Biomedical Engineering and Physics, Academic Medical Center, Netherlands

Time resolved 4D phase contrast (PC) MRI in mice is challenging and often susceptible to artifacts due to long scan times, ECG-gating and the rapid blood flow and cardiac motion of small rodents. To overcome several of these technical challenges we implemented a retrospectively self-gated 4D-PC radial UTE acquisition scheme and assessed its performance in healthy mice by comparing the results with those obtained with an ECG-triggered 4D-PC fast low angle shot (FLASH) sequence. 

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Effect of field strength and spatial resolution on quantifying intracranial hemodynamics with PEAK-GRAPPA accelerated Dual-Venc 4D flow MRI
Susanne Schnell1, Maria Aristova1, Can Wu1,2, Pierre-Francois Van de Moortele3, Bharathi Dasan Jagadeesan4, Kamil Ugurbil3, Michael Markl1,5, and Sebastian Schmitter3,6

1Radiology, Northwestern University, Chicago, IL, United States, 2Philips Healthcare, Gainesville, FL, United States, 3Center for Magnetic Resonance in Medicine, University of Minnesota, Minneapolis, MN, United States, 4University of Minnesota, Minneapolis, MN, United States, 5Biomedical Engineering, Northwestern University, Evanston, IL, United States, 6Physikalisch-Technische Bundesanstalt, Braunschweig and Berlin, Germany

Dual-venc 4D flow MRI was applied in 5 healthy volunteers at two different field strengths of 3T and 7T and at two different isotropic spatial image resolutions, approximately (1.2mm)3 and (0.8mm)3. The aim of this study was to systematically investigate the effect of field strength as well as the impact of resolution for intracranial 4D flow MRI with respect to image quality (vessel sharpness and depiction of small intracranial vessels) and quantification of intracranial flow parameters (net flow, peak velocity).

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An MRI Phantom Study to Assess the Effects of Localized Stiffness on Aortic Hemodynamics
Khalil Rachid1 and Dima Rodriguez1

1Laboratoire d'Imagerie par Résonance Magnétique Médicale et Multi-Modalités (IR4M), Univ. Paris-Sud, CNRS, Université Paris-Saclay, Orsay, France

Cardiovascular complications have been highly associated with arterial stiffness which results from aging and/or vascular disease. Reduced arterial elasticity, particularly at the aorta level, increases the left ventricle load. In this work, we studied the effects of localized stiffness on an aortic phantom with respect to its severity and position relative to an upstream proximal site. As expected, our results showed that the aortic hemodynamics were altered: the pulse pressure was increased, and the flow rate decreased. Moreover, the local proximal compliance was reduced as the stiffness was brought closer to the heart. However, the pulse wave velocity remained unchanged suggesting that global stiffness measuring approaches might not detect regional wall alterations 

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Interobserver reproducibility of blood flow measurements with an abdominal 4D flow MRI sequence with spiral sampling and compressed sensing
Octavia Bane1, Steven Peti2, Mathilde Wagner1,3, Stefanie Hectors1, Hadrien A Dyvorne1,4, and Bachir Taouli1,2

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Radiology, Groupe Hospitalier Pitié Salpêtrière, Paris, France, 44Catalyzer, Guilford, CT, United States

Our study evaluated the interobserver reproducibility of flow quantification in abdominal vessels using a novel 4D flow phase-contrast (PC) MRI sequence. The effect of liver fibrosis on blood flow metrics was also examined in 20 patients. Time-averaged vessel cross-section area, through-plane velocity and volume flow measured in 14 abdominal vessels in a subset of 10 patients were found to have acceptable interobserver agreement (Cohen’s kappa 0.762). A significant increase in the hepatic artery velocity and flow, splenic vein area and flow, middle hepatic vein velocity and flow, and right hepatic vein velocity was observed in patients with advanced fibrosis/cirrhosis.  

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Comparison of SENSE, GRAPPA, SPIRiT and ESPIRiT for accelerated 4D flow MRI Imaging
Xiaole Wang1, Aiqi Sun1, Jianwen Luo1, and Rui Li1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China

Parallel imaging is a promising method to shorten the scanning time of 4D flow MRI. We applied SENSE, GRAPPA, SPIRiT and ESPIRiT in 4D flow imaging on six healthy volunteers and compared the accuracy of four algorithm. We found that ESPIRiT and SPIRiT showed the better velocity maps than SENSE and Grappa. The temporal fidelity of ESPIRIT can be the best among four methods, while SENSE and GRAPPA resulted in overestimates of peak flow. In conclusion, we validate the accuracy of four widely-used parallel imaging methods for the reconstruction of velocity map in 4D flow MR Imaging.

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UNFOLDed Spiral SPiRIT Phase Contrast Velocity Mapping for Scan Time Reduction of Coronary Blood Flow Measurements
Axel Joachim Krafft1, Simon Reiss1, Jürgen Hennig1, and Marius Menza1

1Radiology – Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany

Coronary flow measurements can provide important information, e.g. to assess coronary stenosis, but remain challenging due to the need for high spatio-temporal resolution in the presence of heart and respiratory motion. Progress has been made by using spiral acquisitions enabling data acquisition within a breath hold. We combined spiral SPiRIT flow measurements with UNFOLD, a technique that allows for further data undersampling and scan time shortening (here by a factor of 2), to achieve coronary flow measurements with a spatio-temporal resolution of 1×1×8mm³/<15.5msec. The combined UNFOLD-spiral approach was implemented into different spiral sampling patterns and evaluated in healthy volunteers.

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Respiratory changes in pulmonary flow distribution in Fontan circulation using “5-D” flow MRI
David Rutkowski1,2, Christopher J. François2, and Alejandro Roldán-Alzate1,2,3

1Mechanical Engineering, UW Madison, Madison, WI, United States, 2Radiology, UW Madison, Madison, WI, United States, 3Biomedical Engineering, UW Madison, Madison, WI, United States

The purpose of this study was to evaluate the respiratory effects on particle trace distribution from the vena cava to the pulmonary arteries in single ventricle patients with TCPC. Six patients were imaged using PC-VIPR and a scheme that allows for double gating to the ECG and respiratory cycles, providing flow data for separate respiratory phases. Results displayed a non-equal flow distribution to the pulmonary arteries from the vena cava and a significant difference in pulmonary flow distribution between inspiration and expiration.  This may indicate the importance accounting for respiratory cycle variations when interpreting clinical TCPC results.

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Bootstrapped Estimates of Velocity Uncertainty for 4D Flow PC-MRI
Michael Loecher1 and Daniel B. Ennis1

1Department of Radiological Sciences, University of California, Los Angeles, CA, United States

We implement and analyze a bootstrapping method to estimate VNR measurements with a limited number of 4D Flow acquisitions.  Bootstrapped estimates were created from sets of 2 acquisitions and sets of 5 acquisitions.  The VNR maps were compared to a ground truth VNR measurement generated from 50 acquisitions in a flow phantom.  The method was also demonstrated in vivo to generate VNR maps of the carotid arteries.

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Evaluate right ventricle-pulmonary artery interaction in patients with repaired tetralogy of Fallot by 4D flow-derived kinetic energy
Meng-Chu Chang1, Ming-Ting Wu2, Ken-Pen Weng3, Mao-Yuan Su4, Marius Menza5, Hung-Chieh Huang2, and Hsu-Hsia Peng1

1National Tsing Hua University, Hsinchu, Taiwan, 2Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 3Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 4Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan, 5Medical Physics, Department of Radiology, University Hospital Freiburg, Freiburg, Germany

We quantified the kinetic energy (KE) of intraventricular RV flow (KERV,flow), PA forward flow (KEPA) and PA retrograde flow (KEPA,regur). The purpose is to establish 4D flow-derived KE-related indices for better understanding of the RV-PA interaction. We observed the interaction between RV and PA by assessing the correlation between diastolic KEPA,regur and late diastolic KERV,flow as well as between systolic KEPA and RV mean pressure. In conclusion, we verified that altered hemodynamic conditions of RV interacted with severe PR, which may lead to RV overloading pathology and adverse outcome in rTOF patients. 

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Energy-loss in Fontan Circulation Develops Heterogeneous Pulmonary Perfusion: Hybrid Analysis of 2D Vortex Flow Map and 4D Flow MRI
Michinobu Nagao1, Umiko Ishizaki1, Yumi Shiina2, Kenji Fukushima1, Yuka Matsuo1, Tatsunori Takahashi3, Kei Inai2, In-Sam Park3, Yasuhiro Goto4, Yamato Shimomiya5, Yuzo Yamasaki6, Ichiro Sakamoto7, Kenichiro Yamamura8, Atsushi Takemura9, Masami Yoneyama9, and Shuji Sakai1

1Diagnostic Imaging & Nuclear Medicine, Tokyo Women's Medical University, Tokyo, Japan, 2Clinical Reserch for ACHD, Tokyo Women's Medical University, 3Pediatric Cardiology, Tokyo Women's Medical University, 4Radiological service, Tokyo Women's Medical University, 5Clinical Application Development Marketing Division, Ziosoft Inc, 6Clinical Radiology, Kyushu University, 7Cardiovascular Medicine, Kyushu University, 8Pediatrics, Kyushu University, 9Philips Electronics Japan

Patients with Fontan-operation, single-ventricle heart frequent have systematic collaterals that increase pulmonary blood flow. The competitive flow elevates pulmonary artery pressure, a process leading to erosion of flow energy. We developed a novel post-processing of 2D cine MRI named for “vortex flow map” to evaluate the energy-loss in Fontan-circuit. Vortex flow map shows energy-loss as small magnitude of vortex flow (MVF) and reveals the relation to heterogeneous pulmonary perfusion. In total cavopulmonary conversion, 4D flow can visualize energy-loss caused by a meandering extra-cardiac conduit and the conflict flow, leading to reduce unilateral lung perfusion.

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Accurate Flow MRI: the importance of velocity distribution asymmetry
Antoine Vallatos1, Haitham F. I. Al-Mubarak1, James M. Mullin1, and William M. Holmes1

1Glasgow Experimental MRI Centre, Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, United Kingdom

This work proposes a theoretical and experimental investigation into the unexplored effect of asymmetric distribution of intra-voxel velocities on the accuracy of Flow MRI. Our experimental results show that asymmetric velocity distributions can compromise the linearity of measured phase against applied gradient, leading to important velocimetry errors. A theoretical expression of the observed phase measurement errors is introduced, relating them to velocity distribution properties such as variance, skewness and kurtosis. This enables to explain previously reported velocimetry errors and propose solutions so as to increase the accuracy of velocity measurements.

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Comparison of Doppler Echocardiography Mean Transvalvular Aortic Pressure Gradient to 4D Flow MRI
Michael James Rose1, Kelly Jarvis2,3, Susanne Schnell2, James D Thomas4, Joshua D Robinson1,5,6, Cynthia K Rigsby1,2, Michael Markl2,3, and Alex J Barker2

1Medical Imaging, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States, 2Department of Radiology, Feinberg School of Medicine, Northwestern University, 3Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, 4Division of Cardiology, Feinberg School of Medicine, Northwestern University, 5Division of Pediatric Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States, 6Department of Pediatrics, Feinberg School of Medicine, Northwestern University

Mean and peak pressure gradients are an important measure of aortic stenosis severity. In this study, we present a novel method for measuring mean pressure gradients using 4D flow MRI. 4D flow MRI peak and mean pressure gradients were measured in 23 pediatric BAV patients and compared to Doppler echocardiography (echo). There was no significant difference between 4D flow MRI and echo in peak or mean pressure gradients. 4D flow MRI mean pressure gradients correlated better with echo than peak pressure gradients (R2= 0.78 vs. R2=0.27), suggesting 4D flow to be better suited for measuring mean pressure gradients.

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On Partial Fourier Acquisition in 4D Flow MRI of Mean Velocities and Turbulent Kinetic Energy
Jonas Walheim1 and Sebastian Kozerke1

1ETH Zurich, Zurich, Switzerland

Scan time reduction with partial Fourier was investigated for 4D flow MRI of mean velocity and turbulent kinetic energy. It was shown analytically, that PF leads to a loss in resolution for phase images. According to experiments with in-vivo data, the precondition of slowly varying phases is not met for PF reconstructions of 4D flow MRI, making homodyne reconstruction and POCS fail. Therefore, it is concluded, that PF cannot recover missing k-space samples in 4D flow MRI and does not offer a benefit over symmetric k-space sampling with the same number of phase encodes.


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Comparison of 4D Flow MRI and Tomographic Particle Image Velocimetry
Rafael Medero1 and Alejandro Roldán-Alzate2

1Mechanical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 2Mechanical Engineering and Radiology Department, University of Wisconsin-Madison

4D flow MRI has shown promising results, assessing hemodynamics in different vascular territories. In order to keep expanding its clinical use, reliable validation of 4D flow MRI is needed for improvement of its accuracy and precision while reducing scan time. The purpose of this study was to compare velocity measurements through an in vitro carotid artery bifurcation model using 4D Flow MRI and particle image velocimetry. PIV system provides great insight into the velocity field within the model, using an excellent acquisition quality.   

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Combining Phase Information from Phased Array Coils without Phase Unwrapping in Phase Contrast Imaging
Yi Wang1,2, Xingxian Shou1, Hai Luo2, Xiang Zhou2, Bin Wang2, and Leping Zha1,2

1Alltech Medical Systems America, Solon, OH, United States, 2Alltech Medical Systems, Chengdu, People's Republic of China

In phase contrast flow quantitation, high spatial/temporal resolution and parallel imaging often entail the high density multiple phased array receive coils.  To overcome ambiguities in coil signal combination introduced by motion, phase wrapping, image noise, and the unknown phase-offset among the coils, we used the k-space complex division of the same coil element signals from both flow compensated (FC) and flow encoded (FE) scans to eliminate the coil sensitivity phase associated with that coil element and then add all phase difference of each elements in complex domain to avoid phase unwrapping for a fast and accurate flow velocity mapping.

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Computational Fluid Dynamics of Pulmonary Circulation Before and After Induced Pulmonary Hypertension: 2D Flow versus 4D Flow MRI-Based Boundary Conditions
Sylvana García-Rodríguez1, James Leschke2, Alejandro Roldán-Alzate1,3, and Christopher J. François1

1Department of Radiology, University of Wisconsin - Madison, Madison, WI, United States, 2Rocky Vista University, CO, United States, 3Department of Mechanical Engineering, University of Wisconsin - Madison, Madison, WI, United States

Acute pulmonary hypertension was induced in dogs by micro embolization. RHC was performed, as well as 4D flow MRI pre and post-embolization. MRI data was used to develop a CFD model of the proximal pulmonary circulation while comparing two inlet boundary conditions: velocity definition as defined from 2D flow MRI and from 4D flow MRI, which takes into account the directionality of the velocity. WSS tended to decrease post-embolization. Pressure gradient distribution shows that during peak systole, a constant normal inlet condition might be sufficient for CFD simulation; however, differences might be present during diastole.


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Improving visualization of cardiac QFlow by acquiring bSSFP cine images within the same breath hold
Matthew Lanier1, Ryan Moore2, Michael Taylor2, Charles Dumoulin1, and Hui Wang3

1Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 3Philips, Cincinnati, OH, United States

In this study, we propose a method to acquire QFlow and bSSFP cine images in a single breath-hold that eliminates the need to have these scans acquired separately; thereby overcoming the need for inter-breath hold cross-registration.  The approach provides improved registration of flow fields with high-resolution anatomic cine imaging.

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Improved blood flow velocity measurement in superficial perforating arteries of the white matter at 7 tesla MRI
Lennart J. Geurts1, Geert Jan Biessels2, and Jaco J. M. Zwanenburg1

1Radiology, UMC Utrecht, Utrecht, Netherlands, 2Brain Center Rudolf Magnus, UMC Utrecht, Utrecht, Netherlands

7T 2D Qflow is capable of measuring blood flow velocity in the superficial perforating arteries. These arteries run though the semi oval center of the white matter in the brain and have diameters smaller than 200 µm. Due to the small diameters, partial volume effects of perforators with surrounding tissue cause velocity underestimation. With simulations and experiments we show that tilt optimized nonsaturated excitation (TONE) significantly increases SNR and decreases velocity underestimation in superficial perforating arteries.

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Blood flow velocity and pulsatility measurement of lenticulostriate arteries with 3T 2D Qflow MRI
Lennart J. Geurts1, Jeroen Hendrikse1, and Jaco J. M. Zwanenburg1

1Radiology, UMC Utrecht, Utrecht, Netherlands

The lenticulostriate arteries are involved in small vessel disease and their blood flow velocity and pulsatility has been measured with 7T 2D Qflow. To make this measurement more widely available we aimed to translate it to 3T by increasing blood SNR with a contrast agent. In this study we show that the 2D Qflow acquisition can measure blood flow velocity and its pulsatility in lenticulostriate arteries at 3T, even without the use of a contrast agent.

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Respiratory Controlled Adaptive K-space Reordering (ReCAR) Improves 4D Flow Image Quality
Ning Jin1, Andreas Greiser2, Kelvin Chow3, Susanne Schnell4, Alex J Barker4, and Michael Markl4,5

1Siemens Healthcare, Columbus, OH, United States, 2Application Development, Siemens Healthcare, Erlangen, Germany, 3Siemens Healthcare, Chicago, IL, United States, 4Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 5Department of Biomedical Engineering, Northwestern University, Chicago, IL

4D flow normally uses respiratory gating to mitigate breathing artifacts for thoracic and abdominal applications. Respiratory Controlled Adaptive k-space Reordering (ReCAR) employs k-space reordering based on the current respiratory position. It has been reported to increase respiratory gating efficiency for 4D flow applications. The purpose of this study was to systematically compare the image quality of 4D flow data acquired with and without adaptive k-space reordering.


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Respiratory self-gated golden-angle spiral 4D flow MRI
Rene Bastkowski1, Kilian Weiss1,2, David Maintz1, and Daniel Giese1

1Radiology, University Hospital of Cologne, Cologne, Germany, 2Healthcare, Philips GmbH, Hamburg, Germany

A spiral self-gated 4D Flow sequence is presented that operates at a predictable scan time. The respiratory self-navigation signal is extracted from the FID during the fat saturation pulse. The sequence allows to reconstruct 4D flow data in multiple respiratory states. This technique potentially allows to analyze respiratory dependent flow.

3235
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The importance of correcting for through-plane heart motion in the assessment of aortic regurgitation using PC-MRI as estimated by feature tracking cine-MRI
Frida Svensson1,2, Alexander Johansson3, Åse Johnsson2,3, and Kerstin Magdalena Lagerstrand1,2

1Dept. of Medical Physics and Techniques, Sahlgrenska University Hospital, Gothenburg, Sweden, Sahlgrenska University Hospital, Gothenburg, Sweden, 2Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 3Dept of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden, Sahlgrenska University Hospital

Phase contrast measurements are prone to velocity offsets due to through-plane motion of the heart. Here we examine the impact of these velocity offsets on the assessment of aortic regurgitation using a promising method for quantification of the through-plane heart motion. Without correction for through-plane heart motion, the phase contrast measurements significantly underestimated the severity of the regurgitation and the underestimation varied highly between individuals. This calls for development of reliable and robust methods, such as the proposed tracking method, for individual correction of through-plane heart motion in the phase contrast measurements. 


Electronic Poster

Myocardial Ischemia Imaging

Exhibition Hall Monday 9:15 - 10:15

3236
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Coronary flow velocity reserve by 3T-MRI  fast velocity-encoded cine can detect patients with high-risk coronary artery disease
Masanao Naya1, Yasuka Kikuchi, Noriko Oyama-Manabe, Masahiko Obara, Tadao Aikawa, Osamu Manabe, Hiroyuki Sugimori, and Nagara Tamaki

1Hokkaido University Graduate School of Medicine, Sapporo, Japan

Low coronary flow velocity reserve (CFVR) on left main coronary trunk can predict downstream coronary organic stenosis and myocardial scar, suggesting that CFVR derived by flow velocity by MRI is a simple and reliable index to detect patients with high-risk coronary artery disease.

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Cardiac ASL using Single-Shot EPI at 3T
Ahsan Javed1 and Krishna Nayak1

1Electrical Engineering, University of Southern California, Los Angeles, CA, United States

Arterial spin labeling (ASL) is a non-contrast method for measuring tissue perfusion, and can be applied to the measurement of myocardial blood flow and myocardial perfusion reserve. Current cardiac ASL methods predominantly use balanced steady state free precession (bSSFP) imaging. In this work, we revisit one of the original cardiac ASL imaging schemes, single-shot EPI (Poncelet et al., MRM 1999), and experimentally demonstrate its potential advantages and its current limitations at 3T. 

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Quantitative dynamic MRI in the phase domain: Characterization of coronary arterial morphology using a simple Fourier method to accurately estimate bolus arrival times in DCE-MRI perfusion imaging
Karl P Kunze1, Teresa Vitadello2, Christoph Rischpler1, Markus Schwaiger1, and Stephan G Nekolla1

1Nuclear Medicine, TU Munich, Munich, Germany, 2Cardiology, TU Munich, Munich, Germany

This abstract proposes a simple method to extract the bolus arrival time (BAT) from myocardial DCE-MRI perfusion data using a low-frequency phase reconstruction of the deconvolution of arterial input functions with myocardial tissue curves. A simulation study is performed to test the proposed technique with respect to accuracy, robustness and superiority to existing approaches. A clinical PET/MRI example and a control group are examined to show the robustness of BAT estimation even without post-processing steps like surface coil intensity correction or saturation correction. The interpretation of the BAT as a surrogate for coronary path lengths is supported by coronary angiography.

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Validation of the Intravoxel Incoherent Motion Model in the Healthy Human Heart using Black-Blood Preparation
Georg Spinner1, Constantin von Deuster1, Christian Torben Stoeck1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH Zürich, Zürich, Switzerland

In vivo cardiac Intravoxel Incoherent Motion Imaging (IVIM) offers the potential to estimate myocardial perfusion without the need for contrast agents. The IVIM parameter estimates, however, suffer from low signal-to-noise ratio, patient motion and are depending on imaging settings as well as on diffusion gradient shapes. In the present work, further evidence is presented that estimation of perfusion using a second-order motion compensated diffusion weighted sequence in the in vivo human heart is possible. 

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Accelerated Cardiac Perfusion MRI with Radial k-space Sampling, Compressed Sensing, and KWIC filtering to Enable Qualitative and Quantitative Analyses of Perfusion.
Nivedita K. Naresh1, Hassan H. Valizadeh2, KyungPyo Hong1, Amir A. Rahsepar1, Daniele Procissi1, Jeremy D. Collins1, James C Carr1,3,4, Daniel C. Lee1,4, and Daniel Kim1

1Radiology, Northwestern University, Chicago, IL, United States, 2Biomedical Engineering, Northwestern University, Chicago, IL, United States, 3McCormick School of Engineering, Northwestern University, Chicago, IL, United States, 4Medicine, Northwestern University, Chicago, IL, United States

First-pass cardiac perfusion MRI is widely used as an important diagnostic tool for cardiovascular disease and extensive efforts are focused on improving spatial coverage, minimizing dark rim artifacts and quantifying absolute myocardial blood flow. In this study, we used a combination of radial k-space sampling, compressed sensing, and KWIC filtering to address these issues. Compared to the conventional perfusion technique, the accelerated method improved spatial coverage, minimized dark rim artifact and enabled quantification of myocardial blood flow.

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Heart-Rate Independent T2 Mapping for Overcoming Loss of BOLD Sensitivity in Conventional Cardiac T2 MRI Acquired Under Vasodilator Stress
Hsin-Jung yang1, Damini Dey1, Jane Sykes2, John Butler2, Xiaoming Bi3, Behzad Sharif1, Ivan Cokic1, Sotirios Tsaftaris4, Debiao Li1, Piotr Slomka1, Frank Prato2, and Rohan Dharmakumar1

1Cedars Sinai Medical Center, Los Angeles, CA, United States, 2Lawson Health Research Institute, 3Siemens Healthcare, 4IMT School for Advanced Studies Lucca

Despite the advances to date, myocardial BOLD MRI continues to be plagued by imaging confounders, which limit its reliability. We hypothesized that (a) the loss in BOLD sensitivity is dependent on the magnitude of the change in heart rate (HR) between rest and vasodilator stress; and (b) HR-insensitive T2 maps can enable BOLD changes to be accurately captured. We tested our hypothesis by examining the BOLD response to a HR-insensitive T2 mapping approach and conventional T2 mapping. Our results show that reliability of T2-based myocardial BOLD MRI could be markedly improved through heart-rate-insensitive T2 acquisitions.

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Spiral simultaneous multi-slice first-pass myocardial perfusion imaging
Yang Yang1, Matthew Van Houten2, Patrick Norton3, Klaus Hagspiel3, Christopher Kramer1,3, John Mugler2,3, and Michael Salerno1,2,3

1Medicine, University of Virginia, Charlottesville, VA, United States, 2Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 3Radiology, University of Virginia, Charlottesville, VA, United States

First-pass contrast-enhanced myocardial perfusion imaging is an important tool to assess patients with coronary artery disease, but current techniques are still limited by spatial-temporal resolution and ventricular coverage. Simultaneous multi-slice (SMS) utilizes multi-band (MB) RF pulses which can greatly improve sampling efficiency. We develop an SMS-spiral perfusion pulse sequence by modulating the phase of excitation RF pulses of multiple slices with a Hadamard matrix to achieve significant signal cancellation and an incoherent aliasing pattern. The pulse sequence is evaluated in 23 patients with MB factors of 2, 3 and 4 resulting in high image quality.

3243
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Quantitative 3D myocardial perfusion at systole and diastole with a dual echo arterial input function
Jason K Mendes1, Ganesh Adluru1, Devavrat Likhite1, Apoorva Pedgaonkar1, Merlin J Fair2,3, Peter D Gatehouse2,3, Brent Wilson4, and Edward V DiBella1

1Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States, 2Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, United Kingdom, 3National Heart & Lung Institute, Imperial College London, London, United Kingdom, 4Cardiology, University of Utah, UT, United States

Quantitative 3D myocardial perfusion is a clinically realistic goal and this work further develops and combines several innovative sequence designs to achieve this goal. These developments include an optimized 3D stack of stars readout (150ms per beat), acquisition and T2* correction of an arterial input function, tailored saturation pulse design and potential whole heart coverage at both systole and diastole at heart rates up to 109 bpm. Implementation and quantitative perfusion results are shown for healthy volunteers and a patient with known coronary disease.

3244
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10-fold Spatial-Only Acceleration For High-Resolution Myocardial Perfusion Using Multi-Band Imaging and Multi-Band Outer Volume Suppression
Sebastian Weingärtner1,2,3, Steen Moeller2, Chetan Shenoy4, and Mehmet Akçakaya1,2

1Electrical and Computer Engineering, University of Minnesota, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3Computer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany, 4Department of Cardiology, University of Minnesota, Minneapolis, MN, United States

Myocardial perfusion imaging is clinically established for the detection of myocardial ischemia and requires rapid imaging to monitor the uptake of a contrast-agent in the heart. Spatial resolution or coverage is commonly increased by exploiting temporal correlations, at the risk of inducing temporal blurring. Here, we investigate the use of simulteaneous multi-slice imaging for high spatial-only acceleration. Outer-volume-suppression using multi-band saturation-slabs (MB-OVS) were used to facilitate high multi-band factors. Phantom results, show through signal suppression outside region-of-interest with MB-OVS. In-vivo results show robust image quality throughout the contrast uptake and washout with 9-slice LV coverage at a temporal resolution <550ms.

3245
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Estimating extraction fraction and blood flow by combining first-pass myocardial perfusion and T1 mapping results
Devavrat Likhite1, Promporn Suksaranjit2, Ganesh Adluru1, Chris McGann2, Brent Wilson2, and Edward DiBella1

1Department of Radiology and Imaging sciences, University of Utah, Salt Lake City, UT, United States, 2Division of Cardiovascular Medicine, University of Utah, Salt Lake City, UT, United States

Dynamic contrast enhanced MRI is maturing as a tool in contemporary cardiovascular medicine. However, there are challenging areas that have not been fully understood, such as modeling extraction of the contrast agent from the vasculature to the extravascular space. We present a technique that exploits information overlap between two different cardiac MRI techniques, namely, DCE-MRI and T1 mapping, in order to estimate extraction and flow. Our study shows that extraction fraction and myocardial blood flow can be estimated by fixing extracellular volume (ECV) to values obtained from T1 mapping. 

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Optimized 2D radial CAIPIRINHA for cardiac perfusion MRI
Ye Tian1,2, Ganesh Adluru2, Jason Mendes2, and Edward DiBella2

1Physics and Astronomy, University of Utah, Salt Lake City, UT, United States, 2Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States

We propose an optimized offset golden angle trajectory of 3-slice radial CAIPI for more uniform distribution of phase modulated rays. Both computer simulation and phantom scan demonstrate that our proposed method has less artifact. Simulation studies show a 41% reduction in aliasing energy when compared to conventional golden angle trajectory. As well, optimization with an asymmetric echo readout resulted in a reduction of acquisition time by 15% with little sacrifice of image quality. These two methods can benefit simultaneous multi-slice perfusion acquisitions.

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Analysis of Coronary Contrast Agent Transport in Bolus Based Quantitative Myocardial Perfusion MRI Measurements with Computational Fluid Dynamics (CFD) Simulations in High Performance Computing (HPC) Environments
Johannes Martens1, Sabine Panzer1, Jeroen van den Wijngaard2, Maria Siebes2, and Laura Maria Schreiber1

1Comprehensive Heart Failure Center, University Hospital Wuerzburg, Wuerzburg, Germany, 2Dept. of Biomedical Engineering & Physics, Academic Medical Center, Amsterdam, Netherlands

Aim of the project is the execution of computationally extremely challenging CFD simulations of blood flow and contrast agent (CA) transport in coronary arteries on HPC clusters. Therefore scalability testing is performed to assess the suitability of applied software codes in HPC environments. Cardiovascular 3D-models are extracted from high-resolution cryomicrotome imaging data and meshed with computational grids. Navier-Stokes-equations for blood flow and the advection-diffusion-equation for CA transport are solved to obtain CA bolus dispersion in the epicardial vessels. We find indications of asymptotically decreasing dispersion effects with increasing vessel generation.

3248
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An analysis of radial sequence parameters in myocardial first-pass perfusion for optimised imaging
Merlin J Fair1,2, Peter D Gatehouse1,2, Edward VR DiBella3, and David N Firmin1,2

1CBRU, Royal Brompton Hospital, London, United Kingdom, 2NHLI, Imperial College London, London, United Kingdom, 3UCAIR, University of Utah, UT, United States

A simulation framework is devised to analyse sequence parameters in radial first-pass perfusion for optimised imaging. A model containing left-ventricular myocardium, bloodpool and defect was radially sampled in 2D and 3D under multiple sequence parameters variations, tested with differing imaging environments. Automatic measures of sharpness, signal variation and CNR were made on the N=1016 simulation reconstructed images and results of interest are presented.

3249
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Quantitative MRI measurement of the interplay between myocardial function, perfusion, structure and metabolism during acute and chronic remodeling in a porcine model of myocardial infarction
Smita Sampath1, Sarayu Annamalai Parimal2, Wei Huang3, Ibrahim Mazlan4,5, Grace Croft4,5, Teresa Totman4,5, Yvonne Wei Zheng Tay6, Elaine Manigbas6, Miko May Lee Chang7, Anqi Qiu7, Michael Klimas8, Jeffrey L Evelhoch8, Dominique PV de Kleijn4,5, and Chih-Liang Chin1

1Translational Biomarkers, Merck Sharp & Dohme, Singapore, Singapore, 2Translational Biomarkers, Merck Sharp & Dohme, Singapore, 3Advanced Imaging Research Center, Oregon Health and Science University, Portland, OR, United States, 4Cardiovascular Research Institute, National University Heart Center, Singapore, 5Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 6Comparative Medicine Imaging Facility, Center for Life Sciences, National University of Singapore, Singapore, 7Department of Biomedical Engineering, National University of Singapore, Singapore, 8Translational Biomarkers, Merck & Co., Inc., West Point, PA, United States

We present a comprehensive characterization of LV structure, function, perfusion and metabolism in a porcine animal model with myocardial infarction with view to develop a translational platform for future testing of safety and efficacy of novel heart failure therapeutics.  Dynamic contrast enhanced MRI and tagging MRI are employed to obtain non-invasive quantitative magnetic resonance imaging (MRI) biomarkers for characterization.  Results demonstrate an acute decrease in function and perfusion in the infarct region and functional compensation in the remote region with associated increased metabolic activity.  Chronic remodeling is associated with decreased metabolic activity in the infarct region along with increased fibrosis.        

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Exenatide decreases ectopic fat accumulation but have no impact on myocardial function and perfusion in patients with obesity and type 2 diabetes
Ines Imane Abdesselam1, Anne Dutour2, Alexis Jacquier3, Frank Kober4, Patricia Ancel5, Oliver Rider6, Monique Bernard4, and Benedicte Gaborit2

1Aix-Marseille University, CRMBM, NORT, Marseille, France, 2Aix-Marseille University, NORT, AP-HM, 3Aix-Marseille University, CRMBM, AP-HM, 4Aix-Marseille University, CRMBM, 5Aix-Marseille University, NORT, 6University of Oxford, OCMR

The objective of the study is to assess the impact of Exenatide on endothelial reactivity, and change in ectopic fat and cardiac function. This study included 44 patients (mean 52 years) randomized to Exenatide or reference treatment. Magnetic resonance imaging was used to assess ectopic fat accumulation, coronary vasoreactivity and cardiac function. 16-weeks of Exenatide treatement resulted in a significant improvement in glycemic control and a significant reduction of both epicardial fat and hepatic steatosis. However, we found no effect of Exenatide on myocardial function.  In addition, one-week of exenatide treatment had only a modest effect on vascular reactivity, albeit non-significant.

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BOLD Effect of Oxygen-Inhalation T2-star MRI Surrogates Systemic and Myocardial Oxygen Consumption in Heart Failure and Myocardial Infarction
Michinobu Nagao1, Kenji Fukushima1, Umiko Ishizaki1, Yuka Matsuo1, Yuzo Yamasaki2, Tetsuya Matoba3, Tomomi Ide3, Atsushi Takemura4, Mitsuru Momose1, and Shuji Sakai1

1Diagnostic Imaging & Nuclear Medicine, Tokyo Women's Medical University, Tokyo, Japan, 2Clinical Radiology, Kyushu University, 3Cardiovascular Medicine, Kyushu University, 4Philips Electronics Japan

Measurement of oxygen consumption (OC) has been less than satisfactory in patients with heart failure. This has necessitated the invasive techniques to measure the total oxygen demand with cardiopulmonary exercise (CPX). The present study proposes a novel method to quantify OC using BOLD effect of oxygen-inhalation T2* MRI. Difference between oxygen-T2* and room-air-T2* (ΔT2*) was identified as an estimate of OC. ΔT2* was significantly correlated with systematic and myocardial OC expressed as the results of CPX and myocardial fatty acid scintigraphy. Our method allows assessing non-invasively OC in vivo. ΔT2* could be used as an imaging biomarker for heart failure.

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Analytically-derived Parameter Scouting for Dark-Blood Late Gadolinium Enhancement (DB-LGE) Imaging
Ahmed S Fahmy1, Tamer A Basha1, and Reza Nezafat1

1Cardiology, BIDMC-Harvard, Boston, MA, United States

In Dark Blood Late Gadolinium Enhanced (DB-LGE) imaging, simultaneous signal nulling of the healthy myocardium and the blood and thus yields superior contrast-to-noise ratio of the scared tissues. The method employs a T2-preparation pulse applied after the inversion recovery pulse to rapidly damp the myocardium magnetization relative to the blood. Accurate timing of the inversion pulse, T2-preparation pulse, and echo acquisition is essential for the success of the technique. In this work, we present a simple method for accurately estimating these parameters through fast low-resolution scouting scans played prior to DB-LGE scans.

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Myocardial Edema Imaging using Single-shot T2STIR Prepared bSSFP
Yanjie Zhu1, Dan Yang2, Yucheng Chen2, Dong Liang1, Xin Liu1, and Yiu-Cho Chung1

1Paul C. Lauterbur Research Centre for Biomedical Imaging, Shenzhen Institutes of Advanced Technology,Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2Department of Cardiology, West China Hospital, Chengdu, People's Republic of China

STIR-TSE is useful in imaging myocardial edema. However, it is sensitivity to cardiac motion, resulting in myocardial inhomogeneity. T2p-bSSFP overcomes this issue, but averaging is commonly used to improve its contrast. We propose a novel single-shot imaging technique that generates "STIR like" contrast and improves contrast between edema and normal myocardium compared to T2p-bSSFP. The performance of the new sequence (T2STIR-bSSFP) was evaluated by phantom study and in patients with acute myocardial infraction. The results show that the average CNR of T2STIR-bSSFP between edema and myocardium was 1.9 times better than T2p-bSSFP.

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Ungated free-breathing late gadolinium enhancement imaging with a radial simultaneous multi-slice acquisition
Ganesh Adluru1, Jason Mendes1, Brent Wilson2, and Edward DiBella1

1Radiology and Imaging Sciences, University of Utah, Salt lake city, UT, United States, 2Cardiology, University of Utah, Salt Lake City, UT, United States

Late Gadolinium Enhancement imaging is the gold standard for identifying infarcted myocardium.  Existing data acquisition methods rely on good ECG-gating signal and breathholding to acquire images in quiescent diastolic cardiac phase.  However, in patients with arrhythmias and when imaging at higher field strengths, R-R interval is inconsistent and a good ECG signal can be challenging.  This can lead to increased acquisition time and inconsistent recovery of longitudinal magnetization affecting signal-to-noise ratio and optimal myocardial nulling.  Here we propose an ungated free-breathing scheme that acquires multiple slices at the same time with consistent nulling of healthy myocardium at systole and diastole.

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High Resolution, Single-shot LGE MRI with Compressed Sensing and Radial k-space Sampling
Hassan Haji-Valizadeh1, Jeremy D. Collins 2, Daniel C. Lee2,3, James C. Carr2, and Daniel Kim2

1Biomedical Engineering, Northwestern University, Chicago, IL, United States, 2Radiology, Northwestern university, Chicago, IL, United States, 3Division of Cardiology, Internal Medicine, Northwestern University, Chicago, IL, United States

We sought to develop a high resolution single-shot LGE pulse sequence using Radial Compressed Sensing. We then evaluated in patients the performance of our acquisition scheme with respect to segmented clinical LGE.

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Quantitative Inversion Time Prescription for Late Gadolinium Enhancement Using T1-based Synthetic Inversion Recovery Imaging – Eliminating the Subjective Estimation of Inversion Time
Akos Varga-Szemes1, Rob J van der Geest2, Carlo N De Cecco1, Taylor M Duguay1, U. Joseph Schoepf1, and Pal Suranyi1

1Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, United States, 2Department of Radiology, Leiden University Medical Center, Leiden, Netherlands

Conventional Look-Locker (LL)-based inversion time (TI) estimation prior to late gadolinium enhancement (LGE) imaging has multiple limitations, including: the long breath-hold, the collected images are in different cardiac phases, and the subjective TI estimation. In this study we aimed to develop a quantitative T1 mapping-based synthetic inversion recovery (IRsynth) approach allowing for the quantitative determination of the optimal TI for LGE imaging. We showed in 40 patients that the IRsynth method provides better quality of myocardial signal nulling, retrospective TI selection, higher TI resolution, no need for further LL correction or TI adjustment, and less operator dependence.

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Validation of Contrast Enhanced Cine Steady-State Free Precession and T2-Weigthed CMR for Assessment of Ischemic Myocardial Area-At-Risk
Esben Søvsø Szocska Hansen1,2, Steen Fjord Pedersen3, Steen Bønløkke Pedersen4, Hans Erik Stilling Bøtker5, and Won Yong Kim5

1The MR Research Centre, Aarhus University, 8200, Denmark, 2Danish Diabetes Academy, Odense, Denmark, 3Department of Cardiothoracic and Vascular Surgery T, Aarhus University Hospital, 8200, Denmark, 4Department of Endocrinology and Internal Medicine, Aarhus University Hospital THG, Denmark, 5Department of Cardiology, Aarhus University Hospital, 8200, Denmark

Measuring myocardial salvage is important to evaluate the possible cardioprotective effects of adjunctive cardioprotective intervention in patients with myocardial infarction undergoing primary percutaneous intervention. Contrast-enhanced steady-state free precession magnetic resonance imaging (CE-CINE) has recently been used to quantify AAR and validated against myocardial perfusion SPECT. In this study we sought to determine how well T2-STIR and CE-CINE depicts AAR in an experimental porcine model of myocardial ischemia-reperfusion injury using histopathology as the reference for infarct size and AAR.

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Effects of a Gadolinium Based Contrast Agent on the Myocardial R2* Relaxation Rate in Patients with Chronic Myocardial Infarction
James W Goldfarb1, Nathaniel Reichek1, Jie J Cao1, and Dana C Peters2

1St Francis Hospital, Roslyn, NY, United States, 2Yale University, New Haven, CT, United States

In this proof-of-concept study, we studied the effects of a contrast agent on R2*/T2* relaxation in dense myocardial fibrosis.  A significant change in myocardial R2* was found after contrast and an R2* difference existed after contrast agent administration between fibrosis and remote myocardium. On average, viable myocardial R2* increased by 4.5 Hz while infarcted increased by 9.3 Hz at 1.5T with a clinical contrast agent.


Electronic Poster

New Methods

Exhibition Hall Monday 9:15 - 10:15

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QISS FISS (Quiescent-Interval Slice-Selective Fast Interrupted Steady-State):  A Best-of-Both-Worlds Solution to Nonenhanced MR Angiography at 3 Tesla
Robert R. Edelman1,2, Shivraman Giri3, and Ioannis Koktzoglou4,5

1Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 2Radiology, Northwestern University, Chicago, IL, United States, 3Siemens HealthCare, 4Radiology, NorthShore University HealthSystem, 5Radiology, University of Chicago

QISS is a robust method for nonenhanced MRA that conventionally uses a TrueFISP readout.  At 3 Tesla, use of TrueFISP is challenging due to high RF power deposition and sensitivity to off-resonance artifacts.  In order to overcome these limitations, we implemented a QISS technique that incorporates a new type of readout that is a hybrid of TrueFISP and FLASH pulse sequences, which we call “Fast Interrupted Steady-State” (FISS).  A pilot study was conducted to evaluate the potential benefits of QISS FISS at 3 Tesla for evaluation of the peripheral arteries and great vessels of the chest.

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Characterizing the Cardiac Phase Dependence of Motion Compensated CODE cDTI
Eric Aliotta1,2, Kevin Moulin1, Patrick Magrath1,3, and Daniel B. Ennis1,2,3

1Department of Radiological Sciences, University of California, Los Angeles, CA, United States, 2Biomedical Physics IDP, University of California, Los Angeles, CA, United States, 3Department of Bioengineering, University of California, Los Angeles, CA, United States

First and second order motion compensated convex optimized diffusion encoding (CODE-M1M2) enables robust, high resolution cardiac diffusion tensor imaging (cDTI). However, timing of the diffusion encoding relative to the cardiac cycle still requires careful evaluation to achieve precise and accurate measurements. In this study, CODE-M1M2 cDTI was acquired in healthy volunteers at both mid-systole and diastole to identify differences in fiber orientation, fiber cone of uncertainty (CoU), mean diffusivity (MD) and fractional anisotropy (FA). While fiber orientations were equivalent, lower CoU, lower MD, and higher FA were observed in mid-systole than in diastasis indicating improved performance.

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Insights from comprehensive fetal cardiovascular MRI assessment using 3D motion-correction and metric-optimised gated phase contrast in cases of suspected coarctation of the aorta
David F A Lloyd1,2, Joshua F P van Amerom1, Maria Murgasova1, Bernard Kainz3, Kuberan Pushparajah2, John Simpson2, Mary Rutherford1, Jo V Hajnal1, and Reza Razavi1,2

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Department of Paediatric and Fetal Cardiology, Evelina London Children's Hospital, London, United Kingdom, 3Department of Computing (BioMedIA), Imperial College London

The antenatal diagnosis of coarctation of the aorta can be life saving; however, it is notoriously difficult to predict using ultrasound alone. We present 16 fetal cases with suspected coarctation of the aorta between 30-36 weeks, assessed using a combination of novel prenatal MRI techniques: three-dimensional motion corrected slice-volume registration and metric-optimised gated phase contrast flow measurements. Detailed 3D analysis revealed significant correlation between the size and position of the aortic isthmus and the need for neonatal surgical repair. Retrograde flow at the aortic isthmus and the angle of its insertion relative to the arterial duct may also be important variables. The comprehensive physiological data generated by combining novel fetal MRI techniques may offer powerful insights into traditionally challenging antenatal diagnoses.

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Contact-free Cardiac Motion Estimation using the Scatter of a Parallel Transmit Coil at 7T MRI
Sven H.F. Jaeschke1, Caitlin O'Brien2, Aaron T. Hess1, and Matthew D. Robson1

1Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, United Kingdom, 2Oxford Centre for Functional MRI of the Brain, University of Oxford, United Kingdom

Cardiovascular MRI at ultra-high field strength is a growing field of research and as such there is a need for reliable, accurate, and user-independent triggering and gating. We propose a novel approach that uses directional couplers from the SAR monitoring system and an 8-channel pTx coil to measure the reflection coefficients simultaneously to determine cardiac motion with an independent component analysis and Gaussian shaped RF-monitoring pulses. This approach has the potential to improve cardiac imaging at ultra-high field CMR by providing robust triggering in periods of breath-hold and free-breathing, additional gating information and an optimised workflow with no additional set-up.

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Fetal cardiac volume reconstruction from motion-corrected multi-slice dynamic MRI
Joshua FP van Amerom1, David A Lloyd1, Maria Kuklisova Murgasova1, Anthony N Price1, Shaihan J Malik1, Paul Aljabar2, Joanna M Allsop2, Ana Gomes2, Mary A Rutherford1,2, Kuberan Pushparajah1,3, Reza Razavi1,3, and Joseph V Hajnal1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Centre for the Developing Brain, King's College London, London, United Kingdom, 3Department of Congenital Heart Disease, King's College LondonEvelina London Children's Hospital, London, United Kingdom

Motion is a significant challenge in fetal cardiac MRI. Multi-slice 2D dynamic MR data was used to reconstruct high-temporal resolution real-time images to be combined in time as 2D cine images and then in space as volumes with full coverage of the heart. Retrospective, image-based post-processing (motion correction, outlier rejection) was used to improve image quality in the presence of intra- and inter-slice motion. Reconstructed multi-slice cine images depict the complex anatomy of the fetal heart across the cardiac cycle and preliminary volume reconstructions allow multiple views to be visualised.

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Time-Resolved Contrast-Enhanced MR Angiography with Single-Echo Dixon Background Suppression
Eric G. Stinson1, Joshua D. Trzasko1, Norbert G. Campeau1, John Huston III1, Phillip M. Young1, and Stephen J. Riederer1

1Radiology, Mayo Clinic, Rochester, MN, United States

Contrast-enhanced MR angiography (CE-MRA) typically relies on a time-subtraction technique to suppress the background signal and emphasize the contrast-enhanced blood signal. However, Dixon-based background suppression has been reported to reduce motion sensitivity and improve signal-to-noise ratio in CE-MRA studies. Dual-echo Dixon techniques suffer a time penalty from acquiring an image at a second echo time, but single-echo Dixon techniques require an image at only one echo time and can reduce the time penalty. Here, time-resolved 3D single-echo Dixon CE-MRA at 3.0T with image update times of under 5 seconds is reported with results in the calves, hands, and brain.

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Free-breathing navigator 3D Cardiac Quantitative Susceptibility Mapping (QSM): initial experience at 1.5T and 3T.
Yan Wen1,2, Thanh Nguyen2, Pascal Spincemaille2, Jiwon Kim3, Jonathan W. Weinsaft3, and Yi Wang1,2

1Meinig School of Biomedical Engineering, Cornell University, New York, NY, United States, 2Radiology, Weill Cornell Medicine, New York, NY, United States, 3Medicine, Weill Cornell Medicine, New York, NY, United States

To improve signal-to-noise ratio (SNR) in cardiac QSM (cQSM), we introduce here 3D acquisition that is more SNR efficient than previous 2D acquisition. Respiratory motion artifacts during the long 3D acquisition are compensated using navigator gating. We also investigated potential SNR gain at 3T over previous 1.5T. Our initial results seem to suggest possible issues at 3T that prevent the realization of potential cQSM improvement at from 1.5T to 3T in terms of SNR and contrast.

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Tomoelastography of the abdominal aorta and inferior vena cava in different hydration states
Thomas Elgeti1, Jing Guo1, Heiko Tzschätzsch1, Florian Dittmann1, Eric Barnhill1, Jürgen Braun1, and Ingolf Sack1

1Charité - Universitätsmedizin Berlin, Berlin, Germany

Tomoelastography was recently introduced for high-resolution stiffness mapping in abdominal organs. The method is based on multifrequency MR elastography and noise-robust reconstruction of shear wave speed maps. This study demonstrates the feasibility of tomoelastography for measurement of the mechanical properties of the abdominal aorta (AA) and inferior vena cava (IVC) in healthy volunteers. AA was measured stiffer than IVC with increasing disparity after drinking one liter of water. Our results demonstrate the sensitivity of MRE-measured effective stiffness values in AA and IVC to physiological alteration of the hydration state and offer a new perspective for MRE of abdominal vessels.

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Contact- free diaphragm navigation using the scatter of a parallel transmit coil at 7T
Aaron Timothy Hess1 and Matthew D Robson1

1Oxford Centre for Clinical Magnetic Resonance Research (OCMR), University of Oxford, Oxford, United Kingdom

A method is presented to measure respiratory motion in mm units based on the scatter of a parallel transmit coil. The respiratory changes in scatter are observed by the local SAR monitor and converted into a respiratory measure through a calibration phase. The newly described measure was compared to the diaphragm position measured in MR images. The standard deviation of the difference between the two was 1.1±0.4 mm across six volunteers. The method was implemented into a free breathing cardiac cine which showed no respiratory artefact when used to gate. 

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Interleaved 31P-MR spectroscopy and cine 1H-MR imaging of the human heart at 3 Tesla
Madeleine Daemen1,2, Aart J. Nederveen1, Jeroen A.L. Jeneson1,3, Gustav J. Strijkers4, and Adrianus J. Bakermans1

1Department of Radiology, Academic Medical Center, Amsterdam, Netherlands, 2Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 3Neuroimaging Center, University Medical Center Groningen, Groningen, Netherlands, 4Department of Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands

Changes in the myocardial energy homeostasis have been linked to decreases in cardiac pumping performance. Current MR practice requires two consecutive recordings of 31P-MRS and 1H-MRI to assess both aspects of heart physiology, with consequently long scan times, considerable patient burden, and potentially a mismatch between data from separate sessions. By efficiently interleaving 3D ISIS acquisitions for localized 31P-MRS with short-axis cine 1H-MR imaging, both myocardial energy status as well as left-ventricular ejection fraction could be quantified from MR data that were acquired essentially simultaneously.

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Computational modeling of arterial wall strain in a rabbit model of atherosclerosis using an elastin-specific MR contrast agent
Andrew Comerford1, Rene Botnar1, and Alkystis Phinikaridou1

1Imaging Sciences & Biomedical Engineering, King's College London, London, United Kingdom

Vulnerable plaque rupture is a major cause of common clinical events such as heart attacks and strokes. Plaques form in the arterial wall due to atherosclerosis, however not all plaques that do develop are at risk from rupture. Risk stratification is a major clinical need. This study combines elastin-specific MR contrast agent and CINE MR data from a rabbit model of atherosclerosis with finite element modeling. This combination allows the biomechanics of the arterial wall to be compared with morphological and biological indicators. Wall strains were shown to vary depending on the wall thickness and elastin content.

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Dynamic PET/MR Imaging of Glucose Utilization and Contractile Function Under Hypoxic Stress
Gregory Barton1, Kara Goss2, Niti Aggarwal3, Marlowe Eldridge1, and Alan McMillan4

1Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, United States, 2Department of Medicine, University of Wisconsin-Madison, Madison, WI, United States, 3Departments of Medicine & Radiology, University of Wisconsin-Madison, Madison, WI, United States, 4Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States

The purpose of this study was to establish a methodology that could be used to study the dynamic relationship between cardiac contractile function and metabolism in a serial rest-stress model using dynamic cardiac PET/MR. To assess dynamic changes in cardiac glucose metabolism we evaluated the use of a continuous infusion of 18F-FDG. We found that increases in cardiac contractility were coupled with an increase in glucose utilization in the myocardium under hypoxic stress conditions. These results demonstrate the feasibility of performing simultaneous measures of contractile function and metabolism in the heart.

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Statistical paradigm for composite MR Angiography generated from multi-contrast MRI
Dahan Kim1,2, Patrick Turski2,3, Oliver Wieben2,3,4, and Kevin M Johnson2,3

1Department of Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Department of Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 3Department of Radiology, University of Wisconsin - Madison, Madison, WI, United States, 4Department of Biomedical Engineering, University of Wisconsin - Madison, Madison, WI, United States

We present an innovative paradigm to overcome artifacts of individual MR angiography techniques by utilizing complimentary information existing across multi-contrast MR images. This technique applies Bayesian statistics to extract vessel likelihoods from each image type and generates a single ‘composite’ angiogram. Composite angiograms are computed utilizing black blood (BB), contrast enhanced MRA (CE-MRA), and phase contrast MRA (PC-MRA) images acquired in subjects with known neurovascular disease.  The composite angiogram is demonstrated to improve vessel lumen depiction overcoming artifacts in individual source images from background enhancement, air cavities, and flow in CE-MRA, BB, and PC-MRA, respectively. 

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Novel Ultrasound Real-time Feedback Slice Tracking with Spatially Resolved MR-compatible Ultrasound for Cardio-vascular MRI
Lindsey A Crowe1, Francesco Santini2,3, Gibran Manasseh1, Matthieu Destrade1,4, Iris Friedli1, Oliver Bieri2,3, Rares Salomir1, and Jean-Paul Vallée1

1Department of Radiology, Geneva University Hospitals, Geneva, Switzerland, 2Department of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 3Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 4HEI, école d’Yncréa Hauts-de-France, France

Spatially resolved MR-compatible ultrasound was used to detect a respiratory-mimicking motion for prospective correction of cine MR data acquisitions. A scaling factor relating the motion between the two modalities was derived in real-time and was chosen to compare motion-corrected MR images to a static phantom ‘breath-hold’ and an uncorrected cine image series.

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The impact of kinetic isotope effects in using deuterated glucose for metabolic experiments
Alexander Funk1, Brian Anderson1, Xiaodong Wen1, Chalermchai Khemtong1, Dean Sherry1,2, and Craig Malloy1

1Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 2University of Texas at Dallas

Deuteration of 13C-enriched glucose has been used to prolong T1 of hyperpolarized 13C with the objective of monitoring glucose metabolism to lactate. However, the effect of deuteration on the flux in glycolysis in vivo has not been investigated extensively. Deuterated glucose was studied in perfused hearts and extracts were analyzed for a deuterium kinetic isotope effect using 1H, 13C and 2H NMR spectroscopy. Unexpectedly, there was extensive exchange of methyl deuterons in lactate with aqueous medium.  Perdeuteration slows metabolism of glucose to lactate.

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Improving Shear Wave Signal-to-Noise Ratio in 3D High Frequency Cardiac Magnetic Resonance Elastography with Subjects in Prone Position
Shivaram Poigai Arunachalam1, Arvin Arani1, Ian Chang2, Yi Sui1, Phillip Rossman1, Kevin Glaser1, Joshua Trzasko1, Kiaran McGee1, Armando Manduca3, Richard Ehman1, and Philip Araoz1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States, 3Biomedical Engineering and Physiology, Mayo Clinic, Rochester, MN, United States

Myocardial stiffness is a novel biomarker for diagnosing a variety of cardiac diseases. Our recent work demonstrated the feasibility of measuring in-vivo myocardial stiffness using 3D high frequency cardiac MR elastography (MRE) in normal volunteers using octahedral signal-to-noise ratio (OSS-SNR) as a shear wave quality metric. The purpose of this work is to determine whether scanning subjects in prone position can improve the OSS-SNR compared to supine position. 47 healthy volunteers were enrolled and OSS-SNR in prone position (mean: 1.98) was significantly higher (p < 0.01) than the OSS-SNR in supine position (mean: 1.52) with comparable mean stiffness. 

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Feasibility of Cardiac bSSFP Cine MRI at 0.35T: A Comparison with 1.5T
Shams Rashid1, Fei Han2, Yu Gao2, Yingli Yang3, and Peng Hu2,4

1Radiological Sciences, UCLA, Los Angeles, CA, United States, 2Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 3Radiation Oncology, University of California, Los Angeles, Los Angeles, CA, United States, 4Biomedical Physics Graduate Program, University of California, Los Angeles, Los Angeles, CA, United States

In this study, we demonstrate the feasibility of cardiac cine MRI at 0.35T using bSSFP and compared the results with bSSFP at 1.5T.

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Cardiac Cine MRI with bSSFP-EPI at 0.35T
Shams Rashid1, Fei Han1, Yu Gao1, Yingli Yang2, and Peng Hu1,3

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Radiation Oncology, University of California, Los Angeles, Los Angeles, CA, United States, 3Biomedical Physics Graduate Program, University of California, Los Angeles, Los Angeles, CA, United States

We have developed a bSSFP-EPI cine sequence and implemented it on a 0.35T MR system. The bSSFP-EPI cine sequence has reduced acquisition duration compared to conventional bSSFP cine.

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Optimized 2D-PACE for aorta blood flow gating and its application in T1W morphological cMRI
Fang Dong1, Kun Zhou1, and Shi Cheng1

1Siemens Shenzhen Magnetic Resonance Ltd., ShenZhen, People's Republic of China

Electrocardiogram gating is commonly used in clinical cardiac MRI. However, it takes time to attach ECG electrodes and gating signals can be easily affected. In this abstract, the 2D-PACE technique is optimized for blood flow monitoring to explore its potential as an alternative to ECG gating. A new protocol triggered by 2D-PACE for T1W cardiac morphology was also proposed. Our results showed that the optimized 2D-PACE was robust for blood flow peak detection. And combining with our new protocol, it provided comparable image quality to those from ECG gated conventional protocol, which showed a great potential for cardiac triggering. 

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Post-Contrast Black-blood HASTE: Initial Results with Ferumoxytol
Takegawa Yoshida1,2, Eun-ah Park1,2, Peng Hu1,2, Kim-Lien Nguyen1,3, and J. Paul Finn1,2

1Diagnostic Cardiovascular Imaging Laboratory, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Department of Radiological Sciences, David Geffen School of Medicine at UCLA, 3Division of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System

Black blood imaging is helpful in cardiovascular evaluation, but is challenging due to its dependence on through-plane blood flow. We explored ferumoxytol-enhanced black-blood Half-Fourier Acquisition Single-shot Turbo Spin-echo (HASTE) imaging for cardiovascular morphologic evaluation and compared its effectiveness with pre-contrast double inversion (DIR) HASTE. Post-ferumoxytol HASTE showed complete and homogeneous blood suppression and better qualitative image scores (all, p<0.001) for all cardiovascular regions. The technique holds promise for confident definition of thrombus or plaque, independently of blood flow.

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4D Ferumoxytol Enhanced MUSIC: Value-Based MRI in Neonates and Infants with Congenital Heart Disease
Kim-Lien Nguyen1,2, Fei Han1,3, Ziwu Zhou1,3, Daniel Z Brunengraber1,3, Ihab Ayad4, Daniel S Levi5, Gary M Satou5, Brian L Reemtsen6, Peng Hu1,3, and J. Paul Finn1,3

1Diagnostic Cardiovascular Imaging Laboratory, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Division of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System, 3Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 4Department of Anesthesiology, David Geffen School of Medicine at UCLA, 5Division of Pediatric Cardiology, David Geffen School of Medicine at UCLA, 6Department of Cardiothoracic Surgery, David Geffen School of Medicine at UCLA

Conventional cardiovascular magnetic resonance imaging (MRI) in congenital heart disease (CHD) enables dynamic morphologic and vascular assessment. However, current techniques require multi-slice cine imaging and angiography with supplemental phase-contrast. We demonstrate that 4D multiphase steady state imaging with contrast (MUSIC) can provide high-resolution dynamic images of all relevant cardiovascular anatomy without breath-holding or operator input in a cohort of neonates and infants with CHD. Further, 4D MUSIC has high clinical impact on the care of small children.

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Ferumoxytol Enhanced Cardiac Cine MRI in Patients with Implanted Cardiac Devices
Kim-Lien Nguyen1,2, Takegawa Yoshida1,3, Peng Hu1,3, and J. Paul Finn1,3

1Diagnostic Cardiovascular Imaging Laboratory, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Division of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System, 3Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States

With an aging population, more patients are receiving implantable cardiac devices (ICDs) annually.  Many will need one or more cardiac MRI exams over the course of their lifetime. ICDs can cause artifacts and obscure evaluation of intra-cardiac morphology. While researchers have dealt with artifacts during late gadolinium enhancement imaging by using wideband inversion recovery, off resonance artifacts preclude reliable SSFP cine and SGE cine is degraded by blood saturation. We explored the use of ferumoxytol to mitigate device-related artifacts and flow limiting artifacts during cine MRI in patients with ICDs.

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Vascular Access Mapping with Ferumoxytol MRA for TAVR Planning in Patients with Renal Impairment: A Step Closer Towards Patient-Specific Care
Kim-Lien Nguyen1,2, Takegawa Yoshida1,3, Adam N Plotnick1,3, John M Moriarty1,3, Peng Hu1,3, and J. Paul Finn1,3

1Diagnostic Cardiovascular Imaging Laboratory, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Division of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System, 3Department of Radiological Sciences, David Geffen School of Medicine at UCLA

Transcatheter aortic valve replacement (TAVR) has transformed the treatment of critical aortic stenosis, particularly for those patients whose surgical operative risks are high.  However, pre-TAVR vascular mapping with CT requires 40-120 mls of iodinated contrast, which in older patients with renal impairment increases the risk of acute renal injury that portends poor prognosis. We demonstrated that ferumoxytol MRA can provide reliable vascular mapping in patients with renal impairment undergoing TAVR evaluation, without exposure to iodinated or gadolinium contrast agents.

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Transpedal MR-lymphangiography - A new imaging tool for pre-interventional planning of lymphatic interventions in patients with chylous effusions
Claus Christian Pieper1 and Hans Heinz Schild1

1Radiology, University Hospital Bonn, Bonn, Germany

Lymphatic interventions are increasingly performed for the treatment of chylous leakages. Pre-interventional evaluation of the central lymphatic system is important for adequate patient selection and planning of the interventional technique. We describe a new transpedal approach for MR-lymphangiography (tMRL) to evaluate the anatomy of central lymphatics including anatomical variations, as well as for detection of leakages and analysis of a potential interventional access site. Our results demonstrate that central lymphatic anatomy can be readily evaluated using tMRL in the majority of patients scheduled for lymphatic interventions. It is a well-tolerated, valuable diagnostic tool in the pre-interventional work-up of lymphatic interventions.


Electronic Poster

Genitourinary

Exhibition Hall Monday 9:15 - 10:15

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Impact of temporal resolution on quantitative renal perfusion MRI: Assessment using a single contrast injection and a continuous golden-angle radial sampling technique with iterative reconstruction.
Johannes Budjan1, Philipp Riffel2, Melissa M Ong2, Robert Grimm3, Kai Tobias Block4, Frank G Zöllner5, Stefan O Schoenberg2, Ulrike I Attenberger2, and Daniel Hausmann2

1Department of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Mannheim, Germany, 2Department of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, 3Siemens Healthcare GmbH, Erlangen, Germany, 4Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY, United States, 5Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

To evaluate the impact of temporal resolution on quantitative renal perfusion MRI, an intra-individual comparison of retrospectively reconstructed datasets with 4 different temporal resolutions (1.5s to 10.1s) was performed in 22 patients. This was achieved using a continuously acquired sequence that uses a combination of radial sampling, sparse imaging, iterative reconstruction, parallel imaging, and a single contrast injection. No statistically significant differences in renal plasma flow were found between the groups. This suggests that the effect of temporal resolution plays a subordinated role in quantitative renal perfusion MRI.

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Optimization of inversion-time sampling for precise estimation of renal perfusion with ASL
Christopher C. Conlin1 and Jeff L. Zhang1

1Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States

This study outlines an approach for selecting optimal TIs at which to sample renal ASL data. We present an error-propagation factor for a model of the ASL signal and propose to optimize TI sampling through minimization of this factor. Using FAIR ASL data from 7 human subjects, we show that renal perfusion estimates obtained with optimal TI sampling are more accurate and precise than estimates obtained with uniform TI sampling, particularly when ASL data is acquired at only a few TIs.

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MR renography shows that serum-clearance methods overestimate GFR in patients with ascites
Christopher C. Conlin1, Jeff L. Zhang1, Kristi Carlston1, Daniel Kim2, Kathryn A. Morton1, and Vivian S. Lee1

1Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States, 2Department of Radiology, Northwestern University, Chicago, IL, United States

In this study, the impact of ascites on clearance-based GFR estimation was examined by comparing GFR estimates from 99mTc-DTPA clearance and MR renography in cirrhosis patients with varying degrees of ascites. 99mTc-DTPA clearance significantly overestimated GFR relative to MR renography in patients with moderate-to-severe ascites, likely because of extra-renal clearance of tracer into abdominal ascites fluid. Conversely, MR renography was unaffected by the presence of ascites because it tracked uptake and excretion of tracer specifically by the kidneys. This ascites-insensitivity makes MR renography a promising technique for GFR assessment in cirrhosis patients, a population with a high incidence of ascites.

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Influence of hip position on oxygenation and perfusion of renal allografts using BOLD, DWI and ASL MRI
Maryam Seif1,2, Laila Mani3, Florence Nikles1, Chris Boesch1, Gaelle Diserens1, Bruno Vogt3, and Peter Vermathen1

1Depts. Radiology and Clinical Research, University Bern, Bern, Switzerland, 2Spinal cord injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland, 3Dept. Nephrology, Hypertension and Clinical Pharmacology, Hospital University of Bern, Bern, Switzerland

Functional kinking due to tethering of iliac arteries by adjacent fibrotic tissue may occur in kidney graft recipients when sitting, and in turn lead to repetitive graft hypoperfusion. The aim was to investigate if perfusion and oxygenation were changed in transplanted kidneys during leg flexion (>90°) compared to the straight-leg position by employing fMRI (DWI, BOLD, ASL). Contradicting our hypothesis, perfusion increased in flexed leg compared to straight-leg position. Furthermore, furosemide had a significantly lower impact on R2*-values in flexed than in straight leg position. In conclusion, results demonstrated an acute impact of strong leg flexion on functional renal parameters.

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Reproducibilty of Multiparametric Assessment of Chronic Kidney Disease
Charlotte Elizabeth Buchanan1, Huda Mahmoud2, Eleanor F Cox1, Benjamin Prestwich1, Nicholas M Selby2, Maarten W Taal2, and Susan T Francis1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Centre for Kidney Research and Innovation, University of Nottingham, Nottingham, United Kingdom

Chronic kidney disease (CKD) is a heterogeneous disease, with previous studies showing conflicting changes in MR parameters. Here, we use multi-parametric MRI of DWI, T1 and T2* mapping and ASL to assess haemodynamic and structural changes in Stage 3 and 4 CKD patients and examine the reproducibility of these measures. A significant reduction in renal cortex ADC and perfusion was found between CKD patients and healthy volunteers. In contrast, renal cortex and medulla T1 values increased in CKD, with a reduction in corticomedullary differentiation. MR measures in CKD patients were found to be highly reproducible between scan sessions. 

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Multiparametric Assessment of Acute Kidney Injury
Charlotte Elizabeth Buchanan1, Huda Mahmoud2, Eleanor F Cox1, Benjamin Prestwich1, Maarten W Taal2, Nicholas M Selby2, and Susan T Francis1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Centre for Kidney Research and Innovation, University of Nottingham, Nottingham, United Kingdom

Acute Kidney Injury (AKI) is a sudden reduction in kidney function, with causes and degree of renal recovery varying widely between individuals. MRI provides a method to assess changes associated with AKI. Here, we use multi-parametric MRI to monitor renal changes in AKI at time of injury and recovery. At peak AKI an increase was seen in renal volumes and T2* values while cortical ADC and perfusion was lower during the AKI phase. T1 maps showed an increase at time of AKI with a reduction in corticomedullary differentiation. At 3 months post AKI, T1 remained higher than HVs. 

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Reliable estimation of kidney filtration rate with DCE-MRI using motion-robust high spatiotemporal resolution Radial VIBE
Sila Kurugol1, Onur Afacan2, Deborah R Stein3, Michael A Ferguson3, Richard S Lee4, Reid Nichols2, Ravi T Seethamraju5, Jeanne S Chow2, and Simon K Warfield6

1Radiology, Boston Children's Hospital and Harvard Medical School, Bosotn, MA, United States, 2Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA, United States, 3Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA, United States, 4Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA, United States, 5Siemens Healthcare, 6Boston Children's Hospital and Harvard Medical School, Boston, MA, United States

Chronic kidney disease poses a significant health burden, and patients benefit from early detection of kidney function. Serum-creatinine based estimation is insensitive to early changes and nuclear medicine studies expose patients to radiation. In this work, we evaluated a novel technique, motion-robust high spatiotemporal resolution Dynamic Radial VIBE (DRV) with compressed sensing, to reconstruct high-quality dynamic image series, and to precisely estimate filtration rate per kidney and per voxel. Our results suggest that, compared to conventional Cartesian VIBE, DRV reconstructs higher quality motion-robust images and results in improved the goodness-of-fit to the tracer kinetic model, reducing RMSE and increasing the precision of filtration rate parameter.

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Multiparametric MRI of renal transplant: preliminary results and repeatability study in patients with stable renal function.
Octavia Bane1, Sonja Gordic1, Stefanie Hectors1, Paul Kennedy 1, Mathilde Wagner1,2, Jeff Lei Zhang3, Rafael Khaim4, Fadi Salem5, Vinay Nair4, Madhav Menon4, Sara Lewis1, and Bachir Taouli1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Radiology, Groupe Hospitalier Pitié Salpêtrière, Paris, France, 3Radiology, University of Utah, Salt Lake City, UT, United States, 4Recanati Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 5Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Intrinsic conditions leading to renal graft dysfunction have so far been difficult to diagnose non-invasively because of the overlap in symptoms and laboratory metrics. MRI provides an accurate assessment of the morphology of the transplanted kidney, as well as of vascular or obstructive renal disorders. The long-term goal of our study is to validate functional MRI as a “virtual biopsy” by developing a multiparametric MRI protocol using advanced quantitative MRI sequences in renal transplant patients. We report initial results and test-retest repeatability of quantitative mpMRI parameters of diffusion, perfusion and hypoxia in renal allografts.

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Treating male infertility: Can spectroscopy supplant biopsy in the search for sperm?
Pippa Storey1, Oded Gonen1, Andrew B. Rosenkrantz1, Kiranpreet K. Khurana2,3, Tiejun Zhao4, Rajesh Bhatta1, and Joseph P. Alukal2

1Radiology Department, New York University School of Medicine, New York, NY, United States, 2Urology Department, New York University School of Medicine, New York, NY, United States, 3Urology Department, Case Western Reserve University, Cleveland, OH, United States, 4Siemens Healthcare, New York, NY, United States

Many men who wish to start a family but lack sperm in their semen undergo surgical exploration of the testes in the hope of extracting sperm at source. However, there are currently no tests that can accurately predict whether sperm will be found. We performed proton spectroscopy at 3T in the testes of eight infertile patients and nine controls. Choline concentrations were significantly lower in patients (mean 1.4mM, range 0.8 – 1.9mM) than controls (mean 4.1mM, range 3.0 – 5.1mM), p<0.0001. This suggests that choline, which is a marker of membrane synthesis and cell proliferation, may be useful for detecting spermatogenesis noninvasively.

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Machine Learning to Identify Sarcomatoid De-Differentiation in Renal Cell Carcinoma by Multiparametric MRI
Nicolas Rognin1, Daniel Jeong2, Jasreman Dhillon3, Michael Poch4, and Natarajan Raghunand1

1Department of Cancer Imaging & Metabolism, Moffitt Cancer Center, Tampa, FL, United States, 2Department of Diagnostic & Interventional Radiology, Moffitt Cancer Center, Tampa, FL, United States, 3Department of Anatomic Pathology, Moffitt Cancer Center, Tampa, FL, United States, 4Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, United States

We developed a machine learning application to detect renal cell carcinoma (RCC) tumors with sarcomatoid de-differentiation, a rare form of aggressive cancer with poor prognosis. Proof-of-concept was demonstrated by analyzing multiparametric MRI volumetric data of 24 tumors, of which 11 were sarcomatoid RCC and 13 were non-sarcomatoid clear cell RCC. Our machine correctly classified 10 out of 11 sarcomatoid RCC cases (91% sensitivity) and 10 out of 13 clear cell RCC cases (77% specificity), with an overall classification accuracy of 20 out of 24 tumors (83%).

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Apparent diffusion coefficient histogram shape analysis for monitoring early response in patients with advanced cervical cancers undergoing concurrent chemoradiotherapy
Zhengyang Zhou1, Jian He2, Weibo Chen3, and Lijing Zhu4

1Department of Radiology, Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, People's Republic of China, 2Department of Radiology, Drum Tower Hospital, School of Medicine, Nanjing University, 3Philips Healthcare, Shanghai, People's Republic of China, 4Department of Oncology, Drum Tower Hospital, School of Medicine, Nanjing University

Thirty-two patients with advanced cervical cancer underwent DWI before CCRT, at the end of 2nd and 4th week during CCRT and immediately after CCRT completion to explore whether ADC histogram shape could assess the treatment response. Whole lesion ADC histogram analysis generated several histogram shape including skewness, kurtosis, s-sDav, width, standard deviation, as well as first-order entropy and second-order entropies. Skewness and kurtosis both showed high early decline rate at the end of 2nd week of CCRT. All entropies kept decreasing since 2 weeks after CCRT. ADC histogram shape analysis held the potential in monitoring early tumor response during CCRT.

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Evaluation of renal allograft function after transplantation using diffusion kurtosis imaging
Wangxing Fu1, Dandan Zheng2, Jingliang Cheng1, Yingyu Che1, and Chunxiao Bu1

1MRI, The First Affiliated Hospital of ZhengZhou University, ZhengZhou, People's Republic of China, 2MR Research China, GE Healthcare, Beijing, People's Republic of China

To evaluate the feasibility of DKI in assessment of renal allograft function after transplantation, 13 patients with renal allograft underwent DKI of kidneys,which were divided into two groups according to eGFR. Maps of fractional anisotropy FA, MK, Ka, Kr and MD were generated. There was significant differences in FA, MK, Ka, Kr values of both the cortex and medulla of kidney between two groups. There was significant correlation between eGFR and cortical FA, MK, Ka, Kr, medullary FA, Ka. DKI could be a useful tool in the evaluation of renal function in allograft after transplantation.

3295
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Whole-Tumor Quantitative Apparent Diffusion Coefficient Histogram and Texture Analysis to Differentiation of Minimal Fat Angiomyolipoma from Clear Cell Renal Cell Carcinoma
Anqin Li1, Zhen Li1, Haojie Li1, and Daoyu Hu1

1Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China

The purpose of this study was to determine whether whole-tumor ADC histogram and texture analysis is helpful for distinguishing MFAML from ccRCC. The differences of ADC histogram and texture parameters between MFAML and ccRCC were compared using the independent-sample t test. There were significant differences on ADCmean, ADCmedian, ADC25%, ADC75%, ADC90% and skewness between MFAML and ccRCC. The ADC90% derived from the whole-tumor ADC histogram analysis showed the best diagnostic value in discriminating MFAML and ccRCC. Therefore, whole-tumor ADC histogram and texture parameters can be used as a quantitative tool to distinguish MFAML from ccRCC.

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Free breathing prospectively navigated renal BOLD for improved SNR and T2* accuracy
Glen Morrell1 and Vivian S. Lee1

1Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States

A prospectively gated free-breathing renal BOLD sequence was compared to conventional breath hold renal BOLD.  The new sequence gives consistently better SNR than the conventional sequence.  RMS error of T2* estimation was investigated as a measure of accuracy.  The free-breathing renal BOLD sequence allows flexible tradeoff of imaging time with SNR and can improve the accuracy of renal BOLD T2* estimation.

3297
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Prospective study of intravoxel incoherent motion (IVIM) MRI of bladder as a biomarker for prediction of bladder cancer aggressiveness
Miaomiao Zhang1, Yan Chen1, Xinying Cong2, and Lizhi Xie3

1Department Of Imaging Diagnosis, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People's Republic of China, 2China Rehabilition Research Center, 3GE Healthcare, MR Research China, Beijing China

Comparing the IVIM-MRI parameters with postoperative histopathological findings, we found significant correlations between quantitative parameters derived from IVIM-MRI and histological grade, as well as the depth of invasion. We concluded that IVIM-MRI quantitative parameter could be a promising imaging biomarker for prediction of bladder cancer aggressiveness.

3298
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The Cortico-Medullary ADC Difference reduces inter-system variability in Renal Diffusion-Weighted Imaging
Iris Friedli1, Lindsey A Crowe1, Bénédicte MA Delattre2, Thomas De Perrot2, Pierre-Yves Martin2, Sophie De Seigneux2, and Jean-Paul Vallée2

1Radiology, University of Geneva, Geneva, Switzerland, 2Geneva University Hospitals

Our goal was to determine if the cortico-medullary Apparent Diffusion Coefficient difference (ΔADC), that previously exhibited a strong correlation with renal fibrosis, is independent of MR system. Comparison of ADC (cortex, medulla and Δ) over Siemens (1.5T AERA, 3T PRISMA, 3T SKYRA) and Philips (1.5T INGENIA, 3T PET-MR) systems was carried out in eight volunteers. Significant ADC differences were measured for the cortex and medulla independently using PRISMA and AERA and, for cortex of AERA and INGENIA (p<0.05). ΔADC corrected inter-scanner variability with no significant differences across all MR systems (p>0.05). 

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Kidney tumor characterization with diffusion-MRI: diffusion-tensor and tri-exponential modeling
Sophie van Baalen1, Marino Asselman2, Caroline Klazen3, Martijn Froeling4, Frank F.J. Simonis1, Bart Vroling1, and Bennie ten Haken1

1Faculty of Science and Technology, University of Twente, Enschede, Netherlands, 2Urology, Medisch Spectrum Twente, Enschede, Netherlands, 3Radiology, Medisch Spectrum Twente, Enschede, Netherlands, 4Radiology, University Medical Center Utrecht, Utrecht, Netherlands

We present preliminary results of our study into the characterization of kidney tumors using diffusion derived parameters. We have acquired DTI and IVIM sequences and fitted the diffusion tensor and tri-exponential model to obtain parameters FA, MD, ffast, fintermediate and D. Among the first four patients planned for nephrectomy for suspected kidney tumor we found three RCCs, one cyst and one hemangioma. ffast, the fraction of the diffusion signal that reflects fast fluid motion, is lower in non-malignant lesions, whereas D is lower in the two cc-RCCs. The differences in parameter values between lesion types are reflected in parameter maps.

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Diffusion Tensor Imaging (DTI) in the Differential Diagnosis of Clear Cell Renal Cell Carcinoma (ccRCC) and infiltrative Transitional Cell Carcinoma (TCC)
mingzhe Xu1, ailian Liu, meiyu Sun, lihua Chen, and bing Wu2

1First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China, 2GE healthcare China, Beijing, People's Republic of China

It’s difficult to differentiate intrarenal transitional cell carcinoma from centrally located renal cell carcinoma by contrast enhanced CT when the tumor composition is complex. In this study, DTI were performed to investigate the utility of the apparent diffusion coefficient (ADC) and fractional anathtropy (FA) values for differential diagnosis of ccRCC and infiltrative TCC, thus assessing the sensitivity and specificity of ADC and FA values. The FA value from DTI, which reveals the different structure of tumors, provides an effectively non-invasive means to distinguish ccRCC from TCC because of its good sensitivity.

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Does PROPELLER acquisition improve bladder imaging by substantially reducing motion artifacts?
Huyen Thanh Nguyen1, Zarine K Shah1, Lai Wei2, and Michael V Knopp1

1Wright Center of Innovation in Biomedical Imaging, Department of Radiology, The Ohio State University, Columbus, OH, United States, 2Center for Biostatistics, The Ohio State University, Columbus, OH, United States

This study is to evaluate the clinical application of PROPELLER reconstruction technique to reduce breathing-induced motion artifacts in bladder imaging. High resolution T2W images were acquired with and without multivane (PROPELLER technique) in fourteen patient scans. Image quality was assessed by a radiologist in terms of motion artifacts and the visualization of tumor margins. Scores were given in the range of 1 to 4. The results showed that the application of multivane significantly improved both motion artifacts and tumor visualization (both P<0.001). In conclusion, PROPERLLER reconstruction is a robust technique to substantially reduce the artifacts caused by unavoidable breathing motion to provide the delineation of bladder tumors against surrounding tissues.

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Phosphorescence Lifetime Imaging to validate BOLD MRI Derived blood PO2
Jon Thacker1, Anthony E. Felder2, Pottumarthi V Prasad1,3,4, and Mahnaz Shahidi2

1Northwestern University, Evanston, IL, United States, 2University of Illinois at Chicago, 3NorthShore University HealthSystem, 4University of Chicago

BOLD MRI measurements are the only non-invasive method sensitive to renal oxygenation. In a previous study we showed that BOLD MRI measurements can be combined with a statistical model to estimate renal oxygenation in rat kidneys. In this study, we examine the use of phosphorescence lifetime imaging (PLI) as a potential method for refining the model. It is important to differentiate between blood and tissue PO2, which is a key benefit of PLI. We found that the PLI is sensitive to changes following LNAME. However, the absolute PO2 values were lower than those estimated by BOLD MRI and possible reasons are discussed.

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Detectability of oxygen saturation in renal blood using intravoxel incoherent motion (IVIM) imaging
Tatsuo Nagasaka1, Hideki Ota2, Hitoshi Nemoto1, and Hajime Tamura3

1Radiology, Tohoku University Hospital, Sendai, Japan, 2Diagnostic Radiology, Tohoku University Hospital, Sendai, Japan, 3Graduate School of Medicine, Tohoku University, Sendai, Japan

IVIM imaging acquired with two echo times may provide transverse relaxation time of blood fraction, which can be converted to blood oxygen saturation. We confirmed consistent increases in the renal blood oxygen saturation estimated by this method after an oral water load. IVIM imaging may become a non-invasive method to estimate blood oxygen saturation in kidneys.

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Metabolomic Analysis by HRMAS-MRS: Preliminary Study for Tumor Diagnosis
Francesco L Palmas1,2, Sarah L Prophet3, Lindsey L Vandergrift3, Taylor L. Fuss3, Shulin Wu3, Chin-Lee Wu3, Adam Feldman3, and Leo L. Cheng3

1Pathology, Massachusetts General Hospital, Charlestown, MA, United States, 2Chemical and Geological Sciences, University of Cagliari, Cagliari, Italy, 3Massachusetts General Hospital, Charlestown, MA, United States

Kidney cancer is the third most common genitourinary malignancy in the US and leads to over 14,000 deaths and over 61,000 new cancer diagnoses per year. Since metabolic pathways affect the development of several malignancies, MRS was applied to highlight the existing alteration between adjacent benign and cancer tissues. Furthermore, comparison of fresh-frozen paired samples was performed to assess whether such strategy may interfere and deliver different results. This approach was able to discriminate according to pathological condition (benign-tumor) and showed no significant differences in fresh-frozen pairs.

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In-Vivo semi-LASER Renal Magnetic Resonance Spectroscopy (MRS): Pilot Study in Healthy Volunteers
Kartik Jhaveri1 and Timothy DeVito2

1UHN, University of Toronto, Toronto, ON, Canada, 2Siemens Healthcare Limited

MR Spectroscopy (MRS) can provide chemical composition of in vivo tissue non-invasively. Detection of signature chemical composition in tumors which are expected based on knowledge of histopathology could enable discrimination between tumor subtypes and grade by MRS. In this feasibility study we demonstrate ability to perform with success renal MRS in health volunteers mapping normal signature composition of renal tissue and provide a platform to expand the work to renal cancer tumor composition mapping and discrimination therewith based on metabolite content.

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Arterial Spin Labeling Imaging for Evaluation of Renal Changes in Remaining and Donated Kidneys Early after Living Renal Allograft Transplantation
Fan Mao1, LiHua Chen1, Tao Ren1, ChengLong Wen1, Zhen Wang2, and Wen Shen1

1Department of Radiology, Tianjin First Center Hospital, TianJin, People's Republic of China, 2Organ Tranplant Center, Tianjin First Center Hospital, TianJin, People's Republic of China

 Arterial Spin Labeling (ASL) MRI is a noninvasive approach for assess renal function,which provides a quantitative measure of perfusion without the use of an exogenous contrast. Our study detected cortex perfusion changes in remaining and donated Kidneys. The result showed ASL can be used for detecting renal changes in remaining and donated kidneys early after living renal allograft transplantation.


Electronic Poster

Thoracic MRI-2

Exhibition Hall Monday 9:15 - 10:15

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Respiratory motion-resolved MRI of the lung and liver for evaluation of cystic fibrosis
Alexander B. Hilario T.1,2, Eduardo Baum1,3, Alexandre Rosa Franco1,3,4, Li Feng5, Marilisa Baldissera2, Ricardo Bernardi Soder1, Bruno Hochhegger1,4, Matteo Baldisserotto1,2,3, and Ricardo Otazo5

1Brain Institute of Rio Grande do Sul (Brains) - PUCRS, Porto Alegre, RS, Brazil, 2Graduate Program in Pediatrics and Child Health PUCRS, Porto Alegre, RS, Brazil, 3Graduate Program in Electrical Engineering PUCRS, Porto Alegre, RS, Brazil, 4Graduate Program in Medicine and Health Sciences PUCRS, Porto Alegre, RS, Brazil, 5Center for Advanced Imaging Innovation and Research New York University School of Medicine, New York, NY, United States

Free-breathing MRI with reconstruction of respiratory phases using the XD-GRASP technique is demonstrated for evaluation of cystic fibrosis patients. A platform for automated data processing is developed for robust utilization in a clinical setting. XD-GRASP is validated in a cohort of 9 patients against the conventional technique.

3308
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Optimized 3D ultrashort echo-time lung imaging of young children without sedation
Wingchi Edmund Kwok1, Jacqueline Wameling1, Mitchell Chess1, Clement Ren2, Gloria Pryhuber1, and Jason C. Woods3

1University of Rochester, Rochester, NY, United States, 2Indiana University, Indianapolis, IN, United States, 3Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States

Our purpose was to develop an optimized study design for 3D ultrashort TE lung imaging of young children without sedation. Eight preterm born subjects all at age 4 were recruited. Siemens work-in-progress PETRA_D sequence was used with respiratory triggering. Repeated short scans were acquired to reduce motion artifacts. Various techniques, including video watching, practicing lying still at home and gift incentive, were employed to help achieve subject compliance. Five subjects were scanned successfully. The images revealed abnormalities including peribronchial thickening, pneumatocele and atelectasis. Our study design allows the monitoring of lung development and evaluation of lung diseases in young children.

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A preliminary study of in-vivo visualization of oxide oxide enhancement in focal inflammatory lesion of lung parenchyma using a 3D radial gradient-echo-based UTE sequence (CODE)
Soon Ho Yoon1, Suh-Young Lee2, Chanhee Lee3, Jinil Park3,4, Jin Mo Goo1, and Jang-Yeon Park3,4

1Department of radiology, Seoul National University Hospital, Seoul University College of Medicine, Seoul, Korea, Republic of, 2Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea, Republic of, 3Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon-si, Gyeonggi-do, Korea, Republic of, 4Department of Biomedical Engineering, Sungkyunkwan University, Suwon-si, Gyeonggi-do, Korea, Republic of

Dual-echo ultrashort echo-time CODE pulmonary MRI preliminarily succeeded in generating a positive contrast of iron oxide in rabbits with granulomatous lung disease, by using clinically-usable superparamagnetic iron-oxide nanoparticles, ferumoxytol, which was hardly achievable via conventional T2* MR sequence. This new pulmonary MR imaging biomarker possibly gives a chance to differentiate a benign inflammatory lesion from malignancy.

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Repeatability of global percent enhancement and regional defect quantification in oxygen-enhanced 3D radial ultrashort echo time MRI
Wei Zha1, Stanley J Kruger1, Kevin M Johnson1,2, Robert V Cadman1, Andrew D Hahn1, Scott K Nagle1,2,3, and Sean B Fain1,2,4

1Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Pediatrics, University of Wisconsin-Madison, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

Oxygen-enhanced 3D radial UTE MRI (OE-MRI) shows promise as an alternative to hyperpolarized gas MRI for evaluation of ventilation abnormalities. Ten subjects (2 normal, 2 asthmatics and 6 cystic fibrosis) underwent OE-MRI for multiple scans (test/re-test) during visits separated ≤15 days apart. The intra-subject percent signal enhancement (PSE) maps from OE-MRI were compared for median whole-lung PSE, ventilation defect percent (VDP) and spatial agreement between defects. The results suggest good agreement on two global measures, Median PSE and VDP, with low-to-moderate spatial alignment on the inter-visit segmented defects. Improvement of spatial defect repeatability will be a goal of future work.

3311
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Repeatability of regional lung ventilation quantification using 19F fluorinated gas washout magnetic resonance imaging in free breathing
Marcel Gutberlet1,2, Andreas Voskrebenzev1,2, Agilo Kern1,2, Till Kaireit1,2, Jens Hohlfeld2,3, Frank Wacker1,2, and Jens Vogel-Claussen1,2

1Institute of Radiology, Hannover Medical School, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Hannover, Germany, 3Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany

Since quantification of regional lung ventilation using 19F fluorinated gas washout imaging in free breathing is feasible even in obstructed lungs, it may improve diagnosis, monitoring and therapy of obstructive lung diseases like asthma and COPD. However, for application in clinical studies the knowledge of the accuracy of this technique is important.  Repeatability of the 19F gas washout parameters washout time, number of breaths and fractional ventilation between to scans was assessed in eight healthy volunteers. Due to the excellent repeatability of the number of breaths and fractional ventilation, regional lung ventilation can be accurately quantified using 19F gas washout MRI in free breathing.

3312
Computer 102
MR Elastography vs. Diffusion-weighted MRI in Characterization of Anterior Mediastinal Solid Tumours
Wei Tang1, Ning Wu1, and Yao Huang1

1Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China

Anterior mediastinal solid tumours were routinely interpreted on CT and MR imaging. However, imaging features of these tumours could be non-specific; evidence suggestive of definitive diagnosis was needed and obtained with invasive procedure of biopsy for some cases. In the present study, we attempted to extent the application of MR elastography to the mediastinum in characterization of anterior mediastinal solid tumours, with the comparison to diffusion-weighted MRI. Thirty-four patients histologically-confirmed with thymic carcinoma in 10, thymoma in 10 and lymphoma in 14 were evaluated. It was found that stiffness value measured on elastogram was significantly higher in thymic carcinoma than that of thymoma and lymphoma. However, measurements of apparent diffusion coefficient (ADC) were not significantly different among three groups. It was demonstrated that MR elastography reflecting the mechanical properties of tumours can be used to characterize anterior mediastinal solid tumours, particularly in distinguishing thymic carcinoma from lymphoma.

3313
Computer 103
Mapping Vascular Behaviour in Lung Perfusion of two-year old children after Congenital Diaphragmatic Hernia Repair using  Tissue Similarity Maps
Dimitrios Markellos1, Meike Weis2, Thomas Schaible3, Stefan O Schoenberg2, Lothar R Schad1, and Frank G Zöllner1

1Computer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany, 2Department of Radiology and Nuclear Medicine, Heidelberg University, Mannheim, Germany, 3Department of Neonatology, University Medical Center Mannheim, Mannheim, Germany

Congenital Diaphragmatic Hernia (CDH) is associated with lung hypoplasia reflected in decreased pulmonary microcirculation and secondary pulmonary hypertension. Using tissue similarity maps (TSM), Haacke et al. demonstrated mapping vascular behaviour and calculating relative pulmonary blood volume (rPBV) maps in perfusion weighted imaging of the brain. In this study we have investigated the significance of the TSM technqiue for lung perfusion imaging in two-year old children after CDH repair.

3314
Computer 104
Diagnosing Lung Nodules on various MRI Imaging: comparison of T1-Weighted-3D VIBE-dixon sequence and T1-weighted 3D star vibe sequence
Chuangbo Yang1, Nan Yu, Qi Yang, Shaoyu Yu, Youmin Guo, and Liya Ma

1The first affiliated hosptial of Shaanxi traditional chinese medical university, Xian Yang, People's Republic of China

T1-weighted 3D Star VIBE sequence obtaining scan under free breathing can provide high-resolution imaging. Therefore, our study was to assess the accuracy of various MRI sequences for the diagnosis of pulmonary nodules and to estimate the ability of MRI for display the morphology of pulmonary nodules. We concluded that T1-weighted 3D Star VIBE sequence allow for identification of patients with pulmonary nodules with high detection rate. It can also provide more information of nodules than routine T1-weighted 3D VIBE sequence dose.

3315
Computer 105
Exploring Lung Inflation Mechanisms with 3D 3He and 129Xe Whole Lung Morphometry Mapping
Ho-Fung Chan1, Juan Parra-Robles1,2, Guilhem J Collier1, and Jim M Wild1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 2Department of Bioengeering, Universidad Carlos III de Madrid, Madrid, Spain

Alveolar dimensions change with lung inflation, however, there is currently no consensus on whether this change is primarily due to expansion and if alveolar recruitment plays a role. Here, multiple b-value DW-MRI was used to investigate lung inflation mechanisms in-vivo, and 3D 3He and 129Xe whole lung morphometry (LmD) maps were acquired in five healthy volunteers at lung inflation states of FRC+1L and TLC. Decreases in the anterior to posterior gravitational gradient were observed between FRC+1L and TLC with both nuclei. Smaller than predicted LmD values at TLC suggests that both alveolar expansion and recruitment may occur during lung inflation.

3316
Computer 106
Analysis of Regional Lung Function Detected by Hyperpolarized Xenon-129 MRI in Subjects with Interstitial Lung Diseases
Kun Qing1, Talissa A. Altes2, John P. Mugler, III1, Nicholas J. Tustison1, Kai Ruppert3, Jaime F. Mata1, Yun Michael Shim1, G.Wilson Miller1, Iulian C. Ruset4, F.William Hersman4,5, and Borna Mehrad1

1University of Virginia, Charlottesville, VA, United States, 2University of Missouri School of Medicine, Columbia, MO, United States, 3University of Pennsylvania, Philadelphia, PA, United States, 4Xemed, LLC, Durham, NH, United States, 5University of New Hampshire, Durham, NH, United States

Previous study showed that hyperpolarized xenon-129 MRI is highly sensitive in detecting functional changes in lungs with interstitial lung diseases (ILD). The degree to which these changes vary regionally in the lung has not been determined, however. In this work, we compared abnormalities in lung function in different regions of the lung, and found significant differences in xenon-129 gas uptake between subjects with ILD and controls. These results support that xenon-129 MRI may provide unique information about lung physiology associated with lung fibrosis.

3317
Computer 107
Self-gated ultra-short echo time lung MRI for quantitative ventilation assessment
Lenon Mendes Pereira1, Tobias Wech1, Andreas M. Weng1, Andreas S. Kunz1, Simon Veldhoen1, Thorsten A. Bley1, and Herbert Köstler1

1Department of Diagnostic and Interventional Radiology, University Hospital Wurzburg, Wurzburg, Germany

Self-gated Non-Contrast-enhanced Functional Lung MRI (SENCEFUL) is a technique based on a FLASH sequence that can assess ventilation and perfusion in free-breathing without the use of contrast agents. However, SENCEFUL suffers from the fast T2-induced signal decay in the lung parenchyma and offers no real 3D coverage. Thus, this work presents the use of a 3D ultra-short echo time (UTE) sequence in SENCEFUL MRI for the generation of ventilation-weighted maps.

3318
Computer 108
Steady-state Free Precession for Improved Signal to Noise in Lung Ventilation Imaging with 19F Perfluoropropane at 1.5 T
Adam Maunder1, Neil J Stewart1, Madhwesha Rao1, Fraser J. L. Robb1,2, and Jim M Wild1

1Unit of Academic Radiology, University of Sheffield, Sheffield, United Kingdom, 2GE Healthcare Inc., Aurora, OH, United States

Fluorinated gas MRI is a promising method for pulmonary ventilation imaging that does not require additional polarization equipment. To date, short echo time spoiled gradient echo sequences with long repetition times relative to T1 have been employed for lung ventilation imaging in humans. Here, we present an optimization of steady state free precession sequences for imaging of C3F8 gas in lungs, and demonstrate that image signal-to-noise ratio may be improved by exploiting the short T1, and relatively long T2.

3319
Computer 109
Hyperpolarized Helium-3 MRI Insights into Subtypes of Emphysema in Chronic Obstructive Pulmonary Disease (COPD)
Yanping Sun1, Christian M. Lo Cascio1, Pallavi P Balte1, Jia Guo2, Emilia A Hermann1, Firas S. Ahmed3, Belinda M. Dsouza3, Robert M. Steiner3, Jay S. Leb3, Casandra Almonte1, Paul JC Hughes4, Stephen M. Dashnaw3, James M. Wild4, Martin R. Prince3,5, Emlyn W. Hughes6, Benjamin Smith1, Eric Hoffman7, and R. Graham Barr1

1Department of Medicine, Columbia University Medical Center, New York, NY, United States, 2Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, New York, NY, United States, 3Department of Radiology, Columbia University Medical Center, New York, NY, United States, 4Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, United Kingdom, 5Department of Radiology, Weill Cornell Medical Center, 6Department of Physics, Columbia University Medical Center, New York, NY, United States, 7Department of Radiology, University of Iowa Carver College of Medicine, IA, United States

To examine the association of ventilation defects on 3He MRI with emphysema subtypes, participants (n=41) between 60 and 85 years of age with 10 or more packyears of smoking were studied.  Ventilation defect percentage (VDP) was associated with percent emphysema (r =0.43; p=0.008) and, with borderline statistical significance, extent of visual emphysema (r=0.31; p=0.07). There was no relationship between VDP and extent of centrilobular (p=0.61) or panlobular (P=0.98) emphysema. VDP was associated with extent of paraseptal emphysema (PSE) (r=0.42; p=0.01). These findings suggest that small airways disease may be a component of PSE but not other subtypes of emphysema.

3320
Computer 110
Temporally-resolved volumetric imaging (4DMRI) of the lungs
Zarko Celicanin1,2, Alina Giger2,3, Grzegorz Bauman1,2, Philippe Cattin2,3, 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, 3Medical Image Analysis Center, University of Basel, Basel, Switzerland

Treatment planning relies on accurate organ motion modeling. Temporally-resolved volumetric imaging (4DMRI) of the lungs using a recently developed ultra fast steady state free precession sequence was attempted. No artifacts were present in the lungs, while image stacking was accurate with no significant image sorting issues.

3321
Computer 111
Ultra-Short Echo Time MRI Quantification of Airspace Enlargement in Bronchopulmonary Dysplasia and Alpha-1 Antitrypsin Deficiency: Parenchyma Destruction, Air trapping or Both?
Heather M Young1, Dante PI Capaldi1, Khadija Sheikh1, David M McCormack2, Cory M Yamashita2, and Grace Parraga1

1Robarts Research Institute, London, ON, Canada, 2Division of Respirology, The University of Western Ontario, London, ON, Canada

UTE MRI signal-intensity has not yet been evaluated in young patients with AATD and BPD, where there may be different mechanisms of parenchyma and airway destruction.  There is the potential to demonstrate UTE MRI as a quantitative-measurement-tool for longitudinal and treatment-response evaluations in these vulnerable patients.  We evaluated UTE MRI and CT using -950HU and -856HU radiodensity-thresholds, and a ‘sliding-threshold’ for the UTE image, identifying regions with low-signal-intensity for multiple threshold values. Regions of normalized UTE signal-intensity <29 suggest airspace enlargement, and demonstrate the potential utility of UTE MRI in quantifying this without ionizing-radiation in AATD and BPD subjects.

3322
Computer 112
T2* Quantification of the Lung Using 3D Ultrashort Echo Time Cones Sequences
Amin Nazaran1, Michael Carl2, Yanchun Zhu1, Yajun Ma1, Eric Y. Chang1,3, and Jiang Du1

1The University California, San Diego, San Diego, CA, United States, 22GE Healthcare, San Diego, San Diego, CA, United States, 3Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

Imaging of the lungs without a contrast agent is a challenging task due to the low SNR. The main challenge stems from the air in the lungs, which causes low proton density and high magnetic susceptibility at interfaces with tissue. Ultra short echo time (UTE) techniques have the potential to acquire high signal-to-noise ratio (SNR) images due to their short achievable TEs, much less than 1ms.  The lung imaging based on 3D radial UTE sequences were previously reported. In this work, we applied three-dimensional UTE with Cones trajectories (3D UTE-Cones) to quantify lungs’ tissue.

3323
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Self-gated Non–Contrast-Enhanced Functional Lung (SENCEFUL) MRI for Evaluation of Endoscopic Lung Volume Reduction in Patients with Lung Emphysema
Simon Veldhoen1, Andreas Max Weng1, Tobias Wech1, Andreas Steven Kunz1, Stephanie Sauer1, Thorsten Alexander Bley1, and Herbert Köstler1

1Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany

Purpose of the study was to assess the feasibility of SENCEFUL ventilation imaging for evaluation of therapy success after endoscopic lung volume reduction. Two patients with lung emphysema who underwent bronchial valve implantation were scanned before and after the procedure using SENCEFUL-MRI. Color-coded lung ventilation maps and quantitative ventilation values were pre- and postinterventionally compared. The first patient showed a ventilation defect corresponding to the location of the implanted valves with reduction of the quantitative ventilation. The second patient did not present such alterations and was later classified as non-responder to therapy. SENCEFUL-MRI detected clinically successful and non-successful outcomes correctly.

3324
Computer 114
Single Breath CSSR-DWI: A New Method to Simultaneously and Quantitatively Assess the Changes of Respiratory Membrane and Pulmonary Microstructure in Human
Junshuai Xie1, Huiting Zhang1, Xiuchao Zhao1, Haidong Li1, Sa Xiao1, Ke Wang2, Hao Yang2, Xianping Sun1, Guangyao Wu2, Chaohui Ye1, and Xin Zhou1

1Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, People's Republic of China, 2Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, People's Republic of China

The blood-gas exchange function and the pulmonary microstructure are generally affected by the lung inflation levels. Here We developed a new method Single Breath CSSR-DWI to simultaneously quantify the respiratory membrane and the pulmonary microstructure via hyperpolarized 129Xe in a single breath. A new parameter SVRd/g was defined from ADC and SVRd to characterize the ‘%-predicted dissolved SVR’. Human pulmonary functional and structure information were successfully obtained in a single breath via hyperpolarized 129Xe. Compared to the healthy young subjects, SVRd/g of the asymptomatic aged subjects decreases while the size of the pulmonary microstructure increases.

3325
Computer 115
Quantify Pulmonary Gas-Exchange Function with Hyperpolarized 129Xe CEST MRI
Haidong Li1, Zhiying Zhang1, Xiuchao Zhao1, Yeqing Han1, Xianping Sun1, Chaohui Ye1, and Xin Zhou1

1Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, People's Republic of China

In this study, the pulmonary gas-exchange function was quantitatively evaluated globally and regionally by hyperpolarized 129Xe MRI using the method of chemical exchange saturation transfer (CEST). A new parameter, named as pulmonary gas consumption time constant (Toc), was proposed to characterize the gas exchange function. The parameter showed significant difference between the COPD and healthy rats, and we believe it will be a useful parameter in evaluating the pulmonary function.

3326
Computer 116
A spatial comparison of CT-based surrogates of ventilation with hyperpolarized Helium-3 & Xenon-129 MRI
Bilal Tahir1,2, Paul Hughes2, Helen Marshall2, Neil Stewart1, Felix Horn2, Guilhem Collier2, Graham Norquay2, Kerry Hart1, James Swinscoe1, Matthew Hatton1, Jim Wild2, and Rob Ireland1

1Academic Unit of Clinical Oncology, University of Sheffield, Sheffield, United Kingdom, 2Academic Radiology, University of Sheffield, Sheffield, United Kingdom

Synopsis: Image registration of lung CT images acquired at different inflation levels has been proposed as a surrogate method to map lung ‘ventilation’. However, this technique requires validation against established ventilation modalities such as hyperpolarised gas MRI. Here, we develop an image acquisition and analysis strategy to facilitate direct spatial correlation of ventilation CT with both hyperpolarised 3He & 129Xe MRI and apply our method to a cohort of lung cancer patients.

3327
Computer 117
Evaluation of 129Xe-RBC signal dynamics and chemical shift in the cardiopulmonary circuit using hyperpolarized 129Xe NMR
Graham Norquay1, Neil J Stewart1, and Jim M Wild1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom

The signal dynamics of hyperpolarized 129Xe in the pulmonary capillaries and veins was evaluated by employing multi-TR pulse sequences, with TR values ranging from 100-6000ms. The ratio of signal from 129Xe dissolved in red blood cells (RBC) and tissue/plasma (TP) was found to increase for longer TRs whilst the 129Xe-RBC chemical shift was observed to decrease with increasing TR. This observed chemical shift difference is unprecedented, and understanding the nature of the underlying mechanisms causing this shift is crucial for future in vivo experiments using 129Xe-RBC chemical shift as a measure of blood oxygenation.

3328
Computer 118
Assessment of acinar destruction in idiopathic pulmonary fibrosis with hyperpolarised 3He gas diffusion-weighted MRI: reproducibility of ADC metrics and correlation with physiological parameters of disease severity.
Nicholas D Weatherley1, Ho-Fung Chan1, Neil J Stewart1, Laura C Saunders1, Guilhem J Collier1, Graham Norquay1, Madhwesha Rao1, Laurie Smith1, Matthew Austin2, Stephen A Renshaw3, Stephen M Bianchi2, and Jim M Wild1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 2Academic Directorate of Respiratory Medicine, Sheffield Teaching Hospitals, Sheffield, United Kingdom, 3Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, United Kingdom

Outcome metrics from diffusion-weighted MRI (DW-MRI) were evaluated for reproducibility and clinical correlation in a cohort of patients with idiopathic pulmonary fibrosis (IPF). It was hypothesized that fibrotic lung tissue in IPF undergoes changes that increase the rate of intra-acinar Brownian diffusion.

Apparent diffusion coefficient (ADC) mean, median and histogram metrics are highly reproducible and correlate both quantitatively with regional fibrosis on CT and qualitatively with carbon monoxide transfer coefficient (KCO) from pulmonary function tests. DW-MRI imaging metrics may provide novel insights into microstructural disease severity in IPF and may prove to be a useful non-ionising imaging biomarker of disease.


3329
Computer 119
Hyperpolarized xenon by d-DNP using the clinical GE SpinLab polarizer system
Christian Østergaard Mariager1, Steffen Ringgaard1, Jan Henrik Ardenkjær-Larsen2,3, and Christoffer Laustsen1

1Department of Clinical Medicine, The MR Research Centre, Aarhus University Hospital, Aarhus N, Denmark, 2Department of Electrical Engineering, Center for Hyperpolarization in Magnetic Resonance, Technical University of Denmark, Kgs. Lyngby, Denmark, 3GE Healthcare, Denmark

Hyperpolarized (HP) 129Xe have been demonstrated as a useful probe for magnetic resonance (MR) lung imaging and show promise for in vivo perfusion imaging and brown adipose tissue characterization. Reports of large polarization enhancements for 129Xe using dynamic nuclear polarization (DNP) have raised expectations that DNP can be an alternative to the standard spin exchange optical pumping (SEOP) method. We show that it is possible to produce HP 129Xe gas using the clinical GE SpinLab polarizer, thus extending the practical use of the system beyond the primary purpose of hyperpolarizing liquid biomolecules.

3330
Computer 120
Combination of Variable and Constant Flip Angles for Hyperpolarized 129Xe Multi-b Diffusion MRI in a Single Breath-hold
Weiwei Ruan1,2, Jianping Zhong1, Ming Zhang1, He Deng1, Yeqing Han1, Chaohui Ye1, and Xin Zhou1

1Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, People's Republic of China, 2University of Chinese Academy of Sciences, Beijing, People's Republic of China

To propose a novel flip angle scheme for hyperpolarized gas multi-b diffusion MRI. It combined the variable and constant flip angles and was named as the combination of variable and constant flip angle (CVCFA). Computer simulation was used to systematically compare the proposed flip angle scheme with the common-used flip angle schemes, including the interleaved constant flip angle (ICFA) and the variable flip angle (VFA) schemes. The CVCFA scheme was used for hyperpolarized xenon diffusion MRI to measure the pulmonary morphology in rats, noninvasively. The results showed the CVCFA was suited for the hyperpolarized gas multi-b diffusion MRI.


Electronic Poster

Diffusion: Acquisition

Exhibition Hall Monday 13:45 - 14:45

3331
Computer 1
Multi-shot Diffusion Imaging using 1D Navigator Acquisition with Parallel Imaging and Iterative Reconstruction
Zhe Zhang1, Xiaodong Ma1, Erpeng Dai1, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China

Multi-shot EPI can achieve high resolution diffusion imaging but shot-to-shot phase variation correction is indispensable. Previous multi-shot EPI diffusion imaging methods can be categorized into two groups based on different phase navigation strategies: navigator acquired from a second echo and navigator calculated from image-echo itself using parallel imaging technique. These methods may suffer prolonged scan time or limitation from high reduction factor penalty. In this work, we proposed a new strategy for efficient navigating in multi-shot DWI using 1D navigator acquisition with parallel imaging and iterative reconstruction. Results show the proposed methods can effectively correct the motion-induced artifacts in diffusion imaging.

3332
Computer 2
Joint Non-local Means Reconstruction for Correction of Phase-Induced Errors in Diffusion Tensor Imaging
Sevgi Gokce Kafali1,2, Tolga Cukur1,2, and Emine Ulku Saritas1,2

1Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Ankara, Turkey

Multiple acquisitions have to be averaged to achieve reasonable signal-to-noise ratio (SNR) in high-resolution diffusion tensor imaging (DTI). However, involuntary global/local motions during diffusion-sensitizing gradients create k-space shifts, and global/local phase differences between different acquisitions, complicating image reconstruction. In this work, we propose a phase-correcting joint non-local means reconstruction that effectively prevents phase cancellations and reduces noise. This technique jointly utilizes the images from different diffusion-encoding directions to preserve the fractional anisotropy (FA) map. Results are demonstrated for in vivo spinal cord DTI and on a simulated DTI dataset. 

3333
Computer 3
Accelerating Diffusion Kurtosis Imaging Using Model Based Denoising
Jonathan I Sperl1, Tim Sprenger1,2, Ek T Tan3, Marion I Menzel1, Christopher J Hardy3, and Luca Marinelli3

1GE Global Research, Garching, Germany, 2Technische Universität München, Munich, Germany, 3GE Global Research, Niskayuna, NY, United States

Diffusion Kurtosis Imaging (DKI) suffers from high sensitivity to noise and therefore requires long scanning times (up to 150 diffusion weighted images, DWIs). This work proposes a model-based denoising technique to overcome this limitation: A generalized multi-shell spherical deconvolution model is formulated and DWIs are denoised by a projection into the space spanned the model. We demonstrate noise reduction for DKI metrics yielding improved image quality of kurtosis maps from as few as 30 DWIs. This corresponds to greater than four-fold reduction in scan time as compared to the widely used 140-DWI acquisitions.

3334
Computer 4
Improved Reconstruction for Simultaneous Multi-Slice (SMS) Accelerated Interleaved EPI DWI
Erpeng Dai1, Xiaodong Ma1, Zhe Zhang1, Chun Yuan1,2, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

Recently, simultaneous multi-slice (SMS) has been proved to be effective for accelerating single-shot EPI (ssh-EPI) based diffusion weighted imaging (DWI). More importantly, SMS can be combined with multi-shot interleaved EPI (iEPI) DWI to achieve high resolution and high throughput simultaneously. However, signal dropout problems may exist in the final DW images, especially at high SMS acceleration factors. The main reason is the prominent cerebrospinal fluid (CSF) pulsation, which may degrade the reconstruction performance. In this study, the reconstruction algorithm is augmented by using iteration and data rejection. In-vivo experiments have demonstrated that the augmented algorithm can effectively alleviate the signal dropout problems.

3335
Computer 5
The Effects of 2D Navigator Distortion and Noise Level on Interleaved EPI DWI Reconstruction: A Simulation Study
Erpeng Dai1, Xiaodong Ma1, Zhe Zhang1, Chun Yuan1,2, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

Interleaved EPI (iEPI) with a 2D navigator is an effective way to acquire high-resolution and less-distorted DWI. The inter-shot phase variations can be corrected with acquired 2D navigator. However, the performance is limited by the geometric distortion mismatch between the navigator-echo and image-echo. Parallel imaging can be used to reduce the navigator distortion, but can cause noise amplification. Previously, the effects of the navigator were studied with in vivo experiments, but the effects of distortion and noise were mixed together. In this study, the effects of navigator distortion and noise are studied individually with both DWI and DTI simulations.

3336
Computer 6
Improved Navigator-free Multi-shot DTI Reconstruction with Inter-image Correlation Constraint
Xiaodong Ma1, Zhe Zhang1, Erpeng Dai1, Chun Yuan1,2, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, Beijing, People's Republic of China, 2Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

To improve the image quality for navigator-free multi-shot DTI reconstruction, the inter-image correlation constraint is introduced. Group sparsity and anisotropic sparsity are proposed as two specific implementations, using the POCS-ICE algorithm. Results show that both constraints can improve the image quality with increased SNR. In addition, anisotropy sparsity has less blurring and can better maintain the detailed structures.

3337
Computer 7
Rotating Single-shot Acquisition (RoSA) combined with parallel imaging for fast high-resolution diffusion imaging
Qiuting Wen1, Brian Dale2, Shivraman Giri3, and Yu-Chien Wu1

1Radiology and Imaging Science, Indiana University, Indianapolis, IN, United States, 2Siemens Medical Solutions, Inc. , Hanover, NH, United States, 3Siemens Medical Solutions, Inc. , Morrisville, NC, United States

High-resolution diffusion-weighted MRI often relies on multi-shot acquisitions, which suffer from long acquisition time. Rotating single-shot acquisition (RoSA) was proposed to accelerate high-resolution diffusion MRI by taking advantage of the similarity between diffusion-weighted images.  In RoSA only a strip of k-space (i.e., blade) per diffusion direction is acquired, and high-resolution image was achieved via composite reconstruction. In this work, we implemented RoSA with parallel imaging. We demonstrated that improved data quality and imaging speed was achieved in both simulation and in human data.

3338
Computer 8
Diffusion imaging with intra volume interleaving of b values
Jana Hutter1, Paddy J Slator2, Anthony N Price3, Ana Dos Santos Gomes4, Laura McCabe4, Maria Murgasova Kuklisova5, Paul Aljabar1, Mary Rutherford4, and Joseph V Hajnal3

1Biomedical Engineering, King's College London, London, United Kingdom, 2Centre for Medical Image Computing, University College London, London, United Kingdom, 3Biomedical Engineering Department, King's College London, London, United Kingdom, 4Centre for the Developing Brain, King's College London, London, United Kingdom, 5Perinatal Imaging, King's College London, London, United Kingdom

Conventional diffusion MRI acquisitions acquire all slices per volume with the same diffusion weighting. This can have two drawbacks: Excessive heating of gradient hardware caused by multiple repeats of the same combination of large drive currents, and low signal at high b-values, which impairs motion correction based on image registration. For placental diffusion MRI, where large slice stack are needed for spatial coverage  and anatomical structure can be lost after diffusion, both of these factors can be extreme. We propose intra-volume interleaving of different diffusion weightings, ordered to facilitate image registration for motion correction and minimise gradient heating.

3339
Computer 9
Randomizing simultaneously excited slice groups in SMS to reduce slice leakage artifacts in diffusion MRI
Daniel Olson1, Andrew Nencka2, Volkan Arpinar2, and L. Tugan Muftuler3

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States

Simultaneous Multi-slice (SMS) techniques excite multiple slices simultaneously to accelerate MRI data acquisition. However, slice separation during image reconstruction is not exact and results in coupling between separated voxels. While this may not be critical for most anatomic imaging methods, small but consistent leakage of information from another slice in a DTI dataset will cause bias in diffusion parameter estimates. Here, we propose a randomized-slice pairing technique to alleviate this problem in diffusion MRI acquisitions.

3340
Computer 10
Optimal design of motion-compensated diffusion gradient waveforms
Óscar Peña-Nogales1, Rodrigo de Luis-Garcia1, Santiago Aja-Fernández1, Yuxin Zhang2,3, James H. Holmes2, and Diego Hernando2,3

1Laboratorio de Procesado de Imagen, Universidad de Valladolid, Valladolid, Spain, 2Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Medical Physics, University of Wisconsin-Madison, Madison, WI, United States

Diffusion-Weighted MRI (DW-MRI) often suffers from motion-related artifacts in organs that experience physiological motion. Importantly, organ motion during the application of diffusion gradients results in signal losses, which complicate image interpretation and bias quantitative measures. Motion-compensated gradient designs have been proposed, however they typically result in substantially lower b-values or severe concomitant gradient effects. In this work, we develop an approach for design of first- and second-order motion-compensated gradient waveforms based on a b-value maximization formulation including concomitant gradient nulling, and we compare it to existing techniques. The proposed design provides optimized b-values with motion compensation and concomitant gradient nulling.

3341
Computer 11
Determination of the optimal set of b-values for ADC mapping under a Rician noise assumption
Óscar Peña-Nogales1, Diego Hernando2,3, Santiago Aja-Fernández1, and Rodrigo de Luis-Garcia1

1Laboratorio de Procesado de Imagen, Universidad de Valladolid, Valladolid, Spain, 2Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Medical Physics, University of Wisconsin-Madison, Madison, WI, United States

Mapping of the apparent diffusion coefficient (ADC), estimated from a set of diffusion-weighted (DW) images acquired with different b-values, often suffers from low SNR, which can introduce large variance in ADC maps. Unfortunately, there is no consensus on the optimal b-values to maximize the noise performance of ADC map. In this work, we determine the optimal b-values to maximize the noise performance of ADC mapping by using a Cramér-Rao Lower Bound (CRLB) approach under realistic noise assumptions. The strong agreement between the CRLB-based analysis, Monte-Carlo simulations, and ADC phantom experiment, suggests the utility of this approach to optimize DW-MRI acquisitions.

3342
Computer 12
Towards Achieving the Optimal SNR Efficiency for 3D Multi-shot Diffusion-Weighted Echo-Planar Imaging
Xiaoxi Liu1, Edward S. Hui1,2, Cui Di1, Nan-Kuei Chen3,4, and Hing-Chiu Chang1

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Biomedical Engineering, University of Arizona, Tucson, AZ, United States, 4Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC, United States

Due to the assumption of 2D phase variations, the feasible maximum slab thickness is relatively thin (e.g. < 25 mm) for 3D multi-shot diffusion-weighted echo-planar imaging. We have thus proposed a new method in another study to correct for 3D inter-shot phase variations, thereby significantly increasing the feasible maximum slab thickness. In this study, we have demonstrated by simulations and experiments that slab thickness can be significantly increased to allow whole brain coverage with a TR that achieves optimal SNR efficiency.

3343
Computer 13
Field-map correction in read-out segmented echo planar imaging for reduced spatial distortion in prostate DWI – a phantom study
Robert Bergen1,2 and Lawrence Ryner1,2

1Physics & Astronomy, University of Manitoba, Winnipeg, MB, Canada, 2Medical Physics, CancerCare Manitoba, Winnipeg, MB, Canada

Diffusion-weighted magnetic resonance imaging (DWI) is routinely used in prostate cancer assessment, but suffers from image distortions primarily due to the tissue-air interface at the rectal cavity. Readout-segmented echo planar imaging (RESOLVE) improves image quality through segmented acquisition of k-space, increasing bandwidth in the phase direction. However, distortions of several millimeters may still exist in RESOLVE images. This study quantified distortions in a prostate phantom by varying the number of RESOLVE segments and using field mapping correction techniques. Field mapping correction decreased image distortion by 28% compared to the 7-segment RESOLVE scan.

3344
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Simultaneous Multi-Slice Double Diffusion Encoding Imaging
Grant Kaijuin Yang1,2, Hua Wu3, Qiyuan Tian1,2, Adam Kerr3, Robert Dougherty3, and Jennifer McNab2

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States, 3Center for Cognitive and Neurobiological Imaging, Stanford University, CA, United States

Double diffusion encoding (DDE) sequences can measure microscopic diffusion anisotropy even in complex structures such as cortex or crossing fiber regions in white matter.  However, DDE sequences require long TEs to accommodate the additional diffusion gradients, resulting in lower signal-to-noise ratio (SNR) and reduced slice coverage limiting its clinical feasibility. In this work, we implement a DDE sequence with simultaneous multi-slice (SMS) to improve the SNR efficiency and allow for full-brain DDE scans in a clinically feasible time.     

3345
Computer 15
A measurement weighting scheme for optimal powder average estimation
Filip Szczepankiewicz1, Carl-Fredrik Westin2,3, and Hans Knutsson3,4

1Medical Radiation Physics, Lund University, Lund, Sweden, 2Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 3Department of Biomedical Engineering, Linköping University, Linköping, Sweden, 4Center for Medical Image Science and Visualization, Linköping University, Linköping, Sweden

The powder-averaged signal is used in several analysis techniques in diffusion MRI. Assuming uniformly distributed diffusion encoding directions, it is calculated simply as the arithmetic signal average. However, perfectly uniform sampling is generally unattainable.

We demonstrate how non-uniformity can be accounted for by using weighted signal averaging, and we describe how optimal weights can be calculated for existing diffusion encoding schemes to yield improved accuracy of the powder average estimate.


3346
Computer 16
Can eddy currents and concomitant fields be compensated at the same time in flow-compensated diffusion MRI?
Lars Mueller1, Tristan Anselm Kuder1, and Frederik Bernd Laun1,2

1Medical Physics in Radiology, German Cancer Research Center, Heidelberg, Germany, 2Institute of Radiology, University Hospital Erlangen

The possibility to simultaneous compensate for flow, concomitant fields and eddy currents in diffusion weighted MRI were examined by means of numerical simulations. For this purpose, sequences with three to five gradient pulses and one or two refocusing pulses were examined. It is shown that it is possible to effectively minimize all three effects with different sequences. For short to intermediate echo times, it is beneficial to use only one refocusing pulse, while for long echo times two refocusing pulses can yield higher b-values. There is a trade-off between compensation of more effects and the achievable b-value.

3347
Computer 17
A new method for the image reconstruction of multi-shot navigator-free DWI
Zhangxuan Hu1, Chun Yuan1,2, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Department of Radiology, University of Washington, 1959 NE Pacific Street, SS-202, Seattle, WA 98195-7117, USA, WA, United States

Multi-shot techniques can help to achieve high spatial resolution in diffusion imaging. Due to the application of diffusion gradients, phase errors are induced by shot-to-shot motions, which need to be corrected during image reconstruction. Some phase correction approaches have been proposed, such as SENSE+CG, POCS-ICE, and PR-SENSE. Compressed sensing (CS) method has been used in image reconstruction and shows great insensitivity to noise, and can be effectively solved by the Alternating Direction Method of Multipliers (ADMM) algorithm. In this work, the ADMM method of CS reconstruction is used in multi-shot diffusion imaging and proved that it can provide higher reconstruction quality.

3348
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Simultaneous multi-slice (SMS) echo planar imaging (EPI); which combination of parameters is clinically most efficient?
Koji Sakai1, Hiroshi Imai2, Hiroyasu Ikeno3, Jun Tazoe1, Masashi Yasuike1, Hitomi Nagano1, Himanshu Bhat4, and Kei Yamada1

1Kyoto Prefectural University of Medicine, Kyoto, Japan, 2Siemens Japan K. K., 3Kyoto Prefectural University of Medicine Hospital, 4Siemens Medical Solutions USA

To find clinically feasible combinations of parameter for simultaneous multi-slice echo planar imaging (SMS-EPI) acquisition diffusion tensor imaging (DTI), we investigated the combinations of SMS factors and the amounts of inter-slice image shift to find which one can provide better signal-to-noise ratio (SNR) by two different head coils (20ch and 32ch), respectively. The SMS factors 2 and 3 with imaging shifts (>1/2) on 32ch judged clinically feasible and can be substituted on conventional DTI. The SMS factor 2 with imaging shifts 0, 1/2, 1/4 on 20ch head coil judged clinically feasible.

3349
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To accelerate or not: An Investigation on the Impact of Fast Diffusion Imaging with High Angular Resolution on Diffusion Measures in Fiber Tracts
Chia-Ling Chang1, Jr-Yuan George Chiou2, Ming-Long Wu1,3,4, Shang-Yueh Tsai5, Stephan Ernst Maier2,6, Bruno Madore2, and Tzu-Cheng Chao1,4

1Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan, Taiwan, 2Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 3Institute of Applied Computer Science, Harvard University, Cambridge, MA, United States, 4Institute of Medical Informatics, National Cheng Kung University, Tainan, Taiwan, 5Graduate Institute of Applied Physics, National Cheng Chi University, Taipei, Taiwan, 6Department of Radiology, Sahlgrenska Academy, Gothenburg University

A novel technique, Fast Diffusion Imaging with High Angular Resolution, is proposed to achieve whole-brain HARDI scans for clinical applications with better geometrical fidelity and shorter scan time. The present study compares tractography results and diffusion properties of each analyzed fiber tract among four-fold segmented (multi-shot) HARDI scans with different acceleration rates and a clinically used sequence with two-fold SENSE. A fully sampled four-shot HARDI scan was used as the reference. The results suggest that the novel acceleration strategy permits a four-minute scan with fairly compatible results while the clinically used method takes ten minutes. 

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Applied Gradient Nonlinearity Correction for Quantitative Diffusion MRI
Baxter P Rogers1, Allen T Newton1, E Brian Welch1, Jeffrey J Luci2, Heidi A Edmonson3, and Bennett A Landman4

1Vanderbilt University Medical Center, Nashville, TN, United States, 2University of Texas at Austin, 3Mayo Clinic, 4Vanderbilt University

Accurate and reliable quantitative diffusion MRI depends on correcting for spatially varying errors in applied diffusion gradients due to nonlinearity of the gradient coil fields. We measured the temporal and inter-scanner variability of a phantom-based correction protocol on four different scanners. Estimated errors in diffusion gradient b-value and direction were significant, and differed between scanners. Scanner differences in temporal stability indicated the need for site-specific calibrations.

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Correcting a slice distortion artifact in the multiband diffusion images
Jiancheng Zhuang1

1University of Southern California, Los Angeles, CA, United States

The diffusion weighted images acquired with the multiband sequence or the Lifespan protocols shows a type of slice distortion artifact. We find that this artifact is caused by the eddy currents, which can be induced by the diffusion gradient associated with either current DW image or the previous DW images. The artifact can be corrected by further tuning the compensation circuit in the MR hardware, or by a correction algorithm which includes the diffusion gradients from the current and previous DW images. 

3352
Computer 22
Evaluation of diffusion directions vs averages for accurate and reproducible cardiac DTI
Darryl McClymont1, Irvin Teh1, Hannah Whittington1, and Jürgen Schneider1

1Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom

Cardiac DTI is subject to long scan times and low SNR, which invariably leads to a trade-off between the number of averages and diffusion-encoding directions to acquire. However, the exact relationship between the diffusion tensor and these parameters is unclear. In this work we utilise DTI data from five high quality ex-vivo rat hearts, and vary the SNR between 2 and 97 and the number of directions between 7 and 61. Results show that the apparent diffusion coefficient is optimised for scan time when SNR is maximised and directions are minimised, whereas parametric angle measurements are time-optimised with more directions. At typical in-vivo settings, we estimate that fractional anisotropy is being overestimated by up to 20%, while the precision of sheetlet angles may be as poor as ±36 degrees.

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Eddy current artifact reduction in diffusion-weighted single-refocused spin-echo EPI
Manoj Shrestha1, Pavel Hok2, Ulrike Nöth1, and Ralf Deichmann1

1Brain Imaging Center (BIC), Goethe University Frankfurt, Frankfurt am Main, Germany, 2Palacky University Olomouc, University Hospital Olomouc, Czech Republic

Diffusion-weighted (DW) MRI with single-refocused spin-echo preparation suffers from eddy-current induced image distortions. In this study, a method for substantial reduction of eddy-current artifacts is proposed. Dummy scans comprising DW gradients prior to the acquisition of each multi-slice data volume yield a steady state of eddy-currents and thus comparable distortions across the volume which subsequently can be corrected via an advanced setting of the eddy-current correction FMRIB software library tool. In comparison to the commonly used twice-refocused spin-echo sequence for eddy-current compensation, the proposed method is less sensitive to radiofrequency inhomogeneities and offers higher signal-to-noise ratio due to shorter echo-time.  

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Reducing Distortion in DWI Acquisitions of Prostate Scans
Roger C Grimm1, Adam T Froemming1, and Stephen J Riederer1

1Mayo Clinic, Rochester, MN, United States

Diffusion images obtained with spin echo – echo planar imaging (SE-EPI) can be acquired quickly and efficiently. In prostate applications areas of susceptibility can cause image distortion. The purpose of this work is to address these distortions with the use of multi-shot EPI techniques. A previously defined term, pseudo-gradient, is shown to be a useful analytical tool to explain and guide in the choice of acquisition parameters. Phantom and in-vivo results show the benefits of multi-shot scans to reduce distortions.


Electronic Poster

Diffusion: Analysis

Exhibition Hall Monday 13:45 - 14:45

3355
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Evidence for Cross-Term Effects in Double Diffusion Encoding Experiments of Human Cortical Gray Matter
Marco Lawrenz1,2 and Jürgen Finsterbusch1,2

1Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 2Neuroimage Nord, University Medical Centers Hamburg-Kiel-Lübeck, Hamburg-Kiel-Lübeck, Germany

Double diffusion encoding (DDE) experiments with two weighting periods applied successively in the same acquisition are a promising tool to investigate microscopic tissue properties, e.g. the cell eccentricity and the related diffusion anisotropy on a microscopic scale. Recent experiments detected the signal pattern typical for microscopic diffusion anisotropy in human cortical gray matter in vivo but were hampered by an additional signal modulation that could be related to field inhomogeneities near the skull. In this study, cross-term-compensated DDE experiments are performed to investigate the effect of field inhomogeneities on the detection of the microscopic diffusion anisotropy.

3356
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On the Potential of DWI with Extrapolated High and Negative b-Values for Contrast Enhancement and Image Segmentation
Marcel Gratz1,2 and Harald H. Quick1,2

1Erwin L. Hahn Institute, University Duisburg-Essen, Essen, Germany, 2High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

A method is presented that extends the concept of calculated DWI for the generation of high tissue contrast from trace-weighted data. Using the whole range of b-values including the physically inaccessible negative b-values, image segmentation, visual hinting and ROI generation can be provided for assistance of the clinical readers. 24 patient data sets involving different pathologies were used to test the feasibility and clinical potentials of the new approach. It was found that the extrapolation to negative b-values helps to extract fluid regions, whereas internal structures of lesions and noise masking may be obtained with high b-values.

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Assessing local brain morphology changes with diffusion tensor-driven tensor based morphometry (D-TBM): Application to a genetic model of dysgenesis
Elizabeth B Hutchinson1,2,3, Neda Sadeghi1,2, Okan Irfanoglu1,2,3, Mary Whitman4,5, Michelle Delisle6, Elizabeth Engle4,5,6,7,8, and Carlo Pierpaoli1,2

1Quantitative Medical Imaging Section, NIBIB, NIH, Bethesda, MD, United States, 2SQITS/NICHD, NIH, Bethesda, MD, United States, 3Henry M. Jackson Foundation, Bethesda, MD, United States, 4Opthamology, Harvard Medical School, Boston, MA, United States, 5Opthamology, Boston Children's Hospital, Boston, MA, United States, 6Neurology, Boston Children's Hospital, Boston, MA, United States, 7Neurology, Harvard Medical School, Boston, MA, United States, 8Howard Hughes Medical Institute, Chevy Chase, MD, United States

Brain volume registration using diffusion tensor information faithfully matches anatomic features that are not accessible to structural registration algorithms such as white matter tracts.  Thus, inspection of the deformation fields from DT-based registration using TBM (D-TBM) is advantageous for revealing local morphometric differences when compared with conventional TBM.  In this study, D-TBM was used to evaluate morphometric differences and heterogeneity of abnormalities in a mouse model of dysgenesis.

3358
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Stretched-exponential model DWI as a non-invasive biomarker in grading gliomas and predicting of EGFR status
Jingjing Jiang1 and Wenzhen Zhu1

1Tongji hospital, Tongji medical college, Huazhong university of science and technology, Wuhan, People's Republic of China

Stretched-exponential diffusion weighted imaging (SEM-DWI) provided a more accurate estimate than conventional DWI in grading gliomas. Moreover, SEM-DWI derived α value could effectively differentiate EGFR negative and positive group and had a significantly negative correlation with EGFR expression . Therefore, it was concluded that SEM-DWI might be applied as an effective imaging biomarker in grading gliomas and predicting of EGFR status and thus in guiding individual treatment and targeted therapy.

3359
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Comparing the value of MRI ultra-high-b-value DWI and standard DWI in grading cerebral astrocytomas and their association with aquaporin-4
Yan Tan1, Hui Zhang1, Xiaochun Wang1, and Dandan Zheng2

1The First Hospital of Shanxi Medical University, TaiYuan, People's Republic of China, 2GE Healthcare MR Research China, People's Republic of China

Ultral-High-b-value DWI (UHBV-DWI) was shown to improve the diagnostic performance of DWI in grading gliomas. We compare the value of MRI UHBV-DWI and conventional DWI for grading astrocytomas, and to analyze the correlation of respective parameters with aquaporin (AQP) expression. We found UHBV-ADC (0.810) showed a larger area under the curve (AUC) than that of ADC (0.713) (P < 0.05). The ADC value showed a negative correlation with AQP4 mRNA expression (r = -0.357; P = 0.024). UHBV-ADC value positively correlated with the AQP4 mRNA expression (r = 0.646; P < 0.01). So UHBV-DWI allowed for a more accurate grading of cerebral astrocytoma as compared to DWI. UHBV-ADC may be related with the AQP4 mRNA levels.

3360
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Characterization of B0 Shim-Induced Bias in Diffusion Weighting Gradients
Yuxi Pang1, Dariya I Malyarenko1, Michael Schar2, Lisa J Wilmes3, David Newitt3, Michael A Jacobs2, and Thomas L Chenevert1

1Department of Radiology, University of Michigan, Ann Arbor, MI, United States, 2Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States

To eliminate technical variability in quantitative diffusion imaging applications, the systematic bias in diffusion weighting gradients should be corrected. The major source of this bias is the system-specific spatial gradient non-linearity (GNL) that can be rectified using gradient design information independent of the scanned object. This study characterizes the residual sources of nonuniform diffusion weighting introduced by imperfect object-dependent B0 shimming. Using controlled de-shim gradients, we show that an imperfect shim leads to systematic offsets of the otherwise symmetric GNL profile relative to the isocenter. The empiric strategies are proposed to mitigate the shim-induced errors in ADC measurements.

3361
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Does artifact correction in spinal cord DTI improve sensitivity at the group level?
Gergely David1,2, Patrick Freund1,3,4, and Siawoosh Mohammadi2,4

1Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Zurich, Switzerland, 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, 4Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom

In this manuscript, we investigate how application of established post-processing methods (spatial registration and robust tensor fitting) and of a newly introduced outlier rejection technique referred to as reliability masking influence the statistical power of a clinical spinal cord DTI study. The assessment was performed using a previously published clinical dataset investigating microstructural correlates of spinal degeneration in cervical spondylotic myelopathy (CSM). We found that the established post-processing methods had almost no influence on the statistical power by which the microstructural differences is observed, whereas reliability masking increased the statistical power by more than 13%.

3362
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Investigating microstructural signatures for low-grade gliomas using Linear Multi-scale Modeling of diffusion MRI data
Barbara D. Wichtmann1,2, Aapo Nummenmaa1, Qiuyun Fan1, Thomas Witzel1, Elizabeth R. Gerstner3, Alexandra J. Golby4,5, Sandro Santagata6, Bruce R. Rosen1, Lothar Schad2, Lawrence L. Wald1,7, and Susie Y. Huang1,7

1A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 3Department of Neurology, Center for Neuro-Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 4Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, 5Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, 6Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, 7Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States

Linear Multi-scale Modeling (LMM) of diffusion MRI data is a recently developed DWI analysis technique for separating orientation distributions of restricted and hindered diffusion water compartments over a range of length scales, thereby allowing more detailed characterization of tissue microstructure. Here, we apply the LMM framework to characterize a low-grade oligodendroglioma prior to resection. We use the distinct microstructural signature of the tumor to delineate tumor extent and use results from pathology and numerical simulations to refine our understanding of the tumor microstructure.

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Revealing the nature of microstructural correlations along axons in human brain white matter with time-dependent diffusion
Hong-Hsi Lee1, Els Fieremans1, and Dmitry S. Novikov1

1Center for Biomedical Imaging, New York University, New York, NY, United States

We explore axial diffusivity dependence on both diffusion time and gradient pulse width in major white matter tracts. This allows us to differentiate between two possible arrangements of restrictions (e.g. beads) along fibers: (1) short-range disorder, or (2) “hyperuniform” disorder (arrangement qualitatively closer to periodic). Unexpectedly, model prediction for hyperuniform disorder is more consistent with our data than for short-range disorder. If conformed histologically in human or animal studies, this would mean that restrictions along axons are not “purely” randomly distributed but rather spatially correlated − perhaps, for optimizing physiological constraints.

3364
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Longitudinal MR Imaging Study of Standard Diffusion-Weighted Imaging and NODDI in ischemic Stroke: Evolution of NODDI metrics and Correlation with Clinical Outcome
Min Tang1, Wei Di, Xin Zhang, Jie Gao, Kaining Shi2, Xiaohong Wu, and Xiaoling Zhang

1Shaanxi Provincial People`s Hospital, Xi’an, People's Republic of China, 2Clinical science, Philips Healthcare China

To observe the microstructural longitudinal alterations in neural tissues after ischemic stroke and assess the correlation with clinical outcome and NODDI metrics. 18 subjects were enrolled. Intra-cellular volume fraction(Vic) and orientation dispersion index(OD) exhibited positive correlations with NIHSS scores of patients at day 30. The correlation of the susceptibility with the NODDI metrics and prognosis is higher than the ADC values with it. NODDI may provide a more promising and reliable methods for microstructural reorganization follow-up stroke than other measures previously used in studies of stroke recovery. 

3365
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Comprehensive analysis of the predictors of microvessel invasion in hepatocellular carcinoma: Diffusion kurtosis imaging (DKI) combined with radiological and clinical factors.
wentao wang1, LI Yang1, Xixing HU1, Robert Grimm2, caixia Fu3, XU Yan4, mengsu zeng1, and shengxiang rao1

1Radiology department, zhongshan Hospital, Shanghai, People's Republic of China, 2MR Application Developmen, Siemens Healthcare, Erlangen, Germany, 3Siemens Shenzhen Magnetic Resonance Ltd, shenzhen, People's Republic of China, 4MR Collaboration NE Asia, Siemens Healthcare, shanghai, People's Republic of China

Diffusion Kurtosis Imaging (DKI) maps, preoperative radiological features and clinical-pathologic findings were calculated to assess their diagnostic accuracy for microvascular invasion (MVI) of hepatocellular carcinoma (HCC) in patients who were undergoing curative liver resection. Multivariate regression analysis was performed to identify independent predictive factors for MVI. The study shows that Mean Kurtosis (MK), non-smooth margin, peritumoral enhancement and incomplete radiological capsule suggest a high probability of microvessel invasion of HCC. Multivariate analysis confirmed that MK and capsule integrity show statistical significance correlation with MVI. In conclusion, MK and capsule appearance might be the predictors for MVI of primary hepatocellular carcinoma.

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Influence of post-processing method on the repeatability of diffusion-weighted imaging parameters in healthy brain
Ashley M Stokes1, Jack T Skinner2, Laura C Bell1, Adrienne N Dula3, Thomas E Yankeelov3, and C. Chad Quarles1

1Translational Bioimaging Group, Barrow Neurological Institute, Phoenix, AZ, United States, 2Imaging Programs, National Comprehensive Cancer Network (NCCN), Philadelphia, PA, United States, 3University of Texas - Austin

The purpose of this study is to investigate the influence of post-processing method on the reproducibility of brain diffusion metrics, including apparent diffusion coefficients (ADCs) and intra-voxel incoherent motion (IVIM) parameters, in healthy controls and to apply these results in a cohort of brain tumor patients undergoing treatment. ADC was highly reproducible for all methods. The IVIM diffusion and perfusion fraction showed the highest reproducibility using constrained fitting, while IVIM pseudo-diffusion showed limited reproducibility. By establishing limits of repeatability for ADC and IVIM metrics, these methods can be applied in neuropathology to determine significant changes related to treatment effects. 

3367
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Higher-order statistics of 3D spin displacement probability distributions measured with MAP MRI
Alexandru Vlad Avram1, Elizabeth Hutchinson2, and Peter Basser2

1NIBIB, National Institutes of Health, Bethesda, MD, United States, 2NICHD, National Institutes of Health, Bethesda, MD, United States

We compute the higher-order statistics of the 3D spin displacement probability distributions measured with mean apparent propagator (MAP) MRI and quantify microstructural tissue parameters such as the mean kurtosis (MK), axial kurtosis (K), radial kurtosis (K) and kurtosis fractional anisotropy (FAK). This extension of the family of MAP tissue parameters provides a direct link between the frameworks of MAP MRI and other advanced diffusion techniques facilitating interpretation of findings in clinical MAP MRI studies in the context of existing literature on advanced diffusion MRI applications.

3368
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A New Fiber Orientation Distribution Function
Tom Dela Haije1, Andrea Fuster1, and Luc Florack1

1Department of Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, Netherlands

In this work we introduce the barrier orientation distribution function (ODF) as an alternative to the fiber ODF that can be computed with constrained spherical deconvolution. The barrier ODF is computed directly from the data, without the need to e.g. specify a single fiber response function.

3369
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Exploring Local White Matter Geometric Structure in diffusion MRI Using Director Field Analysis
Jian Cheng1 and Peter J. Basser1

1National Institutes of Health, Bethesda, MD, United States

In this abstract, inspired by microscopic theoretical treatment of phases in liquid crystals1, we introduce a novel mathematical framework, called Director Field Analysis (DFA), to study local geometric structural information of white matter. DFA extracts some meaningful scalar indices related with the degree of orientational alignment, dispersion, and orientational distortion, from the Orientation Distribution Function (ODF) field reconstructed by Diffusion Tensor Imaging (DTI) or High Angular Resolution Diffusion Imaging (HARDI).

3370
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Shall we use denoising in the preprocessing of diffusion weighted imaging?
Maryam Afzali1, Hu Cheng1, and Sharlene Newman1

1Department of psychological and brain sciences, Indiana University, Bloomington, IN, United States

Many denoising techniques have been proposed in an attempt to remedy the low signal-to-noise ratio (SNR) of diffusion weighted images (DWI) [1-3], especially with high b values. It was shown that denoising might benefit DWI data processing such as fiber tracking [4]. However, denoising is not widely accepted as a mandatory step in the preprocessing of DWI data due to little well documented study about the effect of denoising. In this work, we tested if denoising can overcome the low SNR in tensor based diffusion analysis and fiber tracking. 

3371
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Diffusion - Tensor Based Morphometry (DTBM) of Normal Human Brain Development from Infancy to Adulthood
Amritha Nayak1,2,3, Neda Sadeghi2, M Okan Irfanoglu1,2,3, and Carlo Pierpaoli1,2

1Quantitative Medical Imaging Section, National Institute of Biomedical imaging and Bioengineering, Bethesda, MD, United States, 2Section for Quantitative Imaging and Tissue Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, United States, 3Henry . M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States

During postnatal brain development brain structures undergo large changes in size, shape, composition and microstructural appearance. Diffusion tensor imaging (DTI) is an MRI modality particularly informative on white matter. We perform tensor based morphometry (TBM) using deformation fields constructed using all scalar and directional information provided by diffusion tensor data (DTBM) to measure volumetric changes of brain structures from neonate to adulthood. Our results indicate that DTBM reveals interesting patterns in the developmental trajectories for different structures in the human brain. This information would be important to characterize deviation from normal developmental patterns due to developmental delay or other disorders.

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Impact of denoising in diffusion-weighted data on spherical deconvolution modelling
Marina Rakic1, Luis Miguel Lacerda1, Ahmad Beyh2, Pedro Luque-Laguna1, Rachel Barrett2, Francisco De Santiago Requejo1, Steven Williams1, Gareth Barker1, Fernando Zelaya1, and Flavio Dell'Acqua1,2

1Dept. of Neuroimaging, King's College London, London, United Kingdom, 2Dept. of Forensic and Neurodevelopmental Science, King's College London, London, United Kingdom

A well-known dilemma in DW-MRI acquisitions is to determine the extent to which signal-to-noise ratio (SNR) can be can be sacrificed in favour of higher spatial resolution on one hand, and in favour of shorter acquisition time on the other. In this study we quantify the reproducibility of spherical deconvolution results at 3 spatial resolutions with and without denoising, as it is still unclear how denoising methods6 affect the uncertainty in subsequent diffusion model fitting and whether it introduces or improves bias in modelled fibre direction.

3373
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Density-Based Non-Rigid Registration of Diffusion-Weighted Images
Henrik Grønholt Jensen1, Francois Lauze1, Mads Nielsen1, and Sune Darkner1

1Computer Science, University of Copenhagen, Copenhagen, Denmark

We present a non-rigid registration method for Diffusion-Weighted MRI which uses a density and scale space approach to estimate image similarity. It allows us to employ smooth intensity-invariant similarity measures, such as Mutual Information (MI), in contrast to the model-driven registrations. Using the inherent microstructure of High Angular Resolution Diffusion Imaging (HARDI) scans, we obtain a less regularized and more flexible registration that can be used on either raw diffusion signals or reconstructions of the fiber orientations. We show some promising results on Human Connectome Project (HCP) subjects and an artificial example.

3374
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Microstructural alteration of amygdala-hippocampus-nucleus accumbens circuit in methamphetamine users : an in vivo diffusion tensor imaging study
Yadi Li1, Haibo Dong1, Feng Li1, Gaoyan Wang1, Nadan Zhao1, Yong Zhang2, and Wenhua Zhou3

1Radiology, Lihuili Hospital, Ningbo, People's Republic of China, 2MR Research China, GE Healthcare, Shanghai, People's Republic of China, 3Ningbo Addiction Research and Treatment Center, Ningbo, People's Republic of China

No previous in vivo studies have investigated drug-related changes of microstructural integrity of amygdala-hippocampus-nucleus accumbens circuit using diffusion tensor imaging. This study demonstrated reduced microstructural integrity of this circuit in methamphetamine users by applying automated and semi-automated segmentation techniques to acquire regions of interest. The microstructural impairment of hippocampal subiculum and basolateral amygdala might be implicated in the development of anxiety and psychosis. Enhanced anatomical connectivity between left BLA and bilateral NAc may underlie the relapse of MA intake and production of psychosis.

3375
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Evaluating NODDI’s a priori fixed parameters by combining NODDI and mcDESPOT
Samira Bouyagoub1, Charlotte L. Clarke1, Nicholas G. Dowell1, Tobias C. Wood2,3, Hui Zhang4, and Mara Cercignani1

1Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, Brighton, United Kingdom, 2Neuroimaging, IoPPN, King’s College London, London, United Kingdom, 3Wellcome Trust Consortium for Neuroimmunology of Mood Disorders and Alzheimer’s Disease, London, United Kingdom, 4Centre for Medical Image Computing, University College London, London

NODDI is a popular diffusion MRI technique that estimates indices about tissue microstructure. However it makes a priori assumptions, particularly fixing intrinsic diffusivity (DI) to be the same throughout the brain. We aim to validate this assumption by combining NODDI with mcDESPOT, which enables an independent estimation of the CSF volume fraction. By doing this, we enable NODDI to estimate voxel-wise maps of DI as well as of the perpendicular diffusivity by removing the tortuosity constraint. Our estimated DI maps show that the assumed value is more suitable for white matter than gray matter and resulted in sharper contrast in neurite density maps but noisier orientation dispersion (ODI) maps. Removing the tortuosity assumption restored the ODI but degraded the quality of the neurite density map.


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A Novel Framework for Simulating the In-Vivo Diffusion MRI Signal in Solid Tumours, Based on High-Resolution Optical Imaging Data from Real-World Tumours.
Ben Hipwell1, Tom Roberts1, Paul Sweeney2, Angela D'Esposito1, Morium Ali1, Eleftheria Panagiotaki3, Mark Lythgoe1, Daniel Alexander3, Rebecca Shipley2, and Simon Walker-Samuel1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 2Mechanical Engineering, University College London, London, United Kingdom, 3Centre for Medical Image Computing and Computer Science, University College London, London, United Kingdom

We report the development of a novel in-silico modelling framework for probing the in-vivo diffusion MRI signal in tumours, based on high-resolution (5-10µm) optical imaging data from complete tumours. Blood flow in tissue substrates was estimated using fluid dynamical modelling. We then simulated the MRI signal using a Monte Carlo approach, and fitted the VERDICT model. VERDICT has previously been proposed as a method to noninvasively quantify histological features of tissue, including intracellular, extracellular and vascular volume fractions, cell radius and blood flow. We report preliminary findings of a good correspondence between the ground truth and measured values.

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Two subgroups of mild TBI Patients  Revealed by Diffusion TensorImaging and Cluster Analysis
Chuanzhu Sun1, Lijun Bai1, Hao Yan2,3, Shan Wang1, and Xiaocui Wang1

1Department of Biomedical Engineering, the Key Laboratory of Biomedical Information Engineering of the Ministry of Education, Xi'an Jiaotong University, Xi'an, People's Republic of China, 2Department of Linguistics, Xidian University, Xi'an, People's Republic of China, 3Center for Language and Brain, Shenzhen Institute of Neuroscience, Shenzhen University, shenzhen, People's Republic of China

More than 75% of traumatic brain injuries (TBI) seeking medical attention are mild, and the outcome of mild TBI (mTBI) is heterogeneous. Currently we are in badly need of the methods of classifying mTBI into more homogeneous subgroups since there is not a sensitive and valid biomarker identified right now. In current study, we aim to investigate whether different subgroups exist in a large cohort patients and to predict neuropsychological outcome in the future.

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Charatization of Peritumoral Regions of Cerebral Tumor with Neurite Orientation Dispersion and Density Imaging (NODDI)
Yi-Cen Ting 1, Chou-Ming Cheng2, and Tzu-Chen Yeh3

1Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan, 2Department of Medical Research and Education, Taipei Veterans General Hospital, Taipei Veterans General Hospital, Taipei, Taiwan, 3Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan

In this work, primary tumors of the central nervous system, including glioma and meningiomas, were studied with NODDDI.   The parameters derived from NODDI was examined to differentiate peritumoral edema and characterize complex structural abnormalities using diffusion MRI (dMRI) of a clinical MRI scanners. As a result, a better understanding of this perplexity with the aid of modern imaging is clearly necessary to define the blurred tumor margins and confront the recurrences in long-term treatment.


Electronic Poster

Diffusion: Microstructure

Exhibition Hall Monday 13:45 - 14:45

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White matter microstructural properties are related to inter-individual differences in cognitive instability after sleep deprivation
yuanqiang zhu1,2, lin liu1, tian dai1, ziliang xu1, yibin xi2, hong yin2, and wei qin1

1xidian, xi'an, People's Republic of China, 2xijing hospital, xi'an, People's Republic of China

ract-based spatial statistical analyses was used to investigate whether the individual differences in cognitive instability after SD was related to differences in WM structure. Resistant group exhibited significantly higher FA than vulnerable group, significant negative correlations were found between numbers of psychomotor vigilance task(PVT)lapses and FA in multiple regions. Our results also showed that 63% of individual variability in PVT lapse may be explained by variations in FA within superior longitudinal fasciculus and splenium of the corpus callosum. These findings suggested that cognitive instability after SD is closely associated with individual differences in WM integrity.

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Axon diameter mapping using diffusion MR microscopy embedded in a Monte-Carlo based fingerprint approach
Delphine Estournet1,2, Justine Beaujoin1,2, Fabrice Poupon2,3, Achille Teillac1,2, Jean-François Mangin2,3, and Cyril Poupon1,2

1CEA/I²BM/NeuroSpin/UNIRS, Gif-sur-Yvette, France, 2Université Paris-Saclay, Orsay, France, 3CEA/I²BM/NeuroSpin/UNATI, Gif-sur-Yvette, France

In this work, we demonstrate that Monte-Carlo simulations combined with fingerprint approaches can be used to develop decoding tools of the micro-structure using a dictionary learning approach. The validation has been done on a test object mimicking the mid-sagittal plane of a corpus callosum with axon diameters varying according to histological studies. The robustness of the decoding obviously depends on the richness of the dictionary, but, contrary to analytical approaches with highly non linear equations hard to fit practically, such MC approach do not have this kind of limitation, thus opening the way to decode more complex tissue cellular configurations.

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Microstructural Information from Modeling of the SDE and DDE MRI Signals in the Spinal Cord
Darya Morozov1, Debbie Anaby1, Inbar Seroussi2, Nir Sochen2, and Yoram Cohen1,3

1School of Chemistry, The Raymond and Beverly Sackler Faculty of Exact Sciences, Tel Aviv University, Tel Aviv, Israel, 2School of Mathematical Sciences, The Raymond and Beverly Sackler Faculty of Exact Sciences, Tel Aviv University, Tel Aviv, Israel, 3Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel

Various diffusion MRI approaches were suggested to study the complex water diffusion in neuronal tissues and gleaning microstructural information thereof. Nevertheless, to date, only few attempts were done to correlate between the microstructural features obtained from single diffusion encoding (SDE) and double diffusion encoding (DDE) MRI experiments. The main objective of the present study is to compare between the microstructural information obtained from both diffusion MRI methodologies, under similar experimental conditions, when performed on a fixed porcine spinal cord.

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Biomarkers for fiber density: comparing Stejskal-Tanner diffusion encoding metrics with microscopic diffusion anisotropy from double-diffusion encoding imaging
Siawoosh Mohammadi1,2,3, Isabel Ellerbrock1, and Luke Edwards2

1Department of Systems Neuroscience, Medical Center Hamburg-Eppendorf, Hamburg, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3UCL Institute of Cognitive Neurology, University College London

Different MRI biomarkers for fiber and myelin density have been proposed for MR g-ratio mapping, leaving open the question which biomarker is optimal. Here, we compare four different MRI biomarkers for fiber density using standard Stejeskal-Tanner diffusion encoding to the microscopic diffusion anisotropy (MA) measured by double-diffusion encoding. Thereby, we hypothesize that a better measure of the microscopic environment shows higher (and more significant) correlations to the MA metric. Our preliminary results showed that the marker by Kaden et al. (2016) shows higher correlation to MA than NODDI, suggesting it to be a better biomarker for fiber density.

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Double Diffusion Encoding vs Single Diffusion Encoding in Parameter Estimation of Biophysical Models in Diffusion-Weighted MRI
Santiago Coelho1, Leandro Beltrachini1,2,3, Jose M. Pozo1, and Alejandro F. Frangi1

1Centre for Computational Imaging & Simulation Technologies in Biomedicine (CISTIB), Department of Electronic and Electrical Engineering, The University of Sheffield, Sheffield, United Kingdom, 2School of Physics and Astronomy, Cardiff University, Cardiff, United Kingdom, 3Cardiff University Brain Research Imaging Centre (CUBRIC), Cardiff University, Cardiff, United Kingdom

Biophysical tissue models are a solid tool for obtaining specific biomarkers with diffusion MRI. However, the assumptions they rely on are sometimes inaccurate and may lead to erroneous results. Some limitations of the Neurite Orientation Dispersion and Density Imaging (NODDI) model are tackled by NODDIDA (NODDI with Diffusivities Added), at the cost of an extended acquisition protocol. Here we adapt NODDIDA to a Double Diffusion Encoding scheme to improve the parameter estimation for reduced acquisition protocols. We demonstrate through in silico experiments that under similar experimental conditions, this novel approach increases both the accuracy and precision of the parameter estimates.

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Oscillating gradient improves the sensitivity of diffusion functional MRI
Dan Wu1, Hanbing Lu2, Yihong Yang2, and Jiangyang Zhang3

1Radiology, Johns Hopkins University School of Medicine, BALTIMORE, MD, United States, 2Neuroimaging Research Branch, National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, Baltimore, MD, United States, 3Radiology, New York University School of Medicine, NY, United States

Synopsis: Diffusion functional MRI (DfMRI) has been proposed to detect neuronal activations more directly than BOLD-fMRI, but its sensitivity to cell swelling associated with neuronal activities remains less known. Numerical simulations suggest that oscillating gradient spin echo (OGSE) diffusion MRI is more sensitive to changes in cell size than conventional pulsed gradient spin echo (PGSE) diffusion MRI. In adult rat brain DfMRI experiments with forepaw stimulation, ADC measured by OGSE showed significant reductions during stimulation, and the reductions were significantly larger than those measured by PGSE, suggesting OGSE may be more sensitive to cell swelling associated with neuronal activation than PGSE.

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Effect of Realistic Timing Parameters on a Microscopic Diffusion Anisotropy Measure
Marco Lawrenz1,2 and Jürgen Finsterbusch1,2

1Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 2Neuroimage Nord, University Medical Centers Hamburg-Kiel-Lübeck, Hamburg-Kiel-Lübeck, Germany

Double diffusion encoding experiments with two weighting periods applied successively offer access to microscopic tissue properties and can provide information complementary to diffusion tensor imaging. The MA index derived from such measurements with long mixing times, depends on the cell eccentricities, i.e. the microscopic diffusion anisotropy, and can be determined in the human brain. However, its derivation is based on ideal timing parameters, infinitely short gradient pulses and long diffusion and mixing times that cannot be gained in practice. In this study, the effect of realistic timing parameters on the MA of restricted diffusion is investigated with Monte Carlo simulations.

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Quantification of pore size distributions using double diffusion encoding: assessment of the feasibility on a clinical system
Gaetan Duchene1, Frank Peeters1, Jorge Abarca-Quinones1, and Thierry Duprez1

1Medical imaging dept, St-Luc University hospital, Université Catholique de Louvain, Brussels, Belgium

Recently, Double Diffusion Encoding (DDE) has been proposed for quantification of pore size distributions in a voxel or a Region Of Interest. Although the technique has been validated on animals with experimental MR systems, its translation to human scanners is challenging, mainly because of the limited gradient strength available on clinical systems. In this work, we present a validation of DDE on a clinical scanner on a biological phantom (asparagus). Furthermore, we restricted the acquisition time to 16 minutes which remains acceptable in clinical conditions.   

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In-vivo Bundle-Specific Axon Diameter Distributions Estimation across the Corpus Callosum
Muhamed Barakovic1, David Romascano1, Gabriel Girard1, Maxime Descoteaux1,2, Jean-Philippe Thiran1,3, and Alessandro Daducci1,3,4

1Signal Processing Lab (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Sheerbrooke Connectivity Imaging Laboratory (SCIL), University of Sheerbrooke, Canada, 3University Hospital Center (CHUV) and University of Lausanne (UNIL), Switzerland, 4Department of Computer Science, University of Verona, Italy

Over the last decade microstructure imaging has become commonly endorsed to estimate quantitative features of neuronal tissue. However, those techniques estimate the microstructure only locally. Microstructure informed tractography was recently proposed to bolster microstructure estimates by accounting for the structure of the white matter bundles. The purpose of this study was to extend this novel technique for evaluating bundle-specific axon diameter distributions and investigate bundle-specific properties in the human brain. The experiment was performed on the MGH adult HCP dataset. The findings suggest potential application in the estimation of the axon diameter distribution along white matter bundles in whole-brain tractograms.

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Phase retrieval from q-space imaging for diffusion pore imaging
Kerstin Demberg1, Frederik Bernd Laun1,2, Peter Bachert1, Dieter Höpfel3, and Tristan Anselm Kuder1

1Medical Physics in Radiology, Deutsches Krebsforschungszentrum (DKFZ, German Cancer Research Center), Heidelberg, Germany, 2Institute of Radiology, University Hospital Erlangen, Erlangen, Germany, 3Electrical Engineering & Information Technology, Karlsruhe University of Applied Science, Karlsruhe, Germany

Diffusion pore imaging enables the detection of the average shape of arbitrary closed pores in an imaging volume element. Until now, an experimentally challenging phase measurement, either by measuring with a long-narrow gradient profile or by employing double diffusion encodings, was a prerequisite to obtain the full information on the Fourier transform of the pore image. In this study, we present a first experiment, where the phase information is recovered alone from the magnitude information acquired by q-space imaging. To solve this phase problem, we adopted a phase retrieval algorithm that is widely applied to X-ray diffraction data.

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Analytical solution for restricted diffusion in multilayered cylinders using the extended Multiple Correlation Function approach.
Kevin GINSBURGER1,2, Jean-François MANGIN2,3, and Cyril POUPON1,2

1I2BM / Neurospin / UNIRS, CEA, Gif-sur-Yvette, France, 2Université Paris-Saclay, Orsay, France, 3I2BM / Neurospin / UNATI, CEA, Gif-sur-Yvette, France

In this work, we used the extended Multiple Correlation Function (MCF) method to derive analytical expressions of the NMR signal in multilayered cylinder geometries for an arbitrary direction of the magnetic field gradient. Each layer of the cylinder is characterized by a diffusion coefficient and a relaxation time and each boundary between adjacent layers is characterized by a value of permeability in order to allow the modeling of the multilayered structure of axons surrounded by its myelin sheat.

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Comparison of diffusion propagator imaging metrics for accurate microstructure characterization in clinically acceptable scan times
Luis Miguel Lacerda1,2, Gareth John Barker2, and Flavio Dell'Acqua2

1Institute of Child Health, University College London, London, United Kingdom, 2Neuroimaging, King's College London, London, United Kingdom

Despite the abundance of models to describe the diffusion propagator, its usefulness has not yet been explored in a clinical/clinical research setting. In this study, we have compared global diffusion propagator imaging metrics to recently described measures of anisotropy and probability profiles at different displacement scales to characterise microstructure. Moreover, we have shown that these metrics offer complementary information to the ones currently established. Finally we have also acquired a "Reference Dataset" with several different diffusion weightings and demonstrated that by choosing the right combination, accurate reconstruction of both types of metrics is possible for clinically acceptable scan times. 

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Validation of Sensitivity of Fast Kurtosis Measurements to Tissue Microstructural Changes
Ting Gong1, Mu Lin1, Hongjian He1, Qiuping Ding1, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China

Diffusional kurtosis imaging (DKI) is a significant extension of diffusion tensor imaging, providing sensitive biomarkers to diseases at the cost of lengthy acquisition and post-processing time. Fast DKI method operating with kurtosis tensor and based on axially symmetric approximation was then proposed to overcome the disadvantage. To explore the clinical utility of fast DKI, a Monte Calo simulation was conducted on a tissue model to validate the sensitivity of fast kurtosis measurements to four microstructural changes. The results suggest that fast DKI method is reliable with reduced scan time but considerable sensitivity to microstructural Changes frequently occurred in neurological diseases.

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The spatial vs. angular resolution trade-off in diffusion MRI explored ex vivo at 9.4T
Giorgia Grisot1,2, Joseph M. Mandeville2, 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

The time constraints of in vivo diffusion MRI require a compromise to be made between spatial and angular resolution. Given the lack of ground truth on the configuration of human brain connections, determining the optimal operating point along this trade-off is still an open problem. We use high-SNR ex vivo human data at microscopic resolution to study the effect of spatial and angular resolution on dMRI tractography accuracy. Our findings show that voxel size has a much more dramatic effect on tractography reconstruction of challenging white matter configurations than the number of gradient directions.

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Measurement of the Diffusion-Selective T2 value in the Human Brain Using Diffusion-Weighted T2 map
Takuya Aoike1, Noriyuki Fujima2, Masami Yoneyama3, Suzuko Aoike1, Hiroyuki Sugimori4, Kinya Ishizaka1, and Kohsuke Kudo2

1Department of Radiological Technology, Hokkaido University Hospital, Sapporo, Hokkaido, Japan, 2Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, 3Philips Electronics Japan, 4Faculty of Health Sciences, Hokkaido University

The purpose of this study was to assess the variation of T2 values by T2 map with the pre-pulse of diffusion gradient (=DW-T2 map). T2 value of GM was gradually decreased as b-value increased. From this result, water diffusivity based selective removal of tissue component such as perfusion fraction or extracellular extravascular space can be obtained using DW-T2 map technique. This technique can reveal the more detain in the human brain tissue characteristics.

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Quantifying microstructure in low and high-grade brain tumours using VERDICT MRI
Thomas A Roberts1, Harpreet Hyare2,3, Ben Hipwell1, Andrada Ianus4, James O Breen-Norris1, Eleftheria Panagiotaki4, David Atkinson2, Shonit Punwani2, Jeremy Rees5, Sebastian Brandner6, Daniel C Alexander4, and Simon Walker-Samuel1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 2Centre for Medical Imaging, Division of Medicine, University College London, London, United Kingdom, 3UCL Institute of Neurology, Department of Brain Repair and Rehabilitation, London, United Kingdom, 4Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom, 5National Hospital for Neurology and Neurosurgery, London, United Kingdom, 6Division of Neuropathology, Institute of Neurology, University College London, United Kingdom

VERDICT (Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumours) MRI is a diffusion imaging technique which has shown promise in revealing information about tumour microstructure beyond ADC measures and structural imaging. We report the first application of VERDICT to human brain tumours. In this feasibility study, we characterise a mixed group of brain tumours using VERDICT, which includes a range of both low and high-grade gliomas; compare the VERDICT parameter maps with ADC maps, post-contrast T1w images and histological grading; and examine the repeatability of the technique.

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Rat brain development assessed by high-field neurite orientation dispersion and density imaging
Nicolas Kunz1, Stéphane V Sizonenko2, Rolf Gruetter1,3, Petra S Hüppi2, and Yohan van de Looij1,2

1Laboratoire d'imagerie fonctionnelle et métabolique, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Département développement et croissance, Université de Genève, Geneva, Switzerland, 3Département de radiologie, Geneva and Lausanne, Switzerland

Diffusion tensor imaging (DTI) has been widely used to study rodent brain development. Nevertheless, the parameters derived from DTI are sensitive to, but non-specific to, the tissue’s microstructure. Recently, NODDI (neurite orientation dispersion and density imaging) has been proposed. We aimed to estimate the real input of NODDI derived parameters in rodent brain development. ODI appears more accurate and specific to reflect GM (increase with dendritic arborization) and WM (decrease with myelination) development than FA and could be a very important parameter in the assessment of perinatal brain injuries. Conclusion about the other NODDI estimates requires further experiments.

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Disentangling myelination and axonal density using NODDI and mcDESPOT – a multimodal microstructure imaging approach
Samira Bouyagoub1, Nicholas G. Dowell1, Charlotte L. Clarke1, Tobias C. Wood2,3, Hui Zhang4, and Mara Cercignani1

1Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, Brighton, United Kingdom, 2Neuroimaging, IoPPN, King’s College London, London, United Kingdom, 3Wellcome Trust Consortium for Neuroimmunology of Mood Disorders and Alzheimer’s Disease, London, United Kingdom, 4Centre for Medical Image Computing, University College London, London, United Kingdom

There is an increasing demand for specific tissue microstructure markers that can be related to demyelination and axonal loss. Quantitative MRI techniques are sensitive to microscopic changes but tend to be non-specific. We propose to combine NODDI, a popular MRI diffusion technique, with mcDESPOT, a multi-component relaxation analysis technique, to obtain separate estimates of the volumes of myelin, extra-cellular and intra-cellular spaces. This multimodal MR approach opens the possibility to disentangle changes to myelination and axonal density with the exciting prospect of achieving in vivo histology.

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Negentropy: non-Gaussian characterization for Diffusion Spectrum Imaging
Gabriel Varela-Mattatall1, Alexandra Tobisch2,3, Rüdiger Stirnberg2, Steren Chabert4, Tony Stöcker2,3, Cristian Tejos1,5, and Pablo Irarrazaval1,5

1Biomedical Imaging Center, Santiago, Chile, 2German Center of Neurodegenerative Diseases (DZNE), Bonn, Germany, 3University of Bonn, Bonn, Germany, 4Department of Biomedical Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile, 5Department of Electrical Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile

Measuring non-Gaussianity in the diffusion signal has revealed new possibilities for discovering new biomarkers for clinical applications. Therefore, it results desirable to incorporate and quantify the non-Gaussian trait of the diffusion propagator in Diffusion Spectrum Imaging. Unfortunately, the established index known as Kurtosis is sensitive to noise, making it unfeasible to obtain from the noisier, but higher resolution propagator. In this work, we propose an alternative index known as Negentropy. We demonstrate from noisy simulations and in-vivo DSI data the robustness of the Negentropy index against Kurtosis.

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Detection of distinct tract-specific axon diameter and density estimates in the in vivo human brain using TractCaliber MRI
Susie Y Huang1, Thomas Witzel1, Qiuyun Fan1, Barbara Wichtmann2, Aapo Nummenmaa1, Lawrence L Wald1, and Eric Klawiter3

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 3Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

In this work, we apply the TractCaliber approach to a group of healthy subjects and show that distinct tract-specific estimates of axon diameter may be obtained in different white matter tracts in the normal human brain. Larger diameter axons are consistently estimated in the corticospinal tracts and are shown to be distinct from those in the cingulum, an adjacent and orthogonal white matter tract. The development of robust tract-specific axon diameter-weighted maps may be useful for refining existing tractography algorithms.

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A unified signal readout for reproducible multimodal characterisation of brain microstructure
Francesco Grussu1, Marco Battiston1, Ferran Prados1,2, Torben Schneider1,3, Enrico Kaden4, Sébastien Ourselin2, Rebecca S. Samson1, Daniel C. Alexander4, and Claudia A. M. Gandini Wheeler-Kingshott1,5,6

1UCL Institute of Neurology, Queen Square MS Centre, University College London, London, United Kingdom, 2Translational Imaging Group, Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 3Philips UK, Guildford, Surrey, United Kingdom, 4Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom, 5Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy, 6Brain MRI 3T Mondino Research Center, C. Mondino National Neurological Institute, Pavia, Italy

Multimodal imaging is very promising for characterising brain microstructure in vivo, but it is usually performed employing a variety of signal readouts, which disrupts the spatial correspondence of the multimodal features. Here we demonstrate a multimodal imaging protocol for detailed characterisation of brain microstructure with unified single-shot EPI readout. Our aim is to provide macromolecular volume via inversion recovery spin echo, neurite morphology via diffusion imaging in close spatial alignment and thus to combine those for estimating myelin g-ratio. We show that our protocol enables the evaluation of parametric maps with high reproducibility that capture biological differences among healthy subjects. 

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Probing Microstructure of Brain Tumor: A NODDI Study
Shin Tai Chong1, Hung-Wen Kao2, Chien-Yuan Eddy Lin3,4, Chiao-Chi Chen5, Ching-Po Lin1, and Chen Chang5

1Institute of Neuroscience, National Yang-Ming University, Taipei city, Taiwan, 2Department of radiology, Tri-Service General Hospital, National Defense Medical Center, Taiwan, 3GE Healthcare, Taipei, Taiwan, 4GE Healthcare MR Research China, Beijing, People's Republic of China, 5Institute of Biomedical Sciences, Academia Sinica, Taiwan

We hypothesized that the model-based diffusion model, Neurite Orientation Dispersion and Density Imaging (NODDI), could help probing microstructures of brain tumos in different types and gradings. The model perfomed better than a conventional diffusion model in differetiating meningiomas and gliomas in different grades while the two models showed significant differences of the diffusion indices between meningiomas and gliomas. In the NODDI analysis, both VFic and VFec show great potential to probe the cellularity of brain tumors.

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Ex-vivo visualization of the human trigeminal pathways using 11.7T  diffusion MRI and unique microscopy data
Dylan Henssen1,2, Jeroen Mollink1,3, Erkan Kurt2, Jules Janssen Daalen4, Robert van Dongen5, Ronald Bartels2, Tamas Kozicz1, and Anne-Marie van Cappellen van Walsum1

1Department of Anatomy, Donders Institute for Brain, Cognition & Behaviour, Radboud University Medical Center, Nijmegen, Netherlands, 2Department of Neurosurgery, Radboud University Medical Center, Nijmegen, Netherlands, 3Oxford Centre for Functional MRI of the Brain, University of Oxford, United Kingdom, 4Faculty of Medical Sciences, Radboud University, Nijmegen, Netherlands, 5Department of Anesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, Netherlands

To optimize neuromodulation therapy of orofacial pain, a more profound insight in the trigeminal pathways in the human brainstem is of crucial importance. Using ex-vivo, 11.7T magnetic resonance imaging, polarized light microscopy and myelin staining methods, both the ventral and dorsal trigeminothalamic tracts can be visualized in humans. The combination of these visualization techniques strengthens the validity of these findings although the number of specimens forms a limitation. Future research must show whether these results are reproducible in more human brains and whether the described tracts could lead to new neuromodulation targets for the treatment of orofacial pain.

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Orientation-invariant and non-parametric Axon Diameter Distribution mapping using PGSE and regularized discrete linear modeling
David Romascano1, Muhamed Barakovic1, Anna Auría1, Tim Bjørn Dyrby2,3, Jean-Philippe Thiran1,4, and Alessandro Daducci1,4,5

1Signal Processing Laboratory 5 (LTS5), EPFL, Lausanne, Switzerland, 2Danish Research Centre for Magnetic Resonance, Center for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark, 3Department of Applied Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark, 4University Hospital Center (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 5Computer Science department, University of Verona, Italy

Axon diameter distributions (ADDs) change during brain development and are altered in several brain pathologies. Mapping ADDs non-invasively using dMRI could provide a useful biomarker, but existing methods are either parametric, orientation-dependent, summarize the whole ADD as a single measure or use non-standard protocols. We propose to estimate the ADD from an orientation-invariant PGSE protocol optimized for axon diameter sensitivity, using a discrete linear model with smoothness and sparsity regularization. To our knowledge, we are the first to show that PGSE sequences can be used to extract orientationally invariant and non-parametric ADD estimates.


Electronic Poster

Diffusion: Body

Exhibition Hall Monday 13:45 - 14:45

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Diffusion-Weighted Split-Echo RARE Imaging Free Of Geometric Distortion for Renal MRI at Ultrahigh Fields
Joao Periquito1, Katharina Paul1, Till Huelnhagen1, Yiyi Ji1, Min-Chi Ku1, Kathleen Cantow2, Erdmann Seeliger2, Bert Flemming2, Dirk Grosenick3, Andreas Pohlmann1, and Thoralf Niendorf1,4

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrueck Center for Molecular Medicine, Berlin, Germany, 2Institut für Vegetative Physiologie, Charité - Universitätsmedizin Berlin, Berlin, Germany, 3Physikalisch-Tecnische Bundesanstalt (PTB), Berlin, Germany, 4Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrueck Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany

T2* mapping does not fully represent renal tissue oxygenation. Diffusion-weighted imaging (DWI) can provide information about confounding factors, which can be used to correct T2*. The most widely used DWI technique SE-EPI is sensitive to magnetic field inhomogeneities and hence prone to geometric distortions. In this work we propose a diffusion-weighted Rapid Acquisition Refocusing Enhancement (RARE) variant for DWI of the rat kidney free of geometric distortions. Phantom experiments validated the diffusion weighting implementation in the common RARE sequence. Ex-vivo and in-vivo experiments using diffusion-weighted RARE showed no geometric distortions at 9.4 Tesla.

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Improved algorithm for navigator-based free breathing cardiac diffusion tensor imaging
Fang Dong1 and Shi Cheng1

1Siemens Shenzhen Magnetic Resonance Ltd., ShenZhen, People's Republic of China

Cardiac diffusion tensor imaging is an effective way to depict the fiber structure of the myocardium. A navigator(NAV)-based stimulated-echo (STEAM) method was proposed by Nielles-Vallespin to obtain cDTI in vivo. However, its use of a biofeedback process where the subjects had to adapt their breathing pattern in real-time can hinder its clinical implementation. In this abstract, we optimized the NAV accept/reject algorithm, using which the scanning efficiency and the image SNR were both largely improved. Therefore, our work laid a great foundation for the clinical use of free breathing cDTI in the future.

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Application of diffusion kurtosis MR imaging in characterization of renal cell carcinomas with different pathological types and grades
Jie Zhu1, Ying Sa Li1, Jie Xiao Luo1, Dan Dan Zheng2, and Min Chen1

1Beijing Hospital, Beijing, People's Republic of China, 2GE healthcare, MR research China, People's Republic of China

Identification of subtypes and pathological grades of renal cell carcinoma (RCC) prior to treatment has clinical significance in determining a treatment strategy and evaluating prognosis. In our research, we detected microstructural differences of RCC by using diffusion kurtosis imaging (DKI). The results showed that DKI had good inter- and intra-observer reproducibility of RCC as a new reliable noninvasive biomarker. Kurtosis metrics showed statistical differences between RCC and contralateral renal parenchyma, among the subtypes of RCC, and between low- and high- grade clear cell RCCs. Thus, DKI has the potential application in depicting the microstructural characteristics of RCC.

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Origin of diffusion anisotropy in human kidney: a combined DTI and IVM study
Sophie van Baalen1, Bart Vroling1, Martijn Froeling2, and Bennie ten Haken1

1Faculty of Science and Technology, University of Twente, Enschede, Netherlands, 2Radiology, University Medical Centre Utrecht, Utrecht, Netherlands

To visualize the anisotropy of diffusion and pseudodiffusion, we have performed a two-tensor fit (D and D*) on IVIM data in healthy volunteers. We have performed tractography on both tensors and compared the results with tractography perfomed using a conventional DTI tensor fit. Tracking was possible using both D and the D* derived tensors and resulted in patterns similar to conventional tractography. We conclude that diffusion and pseudodiffusion both have an anisotropic component that can be visualized using tractography, which indicates that they both likely  contribute to the coherent diffusion anisotropy that is detected in conventional monoexponential DTI.

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ICA based filtering of IVIM-DWI data to improve fidelity of parametric diffusion maps in breast cancer patients
Dattesh D Shanbhag1, Tetsuya Wakayama2, Reem Bedair3, Andrew J Patterson4, Fiona J Gilbert3, Rakesh Mullick1, and Martin J Graves3,4

1GE Global Research, Bangalore, India, 2GE Healthcare, Hino, Japan, 3Department of Radiology, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom, 4Department of Radiology, Addenbrookes Hospital, Cambridge, United Kingdom

IVIM-DWI data can be potentially corrupted by eddy currents, susceptibility artifacts, motion and image reconstruction methods.  We hypothesized that artifacts in IVIM imaging could be separated from true diffusion decay using an independent component analysis (ICA) methodology. In this work , we demonstrate that with ICA based filtering of raw IVIM data, transients in IVIM data are removed, with consequent improvement in IVIM model fit quality and reduction in saturated values in pseudo-diffusion D*maps. This should therefore improve confidence in interpreting IVIM parametric maps in clinical practice.

3408
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A multi-directional methodology for discriminating benign from malignant lesions on DWI for women with dense breasts
Alan Penn1, Barry Reich1, Etta Pisano2, Vandana Dialani3, Elodia Cole2, David Brousseau4, Milica Medved5, Gregory S. Karczmar5, Guimin Gao5, and Hiroyuki Abe6

1Alan Penn & Assoc., Inc., Rockville, MD, United States, 2Beth Israel Deaconess Medical Center, 3Radiology, Beth Israel Deaconess Medical Center, 4California Hospital Medical Center, 5University of Chicago, 6Radiology, University of Chicago

We describe a new methodology for discriminating benign from malignant breast lesions on DWI for women with dense breasts and show that the new methodology results in statistically significant improvement over standard ADC methods.   The methodology uses computer models that can be constructed independently from the three directional DWI signals or from the trace signal.  Preliminary results show improved discrimination is obtained using the multi-directional models when compared to using the trace.  The methodology can be adapted for computer-aided-detection by tiling the image, independently marking each tile with areas of suspicion, and constructing a mosaic from the marked tiles.

3409
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Optimization of Intravoxel Incoherent Motion Measurement in Diffusion-Weighted Imaging of Breast Cancer
Wengjing Chen1, Juan Zhang2, Dan Long2, Zhenchang Wang3, and Jianming Zhu1

1Biomedical Engineering, China Jiliang University, Hangzhou, People's Republic of China, 2Radiology, Zhejiang Cancer Hospital, Hangzhou, People's Republic of China, 3Radiology, Beijing Friendship Hospital, Beijing, People's Republic of China

The purpose was to use intra-voxel incoherent motion (IVIM) measurement in DWI to distinguish benign from malignant breast tissues. IVIM-derived parameter maps D, f, and D* were computed using segmented fitting method with proper threshold b-value. The region of interests were avoided the area of calcification. With pathological diagnosis as the gold standard, receiver operating characteristic (ROC) curves for three parameters and f × D* reflect that the area under the curve (AUC) of D and f × D* are 0.862 and 0.726, respectively. It suggested that these two parameters have high significance for the diagnosis of breast cancer lesions. 

3410
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Diffusion weighted MR imaging–derived histogram Metrics for quantitative assessment of response to neoadjuvant chemoradiotherapy in local advanced rectal cancer: Initial Experience and Comparison between Single-Section and Volumetric Analyses
Yanfen Cui1, Xiaotang Yang 1, and Yong Zhang2

1Shanxi Province Tumor Hospital, Taiyuan, People's Republic of China, 2MR Advanced Application and Research Center, GE Healthcare China, People's Republic of China

This retrospective study was to determine the diagnostic accuracy of apparent diffusion coefficient (ADC) values to assess the response to CRT in patient with local advanced rectal cancer by using histogram analysis derived from single-section (SS) and whole-tumor volume (WTV) regions of interest (ROIs). and found that  Post-CRT ADC histogram metrics yield greater accuracy in discrimination between good and poor responders, especially in improving the specificity, compared with the mean ADC values.   


3411
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Distortionless diffusion weighted imaging of the prostate using a multi-shot Turbo Split Spin Echo BLADE sequence with bipolar diffusion gradients
Bart WJ Philips1, Katharina Paul2, Thoralf Niendorf2, and Tom WJ Scheenen1

1Radiology and Nuclear Medicine, Radboud University Medical Centre Nijmegen, Nijmegen, Netherlands, 2Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck-Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany

Diffusion weighted imaging is an important modality in assessing and detecting prostate cancer, but often suffers from distortion artifact introduced by the EPI readout. We propose a TSE-BLADE split-echo sequence that has the potential for obtaining non-distorted diffusion weighted imaging of the prostate, while obtaining accurate ADC estimations. It is shown to be robust to motion and phase induced artifacts that pester multi-shot diffusion weighted imaging, in phantom measurements and initial patient results.

3412
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Multiparametric MRI-Defined Prostate Cancer Includes Heterogeneous Pathologies
Qingsong Yang1, Ze-Zhong Ye2, Joshua Lin3, Peng Sun4, Chunyu Song5, Yasheng Zhu6, Jianping Lu1, and Sheng-Kwei Song5

1Department of Radiology, Changhai Hospital, Shanghai, China, shanghai, People's Republic of China, 2Chemistry, Department of Chemistry, Washington University, St. Louis, MO, United States, 3Department of Biology, Washington University, St. Louis, MO, United States, 4Department of Radiology, Washington University, St. Louis, MO, United States, 5Department of Biomedical Engineering, Washington University, St. Louis, MO, United States, 6Department of Urology, Changhai Hospital, Shanghai, China

Due to the overlapping apparent diffusion coefficient of prostate cancer (PCa), inflammation, and benign prostatic hyperplasia (BPH), mpMRI commonly results in false-positive PCa diagnosis. Based on the histology of whole mount section from prostatectomy, heterogeneous pathologies was clearly seen in the mpMRI-defined cancer region. Our recently-developed diffusion MRI histology (D-Histo) approach successfully differentiated and quantified PCa, inflammation and BPH. We report mpMRI and D-Histo results on 178 PCa-suspicious patients to demonstrate the causes of mpMRI false-positive PCa diagnosis.

3413
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Evaluation of Different Diffusion Models and Different B-value Ranges in the Detection of Peripheral Zone Prostate Cancer Using B-values up to 4500 s/mm2
Xiangde Min1, Zhaoyan Feng1, Liang Wang1, and Zhongping Zhang2

1Tongji Medical College, Huazhong University of Science & Technology, Wuhan, People's Republic of China, 2GE Healthcare China, Guangzhou 510080, China

We performed multi-b value diffusion-weighted imaging (DWI) to compare four phenomenological models (mono-exponential, bi-exponential, stretched exponential, and diffusion kurtosis imaging) with in vivo prostate cancer DWI data. A secondary aim is to compare results for different b-value ranges. The result showed that ADC derived from conventional mono-exponential model high b value (about 3200s/mm2) is an optional parameter for peripheral zone prostate cancer detection.

3414
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Feasibility of Accelerated Simultaneous Multi-Slice Diffusion-weighted MR Imaging of the Prostate
Jakob Weiss1, Petros Martirosian2, Jana Taron3, Ahmed E Othman3, Thomas Kuestner4, Michael Erb5, Jens Bedke6, Fabian Bamberg3, Konstantin Nikolaou3, and Mike Notohamiprodjo3

1Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany, 2Section on Experimental Radiology, University of Tuebingen, 3Diagnostic and Interventional Radiology, University of Tuebingen, 4University of Stuttgart, 5Department of Biomedical Magnetic Resonance, University of Tuebingen, 6Department of Urology, University of Tuebingen

Diffusion-weighted (DW) MRI of the prostate has increased the diagnostic accuracy for the detection of prostate cancer. However, acquisition time of DWI is still relatively long. Therefore, we evaluated the feasibility of simultaneous multi-slice (SMS) DWI for accelerated MRI of the prostate. Qualitative and quantitative image analyses in phantom, volunteer and patient measurements revealed similar image quality for DWISMS as compared to standard DWI sequences. Thus, DWISMS seems feasible for clinical routine in order to optimize patient throughput and economic efficiency, which is desirable, due to the recent implementation of prostate MRI into clinical guidelines and the expected increase in patient numbers.

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Effects of Echo Time on Diffusion Quantification of Prostate
Zhaoyan Feng1, Xu Yan2, Xiangde Min1, and Liang Wang1

1Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China, 2MR Collaboration NE Asia, Siemens Healthcare, Shanghai, People's Republic of China

We performed multi-b value and multi-TE diffusion imaging with two repetition on healthy human prostate to evaluate the influence of TE on reproducibility and quantification of IVIM diffusion model. The result showed that the Dstar and f parameters of IVIM model had high CVs and particularly high variability, while conventional ADC and D showed high reproducibility and a moderate TE-dependency in the peripheral zone and mild TE-dependency in the central zone. This work suggests that using diffusion parameters as quantitative biomarkers should consider the reproducibility and TE-dependency in clinical studies.

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Relationship between diffusion kurtosis imaging and RSI: application to prostate cancer
Roshan Karunamuni1, Joshua Kuperman1, Tyler Seibert1, Natalie Schenker1, Rebecca Rakow-Penner1, Jose Teruel Antolin1, Pal Erik Goa2, David Karow1, Anders Dale1, and Nathan White1

1University of California San Diego, San Diego, CA, United States, 2NTNU, Trondheim, Norway

This study explored the relationship between restriction spectrum imaging (RSI) and diffusion kurtosis imaging. Regions of interest for suspicious lesions and background tissue were identified in four patients with PIRADS 5 lesions. Kurtosis was estimated using either the signal fractions obtained from the RSI fit or the cumulant expansion for the NMR diffusion signal. A strong relationship was observed between RSI-derived restricted signal fraction and RSI-derived kurtosis. The performance of these two metrics was comparable in discriminating between suspicious lesions and background prostate tissue, and both outperformed the cumulant expansion approximation to kurtosis. 

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Detection of peripheral zone prostate cancer using diffusion-weighted intravoxel incoherent motion imaging
Jin Shang1, Hui Zhang1, Miaoling Li1, Jian Yang1, and Rong Wang*1

1Department of radiology, the first affiliated hospital of medical college, Xi'an Jiaotong University, Xi'an, People's Republic of China

DWI has been proven to improve prostate cancer detection, and it reflects and measures the diffusion of water molecules within biological tissues due to thermal Brownian motion. However, to improve the significance of DWI, it is necessary to evaluate separately the two components of diffusion: the puremolecular diffusion and the perfusion-related diffusion originating from capillary microcirculation. IVIM-DWI, applying a bi-exponential fitting function, allows the extraction of pure molecular diffusion parameters (D) and perfusion-related diffusion parameters (D* and f). Therefore, the aim of this study is to further characterize and compare the biexponential nature of the diffusion related signal decay with multiple b-factors for PZ PCa and healthy PZ areas.

3418
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Application of Fast SE-EPI-based T2 Mapping in Prostate, with Comparison to Conventional CPMG-Based T2 Mapping
Xu Yan1, Zan Ke2, Minxiong Zhou3, Caixia Fu4, Xiangde Min2, and Liang Wang2

1MR Collaboration NE Asia, Siemens Healthcare, Shanghai, People's Republic of China, 2Department of Radiology, Tongji Hospital,Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China, 3Shanghai University of Medicine & Health Sciences, Shanghai, People's Republic of China, 4Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, People's Republic of China

This study compared a fast SE-EPI-based T2 mapping method with a conventional CPMG-based method. The SE-EPI method is based on multi-TE data and can be integrated into a diffusion sequence with very fast acquisition speed (around 30 s). The voxel-by-voxel and region of interest (ROI)-based comparisons were performed using two methods, which showed that their T2 maps have a strong correlation. In addition, the clinical validation showed that the T2 maps of the two methods have similar statistical significance and can be used to differentiate between prostate cancer (PCa) and benign prostatic hyperplasia (BPH). This work suggests that the SE-EPI-based method is a quick quantification method, and could be used or combined with diffusion and other quantification methods for multi-parametric analysis. In addition, it may also have potential applications in body regions which are susceptible to motion artifacts.

3419
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The ADC characteristics of the bone marrow within different anatomical parts: a DWI MR based study
mi Yang1, xiaodong Ji2, Zhizheng Zhuo, and shuang Xia

1Department of Radiology, Tianjin first center hospital, Tianjin, People's Republic of China, 2Department of Radiology

The diffusion weighted imaging has been widely used in clinical disease diagnosis, and the ADC value plays a key role in this progress. At present, the ADC values of normal organs and tissues have been reported, but few studies have been done on ADC values of normal bone marrow within different anatomical parts. In this study, the ADC values within different anatomical parts of bone marrow were measured and analyzed by using WB-DWI (whole body diffusion weighted imaging). And we furtherly evaluated the relationship of these ADC values with age and gender.

3420
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Diffusion-Weighted Liver MRI in Forensic Medicine: A new radiological approach
Jin Yamamura1, Tony Schmidt2, Axel Heinemann, Roland Fischer1,3, Gerhard Adam1, and Sarah Keller1

1Diagnostic & Interventonal Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 2KH Rostock, 3Children's Hospital Oakland

In this original study and the first of its kind, the characteristic postmortem time course of liver ADC values were assessed over 24h after death. This results could be important as potential marker for tissue quality in liver transplantation. With the knowledge of the ex vivo data, DWI may be added to the MRI methods for a virtual autopsy. 

3421
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Simultaneous multislice diffusion weighted imaging in whole-body PET/MRI for accelerated multiparametric staging of oncologic patients.
Ferdinand Seith1, Jana Taron1, Christina Pfannenberg1, Konstantin Nikolaou1, Christina Schraml1, and Petros Martirosian2

1Department of Diagnostic and Interventional Radiology, Eberhard-Karls-University Tuebingen, Germany, Tuebingen, Germany, 2Section on Experimental Radiology, Eberhard-Karls-University Tuebingen, Germany, Tuebingen, Germany

Simultaneous multislice diffusion weighted imaging (SMS-DWI) is a promising technique to shorten scan time in MRI. Aim of our study was to compare the diagnostic performance of SMS-DWI to conventional DWI for multiparametric whole-body examinations of oncologic patients in PET/MRI. We performed an evaluation in three steps: First in a phantom study, second in a volunteer study and third in a patient study with 20 oncologic patients. We found that SMS-DWI led to a significant reduction of scan time and, although suffering from slightly impaired image quality, provided reliable ADC values and lesion conspicuity of PET positive lesions.

3422
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Use of texture analysis of intravoxel incoherent motion (IVIM) in evaluating the expression of Ki67 of hepatitis B virus-related hepatocellular carcinoma (HCC)
Qungang Shan1, Jingbiao Chen1, Ronghua Yan1, Yao Zhang1, Hao Yang1, Xin Li2, Zhongping Zhang3, Yunhong Shu4, Churong Lin, Tianhui Zhang1, Bingjun He1, Zhuang Kang1, Xi Long1, and Jin Wang1

1Department of Radiology, the Third Affiliated Hospital, Sun Yat-sen University (SYSU), Guangzhou, People's Republic of China, 2GE Healthcare MR Research China, Guangzhou, People's Republic of China, 3MR Research China,GE Healthcare, Beijing, 4Mayo Clinic

HCC is the second cause of cancer-related deaths and most HCC patients are accompanied with hepatitis B virus-related cirrhosis in China. Ki67 is a protein reflecting the proliferative activity of HCC and could be used as a predictor of prognosis. We assessed the value of the texture parameters in evaluating the expression of Ki67of HBV-related HCCs by whole tumor analysis. Our results showed that Dclusterprominence showed best diagnostic performance among all texture parameters. ADC and IVIM derived texture parameters might be used as useful and noninvasive biomarkers for evaluating the expression of Ki67 of HBV-related HCCs.

3423
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Feasibility of diffusion kurtosis imaging as a tool for differentiation between benign and malignant uterine lesions
Yoshihiko Fukukura1, Yuichi Kumagae1, Masanoari Nakajo1, Kiyohisa Kamimura1, Aya Umanodan1, Takashi Iwanaga2, Tomoyuki Okuaki3, and Takashi Yoshiura1

1Radiology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan, 2Radiological Technology, Kagoshima University Hospital, Kagoshima, Japan, 3Philips Electronics Japan, TN, Japan

This study focused on the feasibility of DKI for differentiating benign from malignant uterine lesions. The ADC and D of malignant tumor (MT) were significantly lower than those of endometrial hyperplasia (EH) (p=0.005 and 0.004), uterine fibroid (UF) (both, p<0.001), normal endometrium (NE) (both, p<0.001), and normal myometrium (NM) (both, p<0.001), which indicative of the increased cellularity within uterine malignant tumor that resulted in restricted water diffusion. K was significantly higher in MT than in EH (p=0.003), UF (p<0.001), NE (p<0.001), and NM (p<0.001), possibly representing complexity of tissue microstructure in MT compared to benign lesions. DKI enables differentiate benign from malignant uterine lesions.

3424
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Zero-TE computed Diffusion Weighted Imaging Technique for the abdomen
Hiroshi Kusahara1, Yuki Takai1, and Yoshimori Kassai1

1MRI Systems Development Department, Toshiba Medical Systems Corporation, Tochigi, Japan

In this study is to adapt the short-TE cDWI (sTE-cDWI) technique, including the “Zero-TE”, validated previously in the brain4 to the abdominal region. The algorithm under evaluation allows computing diffusion images for arbitrary combinations of TE and b-value based on three acquisitions (3-points method). With this method we demonstrate it is possible to suppress T2 shine-through effects and as well as improve the signal-to-noise and contrast-to-noise ratios of tissues with short T2 and low ADC. The clinical benefits of the method and the preliminary results on volunteers are discussed.

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Comparison between IVIM combined with fuzzy clustering algorithm and IVIM combined with Bayesian method in the thyroid cancer
Kaining Shi1, Fengmao Chiu2, Yunlong Yue3, Lee Jiang4, Lili Zuo3, and Yanfang Jin3

1Philips Healthcare (China), Beijing, People's Republic of China, 2Philips Healthcare, Taipei, Taiwan, 3Department of MR, Beijing Shijitan hospital of capital medical university, Beijing, People's Republic of China, 4Philips Healthcare (China), Suzhou, People's Republic of China

To improve the stability of the nonlinear curve fitting of IVIM, the Fussy clustering technique (FCM) and data driven Bayesian approach are combined with IVIM in the imaging of thyroid tumors. Both FCM and Bayesian approach can improve the homogeneity of IVIM parameters. With limited sample size, FCM has similar diagnosis efficiency with conventional method using less calculation time, while Bayesian approach doesn’t increase the diagnosis efficiency.

3426
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Evaluation of the reduced field-of-view Diffusion Weighted Imaging for staging of endometrial adenocarcinoma
Hiroki Hori1,2, Toshio Yamaguchi3, Hisashi Yoshihara1, Youko Murakami1, Yoshiyuki Konishi2, Yoshihiro Muragaki2,4, Jinichi Sasanuma5, and Kazuo Watanabe5

1Radiology, Shin-Yurigaoka General Hospital, Kanagawa, Japan, 2Faculty of Advanced Techno-Surgery (FATS), Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Tokyo, Japan, 3Research Institute for Medical Imaging, Shin-Yurigaoka General Hospital, Kanagawa, Japan, 4Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan, 5Neurosurgery, Shin-Yurigaoka General Hospital, Kanagawa, Japan

The objective of this retrospective study is to evaluate the differences of the accuracy in endometrial adenocarcinoma using FOCUS DWI compared to that using conventional SS-EPI DWI. We calculated the accuracy by the interpretation of magnetic resonance (MR) imaging and the pathology. The accuracy in the FOCUS DWI was significantly better than that in the SS-EPI DWI. This may be due to the decrease of distortion in DWI, which induced the artifacts. There was improvement of the accuracy using the FOCUS DWI in the patient who had suspected endometrial adenocarcinoma.  


Electronic Poster

Metabolism, Diabetes, Fat Imaging

Exhibition Hall Monday 13:45 - 14:45

3427
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Sex and ethnic differences in abdominal fat partitioning and adipose tissue hydration in 4.5-year-old Asian children
Suresh Anand Sadananthan1, Mya Thway Tint2, Navin Michael1, Kuan Jin Lee3, Lynette Pei-Chi Shek4, Yap Kok Peng Fabian5,6, Keith M Godfrey7, Melvin Khee-Shing Leow8,9, Yung Seng Lee1,4, Michael S Kramer2,10,11, Peter D Gluckman1,12, Yap Seng Chong1,2, Christiani Jeyakumar Henry8, Marielle Valerie Fortier13, and S. Sendhil Velan3

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, 7MRC Lifecourse Epidemiology Unit & NIHR Southampton Biomedical Research Centre, University of Southampton & University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, 8Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, A*STAR, Singapore, 9Department of Endocrinology, Tan Tock Seng Hospital, Singapore, 10Department of Paediatrics, Faculty of Medicine, McGill University, Montreal, Canada, 11Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Canada, 12Liggins Institute, University of Auckland, Auckland, New Zealand, 13Department of Diagnostic and Interventional Imaging, KK Women’s and Children’s Hospital, Singapore

In this study, we used MR-based estimation of abdominal fat distribution and the degree of adipocyte hypertrophy to study sex and ethnic differences in 4.5-year-old Asian children. Our results show sexual dimorphism in abdominal fat distribution in preschool children. Girls had higher subcutaneous fat depot volumes and lower adipose tissue hydration than boys. We also found that at 4.5 years, both deep and superficial subcutaneous fat volumes in Indian children were higher, while the ethnic difference in internal fat was non-significant. These differences may help explain why Indians are more susceptible to metabolic and cardiovascular diseases.

3428
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Inter-ethnic variation and SCD1 polymorphism predict risk for intramyocellular lipid accumulation in early childhood
Navin Michael1, Varsha Gupta1, Suresh Anand Sadananthan1, Aparna Sampathkumar1, Li Chen1, Hong Pan1, Mya Thway Tint2, Kuan Jin Lee3, Lynette Pei-Chi Shek4, Yap Kok Peng Fabian5,6, Keith M Godfrey7, Melvin Khee-Shing Leow8,9, Yung Seng Lee1,4, Michael S Kramer2,10,11, Yap Seng Chong1,2, Christiani Jeyakumar Henry8, Marielle Valerie Fortier12, Peter D Gluckman1,13, Neerja Karnani1,14, and S. Sendhil Velan3

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, 7MRC Lifecourse Epidemiology Unit & NIHR Southampton Biomedical Research Centre, University of Southampton & University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, 8Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, A*STAR, Singapore, 9Department of Endocrinology, Tan Tock Seng Hospital, Singapore, 10Department of Paediatrics, Faculty of Medicine, McGill University, Montreal, Canada, 11Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Canada, 12Department of Diagnostic and Interventional Imaging, KK Women’s and Children’s Hospital, Singapore, 13Liggins Institute, University of Auckland, Auckland, New Zealand, 14Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

A large intramyocellular lipid (IMCL) pool is associated with early pathogenesis of insulin resistance and type 2 diabetes. Studies from mother-offspring cohorts indicate that, like obesity and metabolic traits, IMCL is also highly heritable. However, here have been not many studies on the effect of genetic variation on IMCL. Although a number of genome-wide association studies (GWAS) have established associations between several genetic loci and metabolic disorders, it is not yet known if these loci also contribute to IMCL levels, and help explain ethnic difference in IMCL levels. In this study, we examined the ethnic differences (Indian, Malay and Chinese) in IMCL in Singaporean children and the genetic risk variant(s) associated with these differences.

3429
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Determination of Droplet Size Distribution in Brown Adipose Tissues by Diffusion NMR Spectroscopy
Sanjay Kumar Verma1, Jadegoud Yaligar1, Navin Michael2, Tian Xianfeng1, Venkatesh Gopalan1, Suresh Anand Sadananthan2, Rengaraj Ananthraj1, and S. Sendhil Velan1,2

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Singapore Institute for Clinical Sciences, Singapore

Non-Invasive Imaging of Brown Adipose Tissue is of significant interest due to its potential to combat obesity and diabetes. In this study, we have utilized diffusion spectroscopy to estimate the droplet size distribution in chow and high-fat diet fed brown adipose tissues obtained from rodents. The high-fat diet BAT exhibited reduction in the restriction due to the increase in droplet size. The histology results confirm the droplet size distribution in both control and high-fat diet tissues.

3430
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Detection of Brown Adipose Tissue: Hyperpolarized 129Xe MRI vs Xenon Enhanced CT
Rosa Tamara Branca1,2, Andrew McCallister1,2, Hong Yuan2, Le Zhang2,3, Alex Burant1,2, and Michael Antonacci1,2

1Physics and Astronomy, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 3Material Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States

Despite histological evidence that all humans have brown adipose tissue, the detection of this tissue in overweight and obese subjects has proven to be a challenge. Here we demonstrate the combined used of hyperpolarized xenon gas (HP129Xe) MRI and xenon enhanced CT for the detection of BAT thermogenic activity and mass in lean and obese mouse phenotypes as well as our preliminary results in healthy young volunteers.

3431
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Anti-FGFR1/KLB treatment reduces hepatic fat fraction in a murine model of NAFLD
Maj Hedehus1, Mark Z. Chen2, Jose Zavala-Solorio2, Lance Kates2, Oded Foreman3, Junichiro Sonoda2, and Richard A. D. Carano1

1Biomedical Imaging, Genentech, Inc., South San Francisco, CA, United States, 2Molecular Biology, Genentech, Inc., South San Francisco, CA, United States, 3Research Pathology, Genentech, Inc., South San Francisco, CA, United States

Anti-FGFR1/KLB is a novel experimental therapy to treat metabolic disorders and reverse lipid accumulation in the liver.  MRI estimates of proton density fat fraction demonstrated a dose-dependent anti-FGFR1/KLB treatment effect in a murine model of NAFLD.

3432
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Supraclavicular and gluteal adipose tissue PDFF is associated to volumes of VAT and SAT and to anthropometric obesity markers in healthy adults
Daniela Franz1, Dominik Weidlich1, Friedemann Freitag1, Christina Holzapfel2, Thomas Baum1, Holger Eggers3, Ernst J. Rummeny1, Hans Hauner2, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 2Else Kröner Fresenius Center for Nutritional Medicine, Technical University of Munich, Munich, Germany, 3Philips Research Laboratory, Hamburg, Germany

Proton density fat fraction (PDFF) mapping has been emerging as important metabolic phenotyping parameter in obesity enabling spatially-resolved fat quantification in multiple organs. PDFF of adipose tissue has also recently gained significant attention due to the interest in developing biomarkers of brown fat which is assumed to be present in the adult supraclavicular fossa. However, it remains unknown how adipose tissue PDFF relates to other fat depots and anthropometric parameters. The present study aims to investigate the relationship of the supraclavicular and gluteal fat PDFF with SAT and VAT volumes and anthropometric obesity markers.

3433
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Clinical evaluation of the early renal hypoxia in Type 2 Diabetes based on BOLD-MRI
Junjie Ren1, Shengzhang Ji1, Chunxia Li2, Zhizheng Zhuo3, and Hao Wang1

1The 4th center hospital of TianJin, Tianjin, People's Republic of China, 2Inner Mongolia people's hospilal, Inner Mongolia, People's Republic of China, 3Philips Healthcare, Beijing, People's Republic of China

Till now the type 2 diabetes (T2DM) is more and more prevalent, and diabetic nephropathy (DN) has become the main leading cause of end-stage renal disease (ESRD). However the onset of DN is always ambiguous. In recent years, many studies focused on the change of renal oxygenation in diabetes and showed renal hypoxia especially in medulla. Blood oxygen level dependent magnetic resonance imaging (BOLD-MRI) is a non-invasive method that can assess hypoxia in prostate gland by utilizing the endogenous contrast generated by paramagnetic deoxyhemoglobin.

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Characterization of brown and white adipose tissue in 7-year old children
Jonathan Andersson1, Emma Kjellberg2,3, Elin Lundström1, Mathias Engström4, Josefine Roswall2,3, Stefan Bergman5, Pär-Arne Svensson6, Håkan Ahlström1,7, Jovanna Dahlgren2, and Joel Kullberg1,7

1Department of Radiology, Institution of Surgical Sciences, Uppsala University, Uppsala, Sweden, 2Department of Pediatrics, the Institution of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 3Department of Pediatrics, Halland Hospital, Halmstad, Sweden, 4Applied Science Laboratory, GE Healthcare, Uppsala, Sweden, 5Primary Health Care Unit, Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 6Department of Pediatric Radiology, The Sahlgrenska University Hospital, Gothenburg, Sweden, 7Antaros Medical, Mölndal, Sweden

The purpose of this study was to characterize and compare brown and white adipose tissue in 7 year-old overweight/obese and normal weight children using whole-body water-fat MRI. Correlations were also performed between the brown adipose tissue measurements and other measurements, such as VAT and SAT volumes. Results overall showed expected differences and associations to several measures relevant for obesity. We conclude that whole-body water-fat MRI of 7 year-old children is feasible and allows characterization of brown and white adipose tissue. 

3435
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Urine Metabolic profiling of patients with colorectal cancer based on NMR and Pattern Recognition
Wang Zhening1, Liang Jiahao1, Huang Yao1, Ma Changchun2, Wu Renhua1, Yang Jurong3, Liu Xingmu4, and Lin Yan1

1Radiology Department, Second Affiliated Hospital, Shantou University Medical College, Shantou, People's Republic of China, 2Radiation Oncology, Affiliated Tumor Hospital, Shantou University Medical College, Shantou, People's Republic of China, 3Shantou University Central Laboratory and NMR Unit, Shantou, People's Republic of China, 4Surgery Deparment, Second Affiliated Hospital, Shantou University Medical College, Shantou, People's Republic of China

After our fecal metabonomic study of colorectal cancer (CRC) patients recently published in Oncotarget , we profiled urine metabolites from the same group of CRC patients, 40 age-matched healthy controls (HC), 18 esophageal cancers (EC), using proton nuclear magnetic resonance spectroscopy in conjunction with a multivariate statistics technique. OPLS-DA revealed that each stage of CRC could be clearly distinguished from HC and EC based on their different metabolomic profiles. These altered urine metabolites of CRC patients from HC potentially involved in the disrupted common pathways, and the different metabolites in CRC compare to EC indicated the special of the CRC.

3436
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Spin Densities and Relaxation Parameters of the Spectral Components of Brown Fat and Subcutaneous Fat with Localized 1H-MRS at 3T.
Ronald Ouwerkerk1, Aaron Cypess2, Kong Chen2, Peter Herscovitch3, Robert Brychta2, Brooks P Leitner2, and Ahmed M Gharib1

1Biomedical and Metabolic Imaging Branch, NIDDK, Bethesda, MD, United States, 2Diabetes, Endocrinology, and Obesity Branch, NIDDK, Bethesda, MD, United States, 3PET, NIH Clinical Center, Bethesda, MD, United States

1H-MRS was used to measure relaxation properties, lipid peak ratios and water content of white adipose tissue (WAT) and brown adipose tissue (BAT) in humans with the aim of providing information that can be used to improve MRI based methods for identifying BAT.

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Receiver operating characteristic analysis of fat fraction reveals no universal cut-off to reliably identify in vivo brown adipose tissue in adult humans
Terence Jones1,2, Sarah Wayte3, Narendra Reddy4, Oludolapo Adesanya1, Thomas Barber2,4, and Charles Edward Hutchinson1,2

1Department of Radiology, University Hospitals Coventry & Warwickshire NHS Trust, Birmingham, United Kingdom, 2Warwick Medical School, University of Warwick, Coventry, United Kingdom, 3Medical Physics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, United Kingdom, 4Department of Endocrinology, University Hospitals Coventry & Warwickshire NHS Trust, Birmingham, United Kingdom

Lower fat content within brown adipose tissue (BAT) compared to white adipose tissue (WAT) has been exploited using Dixon-based MRI imaging methods to visualize BAT but is subject to inter-rater variability. To determine the optimal fat fraction threshold for identifying BAT, receiver operating characteristic (ROC) analyses of fat fraction maps derived from 3 point IDEAL MRI scans were performed for sixteen subjects.

This method had good-to-excellent accuracy in four cases, and fair accuracy in two, but failed in ten. A single universal cut-off point to differentiate BAT and WAT could not be identified, instead the optimal thresholds varied between individuals.


3438
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Adipose tissue and ectopic fat responses to an extended fast in healthy male adults
Alison Sleigh1,2, Ajay Thankamony3, Albert Koulman4, Vlada Bokii1, Graham J Kemp5, Leanne Hodson6, and David B Dunger3

1Wolfson Brain Imaging Centre, University of Cambridge, Cambridge, United Kingdom, 2NIHR/WT Clinical Research Facility, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 3Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom, 4MRC Human Nutrition Research, Cambridge, United Kingdom, 5Department of Musculoskeletal Biology, University of Liverpool, Liverpool, United Kingdom, 6Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, United Kingdom

We have investigated the response of different fat deposits to a 28 h fast in healthy nonobese males and shown significant increases in CH2 IMCL in both the soleus and tibialis anterior muscles, and significant decreases in subcutaneous fat. Increases in TA and SOL IMCL correlated with oleic and palmitic acid FFA concentrations respectively. The compositional change of IMCL during the fast related inversely to the baseline composition, suggesting a selective efflux of unsaturated shorter chain IMCLs for preferential oxidation, which is in agreement with rat biopsy data, and supportive of the idea of IMCL as a flexible lipid store.

3439
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Identification and in vivo quantification of fatty acid metabolism in liver of a lipogenic methionine-choline-deficient diet-fed animal model by using magnetic resonance spectroscopy at 9.4 T
Kyu-Ho Song1, Song-I Lim1, Min Young Lee1, 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, Korea, Republic of

Non-alcoholic steatohepatitis (NASH) is associated with metabolic syndrome as a result of insulin resistance and the accumulation of lipid droplets within hepatocytes. There is a need to diagnose and to accurately assess the progressive severity of hepatic steatosis with non-invasive biomarkers that are distinguishable from those in non-alcoholic fatty liver disease (NAFLD). Our findings demonstrate that fatty acid metabolism (saturated- and unsaturated-fatty acids) of hepatic steatosis induced by a methionine-choline diet can be distinguished from progressive NAFLD by using high-resolution magnetic resonance spectroscopy (MRS).

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Metabolic Imaging of Brown Adipose Tissue Activation by Exercise in Control and High Fat Diet Fed Rats
Venkatesh Gopalan1, Jadegoud Yaligar1, Sanjay Kumar Verma1, Suresh Anand Sadananthan2, Anna Ulyanova1, Navin Michael2, Anantharaj Rengaraj1, Tian Xianfeng1, and S. Sendhil Velan1,2

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Singapore Institute for Clinical Sciences, Singapore, Singapore

Exercise is an important intervention for correction of irregular fat-partitioning and treatment of metabolic dysfunction. There is a large interest in development of non-invasive methods for activation of brown adipose tissue (BAT) due to its potential to combat obesity. In this study we have investigated exercise induced BAT activation and IMCL from skeletal muscle of rodents fed with control and high fat diet. Our results show that exercise modulates the brown fat with reduction in fat fraction, increased UCP1 expression and reduction in “white” like adipocytes in control and high fat diet fed rats.

3441
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Metabolic Imaging of Aging Adipose Tissues
Venkatesh Gopalan1, Sanjay Kumar Verma1, Jadegoud Yaligar1, Anantharaj Rengaraj1, Tian Xianfeng1, Bhanu Prakash K N1, Suresh Anand Sadananthan2, Navin Michael2, and S. Sendhil Velan1,2

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Singapore Institute for Clinical Sciences, Singapore, Singapore

There is a global interest in healthy aging and also to avoid metabolic dysfunction.   BAT and WAT play an important role in modulating the energy expenditure.   In this study we have investigated the interscapular BAT and abdominal adipose tissues in young and old rats.  During aging the iBAT activity is reduced due to the increase in “white” like adipocytes.  The abdominal adipose tissues including VAT and SAT show increase in adipocyte size resulting in hypertrophy. Modulating these fat depots with nutritional interventions is of significant clinical interest.

3442
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Automated MRI fat quantification in obese patients – impact of reader experience and degree of obesity on time exposure
Nicolas Linder1,2, Alexander Schaudinn1,2, Nikita Garnov1,2, Roland Stange1,2, Kilian Solty1,2, Thomas Rakete1,2, Nora Dipper1,2, Sophia Michel1,2, Thomas Karlas2,3, Matthias Blüher2,4, Stefanie Lehmann2, Andreas Oberbach2, Rima Chakaroun4, Thomas Kahn1, and Harald Busse1

1Diagnostic and Interventional Radiology, Leipzig University Hospital, Leipzig, Germany, 2Integrated Research and Treatment Center (IFB) AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany, 3Department of Internal Medicine, Neurology and Dermatology, Division of Gastroenterology and Rheumatology, Leipzig University Hospital, Leipzig, Germany, 4Department of Internal Medicine, Neurology and Dermatology, Division of Endocrinology and Nephrology, Leipzig University Hospital, Leipzig, Germany

The last decades have seen an increasing socioeconomic impact of obesity and obesity-related diseases. Noninvasive measures like subcutaneous and visceral adipose tissue (SAT, VAT) amounts and are also increasingly correlated with other, often clinical or metabolic findings as well as independent patient characteristics, even interventional complication rates. MRI fat quantification is common but manual processing is often laborious and time consuming while fully automatic segmentation is prone to errors. This work takes a custom-made semiautomatic MRI tool and prospectively analyzes the processing and interaction times for readers with different experience as well as patients from different BMI groups. 

3443
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Preliminary study for the quantification of fatty composition and relation to metabolic syndrome using modified Dixon method.
Satoshi Goshima1, Kimihiro Kajita2, Tomoyuki Okuaki3, Keita Fujimoto1, Shoma Nagata1, Yoshifumi Noda1, Hiroshi Kawada1, Nobuyuki Kawai1, Hiromi Koyasu1, and Masayuki Matsuo4

1Radiology, Gifu University Hospital, Gifu City, Japan, 2Radiology, Gifu University Hospital, Gifu City, 3Philips Healthcare, Tokyo, Japan, 4Gifu University Hospital, Gifu City, Japan

We successfully quantified fatty acid composition in the liver, subcutaneous, and visceral fat tissue using modified Dixon technique with flexible six echo times and seven-peak spectral model with lipid components. Our results suggested that fatty acid composition of depot fat was varied among the patients with different metabolic status. We also demonstrated the possible relationship of unsaturated fatty acid in depot fat to cholesterol level and insulin tolerance.

3444
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Liver and muscle energy metabolism in patients with organic acidemias using 31P and 1H MR spectroscopy
Alessandra Bierwagen1,2, Daria Caspari3, Maik Rothe1,2, Klaus Straßburger2,4, Jong-Hee Hwang1,2, Michael Roden1,2,5, and Regina Ensenauer3

1Institute for Clinical Diabetology, German Diabetes Center, Leibniz Institute for Diabetes Research, Heinrich Heine University, Duesseldorf, Germany, 2German Center for Diabetes Research (DZD e.V.), Partner Düsseldorf, Duesseldorf, Germany, 3Experimental Pediatrics and Metabolism, University Children’s Hospital, Heinrich Heine University, Duesseldorf, Germany, 4Institute for Biometrics and Epidemiology, German Diabetes Center, Leibniz Institute for Diabetes Research, Heinrich Heine University, Duesseldorf, Germany, 55Department of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University, Duesseldorf, Germany

This study assessed energy and fat metabolism in a well phenotyped cohort of patients with organic acidemias using non-invasive MR spectroscopy. 31P and 1H spectra of the liver as well as 1H spectra of the muscle were acquired in 27 patients and 30 healthy controls (age-, sex-, BMI-matched). We found higher liver fat content in patients with propionic acidemia. The level of creatine in the soleus muscle was higher in patients with methylmalonic acidemia and propionic acidemia. In conclusion, the results provide evidence for previously unknown abnormalities of liver fat and muscle energy metabolism in patients with organic acidemias.

3445
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Validity of estimating subcutaneous and visceral fat volume from single MRI slice in older adults with sarcopenia and sarcopenic obesity
Yu Xin Yang1, Wee Shiong Lim1,2, Mei Sian Chong1, Laura Tay1,2, Suzanne Yew1, Audrey Yeo1, and Cher Heng Tan3

1Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore, Singapore, 2Geriatric Medicine, Tan Tock Seng Hospital, Singapore, Singapore, 3Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, Singapore

The demand for measurements of fat quantities is driven by the rising prevalence of sarcopenia and sarcopenic obesity (SO). In order to reduce the time and the cost of image processing, several studies have estimated the subcutaneous fat (SF) and visceral fat (VF) volume from a single slice. However, the population of studies may not have necessarily included patients with either sarcopenia or SO. This study aims to determine the correlation between the cross-sectional areas in a single slice at different vertebra levels and the volumes of SF and VF in the abdomen for sarcopenic and SO populations using MRI.

3446
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Water-fat MRI demonstrates seasonal proliferation of brown adipose tissue near the eyes of juvenile hibernators: An additive effect of cold exposure
Amanda DV MacCannell1, Kevin Sinclair 2, Lannete Friesen-Waldner2, Charles A McKenzie2, and James Staples1

1Biology, University of Western Ontario, London, ON, Canada, 2Medical Biophysics, University of Western Ontario, London, ON, Canada

Hibernating mammals use brown adipose tissue (BAT) as a primary source of heat production. Volumes of both white adipose tissue (WAT) and BAT increase in the autumn even when temperatures are warm. Between Aug 19th and Oct 13th we used water-fat MRI to measure the dynamics of BAT and white adipose tissue as ground squirrels prepared for hibernation under either cold or thermoneutral temperatures. We found that the volume of a tissue that resembles BAT around the eye, increased significantly in cold exposed animals to warm exposed in October, as the animals are preparing for winter.

3447
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Evaluation of renal hemodynamics and oxygenation with BOLD, oxygen extraction fraction (OEF) and ASL techniques in animal model of diabetic nephropathy
Rui Wang1, Zhiyong Lin1, Xueqing Sui1, Kai Zhao1, and Feng Wei1

1Radiology, Peking University First Hospital, Beijing, People's Republic of China

Our study was to investigate the feasibility of using blood oxygen level dependent (BOLD), oxygen extraction fraction (OEF) and arterial spin labeling (ASL) techniques for the detection of renal hemodynamics and oxygenation changes in rabbits with diabetic nephropathy (DN).

3448
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The effects of sprint interval training on visceral, subcutaneous and hepatic fat stores: An MRI and 1H-MRS study of lipid content and composition
Stephen Bawden1,2, Jack Sargeant3, Liz Simpson4, Mehri Kaviani2, Myra Nimmo5, Penny Gowland2, Ian MacDonald4, James King3, and Guruprasad P Aithal1

1NIHR Nottingham Digestive Diseases Unit, Nottingham University Hospitals, University of Nottingham, Nottingham, United Kingdom, 2Sir Peter Mansfield Imaging Center, Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom, 3NIHR The Leicester-Loughborough Diet, Lifestyle & Physical Activity Biomedical Research Unit, University Hospitals of Leicester and Loughborough University, 4Metabolic Physiology Group, Faculty of Medicine and Health Sciences, University of Nottingham, United Kingdom, 5College of Life and Environmental Sciences, University of Birmingham

In this study, 9 obese male participants underwent 6 weeks of sprint interval training (SIT) and changes in visceral, subcutaneous and intra-hepatocellular fat were measured using MRI and MRS at baseline, control (>4 weeks later) and post exercise. Change in liver lipid composition was also assessed.

3449
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Multiparametric MR characterisation of a high-fat, high-cholesterol diet rodent model of liver disease
Manil Chouhan1, Tim Bray1, John Connell2, Jane MacNaughtan3, Alan Bainbridge4, Helen Jones3, Abeba Habtieson3, Nathan Davies3, Rajiv Jalan3, Shonit Punwani1, Tammy Kalber2, Mark Lythgoe2, Margaret Hall-Craggs1, Rajeshwar Mookerjee3, and Stuart Taylor1

1UCL Centre for Medical Imaging, University College London, London, United Kingdom, 2UCL Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 3UCL Institute for Liver and Digestive Health, University College London, London, United Kingdom, 4Department of Medical Physicist, University College London Hospitals NHS Trust, London, United Kingdom

There is a growing interest in the development of new animal models of non-alcoholic fatty liver disease.  In this study, we use T1, proton density fat fraction (PDFF) and R2* mapping to characterise hepatic parenchymal tissue and the evolution of MR properties over time in a high-fat, high-cholesterol diet model of fatty liver disease.

3450
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Longitudinal Assessment of Visceral and Subcutaneous Adipose Tissue in Obese Patients undergoing Weight Loss Surgery
Curtis N Wiens1, Cristobal Arrieta2, Ignacio Osorio2, Ben Ratliff1, Timothy J Colgan1, Alan B McMillan1, Nathan S Artz1,3, Luke Funk4, Guilherme M Campos4,5, Jacob Greenberg4, Daniela Esparza2, Sergio Uribe6,7, Claude B Sirlin8, and Scott B Reeder1,9,10,11,12

1Radiology, University of Wisconsin, Madison, WI, United States, 2Electrical Engineering, Pontificia Universidad Catolica de Chile, Santiago, Chile, 3Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States, 4Surgery, University of Wisconsin, Madison, WI, United States, 5Surgery, Virginia Commonwealth University, Richmond, VA, United States, 6Radiology, Pontificia Universidad Catolica de Chile, Santiago, Chile, 7Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 8Radiology, University of California, San Diego, CA, United States, 9Medical Physics, University of Wisconsin, Madison, WI, United States, 10Medicine, University of Wisconsin, Madison, WI, United States, 11Emergency Medicine, University of Wisconsin, Madison, WI, United States, 12Biomedical Engineering, University of Wisconsin, Madison, WI, United States

This work monitored longitudinal changes in visceral (VAT) and subcutaneous (SCAT) adipose tissue in response to weight loss.  Twenty-one patients undergoing clinical weight loss surgery (WLS) were recruited for 5 MRI studies: 2-3 weeks prior, 1 day prior to WLS and 1, 3, and 6 months post-WLS. Single breath-hold, chemical shift encoded acquisitions were analyzed using an Osirix semi-automated segmentation software to monitor changes in VAT and SCAT volumes.  Continual reductions in VAT and SCAT were measured over the five visits.  At every visit, each patient’s relative body fat distribution remained relatively constant despite overall reductions in both VAT and SCAT.


Electronic Poster

Diffusion: Validation

Exhibition Hall Monday 14:45 - 15:45

3451
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Quantitation of DTI changes associated with muscle injury using a 3D printed phantom
David B Berry1, Shangting You2, John Warner2, Lawrence Frank3, Shaochen Chen2, and Samuel R Ward1,3,4

1Bioengineering, University of California, San Diego, San Diego, CA, United States, 2Nanoengineering, University of California, San Diego, San Diego, CA, United States, 3Radiology, University of California, San Diego, San Diego, CA, United States, 4Orthopaedic Surgery, University of California, San Diego, San Diego, CA, United States

Diffusion tensor imaging has been proposed as a tool to non-invasively assess skeletal muscle microstructure, which would be of significant clinical value. However, its application to the assessment of changes in muscle microstructure associated with injury, pathology, or age remain poorly defined because it is difficult to precisely control muscle microstructural features in vivo. Recent advances in bottom up fabrication technologies allow precision-engineered diffusion phantoms with histology informed skeletal muscle geometry to be manufactured. Therefore, the goal of this study was to develop skeletal muscle phantoms at relevant size scales in order to relate microstructural features to MRI-based diffusion measurements.

3452
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Accuracy of ADC measurements with an Ultrashort Echo Time Diffusion Weighted stimulated echo 3D Cones sequence (DW-STEAM 3D Cones UTE)
Paul Baron1, Dirk H.J. Poot1,2,3, Piotr A. Wielopolski1, Edwin H.G. Oei1, and Juan A. Hernandez-Tamames1

1Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, Netherlands, 2Medical Informatics and Radiology, Erasmus Medical Center, Rotterdam, Netherlands, 3Imaging Science and Technology, Delft University of Technology, Delft, Netherlands

Diffusion weighted STEAM with UTE readout is a promising acquisition method to measure diffusion in tissues with short T2 and T2*, such as tendons, ligaments and menisci. However, the accuracy of the ADC obtained with this method has not been studied before. Using experiments and Bloch simulations we show that the ADC can be biased, especially when a short TR is used, and that this bias depends on T1 and T2. Randomization of the diffusion gradient direction reduces the bias, providing clear suggestions to improve acquisition and/or post processing that reduces the ADC bias.

3453
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A biomimetic tumour tissue phantom for validating diffusion-weighted MRI measurements
Damien J. McHugh1,2, Fenglei Zhou1,2,3, Penny L. Hubbard Cristinacce1, Josephine H. Naish1, and Geoffrey J. M. Parker1,2,4

1Centre for Imaging Sciences, The University of Manchester, Manchester, United Kingdom, 2CRUK and EPSRC Cancer Imaging Centre in Cambridge and Manchester, Manchester, United Kingdom, 3The School of Materials, The University of Manchester, Manchester, United Kingdom, 4Bioxydyn Ltd., Manchester, United Kingdom

This work investigates the stability of a water-based biomimetic tumour tissue phantom, and evaluates its potential as a tool for validating diffusion-weighted (DW) MRI measurements. As with biological tissue, and unlike most previous phantoms for tumour DW-MRI, the phantom’s apparent diffusion coefficient depends on diffusion time, with values stable over six months. DW-MRI-based estimates of microstructural parameters exhibited bias, possibly indicating limitations in the analysis model or acquisition scheme. It is envisaged that such phantoms will aid investigation of DW-MRI tumour microstructural models, and more generally will act as realistic test objects for comparing DW-MRI-derived biomarkers obtained from different scanners/sites.

3454
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Providing Ground Truth Quantification of Anisotropic Diffusion MRI Imaging with a Hollow Textile Phantom
Sudhir Kumar Pathak1, Catherine Fissell1, David Okonkwo2, and Walter Schneider1

1Psychology, University Of Pittsburgh, Pittsburgh, PA, United States, 2Neurosurgery, University Of Pittsburgh Medical Center, PA, United States

A novel Textile Anisotropic Brain Imaging Phantom incorporating textile hollow fibers (taxons with inner/outer diameter 12/34 micron) is used to validate diffusion MRI imaging (dMRI).  The taxon intra and extra spaces can be filled with water or deuterium.  A taxon crossing pattern and a packing density pattern is manufactured to test orientation and the amount of taxons. NODDI based Intra-cellular volume fraction is correlated with the amount of taxons (r2=0.96) as compared to FA which is poor predictor with r2=0.11. Fiber crossings are estimated using Constrained Spherical Deconvolution techniques and can be resolved for angles greater then 45 degrees.

3455
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Cost effective 3D printed brain phantom for diffusion MRI
Arush Honnedevasthana Arun1, Shivaprasad Ashok Chikop1, Nithin N Vajuvalli1, Rashmi Rao1, and Sairam Geethanath1

1Dayananda Sagar Institutions, Bangalore, India

Diffusion weighted MRI is used to measure diffusion properties in the brain. In this paper, the method for the creation of an anatomically and mechanically realistic brain phantom from polyvinyl alcohol cryogel (PVA-C) and a 3D printable brain phantom using Poly Lactic Acid (PLA) PLA is proposed. PVA-C is material widely used in medical imaging phantoms because of its mechanical similarities to soft tissues. This brain phantom will allow testing and optimization of diffusion based MR methods.

3456
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Robustness of Local Connectome Fingerprint Explored: Using a Multi-center and Multi-vendor Study
Vincent Kyu Lee1,2, Ashok Panigrahy1,2, Vincent J. Schmithorst1,2, Thomas Chenevert3, Borjan Gagoski4, Deqiang Qiu5, Peter S. LaViolette6, Jeffrey I. Berman7, Timothy D. Verstynen8, and Fang-Cheng Yeh9

1Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 2Radiology, Children's Hospital of Pittsburgh UPMC, Pittsburgh, PA, United States, 3Radiology, University of Michigan, Ann Arbor, MI, United States, 4Radiology, Boston Children’s Hospital, Boston, MA, United States, 5Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States, 6Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 7Radiology, Children’s Hospital of Philadelphia, Philadelphia, PA, United States, 8Psychology, Carnegie Mellon University, Pittsburgh, PA, United States, 9Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, United States

In this study we explore whether scanner-related-variabilities contribute to an individual’s distinct fingerprint – and whether the fingerprint specificity would be robust as a biomarker by scanning the same subject across multiple vendors and multiple scanner in four institutions. Both Diffusion Tensor Imaging and Multi-shell Multi-band diffusion imaging (MSMBDI) was tested, and differences within acquisition type (using fractional anisotropy and normalized quantitative anisotropy) and between acquisition types comparisons (using q-space diffeomorphic reconstruction) analysis were examined.  We found that scanner may contribute partly to the fingerprint patter, but the fingerprint was robust at maintaining pattern, especially in MSMBDI to warrant further studies.

3457
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Quantitative evaluation of PROPELLER DWI using QIBA diffusion phantom
Joshua Yung1, Hua Ai1, Ho-Ling Liu1, and R Jason Stafford1

1Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

The purpose of this study was to characterize ADC values when varying imaging parameters in a diffusion-weighted (DW) FSE sequence with Periodically Rotated Overlapping ParallEL Lines with Enhanced Reconstruction (PROPELLER) k-space trajectory. The QIBA diffusion phantom was used to quantitatively evaluate the different pulse sequences. The DW PROPELLER sequence showed good agreement with the QIBA SE EPI sequence with the ETL=20 and b-value of 0 and 2000 s/mm2 sequence having with a r2=0.9034. The DW PROPELLER sequence is promising for quantitative evaluation of ADC values and this study may help improve clinical protocols using diffusion weighted imaging.


3458
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Quantitative evaluation of apparent diffusion coefficient in a large multi-unit institution using QIBA diffusion phantom
Joshua Yung1, Yao Ding1, Ken-Pin Hwang1, Carlos E Cardenas2,3, Hua Ai1, Michael A Boss4, Thomas L Chenevert5, Clifton Fuller6, and R Jason Stafford1

1Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 2Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 3The University of Texas Graduate School of Biomedical Sciences, Houston, TX, United States, 4Physical Measurement Laboratory, National Institute of Standards and Technology, Boulder, CO, United States, 5Radiology, University of Michigan, Ann Arbor, MI, United States, 6Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

The purpose of this study was to determine the quantitative variability of apparent diffusion coefficient values across a large fleet of MR systems. Using a NIST traceable magnetic resonance imaging diffusion phantom, imaging was reproducible and the measurements were quantitatively compared to known values. Significant differences in identical phantoms were not observed, but uncertainty in the measurements was seen at low apparent diffusion coefficient values. The same trend was observed when the diffusion phantoms were imaged in 20 different MR systems. The characterization of ADC variability for these systems provides an improved quality control for quantitative diffusion weighted imaging. 

3459
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Reproducibility of DTI Metrics and the Influence of SNR on DTI metrics in a Longitudinal Multicenter Clinical Trial
Xiaopeng Zhou1, Ken Sakaie1, Josef Debbins2, Robert Fox1, and Mark J. Lowe1

1The Cleveland Clinic, Cleveland, OH, United States, 2Barrow Neurological Institute, Phoenix, AZ, United States

SPRINT-MS is a large-scale longitudinal phase II trial including 27 3T MRI scanners to evaluate the treatment of progressive multiple sclerosis with Ibudilast.  DTI measures showed high reproducibility in a longitudinal multicenter study, making it appropriate for use as a biomarker. The longitudinal design of the SPRINT-MS trial is expected to mitigate the systematic influence of SNR on DTI, but the observed trend may be useful as a correction factor in cross-sectional studies.

3460
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A Novel Yeast Cells- and Microcapillaries-Based Phantom for Validation of Diffusion MRI Models
Shir Levy1, Darya Morozov1, Inbar Seroussi2, Leah Bar2, Nir Sochen2, and Yoram Cohen1,3

1School of Chemistry, The Raymond and Baverly Sackler Faculty of Exact Science, Tel Aviv University, Tel Aviv, Israel, 2School of Mathematical Sciences, The Raymond and Beverly Sackler Faculty of Exact Science, Tel Aviv University, Tel Aviv, Israel, 3Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel

Numerous different models provide detailed microstructure information from diffusion MRI data. In order to challenge them, there is a need for complex phantoms with known structural characteristics. For this purpose, we present a novel phantom, consists of spherical fixed yeast cells and cylindrical microcapillaries. Despite of its complexity, arising from the different size, geometry and size distribution of the restricted compartments, there is a good correlation between the known ground truth and the features that were extracted from fitting single diffusion encoding (SDE) MRI experimental data, assuming continued or discrete weight of size distribution.  

3461
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The use of novel validation methods to investigate optimal ROI location and probabilistic thresholds in tractography for presurgical planning in brain tumour patients.
Gideon Ayokunmi Oluniran1,2, Marcelo Lemos1, Jeorg Ederle3, Jozef Jarosz4, Gareth John Barker1, and Jonathan Ashmore4

1Neuroimaging, King's College London, London, United Kingdom, 2Physics, Federal University, Ndufu-Alike, Ikwo, Abakaliki, Ebonyi State, Nigeria, 3Neuroradiology, King's College Hospital, London, United Kingdom, 4Neuroradiology, King’s College Hospital, London, United Kingdom

Although advanced tractography techniques exists and are well documented, many validation methods are not applicable to brain tumour cases and do not examine the possibility of proposing standard probabilistic thresholds. Using a novel approach, we investigate certain thresholds (‘safe’ thresholds) which can be applied to probabilistic tractography to reduce false representation of tracts, aid maximal tumour resection, and limit neurofunctional deficit from surgical treatments. We also examine optimal region of interest (ROI) location.  ‘Safe’ thresholds can be determined, and with a wider confidence when tractography is defined with inclusion regions.

3462
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Theory, validation and application of blind source separation to diffusion MRI for tissue characterisation and partial volume correction
Miguel Molina-Romero1,2, Pedro A Gómez1,2, Jonathan I Sperl2, Andrew J Stewart3, Derek K Jones4, Marion I Menzel2, and Bjoern H Menze1

1Technische Universität München, Munich, Germany, 2GE Global Research Europe, Garching, Germany, 3EMRIC, Cardiff University, Cardiff, United Kingdom, 4CUBRIC, Cardiff University, Cardiff, United Kingdom

Here we present blind source separation (BSS) as a new tool to analyse multi-echo diffusion data. This technique is designed to separate mixed signals and is widely used in audio and image processing. Interestingly, when it is applied to diffusion MRI, we obtain the diffusion signal from each water compartment, what makes BSS optimal for partial volume effects correction. Besides, tissue characteristic parameters are also estimated. Here, we first state the theoretical framework; second, we optimise the acquisition protocol; third, we validate the method with a two compartments phantom; and finally, show an in-vivo application of partial volume correction.

3463
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Histological validation of microstructural measures derived from the PICASO model
Lipeng Ning1, Tanguy Duval2, Julien Cohen-Adad2, and Yogesh Rathi1

1Harvard Medical School, Boston, MA, United States, 2Polytechnique Montréal

We propose to validate the PICASO (Precise Inference and Characterization of Structural Organization)1 biophysical model of tissue microstructure using a full-slice histology of cat spinal cord. The PICASO model was fit to high resolution diffusion MRI (dMRI) of a cat spinal cord to estimate microstructural measures of diffusion disturbance, which is directly related to axonal packing and density. We found that the structural disturbance coefficient (SDC) in the direction orthogonal to the fiber orientation from the PICASO model was strongly correlated with the axonal density obtained from histology2, with a correlation coefficient of r=0.67. Thus, the SDC could provide very precise information about the microscopic arrangement of axons or cells in biological tissue.

3464
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The histological validation analysis of diffusional kurtosis imaging with a cleared mouse brain.
Ryusuke Irie1, Koji Kamagata1, Aurelien Kerever2, Suguru Yokosawa3, Yosuke Otake3, Hisaaki Ochi3, Kazuhiko Tagawa4, Hitoshi Okazawa4, Ryo Ueda5, Kohske Takahashi6,7, Kanako Sato1, Masaaki Hori1, Eri Arikawa Hirasawa2, and Shigeki Aoki1

1Radiology, Juntendo University School of Medicine, Tokyo, Japan, 2Research Institute for Diseases of Old Age, Juntendo University Graduate School of Medicine, Tokyo, Japan, 3Research & Development Group, Hitachi Ltd., Tokyo, Japan, 4Neuropathology, Tokyo Medical and Dental University, Tokyo, Japan, 5Radiological Sciences, Tokyo Metropolitan University Graduate School of Human Health Sciences, Tokyo, Japan, 6Psychology, Chukyo University, Nagoya, Japan, 7Araya Brain Imaging, Tokyo, Japan

Diffusional kurtosis imaging (DKI) is a sensitive technique to analyze brain microstructure but that has little histological foundation. In this study, we evaluated a relationship between DKI parameters with neurite density measured by a confocal microscopy of the cleared mouse brain. There was a strongly positive correlation between neurite density and DKI parameters in the caudate nucleus and putamen, whereas the correlation between neurite density and fractional anisotropy was moderate. DKI reflect neurite density in an area with crossing fibers, so that can evaluate more complex microstructures than diffusion tensor imaging.

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An affordable phantom for ADC/FA; a device for multi-site studies
Koji Sakai1, Toshiaki Nakagawa2, Ryusuke Nakai3,4, Hiroyasu Ikeno2, Seiji Yamaguchi3, Hiroaki Takadama3, and Kei Yamada1

1Kyoto Prefectural University of Medicine, Kyoto, Japan, 2Kyoto Prefectural University of Medicine Hospital, 3Chubu University, 4Kyoto University

Multi-site study gives large statistical power for the results. Some intrinsic differences among scanners are recognizing as an inevitable property. Isotropic diffusion has already been discussing. In contrast, anisotropic diffusion has been evading the endeavor because of the absence of an easily available anisotropic diffusion phantom. We compared DTI measures among five different MR scanners at three different sites using commercially and easily available astriction cotton. The averaged coefficient of variation for longitudinal repeated acquisitions of DTI on five different MR scanners were stable. The scan-rescan properties of five different MR scanners can be comparable by anisotropic diffusion phantom.

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Reduction of susceptibility-induced field gradients in multi-fibre diffusion phantoms via susceptibility matching
Ezequiel Farrher1, Johannes Lindemeyer1, Farida Grinberg1,2, Ana-Maria Oros-Peusquens1, and N. Jon Shah1,2,3

1Institute of Neuroscience and Medicine 4, Forschungszentrum Jülich, Jülich, Germany, 2Department of Neurology, Faculty of Medicine, RWTH Aachen University, Aachen, Germany, 3JARA – BRAIN – Translational Medicine, RWTH Aachen University, Aachen, Germany

Studies performing diffusion-weighted MRI on anisotropic fibre phantoms suffer from microscopic background field gradients induced by differences in the magnetic susceptibility of the employed materials. We present a particularly promising approach that makes use of a matched magnesium chloride solution to eliminate these effects. The method is thoroughly studied and successfully validated on a crossing-fibre phantom containing two perpendicularly crossing fibre populations. The obtained results are no longer subject to any orientation-dependence with respect to B0.

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Diffusion radiomics analysis in intratumoral heterogeneity of murine prostate cancer following radiotherapy: pixel-wise correlation with histology
Yu-Chun Lin1,2, Gigin Lin1,2, and Chun-Chieh Wang2,3

1Dep. Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan, Taiwan, 2Chang Gung University, Taoyuan, Taiwan, 3Dep. Radiation Oncology, Chang Gung Memorial Hospital, Taoyuan, Taiwan

To investigate the biological meaning of apparent diffusion coefficient (ADC) in tumors following radiotherapy. Five mice bearing TRAMP-C1 tumor were half-irradiated. Diffusion-weighted images were acquired using multiple b-values of up 0 to 3000 s/mm2. The pixelwise ADC positively correlated with extracellular space and nuclear size, and negatively correlated with nuclear count, cytoplasmic space and nuclear space. Optimal ADC was achieved at b-value of 800 s/mm2 in determining the treatment response. Pixelwise ADC values correlate with histology metrics might be a means of in vivo radiomics biomarkers for evaluating tumor heterogeneity and responses to radiotherapy.

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Hypoxia imaging of head and neck carcinoma: Correlation between DWI parameters and FAZA-PET activity
Akiko Imaizumi1,2, Takayuki Obata1, Yasuhiko Tachibana1, Masayuki Inubushi3, Mitsuru Koizumi4, Kyosan Yoshikawa5, Ming-Rong Zhang6, Katsuyuki Tanimoto7, Rintaro Harada8, Takashi Uno8, and Tsuneo Saga9

1Applied MRI Research, Molecular Imaging and Theranostics, National Institute of Radiological Sciences, National Institutes for Quantum and Radiological Science and Technology, Chiba, Japan, 2Department of Oral and Maxillofacial Radiology, Tokyo Dental College, Tokyo, Japan, 3Department of Nuclear Medicine, Kawasaki Medical School, 4Department of Nuclear Medicine, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 5Molecular Imaging and Theranostics, National Institute of Radiological Sciences, 6Department of Radiopharmaceuticals Development, National Institute of Radiological Sciences, 7National Institute of Radiological Sciences Hospital, 8Diagnostic Radiology and Radiation Oncology, Graduate School of Medicine, Chiba University, 9Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University

To investigate the usefulness of diffusion-weighted imaging (DWI) for visualizing hypoxia of head and neck carcinoma, the correlation between DWI parameter estimates and 18F-fluoroazomycin arabinoside (FAZA) positron emission tomography (PET) activity was evaluated. The diffusion coefficients and fractions of the fast and slow compartments according to the 2-compartment model (Dfast, Dslow and Ffast, Fslow) were estimated. The diffusional kurtosis (K) and the corrected diffusion coefficient (D) were also obtained according to the diffusional kurtosis imaging (DKI) method. Amongst the DWI estimates, Dslow and K were significantly correlated with FAZA-PET activity, which suggests they might be useful as indicators of hypoxia.

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7.0 T Diffusion Tensor Imaging Evaluation of Rabbit Sciatic Nerve Microstructure with Histologic Correlation
Tina Jeon1, Emil Stefan Vutescu2, Eric Aronowitz3, Henning U Voss3, Jonathan P Dyke3, and Darryl B Sneag1

1Radiology and Imaging, Hospital for Special Surgery, New York, NY, United States, 23Department of Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY, United States, 3Citigroup Biomedical Imaging Center, Weill Cornell Medical College, New York, NY

High-resolution DTI is a promising tool to evaluate peripheral nerve regeneration following surgical repair of nerve injury. The spatial resolution achieved with 7.0 T allowed us to more confidently interrogate the nerve for measuring fractional anisotropy (FA) and diffusivity and to perform fiber tracking as compared to 3.0 T. Among DTI metrics, FA correlated the greatest with axonal density and diameter. These findings support that DTI has the potential to measure axonal regeneration in the peripheral nerves at preclinical and clinical field strengths.

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Diffusion-weighted MRI of node tissue: correlation of mean diffusivities and cellularity.
Mariaulpa Sahalan1, Aritrick Chatterjee1, Nyoman Kurniawan2, Gary Cowin2, Laurence Gluch3, Carl Power4, Geoffrey Watson5, Kevin Tay6, Julie Fletcher7, David Taylor8, and Roger Bourne1

1Faculty of Health Sciences, The University of Sydney, NSW, Australia, 2Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 3The Strathfield Breast Centre, NSW, Australia, 4Biological Resources Imaging Laboratory, University of New South Wales, NSW, Australia, 5Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, NSW, Australia, 6Westmead Breast Cancer Institute, NSW, Australia, 7Concord Repatriation General Hospital, NSW, Australia, 8Vetnostics, NSW, Australia

Improvement of sensitivity and specificity in DWI-based assessment of nodal diseases is dependent on a better understanding of how nodal microstructures affect the water diffusivity in tissue. In this abstract we report the first diffusion microimaging investigation of formalin fixed node tissue with the aim of assessing any correlation between mean diffusivity and cellularity. Mean diffusivity was calculated in ROI corresponding to distinct node sub-structures. Nuclei were segmented semi-automatically to measure the cellularity metrics: nuclear count and nuclear area. The results showed there is no significant correlation between mean diffusivity with cellularity metrics in the nodal tissues.

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Reproducibility of SMT-Based Microscopic Diffusion Anisotropy Imaging on a Clinical MRI System
Cara Louise Foley1, Enrico Kaden2, Kiran Seunarine1, Matt Hall1, David Carmichael1, Jonathan Clayden1, and Chris Clark1

1Developmental Imaging & Biophysics, University College London, London, United Kingdom, 2Centre of Medical Image Computing, University College London, London, United Kingdom

Diffusion Tensor Imaging (DTI) is a widely used neuroimaging technique, but it lacks specificity. Advanced diffusion models aim to yield greater biophysical information than DTI. This information is redundant if the parameters cannot be accurately reproduced across time-points. Multi-shell diffusion images were acquired on a single 3T scanner at two time-points for ten healthy adults. Mean parameter values from SMT-based microscopic diffusion anisotropy imaging and DTI were obtained in white matter, cortex and thalami. The advanced model performed similarly well to DTI in white matter, but was less consistent in the cortex and thalami, potentially due to its increased complexity. 

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Scan-rescan of AxCaliber, macromolecular tissue volume and g-ratio in the spinal cord
Tanguy Duval1, Victoria Smith2, Eric Klawiter2, Nikola Stikov1,3, and Julien Cohen-Adad1,4

1NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, QC, Canada, 2A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 3Montreal Heart Institute, Montreal, QC, Canada, 4Functional Neuroimaging Unit, CRIUGM, Montreal, QC, Canada

Translating quantitative MRI to clinical research raises many challenges in term of acquisition strategy, modeling of the MRI signal, artifact corrections (sensitivity to motion and distortion) and metric extraction (template registration and partial volume effects). In this work, we wanted to validate the repeatability of this entire framework, from the acquisition to the extraction of the metrics using a template-based approach. We took advantage of the 300 mT/m gradients from the connectome scanner for estimating robustly AxCaliber metrics, MTV, and g-ratio in the spinal cord of eight healthy subjects, scanned and rescanned in two different sessions. Our results show good scan-rescan repeatability (r>0.7, small deviations <5%), and demonstrate the capability of these metrics to detect inter-subjects (through ICC) and inter-fiber-pathways differences (through ANOVA analysis).

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Reducing complexity of functional imaging: free-breathing imaging based ADC and IVIM measurements are as accurate as breath-hold measurements in renal cell carcinoma
Neil P Jerome1,2, Matthew R Orton2, James A d'Arcy2, David J Collins2, Martin O Leach2, and Dow-Mu Koh3

1Department of Circulation and Medical Imaging, NTNU - Norwegian University of Science and Technology, Trondheim, Norway, 2Radiotherapy & Imaging, The Institute of Cancer Research, London, United Kingdom, 3Department of Radiology, The Royal Marsden Hospital, London, United Kingdom

Respiratory motion represents a serious confounding factor for abdominal imaging; for more complex diffusion models such as IVIM, acquisition of diffusion-weighted images in successive breath-holds offers control of motion for sharper images. In this patient study, DWI was performed in free-breathing and consecutive breath-holds, without registration, on successive days without intervention to determine repeatability. Derived tumour ROI parameters from ADC and IVIM models were not significantly affected between breathing regimes, but observed coefficients of variation for free-breathing were smaller for all pseudo-diffusion related parameters. Breath-holding is time inefficient, and free-breathing allows more data collection for development of robust DWI markers.


Electronic Poster

Diffusion: Tractography & Fiber Modeling

Exhibition Hall Monday 14:45 - 15:45

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When does a volume of a bundle achieve saturation? A microstructure informed tractography study
Muhamed Barakovic1, David Romascano1, Gabriel Girard1, Maxime Descoteaux1,2, Jean-Philippe Thiran1,3, and Alessandro Daducci1,3,4

1Signal Processing Lab (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Sheerbrooke Connectivity Imaging Laboratory (SCIL), University of Sheerbrooke, Canada, 3University Hospital Center (CHUV) and University of Lausanne (UNIL), Switzerland, 4Department of Computer Science, University of Verona, Italy

Volumetric analysis of bundles derived from tractography is a popular statistical measure used in neurological disorder studies. Recent research performed by Gauvin shows that different bundles saturate with different tractography parameters, however, to achieve that saturation millions of streamlines need to be computed. In this investigation, the aim was to use microstructure informed tractography, a novel technique that combine tractography and microstructure models, to study the saturation of the bundles. This study has found that generally microstructure informed tractography makes the volume estimation less sensitive to tracking parameters. The findings may have profound implications in volumetric analysis in group studies.

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Structure tensor informed fibre tractography at 3T
Kwok-shing Chan1, David G. Norris1, and José P. Marques1

1Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, Netherlands

Structure tensor informed fibre tractography (STIFT) based on diffusion images at 3T and gradient-echo images at 7T has shown improvement in the accuracy of white matter bundles tracking in the presence of kissing and crossing fibres. In this study, we implemented STIFT using both DWI and GRE images at 3T. We further demonstrated white matter contrast presence in T2* mapping and quantitative susceptibility mapping derived from GRE data can be used to compute structure tensor. The benefits of STIFT are shown in two tractography applications.

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Stability metrics for optic radiation tractography: towards damage prediction after resective surgery
Stephan Meesters1,2, Pauly Ossenblok2,3, Louis Wagner2, Olaf Schijns2,4, Paul Boon2, Luc Florack1, Anna Vilanova3,5, and Remco Duits1

1Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, Netherlands, 2Academic Center for Epileptology Kempenhaeghe & Maastricht UMC+, Heeze, Netherlands, 3Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 4Neurosurgery, Maastricht UMC+, Maastricht, Netherlands, 5Mathematics and Computer Science, Delft University of Technology, Delft, Netherlands

An accurate delineation of the optic radiation (OR) is useful in reducing the risk of a visual field deficit after temporal lobe resective surgery. However, tractography, especially of the probabilistic kind, is prone to generate spurious (false-positive) streamlines that are poorly aligned with the surrounding bundle. Fiber-to-bundle coherence measures are applied to identify and remove spurious fibers, which together with test-retest parameter estimation can provide a reconstruction of the OR that is robust to the stochastic realization of probabilistic tractography. Pre- and post-operative comparison of the OR is performed for epilepsy patients to quantify the accuracy of damage prediction.

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Structural Connectivity Within Neural Ganglia: A Default Small-World Network
Abdol Aziz O. Ould Ismail1,2, Ghoncheh Amouzandeh1,3, and Samuel Colles Grant1,2

1Center for Interdiscplinary Magnetic Resonance, Florida State University, Tallahassee, FL, United States, 2Chemical & Biomedical Engineering, Florida State University, Tallahassee, FL, United States, 3Physics, Florida State University, Tallahassee, FL, United States

Diffusion tensor imaging (DTI) provides a unique contrast based on the restricted directionality of water movement in an anisotropic environment. As such, DTI-based tractography can be used to characterize and quantify the structural connectivity within neural tissue. Here, structural connectivity within isolated abdominal neural ganglia of Aplysia californica (ABG) is assessed by integrating DTI and network theoretical analysis. For ABG, findings demonstrate a default structural network with preferential specific small-world properties when compared to simulated lattice and random networks that are equivalent in order and degree.

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Atlas Construction in Diffusion MRI via Angular Patch Matching
Zhanlong Yang1,2, Geng Chen2, Dinggang Shen2, and Pew-Thian Yap2

1College of Marine, Northwestern Polytechnical University, Xi'an, People's Republic of China, 2Department of Radiology and BRIC, UNC Chapel Hill, Chapel Hill, NC, United States

Construction of brain atlases is generally carried out using a two-step procedure involving registering a population of images to a common space and then fusing the aligned images to form an atlas. In practice, image registration is not perfect and simple averaging of the images will blur structures and cause artifacts. In diffusion MRI, the problem is even more challenging, since the alignment of gross anatomical structures does not necessarily guarantee the alignment of the microstructural information captured in each voxel. In this situation, it is unclear for example how signals characterizing fiber bundles of varying orientations, which can occur naturally across subjects, should be fused to form the atlas. Moreover, the commonly used simple averaging method is sensitive to outliers.

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The impact of High-Q and High-K on complex fiber structures in the human brain
Iain Bruce1, Christopher Petty1, Hing-Chiu Chang2, Nan-Kuei Chen1,3, and Allen W Song1

1Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC, United States, 2Department of Diagnostic Radiology, University of Hong Kong, 3Biomedical Engineering, University of Arizona, Tuscan, AZ, United States

In this diffusion MRI study, we investigated the impact of high angular resolution (high-Q) and high spatial resolution (high-K) on complex fiber structures. It was found that while high-Q was able to resolve crossing fibers within a given region, high-K provided additional spatial details of these crossing fibers in the same location. In addition, diffusion data from high-K improved characterization of high-curvature fibers, which cannot be adequately resolved with high-Q. It is thus concluded that high-K is preferred when both crossing and high-curvature fibers need to be resolved, as in human connectome analysis.

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REPRODUCIBILITY OF GRAPH METRICS ESTIMATED FROM ALTERNATIVE STRATEGIES OF NETWORK WEIGHTING:EVIDENCES FROM REPEAT MRI SCANS
STAVROS I DIMITRIADIS1,2, MARK DRAKESMITH2, SONYA BELLS3, GREG PARKER3, DAVID LINDEN3, and DEREK K JONES4

1SCHOOL OF MEDICINE, Institute of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicin, CARDIFF, United Kingdom, 2SCHOOL OF MEDICINE, Cardiff University Brain Research Imaging Center (CUBRIC), School of Psychology, Cardiff University, Cardiff, United Kingdom, CARDIFF, United Kingdom, 3SCHOOL OF PSYCHOLOGY, Cardiff University Brain Research Imaging Center (CUBRIC), School of Psychology, Cardiff University, Cardiff, United Kingdom, CARDIFF, United Kingdom, 4SCHOOL OF PSYCHOLOGY, CARDIFF, United Kingdom

Sinopsis:To evaluate the reliability of well-known network metrics over alternative weighting strategies using diffusion MRI. Methods: Using ten different network weighting strategies to construct structural networks from repeat dMRI scans, we estimated the reliability of network metrics estimated over the networks. Additionally, the recognition accuracy was estimated for each of the ten strategies. Results: We demonstrated excellent ICC for six network metrics for the seven out of network weighting strategies. Recogniton accuracy was 100% accurate for the number and percentage of streamlines and tract volume. Conclusions: Our results highlight the importance of reliable network metrics from structural brain networks.

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Visualizing White Matter Fiber Tracts of the Human Brain in Augmented Reality: Initial Experience with the Microsoft HoloLens
Nicole Wake1, Steven H. Baete1, Ying-Chia Lin1, Fernando E. Boada1, and Daniel K. Sodickson1

1Bernard and Irene Schwartz Center for Biomedical Imaging, Center for Advanced Imaging Innovation and Research, Department of Radiology, New York University School of Medicine, New York, NY, United States

The objective of this study was to create a workflow to view 3D fiber tracts derived from diffusion spectrum imaging (DSI) in augmented reality (AR) and to test the application of visualizing tractography models in AR.   Visualizing tractography in AR may allow for enhanced comprehension of the connectivity in the brain which could impact patient care and management.

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Hemispheric asymmetries and grey matter projections of the arcuate fasciculus: an along-tract study of diffusion and localization properties with deterministic and probabalistic tractography
Lia Talozzi1, Claudia Testa1, Stefano Zanigni1, Stefania Evangelisti1, Laura Ludovica Gramegna1, Claudio Bianchini1, Paola Fantazzini2,3, Caterina Tonon1, David Neil Manners1, and Raffaele Lodi1

1Department of Biomedical and NeuroMotor Sciences, University of Bologna and Functional MR Unit, Policlinico S. Orsola - Malpighi, Bologna, Italy, 2Department of Physics and Astronomy, University of Bologna, Italy, 3Centro Enrico Fermi, Roma, Italy

We studied the arcuate fasciculus in both cerebral hemispheres in 29 healthy subjects, by evaluating GM projections and along-tract diffusion properties and tract curvature, obtained with three tractography methods: probabilistic ball-and-sticks model, deterministic and probabilistic spherical deconvolution. In all subjects we detected the arcuate in both hemispheres. For all the tractography methods we measured a bigger tract volume on the left, but detected more tracts branching towards GM terminations on the left only with the probabilistic methods, that influenced both the tract curvature and its diffusion parameters. The probabilistic tractography methods better described arcuate connectivity, which is more complex in the left hemisphere.   

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Structural abnormalities in frontal lobe pathways in children with Attention-Deficit/Hyperactivity Disorder (ADHD)
Weining Wu1,2, Hesham Hamoda2, Lipeng Ning2, Borjan Gagoski3, Kiera Sarill4, P. Ellen Grant5, Martha E. Shenton2, Deborah Waber6, Nikos Makris2, Gloria McAnulty4, and Yogesh Rathi2

1College of Computer Science and Technology, Harbin Engineering University, Harbin, People's Republic of China, 2Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 3Department of Radiology, Children's Hospital of Boston, Boston, MA, United States, 4Department of Psychiatry, Children's Hospital of Boston, Boston, MA, United States, 5Fetal-Neonatal Neuroimaging and Developmental Science Center, Children's Hospital of Boston, Boston, MA, United States, 6Scientific Review and Behavioral Science Core, Children's Hospital of Boston, Boston, MA, United States

Structural abnormalities in frontal lobe connections have been observed in adults/children with ADHD in earlier studies using diffusion tensor imaging (DTI)3. This abstract investigates microstructural differences in frontal-lobe white matter connectivity using advanced diffusion imaging methods. 47 white matter fiber bundles connecting frontal areas as parcellated by Freesurfer were extracted using a novel whole-brain tractography algorithm4,1, which allowed estimation of specific diffusion properties such as cellular volume and cellular density from advanced diffusion MRI (dMRI) data. After correcting for multiple comparisons, 6 significant white matter pathways were found to have lower cellular volume and density in ADHD compared to controls.

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Hyper-connectivity of the Seizure Onset Zone: A Potential Epilepsy Biomarker at 7T
Jack Rutland 1,2, Rebecca Feldman1, Lara Marcuse 3, Madeline Fields 3, Bradley Delman 1, Priti Balchandani1, and Rafael O'Halloran1

1Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Wake Forest University, Winston-Salem, NC, United States, 3Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States

The present study aims to identify the connectivity of the seizure onset zone (SOZ) in patients with MRI-negative epilepsy. Motivated by recent findings of aberrant white matter structure in epilepsy we hypothesized differences in structural connectivity. To test this we compared structural connectivity in a group of 8 epilepsy subjects and 8 healthy controls. We also investigated differences in connectivity in SOZ and non-SOZ areas in the epilepsy group. Hyper-connectivity was found in epilepsy subjects compared to controls. Additionally, hyper-connectivity was found in SOZ compared to non-SOZ related regions. These findings may have implications for diagnosis and surgical intervention in MRI-negative epilepsy. 

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High-Throughput Diffusion Imaging Using Multiple Coils for Mouse Brain Connectomics
John Nouls1,2, Alexandra Badea1,2, Robert J. Anderson1,2, Gary P. Cofer1,2, and G. Allan Johnson1,2

1Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, United States, 2Radiology, Duke University Medical Center, Durham, NC, United States

The complex neural architecture and brain connectivity of mouse models of human disease can be studied ex vivo by diffusion tensor imaging; however, acquisition times are long and make cohort studies prohibitively time-consuming. Throughput can be increased by the simultaneous use of multiple coils placed in proximity to the magnet isocenter. We quantify the impact of the multiple-coil configuration on throughput, on diffusion metrics used in tractography, and on mouse brain connectivity matrices. We show that fractional anisotropy is underestimated off-isocenter, while the main eigenvector direction is minimally affected. The effect on brain connectivity networks is currently being quantified.

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Prediction vision recovery of Neuromyelitis optica spectrum disorders (NMOSDs) with multivariate pattern analysis: a DTI study
Yuan Tian1, Lin Ma1, Zhenyu Liu2, Zhenchao Tang3, Xin Lou, Jie Tian, and Mingge Li

1radiology department, Chinese PLA General Hospital, beijing, People's Republic of China, 2Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, 3School of Mechanical, Electrical & Information Engineering, Shandong University

To explore if a DTI protocol could provide a model to predict the degree of vision recovery in NMOSDs patients. 37 patients were employed in the study, including 20 patients of well vision recovery and 17 patients of poor vision recovery. With the diffusion measure of multiple white and grey matters as features, a Lasso-Logistic regression model and a Support Vector Machine (SVM)-based classification model were constructed. The results show area under curve (AUC) of 0.7618 (P=0.008) and accuracy (ACC) of 0.7297 (0.006). The method shows promising prediction performance, and it has the potential to improve the clinical treatment design. 

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White Matter Fiber Tractography with Fiber Ball Imaging
Hunter Moss1, George Russell Glenn1, Emilie T. McKinnon1, and Jens Jensen1

1Medical University of South Carolina, Charleston, SC, United States

An investigation into the minimum b-value necessary to characterize the fiber orientation density function (fODF) with fiber ball imaging (FBI) for white matter fiber tractography (WMFT) is presented. Using high angular resolution diffusion imaging (HARDI) data, we assessed the angular difference between principal directions across b-values using a high b-value benchmark, as well as the number of fiber crossings based on fODF peak detection. WMFT was performed using the reconstructed fODFs and was viewed qualitatively. Overall, the results indicated convergence near b = 4000 s/mm2 suggesting this to be the minimum b-value needed for FBI-WMFT.

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Impact of white-matter hyperintensities on tractography
Guillaume Theaud1, Bixente Dilharreguy2, Gwénaëlle Catheline2, and Maxime Descoteaux1

1Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC, Canada, 2INCIA, UMR 5287, Université de Bordeaux, EPHE PSL Research University, Talence, France

A common way to seed tractography is thresholding the Fractional Anisotropy (FA). This technique is problematic for aging diffusion MRI studies because the FA decreases dramatically in regions of White Matter Hyperintensities (WMH) and thus, the tractography can erroneously start or stop in these WMH regions. We show the importance for tractography pipelines to correct for WMH in their tracking masks. We show that the non-correction can lead to approximately 15% erroneous streamlines, which are false connections that can pollute the structural connectome and lead to misinterpretations.

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Effect of Different Seeding Strategies on Tractometry Reproducibility
Martin Cousineau1,2, Maxime Descoteaux1, and Hiromasa Takemura2,3

1Sherbrooke Connectivity Imaging Laboratory (SCIL), Université de Sherbrooke, Sherbrooke, QC, Canada, 2Center for Information and Neural Networks (CiNet), National Institute of Information and Communications Technology (NICT), Suita, Japan, 3Graduate School of Frontier Biosciences, Osaka University, Suita, Japan

Two common approaches to tractography seeding are using the whole-brain white matter mask, or the gray and white matter interface. Using a dataset with two acquisitions per subject and a state of the art processing pipeline, we compared the test-retest reproducibility of the shape and tract profiles of major white matter bundles for both seeding strategies. We found that both seeding strategies have regions in the brain where they are more reproducible. We propose an ensemble method combining both strategies as a possible way to make tractometry from white matter bundles more robust.

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High Resolution Facial Nerve Tractography in Patient with Vestibular Schwannoma
Qiqi Tong1, Ting Gong1, Jing Jin2, Xiujue Zheng2, Lude Cheng3, Hongjian He1, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China, 2Department of Neurosurgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China, 3Application Team, Siemens Healthcare, Shanghai, People's Republic of China

Reliable tractography of specific abnormal brain nerves such as the facial nerve displaced by vestibular schwannoma is necessary for estimating risk before the surgery. Single-shot diffusion EPI sequence has been used previously to reconstruct tractography of facial nerve but suffered severe distortion in the basicranial region. Here we performed high resolution anatomical and diffusion scans in patients with vestibular schwannoma, in order to track the facial nerve and provide reliable result for the surgeons to evaluate the surgical risk.

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Towards a connectome atlas of the C57Bl6 mouse brain using ex vivo ultra-high field diffusion MRI
Ivy Uszynski1,2, Hervé Mathieu1,2,3,4, Jean-Christophe Deloulme1,2, Emmanuel L. Barbier1,2, and Cyril Poupon5

1Grenoble Institut des Neurosciences, Université Grenoble Alpes, Grenoble, France, 2INSERM U1216, Grenoble, France, 3Unité Mixte de Service IRMaGe, Grenoble Alpes Hospital, Grenoble, France, 4Unité Mixte de Service 3552, CNRS, Grenoble, France, 5NeuroSpin, CEA Saclay, Gif-sur-Yvette, France

Diffusion MRI is a powerful tool to investigate the structural connectivity of the brain and to characterize its microstructure. In this study, we propose to adapt the white matter bundles clustering approach - previously achieved on humans - to the mouse in order to establish the foundations of a novel atlas of the structural connectivity. To this aim, 3D High Angular Resolution Diffusion Imaging (HARDI) was performed ex vivo on C57Bl6 mice brains (100µm isotropic) at 9.4T and clusters of fibers were computed using an automated procedure across the entire brain.

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Tract covariance networks in expert dancers and pianists
Hsien-Te Su1, Pin-Yu Chen2, Yu-Jen Chen1, Yung-Chin Hsu1, Wei-Chi Li3, Tzu-Yi Hong3, Li-Fen Chen3,4, Jen-Chuen Hsieh3,4, and Wen-Yih Isaac Tseng1,5

1Institute of Medical Device and Imaging, National Taiwan University College of Medicine, Taipei, Taiwan, 2Department of Life Science, National Taiwan University, Taipei, Taiwan, 3Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan, 4Integrated Brain Research Unit, Division of Clinical Research, Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan, 5Molecular Imaging Center, National Taiwan University, Taipei, Taiwan

To investigate plasticity of white matter tracts in expert dancers and pianists, we used diffusion spectrum imaging to measure generalized fractional anisotropy (GFA) of 76 major white matter tracts. A novel metric called tract covariance was defined as the correlation between each pair of tracts in variations of the mean GFA values across subjects. As compared with control subjects, expert dancers showed overall enhancement of the tract covariance, whereas expert pianists showed enhancement specific to sensory-motor processing. The findings underline the different effects on white matter tract plasticity following different types of long-term training. 

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Exponential Decay Law for the Structural Brain Network of Maltreated Children
Moo K Chung1, Jamie L Hanson2, Nagesh Adluru1, Andrew L Alexander1, Richard J Davidson3, and Seth D Pollak3

1Waksman Laboratory for Brain Imaging and Behavior, University of Wisconsin, Madison, WI, United States, 2Department of Psychology, University of Pittsburgh, Pittsburgh, PA, United States, 3Department of Psychology, University of Wisconsin, Madison, WI, United States

We present evidence that the structural brain network follows the exponential decay law; these data are inconsistent with the view the brain follows the more complicated truncated exponential power law. Our model is then used in application, to show that children exposed to high levels of early life stress have more sparsely connected hub nodes. These data are consistent with rodent models of the effects of stress on synaptogenesis.


3494
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On Quantitatively Comparing Tractography Algorithms
Birkan Tunç1, Drew Parker1, and Ragini Verma1

1University of Pennsylvania, Philadelphia, PA, United States

Systematic comparison of tractography algorithms is rendered challenging by the differences in diffusion models and multiple parameters. In this work, we have defined a statistical framework to compare tractography algorithms, from two different perspectives: (1) the volume of generated tracts and (2) number of unbroken fibers. We applied our framework to compare six algorithms (four using tensor model and two using HARDI model) in reconstructing the contralateral corticospinal tract in ten brain tumor patients. Our results demonstrated significant differences between algorithms. These experiments establish our tractography comparison framework which can be used by researchers and tractography challenges for quantitative comparison.

3495
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Inferior Fronto-occipital Fasciculus Tractography —— a Comparison of Reconstruction Methods
Ting Gong1, Qiqi Tong1, Hongjian He1, Qiuping Ding1, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China

The anatomical definition and functional role of inferior fronto-occipital fascicle (IFOF) in human brain are important but still controversial. Post-mortem dissection has provided detailed and extended cortical terminations of IFOF while diffusion tractography further facilitates the definition of extended terminations through in vivo studies. A careful comparison of fiber reconstruction methods including diffusion tensor imaging, q-ball imaging, generalized q-sampling imaging and diffusion kurtosis imaging (DKI) was conducted. More integrated IFOF tracts were found with DKI, which could benefit the exploration of precise terminations of IFOF, thus a better understanding of its function.

3496
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Comparison of rotenone-induced rat model and 6-OHDA-induced rat model of Parkinson's disease: FA and T2* values analysis
LanXiang Liu1, Dan Du1, Tao Zheng2, Yuan Fang1, Yansheng Chen1, Huiling Yi1, Qingyuan He3, Dawei Gao4, and Qinglei Shi5

1Qinhuangdao Municipal No. 1 Hospital, Hebei, People's Republic of China, 2Hebei Medical University, Shijia Zhuang, Hebei, People's Republic of China, 3Peking University Third Hospital, 4Yanshan Universiry, 5Siemens Ltd

The fractional anisotropy (FA) and T2* values of rotenone (RT) and 6-OHDA-induced rat model of PD at different time points were quantitatively analyzed. A larger degree of quantitative parameters variation in 6-OHDA-induced rat group than RT-induced rat group were demonstrated when using quantitative parameters of FA and T2* values. The phenomena observed in this study may be of help in future studies about PD using rat model.

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Important new insights for the reduction of false positives in tractograms emerge from streamline-based registration and pruning.
Tingyi Wanyan1 and Eleftherios Garyfallidis1

1Intelligent Systems Engineering, Indiana University, Bloomington, IN, United States

Tractograms have large number of false positives. One possible solution is to use anatomically relevant atlases of bundles to create priors of known bundles and therefore concentrate on the true positives. However this requires registration with incomplete atlases that contain only a few known bundles. A new asymmetric cost function extensively advances the direct registration of tractograms to atlases with a small number of bundles. Furthermore, although existing ROI filtered atlases can miss important parts of bundles, by using a pruning method using streamline centroids, these parts can be found, and the false positives can be extensively reduced.


Electronic Poster

Diffusion: Acquisition & Reconstruction

Exhibition Hall Monday 14:45 - 15:45

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Comprehensive Correction of Motion and Nyquist Ghost Artifacts for Multi-shot Diffusion Imaging
Merry Mani1, Mathews Jacob2, Baolian Yang3, and Vincent Magnotta1

1Department of Radiology, University of Iowa, Iowa City, IA, United States, 2Department of Electrical and Computer Engineering, University of Iowa, Iowa City, IA, United States, 3GE Healthcare

Echo planar imaging data are often corrupted by Nyquist ghost artifacts resulting from the eddy current induced shifts between the odd & even phase encodes. Current EPI methods often rely on calibration scans that are collected prior to the data acquisition to correct for Nyquist ghosts. Unfortunately, this approach is often insufficient for the recovery of diffusion-weighted (DW) data, since the ghosting artifacts also depend on the segmentation of the EPI read-outs and diffusion weighting. We introduce a comprehensive algorithm to simultaneously correct for the eddy-current errors as well as the motion-induced artifacts in DW images that does not require any calibration scans.

3499
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Motion-tolerance Single-scan Diffusion Mapping
Lingceng Ma1, Congbo Cai2, Zhong Chen1, Shuhui Cai1, Hongyi Yang3, and Kai Zhong3

1Department of Electronic Science, Department of Electronic Science, Xiamen University, Xiamen, People's Republic of China, 2Department of Communication Engineering, Department of Communication Engineering, Xiamen University, Xiamen, People's Republic of China, 3High Magnetic Field Laboratory, High Magnetic Field Laboratory, CAS, Hefei, People's Republic of China

A new diffusion imaging method, single-scan diffusion mapping through overlapping-echo detachment planar (DM-OLED) imaging sequence with corresponding separation algorithm, was proposed. The method can get reliable diffusion mapping by a single-scan in about 120ms.The diffusion mapping gained by DM-OLED has immunity to motion and higher time resolution compared with conventional multi-scan diffusion methods. Experimental results of mouse brains verified the accuracy and the motion-tolerance of DM-OLED. As a reliable fast diffusion measurement tool, DM-OLED can be boded well for further uses in clinical real-time measurements.

3500
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On the use of Gadolinium-staining for high resolution ex vivo NODDI measurements at 11.7T
Sophie Bernadette Sébille1,2, Anne-Sophie Rolland2, Romain Valabregue1,2, Carine Karachi2,3, Marie-Laure Welter2,4, Stéphane Lehéricy1,2, Eric Bardinet1,2, and Mathieu David Santin1,2

1Center of NeuroImaging Research - CENIR, Paris, France, 2Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 06 UMR S 1127, Institut du Cerveau et de la Moelle épinière, ICM, Paris, France, 3AP-HP, Hôpital de la Pitié-Salpêtrière, Department of Neurosurgery, Paris, France, 4AP-HP, Hôpital de la Pitié-Salpêtrière, Department of Neurology, Paris, France

The goal of this work was to compare diffusion and microstructure parameters estimation when the sample is soaked or not in gadolinium before imaging (Gd-staining). We found that Gd-staining is suitable for diffusion imaging experiment, leading to higher SNR and higher useful b-values. Meanwhile, care must be taken for several microstructure parameters estimation as T1 may vary during experiment.

3501
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Differentiating Contributions To Diffusional Kurtosis in the Brain with Symmetrized Double-PFG MRI
Jeffrey Paulsen1, Iris Yuwen Zhou2, and Phillip Zhe Sun2,3

1Independent, Boston, MA, United States, 2Athinoula A. Martios Center for Biomedical Imaging, MGH and Harvard Medical School, Charlestown, MA, United States, 3Department of Radiology, University of Illinois at Chicago

Kurtosis imaging enables valuable diagnostics of stroke and other tissue pathologies.  It can arise directly from restricted diffusion, but also from sub-voxel heterogeneity in the ADC.  Utilizing double diffusion contrast, we are able to remove these heterogeneity contributions.  We show this targeted ‘microscopic’ kurtosis contrast yields unique contrast in-vivo in a live rat brain: highlighting white/gray matter boundaries.

3502
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Improved Detection of Spinal Cord Injury in Rats with Reduced Field of View (rFOV) and Orthogonal Filter-Probe (OFP) Diffusion Weighted Imaging (DWI)
Nathan Skinner1,2, Shekar Kurpad3,4, Brian Schmit5, L. Tugan Muftuler3, and Matthew Budde3

1Biophysics Graduate Program, Medical College of Wisconsin, Milwaukee, WI, United States, 2Medical Scientist Training Program, Medical College of Wisconsin, Milwaukee, WI, United States, 3Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 4Clement J Zablocki Veterans Affairs Medical Center, Milwaukee, WI, United States, 5Biomedical Engineering, Marquette University, Milwaukee, WI, United States

To improve image quality for investigation of spinal cord injury, a reduced field of view excitation scheme was implemented on a Bruker 9.4T imaging system. This was combined with an optimized orthogonal filter-probe diffusion weighted imaging sequence to improve specificity for axonal injury with a short acquisition time. Application in a rat spinal cord injury model showed sensitive detection of diffusivity changes 48 hours post-injury with improved image quality compared to a standard full field of view acquisition. These advances provide support for this technique as a potential biomarker of injury severity with the ability for translation into clinical systems.

3503
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Whole-brain diffusional variance decomposition (DIVIDE) in 8 minutes: Technical feasibility at 1.5, 3, and 7 T
Filip Szczepankiewicz1, Jens Sjölund2,3,4, Freddy Ståhlberg1,5,6, Jimmy Lätt7, and Markus Nilsson5,6

1Medical Radiation Physics, Lund University, Lund, Sweden, 2Elekta Instrument AB, Kungstensgatan 18, Box 7593, SE-103 93 Stockholm, Stockholm, Sweden, 3Department of Biomedical Engineering, Linköping University, Linköping, Sweden, 4Center for Medical Image Science and Visualization, Linköping University, Linköping, Sweden, 5Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden, 6Lund University Bioimaging Center, Lund University, Lund, Sweden, 7Department of Imaging and Function, Skåne University Hospital, Lund, Sweden

Diffusion weighting along more than one direction at a time (tensor-valued encoding) can be used to probe features of the microstructure that are not accessible by conventional encoding. For example, it enables diffusional variance decomposition (DIVIDE) which can separate the effects of microscopic anisotropy, orientation dispersion, and heterogeneous isotropic diffusivity. Tensor-valued encoding is usually demanding with respect to gradient performance, limiting its applicability to high-performance MRI systems. However, a recent method for optimized encoding significantly reduced the demand on gradient performance, which warrants an investigation of the applicability of such encoding on a wider range of MRI hardware configurations. In this study, we demonstrate whole-brain diffusional variance decomposition (DIVIDE) in less than 8 minutes at a wide range of clinical MRI systems with different hardware configurations.

3504
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Compressed sensing diffusion spectrum imaging as a forward-looking alternative to multi-shell diffusion MRI in population imaging
Alexandra Tobisch1, Rüdiger Stirnberg1, Robbert Leonard Harms2, Thomas Schultz3, Alard Roebroeck2, Monique Breteler1, and Tony Stöcker1

1German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany, 2Faculty of Psychology & Neuroscience, Maastricht University, Maastricht, Netherlands, 3University of Bonn, Institute of Computer Science, Bonn, Germany

This study investigates the applicability of two advanced diffusion MRI protocols in population imaging: 3-shell High Angular Resolution Diffusion Imaging (HARDI) and Diffusion Spectrum Imaging accelerated through Compressed Sensing theory (CS-DSI). Group analysis of 20 subjects indicates that CS-DSI performs comparable to 3-shell HARDI in the estimation of microstructure parameters and adds the advantage of high b-value acquisitions, further complimentary biomarkers from the diffusion propagator and a high potential to deliver data well-suited for future developments.

3505
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Quantitative Noise Analysis for Increased Homogeneity in Intra-voxel Incoherent Motion (IVIM) Perfusion Imaging in Brain
Harri Merisaari1,2 and Christian Federau3

1Turku PET Centre, Turku University Central Hospital, Turku, Finland, 2Department of Information Technology, University of Turku, Turku, Finland, 3Department of Radiology, Uniklinik Balgrist, University Zürich, Zürich, Switzerland

Intravoxel incoherent motion (IVIM) perfusion imaging has been shown to be applicable in clinical brain examinations, but those images are known to be noisy. To better quantify the necessary conditions to produce homogenous IVIM perfusion images in the brain, we studied the properties of signal noise as function of b-value and of localization in the brain. We compared the image quality of the perfusion maps as function of number of average to the maximal quality IVIM perfusion maps obtained during a 1 hour acquisition time.

3506
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High Resolution Cervical Spine Single-Shot DTI with Distortion Correction Using Modified Field-mapping Method
Yuhui Xiong1, Xiaodong Ma1, Zhe Zhang1, Yishi Wang1, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China

Single-shot echo planar imaging (EPI) DTI (SS-DTI) has been commonly used in clinical cervical spine (C-spine) MR scans to get functional and pathologic information as it’s fast and straightforward, but high resolution SS-DTI image suffers from severe geometric distortion. Field mapping method is a classical and simple distortion correction technique, but its performance in C-spine SS-DTI is limited. We used echo planar spectroscopic imaging (EPSI) sequence to acquire the field-map, and modified the conventional field-map post-processing method to promote the correction efficacy. The results show that the proposed method is effective and fast in C-spine SS-DTI distortion correction.

3507
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High b-value Diffusion-Weighted MRI for Detection of Interscapular Brown Adipose Tissue in Rodent Model
Weiguo Li1,2,3, Jin Gao3, Andrew Gordon2, Kejia Cai4, Andrew Larson2, and Richard Magin3

1Research Resource Center, University of Illinois at Chicago, Chicago, IL, United States, 2Radiology, Northwestern University, Chicago, IL, United States, 3Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 4Radiology, University of Illinois at Chicago, Chicago, IL, United States

Brown adipose tissue (BAT) is increasingly considered a target organ for the treatment of metabolic disease. Persuasive evidence has shown that enhance­ment of the function of brown and beige adipocytes in humans could be very effective for treating type 2 diabetes and obesity. However, clinical studies have been limited by the lack of non-invasive tools for characterizing this tissue in humans.  In this study, we explored the feasibility of using high b-value diffusion-weighted MRI for detecting the distribution of interscapular brown adipose tissue. 

3508
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Free-water elimination in diffusion MRI: pushing the limits towards clinical applications
Ezequiel Farrher1, Farida Grinberg1,2, Zaheer Abbas1,2, and N. Jon Shah1,2,3

1Institute of Neuroscience and Medicine 4, Forschungszentrum Jülich, Jülich, Germany, 2Department of Neurology, Faculty of Medicine, RWTH Aachen University, Aachen, Germany, 3JARA – BRAIN – Translational Medicine, RWTH Aachen University, Aachen, Germany

Free-water elimination allows one to reduce the bias in DTI metrics induced by partial-volume effects. In this work, we propose a versatile approach for the optimisation of the diffusion weighting settings, given a limited acquisition time, based on a parameterised Cramér-Rao lower-bound. The optimisation shows robust convergence.

3509
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Assessing the Effect of Intravoxel Incoherent Motion on Diffusion Parameters in the Brain
Casey Robert Vieni1,2, Benjamin Ades-Aron1, Bettina Conti1, Timothy M Shepherd1, Yvonne W Lui1, Dmitry Novikov1, and Els Fieremans1

1Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York University, New York, NY, United States, 2Medical Scientist Training Program, New York University School of Medicine, New York, NY, United States

We investigated the effect of intravoxel incoherent motion (IVIM) on the brain diffusion MRI signal in a cohort of 143 control patients. We compared the diffusivities derived from a mono-exponential fit at b =0 and 1ms/μm2 versus at b = 0.25 and 1 ms/μm2. This allowed for a quantitative assessment of the IVIM signal fraction f* in specific brain matter types. Our results show a significant difference in the mean diffusivity of about 3% in white matter and up to 7% in grey matter, with corresponding f* estimated to be about 2% and 6% in white and grey matter respectively.

3510
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Design of a locally incoherent sampling scheme for improved joint k-q reconstruction of diffusion MRI
Wenchuan Wu1, Peter J Koopmans1, and Karla L Miller1

1FMRIB, University of Oxford, Oxford, United Kingdom

For joint k-q reconstruction, it’s beneficial to incoherently under-sampling k-space for different q-space points to utilize the complimentary k-space information. As nearby q-space points in general share more similarities than distant points, it is hypothesized that locally-incoherent k-space sampling can further improve the joint k-q reconstruction. In this work, we propose a method to design locally-incoherent k-space sampling patterns based on a graph colouring algorithm. Results show the proposed method achieves better reconstruction than existing sampling schemes.


3511
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Model-Based Reconstruction for Undersampled High Resolution Diffusion Tensor Imaging Combined with Simultaneous Multi-Slice Acquisitions
Zijing Dong1, Erpeng Dai1, Fuyixue Wang1,2, Yuantao Gu3, Chun Yuan1,4, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 3Department of Electronic Engineering, Tsinghua University, Beijing, People's Republic of China, 4Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

Multi-shot interleaved EPI is an effective method to acquire high-resolution and less distorted diffusion weighted images, but with relatively low acquisition efficiency, especially for diffusion tensor imaging. Here, a novel model-based reconstruction is proposed for accelerated multi-shot diffusion imaging with simultaneous multi-slice (SMS) and partially parallel imaging (PPI). The method can directly estimate diffusion tensors from the undersampled k-space data, by integrating information of all shots and diffusion encoding directions. Simulation and in-vivo experiment demonstrated that the proposed method can achieve higher acceleration efficiency and improved accuracy in tensor estimation compared with conventional 2D GRAPPA.

3512
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Accelerated High Resolution EPI DTI Using Model-Based Reconstruction
Zijing Dong1, Fuyixue Wang1,2, Zhe Zhang1, Erpeng Dai1, Xiaodong Ma1, Yuantao Gu3, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 3Department of Electronic Engineering, Tsinghua University, Beijing, People's Republic of China

Single-shot EPI is the most widely used sequence in diffusion tensor imaging. However, severe distortion in single-shot EPI limits its application for higher resolution images. Multi-shot EPI DTI can reduce distortion but results in longer acquisition time especially when a large number of diffusion-encoding directions are used. Here, we propose a model-based reconstruction framework for EPI DTI to estimate diffusion tensors from undersampled EPI sequences, in order to achieve high resolution diffusion imaging in a shorter scan time. The effectiveness of the proposed model-based method to get precise tensor estimation is validated by DTI simulation and in-vivo experiments.

3513
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Quantification of Navigator Requirements for Multi-shot Diffusion Weighted Imaging
Joseph L Holtrop1 and Bradley P Sutton1

1Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

The ability to use multiple shots in diffusion weighted imaging has enabled acquisitions with higher resolutions and higher SNRs. The methods currently being used to achieve higher resolutions rely on navigator information to correct for mismatches in coherent motion during the diffusion encoding between shots. The resolution of the navigator is a critical factor, too low and the corrections are incomplete, too high and there is a significant time or echo time penalty. This work presents an analysis for determining the resolution requirements for navigation. This work found that using a navigator resolution of 6 mm produces reliable results and allows shorter acquisitions to be used.

3514
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Accelerated Body nCPMG SS-FSE Diffusion Weighted Imaging
Eric Kenneth Gibbons1, Patrick LeRoux2, Shreyas Vasanawala3, John Mark Pauly4, and Adam Bruce Kerr4

1Department of Bioengineering, Stanford University, Stanford, CA, United States, 2Praecedentia Libra, Palaiseau, France, 3Department of Radiology, Stanford University, Stanford, CA, United States, 4Department of Electrical Engineering, Stanford University, Stanford, CA, United States

This abstract presents a novel reconstruction for the nCPMG SS-FSE sequence.  A theoretical justification for this approach is given.  This reconstruction and sequence is demonstrated in phantom and in vivo and is shown to be quantitatively and qualitatively robust.  

3515
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Feasibility of very high b-value diffusion imaging using a clinical scanner.
Steen Moeller1, Essa Yacoub 1, Sudhir Ramanna1, Emily Kittelson1, Kamil Ugurbil1, and Christophe Lenglet1

1Center for Magnetic Resonance Research, Minneapolis, MN, United States

The use of locally low-rank matrix approximation methods for noise variance reduction provides a powerful tool for diffusion MRI to increase the quality of very high b-value acquisitions. Using a clinical system, we demonstrate the feasibility of multi-shell high angular resolution diffusion imaging with b-value up to 10,000s/mm2.

3516
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Multiband IRIS: A framework for diffusion-weighted image reconstruction integrating multiband, multishot, SENSE and 2D navigated motion correction
Ha-Kyu Jeong1

1Philips Korea, Seoul, Korea, Republic of

IRIS has been proposed for diffusion-weighted (DW) image reconstruction with 2D-navigated motion correction from highly aliased DW-MRI data using multishot and regularly subsampled SENSE implementations simultaneously. In this work, it is demonstrated that IRIS framework can be extended for multiband DW image reconstruction for reconstructing motion-free multiband multishot DW images.

3517
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eIRIS — An Eigen-Analysis Motivated Approach for More Robust Multi-Shot Diffusion-Weighted Imaging
Li Guo1, Zhongbiao Xu1, Yingjie Mei1,2, Wenxing Fang3, Chenguang Zhao3, Wufan Chen1, Yanqiu Feng1, and Feng Huang4

1Guangdong Provincial Key Laborary of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, People's Republic of China, 2Philips Healthcare, Guangzhou, People's Republic of China, 3Philips Healthcare (Suzhou), Suzhou, People's Republic of China, 4Neusoft Medical System, Shanghai, People's Republic of China

IRIS corrects the motion-induced inter-shot phase errors for multi-shot diffusion-weighted imaging by extracting the phase information from an additional navigator data, which may cause the distortion mismatch between the image and navigator data. To solve the distortion mismatch issue in IRIS without using B0 field map, we propose to extract the coil sensitivities and phase information from navigator data by using an eigen-analysis scheme. The performance of the proposed method is demonstrated in both phantom and in vivo data sets.

3518
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Accelerating Diffusion Tensor Imaging Using a Parametric Manifold Model
Chaoyi Zhang1, Dan Wu2, Jiangyang Zhang3, Dong Liang4, Jingyuan Lyu1, Ukash Nakarmi1, Rong-Rong Chen5, and Leslie Ying1,6

1Electrical Engineering, University at Buffalo,State University of New York, Buffalo, NY, United States, 2Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Radiology, New York University School of Medicine, New York City, NY, United States, 4Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Shenzhen, People's Republic of China, 5Electrical & Computer Engineering, University of Utah, Salt Lake City, UT, United States, 6Biomedical Engineering, University at Buffalo, State University at New York, Buffalo, NY, United States

This abstract presents a novel method for diffusion tensor image (DTI) directly from highly under-sampled data acquired at multiple diffusion gradients. This method formulates the diffusion tensor estimation as a problem of parametric manifold recovery. We solve the recovery problem by alternatively shrinking the diffusion weighted images, estimating diffusion tensor, and enforcing data consistency constraint. The experimental results demonstrate that the proposed method is able to reconstruct the diffusion tensors accurately at high acceleration factors with low computational complexity.


Electronic Poster

Diffusion: Processing, Analysis & Visualization

Exhibition Hall Monday 14:45 - 15:45

3519
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High Spatial Resolution White Matter Fibrography (WMF): Technique Optimization
Hernan Jara1, Osamu Sakai1, Stephan W Anderson1, and Jorge A Soto1

1Boston University, Boston, MA, United States

Purpose: To test the high spatial resolution limits of the white matter fibrography (WMF) technique within the scan time constrains of clinical MRI of about ten minutes total scan time and to optimize the image processing algorithms for rendering the white matter (WM) connectome at the highest level of anatomic detail. Methods: Healthy volunteer was scanned with the quadra-FSE pulse at high spatial resolution in 10min. Results: WMF connectome was constructed using ultra-high b-value (34,000s/mm2) synthetic MRI. Conclusion: High spatial resolution direct rendering of the human brain connectome can be accomplished with a 10min scan.

3520
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Comparing the LPCA and MPPCA denoising approaches for diffusion MRI using simulated human data
Qiuting Wen1, Mark S. Graham2, Sourajit M. Mustafi1, Ivana Drobnjak2, Hui Zhang2, and Yu-Chien Wu1

1Indiana University, Indianapolis, IN, United States, 2University of College London

In this study, we investigate two denoising methods for diffusion MRI: the local PCA approach and Marchenko-Pastur (MP) PCA approach.  Ground-truth diffusion-weighted images of the human brain are developed and used for noise simulation.  Two diffusion-weighting b-values and two noise levels are generated as input data for both denoisers.  Metrics of diffusion tenor imaging (DTI) and neurite orientation distribution and density (NODDI) are computed after denoising and compared between denoise methods.  

3521
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Quantitative assessment of susceptibility artefact correction techniques for diffusion-weighted MRI
Mark S Graham1, Ivana Drobnjak1, and Hui Zhang1

1Centre for Medical Image Computing and Department of Computer Science, University College London, London, United Kingdom

It is necessary to correct for susceptibility artefacts in DW-MR, but there are a number of available strategies to choose from. In this work we apply a simulation framework, previously used to assess motion and eddy current correction strategies, to quantitatively evaluate methods for susceptibility correction.  Our results indicate that methods that use reversed phase-encoding data perform the best. Furthermore they show that non-linear registration of diffusion data to a structural target in insufficient to fully correct for the susceptibility artefact. 

3522
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Multi-contrast diffeomorphic non-linear registration of orientation density functions
Maximilian Pietsch1, David Raffelt2, Thijs Dhollander2, and J-Donald Tournier1

1Centre for the Developing Brain, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, UK, London, United Kingdom, 2Florey Institutes of Neuroscience and Mental Health, Melbourne, Australia

Spatial normalisation of high angular resolution diffusion images (HARDI) is an important prerequisite for group-level analysis of tissue microstructure. In this study, we extend a technique for non-linear registration of orientation density functions by including other non-WM tissue types into the metric driving the registration, and investigate the benefits this provides in terms of overall alignment. Our results show that including additional non-WM tissue types in the registration metric improves the performance of the registration, as assessed by visual inspection (sharper features), and in simulations (slight reduction in residuals)

3523
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Transfer learning and convolutional neural net fusion for motion artefact detection
Christopher Kelly1, Max Pietsch1, Serena Counsell1, and J-Donald Tournier1

1Centre for the Developing Brain, King's College London, London, United Kingdom

The first step in a diffusion MRI pre-processing pipeline typically involves the manual removal of heavily motion-corrupted volumes. However, this process is both time consuming and potentially subjective. We propose to automate this process by training multiple deep convolutional neural networks (CNNs) and decision trees to achieve near human-level accuracy for rejection of outliers.

3524
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Diffusion Kurtosis Imaging with the breath hold method for staging of hepatic fibrosis: Potential as additional sequence in a clinical routine
Daisuke Yoshimaru1,2, Toshiaki Miyati2, Yuichi Suzuki3, Yuhki Hamada1, Nozomi Mogi4, Ayumu Funaki1, Ayumi Tabata1, Maki Tobari5, and Takayoshi Nishino5

1Department of Medical Technology Image Laboratory, Tokyo Women’s Medical University Yachiyo Medical Center, Yachiyo, Japan, 2Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, kanazawa, Ishikawa, Japan, 3Department of Radiological Service, The University of Tokyo Hospital, Japan, 4Department of Radiological Service, Tokyo Women's Medical University Medical Center East, Japan, 5Department of gastroenterological medicine, Tokyo Women’s Medical University Yachiyo Medical Center, yachiyo, Japan

We evaluated hepatocellular degeneration using DKI analysis with the breath hold technique compared with the pathological appearance about chronic hepatic diseases and hepatic fibrosis. Using this DKI method in the liver the stage of hepatic fibrosis can be classified into normal hepatic fibrosis and early hepatic fibrosis, and into early hepatic fibrosis and advanced hepatic fibrosis. Thus, we consider that DKI analysis can reflect pathological classification accurately. We considere that this DKI method will be required to evaluate the degree of hepatic fibrosis and to monitor the progress of hepatic fibrosis as an additional sequence in a clinical routine.

3525
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Quantitative estimation of IVIM parameters and response evaluation after neoadjuvant chemotherapy in Osteosarcoma
Esha Baidya Kayal1, Devasenathipathy K2, Kedar Khare3, Raju Sharma2, Sameer Bakhshi4, and Amit Mehndiratta1,5

1Center for Biomedical Engineering, Indian Institute of Technology, New Delhi, India, 2Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India, 3Department of Physics, Indian Institute of Technology, New Delhi, India, 4Medical Oncology, Dr. B.R.Ambedkar Institute-Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India, 5Department of Biomedical Engineering, All India Institute of Medical Sciences, New Delhi, India

Histological necrosis is the current gold standard for response evaluation in Osteosarcoma treated with neoadjuvant chemotherapy (NAC). However it is applicable only after tumour resection on completion of NAC. Thus, a non-invasive early marker of NAC response is desirable. We performed NAC response evaluation using Intra-voxel Incoherent Motion (IVIM) Diffusion weighted MRI using tumour volume change and histogram analysis. Tumour volume change and histogram analysis revealed similar and clinically useful information in chemotherapy response to Osteosarcoma.

3526
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SHANK-3 gene mutation results in comprehensive white matter damage in children: a DTI-TBSS study
Dongyun Li1, Chunxue Liu1, Xiu Xu1, Ed X. Wu2, and Zhongwei Qiao1

1Children's Hospital of Fudan University, Shanghai, People's Republic of China, 2Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, HongKong, Hong Kong

Autism spectrum disorder (ASD) is classified as a neuro-developmental disease with a dramatically increasing prevalence from 4 in 10000 to recently 1 in 68 children. SHANK-3 proteins are multidomain scaffold proteins of the postsynaptic density and also play a role in synapse formation and dendritic spine maturation. Recent human genetic studies suggest the potential association between molecular defects of SHANK-3 and ASD. DTI  imaging and TBSS analysis was applied to study how SHANK-3 gene mutation results in severe microstructure of white matter. Results showed significant damage in SHANK-3 group but no positive findings between  ASD and typical development controls. These results calls for attention to re-examine the previous neuroimaging studies of ASD or other neuro-developmental diseases where the positive correlations could be contaminated with unexplored genetic mutation influence.

3527
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Qualitative and quantitative assessment of intravoxel incoherent motion (IVIM) parameters in hypoxic tumor of a mouse to find a relationship with 18F- misonidazole PET imaging
Eo-Jin Hwang1, Joon-Yong Jung1, Jin Kyoung Oh2, and Mun Young Paek3

1Seoul St.Mary Hospital, The Catholic University of Korea, Seoul, Korea, Republic of, 2Incheon St.Mary Hospital, The Catholic University of Korea, Incheon, Korea, Republic of, 3Siemens Healthcare, Seoul, Korea, Republic of

Intravoxel incoherent motion (IVIM) based analysis of diffusion weighted imaging (DWI) has been suggested as a non-invasive tool to characterize tumor hypoxia, but no study has been performed to directly measure its parameters within the hypoxic tumor regions. In this study, we qualitatively and quantitatively compared IVIM parameters with 18F- misonidazole PET imaging and tested the feasibility of using non-invasive imaging strategy to define tumor hypoxia. Our preliminary result successfully related perfusion fraction values to standardized uptake values (SUVs) from PET and showed a potential of DWI as a tool to evaluate tumor oxygenation. 

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Model-free Fourier Reconstruction of the Diffusion Propagator from Multi-b-shell Diffusion Data
Qiyuan Tian1,2, Grant Yang1,2, Christoph W.U. Leuze2, Ariel Rokem3, Brian L. Edlow4,5, and Jennifer A. McNab2

1Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 2Department of Radiology, Stanford University, Stanford, CA, United States, 3eScience Institute, The University of Washington, Seattle, WA, United States, 4Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 5Department of Neurology, Massachusetts General Hospital, Boston, MA, United States

We propose a practical, model-free, Fourier reconstruction framework for obtaining the diffusion propagator and the diffusion orientation distribution function (ODF) from multi-b-shell diffusion data. Signals on each b-shell are scaled to account for non-uniform sampling density in q-space. Diffusion propagators and ODFs are obtained using a Discrete Fourier Transform and an analytic ODF solution. The method is demonstrated on data from the Human Connectome Project and shown to be both effective and broadly applicable to multi-b-shell data.

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Statistical power and confounds for diffusion MRI microstructure modeling
Robbert Leonard Harms1,2, Rainer Goebel1,2, and Alard Roebroeck1

1Maastricht University, Maastricht, Netherlands, 2Brain Innovation, Maastricht, Netherlands

Using high resolution HCP WU-Minn data and GPU accelerated software (MDT; https://github.com/cbclab), the aims of this study were to evaluate dMRI microstructure indices over white matter tracts, evaluate the effect sizes between tracts as an upper limit for effect size of diffusion microstructure indices between subjects and finally the influence of possible confounds on those other aims. We report sizeable effects between tracts within subjects for several indices. Also, two clear confounds for diffusion microstructure studies where identified, first, partial volume effects in small and large cross-section tracts, second, model selection on the number of intra-axonal model compartments.

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Brain correlates of apathy in Kleine Levin syndrome: a mean apparent propagator study
ANNE-CHARLOTTE PHILIPPE1, LAVAULT SOPHIE2, FICK RUTGER3, WASSERMANN DEMIAN3, VALABREGUE ROMAIN1, DERICHE RACHID3, LEVY RICHARD2, ARNULF ISABELLE2, and LEHERICY STEPHANE1

1Institut Cerveau Moelle – ICM,CENIR, ICM, Inserm – UPMC U1127, CNRS 7225, Paris, France, 2Service des pathologies du sommeil, Hôpital de la Pitié Salpétrière, France, 3Université Côte d'Azur, INRIA, France

Kleine-Levin syndrome (KLS) is a rare neurological disorder characterized by episodes of severe hypersomnia, apathy, cognitive impairment, derealization and behavioral disturbances. Between episodes, patients have normal sleep, mood and behavior. Apathy is a prominent clinical feature of KLS but its pathophysiology is not known. Here we used mean apparent propagator to investigate white matter changes in KLS and correlated diffusion changes with apathy scores. Results showed that the corpus callosum was involved in KLS during episodes and mean RTAP measures in the corpus callosum correlated with apathy scores. Results were in accordance with known motivation-based circuits involving the orbitomedial frontal cortex.

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Reduction of Partial Volume Effects Using Diffusion-Kurtosis-Informed Template Improves the Atlas-Based Between-Group Comparison in Diffusion Kurtosis Imaging
Farida Grinberg1,2, Ezequiel Farrher1, Kerstin Konrad3,4, Irene Neuner1,5, and N. Jon Shah1,2,6

1Institute of Neuroscience and Medicine 4, Research Centre Jülich, Jülich, Germany, 2Department of Neurology, Faculty of Medicine, RWTH Aachen University, Aachen, Germany, 3Child Neuropsychology Section, Department of Child and Adolescent Psychiatry and Psychotherapy, RWTH Aachen University, Aachen, Germany, 4Institute of Neuroscience and Medicine 3, Research Centre Jülich, Jülich, Germany, 5Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, Germany, 6JARA - BRAIN - Translational Medicine, RWTH Aachen University, Germany

Frequently used methods in between-group comparisons of diffusion tensor and diffusion kurtosis imaging metrics, such as region-of-interest analysis or atlas-based analysis, are subject to errors due to partial volume effects. In this work we demonstrate that the application of a simple diffusion-kurtosis-informed template significantly reduces partial volume effects and, in turn, improves the between-group atlas-based analysis. In particular, a better differentiation of diffusion metrics was achieved in the study of a group of children versus a group of adults.

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Prediction of the cognitive performance among Type 2 diabetes mellitus patients: a multivariable pattern analysis of Diffusion Tensor Imaging data
Zhenchao Tang1, Zhenyu Liu2, Xinwei Cui3, Enqing Dong1, and Jie Tian2

1School of Mechanical, Electrical & Information Engineering, Shandong University (Weihai), Weihai, People's Republic of China, 2Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, People's Republic of China, 3Cooperative Innovation Center of Internet Healthcare, Zhengzhou University, Zhengzhou, People's Republic of China

In the current study, we employed multivariate pattern analysis method together with Diffusion Tensor Imaging measures to make prediction on the cognitive performance of Type 2 diabetes mellitus (T2DM) patients, and explore the white matter tracts associated with cognitive changes in T2DM. The prediction model obtained relatively satisfying performance in the Montreal Cognitive Assessment (MoCA) scores estimation among T2DM patients, suggesting the effectiveness of the multivariable analysis method. The white matter identified in the current study mainly concerned the tracts closely related with cognitive function and memory performance, which were consistent with the finding of previous T2DM cognitive studies.

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A unified framework for upsampling and denoising of diffusion MRI data
Samuel St-Jean1, Max Viergever1, and Alexander Leemans1

1Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands

Diffusion MRI suffers from relatively long scan times and low signal to noise ratio (SNR), which limits the acquired spatial resolution. In this work, we propose a unified framework for denoising and upsampling diffusion datasets based on a sparse representation of the diffusion signal. Our proposed method shows less blurring and increased anatomical details in the pons region when compared to denoising and subsequent spline interpolation. At the junction of the corpus callosum, the corticospinal tract and the cingulum, finer structures are also preserved as evidenced by a high resolution invivo acquisition.

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Investigating the adverse effect of gradient nonuniformities on diffusion MRI measures: Do we need to worry?
Hamed Y. Mesri1, Martijn Froeling2, Max A. Viergever1, Anneriet M. Heemskerk1, and Alexander A. Leemans1

1Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands

Nonuniformities of gradient magnetic fields in diffusion-weighted MRI can introduce systematic errors in estimates of diffusion measures. While there are correction methods that can compensate for these errors, as presented in the Human Connectome Project, such non-linear effects are assumed to be negligible for typical applications and, hence, gradient nonuniformities are mostly left uncorrected. In this work, we evaluated the effect of ignoring such diffusion gradient nonuniformities on measures derived from diffusion tensor imaging. In particular, we simulated deviations from the ground-truth in terms of b-value and diffusion gradient orientation and investigated the resulting bias in fractional anisotropy and orientation of the first eigenvector. Our results demonstrate that not including a correction strategy to mitigate diffusion gradient imperfections especially for high quality data may lead to a significant bias for diffusion measure estimates.

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MuSHER: Multi-shell Spherical Harmonic Error Rejection
Greg Daniel Parker1 and Derek K Jones1

1Cardiff University, Cardiff, United Kingdom

Diffusion weighted imaging is prone to artefacts. Sources including hardware instability, bulk motion and cardiac pulsation can all induce spurious signal intensities (i.e. corruption) which negatively affect derived measurements. To combat this an additional processing step may be added to detect (and subsequently reject) such corrupted data points; however, with the increasing use of multi-shell acquisitions a number of existing approaches (constrained to a single b-value shell and/or unsuitable diffusion tensor models) are no longer applicable, limiting available choices. With this abstract we propose a new multi-shell detection algorithm and provide preliminary experimental results.

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White Matter Microstructural Changes in Healthy Aging: The Impact of Free Water Elimination on DTI Metrics
Jordan Chad1, Ofer Pasternak2, David H. Salat3, and J. Jean Chen1,4

1Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada, 2Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, 3Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 4Medical Biophysics, University of Toronto, Toronto, ON, Canada

A Free Water Elimination (FWE) technique is applied to investigate changes in DTI parameters in the human white matter during healthy aging. Our results suggest that age-related changes in DTI metrics often reflect increased extracellular free water with age. DTI with FWE unmasks the effects of free water, revealing authentic tissue microstructure.

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The Neonatal DTI fiber atlas for studies of brain development at birth
Rachel J Steiner1,2, Sarah J Short3, Rebecca Knickmeyer Santelli3, Audrey Rose Verde3, Aditya Gupta3, François Budin4, Katherine A Gilmore3, Nagesh Adluru5, Guido Gerig6, John H Gilmore3, and Martin A Styner3,7

1Center for Investigating Healthy Minds, University of Wisconsin-Madison, Madison, WI, United States, 2Psychology, University of Wisconsin-Madison, Madison, WI, United States, 3Psychiatry, University of North Carolina at Chapel Hill, 4Kitware Inc., 5Waisman Center, University of Wisconsin-Madison, 6Tandon School of Engineering, Department of Computer Science & Engineering, NYU, 7Department of Computer Science, University of North Carolina at Chapel Hill

Given the increasing popularity and wealth of DWI data in the field of neuroimaging, there is a critical need for the development of publically available resources that enable widespread application of a set of template fibers for atlas based along-tract analysis supporting an adequate and reliable analysis of DTI in newborns in both practice and in clinical research settings. To address this gap, we developed a Neonate DTI atlas that represents a typically developing human brain during the first few weeks of life. To the best of our knowledge, we are the first to develop a population atlas with this magnitude of quality and sample size, as well as with a comprehensive set of template fibers for semi-automatic tract based analysis. The DTI atlas and the tracts will be made available through NITRC.

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A fingerprinting approach to identifying fiber directions in Orientation Distribution Functions for Higher Order Diffusion MRI
Steven H. Baete1,2, Ying-Chia Lin1,2, and Fernando E. Boada1,2

1Center for Advanced Imaging Innovation and Research (CAI2R), NYU School Of Medicine, New York, NY, United States, 2Center for Biomedical Imaging, Dept of Radiology, NYU School Of Medicine, New York, NY, United States

High quality diffusion acquisitions are routinely used to study white matter architecture and brain connectivity in vivo. A key step for successful tractography of neuronal tracts is correct identification of the tract directions in each voxel. Here we propose a fingerprinting-based methodology for identifying these fiber directions in Orientation Distribution Functions. This ODF-fingerprinting approach improves the detection of fiber pairs with small crossing angles whilst maintaining fiber direction precision. This improvement will aid fiber tracking algorithms in accurately displaying neuronal tracts and calculating brain connectivity.

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Non-Central Chi to Gaussian Transformation of Diffusion MRI Signals Improves Estimation of Fiber ODFs
Geng Chen1, Dinggang Shen1, and Pew-Thian Yap1

1Department of Radiology and BRIC, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States

Many existing algorithms for estimation of the fiber orientation distribution function (ODF) inherently assume Gaussian noise distribution. Against this assumption, the non-central chi noise distribution of diffusion signals causes bias in fiber ODF estimation. In this work, we introduce a means of transforming the diffusion-weighted signals to have a Gaussian noise distribution with the help of the recently introduced x-q space non-local means (XQ-NLM) algorithm. We show that this signal mapping improves estimation of fiber ODFs.

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TORTOISE v3: Improvements and New Features of the NIH Diffusion MRI Processing Pipeline
Mustafa Okan Irfanoglu1,2,3, Amritha Nayak1,2,3, Jeffrey Jenkins1,2, and Carlo Pierpaoli1,2

1Quantitative Medical Imaging Section, NIBIB/NIH, Bethesda, MD, United States, 2SQUITS/NICHD/NIH, Bethesda, MD, United States, 3Henry Jackson Foundation, Bethesda, MD, United States

Here we present a series of improvements and new features of the TORTOISE diffusion MRI data processing software (www.tortoisedt.org). TORTOISEv3 has been programmed in C++ and it is now significantly faster, can be batched and it fully benefits from modern multi-core CPU architectures. The DIFFPREP module brings a multitude of new and state-of-art features including DWI denoising, Gibbs ringing removal, and the ability to perform motion and eddy currents distortion correction for very high b-value data. The new DIFFCALC module can perform MAP-MRI propagator estimation and the output can be easily imported in other software packages for statistical analysis and atlas creation.

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Bias Field Correction and Intensity Normalisation for Quantitative Analysis of Apparent Fibre Density
David Raffelt1, Thijs Dhollander1, J-Donald Tournier2, Rami Tabbara1, Robert E Smith1, Eric Pierre1, and Alan Connelly1

1Florey Institute of Neuroscience, Melbourne, Australia, 2Centre for the Developing Brain, Division of Imaging Sciences and Biomedical Engineering, Kings College London, London, United Kingdom

Apparent Fibre Density (AFD) is a measure derived from un-normalised fibre orientation distributions. To make AFD quantitative across subjects, images need to be intensity normalised and bias field corrected. Here we present a fast and robust approach to simultaneous bias field correction and intensity normalisation by exploiting tissue compartment maps derived from multi-tissue constrained spherical deconvolution. We performed simulations to show that the method can accurately recover a ground truth bias field, while also demonstrating qualitative results on in vivo data.

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Multi compartment deconvolution with L2 regularization and priors improves repeatability of MD estimation through free water and IVIM elimination.
Alberto De Luca1,2, Filippo Arrigoni2, Alessandra Bertoldo1, and Martijn Froeling3

1Department of Information Engineering, University of Padova, Padova, Italy, 2Neuroimaging Lab, Scientific Institute IRCCS Eugenio Medea, Bosisio Parini (LC), Italy, 3Radiology Department, University Medical Center Utrecht, Utrecht, Netherlands

Pseudo continuous description of the diffusion MRI (dMRI) signal through multi-compartment deconvolution is a promising technique to disentangle different water pools in the brain. In this work we verified whether a deconvolution based approach with L2 regularized priors could improve the repeatability of DTI metrics computed on the brain data of 3 volunteers acquired twice. Signal fractions of free water and perfusion could reliably be quantified and removed from the diffusion signal, improving the repeatability of MD estimation both in gray and white matter. 


Electronic Poster

Hepatopancreaticobiliary

Exhibition Hall Monday 14:45 - 15:45

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Comparing liver fat quantification obtained with Complex Chemical Shift-Encoded MRI and Conventional method in an oncologic population sample.
Alessandra Borgheresi1, Davinia Ryan1, Simone Krebs1, Sarah Eskreis-Winkler1, and Lorenzo Mannelli1

1Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, United States

Chemotherapy is hepatotoxic. Since steatosis is an early sign of hepatotoxicity, an accurate estimation of the changing of fat liver concentration would be useful in the management of oncologic patients. The purpose of this study was to compare fat liver concentration estimated by T1-weightened-in-and-out-of-phase (IOP) imaging with the one obtained by IDEAL-IQ method in an oncologic patients population with unknown liver iron concentration. A statistical difference was demonstrated between fat fraction estimated with conventional IOP imaging and IDEAL-IQ method.

3544
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Feasibility of computed diffusion-weighted MR imaging for visualization of pancreatic adenocarcinoma: comparison with acquired diffusion-weighted imaging
Yoshihiko Fukukura1, Yuichi Kumagae1, Hiroto Hakamada1, Koji Takumi1, Kiyohisa Kamimura1, Masanoari Nakajo1, Tomoyuki Okuaki2, and Takashi Yoshiura1

1Radiology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan, 2Philips Electronics Japan, TN, Japan

We compared directly acquired diffusion-weighted imaging (DWI) at b-values of 1500 s/mm2 and 2000 s/mm2 with computed DWI (cDWI) at the same b-values, which was calculated from directly acquired DWI data at b-values of 0 s/mm2 and 1000 s/mm2. Our main result is that the incidence of clear hyperintense pancreatic adenocarcinomas was significantly higher on cDWI at a b-value of 1500 s/mm2 than on directly acquired DWI at a b-value of 1000 s/mm2 (P < 0.001) and was comparable to the incidence on directly acquired DWI at a b-value of 1500 s/mm2, suggesting that cDWI to a b-value of 1500 s/mm2 has diagnostic merit.

3545
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Hyperpolarized [1-13C]pyruvate reveals increase of hepatic LDH activity following a glucose challenge in pigs
Uffe Kjærgaard1, Christoffer Laustsen1, Thomas Nørlinger1, Emmeli Mikkelsen1, Rasmus Stilling Tougaard2, Qi Haiyun1, Lotte Bonde Bertelsen1, Niels Jessen3, and Hans Stødkilde-Jørgensen1

1MR Research Centre, Aarhus University Hospital, Aarhus, DK, Aarhus N, Denmark, 2Department of Cardiology – Research, Aarhus University Hospital, Aarhus, DK, 3Department of Clinical Medicine - Research Laboratory for Biochemical Pathology, Aarhus University, Aarhus, DK

Hepatic regulation of glucose homeostasis is of pivotal importance and thus in vivo interrogation of hepatic energetic alterations in disease and treatment non-invasively using [1-13C] pyruvate has been proposed as a novel modality for assessing metabolic status. Here we investigated the metabolic effect of a glucose challenge on the porcine liver. A hepatic metabolic shift towards a reduced gluconeogenesis (increased lactate pool size) was observed following the glucose challenge, confirming hyperpolarized 13C MR’s ability to detect such changes. These findings support the use of hyperpolarized MR in metabolic challenge test in patients. 

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4D-MRI with 3D radial sampling and self-gating-based K-space sorting: image quality improvement by slab-selective excitation
Zixin Deng1,2, Wensha Yang3, Jianing Pang1,4, Richard Tuli3, Behrooz Hakimian3, Robert Reznik3, Xiaoming Bi5, Benedick Fraass3, Debiao Li1,2,6, and Zhaoyang Fan1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Radiation Oncology, Cedars-Sinai Medical Center, 4Siemens Healthcare R&D, Chicago, IL, United States, 5Siemens Healthcare R&D, Los Angeles, CA, United States, 6Medicine, University of California, Los Angeles, Los Angeles, United States

Stereotactic body radiation therapy with a simultaneous integrated boost (SBRT-SIB) has been used to improve tumor resection rate by sterilizing cancerous tissue that are surrounding the vessels. Accurate tumor imaging and tumor motion assessment will enhance the potential for SBRT-SIB. 4D-MRI (respiratory resolved, 3D volumetric images) has emerged as a promising imaging technique for characterizing tumor motion due to the absence of ionizing radiation and its superior soft tissue contrast. This study explored a slab-selective excitation approach to increase the blood vessel to tissue contrast with the goal of improving the accuracy of boost volume definition in radiation therapy.

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PET/MR in pancreatic cancer: correlation between overall survival and functional imaging biomarkers from DCE-MRI, DWI, MR spectroscopy and PET
Bang-Bin Chen1, Yu-Wen Tien2, Ming-Chu Chang3, Mei-Fang Cheng4, Shih-Hung Yang5, and Tiffany Ting-Fang Shih6,7

1Department of Medical Imaging and Radiology, National Taiwan University Medical School and Hospital, Taipei, Taiwan, 2Department of Surgery, National Taiwan University Medical School and Hospital, 3Department of Internal Medicine, National Taiwan University Medical School and Hospital, 4Department of Nuclear Medicine, National Taiwan University Medical School and Hospital, 5Department of Oncology, National Taiwan University Medical School and Hospital, 6Departmen of Radiology, National Taiwan University Medical School and Hospital, Taipei, Taiwan, 7Department of Medial Imaging, Taipei City Hospital

The purpose of this study is to evaluate the association of imaging biomarkers from PET/MR with overall survival in pancreatic cancer patients. Sixty-four patients with pathologically-proven pancreatic adenocarcinoma underwent PET/MRI before treatment. The imaging biomarkers included Ktrans and Peak from DCE-MRI, minimal apparent diffusion coefficient from DWI, choline from MR spectroscopy, standard uptake values, metabolic tumor volume, and total lesion glycolysis of the tumors. Among all imaging parameters, Peak was found to be an independent predictor for overall survival in these patients. Thus, the imaging biomarkers from PET/MRI reflect different tumor characteristics and may predict survival outcome in these patients.

3548
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T1- MRI Assessment of Hepatobiliary Fibrosis in Cystic Fibrosis Patients: Significance for Chronic Liver Diseases
Shannon Donnola1, Kimberly McBennett2,3, David Weaver3, Lan Lu1,4, Xin Yu1,5,6, James Chmiel3, Michael Konstan3, Mitchell Drumm3,7, and Chris Flask1,3,5

1Radiology, Case Western Reserve University, Cleveland, OH, United States, 2Medicine, University Hospitals of Cleveland, OH, United States, 3Pediatrics, University Hospitals of Cleveland, Cleveland, OH, United States, 4Urology, Case Western Reserve University, Cleveland, OH, United States, 5Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 6Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, United States, 7Genetics, Case Western Reserve University, Cleveland, OH, United States

Liver disease is the third leading cause of death in Cystic Fibrosis (CF). Unfortunately, conventional liver function tests cannot sensitively detect it.1-3 Liver stiffness measurements via MRI and ultrasound have shown promise but are unfortunately impacted by other factors (e.g., hepatic fat) potentially resulting in over-estimation of fibrosis.4,5 We recently validated a T1-MRI assessment of biliary dilatation and fibrosis in a rat model of congenital hepatic fibrosis (Figs. 1-3).6 In this clinical study, we show that T1-MRI can be used to sensitively detect increased percent bile duct volumes in CF patients in comparison to control subjects with normal liver function. 

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Reliable determination of bile acids from human gallbladder by 1H MRS - protocol optimization and estimation of reproducibility
Gaelle Diserens1, Roland Kreis1, Dino Kroell2, Philipp Nett2, Guido Stirnimann2, Peter Vermathen1, and Reiner Wiest2

1Depts. Radiology and Clinical Research, University Bern, Bern, Switzerland, 2Dept. Visceral Surgery and Medicine, University Inselspital, Bern, Switzerland

Bile exerts multiple functions in the liver and gut with a crucial role for triglyceride-, sterol- and carbohydrate-metabolism and is a key player in disease processes. The study purpose was to develop a reliable MRS protocol and to assess variability of bile acid determination in human gallbladder. Our study demonstrated higher stability and reliability of gallbladder spectra with subjects measured  in prone position compared to back position. Relatively small coefficients of variation were obtained in a reproducibility study particularly within subjects, suggesting clinical applicability of the method, especially for longitudinal studies.

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MR Imaging Characteristics of Benign and Malignant Biliary Strictures
Nikhar Kinger1, Peter Harri1, Lauren F Alexander1, Courtney Coursey Moreno1, and Pardeep K Mittal1

1Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States

Wide spectrum of hepatobiliary and pancreatic diseases can lead to development of benign and malignant biliary strictures such as cholangiocarcinoma, pancreatic adenocarcinoma, ampullary carcinoma, PSC, autoimmune pancreatitis, ischemic strictures, post cholecystectomy, trauma etc. MRI characteristic of malignant strictures such as length, location, wall thickness, asymmetry, luminal regularity and enhancement will be discussed. CE_MRI helps to reach specific diagnosis and narrow differential diagnosis which is important for management and treatment planning

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Early Detection of Acute Pancreatitis (AP) Using MR Elastography (MRE) with Multislice Spin-echo Echo-planar Imaging
Yu Shi1, qiyong guo2, yin liu, and yanqing liu

1Shengjing Hospital, Shen Yang, People's Republic of China, 2People's Republic of China

An accurate early diagnosis(<24h of admission) of acute pancreatitis is clinically important. Our work shows that MR elastography has significantly better diagnostic performance for detecting AP than that achieved using the conventional CT/MR imaging, with improved sensitivity and accuracy. Early MRE is a promising technique to diagnose AP in a noninvasive fashion on admission.

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Gadoxetate-disodium-enhanced T1-weighted R2* Mapping Improves Visualization of Biliary Anatomy in Liver Donor Candidates
Soudabeh Fazeli Dehkordy1, Saya Igarashi1, Carolina P Lamas Constantino1,2, Jonathan Hooker1, Cheng William Hong1, Adrija Mamidipalli1, Alan Hemming3, and Claude B Sirlin1

1Liver Imaging Group, Department of Radiology, University of California San Diego, San Diego, CA, United States, 2Dimagem Diagnóstico por Imagem, Rio de Janeiro, Brazil, 3Department of Surgery, University of California San Diego, San Diego, CA, United States

Gadoxetate-disodium (Gd-EOB-DTPA)-enhanced 3D T1- weighted (T1W) MR cholangiography (MRC) is recognized as an efficient method for evaluation of biliary anatomy, which is critical in the preoperative evaluation of living liver donors. We hypothesize that bile duct visualization could be improved by acquiring Gd-EOB-DTPA-enhanced T1W multi-echo (ME) gradient-echo (GRE) images and generating parametric R2* map cholangiograms. In 10 liver donor candidates, we retrospectively compared biliary duct visualization on T1W-R2* maps vs. 3D T1W cholangiograms obtained 20 minutes after IV administration of gadoxetate disodium. T1W-R2* maps provided comparable visualization of the first-order bile duct branches and better visualization of the second-order branches (p<0.05).

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Evaluation of T1 Parametric Mapping using Inversion Recovery Fast Spoiled Gradient Echo: Application for Pre- and Post-Contrast Liver MRI
Puneet Sharma1, Xiaodong Zhong1,2, Marcel Dominik Nickel3, Hiroumi Kitajima1, and Pardeep Mittal1

1Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States, 2MR R&D Collaborations, Siemens Healthcare, Atlanta, GA, United States, 3MR Application Predevelopment, Siemens Healthcare, Erlangen, Germany

This investigation evaluates the performance and accuracy of a fast inversion recovery Look-Locker method for in vivo liver T1 mapping. Several parameters were assessed using T1 phantoms to describe accuracy trends and prevalence for artifacts. The method was also applied in vivo to demonstrate feasibility of fast T1 mapping of liver parenchyma and blood pool. The results offer insight into optimal imaging parameters, and showed good agreement with known T1 values at 1.5T.

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Black Blood T2-weighted Turbo Spin-Echo Imaging of the Liver with DANTE Preparation Module
Huimin Lin1, Weibo Chen2, Li Jiang3, Lyu Li2, Ruokun Li1, and Fuhua Yan1

1Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China, 2Philips Healthcare, Shanghai, People's Republic of China, 3Philips Healthcare (Suzhou), Suzhou, People's Republic of China

The purpose is to implement high resolution black blood T2-weighted TSE liver imaging in order to facilitate focal liver lesion detection and characterization. DANTE black blood preparation module, T2 weighted Multivane XD multi-slice acquisition and respiratory trigger were combined together. 8 healthy volunteers underwent MRI scanning on 3T Ingenia MR Syste. The black blood T2-weighted sequence showed high image quality and no artifacts. Hepatic veins, portal vein and their main branches were all suppressed successfully. No significant difference was shown in the SNR between black blood and routine T2-weighted images. In conclusion, the black blood T2-weighted imaging could provide robust and good imaging quality.

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Splenic MR Elastography in Prediction of Hepatic Fibrosis Stage
Chen-Te Chou1,2 and Ran-Chou Chen3,4

1Radiology, Chang-Hua Christian Hospital, Chang-Hua, Taiwan, 2Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, 3Health Promotion Administration, Ministry of Health and Welfare, 4Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei

The purpose of our study was to investigate the relationship between splenic MR elastography (MRE) and liver fibrosis stages. 109 patients underwent histological examination and abdominal MR examination within 3-months interval were enrolled in our study. MRE was performed with passive driver on right and left chest wall separately. The mean stiffness value of liver and spleen was determined and showed good correlation between hepatic/splenic stiffness and liver fibrosis stage. Our results demonstrated that spleen stiffness measured by MRE was significant correlated with liver fibrosis stage. Combination of the spleen/liver stiffness provide higher diagnostic value than liver stiffness alone.

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Hepatocyte Fraction: Correlation with non-invasive liver functional biomarkers
Yoshifumi Noda1, Satoshi Goshima1, Tomoyuki Okuaki2, Kimihiro Kajta1, Hiroshi Kawada1, Nobuyuki Kawai1, Hiromi Koyasu1, and Masayuki Matsuo1

1Department of Radiology, Gifu University, Gifu, Japan, 2Philips Healthcare, Tokyo, Japan

The hepatocyte fraction (HeF) is based on simple pharmacokinetics and can quantitatively estimate the fraction of hepatocyte. In our study, the HeF, quantitative liver-to-spleen contrast ratio (Q-LSC), and delta T1 value were compared and correlated with Child-Pugh and MELD score. The HeF demonstrated the highest correlations with Child-Pugh score (r = -0.58, P < 0.0001) and MELD score (r = -0.57, P < 0.0001). The HeF could be a useful biomarker for the evaluation of liver function, compared to conventional imaging based quantitative methods.

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Cardiac-induced liver deformation as a measure of liver stiffness: normal volunteer reproducibility and post-prandial stress studies
Manil Chouhan1, Alex Menys1, Alan Bainbridge2, David Atkinson1, Shonit Punwani1, Rajeshwar Mookerjee3, and Stuart Taylor1

1UCL Centre for Medical Imaging, University College London, London, United Kingdom, 2Department of Medical Physicist, University College London Hospitals NHS Trust, London, United Kingdom, 3UCL Institute for Liver and Digestive Health, University College London, London, United Kingdom

Liver stiffness measured with elastography has useful clinical applications but requires the use of expensive, specialist equipment.  In this study, we acquire dynamic ‘cine’ data of the liver to capture cardiac-induced liver motion during cardiac cine MRI.  We quantify these data by applying a registration algorithm and use the deformation fields as a surrogate for liver stiffness. We demonstrate feasibility and good seven-day reproducibility and evaluate the effects of physiological haemodynamic changes using a liquid meal challenge. This technique would be widely applicable to hospital MRI scanners without elastography equipment. 

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Computer 112
Investigation of liver cirrhosis using 31P-MRS at 7T
Lucian A. B. Purvis1, William T. Clarke1, Ladislav Valkovic1, Christina Levick1, Michael Pavlides2, Eleanor Barnes2, Jeremy F. Cobbold2, Stefan Neubauer1, Matthew D. Robson1, and Christopher T. Rodgers1

1OCMR, Department of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom, 2Translational Gastroenterology Unit, University of Oxford, Oxford, United Kingdom

Phosphorus (31P) metabolites have potential value as markers in liver disease. The increase in field strength from 3 to 7T allows more accurate quantitation of the liver 31P-MRS spectrum. Ten volunteers and eleven patients with liver cirrhosis were scanned using a 16-channel array and a 3D UTE-CSI sequence. Metabolite concentrations were calculated using an endogenous 2.5mM ATP reference. Significant reductions in inorganic phosphate and phosphoenolpyruvate/phosphatidylcholine concentrations were seen, as well as an increase in glycerophosphoethanolamine (P<0.05). The splitting of PDE into its constituent peaks allows more insight into changes in metabolism.

3559
Computer 113
Assessment of Liver Function of HBV-induced Cirrhosis using T1 Mapping on Gd-EOB-DTPA-Enhanced MRI
Xueqin Zhang1, Jian Lu1, Tao Zhang1, Jifeng Jiang1, Ding Ding1, Sheng Du1, and Weibo Chen2

1Nantong Third People’s Hospital, Nantong University, Nantong, People's Republic of China, 2Philips Healthcare, Shanghai, People's Republic of China

The purpose of this study was to investigate the ability of T1 mapping on Gd-EOB-DTPA-enhanced MRI for the assessment of liver function of HBV-induced cirrhosis. We used Look-Locker sequences to acquire T1 mapping images pre and post-contrast at 5, 10, 15 and 20 minutes after Gd-EOB-DTPA administration, T1 relaxation times of the liver parenchyma were measured, reduction rates of T1 relaxation times between pre- and post-contrast enhancement were calculated, our study showed that Gd-EOB-DTPA-enhanced T1mapping MRI is useful for the evaluation of Liver function of HBV-induced cirrhosis.

3560
Computer 114
Assessment of Hepatic Iron Content by an Automatic Vessel Exclusion Technique in Patients with Iron Overload
Aaryani Tipirneni-Sajja1, Ruitian Song1, M. Beth McCarville1, Ralf B. Loeffler1, Jane S. Hankins2, and Claudia M. Hillenbrand1

1Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States, 2Hematology, St. Jude Children's Research Hospital, Memphis, TN, United States

Extraction of liver parenchyma is an important step in the evaluation of R2*-based hepatic iron content. Traditionally this is performed by radiologists via thresholding, an iterative, time consuming process susceptible to interrater variability. Here, a new method based on Frangi vesselness filtering is presented that automatically removes hepatic vessels from liver tissue, thereby reducing potential bias and improving workflow. The method was evaluated in digital liver phantoms and 42 iron overloaded patients. Excellent agreement between manual and automated liver parenchyma segmentation was found which demonstrates accuracy and robustness of the proposed method. 

3561
Computer 115
Steatohepatitic Hepatocellular Carcinoma:  Distinctive MR Imaging Features with Pathologic and OPTN Correlation
Kelly Tung1, Alvin Silva1, Marcela Salomao2, Christine Menias1, Christine Zwart1, Sukhdeep Singh1, and Amy Hara1

1Radiology, Mayo Clinic Arizona, Phoenix, AZ, United States, 2Pathology, Mayo Clinic Arizona, Phoenix, AZ, United States

Hepatocellular carcinoma (HCC) has specific imaging criteria such as arterial hyperenhancement, contrast washout, and pseudocapsule that allow it to be diagnosed with confidence and relative accuracy.  However, a novel HCC variant, steatohepatitic hepatocellular carcinoma (SH-HCC), has been described which tends to not exhibit the classic HCC imaging features. In this study, we explored alternative secondary MR features of HCC such as T1 and T2 signal intensity, intralesional fat, and restricted diffusion which may be more applicable in diagnosing steatohepatitic hepatocellular carcinoma.

3562
Computer 116
Retrospective reconstruction of hepatic arterial phases in gadoxetic acid-enhanced liver MR using continuous golden-angle radial sequence
Yoon-Chul Kim1, Eunju Kim2, Gabrielle Beck3, Hans Peeters3, and Young Kon Kim4

1Clinical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, Republic of, 2Philips Healthcare, Seoul, Korea, Republic of, 3Philips Healthcare, Best, Netherlands, 4Radiology, Samsung Medical Center, Seoul, Korea, Republic of

We apply a 3D continuous golden-angle radial sparse parallel (GRASP) sequence to gadoxetic acid-enhanced imaging of the liver at 3 T.  Arterial phase imaging may need high spatial and temporal resolution as well as correct timing of capturing arterial enhancement to obtain hemodynamic information of the tumor. Continuous golden-angle radial sampling provides a flexible retrospective selection of temporal window. We develop a technique that identifies the arterial peak from high temporal resolution data and reconstructs arterial phases with different temporal windows. The characteristics of hepatic arterial images after retrospective temporal resolution selection are demonstrated.

3563
Computer 117
Qualitative and Quantitative Comparison of 2D Gradient Recalled Echo and Rapid 2D Gradient Recalled Echo Magnetic Resonance Elastography
Ely R Felker1, Steven S Raman1, Bradley D Bolster2, Holden Wu1, Kyung Sung1, Ning Jin2, Brenda J Brown1, and David S Lu1

1UCLA, Los Angeles, CA, United States, 2Siemens Healthcare, United States

Conventional GRE-based MR elastography requires a breath hold of approximately 18 seconds per slice, which is difficult for some patients.  We compared a rapid GRE-based sequence (9 second breath hold) to conventional GRE in terms of quantitative liver stiffness (LS) measurement and image quality score (IQS), based on wave propagation and confidence mask coverage, determined by two independent radiologists.  The two sequences were equivalent in terms of LS measurement, but the rapid GRE sequence had significantly higher IQS for both readers.  Rapid GRE-based MR elastography may be an improved alternative to GRE in patients with limited breath hold capacity.

3564
Computer 118
Evaluation of Portal Vein System Hemodynamics with Magnetic Resonance Angiographic Inflow-Sensitive Inversion Recovery
Di Zhu1, Xianlun Zou1, Hao Tang1, Xiao Chen1, Xiaoyan Meng1, Zhen Li1, and Daoyu Hu1

1Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China

To evaluate the ability of magnetic resonance angiographic inflow-sensitive inversion recovery (IFIR-MRA) to assess hemodynamics of portal vein system in patients with portal hypertension, we compared visualized portal vein branching grade scores at different blood suppression inversion time (BSP TI) settings and signal intensity contrast ratio of the vessles and the liver parenchyma with color Doppler ultrasonograghy (CDUS) measured hemodynamics. Statistically significantly correlation demonstrated that IFIR-MRA of portal vein system has the potential to suggest hemodynamic changes, especially for RPV.

3565
Computer 119
Validation of Feasibility of Magnetic Resonance Imaging for the Measurement of Depth of Tumor Invasion in Distal Bile Duct Cancer
Na Yeon Han1, Min Ju Kim1, Beom Jin Park1, Deuk Jae Sung1, Ki Choon Sim1, Ki Choon Sim1, and Sung Bum Cho1

1Korea University Anam Hospital, Seoul, Korea, Republic of

We performed the study to develop and validate a method for measuring the depth of tumor invasion (DoI) on magnetic resonance imaging (MRI) and to investigate the diagnostic performance of the measured DoI for stratifying T classification in patients with distal bile duct cancer. Our result showed that this newly developed method reliably measured DoI on T2-weighted MR images, and can be used for the preoperative T classification of distal bile duct cancer patients.

3566
Computer 120
Pancreatic exocrine function estimated by cine dynamic MRCP with a spatially selective IR pulse: Correlation with T1 mapping of the pancreatic parenchyma
Katsuyoshi Ito1, Akira Yamamoto1, Kazuya Yasokawa1, Minoru Hayashida1, Daigo Tanimoto1, Akihiko Kanki1, Tomohiro Sato1, Hidemitsu Sotozono1, Takeshi Fukunaga1, Koji Yoshida1, Kazunori Moriya1, and Tomoyuki Okuaki2

1Radiology, Kawasaki Medical School, Kurashiki, Japan, 2Philips Healthcare AsiaPacific, Japan

This study assessed the correlation between pancreatic exocrine function estimated by cine dynamic MRCP with a spatially selective IR pulse and T1 mapping of the pancreatic parenchyma on 3T MR imaging. There was a statistically significant correlation between the secretion grade of the pancreatic juice in cine-dynamic MRCP and T1 relaxation time of the pancreatic parenchyma. Therefore, T1 mapping of the pancreatic parenchyma will be used as collaborative, noninvasive technique of cine-dynamic MRCP with a spatially selective IR pulse for the estimation of pancreatic exocrine function.


Electronic Poster

Agent Developments & Technical Advances in Moleular MR Imaging

Exhibition Hall Monday 16:15 - 17:15

3567
Computer 1
Detection of Acetaminophen-Induced Liver Damage using Contrast-Enhanced Dynamic MRI and T1 Maps
Christiane L Mallett1, Matthew Latourette1, Jeremy Hix1, Alexander Wolf1, and Erik M Shapiro1

1Radiology, Michigan State University, East Lansing, MI, United States

We are developing an MRI method to measure acetaminophen toxicity in the liver. We obtained dynamic T1 weighted images of the liver and T1 maps using the clinically approved contrast agent gadoxetate disodium (Eovist). After acetaminophen overdose, the uptake of contrast was decreased in the liver and increased in the kidney. T1 and variation in T1 were higher after acetaminophen. T1 was correlated with ALT, a serum measure of liver damage. This is a promising method for quantifying drug induced liver damage in vivo.

3568
Computer 2
A Transgenic Method to Enhance Intracellular Retention of Iron Oxide Nanoparticles and Prolong MRI Tracking
Xiaoyong Zhang1, Ximei Qian2, Sha Wang1, and Xiaoping Hu1

1Bourns college of engineering, University of California, Riverside, CA, United States, 2Department of Biomedical Engineering, Emory University

Iron oxide nanoparticles (IONPs) are widely used as labels for noninvasive cell tracking using magnetic resonance imaging (MRI). However, IONP induced contrast dilutes rapidly over time due to cell growth and division, limiting its applications in long-term cellular visualization. In the present work, unlike techniques focusing on modification of IONPs, we established a novel transgenic approach to increase IONP retention, significantly prolonging the tracking time of IONP labeled cells. In addition, this approach could be generalized to other cell types and magnetic nanoparticles, making it attractive for long-term cell tracking or tumor progression monitoring.  

3569
Computer 3
Comparison of USPIO and MPIO for molecular MRI across different field strengths
Niloufar Zarghami1, Alexandr Khrapichev1, Francisco Perez-Balderas1, Manuel Sarmiento-Soto1, and Nicola Ruth Sibson1

1Department of Oncology, University of Oxford, Oxford, United Kingdom

We have previously reported molecular MRI studies using Microparticles of Iron Oxide (MPIO) coupled to anti-VCAM-1 antibodies. However, Ultrasmall Superparamagnetic Iron Oxide  (USPIO) are more commonly used in MRI applications. Although MPIO provide greater targeting valency and contrast per particle, their advantages over UPSIO for molecular MRI has not been demonstrated empirically. Here, we compared the sensitivity and specificity of VCAM-MPIO and VCAM-USPIO for molecular MRI; VCAM-MPIO, but not VCAM-USPIO, yielded marked and selective contrast in areas of cerebral inflammation. These results confirm the theoretical assumption that MPIO present a more viable platform for molecular MRI than USPIO.

3570
Computer 4
3 nm iron oxide nanoparticles as spin-lattice relaxation time enhancing contrast agents.
Joong Hee Kim1, Taeghwan Hyeon2, and David L. Brody3

1Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, United States, 2Seoul National University, 3Washington University School of Medicine in St. Louis

Relaxation based MR images have superior spatial resolution compared to other MRI approaches. In addition, structural MRI requires short scan time and yet has high signal to noise ratio. However, the greatest limitation of structural MRI is poor specificity and sensitivity to pathology. Thus a well characterized MR molecular contrast agent would be a major advance. Here we present 3 nm iron oxide nanoparticles (IONP) as a T1 contrast agent. The 3 nm IONP showed strong T1 effects up to 13.5 ms echo time. A fully functionalized 3 nm IONP would be an appropriate component for molecular contrast agents.     

3571
Computer 5
Engineered Protein-Iron Oxide Hybrid Biomaterial for MRI-monitoring of Drug Delivery
Lindsay Kathleen Hill1,2,3, Che Fu Liu3, Teeba Jihad3, Youssef Zaim Wadghiri2, and Jin Kim Montclare3,4

1Biomedical Engineering, SUNY Downstate Medical Center, Brooklyn, NY, United States, 2Radiology, New York University School of Medicine, New York, NY, United States, 3Chemical and Biomolecular Engineering, New York University Tandon School of Engineering, Brooklyn, NY, United States, 4Chemistry, New York University, New York, NY, United States

Our goal is to create protein engineered biomaterials for dual drug delivery and MRI monitoring  to improve the growing field of theranostics. Here we present a drug binding protein that is templated to USPIOs using a biomineralization-inspired biotemplation method. The agent shows promise for T2/T2*-weighted MRI.

3572
Computer 6
Direct hyperpolarization of micro- and nanodiamonds for bioimaging applications – considerations on particle size, functionalization and polarization loss
Grzegorz Kwiatkowski1, Jonas Steinhauser1, Patrick Wespi1, Matthias Ernst2, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH Zurich, Zurich, Switzerland, 2Physical Chemistry, ETH Zurich, Zurich, Switzerland

Due to the inherently long relaxation time of 13C spins in diamonds, the nuclear polarization enhancement obtained with dynamic nuclear polarization can be preserved for a time on the order of ~1h, opening up a window for a new class of long-lived contrast agents. Up to now, no imaging with hyperpolarized micro and nanodiamonds has been reported. The present communication presents the feasibility of applying directly hyperpolarized diamonds in MR imaging including considerations for potential in-vivo applications.

3573
Computer 7
A novel multimodal mannan-based polymer system suitable for tumor and metastasis diagnosis
Andrea Galisova1, Marketa Jiratova1, Maria Rabyk2, Martin Hruby2, Milan Hajek1, and Daniel Jirak1

1MR Unit, Institute for Clinical and Experimental Medicine, Prague, Czech Republic, 2Institute of Macromolecular Chemistry, Prague, Czech Republic

Presented mannan-based polymers have promising properties for tumor and metastasis imaging due to their biocompatibility, nanosize and specificity for the immune cells. In this study, two mannan-based polymers were tested by multimodal imaging (MRI and fluorescence). The polymers showed superior imaging properties compared to a commercially available contrast agent. The polymer modified with oxazoline expressed slower elimination rate from the body. Both probes were visualized by MR and optical imaging modality at the injection sites and in the lymph nodes of the experimental mice suggesting their promising properties for cancer diagnosis.

3574
Computer 8
CEST MRI using sugar alcohol, maltitol, to detect cancer: Study on rat glioma model
Puneet Bagga1, Mohammad Haris2, Kevin D'Aquilla1, Francesco Marincola2, Hari Hariharan1, Ravinder Reddy1, and Puneet Bagga3

1Department of Rediology, University of Pennsylvania, Philadelphia, PA, United States, 2Research Branch, Sidra Medical and Research Center, Doha, Qatar, 3Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

We show the use of a sugar alcohol sweetener, maltitol, in cancer MRI studies by exploiting its chemical exchange saturation transfer (malCEST) property. The tumor specific accumulation of maltitol in a rat glioma model provides localized, temporal changes in the CEST contrast, which corroborated the gadolinium-enhanced MRI. These findings illustrate the potential application of maltitol in the diagnosis and monitoring of the therapeutic response of cancers, including gliomas in preclinical studies.

3575
Computer 9
Detection of dynamic substrate binding using MRI
Nirbhay N. Yadav1,2, Xing Yang1, Yuguo Li1,2, Wenbo Li1,2, Guanshu Liu1,2, and Peter C.M. van Zijl1,2

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2FM Kirby Research Center, The Kennedy Krieger Institute, Baltimore, MD, United States

Magnetic Resonance Imaging (MRI) is rarely used for molecular binding studies and never without synthetic metallic labels. We designed an MRI approach that can selectively detect substrate-target interaction by exploiting the narrow resonance of protons in free substrate for selective radio-frequency (RF) labeling and, subsequently, the process of immobilisation upon binding to a solid-like target for fast dipolar transfer of this label over the protons in its backbone. This cascade of events is ultimately detected via the water MRI signal with enhanced sensitivity. We demonstrate the principle for caffeine binding in vitro and in vivo.

3576
Computer 10
In vivo CEST MRI of specific activated T-cells population using the natural nucleoside cytidine
Hyla Allouche-Arnon1 and Amnon Bar-Shir1

1Organic Chemistry, Weizmann Institute of Science, Rehovot, Israel

Non-invasive imaging of inflammation is crucial for understanding both inflammatory processes and immunotherapy. We propose a non-invasive and non-radioactive approach for longitudinal imaging of activated immune cells. We show that the use of the natural nucleoside cytidine as CEST imaging probe enable the monitoring of specific activated T-cells population with MRI. By using fluorescent analog of cytidine it is shown that CD8 T-cells are in situ labeled, underlying the specificity of nucleosides as potential probes for monitoring activated immune cells. We conclude that by using cytidine as a MRI-based probe one could monitor specific activated T-cells population during inflammation. 

3577
Computer 11
Prospective longitudinal evaluation of patients with low-grade cartilage injury using gagCEST at 7T
Markus Schreiner1,2, Vladimir Mlynarik1,3, Didier Laurent4, Vladimir Juras1, Pavol Szomolanyi1, Stefan Zbyn1,5, Celeste Scotti4, Joerg Goldhahn4, Harry Haber4, Ewa Kubiak4, Ronenn Roubenoff4, Stefan Marlovits6, Reinhard Windhager2, and Siegfried Trattnig1,3

1High Field MR Centre, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 2Department of Orthopaedics, Medical University of Vienna, Vienna, Austria, 3Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 4Novartis Institutes for Biomedical Research, Basel, Switzerland, 5Research Unit of Medical Imaging, Physics and Technology, University of Oulu and Oulu University Hospital, Oulu, Finland, 6Depatment of Traumatology, Medical University of Vienna, Vienna, Austria

To the best of our knowledge, this is the first study that employs gagCEST for the longitudinal evaluation of untreated articular cartilage defects. We demonstrate that gagCEST at 7T has the potential of discriminating between cartilage defects, weight bearing and non-weight bearing femoral cartilage and therefore might serve as a biomarker for the evaluation of novel cartilage therapies. Furthermore, our study implies that proper fixation of the examined knee may help to increase the reliability of gagCEST experiments.

3578
Computer 12
Lipo2-DG-CEST: a new theranostic agent for simultaneous tumour imaging and chemotherapy
Eleni Demetriou1, Harriet Story2, Robin Bofinger2, Karin Shmueli3, Helen Hailes2, Alethea Tabor2, and Xavier Golay1

1Brain Repair and Rehabilitation, Institute of Neurology, London, United Kingdom, 2Department of Chemistry, University College of London, London, United Kingdom, 3Department of Medical Physics & Bioengineering, University College of London, London, United Kingdom

2-DG has been shown to inhibit tumor growth in vivo; however, it cannot be used as a therapeutic agent in humans due to its toxicity.  Here we show the potential for 2-DG-loaded liposomes to provide detectable Chemical Exchange Saturation Transfer (CEST) contrast, and thereby achieve simultaneous tumour imaging and chemotherapy by targeting areas of greater tumour metabolism. The CEST signal arising from 2-DG was compared to liposome-encapsulated 2-DG and to natural D-glucose, respectively. The results demonstrated an increase in signal for2-DG loaded liposomes when compared to both free 2-DG and glucose possibly due to a decrease in the global exchange rate. 

3579
Computer 13
PRO-QUEST: A fast method for exchange rate quantification based on PROgressive saturation for Quantifying Exchange using Saturation Times in Chemical Exchange Saturation Transfer (CEST)
Eleni Demetriou1, Mohamed Tachrount1, Karin Shmueli2, and Xavier Golay1

1Brain Repair and Rehabilitation, Institute of Neurology, London, United Kingdom, 2Department of Medical Physics & Bioengineering, University College of London, London, United Kingdom

In this work we propose a novel pulse sequence for measuring chemical exchange rates through a progressive saturation recovery process PRO-QUEST (PROgressive saturation for Quantifying Exchange using Saturation Times).  The water magnetization is sampled under non-steady state conditions and saturation is interleaved with the acquisition of images obtained in a single scan. Unlike previous approaches, it provides maps of T1 and B1 , needed for exchange-rate calculations, from the same dataset. The proposed pulse sequence has been successfully applied to obtain exchange rate maps in phantoms and healthy rat brains.

3580
Computer 14
β‑alanine Loaded Hollow Mesoporous Silica Nanospheres: A Potential Contrast Agent for Magnetic Resonance Spectroscopy Imaging of Brain Glioma
Jing Wang1, Jianxun Qu2, Tianyong Xu2, and Zhenwei Yao1

1Radiology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China, 2GE Healthcare, Shanghai, People's Republic of China

The β‑alanine loaded hollow mesoporous silica nanospheres (AMSNs) with a characteristic MRS spectrum are successfully synthesized and used for contrast enhanced magnetic resonance spectroscopy (MRS) imaging of brain glioma. Material characterizations, in vitro and in vivo cytotoxicity studies and contrast enhanced MRS imaging of both subcutaneously transplanted glioma and in situ glioma are conducted with the synthesized AMSNs. 

3581
Computer 15
MR Imaging of Nanoparticle Uptake and 3D Intra-tumoral Distribution in Orthotopic Xenograft Mouse Models of Neuroblastoma
Ketan B Ghaghada1, Saakshi Bhayana1, Igor Stupin1, Flavia Leao Barbosa1, Chandresh Patel1, Zbigniew Starosolski1, and Ananth Annapragada1

1Pediatric Radiology, Texas Children's Hospital, Houston, TX, United States

Heterogeneity in tumor vasculature gives rise to variability in vascular permeability, one of the consequences being non-uniform intra-tumoral uptake and distribution of nanoparticle-based chemotherapeutics. An imaging agent that can assess tumor vascular heterogeneity and monitor uptake and distribution of nanoparticles could be useful for guiding and monitoring nanoparticle-based chemotherapy. In this work, we demonstrate, in orthotopic mouse models of solid tumors, that a high T1 relaxivity liposomal-gadolinium contrast agent (liposomal-Gd) enables MR imaging of nanoparticle uptake and 3D intra-tumoral distribution at clinically-relevant MR field strength.

3582
Computer 16
A high-relaxivity extradomain-B fibronectin targeting gadolinium metallofullerene for cancer detection and differential diagnosis in molecular MRI
Zheng Han1 and Zheng-Rong Lu1

1Case Western Reserve University, Cleveland, OH, United States

Accurate cancer detection and characterization with MRI is hampered by the lack of safe and effective targeted MRI contrast agents. In this work, we have designed and synthesized a high-relaxivity targeted contrast agent by conjugating ZD2 peptide to hydroxylated Gd3N@C80. ZD2-Gd3N@C80 has a high T1 relaxivity of 76.4 mM-1s-1 per Gd at 1.5 Tesla and a small diameter of 1 nm on average. At a low dose of 5 µmol Gd/kg, ZD2-Gd3N@C80 is able to produce prominent contrast enhancement in the highly metastatic MDA-MB-231 triple-negative breast cancer model, but not in the estrogen-dependent MCF-7 tumors. 

3583
Computer 17
MR/optical image-guided liposomal drug delivery system for triple negative breast cancer
Sudath Hapuarachchige1, Wenlian Zhu1, Yoshinori Kato1,2, Marina V. Backer3, Susanta Sarkar4, Joseph M Backer1,3, and Dmitri Artemov1,5

1Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Life Science Tokyo Advanced Research Center (L-StaR), Hoshi University School of Pharmacy and Pharmaceutical Science, Tokyo, Japan, 3SibTech, Inc., Brookfield, CT, 4CadenzaMed LLC, Wayne, PA, 5Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Noninvasive image-guided drug delivery is important in cancer drug development, and allows visualizing the delivery and predicting the outcome. In this study, the delivery and therapeutic effects of liposomes targeted to tumor vasculature was researched. Intravital microscopy and MRI were used for tracking the drug delivery and therapeutic effects were monitored in MDA-MB-231 mouse tumor model. Our experimental results suggest that targeting liposomes to VEGF receptors (VEGFRs) expressed on tumor endothelium, may inhibit EPR-mediated extravasation and accumulation of VEGFR-targeted liposomes.

3584
Computer 18
Use of Gadofosveset-enhanced Lung MRI to Assess Ongoing Lung Injury in Fibrotic Interstitial Lung Disease.
Sydney B Montesi1, Rohan Rao1, Lloyd Liang1, Subba Digumarthy2, Amita Sharma2, Peter Caravan2, Andrew Tager1, and Ravi Seethamraju3

1Medicine, Pulmonary and Critical Care, Massachusetts General Hospital, Boston, MA, United States, 2Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Siemens Healthcare, Boston, MA

Vascular leak is a cardinal response to injury, and prior assessments of alveolar-capillary permeability suggest that vascular leak is present in the lungs of patients, and that its extent is associated with progression and mortality.  We hypothesized that the degree of vascular leak present reflects the extent of ongoing lung injury, and that measuring lung vascular permeability consequently could provide a much-needed metric for assessing ILD disease activity and predicting disease progression. Using magnetic resonance imaging with the albumin-binding contrast agent gadofosveset, we were able to detect increased vascular permeability in the lung of patients with fibrotic ILD. 

3585
Computer 19
MRI assessment of spatial distribution of hypoxia in pre-clinical xenograft models of non-small cell lung cancer via GdDO3NI: A Novel Hypoxia-Binding T1 Contrast Agent
Shubhangi Agarwal1, Nutandev B Jayadev1, Carlos Renteria1, Xiangxing Kong2, Yanqing Tian2,3, Landon J Inge4, and Vikram D Kodibagkar1

1Arizona State University, Tempe, AZ, United States, 2Biodesign Institute, Arizona State University, Tempe, AZ, United States, 3Department of Materials Science and Engineering, South University of Science and Technology of China, Shenzhen, People's Republic of China, 4Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, United States

Degree of tumor hypoxia and its spatial distribution could impact the therapeutic choices and lead to development of improved treatment plans. This study uses a hypoxia binding T1 contrast agent GdDO3NI, to evaluate the dependence of hypoxia activated pro-drug TPZ (Tirapazamine) on baseline tumor oxygenation and its effect on the oxygenation of two non-small cell lung cancer lines ( NCI-H1975 and patient derived xenograft M112004). GdDO3NI was able to report the changes in hypoxia distribution in the tumor models in response to Tirapazamine therapy and correlation with therapeutic effect.  

3586
Computer 20
Aza-BODIPY Derivative for Gadolinium-enhanced MR and Near-infrared Fluorescence Dual Imaging
Hyunseung Lee1, Eun-jung Kim1, Hyun Min Kim1, and Kwan Soo Hong1,2

1Bio-imaging Research Team, Korea Basic Science Institute, Cheongju, Korea, Republic of, 2Graduate School of Analytical Science and Technology, Chungnam National University

A novel dual imaging probe for in vivo magnetic resonance imaging (MRI) and optical imaging was developed by combining gadolinium (Gd)-chelating MR probe and a near-infrared (NIR) fluorophore, aza-BODIPY (AB; BODIPY = borondipyrromethene). This aza-BODIPY-based bimodal contrast agent (AB-BCA) showed a significant fluorescence emission around the NIR range and an enhanced longitudinal relaxivity in MR modality. The probe was easily delivered to phagocytic cells of the innate immune system, together with macrophages and dendritic cells (DCs), and presented high-performance fluorescence and MR imaging without obvious cytotoxicity.

3587
Computer 21
Multi-parametric 11C-Methionine-PET/MRI for brain tumor imaging utilizing MR Fingerprinting.
Lale Umutlu1, Jasmin Jaeger1, Matthias Nittka2, Stephan Kannengiesser 2, Josef Pfeuffer 2, Gregor Koerzdoerfer 2, Rainer Kirsch2, Florian Meise2, Harald Quick3,4, Vikas Gulani5, Mark Griswold5, Ken Herrmann6, Marcel Gratz3,4, and Michael Forsting1

1Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany, 2Siemens Healthcare GmbH, Erlangen, Germany, 3University Duisburg-Essen, Erwin L. Hahn Institute for MR Imaging, Essen, Germany, 4High Field and Hybrid MR Imaging, University Hospital Essen, Germany, 5Case Western Reserve University, Cleveland, OH, 6Department of Nuclear Medicine, University Hospital Essen, Essen, Germany

The successful implementation of integrated PET/MR systems has enabled a unique platform for simultaneous multi-parametric imaging comprising morphologic, functional and metabolic features of pathologic tissue. MR Fingerprinting has been recently presented as a robust and fast framework for simultaneous accurate quantification of multiple MR tissue properties. The results of our study, combining tissue characterization based on PET/MR imaging and MR Fingerprinting, indicate a correlation between tumor grading and changes in tissue features, demonstrating the high diagnostic potential of this novel approach for multi-parametric tissue characterization.    

3588
Computer 22
A novel theranostic termoresponsive 19F probe for tumor imaging
Daniel Jirak1, Andrea Galisova1, Ondrej Sedlacek2, Martin Hruby2, and Milan Hajek1

1IKEM, Prague, Czech Republic, 2Institute of Macromolecular Chemistry of the Academy of Sciences, Prague, Czech Republic

Novel 19F MR probe with the ability of creation of a depot in the living system is presented. This agent is pH- and termoresponsible with the phase transition point from liquid into the solid state at the temperature above 20 ºC. The MR properties were assessed by relaxometry and 19F spectroscopy/imaging. In vivo application confirmed efficiency of depot visualization; strong 19F MR signal was detected in all animals. No adverse effects of the probe to the animals were observed. Sufficient MR sensitivity of the probe and its slow degradation in animals suggest potential for a theranostic use.

3589
Computer 23
Characterization of Inflammation Induced by Exposure to Primary Blast Waves in Rats using 19F MRI
Lesley M Foley1, James C DeMar2, Andrew B Batuure2, William B Rittase2, John G Rosenberger2, Donna M Wilder2, Patrick M Kochanek3, Joseph B Long2, and T Kevin Hitchens1,4

1Animal Imaging Center, University of Pittsburgh, Pittsburgh, PA, United States, 2Center for Military Psychiatry and Neuroscience Research, Walter Reed Army Institute of Research, Silver Springs, MD, United States, 3Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, United States, 4Department of Neurobiology, University of Pittsburgh, Pittsburgh, PA, United States

Our objective is to longitudinally monitor the nature and timing of immune cell guided inflammatory processes following multiple blasts in an animal model, in an effort to discern potential therapeutic windows. Blast, results in a heterogeneous whole-body inflammatory response that can be observed with a perfluorocarbon contrast agent and 19F MRI. A second closely timed blast increased the amount of fluorine signal in injured rats, which most likely represents increased macrophage accumulation. Despite having potent anti-inflammatory properties, we did not observe that a diet rich in omega-3 fatty acids has a significant impact on the inflammatory response to blast injuries. 

3590
Computer 24
A Feedback System for Molecular Imaging of 19F FDG
Mirko Hrovat1, James Balschi2, Mike Dabaghyan1, Mark Mattingly3, and Neal Kalechofsky2

1Mirtech, Inc., Boston, MA, United States, 2Millikelvin Technologies, LLC, Braintree, MA, United States, 3Bruker BioSpin Corp., Billerica, MA, United States

A feedback system used in conjunction with a high concentration spin reservoir demonstrates an enhanced MRI signal from a molecular imaging target at low concentration. Enhanced images of a 10mM 19F FDG target obtained by a modified 3D Flash sequence are shown. Detectability curves reveal that for a 100ul voxel size, an imaging time of ~30 min is required to image 1mM 19F FDG with an SNR of 4. 


Electronic Poster

Applications of Molecular Imaging & Hyperpolarized MRI

Exhibition Hall Monday 16:15 - 17:15

3591
Computer 25
A novel application of quantitative sodium MRI for distinguishing lipedema from obesity
Rachelle Crescenzi1, Adriana Marton2, Paula MC Donahue3,4, Helen B Mahany1, Ping Wang1, Joshua A Beckman5, Manus J Donahue1,6,7,8, and Jens Titze2

1Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Pharmacology and Physiology, Vanderbilt University, Nashville, TN, United States, 3Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, United States, 4Vanderbilt Dayani Center for Health and Wellness, Nashville, TN, United States, 5Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, United States, 6Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 7Psychiatry, Vanderbilt University Medical Center, Nashville, TN, United States, 8Physics and Astronomy, Vanderbilt University, Nashville, TN, United States

Sodium MRI is a molecular imaging tool that may be sensitive to the impact of lymphatic impairment on tissue homeostasis, yet has not been evaluated in a clinical population with a lymphatic disorder. Lipedema is a lymphatic fat-disorder that is under-recognized due to a need for further advanced MR imaging to diagnosis and assess treatment efficacy of the condition. Here, we apply quantitative 3T sodium imaging for the first time in a lipedema cohort to quantify tissue sodium levels and found elevated sodium concentration in the skin and muscle of patients with lipedema compared to BMI- and age-matched controls.

3592
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The verification of the T2 distributed relaxation model (DRM) for a polydisperse nanoparticle system
Bashar Issa1

1Physics, UAE University, Al-Ain, United Arab Emirates

Theories describing T2 enhancement due to the presence of superparamagnetic particles agree well with experimental and Monte Carlo simulation data under the condition that the particles are monodisperse both in size and magnetization. We present a T2 distributed model that takes into account the particle size and magnetization distributions. The results shown confirm the ability of the distributed relaxation model to correctly predict T2 values for a mixed MAR and SDR sample of MNP under a wide range of values of size, magnetization, volume fraction, etc. The new model will reduce the error in calculating T2 values using the mean size and mean magnetization values when a distribution of MNP exists.

3593
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Chicken Embryo: An Excellent Platform for Monitoring Zika Virus Induced Microcephaly and Tracking Stem Cells
Qun Zhao1, Forrest Goodfellow2, Gregory Simchick1, Thomas Hodge3, Melinda Brindley3, and Steven Stice2

1Bioimaging research Center, University of Georgia, Athens, GA, United States, 2Regenerative Bioscience Center, University of Georgia, Athens, GA, United States, 3Department of Infectious Diseases, University of Georgia, Athens, GA, United States

A chicken embryo is the developmental biology’s oldest model organism. In ovo development of the chicken embryo closely mirrors human embryo development. The relatively large size, ease of access, and lack of maternal motion generated in pregnant mammals are distinct advantages the chicken embryo model provides. The chicken embryo provides an excellent platform for monitoring morphology and metabolism of central neural system (CNS) by using MRI or NMR spectroscopy over the course of development. In this presentation our recent work on monitoring Zika virus induced microcephaly and tracking stem cells are presented.

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Leucine deprivation causes hypothalamic neuronal inhibition accompanied by systemic metabolic changes.
Anna Ulyanova1, Jadegoud Yaligar1, Anantharaj Rengaraj1, Tian Xianfeng1, Venkatesh Gopalan1, Sanjay K Verma1, Christiani Jeyakumar Henry2, and S Sendhil Velan1

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, A*STAR, Singapore, Singapore, 2Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, A*STAR, Singapore, Singapore

The lack of dietary essential amino acid leucine influences energy metabolism via hypothalamic leptin signaling pathway. However, these neural circuits and its relationship with pathogenesis of obesity still remain unclear. In this work we investigated the hypothalamic neural pathway, abdominal fat and liver fat by multi-parametric imaging in leucine deficient diet fed mice. MEMRI results indicated that leu deficiency triggers neuronal inhibition in certain hypothalamic regions suggesting POMC neuronal pathway involvement in enhanced energy expenditure through leptin signaling pathway. Combined with systemic metabolic changes this may facilitate in understanding of amino acid sensing and metabolic regulatory network of energy homeostasis.

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Detecting neuronal activity in rat model of dementia with Lewy bodies by using MEMRI
Meng-Syuan Lin1, Ying-Jui 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

Dementia with Lewy bodies (DLB) is thought to be the second commonest cause of neurodegenerative dementia in older people, accounting 15 to 25% cases at autopsy. However, to date there are no reliable methods of instrumental and laboratory diagnosis of this disease while its treatment is based on reducing the symptoms. The drug X has been shown to have neuroprotective effects in neurodegenerative diseases. Therefore, we aimed to clarify the medicinal effectiveness of drug X through manganese-enhanced magnetic resonance imaging (MEMRI). Our results indicated that drug X may have clinical potential in the treatment of DLB.

3596
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Aortic endothelial injury modifies plaque composition at a distally located site through increased monocyte extravasation
Begona Lavin Plaza1, Alkystis Phinikaridou1, Marcelo Andia Kohnenkampf2, and Rene Botnar1

1Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Radiology Department, Universidad Catolica de Chile, Santiago de Chile, Chile

The deleterious impact of atherosclerosis on other cardiovascular diseases has recently been shown, but the effect of vascular alterations on plaque formation at a distal site, including the underlying mechanisms of this systemic response, has not been elucidated. In this study, we used an albumin-binding contrast agent to assess whether (1) endothelial injury in the abdominal aorta accelerates plaque progression in the brachiocephalic artery located distally to the site of injury and (2) whether monocytes can be the link between acute and systemic response.

3597
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Precise longitudinal MRI tracking of systemically infused dual labelled mesenchymal stem cells and their regenerative potential in traumatic brain injury mice
Sushanta Kumar Mishra1,2, Subash Khushu1, and Gurudutta Gangenahalli2

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

Stem cells transplantation has emerged as a promising alternative therapeutic due to its potency at injury site. Thus, tracking of stem cells is very essential. Here, we have described a serial in vivo tracking of implanted stem cells through 7T MRI and its differentiation potential into neuronal precursors. T2*-weighted images and relaxation study demonstrated a significant signal loss and effective decrease in T2* relaxation time on day-3 at injury site. Expression of neuronal markers like GFAP, MAP2 and NeuN were observed in transplanted MSCs. The proposed procedure could be extrapolated for stem cell tracking and therapies in various neurodegenerative diseases.

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Molecular Imaging of the effects of monocyte chemoattractant protein-1 (MCP-1) on extracellular matrix remodeling following myocardial infarction
Isabel Teixeira Ramos1,2, Markus Henningsson1, Maryam Nezafat1, Begoña Lavin1, Silvia Lorrio1, Alkystis Phinikaridou1,2, Ulrich Flögel3, Ajay Shah2,4, and René Botnar1,2

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Cardiovascular Division, The British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom, 3Heinrich Heine University Düsseldorf, Düsseldorf, Germany, 4Cardiovascular Division, James Black Centre, King's College London, London, United Kingdom

After a myocardial infarction (MI) the degree of inflammation and its timely resolution, together with the degradation and deposition of extracellular matrix proteins are key processes in post-MI healing. Monocyte chemoattractant protein-1 (MCP1) plays an important role in the recruitment of monocytes/macrophages and its absence has revealed a significant reduction of inflammatory cell recruitment and subsequent ECM protein production in the infarcted area. Here, we explored the merits of multinuclear 1H/19F MRI for the simultaneous assessment of myocardial inflammation and remodelling in a murine model of MI. 19F containing nanoparticle that is avidly taken up by macrophages was used to investigate inflammatory cell recruitment into injured myocardium2, and a small molecular weight gadolinium-based elastin-specific MR contrast agent was used to evaluate changes of elastin content post-MI3.

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19F-based MRI cell tracking shows that the density of tumour associated macrophages in breast tumours corresponds to tumour aggressiveness and metastatic potential
Ashley V Makela1,2, Jeffrey M Gaudet1,2, and Paula J Foster1,2

1Medical Biophysics, Western University, London, ON, Canada, 2Robarts Research Institute, London, ON, Canada

Tumour associated macrophages (TAMs) have been associated with tumour aggressiveness, including tumour growth and metastatic potential. 19F-based MRI is used in this study to track these cells in vivo, revealing the ability to differentiate TAM content between 3 murine models of breast cancer. Highly aggressive tumours had significantly higher 19F signal when compared to the low and non aggressive variants. This information may be of use as a biomarker, to differentiate between tumours with high infiltration of TAMs, which have the propensity to metastasize and progress quicker, versus tumours with less TAMs, which may not advance as quickly.

3600
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Post-mortem Cardiac and Skeletal Muscle 19F MRI of PFCE-labeled and FuGENE-transfected Cardiac Progenitor Stem Cells in the C57BL/6 Mouse
Christakis Constantinides1, Ricardo Carnicer1, Ayman Al Haj Zen1, Mahon Maguire1, Eileen McNeil1, Edyta Swider2, Mangala Srinivas2, Carolyn A Carr3, and Jurgen E Schneider1

1Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom, 2Department of Tumor Immunology, Radboud University, Nijmegen, Netherlands, 3Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom

Stem cell (SC) technologies constitute a potential new therapeutic approach aiming to achieve tissue regeneration. Despite advances in the visualization of pre-labeled SCs with SPIOs (1H MRI), and of nanoparticles (NPs) containing perfluoro-crown-ethers (PFCE) [2-4] in 19F MRI, there have been no prior reports on cardiac 19F imaging with direct SC injections. We report herein the implementation of a fast acquisition protocol for cardiac and skeletal muscle 19F imaging of the C57BL/6 mouse post-mortem, and identify the minimum cellular load for PFCE labels to achieve visualization following direct SC cell injections.

3601
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Characterizing the Tumor Microenvironment
Samata Kakkad1, Balaji Krishnamachary1, Marie-France Penet1,2, Yelena Mironchik1, Flonne Wildes1, and Zaver M Bhujwalla1,2

1JHU ICMIC Program, Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, MD, United States

Total choline in tumors is associated with increased aggressiveness.  Since the distribution of total choline in tumors is usually heterogenous, here we have examined the relationship between high and low total choline, obtained with 1H MRSI, with hypoxia and necrosis in a human breast cancer xenograft model engineered to express red fluorescence protein under hypoxic conditions.  We found that the highest total choline regions were associated with hypoxia.  We also observed that overall total choline in tumors inversely correlated with the necrotic fraction, suggesting that reduced total choline may reflect increased cell death in tumors. 

3602
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3D CMRO2 Mapping in Human Brain with Direct 17O-MRI: Comparison of Methods for Image Reconstruction and Partial Volume Correction
Dmitry Kurzhunov1, Robert Borowiak1,2,3, Marco Reisert1, Axel Joachim Krafft1, Ali Caglar Özen1, and Michael Bock1

1Dept. of Radiology, Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany, 2German Cancer Consortium (DKTK), Heidelberg, Germany, 3German Cancer Research Center (DKFZ), Heidelberg, Germany

This study presents a comparative analysis of different reconstruction techniques for quantification of 3D maps of the cerebral metabolic rate of oxygen consumption (CMRO2) in human brain. CMRO2 maps were calculated from a direct 17O-MRI experiment at 3T in which 17O gas was inhaled. Conventional Kaiser-Bessel reconstruction of 17O MR images was compared to two iterative reconstruction methods using total variation (TV) and anisotropic diffusion (AD) of coregistered proton data as constraints. AD-constraint reconstruction, which acts as a non‑homogeneous edge‑preserving smoothing filter, enabled CMRO2 mapping at clinical field strengths by increasing the SNR, and reducing partial volume effects.

3603
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Multiparametric tumor characterization using simultaneous 1H-MRI, [18F]FDG PET and hyperpolarized [1-13C]pyruvate MRSI
Christian Hundshammer1,2, Miriam Braeuer1, Müller Christoph3,4, Adam Espe Hansen5, Jorge Cabello1, Mathias Schillmaier6, Benedikt Feuerecker1, Stephan Duewel1,2,7, Schachoff Sylvia1, Birgit Blechert1, Michael Michalik1, Jan-Bernd Hövener3,4, Steffen J. Glaser2, Axel Haase7, Franz Schilling1, Andreas Kjaer5, Stephan Nekolla1, and Schwaiger Markus1

1Department of Nuclear Medicine, Klinkum rechts der Isar, Munich, Germany, 2Department of Chemistry, Technical University Munich, Munich, Germany, 3Department of Radiology, Medical Physics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 4German Consortium for Translational Cancer Research (DKTK), Partnersite Freiburg, German Center for Cancer Research (DKFZ), Heidelberg, Germany, 5Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Copenhagen, Denmark, 6Department of Radiology, Klinikum rechts der Isar, Munich, Germany, 7Deparment of Medical Engineering, Technical University Munich, Munich, Germany

In order to understand complex mechanisms of the tumor biology, multimodal imaging approaches are useful. Here we present a workflow to characterize subcutaneous MAT-B-III tumors in rats on a clinical 3T PET/MR. Proton imaging was used for tumor localization and to characterize tumor cellularity by diffusion-weighted imaging. Glucose uptake and downstream glucose metabolism of pyruvate by lactate dehydrogenase (LDH) was addressed by [18F]FDG-PET and hyperpolarized [13C]pyruvate metabolic imaging. The [18F]FDG standard uptake values and the LDH activity were consistently and reproducibly higher compared to normal tissue.

3604
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Imaging branched-chain amino acid metabolism in glioma using hyperpolarized [1-13C] alpha-ketoisocaproate
Eul Hyun Suh1, Weijun Ou1,2, Ian Corbin1, Dean Sherry1,3, and Jae Mo Park1

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Organ Transplantation Center, Sun Yat-sen University, Guangzhou, People's Republic of China, 3Chemistry, University of Texas Dallas, Richardson, TX, United States

Upregulated branched-chain amino transaminase 1 (BCAT1) expression is a common metabolic feature of most primary cancers with wild-type isocitrate dehydrogenase (IDH), including glioblastoma. In this study, 13C-labeled a-ketoisocaproate (KIC) metabolism was investigated in a brain tumor-bearing rat to assess BCAT1 and branched-chain α-ketoacid dehydrogenase (BCKDH) activities in the tumor. Following an intravenous bolus injection of hyperpolarized [1-13C]KIC, both [1-13C]leucine and 13C-bicarbonate were observed in the brain. We observed less [1-13C]leucine but greater bicarbonate production in the tumor compared to normal, healthy brain tissue, suggesting downregulated chemical exchange of [1-13C]KIC with leucine catalyzed by BCAT1 and upregulated BCKDH activity, respectively.

3605
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Metabolic changes in the heart precede functional changes in a rat model of doxorubicin-induced cardiotoxicity
Kerstin N Timm1, Jack J Miller1, Dragana Savic1, Vicky Ball1, Lucia Giles1, Cher-Rin Chong1, Michael S Dodd1, and Damian J Tyler1

1Physiology Anatomy and Genetics, University of Oxford, Oxford, United Kingdom

Chemotherapeutic agents such as doxorubicin can cause serious adverse effects on the heart, leading to decreased left ventricular function and heart failure.  The biochemical mechanisms for this are not fully understood, however, increased oxidative stress in cardiomyocytes as well as bioenergetic changes to the heart have been suggested as primary triggers for the functional decline.  Here we show that hyperpolarized 13C magnetic resonance spectroscopy and CINE magnetic resonance imaging of the heart can detect metabolic as well as functional changes in a clinically relevant rat model of doxorubicin-induced cardiotoxicity, and that metabolic changes may precede functional abnormalities. 

3606
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Acute afterload-imposed change in porcine cardiac metabolism imaged by hyperpolarized [1-13C]Pyruvate
Rasmus Stilling Tougaard1,2, Esben Søvsø Szocska Hansen2, Christoffer Laustsen2, Jakob Lindhardt2, Marie Schroeder2, Hans Erik Bøtker1, Won Yong Kim1,2, Henrik Wiggers1, and Hans Stødkilde-Jørgensen2

1Department of Cardiology - Research, Aarhus University Hospital, Aarhus N, Denmark, 2MR Research Centre, Aarhus University, Aarhus N, Denmark

Deranged metabolism is now considered a key causal factor in heart failure and has therefore gained considerable scientific interest. The novel technique hyperpolarized MR has emerged as a leading methodological candidate to study these derangements. We employed a clinically relevant, large animal model of angiotensin-II-mediated acute hypertension to study cardiac metabolism in the setting of elevated afterload using hyperpolarized [1-13C]Pyruvate MR. The method was able to detect acute increases in both anaerobic and aerobic cardiac metabolism, which, in the future could mean a useful way of monitoring a possible treatment response to afterload reduction by using hyperpolarized MR.

3607
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Hyperpolarized [1-13C]Pyruvate MRI identifies metabolic differences pertaining to the fasted and fed state in porcine cardiac metabolism
Rasmus Stilling Tougaard1,2, Esben Søvsø Szocska Hansen2, Christoffer Laustsen2, Thomas Stokholm Nørlinger2, Emmeli Mikkelsen2, Jakob Lindhardt2, Marie Schroeder2, Per Mose Nielsen2, Lotte Bonde Bertelsen2, Hans Erik Bøtker1, Won Yong Kim1,2, Henrik Wiggers1, and Hans Stødkilde-Jørgensen2

1Department of Cardiology - Research, Aarhus University Hospital, Aarhus N, Denmark, 2MR Research Centre, Aarhus University, Aarhus N, Denmark

Standardized large animal models for cardiac hyperpolarized MR metabolic studies are becoming increasingly important as translation into human trials progresses. We employed a porcine (n=17) model of fasting/feeding to study these two states and to examine normal feeding as a standardized model for increasing hyperpolarized [1-13C]Pyruvate signal in the heart. All metabolic ratios were higher in fed animals with no additional variance. This indicates the role of pyruvate uptake to be more important in pigs than in rodents, underlining the need for large animals in metabolic research, and also suggests feeding to be a feasible, standardized model for increasing signal.

3608
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Fumarate to Malate Conversion in Infarcted Porcine Heart – a Pilot Study
Esben Søvsø Szocska Hansen1,2, Rasmus Stilling Tougaard1,3, Per Mose Nielsen1, Jakob Lindhardt1, Hans Stødkilde Jørgensen1, and Christoffer Laustsen1

1The MR Research Centre, Aarhus University, 8200, Denmark, 2Danish Diabetes Academy, Odense, Denmark, 3Department of Cardiology, Aarhus University Hospital, 8200, Denmark

Hyperpolarized MR may be a key tool for investigation cardiac metabolism and cardiac treatment response. [1,4-13C2]Fumarate is an emerging and interesting candidate for measuring and visualizing cardiac injury after ischemia. In this study we showed an initial step for imaging cardiac cell death in a large animal model with [1,4-13C2]malate. The [1,4-13C2]malate signal correlated well with increased 13C-lactate signal and 13C-alanine absence. Overall, this shows increased metabolism in the infarcted area and ongoing necrosis.

3609
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Molecular Detection of Inflammation in a Macrophage Cell Model Using Hyperpolarized 13C-Pyruvate
Renuka Sriram1, Justin DeLos Santos1, Julia Nguyen1, Mark Van Criekinge1, Seth Vigneron2, John Kurhanewicz1, and John MacKenzie1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2University of California San Diego

Carbon-13 magnetic resonance with dynamic nuclear polarization is a potential molecular imaging strategy to detect and monitor inflammation. In this study we investigated hyperpolarized 13C-pyruvate and alterations in its conversion to 13C-lactate as an imaging biomarker for disease severity and monitoring treatment response in inflammatory disorders.

3610
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Metabolism of Hyperpolarized Pyruvate detects Knockout of Pyruvate Dehydrogenase Kinase
Gaurav Sharma1, Cheng Yang Wu2, R. Max Wynn2,3, David T. Chuang2,3, Craig R. Malloy1,3, Chalermchai Khemtong1, and A. Dean Sherry1,4

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Biochemistry, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Chemistry, University of Texas at Dallas, Dallas, TX, United States

The Pyruvate Dehydrogenase Complex (PDC) plays a critical role in the regulation of carbohydrate metabolism. Pyruvate Dehydrogenase Kinase (PDK) inhibits PDC via phosphorylation making it a novel therapeutic target for metabolic diseases. The present study aimed to evaluate whether the metabolism of HP-13C pyruvate is sensitive to PDK inhibition. Our results showed that higher production of HP-bicarbonate via PDC in PDK deficient livers. 13C NMR isotopomer analysis of tissue extracts confirms higher 13C-enrichment of AcCo-A in the DKO livers than the control group. The result suggested that the appearance of HP-bicarbonate  is a sensitive biomarker for monitoring the consequences of PDK inhibition.

3611
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Optimization of redox-state assessment in rat liver using hyperpolarized [1-13C]alanine
Jae Mo Park1,2, Ralph E Hurd3, and Daniel M Spielman2

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Radiology, Stanford University, Stanford, CA, United States, 3Applied Science Laboratory, GE Healthcare, Menlo Park, CA, United States

In this study, we demonstrated the strategies of increasing signal sensitivities of 13C-pyruvate and 13C-lactate generated from an injection of hyperpolarized 13C-alanine by (1) adjusting the alanine dose and (2) co-injecting unlabeled pyruvate. 120-mM alanine produced larger amount of labeled pyruvate and lactate as compared to when 80-mM or 40-mM alanine was injected. The co-injection of 7-mM unlabeled pyruvate showed up to 49% SNR increase in pyruvate and lactate peaks.

3612
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A Multi-Variate Regional Study of Acute Lung Injury Using Hyperpolarized [1-13C] Pyruvate
Hooman Hamedani1, Mehrdad Pourfathi1, Yi Xin1, Stephen Kadlecek1, Maurizio Cereda2, Harrilla Profka1, Ian Duncan1, Sarmad Siddiqui1, Nicholas Drachman1, Kai Ruppert1, and Rahim Rizi1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, United States

In this study we seek to investigate the dependency of the changes of lactate-to-pyruvate ratio on various covariates in the settings of experimental acute lung injury using a random-effect model.

3613
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Regional Analysis of Hyperpolarized Lactate-to-Pyruvate Ratio Can Improve Sensitivity to Monitor Progression of Acute Pulmonary inflammation
Mehrdad Pourfathi1, Hooman Hamedani1, Yi Xin1, Stephen Kadlecek1, Maurizio Cereda2, Harrilla Profka1, Ian Duncan1, Nicholas Drachman1, Sarmad Siddiqui1, Kai Ruppert1, Joe Naji1, and Rahim Rizi1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, United States

In this hyperpolarized pyruvate imaging study of acute lung injury, we assessed alterations of regional lactate-to-pyruvate ratio during the progression of lung inflammation caused by acid aspiration. The study shows that posterior lactate-to-pyruvate ratio changes more significantly after injury compared to the anterior ratio. This is consistent with the pattern observed with proton MRI. We report good correlation between increased lactate-to-pyruvate ratio due to inflammation and increased proton image intensity as a result of formation of edema, especially in the posterior regions.


3614
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Metabolic characterization of rat lung transplantation using HP [1-13C]-pyruvate MRI
Sarmad Siddiqui1, Mehrdad Pourfathi1, Andreas Habertheuer2, Yi Xin1, Harrilla Profka1, Hooman Hamedani1, Stephen Kadlecek1, Ali Naji2, Prashanth Vallabhajosyula2, and Rahim Rizi1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Surgery, University of Pennsylvania, Philadelphia, PA, United States

Orthotopic rat lung transplantation is a well-established animal model used for elucidating the mechanics of lung transplant surgery. However, most lung function assessment is conducted via invasive techniques. In this study, we demonstrated that hyperpolarized pyruvate MRI can be used to generate metabolic biomarkers that can be used for non-invasive lung function assessment after transplantation. In successful syngeneic lung transplants, the lactate-to-pyruvate ratio remains low in both lungs after transplant. However, in allogeneic or failed syngeneic lung transplantation, the native lung returns to baseline one week after surgery, whereas the transplanted lung shows a significant(~3-fold) increase in the lactate-to-pyruvate ratio.


Electronic Poster

Arterial Spin Labeling: Methodology

Exhibition Hall Monday 16:15 - 17:15

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3D Whole-Brain Mapping of Cerebral Blood Flow using Velocity-Selective Pulse Trains: Evaluating Various Strategies for Background Suppression
Qin Qin1,2

1Johns Hopkins University, Baltimore, MD, United States, 2Kennedy Krieger Institute, Baltimore, MD, United States

Velocity-selective arterial spin labeling (VSASL) has only been realized with 2D multi-slice acquisition. ASL with 3D readout is preferred for clinical applications and background suppression technique is essential for successful implementation of segmented 3D ASL. In this study, various strategies for background suppression are evaluated for 3D VSASL which are labeled with conventional T2prep VS pulse train, and new Fourier transform based velocity-selective saturation and inversion pulse trains, respectively. The optimal 3D whole-brain VSASL protocol is compared with PCASL for mapping cerebral blood flow on normal volunteers at 3T.

3616
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Solving the dark-sides of multiband-ASL: A framework to correct for increased motion artefacts in MB-ASL due to sharp transitions in the level of background suppression
Yuriko Suzuki1, Thomas W Okell2, Wouter M Teeuwisse1, Sophie Schmid1, Merlijn van der Plas1, Michael A Chappell2,3, and Matthias JP van Osch1

1C.J.Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2FMRIB Centre, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 3Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom

Recently, incorporation of multi-band (MB-) EPI into ASL has been reported, enabling increased spatial coverage without compromising SNR of distal slices due to longer post-labeling delay time. However, the combination of MB-EPI and ASL with the background suppression (BGS) could potentially induce problems when motion correction (MoCo) is required. In this study, we demonstrate that subtraction artefacts can be introduced when performing MoCo of MB-BGS-pCASL and that these artefacts can degrade image quality considerably. We propose a new framework that corrects for image degradation caused by MoCo of MB-BGS-pCASL data, thereby greatly improving robustness and thus usefulness of MB-BGS-pCASL.

3617
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Improved spatial encoding for vessel-selective pCASL: improving efficiency, minimising mis-labeling, and shortening scan-time for artery specific MRA
Yuriko Suzuki1, Matthias JP van Osch1, and Thomas W Okell2

1C.J.Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2FMRIB Centre, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

Hadamard-encoded vessel-encoded pCASL is a vessel-selective ASL technique that enables SNR-efficient vascular territory mapping for perfusion MRI. For vessel-selective ASL-MRA, however, minimising the number of encodings is necessary to achieve clinically feasible scan times. The spatial modulation of inversion in ve-pCASL is gradual, which could potentially reduce SNR-efficiency and cause mislabeling of arteries when reducing the number of encodings. In this study, the modulation of ve-pCASL was optimized to achieve sharper inversion to avoid signal contamination of non-targeted arteries and achieve 4D-MRA with a minimal number of Hadamard-encodings.

3618
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In-vivo evaluation of pCASL labeling scheme and position
Marta Vidorreta1,2, Li Zhao3, Sheila Shankar4, Daniel H Wolf4, David C Alsop3, and John A Detre1,2

1Neurology, University of Pennsylvania, Philadelphia, PA, United States, 2Radiology, University of Pennsylvania, Philadelphia, PA, United States, 3Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, MA, United States, 4Psychiatry, University of Pennsylvania, PA, United States

Despite recent consensus in the ASL community on pseudo-continuous ASL as preferred labeling method, several challenges still exist towards optimizing pCASL labeling efficiency in-vivo, including its sensitivity to vessel tortuosity and off-resonance effects. In this work, we assess the impact of labeling plane location and labeling scheme on the ASL perfusion signal.

3619
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Bayesian model selection of Time Encoded Arterial Spin Labelling: effect of T1 and dispersion
Marco Castellaro1, Erica Silvestri1, Ilaria Boscolo Galazzo2, Matteo Tonietto1, Alessandro Palombit1, Francesca Benedetta Pizzini2, Stefania Montemezzi2, Enrico Grisan1, Matthias J.P. Van Osch3, and Alessandra Bertoldo1

1Department of Information Engineering, University of Padova, Padova, Italy, 2University of Verona, Verona, Italy, 3Radiology, LUMC, Gorter Center for high field MRI, Leiden, Netherlands

Time-Encoded Arterial Spin Labelling (TE-ASL) has been proposed as a tool to efficiently sample the kinetics of the ASL signal. We propose a model comparison based on Bayesian Model Selection (BMS), to provide insights on which is the optimal model for the quantification of TE-ASL. Our results show how important it is to consider both T1 decay and dispersion in the quantification process. When mainly interested in GM, it is advisable to incorporate the dispersion of the bolus in the model with a Gamma kernel dispersion model and to use a single T1 value of 1.3s.  

3620
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Defining the optimal post-labeling delay for pCASL using patient specific estimates of blood velocity in the carotid artery
Neville D Gai1 and John A Butman1

1Radiology & Imaging Sciences, NIH Clinical Center, Bethesda, MD, United States

Pseudo-continuous arterial spin labeling (pCASL) with 3D non-segmented acquisition scheme allows assessment of full brain CBF with sufficiently high SNR and resolution in an efficient manner. Post-labeling delay is a critical parameter which needs to be determined preferably on a per subject basis since PLD can change based on the physiological condition of a subject. Multiple post-labeling delay (PLD) pCASL could address this issue. However, multiple PLD pCASL is not feasible for the 3D non-segmented acquisition scheme. In this work, we related the velocity in carotid artery (CA) measured using two schemes to PLD in ten volunteers. A relationship between the CA velocity and optimal PLD was derived which allows for optimal PLD to be determined on the fly for each subject. 

3621
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The reproducibility of absolute ASL-CBF: assessing the stability of absolute CBF, M0 and calibration images
Mareike Alicja Buck1,2, Matthias Günther1,2, and Federico Camilo von Samson-Himmelstjerna1,2

1Fraunhofer MEVIS, Bremen, Germany, 2Universitaet Bremen, Bremen, Germany

In this abstract the reproducibility of absolute CBF as well as the M0- and an optional calibration-image is assessed during individual scanning-sessions and also over the entire day. Comparably high reproducibility was found for all three types of images, which agrees with similar earlier findings. However, also the uncertainty of the corresponding fits was found to be high.

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Improved Calculation of Arterial Blood Equilibrium Magnetization in Arterial Spin Labeling
André Ahlgren1, Ronnie Wirestam1, Freddy Ståhlberg1,2,3, Linda Knutsson1,4, and Esben Thade Petersen5

1Department of Medical Radiation Physics, Lund University, Lund, Sweden, 2Diagnostic Radiology, Lund University, Lund, Sweden, 3Lund University Bioimaging Center, Lund University, Lund, Sweden, 4Department of Radiology (Adjunct), Johns Hopkins School of Medicine, Baltimore, United States, 5Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark

The calibration factor (equilibrium magnetization of arterial blood) in arterial spin labeling is usually calculated by dividing a PD image with a constant brain-blood partition coefficient, $$$\lambda$$$. A more accurate approach would be to divide a map corresponding to the PD of the perfused parenchymal tissue with a $$$\lambda$$$ map (i.e, taking into account different values of $$$\lambda$$$ in different tissue types). In this work, we demonstrate how this can be achieved using partial volume (PV) estimates. In vivo results are demonstrated and compared with the conventional method.

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The influence of acquisition parameters on CBF and BOLD sensitivity in 3 and 7 Tesla ASL fMRI
Anna Gardumi1, Dimo Ivanov1, Roy Haast1, Josef Pfeuffer2, Benedikt A Poser1, and Kamil Uludag1

1Maastricht University, Maastricht, Netherlands, 2Application Development, Siemens, Erlangen, Germany

Arterial spin labeling (ASL) measures cerebral blood flow (CBF) non-invasively. Compared to the BOLD signal, CBF is quantitative and more directly linked to neural activation, albeit with lower SNR. Due to increased SNR and T1 relaxation time, ultra-high field MRI promises benefits for ASL. However, technical challenges remain to exploit its full potential. Here, we compared 3T and 7T ASL implementations and studied the influence of labeling schemes, resolution, parallel imaging, and field strength on the CBF and BOLD functional contrast. We found 3T pCASL being advantageous for low-resolution and 7T FAIR for high-resolution and acquisitions utilizing parallel imaging.

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Improved labeling efficiency in Super-Selective Pseudo-Continuous Arterial Spin Labeling
Jonas Schollenberger1, C. Alberto Figueroa1,2, and Luis Hernandez-Garcia1,3

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 2Department of Surgery, University of Michigan, Ann Arbor, MI, United States, 3Functional MRI Laboratory, University of Michigan, Ann Arbor, MI, United States

We investigate how to improve the SNR of vessel-selective ASL images by off-resonance compensation and label rotation scheme optimization.

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Automatic Planning for fast and robust Flow Territory Mapping
Michael Helle1, Kim van de Ven2, and Fabian Wenzel1

1Philips Research, Hamburg, Germany, 2Philips Healthcare, Best, Netherlands

Super-Selective Pseudo-continuous Arterial Spin Labeling (pCASL) requires the labeling focus to be optimized to each artery of interest individually. This might be time-consuming especially for inexperienced users, and suboptimal results are possible as the labeling efficiency depends on the location of the labeling spot, as well as its angulation, which should be perpendicular to the artery. This study demonstrates an automatic planning approach for Super-Selective pCASL measurements in the major brain feeding vessels and subsequently compares the results to images acquired using a manual positioning of the labeling spot.  

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A multi-compartment cerebral perfusion phantom to test territory selection using vessel encoded arterial spin labelling
Michael A Chappell1, Bridget Fryer1, Anton Firth1, Robert Wight1, Thomas Kirk1, and Thomas W Okell2

1Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom, 2Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

Vessel encoded arterial spin labelling allows the visualisation of perfusion territories in the brain. However, the accuracy of perfusion measurements from VE-ASL and the associated analysis methods is difficult to establish without ground truth. Perfusion phantom devices have been prosed for conventional ASL, but don't currently attempt to model the full cerebral vasculature anatomy of the brain, limiting their value in evaluation of VE-ASL methods. Thus in this work we set out to create a multi-compartment, multi 'artery' perfusion phantom based on normal vascular anatomy.

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Evaluation of 3D GRASE and 2D MB-EPI for Multi-Delay PCASL Imaging
Xiufeng Li1, Xingfeng Shao2, Dingxin Wang1,3, Sudhir Ramanna1, Steen Moeller1, Kamil Ugurbil1, Essa Yacoub1, and Danny J.J. Wang2

1Radiology-CMRR, University of Minnesota, Minneapolis, MN, United States, 2Laboratory of FMRI Technology, Stevens Neuroimaging and Informatics Institute, University of Southern California, CA, United States, 3Siemens Medical Solutions USA Inc., MN, United States

Recently 2D multi-band (MB) imaging has emerged as a promising alternative to 3D acquisitions for arterial spin labeling imaging. As part of the Human Connectome Project, we evaluated a segmented 3D GRASE and 2D MB-EPI for multi-delay PCASL imaging in terms of test-retest repeatability and CBF/ATT quantification. The results indicated that compared to 3D GRASE, 2D MB-EPI is less sensitive to subject motion, provided comparable but more reproducible ATT and CBF estimates, and suffered less from data loss. 2D MB-EPI appears promising for multi-delay PCASL imaging, especially with limited imaging time and where higher spatial resolution is of interest.  

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Robust 3D pCASL perfusion imaging using a Cartesian Acquisition with Spiral Reordering (CASPR)
Joshua S. Greer1,2, Xinzeng Wang2, Marco C. Pinho2,3, Ivan Pedrosa2,3, and Ananth J. Madhuranthakam2,3

1Bioengineering, UT 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 can non-invasively measure perfusion, but offers low SNR compared to contrast-enhanced perfusion techniques. A novel 3D TSE with a Cartesian Acquisition with SPiral Reordering (CASPR) was implemented and combined with pCASL in the brain and kidneys. This sampling technique samples the center of k-space early in each echo train, and was shown to provide significantly improved 3D perfusion images compared to 3D linear acquisitions, and more extensive coverage than 2D acquisitions in a similar scan time. 

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Single shot high resolution 3D arterial spin labeling using 2D CAIPI and ESPIRiT reconstruction
Xingfeng Shao1 and Danny JJ Wang1

1Laboratory of FMRI Technology (LOFT), Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States

We present a single-shot 3D GRASE pCASL technique, which reduces the data loss due to motion, using 2D CAIPI sampling strategy, and reconstruct the under-sampled data using ESPIRiT. Proposed sequence employs 4-fold acceleration and achieves whole brain volume with isotropic 3×3×3 mm3 resolution. This technique was successfully applied for high resolution multi-delay ASL imaging, and CBF, ATT and T1 map could be simultaneously calculated in 4 min 14 sec.

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2D CAIPIRINHA improves accelerated 3D GRASE ASL
Dimo Ivanov1, Josef Pfeuffer2, Anna Gardumi1, Kâmil Uludağ1, and Benedikt A Poser1

1Department of Cognitive Neuroscience, Maastricht University, Maastricht, Netherlands, 2MR Application Development, Siemens Healthcare, Erlangen, Germany

Arterial spin labelling (ASL) is the primary non-invasive MRI approach to measure cerebral blood flow in healthy subjects and patients. Recently, a consensus paper has recommended segmented versions of 3D spin-echo readouts like GRASE, but these are susceptible to motion and have poor temporal resolution. To alleviate these drawbacks, we propose to accelerate the 3D GRASE readout and utilize 2D CAIPIRINHA for the reconstruction. We demonstrate that our approach is superior or at least equivalent to the 2D GRAPPA technique, depending on the acceleration factor used. The proposed approach will particularly benefit functional and clinical ASL applications.  

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A Deconvolution Method for Improved CBF Quantification in 3D-GRASE ASL
Kenneth Wengler1,2 and Xiang He2

1Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 2Radiology, Stony Brook University, Stony Brook, NY, United States

Pseudo-continuous arterial spin labeling (pCASL) with segmented 3D-GRASE acquisition is widely accepted as the optimal ASL technique. However, the method suffers from blurring along the partition direction caused by point spread function (PSF) broadening. In this study, a PSF deconvolution method for pCASL images with 3D-GRASE acquisition is developed and evaluated in simulations and in-vivo experiments. The deconvolution method greatly reduces the effects of the PSF and recover the perfusion signal for segmentation factors of at least 2PAR x 2PE. The proposed deconvolution method improves the accuracy of cerebral blood flow quantification and facilitates the use of lower segmentation factors.

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Optimization of Flip Angle Design for Reduced T2 Blurring of 3D Arterial Spin Labeling
Li Zhao1 and David Alsop1

1Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States

Conventional 3D arterial spin labeling images suffer from pronounced T2 blurring. In this work, new variable flip angle schemes, which can provide a Hann or Fermi window response across the slice direction, or which can be easily corrected to the designed window response and provide optimal SNR, were evaluated. Volunteers’ results show reduced blurring, improved SNR and contrast with the proposed methods.

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A denoising method for arterial spin labeling data based on total generalized variation (TGV) with a spatial varying regularization parameter
Stefan Manfred Spann1, Kamil S Kazimierski-Hentschel2, Christoph Stefan Aigner1, and Rudolf Stollberger1,3

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria, 3BioTechMed-Graz, Graz, Austria

Arterial spin labeling perfusion imaging permits a noninvasive approach to measure cerebral blood flow. The poor SNR of this technique makes denoising essential. ASL images are often corrupted with motion, physiological or scanning artifacts or acquired using parallel imaging leading to spatial dependent noise. To account for those artifacts and spatial varying noise we propose a denoising approach based on total generalized variation (TGV) using a spatial dependent regularization parameter. The performance of the proposed technique is evaluated on synthetic and in-vivo data and compared with the non-local means combined dual-tree complex wavelet transform (DT-CWT) denoising method.

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A Spatio-temporal Denoising Approach based on Total Variation Regularization for Arterial Spin Labeling
Cagdas Ulas1,2, Stephan Kaczmarz3, Christine Preibisch3, Jonathan I. Sperl2, Marion I. Menzel2, Axel Haase4, and Bjoern H. Menze1

1Department of Computer Science, Technische Universität München, Munich, Germany, 2GE Global Research, Munich, Germany, 3Department of Neuroradiology, Technische Universität München, Munich, Germany, 4Zentralinstitut für Medizintechnik, Technische Universität München, Munich, Germany

We present a new spatio-temporal denoising method for arterial spin labelling MR image repetitions, and mainly aim to improve the quality of perfusion-weighted images and cerebral blood flow (CBF) maps obtained from a subset of all dynamics available. Our technique is based on a two-step 3D total variation regularization, which is applied to subsets of control/label pairs in the first step and to resulting perfusion-weighted (difference) images in the second step. We demonstrate that our method leads to improved quality of perfusion-weighted images and CBF maps compared to existing spatial filtering techniques in short computation time.

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The effect of post-labeling delay on multiband pCASL based functional connectivity
Alexander D. Cohen1, Andrew S. Nencka1, and Yang Wang1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

When too short a post-labeling delay (PLD) is used for ASL, intravascular artifacts can be present. This issue is amplified in multiband (MB) ASL where superior slices are acquired early in the acquisition. Here, MB pseudocontinuous ASL (pCASL) and a dual regression approach were used to analyze functional connectivity with PLD=1000ms and 1525ms. Increased whole-brain tSNR was observed for the PLD=1000ms data, but intravascular signal was present. Group connectivity was similar between PLDs, and no significant differences in mean or max z-score were seen between PLD. Thus, shorter PLDs may be appropriate for MB-ASL rsfMRI despite the presence of intravascular artifacts.

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Functional connectivity mapping using 3D GRASE arterial spin labeling MRI
Kalen J. Petersen1, Daniel O. Claassen2, and Manus J. Donahue3

1Chemical and Physical Biology, Vanderbilt, Nashville, TN, United States, 2Neurology, Vanderbilt, 3Radiology, Vanderbilt

The overall goal of this work is to optimize arterial spin labeling (ASL) MRI techniques to enable the use of baseline cerebral blood flow (CBF) fluctuations to identify major intrinsically-connected resting state networks (RSNs). We provide data in support of 3D GRASE pCASL being able to provide similar functional resting state networks as BOLD. Additionally, extremely low-frequency fluctuations, less than 0.01 Hz, were present in the CBF-weighted pCASL data, suggesting that application of pCASL may provide additional functional information relative to BOLD, which generally requires low-frequency filtering. 

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Assessment of Resting State Perfusion and Coherent Large-Scale Brain Networks in Healthy Aging Using Arterial Spin Labeling Perfusion MRI
Alvaro Galiano1, Reyes García de Eulate1, Marta Vidorreta2, Miriam Recio3, and María Fernández-Seara1,4

1Radiology, University of Navarra Hospital, Pamplona, Spain, 2Center for Functional Neuroimaging, University of Pennsylvania, Philadelphia, United States, 3Neurology, University of Navarra Hospital, Pamplona, Spain, 4Biomedical Engineering, TECNUN, University of Navarra, San Sebastian, Spain

Cognitive decline is associated with aging even in the absence of disease. In this study ASL perfusion fMRI was used to investigate changes in perfusion and resting state networks connectivity due to aging, by comparing two groups of healthy subjects (young and elderly). Results showed perfusion deficits in the elderly group, in association areas, related with advanced cognitive abilities. Disruptions in varios core RSNs were also detected. Assessment of perfusion and resting functional connectivity jointly could be a good predictor of cognitive decline and a good biomarker for treatments aiming to extend cognitive abilities.

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Trait Specificity of Regional Cerebral Blood Flow between Different Resting-State Conditions
Zhengjun Li1, Marta Vidorreta1, Daniel Wolf2, and John A. Detre1

1Dept. of Neurology, University of Pennsylvania, Philadelphia, PA, United States, 2Dept. of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States

We used latent state-trait theory to examine trait specificity of regional cerebral blood flow (CBF) acquired using arterial spin labeled (ASL) perfusion MRI in four different resting-state conditions (eyes-open, eyes-closed, fixation, and a low-level attention task (psychomotor vigilance task, PVT)). Most brain regions accepted the latent state-trait model. Fixation exhibited the lowest latent trait specificity, while PVT, eyes-open, and eyes-closed showed progressively higher trait specificity.  We confirmed that ASL CBF shows trait-like properties, which are optimally fit using eyes-open or eyes-closed conditions.


Electronic Poster

Electric Property Imaging & Clinical QSM

Exhibition Hall Monday 16:15 - 17:15

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Investigating the relation between electrical conduction and tissue composition with proton and sodium MRI
Stefano Mandija1, Paul W de Bruin2, Andrew G Webb2, Peter R Luijten1, and Cornelis AT van den Berg1

1Center for Image Sciences, Center for Image Sciences, UMC Utrecht, Utrecht, Netherlands, 2Radiology, Gorter Center for High-field MRI, LUMC Leiden, Leiden, Netherlands

The focus of the presented work is to understand the relation between electrical conductivity and tissue composition in terms of 23Na concentration and water fraction. This would be relevant to evaluate the potential value of electrical conductivity imaging as a new endogenous biomarker and the validity of accessing conductivity from water content. For this purpose, MR-EPT and waterEPT conductivity reconstructions are performed and compared to network analyzer measurements. To evaluate whether conductivity is directly related to the total sodium concentration in free water, 23Na images are acquired at 7T and conductivity reconstruction are then performed using the Stogryn’s model.

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CONtrast Conformed Electrical Properties Tomography (CONCEPT) based on Multi-channel Transmission
Yicun Wang1, Pierre-Francois Van de Moortele2, and Bin He1,3

1Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3Institute for Engineering in Medicine, University of Minnesota, Minneapolis, MN, United States

Magnetic Resonance based Electrical Properties Tomography holds promise to provide valuable information on tissue functional changes, such as Tumorigenesis. We propose a novel technique based on multi-channel transmission to reconstruct quantitative electrical properties maps by exploiting the intermediate contrast information with jointly promoted sparsity. The resultant optimization problem was solved by Alternating Direction Method of Multipliers within seconds. Numerical simulations, phantom and human subject experiments were performed at 7T using a multi-channel transceiver coils array, demonstrating improved accuracy and visual outcome. CONCEPT does not rely on anatomical assumptions, and therefore represents a general approach suitable for broader applications.

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Dictionary-based Electric Properties Tomography
Ulrich Katscher1, Max Herrmann1, Christian Findeklee1, Mariya Doneva1, and Thomas Amthor1

1Philips Research Europe, Hamburg, Germany

Electric Properties Tomography (EPT) derives tissue conductivity and permittivity according to the Helmholtz equation via the second derivative of the measured complex B1 map, or by iteratively solving the corresponding forward problem. This abstract presents a different type of EPT reconstruction: the measured B1 map is compared locally with entries of a dictionary, which are small B1 maps of a priori known electric properties. This "dictionary-based EPT" (db-EPT) could be able to solve the transceive phase problem as well as the boundary problem of EPT. This study applies db-EPT to numerical and experimental data comparing different types of dictionaries.


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Spatial and Contrast Resolution of Phase Based MREPT
Yusuf Ziya Ider1, Gokhan Ariturk1, and Gulsah Yildiz1

1Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey

Clarification of the contrast resolution (CR) and spatial resolution (SR) limits of phase based MREPT for conductivity imaging is essential for assessing its success  success in clinical applications. Noise analysis of conventional phase based MREPT is performed to find the SNR needed for the MR sequence used for measuring B1-phase. It is found that with 1000-2000 SNR values about 0.01 S/m CR can be achieved. For SR evaluation, generalized phase based MREPT, which does not suffer from internal boundary artefacts, is considered. It is found by phantom experiments that 3.5mm spatial resolution is easily obtained with the state-of-art MR methods. 


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Adaptive Weighted Polynomial fitting in phase-based Electrical Property Tomography
Jun-Hyeong Kim1, Jaewook Shin1, Ho-Joon Lee2, Kang-Hyun Ryu1, and Donghyun Kim1

1Department of Electrical and Electronic Engineering, Yonsei University, seoul, Korea, Republic of, 2Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, seoul, Korea, Republic of

Weighted polynomial fitting method was proposed to resolve boundary artifact and noise amplification of Electrical Property Tomography. Weighted polynomial fitting method employs T1/T2 tissue contrast as prior information under assumption that pixels with similar magnitude intensity have similar conductivity. However, for non-simply connected structures make the fitting inaccurate. Therefore, in this study, we propose a modified weighted polynomial fitting technique including spatial constraint.    

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Current Density Measurements in the Brain using Magnetic Resonance Electrical Impedance Tomography in Healthy Volunteers
Aditya Kumar Kasinadhuni1, Aprinda Indahlastari2, Kevin Castellano3, Christopher Saar4, Casey Weigel4, Bakir Mousa4, Michael Schär5, Munish Chauhan2, Thomas Harold Mareci6, and Rosalind Jane Sadleir2

1Biomedical Engineering, University of Florida, Gainesville, FL, United States, 2School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States, 3University of Florida, Gainesville, FL, United States, 4Arizona State University, Tempe, AZ, United States, 5Radiology, Johns Hopkins University, Baltimore, MD, United States, 6Biochemistry and Molecular Biology, University of Florida, Gainesville, FL, United States

Characterizing current density distributions in the brain of healthy volunteers can provide important information to guide electrical stimulation therapies. Current-induced magnetic fields, produced as a result of electrical stimulation, can be mapped from phase changes in the MR imaging then current density can be computed using Maxwell’s equations. In this study, we present the first current density distribution induced magnetic field maps in healthy volunteers resulting from electrical stimulation using low frequency (10 Hz) transcranial alternating current simulation (tACS).

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In Vivo Mapping of Liver Tissue Damage using MR-based Conductivity Imaging Method
Bup Kyung Choi1, Nitish Katoch1, Saurav ZK Sajib1, Jin Woong Kim2, Hyung Joong Kim1, Oh In Kwon3, and Eung Je Woo1

1Kyung Hee University, Seoul, Korea, Republic of, 2Radiology, Chonnam National University Medical School, Gwangju, Korea, Republic of, 3Konkuk University, Seoul, Korea, Republic of

Liver tissues mainly consist of single cell, the variations of ion concentration and mobility inside the liver have similar pattern. This indicates that liver tissues can exhibit uniform distribution of electromagnetic tissue properties such as electrical conductivity. MREIT is typical method which can provide electrical conductivity information of suspicious tissue using a current-injection MRI method. Mapping of liver tissue damage using MREIT conductivity imaging may provide direct, immediate, and high sensitive information based on the changes of ion concentration and mobility at cellular levels. This study experimentally imaged in vivo liver tissue damage based on the changes of tissue conductivity.

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Data-Driven Background Phase Correction and Combination to Improve the Accuracy of MR-EPT with Multi-Channel Receivers
Kathleen Ropella1 and Douglas C. Noll1

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States

We propose a method for combining phase data from multiple receiver channels for phase-based conductivity mapping that does not require a reference scan or reference coil. The proposed method combines a background phase removal step, to reduce bias from individual coil phases, and local coil compression, which maximizes SNR in the combined phase data. 

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Volumetric Reconstruction of Tissue Electrical Properties from B1+ and MR Signals Using Global Maxwell Tomography: Theory and Simulation Results.
Jose E.C. Serralles1, Ioannis Georgakis2, Athanasios G. Polimeridis2, Luca Daniel1, Jacob K. White1, Daniel K. Sodickson3,4, and Riccardo Lattanzi3,4

1Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Center for Computational and Data-Intensive Science and Engineering, Skolkovo Institute of Science and Technology, Moscow, Russian Federation, 3The Sackler Institute of Graduate Biomedical Science, New York University School of Medicine, New York, NY, United States, 4Center for Advanced Imaging Innovation and Research, New York University School of Medicine, New York, NY, United States

Magnetic resonance-based inverse scattering has been proposed to extract tissue electrical properties (EP). We present an improved implementation of the Global Maxwell Tomography (GMT) EP mapping technique, with two new cost functions and an extension that uses piecewise linear basis functions to represent fields for higher accuracy. GMT does not make symmetry assumptions, is fully 3D, and is robust to noise. We validated the new GMT version with various numerical experiments, using a heterogeneous head model with realistic EP and a phantom with tissue-mimicking EP. We showed, for the first time, that artifact-free accurate reconstruction of EP is possible.

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Longitudinal Atlas Construction for Normative Human Brain Development and Aging over the Lifespan using Quantitative Susceptibility Mapping (QSM)
Yuyao Zhang1, Hongjiang Wei1, Naying He2, Christian Langkammer 3, Stefan Ropele 3, Fuhua Yan2, and Chunlei Liu1

1University of California, Berkeley, berkeley, CA, United States, 2Department of Radiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, People's Republic of China, 3Department of Neurology, Medical University of Graz, Graz, Austria

QSM is able to provide high contrast for iron-rich deep-brain nucleus. This is attributed to the sensitivity of magnetic susceptibility to the spatial variations of cellular components that exhibit different magnetic susceptibility properties, especially for brain iron and myelin. Although there have been atlases proposed for certain age groups, a longitudinal statistical atlas construction from general healthy population based on QSM is still lacking. We constructed longitudinal QSM atlases over the whole lifespan (from 1 to 83 years-old). One common QSM atlas is built for every 10-years interval to demonstrate the unique age-specific morphology and appearance of human brains. 

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Does Total Iron Content in Deep Brain Nuclei Really Increase in Healthy Aging? A Study Based on Quantitative Susceptibility Mapping.
Yuyao Zhang1, Hongjiang Wei1, Naying He2, Fuhua Yan2, and Chunlei Liu1

1University of California, Berkeley, berkeley, CA, United States, 2Department of Radiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, People's Republic of China

The crucial role of iron for normal neurological function in human brain has been well recognized. The iron concentration evolution trajectories in human brain deep nucleus have been shown monotonously increased with aging. However, previous studies concern only on iron concentration. At the same time, atrophy occurs in healthy ageing brains. These two competing effects raise an interesting possibility that the total iron content in deep brain nuclei may decrease. Surprisingly, the iron content, investigated by QSM, in globus pallidus, substantia nigra and red nuclei appear to decrease after the iron content reaching a peak.

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Paramagnetic ions quantification using QSM and EPR in human brain
Jeam Haroldo Oliveira Barbosa1, Rafael Emidio2, Ana Tereza Di Lorenzo Alho2, Maria Conception Garcia Otaduy2, Edson Amaro2, Fernando Barbosa Junior3, Oswaldo Baffa Filho1, and Carlos Ernesto Garrido Salmon1

1InBrain Lab, Department of Physics, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, SP, Brazil, 2Laboratory of Magnetic Resonance in Neuroradiology, LIM-44, Institute and Department of Radiology, University of Sao Paulo, Sao Paulo, SP, Brazil, 3Department of Clinical Analyses, Toxicology and Food Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, SP, Brazil

QSM, R2* and R2 values for post-mortem intra and extra cranial human brain samples were statistically correlated with only total iron and Fe3+ present in ferritin.

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Importance of reference in QSM and a new differential ROI reference method
TaeHyun Hwang1, JinGu Lee1, JunYeol Choi1, SangJoon Kim2, GeonHo Jahng3, and Jongho Lee1

1Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, ASAN Medical Center, Korea, Republic of, 3Department of Radiology, Kyung Hee University Hospital at Gangdong, Korea, Republic of

In this study, we developed a computer simulation to demonstrate the importance of reference in QSM. The results show that QSM values are substantially affected by spatial coverage for reconstruction. Only when the data are referenced using a neighboring region, the QSM results provide correct susceptibility values. Additionally, we suggest a new “differential ROI” reference method. This approach reports the susceptibility value as a difference between two (neighboring) ROIs. We demonstrate this new approach for a Parkinson’s disease patient study. 

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Quantitative susceptibility mapping with separate calculation in water and fat regions
Ryota Sato1, Toru Shirai1, Yo Taniguchi1, Takenori Murase2, Atsushi Kuratani2, Taisei Ueda2, Takashi Tsuneki2, Yoshitaka Bito2, Hisaaki Ochi1, and Yoshihisa Soutome1

1Research and Development Group, Hitachi, Ltd., Tokyo, Japan, 2Healthcare Business Unit, Hitachi, Ltd., Tokyo, Japan

To reduce the calculation error and artifacts of susceptibility in the boundary region between water and fat, a new reconstruction method is presented and applied to a prostate QSM. In the proposed method, susceptibility maps of the water region and the fat region are calculated separately and differently and then combined. Numerical simulation and human prostate imaging using a 3T-MRI are performed to evaluate accuracy and artifacts of the proposed method. The results suggest that the proposed method reduces calculation error and the shading artifacts in the boundary region between water and fat near the prostate.

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Localization of the implanted brachytherapy titanium seeds in presence of calcification on MR images using Quantitative Susceptibility Mapping (QSM) and 3D K-means clustering
Reyhaneh Nosrati1,2, Abraam Soliman3,4, Alexey V. Dimov5,6, Hirohito Kan7, Gerard Morton8,9, Ana Pejović-Milić10, and William Song3,11

1Medical Physics, Ryerson University, Toronto, ON, Canada, 2Medical Physics, Sunnybrook Health Science Centre, Toronto, ON, Canada, 3Medical Physics, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 5Meinig school of Biomedical Engineering, Cornell University, Ithaca, NY, United States, 6Radiology, Weill Medical College of Cornell University, New York, NY, United States, 7Radiology, Nagoya City University Hospital, Nagoya, Japan, 8Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 9Radiation oncology, University of Toronto, Toronto, ON, Canada, 10Physics, Ryerson University, Toronto, ON, Canada, 11Medical Biophysics, University of Toronto, Toronto, ON

Post‐implant dosimetry is an important quality assurance for prostate low‐dose‐rate (LDR) permanent seed brachytherapy. Despite the superior soft tissue contrast in MRI that is required for tumor delineation, there are some unresolved issues with seed depiction on MR images as they appear as signal void. In addition, calcified regions have similar characteristics on MR images making them indiscernible. This work investigates the feasibility of an MR-only workflow based on quantitative susceptibility mapping (QSM) and 3D k-means clustering for post-implant localization of the seeds.

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Image Quality Improvement by Applying Retrospective Motion Correction on Quantitative Susceptibility Mapping and R2*
Xiang Feng1, Alexander Loktyushin2,3, Andreas Deistung1,4, and Jürgen R. Reichenbach1,5,6

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Empirical Inference, Max Planck Institute for Intelligent Systems, Tübingen, Germany, 3High-Field MR, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 4Section of Experimental Neurology, Department of Neurology, Essen University Hospital, Essen, Germany, 5Center of Medical Optics and Photonics, Friedrich Schiller University Jena, Jena, Germany, 6Michael Stifel Center for Data-driven and Simulation Science Jena, Friedrich Schiller University Jena, Jena, Germany

The aim of this study was to quantitatively assess the improvement of image quality on motion corrupted quantitative susceptibility mapping (QSM) and the effective transverse relaxation rate (R2*) maps, after applying retrospective motion correction. Image quality was assessed using the following metrics: SNR in different brain tissues, histogram analysis, and linear correlation between susceptibility and R2* values in subcortical structures. 

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In-vivo phase imaging of growing epiphyseal human cartilage at 7 T.
Barbara Dymerska1, Klaus Bohndorf1, Paul Schennach1, Alexander Rauscher2, Siegfried Trattnig1, and Simon Daniel Robinson1

1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2UBC MRI Research Centre, University of British Columbia, Vancouver, Canada

Growing epiphyseal cartilage of children contains vessels and more complex layer structure than adult hyaline cartilage. Phase imaging is sensitive to deoxyhemoglobin in venous blood and to orientation of magnetic tissues, but it is challenging since many established methods for combining and unwrapping data fail in the thin cartilage of the knee. In this study different phase reconstruction methods were tested at 7T and high resolution SWI was applied to visualize veins and collagen fiber architecture in healthy young subjects.

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Comparison of quantitative susceptibility mapping methods for evaluating cerebral microbleeds at 3T and 7T
Yicheng Chen1, Clare B Poynton2, Suchandrima Banerjee3, and Janine M Lupo2

1UC Berkeley-UCSF Graduate Program in Bioengineering, University of California, Bekeley and University of California, San Francisco, San Francisco, CA, United States, 2Department of Radiology, University of California, San Francisco, 3Global Applied Science Laboratory, GE Healthcare

There is a growing interest in using QSM to detect and quantitatively evaluate cerebral microbleeds (CMBs). We compared several algorithms proposed in recent years for QSM on patients with CMBs after radiation therapy at 3T and 7T by quantitatively analyzing the noise and contrast of the susceptibility maps. Although RESHARP+ iLSQR had the least noise among methods, CMB and vessel contrast were more affected by incomplete background field removal, especially at 7T.

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Quantitative susceptibility mapping: phase images and microstructure
Lukas R Buschle1,2, Christian H Ziener1, Michael O Breckwoldt2, Artur Hahn2, Julia Bode3, Björn Tews3, Martin Bendszus2, Heinz-Peter Schlemmer1, and Felix T Kurz1,2

1E010 Radiology, German Cancer Research Center, Heidelberg, Germany, 2Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany, 3Schaller Research Group, University of Heidelberg and German Cancer Research Center, Heidelberg, Germany

In this work, the effect of inhomogeneous microstructure on quantitative susceptibility mapping (QSM) is simulated for typical microstructural geometries. The results suggest that the susceptibility of blood-filled capillaries can not be measured using quantitative susceptibility mapping due to the symmetry of the local Larmor frequency around a capillary. However, numerical simulations show that the concentration of spherically-shaped magnetic particles (contrast agents) is determinable with QSM. These results are therefore essential for a detailed analysis of quantitative susceptibility images.

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Variation of Regions of Interest (ROIs) using different tools for automatic ROI generation: The impact on reported magnetic susceptibility values in QSM
Emma Dixon1, David L Thomas2, Anna Barnes3, and Karin Shmueli1

1Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Leonard Wolfson Experimental Neurology Centre, University College London, Institute of Neurology, United Kingdom, 3Institute of Nuclear Medicine, UCLH-NHS Foundation Trust, United Kingdom

Automatic Region of Interest (ROI) generation is useful for large clinical studies using Quantitative Susceptibility Mapping (QSM) as this allows mean susceptibility values for anatomical regions to be reported without manual intervention.

Several methods to generate ROIs are compared in this work. We found that methods based on T1 contrast showed little variation whether a typical magnitude image from a susceptibility protocol or a structural MPRAGE image was used. An additional method based on a QSM atlas showed greater variability in ROIs.

Mean susceptibility values for ROIs were shown to vary greatly depending on the method used to generate ROIs.


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Positive visualization of MR compatible nitinol stent using a susceptibility-based imaging method
Caiyun Shi1, Xiaoyong Zhang1,2, Shi Su1, Hairong Zheng1, Xin Liu1, Guoxi Xie1,3, and Jim Ji4

1Shenzhen Key Laboratory for MRI, Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2Centers for Biomedical Engineering, College of Information Science and Technology, University of Science and Technology of China, Hefei, People's Republic of China, 3Beijing Center for Mathematics and Information Interdisciplinary Sciences, Beijing, People's Republic of China, 4Department of Electrical and Computer Engineering, Texas A&M University, TX, United States

Previous studies have demonstrated that a susceptibility-based positive contrast MR method exhibits excellent efficacy for visualizing MR compatible metal devices by taking advantage of their high magnetic susceptibility. However, the method was not evaluated in the visualization of stents. Therefore, the purpose of this study is to assess whether the susceptibility-based positive method can be used to visualize the nitinol stents, with the comparison of two typical MR positive contrast techniques, i.e., SUMO and GRASP. Experiment results showed that the susceptibility-based method provides much better visualization and localization of the stent than SUMO and GRASP.

3660
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Magnetic Properties of Skeletal Muscle at 7T
Benjamin Tendler1 and Richard Bowtell1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

The magnetic properties of skeletal muscle tissue were examined in a phantom consisting of a piece of muscle tissue embedded in agar. Frequency perturbation maps were generated from phase maps measured at 7T, with the phantom oriented at 29 angles to the external magnetic field. Using a novel minimisation technique, susceptibility and chemical exchange properties of the muscle tissue were obtained simultaneously. From this it was determined that skeletal muscle is significantly more diamagnetic than agar; there is a small anisotropic susceptibility component and a large, orientation independent positive offset within the tissue, hypothesised to be due to chemical exchange. 

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Correlations of SWI, QSM, and R2* map with neuromelanin and iron distributions from post-mortem human substantia nigra samples.
Hansol Lee1, Se Young Chun2, Jae-Hyeok Lee3, Sun-Yong Baek4, and HyungJoon Cho1

1Department of Biomedical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of, 2Department of Electrical and Computer Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of, 3Department of Neurology, Pusan National University Yangsan Hospital, 4Department of Anatomy, Pusan National University School of Medicine, Yangsan, Korea, Republic of

 Spatial characterizations of neuromelanin and iron contents in human substantia nigra provide critical information in diagnosing and treating Parkinson's disease. In this work, MR investigations of susceptibility weighted imaging (SWI), R2* mapping, and quantitative susceptibility mapping (QSM) were performed with three post-mortem human substantia nigra samples at 7T and correlated with corresponding histological slides. Magnetization transfer (MT) based T1-weighted MRI technique was also conducted to validate its reputed neuromelanin sensitivity as well.


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Changes in brain iron concentration after exposure to high altitude hypoxia by quantitative susceptibility mapping
Lin Chen1, Congbo Cai2, Tianhe Yang3, Jianzhong Lin3, Shuhui Cai1, Jiaxing Zhang4, and Zhong Chen1

1Department of Electronic Science, Xiamen University, Xiamen, People's Republic of China, 2Department of Communication Engineering, Xiamen University, Xiamen, People's Republic of China, 3Zhongshan Hospital, Xiamen, People's Republic of China, 4Department of Physiology and Neurobiology, Xiamen University, Xiamen, People's Republic of China

Environmental factors may influence brain iron concentration. We investigated the changes of magnetic susceptibility and R2* values of cerebral regions especially in six deep gray matter nuclei of twenty-nine participants after high altitude exposure for four weeks. The results show that the susceptibility values of gray matter, especially in caudate nucleus, putamen, globus pallidus, substantia nigra, red nucleus, increased significantly. Traditional R2* maps verify the results of QSM evaluation except in red nucleus. Therefore, high altitude hypoxia can lead to significant increase of cerebral iron concentration. 


Electronic Poster

QSM Technical Developments

Exhibition Hall Monday 16:15 - 17:15

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Optimization of Preconditioned Total Field Inversion for Whole head QSM and Cardiac QSM
Zhe Liu1,2, Yan Wen1,2, Pascal Spincemaille2, and Yi Wang1,2

1Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, United States, 2Department of Radiology, Weill Cornell Medical College, New York, NY, United States

Preconditioned Total Field Inversion (TFI) allows QSM for the entire head and chest. The preconditioner determines the TFI convergence. Can we choose a preconditioner that maximizes QSM quality within limited computational time? To answer this question, we conducted two numerical simulations specific to these applications to search for an optimal preconditioner. We found that preconditioner too small or too big for a targeted susceptibility distribution would have less computational acceleration and consequently greater errors for a given computational time. Our results here suggest that the optimal preconditioner should be identified to match the image content.

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QSM0 - QSM with automatic uniform CSF zero reference
Zhe Liu1,2, Yihao Yao2, and Yi Wang1,2

1Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, United States, 2Department of Radiology, Weill Cornell Medical College, New York, NY, United States

One challenge in Quantitative Susceptibility Mapping (QSM) identified in a recent QSM workshop is zero reference. Cerebrospinal fluid (CSF) with little cellular content has been a popular choice. However, current QSM often shows inhomogeneous CSF, which may be regarded as artifacts caused by surrounding anisotropic white matter fibers in the scalar dipole inversion. We propose  a regularization of minimal CSF variation for projecting out CSF inhomogeneity artifacts. Our proposed new QSM incorporates automated segmentation and regularization specific to CSF and outputs susceptibility values with automatic and uniform CSF zero reference. Accordingly, we term this novel QSM method as QSM0

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Susceptibility Mapping of the Dural Sinuses and Other Major Veins in the Brain
Sagar Buch1, Yongsheng Chen2, and E. Mark Haacke1,2

1The MRI Institute for Biomedical Research, Waterloo, ON, Canada, 2Department of Radiology, Wayne State University, Detroit, MI, United States

In QSM, every effort is made to reduce background field induced by the air-tissue interfaces. In this abstract, we propose a method to: correct the phase of boundary regions by using background field extrapolation methods such as Taylor expansion; preserve the internal phase for the superior sagittal sinus (SSS) and transverse sinuses using an arterial-venous (MRAV) image; and predict the phase outside the brain and SSS using forward modeling. Further, we combine these steps to obtain an estimate of the venous oxygen saturation levels inside dural sinuses.

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Spatiotemporal dynamics of inter-subject magnetic susceptibility variations in the human brain
Balint P Sule1, Robert Zivadinov1,2, Jannis Hanspach1, Michael G Dwyer1, Jesper Hagemeier1, Nicola Bertolino1, Dhaval Shah1, Niels P Bergsland1,3, and Ferdinand Schweser1,2

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 2MRI Clinical and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 3MR Research Laboratory, IRCCS, Don Gnocchi Foundation ONLUS, Milan, Italy

Magnetic susceptibility in the deep gray matter varies substantially between subjects of similar age or disease state. This work employs a blind source separation technique to 239 healthy controls to determine, without prior assumptions, the spatial patterns that drive inter-subject variation of magnetic susceptibility in the human brain.

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Accelerated $$$B_{0}$$$ Mapping Using "X" Sampling in $$$k$$$-TE Space
Xin Miao1, Yi Guo2, Krishna S. Nayak1,2, and John C. Wood1,3

1Biomedical Engineering, University of Southern California, Los Angeles, CA, United States, 2Ming Hsieh Department of Electrical Engineering, University of Southern California, Los Angeles, CA, United States, 3Division of Cardiology, Children's Hospital Los Angeles, Los Angeles, CA, United States

High-resolution B0 mapping suffers from long scan time, and issues with phase-wraps. We present an acquisition and reconstruction technique that resolves both problems.  We utilize “X” sampling in k-TE space, in which multiple phase-encoding lines are acquired exactly twice per TR. The echo spacing is shortest for central k-space and largest for outer k-space. A multi-scale reconstruction enables pixel-wise phase unwrapping. This technique may be particularly useful for quantitative susceptibility mapping (QSM), as it could a) shorten scan time while maintaining the sensitivity to high-order field variation and b) simplify phase-unwrapping, which are the key features of interest in QSM.

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Tikhonov regularization aided quantitative susceptibility mapping of whole brain without background field removal
Hongfu Sun1, Yuhan Ma1,2, M. Ethan MacDonald1, and G. Bruce Pike1,2

1Radiology, University of Calgary, Calgary, AB, Canada, 2Biomedical Engineering, McGill University, Montreal, QC, Canada

An advanced dipole field inversion method for whole brain quantitative susceptibility mapping (QSM) without a traditional background field removal step, is proposed. To aid this ill-posed inversion process and obtain successful QSM, a Tikhonov regularization of the local susceptibility distribution is included. It is shown that the proposed method (Tikhonov-QSM) can substantially suppress reconstruction artefacts. More importantly, Tikhonov-QSM does not require edge erosion like in other QSM methods involving background field removal steps, preserving the cerebral cortex of the final images.

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A Fast Algorithm for Nonlinear QSM Reconstruction
Carlos Milovic1,2, Berkin Bilgic3, Bo Zhao3, Julio Acosta-Cabronero4, and Cristian Tejos1,2

1Electrical Engineering, Pontificia Universidad Catolica de Chile, Santiago, Chile, 2Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 3Martinos Center for Biomedical Imaging, Harvard Medical School, MA, United States, 4German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany

This abstract presents a fast nonlinear solver for the QSM reconstruction using the total generalized variation regularization. The proposed method utilizes the alternating direction method of multipliers to obtain close-form solution to each sub-problem. To handle the non-linear data fidelity, a two-step algorithm is described, including a global optimum search and a local Newton-Raphson iteration. Compared to conventional linear solvers, nonlinear solutions reduce streaking artifacts and better handle noise in poor SNR regions. Reconstruction results are at least comparable to nonlinear MEDI in quality, but with an order of magnitude improvement in the computational efficiency.

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Effect of Poisson kernel parameters on background field removal accuracy for QSM
Debra E. Horng1,2, Samir D. Sharma1, Scott B. Reeder1,2,3,4,5, and Diego Hernando1,2

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

The Poisson Estimation for Ascertaining Local fields (PEAL) kernel is a recently-introduced method for background field removal in quantitative susceptibility mapping (QSM). The PEAL kernel is determined by two parameters: radius and spatial shift. The choice of these two parameters may have a substantial effect on the accuracy of background field removal. In this work, we assessed the effect of PEAL kernel size and shift on the accuracy of background field removal and susceptibility estimation.

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Discrete frequency shift signatures explain GRE-MRI signal compartments
Shrinath Kadamangudi1, Viktor Vegh1, Surabhi Sood1, and David Reutens1

1Centre for Advanced Imaging, University of Queensland, St Lucia, Australia

Ultra-high field GRE-MRI phase images present great promise for structural brain studies. Multi-echo GRE-MRI data has been shown to contain signal compartments, which may eventually be used to characterise brain microstructure. Existing studies considered three signal compartments, however it remains unclear how compartments co-localise throughout the brain. We compartmentalised the signal via frequency shift signatures in a mixture of grey-white matter brain regions and implemented quality of fit measures to select the most parsimonious model for each region. We utilised k-means cluster analyses to investigate signal compartment commonalities across different brain regions and found four dominant frequency shift signatures. 

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What causes streaking artifacts in QSM and how to efficiently suppress them?
Liangdong Zhou1, Jae Kyu Choi2, Youngwook Kee3, Yi Wang3,4, and Jin Keun Seo1

1Department of Computational Science and Engineering, Yonsei University, Seoul, Korea, Republic of, 2Institute of Natural Sciences, Shanghai Jiao Tong University, Shanghai, People's Republic of China, 3Department of Radiology, Weill Cornell Medical College, New York, NY, United States, 4Department of Biomedical Engineering, Cornell University, New York, NY, United States

We provide a mathematical understanding for artifacts in QSM, particularly streaking artifacts. 1) The local field data can be decomposed into a dipole-compatible part and a dipole-incompatible part. 2) In spatially continuous space, the streaking-free susceptibility solution is obtained from the dipole-compatible field data only, and the dipole-incompatible data leads to artifacts defined by a wave propagator with z as time, specifically, streaking artifacts from granular noise and shadow artifacts from white matter noise error. Although it is not known how to filter out such dipole-incompatible data, its artifacts can be suppressed in regularization-based Bayesian methods such as MEDI, which can efficiently penalize streaking artifacts. k-space-truncation-based methods that generate additional dipole-incompatible data near the zero cone amplify streaking artifacts.

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Imaging Cerebral Arteries and Veins using Susceptibility Weighted Imaging with Ferumoxytol
Saifeng Liu1, Jean-Christophe Brisset2, Sagar Buch1, Jing Jiang3, E. Mark Haacke1,3, and Yulin Ge2

1The MRI Institute for Biomedical Research, Waterloo, ON, Canada, 2Radiology/Center for Biomedical Imaging, New York University School of Medicine, NY, United States, 3Department of Radiology, Wayne State University, MI, United States

Susceptibility weighted imaging (SWI) has been widely used to image cerebral venous structures and in vivo iron content. However, it has not been used to image arteries, because of the lack of susceptibility contrast between arteries and the surrounding tissue. In this study, the susceptibility of the arterial blood was purposely modified to make it visible with SWI, by using the USPIO (ultra-small superparamagnetic iron oxide) agent Ferumoxytol. The purpose of this study is to determine the relationship between Ferumoxytol concentration and susceptibility using phantom and simulation studies, and compare these findings with those obtained from in vivo data.

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Coherence Enhancement in QSM via Anisotropic Weighting in Morphology-Enabled Dipole Inversion
Youngwook Kee1, Pascal Spincemaille1, Junghun Cho1,2, and Yi Wang1,2

1Weill Cornell Medical College, New York, NY, United States, 2Cornell University, Ithaca, NY, United States

The current regularization in morphology-enabled dipole inversion (MEDI) does not take into account orientation information in morphology between QSM and its corresponding magnitude image. In this abstract, we consider such orientation information to enhance structural coherence between the two images. In doing so, we achieve better image quality as well as higher RMSE (root mean square error) and HFEN (high frequency error norm) with respect to COSMOS and $$$\chi_{33}$$$. 

3675
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Improved Morphology Enabled Dipole Inversion for Quantitative Susceptibility Mapping by Using Prior Information
Yihao Guo1, Li Guo1, Yingjie Mei1,2, Jijing Guan1, and Yanqiu Feng1

1Guangdong Provincial Key Laboratory of Medical Image Processing,School of Biomedical Engineering, Southern Medical University, Guangzhou, People's Republic of China, 2Philips Healthcare, Guangzhou, China.

Morphology enabled dipole inversion (MEDI) has been proposed to reconstruct QSM without obvious streaking artifacts at the smooth regions of susceptibility map. However, reconstruction errors or streaking artifacts near edges are not addressed by MEDI. In this work, we aim to improve MEDI by constraining the edges of susceptibility map with prior information.

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Automatic venous vessel segmentation in high field, multi-echo SWI using Random Forests
Albert Rechberger1,2, Barbara Dymerska2, Karin Poljanc3, Georg Langs1, and Simon Daniel Robinson2

1Computational Imaging Research Lab, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 3Atominstitut, TU Wien, Vienna, Austria

A method for automatic venous vessel segmentation is presented that uses a Random Forest classifier supplied with a number of appearance and shape features computed separately from magnitude images, phase images and QSMs of a multi-echo T2*-weighted GE scan. The importance of each feature, and thus each echo, is investigated.  The approach was tested on whole-brain 7T scans of four subjects, two of which were manually annotated, and was effective in segmenting both internal and surface veins.

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Resolution and Coverage for Accurate Susceptibility Maps: Comparing Brain Images with Simulations
Anita Karsa1, Shonit Punwani2, and Karin Shmueli1

1Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Centre for Medical Imaging, University College London, London, United Kingdom

Magnetic Susceptibility Mapping is moving closer to clinical application. To reduce scan time, clinical images are often acquired with reduced resolution and coverage in the through-slice dimension. The effect of these factors has been studied using only balloon phantoms and downsampled brain images. Here, we used MR images acquired at low resolution or low coverage and compared these with images simulated in volunteers and a realistic numerical phantom. Simulated susceptibility maps were very similar to maps from acquired images. Our results show that low resolution and very low coverage both lead to loss of contrast and errors in susceptibility maps. 

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Phase processing for quantitative susceptibility mapping of regions with large susceptibility and lack of signal
Véronique Fortier1,2 and Ives R. Levesque1,2,3

1Medical Physics Unit, McGill University, Montréal, QC, Canada, 2Biomedical Engineering, McGill University, Montréal, QC, Canada, 3Research Institute of the McGill University Health Centre, Montréal, QC, Canada

Phase unwrapping and background removal algorithms directly impact quantitative susceptibility maps. Phase processing techniques have been thoroughly studied for brain applications, but accuracy in the presence of large susceptibility and negligible signal, such as bone and air regions, is unknown. The performance of phase processing algorithms was evaluated quantitatively in simulations with a numerical head phantom and qualitatively in vivo in three head datasets. In these experiments, Laplacian-based unwrapping performed poorly. Accurate background removal remains an open question. Results suggest that Quality-Guided unwrapping should be preferred with background removal using Projection onto Dipole Fields. 

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Evaluation of air/bone segmentation using susceptibility-based imaging methods
Emma Dixon1, David L Thomas2, Anna Barnes3, and Karin Shmueli1

1Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Leonard Wolfson Experimental Neurology Centre, University College London, Institute of Neurology, United Kingdom, 3Institute of Nuclear Medicine, UCLH-NHS Foundation Trust, United Kingdom

Due to the difference in magnetic susceptibility of air, teeth and bone, magnetic susceptibility mapping has the potential to enable segmentation of these regions despite the absence of direct MRI signal. Several methods have been described which attempt to calculate the magnetic susceptibility within air and bone. Two datasets are used to test the ability of these methods to distinguish between air and bone. The performance of all methods varied between datasets and depended strongly on the parameters selected. None of the methods performed consistently better across groups, but all showed potential to improve air/bone segmentation using susceptibility mapping.

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A comprehensive assessment of methods for combining phase data from array radio-frequency coils at 7 T
Simon Daniel Robinson1, Korbinian Eckstein1, José Rebelo Ferreira Marques2, Berkin Bilgic3, Siegfried Trattnig1, and Ferdinand Schweser4,5

1Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Netherlands, 3Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, MA, United States, 4Department of Neurology, University at Buffalo, NY, United States, 5MRI Clinical and Translational Research Center, University at Buffalo, NY, United States

Methods for combining phase data from array RF coils are quantitatively compared at 7 T. Of the reference-free approaches (which all leave arbitrary contributions to the total phase), the Virtual Reference Coil method yielded the best phase matching. The reference-free method COMPOSER removed non-B0-related phase but requires an artifact-free short echo-time reference measurement. Of the multi-echo methods, SVD, HIP and ASPIRE all had uniform phase matching. ASPIRE has higher CNR for a narrow range of echo times, but requires TE2=2 x TE1. The data and assessment scripts used in this study will be made publicly available.

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Evaluation of Accuracy of MR phase and R2* for susceptibility quantification
Yongquan Ye1, Li Yang2, Mengsu Zeng2, Shengxiang Rao2, Ying Ding2, Jinguang Zong3, and Xixi Wen3

1United Imaging of Healthcare America, Houston, TX, United States, 2Department of Radiology, Shanghai Institute of Medical Imaging, Zhongshan Hospital, Fundan University, Shanghai, People's Republic of China, 3Shanghai United Imaging of Healthcare, Shanghai, People's Republic of China

Computer simulation was performed to evaluate the relationship between a voxel's bulk susceptibility and its R2* or phase behavior. A virtual voxel with multi-dipole model was created, and the effects of dipole properties on the accuracy and consistency of R2* and phase on reflecting the voxel’s bulk susceptibility was investigated. Linearity is only observed at low bulk susceptibility regime, and phase is much more robust against various susceptibility dipole properties than R2*. 

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Texture analyses of quantitative susceptibility maps to differentiate patients with Parkinson’s disease from healthy controls
Gaiying Li1, Guoqiang Zhai1, Xinxin Zhao1, Hedi An2, Tian Liu3, Yi Wang1,3, Dongya Huang2, and Jianqi Li1

1Shanghai Key Laboratory of Magnetic Resonance and Department of Physics, East China Normal University, Shanghai, People's Republic of China, 2Department of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China, 3Department of Radiology, Weill Medical College of Cornell University, NY, United States

QSM provides excellent contrast of iron-rich deep nuclei to quantify iron in the brains. Clinicians are interested in using QSM to diagnose patients with Parkinson’s disease (PD). Texture analyses of QSM images in substantia nigra (SN) was performed to differentiate PD from healthy controls (HC). Most of the texture parameters were significantly different between PD and HC. The second-order textures were more efficient in differentiating PD from HC than did the first-order ,which suggests that the second-order texture parameters are more suitable and sensitive for the diagnosis of PD.

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Ultrashort Echo Time Quantitative Susceptibility Mapping (UTE-QSM): Limitations in Quantifying High Iron Concentration
Xing Lu1,2, Alexey Dimov3, Qun He1, Yajun Ma1, Yi Wang3, Eric Y Chang1,4, and Jiang Du1

1Department of Radiology, University of California, San Diego, CA, United States, 2Institute of Electrical Engineering, Chinese Academy of Science, Beijing, People's Republic of China, 3Department of Radiology, Weill Cornell Medical College, New York, NY, United States, 4Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

Iron overload can affect not only the central nervous system, but the liver, pancreas, myocardium, endocrine glands, and musculoskeletal structures. A reliable quantitative method to detect and measure high concentration iron in vivo would be of great clinical utility. Ultrashort echo time (UTE) sequences have echo times (TE) 100-1000 times shorter than clinical sequences, and may detect signal from high iron concentration. In this study, we aimed to evaluate the capability of UTE-QSM sequence in quantifying high iron concentration with an Iron phantom study and the results show that UTE-QSM techniques can quantify high iron concentration up to 22 mM or higher. 

3684
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Comparison of Quantitative Susceptibility Mapping algorithms based on numerical and in vivo 3T data
Hanneke Geut1, Louise van der Weerd1, and Itamar Ronen2

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2C.J. Gorter Center for High Field MRI Research, Leiden University Medical Center, Leiden, Netherlands

This study compares the currently publically available algorithms for quantitative susceptibility mapping, including different phase unwrapping, background field removal and dipole inversion methods. Numerical and human in vivo brain MRI data are used for a qualitative and quantitative assessment of the various methods. In 3T in vivo MRI data, phase unwrapping with combined spatial and temporal fitting and background field removal using V-SHARP results in the least artifacts. MEDI and iLSQR are currently the most accurate dipole inversion algorithms, with a significantly shorter processing time for the iLSQR method.

3685
Computer 119
Biological underpinnings of different MR contrasts in the human midbrain using quantitative structural MR imaging at 9.4T: Validation with 14T ex-vivo measurements and PLI
Joana Loureiro1, Gisela Hagberg, Elisa Tuzzi, Rolf Pohmann, Zora Schickardt, Marc Himmelbach, Thomas Ethofer, Matthias Valverde, Wolgang Grodd, and Klaus Scheffler

1High field MR, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany

In this study we use relaxometry and susceptibility mapping to obtain enhanced contrast in the midbrain, in particular in the superior colliculus (SC). High resolution GRE images were obtained in 11 subjects at 9.4T.  We calculated CNR values for each contrast for three midbrain regions (superior colliculus,red nucleus and aqueductal gray).  were  were obtained across 11 subjects in individual and MNI space. These measurement were validated with ex-vivo measurements in the 9.4T, 14.1T and PLI imaging.

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Investigation of Brain Tissue Fixation on Iron Concentration, Magnetic Susceptibility and Effective Transverse Relaxation Rate
Andreas Deistung1,2, Verena Endmayr3, Simon Hametner3, Max Prihoda4,5, Xiang Feng1, Hans Lassmann3, Jürgen Rainer Reichenbach1, Simon Daniel Robinson6, Evelin Haimburger4, Christian Menard7, Thomas Haider8, Hannes Traxler9, Siegfried Trattnig6, and Günther Grabner4,5,6

1Medical Physics Group, Institute for Diagnostic and Interventional Radiology, Jena University Hospital – Friedrich Schiller-University, Jena, Germany, 2Section of Experimental Neurology, Department of Neurology, Essen University Hospital, Essen, Germany, 3Center for Brain Research, Medical University of Vienna, Vienna, Austria, 4Department of Radiologic Technology, Carinthia University of Applied Sciences, Klagenfurt, Austria, 5Institute for Applied Research on Ageing, Carinthia University of Applied Sciences, Klagenfurt, Austria, 6High Field Magnetic Resonance Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 7Department of Medical Engineering, Carinthia University of Applied Sciences, Klagenfurt, Austria, 8University Clinic for Trauma Surgery, Medical University of Vienna, Vienna, Austria, 9Center of Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria

We investigated the effect of brain tissue fixation on iron concentration and on quantitative maps of the magnetic susceptibility and effective transverse relaxation rate (R2*). Both R2* and susceptibility distributions of unfixed and fixed tissue were found to be similar, indicating similar underlying proportions of iron across tissues. Quantitatively, however, severe decreases of iron concentration of 25% in putamen and about 15% in white matter were measured after tissue fixation. The iron concentration change due to tissue fixation was captured by R2* and susceptibility which needs to be considered when directly comparing experiments performed with unfixed and fixed brain tissue.


Electronic Poster

Novel Probe & Pulse Sequence Design for Hyperpolarized 13C

Exhibition Hall Monday 17:15 - 18:15

3687
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Simultaneous multislice acquisition without trajectory modification for hyperpolarized 13C experiments
Angus Z. Lau1,2, Albert P. Chen3, Justin Y.C. Lau1,2, and Charles H. Cunningham1,2

1Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 2Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3GE Healthcare, Toronto, ON, Canada

Recently we proposed using simultaneous multislice (SMS) acceleration to improve spatial coverage in the hyperpolarized 13C experiment, and demonstrated that controlled aliasing improves conditioning of the inverse problem. For single-shot experiments this requires gradient modulation along z, which can be sensitive to gradient imperfections. Here, we show that inherent coil sensitivity variations can be sufficient for SMS acceleration in hyperpolarized 13C experiments, without additional readout gradient modification. Two-fold acceleration with a 8 cm slice gap can be obtained with less than 20% SNR loss. We anticipate that this strategy will enable multiple organ 13C imaging of in vivo metabolism.

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Slice Selective Adiabatic Refocusing Pulses for High Field, Pre-Clinical Hyperpolarized C-13 Imaging
Xucheng Zhu1, Jeremy W Gordon2, and Peder EZ Larson1,2

1Bioengineering, UCSF, Albany, CA, United States, 2Radiology & Biomedical Imaging, University of California - San Francisco, CA, United States

Due to limited transmit coil volume, refocusing pulses spoil magnetization located around the edge of the coil even with adiabatic pulses.  This is a major problem for hyperpolarized 13C MRI, as this can destroy precious magnetization. To overcome this drawback, we propose to use a high bandwidth slice-selective adiabatic pulse to replace the original non-selective pulse. We designed and optimized the pulse via simulation. Then the slice-selective double spin echo sequence was tested on both phantom and in vivo studies.

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Improved Off-Resonance Robustness for Spectral-Spatial Excitation and Echo-Planar Imaging of Hyperpolarized [1-13C]Pyruvate and Metabolites
Justin YC Lau1,2, Benjamin J Geraghty1,2, Yiping Gu1, Albert P Chen3, and Charles H Cunningham1,2

1Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 2Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3GE Healthcare, Toronto, ON, Canada

An interleaved multi-echo imaging sequence is proposed to improve off-resonance robustness for spectral-spatial excitation and echo-planar imaging of hyperpolarized [1-13C]pyruvate. A non-iterative pointwise k-space signal decomposition approach for removing pyruvate hydrate contamination from lactate images is presented. Performance of the sequence and reconstruction pipeline was evaluated using an ethylene glycol phantom and a catalyzing enzyme system. Minimal signal loss and successful removal of pyruvate hydrate contamination were demonstrated in vivo for realistic cases of off-resonance.

3690
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3D Hyperpolarized C-13 EPI with Calibrationless Parallel Imaging
Jeremy W Gordon1, Yesu Feng1, Peter Shin1, Daniel B Vigneron1, and Peder EZ Larson1

1Radiology & Biomedical Imaging, UCSF, San Francisco, CA, United States

With the translation of hyperpolarized 13C to the clinic, imaging approaches will require large volumetric FOVs to support clinical applications. Parallel imaging techniques will be crucial to increasing volumetric scan coverage while minimizing RF requirements and temporal resolution. Calibrationless parallel imaging approaches are well-suited for this application because they eliminate the need to acquire coil profile maps or auto-calibration data. In this work, we explored the application of calibrationless parallel imaging (SAKE) and corresponding sampling strategies to accelerate and undersample hyperpolarized 13C data using 3D blipped EPI acquisitions and multichannel receive coils.

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Echo Planar Spectroscopic Imaging of Hyperpolarized 13C in a Clinical System with Reduced Chemical Shift Artifacts
Abubakr Eldirdiri1,2, Stefan Posse3,4,5, Lars G. Hanson1,2, Rie B. Hansen1, Adam E. Hansen6, and Jan Henrik Ardenkjær-Larsen1

1Center for Hyperpolarization in Magnetic Resonance, DTU Elektro, Technical University of Denmark, Kgs. Lyngby, Denmark, 2Danish Research Center for Magnetic Resonance, Hvidovre Hospital, Hivdovre, Denmark, 3Department of Neurology, University of New Mexico, Albuquerque, NM, United States, 4Department of Physics and Astronomy, University of New Mexico, Albuquerque, United States, 5Department of Electrical and Computer Engineering, University of New Mexico, Albuquerque, United States, 6Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet, Copenhagen, Denmark

Fast and robust symmetric echo planar spectroscopic imaging sequence for hyperpolarized 13C in a clinical system is presented. The sequence employs a reconstruction algorithm that re-grids the sampled data in the spatio-temporal frequency space to compensate for the chemical shift artifacts and achieve an improved reconstruction within a limited bandwidth. The sequence was tested on a clinical 3 T whole body scanner using dedicated 13C coils and was compared with the conventional chemical shift imaging. Good tradeoff between speed, efficiency and SNR was achieved and the reconstruction was superior compared to the commonly used FFT reconstruction.

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Multi-echo balanced steady state imaging of hyperpolarized [1-13C]-pyruvate at 9.4T
Christian Østergaard Mariager1, Mette Ji Riis-Vestergaard1, Haiyun Qi1, Steffen Ringgaard1, and Christoffer Laustsen1

1Department of Clinical Medicine, The MR Research Centre, Aarhus University Hospital, Aarhus N, Denmark

Hyperpolarized (HP) [1-13C]-pyruvate imaging has gained increasing attention, as its ability to monitor metabolic changes in real-time is expected to have a great clinical impact. In this work we investigate the use of a fast multi-echo balanced steady state free precession (BSSFP) sequence to acquire spectroscopic images at 9.4T. We show that this technique, in combination with the iterative Dixon type reconstruction technique (IDEAL), yields dynamic high resolution spectroscopic maps in a 1H phantom as well as for preliminary in vivo HP [1-13C]-pyruvate experiments in rat kidneys.

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High Spatiotemporal Resolution bSSFP Imaging of Hyperpolarized 13C Lactate and Pyruvate using Spectral Suppression of Alanine and Pyruvate-hydrate at 3T
Eugene Milshteyn1,2, Cornelius von Morze1, Jeremy W. Gordon1, Zihan Zhu1,2, Peder E. Z. Larson1,2, and Daniel B. Vigneron1,2

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2UC Berkeley-UCSF Graduate Program in Bioengineering, UCSF and University of California, Berkeley, San Francisco, CA, United States

The bSSFP sequence provides high spatial and temporal resolution capabilities, but has a difficult to manage frequency response at 3T with regards to hyperpolarized [1-13C]pyruvate and its products. The purpose of this project was to integrate a spectral suppression pulse, designed to suppress alanine and pyruvate-hydrate, with the bSSFP sequence to image [1-13C]pyruvate and its conversion to [1-13C]lactate. The results showed no significant effect on quantitative analysis of lactate-to-pyruvate ratios or kpl after suppression of alanine and pyruvate-hydrate. Subsequently, dynamic imaging of [1-13C]pyruvate and [1-13C]lactate at high in-plane spatial resolution was achieved with the bSSFP sequence.

3694
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Dynamic Nuclear Polarization across the barrier: a Focused Ultrasound approach
Tom H. Peeters1, Thiele Kobus1, Andor Veltien1, Arend Heerschap1, and Tom W.J. Scheenen1

1Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands

The delivery of targeted metabolic compounds can be hindered by a natural barrier in the brain. Nowadays, focused ultrasound techniques allow temporarily opening of this blood-brain barrier (BBB). Here we investigated the feasibility to combine this technique with dynamic imaging of hyperpolarized (HP) pyruvate. After opening the BBB in a focal spot, we acquired in vivo HP pyruvate images of the mouse brain using a dynamic gradient-echo imaging acquisition scheme at 7T. This approach eventually allows investigations with hyperpolarized compounds in the brain that are usually hindered by the BBB or suffer from a too slow uptake for DNP-imaging.

3695
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Dynamic shimming for multi-slice hyperpolarized metabolic imaging of the rat heart at 9.4T
Patrick Wespi1, Jonas Steinhauser1, Grzegorz Kwiatkowski1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH and University Zurich, Zurich, Switzerland

In this work dynamic shimming was implemented for multi-slice hyperpolarized metabolic imaging of the rat heart at 9.4T. Phantom experiments were carried out to test the switching between different shim sets and eddy current effects. The method was subsequently applied to assess cardiac metabolism in healthy rats after injecting hyperpolarized [1-13C] pyruvate. It is demonstrated that B0 inhomogeneity induced signal variations could be reduced with dynamic shimming when compared to static shimming.

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Effect of B0 inhomogeneity on the quantification of hyperpolarized metabolic data of the heart at 9.4T
Patrick Wespi1, Jonas Steinhauser1, Grzegorz Kwiatkowski1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH and University Zurich, Zurich, Switzerland

The effect of B0 inhomogeneity on the quantification of hyperpolarized metabolic data is studied using simulations based on B0 maps acquired in-vivo in rat hearts at 9.4T. Kinetic modelling is compared to area-under-the-curve analysis and both methods are applied to average signals over myocardial segments and individual voxels, respectively.

3697
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Analysis of the feasibility in using the SPICE technique for hyperpolarized 13C
Jae Eun Song1, Hansol Lee1, Eunhae Joe1, Jaewook Shin1, and Dong-Hyun Kim1

1Department of Electrical and Electronic Engineering, Yonsei University, Seoul, Korea, Republic of

In this study, using high spatial and/or spectral resolution CSI technique in 1H, the SPICE (SPectroscopic Imaging by exploiting spatiospectral CorrElation), we investigated the feasibility of using SPICE in hyperpolarized 13C through numerical simulations for applications targeted for Kp estimation and high resolution studies. The error of the fitted Kp were within ±20% of the true value and the high spatial resolution rat brain image was reconstructed. It is seen that this method can be transferred to a hyperpolarized 13C situation where due to the T1 decay and metabolite exchange the temporal basis can change dynamically.

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High resolution hyperpolarized 13C MRSI acquired by applying SPICE in mouse kidney
Hansol Lee1, Jae Eun Song1, Jaewook Shin1, Eunhae Joe1, Young-suk Choi2, Ho-Taek Song2, and Dong-Hyun Kim1

1Department of Electrical and Electronic engineering, Yonsei university, Seoul, Korea, Republic of, 2Department of Radiology, Yonsei University College of Medicine, Seoul, Korea, Republic of

Hyperpolarized 13C technique might be a practical challenge to achieve both high spatial and spectral resolution in spectroscopic images due to the amount of required data. Recently, an emerging technique called to SPectroscopic Imaging by exploiting spatiospectral CorrElation (SPICE) has been introduced for high spatiotemporal resolution in 1H magnetic resonance spectroscopic image (MRSI). In this study, by applying this technique to hyperpolarized 13C MRSI, a high resolution spectroscopic image was acquired.

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Overdiscrete Reconstruction for Signal Enhancement in Hyperpolarized 13C Spectroscopic Imaging
Eduardo Coello1,2, Esben S. Hansen3, Christoffer Laustsen3, Bjoern Menze1, Axel Haase1, and Rolf Schulte2

1Technische Universität München, Munich, Germany, 2GE Global Research, Munich, Germany, 3MR Research Centre, Aarhus University, Aarhus, Denmark

The overdiscrete reconstruction, originally proposed for 1H MR Spectroscopic Imaging (MRSI), is adapted and applied to hyperpolarized 13C MRSI. The method is demonstrated for in-vivo hyperpolarized [1-13C]-pyruvate scans of a pig’s kidneys using phase encoded 2D-MRS. Linewidth and spectral separation were improved in addition to a significant signal enhancement for low concentrated downstream metabolites such as lactate, alanine and pyruvate-hydrate.

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Repeatability of quantitative hyperpolarized 13C MRSI measures of renal metabolism: impact of flow-sensitive gradients
Erin B Adamson1, Kai D Ludwig1, Benjamin L Cox1,2,3, and Sean B Fain1,4,5

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, 4Radiology, University of Wisconsin-Madison, Madison, WI, United States, 5Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

Real-time quantification of in vivo metabolism with hyperpolarized 13C magnetic resonance spectroscopic imaging (MRSI) is currently limited by partial volume effects from intense vascular signal. Flow-sensitive, bipolar gradients are an attractive option for suppressing vascular signal due to their minimal influence on static spins. This work looks at the impact of incorporating bipolar gradients on the quantification and repeatability of hyperpolarized 13C MRSI metabolic measures of lactate-to-pyruvate area-under-the-curve ratios (AUCratio). The results suggest that incorporating bipolar gradients mitigates vascular partial voluming, increasing measured AUCratio, while reducing measurement repeatability, indicated by the larger repeatability coefficients.

3701
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A Referenceless Workflow for Hyperpolarized 13C EPI
Jiazheng Wang1, Alan Wright1, Richard Hesketh1, De-en Hu1, and Kevin M Brindle1,2

1Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom, 2Department of Biochemistry, University of Cambridge, Cambridge, United Kingdom

We have developed a workflow for hyperpolarized 13C EPI phase correction that requires no reference scan. The workflow provides ghost-free images on phantoms with large or tight fields of view and where there are multiple signal sources. Dynamic images acquired from hyperpolarized [1-13C]pyruvate and [1-13C]lactate in a tumor showed comparable image quality to those corrected using a separate 13C reference scan.

3702
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Platform for Hyperpolarized 13C MRI of Breast Cancer
Benjamin Joseph Geraghty1,2, Justin YC Lau1,2, Logi Vidarsson3, William Dominguez-Viqueira4, Albert P Chen5, and Charles Cunningham1,2

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 3LT Imaging Inc., Toronto, ON, Canada, 4Moffitt Cancer Center, Tampa, FL, United States, 5GE Healthcare, Toronto, ON, Canada

A platform consisting of a dual-echo 3D echo-planar pulse sequence and a custom coil system was implemented and tested for metabolic imaging of breast cancer.  A two-channel unilateral breast 13C receive array was designed for integration with the Sentinelle Vanguard Breast MRI system. A single-loop coil was designed for RF excitation. The highly ergonomic design enables the operator to swap between proton and 13C breast coils without moving the patient, providing intrinsically registered anatomical and metabolic data. Phantom data and hyperpolarized 13C pre-clinical rat images were obtained and are presented. The proposed coil system represents important progress towards a viable breast cancer patient study.

3703
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Cost-efficient hyperpolarization of long-lived nuclear spin states on carbon-13 spin pairs
Thomas Theis1, Zijian Zhou1, Jin Yu1, Johannes Colell1, and Warren Warren1,2

1Department of Chemistry, Duke University, Durham, NC, United States, 2Departments of Physics, Radiology and BME, Duke University, Durham, NC, United States

Current hyperpolarization methods used in preclinical research are limited by high cost (>$2M) and short hyperpolarization lifetimes (<1 min). Here we demonstrate hyperpolarization of long-lived states with inexpensive equipment. Specifically, we use parahydrogen which is simple to produce (<$10k in equipment costs) and transfer its singlet hyperpolarization by non-reactive polarization transfer to long-lived singlet states on 13C spin pairs in molecular substrates. We detail polarization transfer mechanisms and obtain hyperpolarization lifetimes in excess of two minutes. Moving forward, we expect to achieve hyperpolarization lifetimes of hours as has been demonstrated on thermally polarized 13C spin pairs.     

3704
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Simple, cost-efficient, and highly sensitive molecular imaging with hyperpolarized milliTesla MRI
Thomas Theis1, Johannes F. P. Colell2, David E. J. Waddington3,4,5, Warren S. Warren1,6, and Matthew S. Rosen4,5,7

1Department of Chemistry, Duke University, Durham, NC, United States, 2Chemistry, Duke University, Durham, NC, United States, 3School of Physics, University of Sydney, Sydney, Australia, 4A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 5Department of Physics, Harvard University, Cambridge, MA, United States, 6Departments of Physics, Radiology and BME, Duke University, Durham, NC, 7Harvard Medical School, Boston, MA, United States

Hyperpolarized MRI is a powerful approach to non-invasisve biomolecular imaging because of high sensitivity and excellent molecular specificity. However, current methods are limited by high cost (>$5M) and short hyperpolarized signal lifetimes (<1 min). We overcome both limitations by low field (6.5 mT) imaging of molecules polarized by non-reactive transfer of spin order from parahydrogen. Both, parahydrogen polarizers and low-field MRI hardware are simple technologies affordable on a modest budget (<$200k). At low fields, we establish hyperpolarization decay time constants of above 20 min, greatly exceeding current markers. This suggests highly sensitive biomolecular MR imaging could be done at the cost of an X-Ray.

3705
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Development of nanometer size silicon nanoparticles for hyperpolarized MRI
Grzegorz Kwiatkowski1, Jonas Steinhauser1, Patrick Wespi1, Matthias Ernst2, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH Zurich, Zurich, Switzerland, 2Physical Chemistry, ETH Zurich, Zurich, Switzerland

Hyperpolarized silicon particles have been shown to exhibit enormously long T1 relaxation at room temperature, making them favourable as novel imaging MR probes. To date, only large particles (average particle size (APS)=2.2 μm) could be efficiently polarized, restricting their in-vivo applicability.

The objective of the present work was to develop nanometre size hyperpolarized silicon-29  particles (APS= 55+/-12 nm) with superior MR properties. A maximum achievable polarization of 12.6% is reported with relaxation time of 42 min at room temperature. Applications of imaging of both solid and colloidal dispersion of silicon particles are demonstrated.  


3706
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Hyperpolarized Magnetic Resonance Imaging of Silicon Microparticles Functionalized with Mucin Antibody: Towards Molecular Targeting of Colorectal Cancer
Nicholas Whiting1, Jingzhe Hu1,2, Julie X Liu3, Klaramari Gellci1,4, Pamela Constantinou3, Jennifer Davis5, Niki Zacharias Millward1, David G Menter6, Daniel Carson3, and Pratip Bhattacharya1

1Department of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 2Department of Bioengineering, Rice University, Houston, TX, United States, 3Department of Biosciences, Rice University, Houston, TX, United States, 4Department of Biomedical Engineering, Wayne State University, Detroit, MI, United States, 5Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 6Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

Hyperpolarized silicon nano- and microparticles hold great promise as targeted molecular imaging agents due to their overall biocompatibility and long-lasting enhanced MRI signals. We performed dynamic nuclear polarization on silicon microparticles that were functionalized with an antibody that targets Mucin overexpression in colorectal cancer. Conjugation of the antibody to the particle surface did not affect the 29Si hyperpolarization characteristics, and in vivo imaging was attained 20 minutes after particle injection into a colorectal cancer mouse model. The goal is to develop these targeted particles as a platform technology that will allow non-invasive screening of colorectal cancer using 29Si MRI.

3707
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13C-MR Hyperpolarization of Lactate using ParaHydrogen and metabolic transformation in vitro.
Eleonora Cavallari1, Carla Carrera1, Silvio Aime1, and Francesca Reineri1

1Department of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy

Hyperpolarization (HP) of the 13C magnetic resonance signal of [1-13C]-lactate has been obtained using the ParaHydrogen Induced Polarization by means of Side Arm Hydrogenation (PHIP-SAH). Different ester derivatives of lactate have been tested in order to optimize the hydrogenation kinetics and the polarization level on the product. The metabolic transformation of hyperpolarized [1-13C]-lactate into pyruvate has been observed in vitro. The bio-compatibility of the aqueous solution and the good polarization level (7.9±0.4%) make the hyperpolarized metabolite thus obtained a good candidate for metabolic imaging studies. 

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Combined Hyperpolarized Pyruvate and Lactate as a Proxy for Hyperpolarized Urea to Measure Tissue Perfusion
Christopher M Walker1, Keith A Michel1, Rafal J Zielinski2, Waldemar Priebe2, Dawid Schellingerhout3, and James A Bankson1

1Department of Imaging Physics, UT MD Anderson Cancer Center, Houston, TX, United States, 2Department of Experimental Therapeutics, UT MD Anderson Cancer Center, Houston, TX, United States, 3Department of Diagnostic Radiology, UT MD Anderson Cancer Center, Houston, TX, United States

Hyperpolarized pyruvate can be used to noninvasively probe metabolism in vivo. However, quantitative measurement of metabolic processes is frequently complicated by tissue perfusion. Metabolic inert compounds such as hyperpolarized urea have been used to measure tissue perfusion. This work shows a strong correlation between hyperpolarized urea signal and the sum of hyperpolarized pyruvate and lactate signal, suggesting that the combination of pyruvate and lactate signals can be used to estimate tissue perfusion.

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Measuring cerebral glucose metabolism in vivo using hyperpolarized 13C labelled glucose
Mor Mishkovsky1,2, Brian Anderson3, Magnus Karlsson4, Mathilde H Lerche4, A Dean Sherry3, Rolf Gruetter1,5,6, Zoltan Kovacs3, and Arnaud Comment2,7

1Laboratory for Functional and Metabolic Imaging, Ecole Polytechnique Federale de Lausanne (EPFL), Lausanne, Switzerland, 2Institute of Physics of Biological Systems, Ecole Polytechnique Federale de Lausanne (EPFL), Lausanne, Switzerland, 3Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Albeda Research, ApS, Copenhagen, Denmark, 5Department of Radiology, Universite de Lausanne, Lausanne, Switzerland, 6Department of Radiology, Geneva University Hospital and Faculty of Medicine, Geneva, Switzerland, 7General Electric Healthcare, Buckinghamshire HP8 4SP, United Kingdom

Real-time glucose metabolism was observed in healthy mice brain following infusion of hyperpolarized [U-2H, U-13C]glucose and [U-2H, 3,4-13C]glucose. The evolution of lactate formation was readily observed. In addition, two glycolysis metabolites, namely 3-phosphoglycerate and pyruvate, were identified. Abnormalities in cerebral glucose metabolism is associated with large number of diseases so implementation of this method may prove useful in imaging brain metabolism in various animal models.

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Production of Highly Polarized Acetate by Rapid Decarboxylation of Pyruvate – Application to Hyperpolarized Cardiac Spectroscopy
Jonas Steinhauser1, Grzegorz Kwiatkowski 1, Patrick Wespi1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

In this work rapid decarboxylation of [1,2-13C]pyruvate using hydrogen peroxide was employed to obtain hyperpolarized [1-13C]acetate. 13C polarization was transferred completely and reproducibly. The application of the concept is demonstrated for detecting [1-13C]acetate and [1-13C]acetylcarnitine in the in-vivo heart.


Electronic Poster

Relaxation: Methods & Others

Exhibition Hall Monday 17:15 - 18:15

3711
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Development of magnetic resonance fingerprinting (MRF) combined with FISP and multi-echo SPGR acquisition for proton density, T1, T2, T2* and field mapping.
Dongyeob Han1, Taehwa Hong1, and Dong-Hyun Kim1

1School of Electrical & Electronic Engineering, Yonsei University, Seoul, Korea, Republic of

 Magnetic resonance fingerprinting (MRF) is a novel technique which provides rapid proton density, T1 and T2 mapping. However, susceptibility related parameters such as T2* were not acquired simultaneously. In this study, FISP and multi-echo SPGR acquisition were combined within MRF scheme to allow proton density, T1, T2, T2* and field mapping.

3712
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Direct Relaxation Measurement from Clinical Sequences
Kelly C McPhee1 and Alan H Wilman2

1Physics, University of Alberta, Edmonton, AB, Canada, 2Biomedical Engineering, University of Alberta, Edmonton, AB, Canada

Through exact sequence response modeling using the Bloch equations, we propose direct extraction of quantitative T1 and T2 relaxation maps from standard clinical MRI sequences. This approach eliminates the need for excess specialized and complex sequences by measuring relaxation directly from clinical sequences.  We demonstrate this method to determine T2 and T1 using a standard brain protocol of fast spin echo images weighted by proton-density, T2 and FLAIR at 3 T. Our approach opens the door to wider use of quantitative MRI.

3713
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Whole Body Rapid T2 Quantification using Dual Echo Fast Spin Echo
Kelly C McPhee1, Ashmita De2, and Alan H Wilman2

1Physics, University of Alberta, Edmonton, AB, Canada, 2Biomedical Engineering, University of Alberta, Edmonton, AB, Canada

We examine RF field variation on a modern 3T and illustrate T2 quantification using only PD and T2w fast spin echo images and a rapid flip angle map in the abdomen, spine, head, neck, and leg. Across the whole body at 3T or higher fields, RF field variation yields a wide variation in flip angles, requiring direct sequence modelling to achieve accurate T2.

3714
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SNR Efficiency in Multi-Parameter Mapping (PD, T1 & T2*) at 3T: Comparison of MP2RAGE and VFA-FLASH
Jean-David Jutras1, Keith Wachowicz1,2, Guillaume Gilbert3, and Nicola De Zanche1,2

1Oncology, University of Alberta, Edmonton, AB, Canada, 2Medical Physics, Cross Cancer Institute, Edmonton, AB, Canada, 3MR Clinical Science, Philips Healthcare Canada, Markham, ON, Canada

Quantitative parametric mapping is becoming increasingly promising for improving the diagnostic quality and reproducibility of structural brain MR images. The variable flip angle technique with FLASH (VFA-FLASH) is a popular technique for mapping the proton-density, T1 and T2*. Recently, the MP2RAGE pulse sequence was developed to map T1 with robustness to RF inhomogeneity. If a multi-echo (bipolar) MP2RAGE is employed, proton-density and T2* can also be mapped simultaneously. In this study we compare the SNR efficiency and accuracy of VFA-FLASH and MP2RAGE for multi-parameter mapping at 3T. Both methods yield comparable T1-to-noise ratios, but VFA-FLASH is superior for PD and T2* mapping.

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Correction of off-resonance for T1 and T2 mapping using phase-cycled inversion-recovery balanced steady state free precession
Eric R. Muir1 and Shengwen Deng2,3

1Research Imaging Institute and Ophthalmology, University of Texas Health Science Center, San Antonio, TX, United States, 2Research Imaging Institute, University of Texas Health Science Center, San Antonio, TX, United States, 3Biomedical Engineering, University of Texas at San Antonio, San Antonio, United States

Fast measurement of T1 and T2 can be made using inversion-recovery Look-Locker (LL) bSSFP methods. However, the LL-bSSFP signal is dependent on the off-resonance frequency which can affect calculated T1 and T2. In this study we develop and test methods to correct for effects of off-resonance on T1 and T2 calculation using multiple phase-cycled LL-bSSFP. The phase-cycled LL-bSSFP data could be combined with a maximum-T1* projection method to improve T1 and T2 accuracy in the case of off-resonance.

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Whole Body T1 Mapping of Small Animals using Prospective Gating and Variable Flip Angle Imaging
Paul Kinchesh1, Philip D Allen1, John S Beech1, Stuart Gilchrist1, Ana L Gomes1, Veerle Kersemans1, Robert Newman1, Borivoj Vojnovic1, Michael Brady1, Ruth J Muschel1, and Sean C Smart1

1CRUK/MRC Oxford Institute for Radiation Oncology, University of Oxford, Oxford, United Kingdom

Prospective gating and automatic reacquisition of data corrupted by respiration motion were implemented in variable flip angle (VFA) and actual flip angle imaging (AFI) scans to enable cardio-respiratory synchronised T1 mapping of the whole mouse. T1 calculation for each mouse took approximately 6 s using a robust and efficient nonlinear least squares process. 16 cardio-respiratory gated VFA scans and a respiration gated AFI scan were acquired in less than 14 minutes. T1 was calculated in the whole mouse with a voxel size of 0.075 mm3 and with a standard deviation less than 6.2% within ROIs from multiple organs.

3717
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Motion Corrected T1 Mapping of the Pediatric Human Brain
Steven R Kecskemeti1 and Andrew Alexander1,2,3

1Waisman Center, University of Wisconsin, Madison, WI, United States, 2Psychiatry, 3Medical Physics, University of Wisconsin, Madison, WI, United States

A method to retrospectively correct both in- and through-plane motions that occur during the acquisition of inversion recovery images is developed and used for motion-corrected T1-mapping of the pediatric human brain.   Both intra- and inter-scan motions are corrected.

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Fast T1 mapping with temperature correction via DWI thermometry, and it application to vitreous oxygen measurement
Shengwen Deng1, Eric Muir2, Wei Zhou3, and Timothy Q. Duong2

1University of Texas Health Science Center at San Antonio, San Antonio, TX, United States, 2University of Texas Health Science Center at San Antonio, 3Radiology, Mayo Clinic

T1 mapping is showing great potential for mapping oxygen in human organs such as eyes and lungs. And yet, accuracy of oxygen using fast T1 imaging methods is of great concern especially in tissue with radical temperature changes. In the current study we improve fast T1 mapping with temperature correction and explore its potential in mapping oxygen in eyes. With combination of inversion-recovery Look-Locker bSSFP and diffusion weighted thermometry, we calibrate the temperature dependence of ADC and T1, and use it to adjust the R1 for measuring partial pressure of oxygen(pO2). Fast T1 mapping could be a reliable way to pO2 that well agrees with invasive oxygen-sensitive optic fibers.  

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A rapid, whole-brain look-locker method for T1 mapping using inversion recovery EPIK
N. Jon Shah1,2 and Seong Dae Yun1

1Institute of Neuroscience and Medicine, Medical Imaging Physics (INM-4), Forschungszentrum Juelich, Juelich, Germany, 2Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

Quantitative measurement of the T1 relaxation time is of great importance for the clinical diagnosis or optimisation of image contrast. Numerous Look-Locker method have been proposed for T1 mapping. One of them demonstrated by the community is TAPIR which has been shown to be fast and robust. However, TAPIR still demands substantial acquisition time for whole-brain coverage. This work aims to develop a fast Look-Locker method with whole-brain coverage on a basis of EPIK. It was shown that the proposed method acquired whole-brain T1 data (2.1 mm2 resolution × 50 slices × 30 time-points) within 3.5 minutes.

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Rapid high-resolution 3D T1 mapping using a highly accelerated radial inversion-recovery FLASH technique
Zhitao Li1, Ali Bilgin2,3, Diego R. Martin4, and Maria I. Altbach4

1Electrical and Computer Engineering, The University of Arizona, Tucson, AZ, United States, 2Electrical and Computer Engineering, The University of Arizona, 3Biomedical Engineering, The University of Arizona, 4Department of Medical Imaging, The University of Arizona

A golden angle radial IR-FLASH technique and a principle component based iterative algorithm are developed for high-resolution T1 mapping using highly undersampled 3D radial data. The novel method yields T1 maps of a 3D volume with high spatial and temporal resolution and can cover 144 slices within 5 minutes.

3721
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Quantitative 3D T1 mapping technique in rat brain using VFA-FLASH at 9.4T
Hedok Lee1, Simon Sanggaard2, Kristian Mortensen2, Palle Koch2, Maiken Nedergaard2,3, and Helene Benveniste1

1Anesthesiology, Yale University, New Haven, CT, United States, 2Center for Basic and Translational Neuroscience, University of Copenhagen, Copenhagen, Denmark, 3Neurosurgery, University of Rochester, NY, United States

3D whole brain T1 mapping technique at 9.4T is studied because of a lack of methodological consideration in spite of its utility in pre-clinical paramagnetic and manganese contrast enhanced imaging studies. We report a simple and accurate 3D T1 mapping technique using variable flip angles spoiled gradient echo sequence with B1+ correction. Accuracy of the technique was validated using phantoms and a population averaged 3D rat T1 map was constructed.

3722
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Model-Based Super-Resolution Reconstruction of T2 Maps
Tom Hilbert1,2,3, Jose P Marques4, Jean-Philippe Thiran2,3, Reto Meuli2, Gunnar Krueger2,3,5, and Tobias Kober1,2,3

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Donders Institute, Radboud University, Nijmegen, Netherlands, 5Siemens Medical Solutions USA, Inc., Boston, MA, United States

We propose an algorithm that can reconstruct 0.9mm3 isotropic T2 maps based on multiple 2D multi-echo spin-echo acquisitions that were highly undersampled. The data is reconstructed by combining a classical super-resolution approach with an iterative model-based reconstruction. Thereby, the reconstruction problem is split into multiple sub-problems to improve the convergence of the algorithm. Resulting T2 values within structures of the midbrain and the hippocampus from four healthy volunteers showed good reproducibility. This kind of high-resolution relaxometry may enable additional insight in pathologies of small brain structures and increased sensitivity to disease-induced changes.

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A time domain signal equation for multi-echo spin-echo sequences with arbitrary exciation and refocusing angle and phase
Andreas Petrovic1, Christoph Stefan Aigner1, and Rudolf Stollberger1

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria

T2 quantification with multi-echo spin-echo sequences is often hampered by flip angle inhomogeneities and non-rectangular slice profiles. Here, we present a novel time domain signal equation for multi-echo spin-echo sequences with arbitrary excitation and refocusing flip angles and phases. To evaluate the equation simulations and phantom measurements were compared. Excellent agreement was found for the simulated and measured evolution of the transverse magnetization across the slice profile in a CP and a CPMG sequence. T2 mapping using the proposed signal equation and the incorporation of scanner specific RF pulse shapes will greatly improve T2 quantification accuracy. 

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Assessing the Accuracy of T2 and B1+ Maps Estimated from Multi-echo Spin Echo MRI Sequences Using Extended Phase Graph Signal Predictions
Nuno Saraiva Santos1,2, Rui Pedro A G Teixeira3, Joseph V Hajnal3, and Rita G Nunes1,2,3

1Institute for Systems and Robotics / Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal, 2Instituto de Biofísica e Engenharia Biomédica, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal, 3Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

Interpretation of T2-weighted images still remains highly reliant on subjective clinical evaluation. Quantitative mapping using the gold standard approach (single spin-echo), although appealing, remains unfeasible in clinical practice. Multi-SE sequences have emerged as viable solutions allowing much shorter scan times at the expense of signal contamination by indirect echoes.  A method based on the MR Fingerprinting concept has recently been proposed, estimating T2 and B1+ maps from pre-computed Echo Modulation Curves. This study evaluated the performance of this method performing Monte Carlo simulations followed by an in vivo acquisition. The method provided accurate T2 maps, despite highly biased B1+ estimates.

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High-resolution 3D T2 mapping of the Brain Using T2-prepared Cartesian Spiral Phyllotaxis FLASH and Compressed Sensing
Emilie Priscille Claire Mussard1,2,3, Tom Hilbert1,2,3, Christoph Forman4, Reto Meuli2, Jean-Philippe Thiran3, and Tobias Kober1,2,3

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4HC DI MR PI TIO CARD, Siemens Healthcare GmbH, Erlangen, Germany

Brain T2 relaxometry can provide sensitive biomarkers for pathological tissue alterations, especially inflammation. But their acquisition is often 2D-based and typically comes with long acquisition times. To improve through-slice resolution while keeping a clinically feasible scan time, we propose a centric T2-prepared variable-density Cartesian spiral phyllotaxis FLASH sequence combined with a compressed sensing reconstruction. Phantom experiments and a preliminary in-vivo scan show that T2 values can be reliably measured in 3D with high resolution. Parameter dependencies are evaluated and an initial protocol optimisation yields an acquisition time of 8.48min for a 1x1x1.2mm3 whole-brain acquisition.

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Approaching the Limits of Imaging Brain Tissue with Ultra Short T2
Christoph Alexander Rettenmeier1 and V. Andrew Stenger2

1JABSOM, University of Hawai'i, Honolulu, HI, United States, 2JABSOM, University of Hawai'i

A 3D radial UTE sequence optimized for the selective detection of fast relaxing tissue in the range of 500-60 μs using a composite hard pulse is presented. Its imaging properties on a T2-phantom are analyzed and used for the discussion of human brain images. 

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Exploring the Utility of Temporal Phase Correction in Multi-Echo T2 Relaxation at 3T
Emil Ljungberg1, Alykhan Thobani1, Thorarin A Bjarnason2,3,4, Piotr Kozlowski2, Alexander Rauscher5, Jing Zhang6, Anthony Traboulsee1, Cornelia Laule2,7,8, Alex MacKay2,9, and Shannon Kolind1,2

1Medicine, University of British Columbia, Vancouver, BC, Canada, 2Radiology, University of British Columbia, Vancouver, BC, Canada, 3Diagnostic Imaging Services, Interior Health, Kelowna, BC, Canada, 4Computer Science, Mathematics, Physics & Statistics, University of British Columbia, Kelowna, BC, Canada, 5Pediatrics, University of British Columbia, Vancouver, BC, Canada, 6GE Healthcare, Vancouver, BC, Canada, 7Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 8International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, BC, Canada, 9Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada

T2 relaxation using combined gradient and spin echo (GRASE) is a fast and robust approach for myelin water imaging in vivo. For long echo trains, when the noise floor is reached, the magnitude signal will converge towards a non-zero mean due to the Rician noise characteristics of the magnitude data. This can give rise to artificial long-T2 components in analysis. In this study we employed temporal phase correction to multi-echo GRASE data and showed that for echo trains longer than 300ms, phase correction will effectively reduce artificial long-T2 components, thus improving the ability to interpret the T2 distribution.

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Correction of fixation effects in post-mortem T2 measurements using a kinetic tensor model
Feng Qi1, Samuel A. Hurley1, Menuka Pallebage-Gamarallage2, Olaf Ansorge2, Martin R. Turner2, Ricarda A. L. Menke2, Sean Foxley1, and Karla L. Miller1

1FMRIB Centre, University of Oxford, Oxford, United Kingdom, 2Department of Neurology, University of Oxford, Oxford, United Kingdom

MRI of fixed post-mortem tissue can be used to relate MR signals to histopathology. However, MR relaxation parameters are altered by the process of fixation. We propose a “kinetic tensor” model that simulates the influx of fixative into the brain using diffusion tensor data, and demonstrate a correction by fitting a fixative concentration map to quantitative T2 measurements. Compared to correction methods based on distance-to-surface or isotropic diffusion, our approach captures an individual brain’s morphology and microstructure, both of which influence fixation. T2 maps corrected with the kinetic tensor model are more homogeneous than those with alternate corrections.

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Ex vivo whole-blood $$$T_2$$$ versus $$$HbO_2$$$ calibration for $$$T_2$$$-prepared balanced steady-state free precession (bSSFP) at 1.5T
Ana E Rodríguez-Soto1, Michael C Langham1, Osheiza Abdulmalik2, and Felix W Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Division of Hematology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States

The transverse relaxation rate (1/T2) of blood water protons is governed by deoxyhemoglobin concentration, therefore providing a means to determine oxygen saturation (HbO2) in vivo. However, besides CPMG inter-pulse interval of the T2 preparation and field strength, whole-blood T2 depends on sequence-specific parameters. Balanced SSFP allows for rapid image acquisition and higher in-plane resolution and thus provides an ideal readout for T2-based oximetry. Here, we quantified T2 of human blood at 1.5T for the entire range of HbO2 saturation levels using T2-prepared bSSFP sequence. The data show the expected linearity of 1/T2 with (1-HbO2)2 with the y-intercept depending on hematocrit.

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Inversion-recovery Ultrashort Echo Time Imaging with Bi-component T2* Analysis of White Matter Signals in Native and Deuterated Ovine Brain Specimens
Shu-Juan Fan1, Yajun Ma1, Eric Y Chang1,2, and Jiang Du1

1Dept. of Radiology, University of California, San Diego, San Diego, CA, United States, 2Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

Myelin protons have ultrashort-lived MR signals and are not accessible by clinical MRI. Such signals were probed herein using ultrashort echo time imaging (UTE) and inversion-recovery UTE (IR-UTE) with bi-component analysis in native and deuterated ovine brain specimens. UTE detected a fraction of ultrashort T2 components (STC) of < 4% in native specimens, and up to ~54% in deuterated specimens. Choice of inversion time in IR-UTE significantly affected such bi-component signal decay behavior in native samples in heavily deuterated samples. These results support the application of UTE and IR-UTE in quantitative myelin imaging.

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Novel nanogel-based MRI Contrast Agents
Brendan Garrett1, Simon Duckett2, David K. Smith1, and Victor Chechik1

1Department of Chemistry, University of York, YORK, United Kingdom, 2Centre for Hyperpolarisation in Magnetic Resonance, University of York, YORK, United Kingdom

We present here the preparation and properties of new Gd3+-containing nanogel-based contrast agents. These gel nanoparticles are prepared by simple ionotropic gelation from sodium alginate and Gd3+.  The nanogels are 100-200 nm in diameter and have a high R1 relaxivity of ≈ 30 mM-1 s-1 at 1 T, however,  they have poor stability in high ionic strength media. Adding further covalent crosslinks with a suitable agent such as epichlorohydrin dramatically increased the relaxivity of the nanogels to ≈ 60 mM-1 s-1 at 1 T and provides a viable strategy to increases their stability against transmetallation.

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Quantitative validation of Spin Echo and Magnetic Resonance Fingerprinting derived Proton Density using the qMRI Phantom
Gregory Lemberskiy1,2, Els Fieremans1, Dmitry S Novikov1, and Martijn Cloos1

1Radiology, NYU School of Medicine, New York, NY, United States, 2Sackler Institute of Graduate Biomedical Sciences, NYU School of Medicine, New York, NY, United States

Proton density (PD) measurements derived from single Spin Echo and PnP-MRF,  which is a fingerprinting protocol that enables simultaneous estimation of the excitation field (B1+), were validated using the ISMRM/NIST MRI system phantom that contains known D2O/H2O solutions at 14 different concentrations. We also expanded the PnP-MRF protocol by exploiting the symmetry between B1+ and the receive field, B1-, produced by a quadrature body coil at 3 Tesla in order to remove all B1 contribution from our PD. Ultimately, all methods showed remarkable correlation with the known water fraction from NIST samples (Pearson’s rho>0.99). 

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Toward 3D Printed, Anatomy-Mimicking, Quantitative MRI Phantoms
Karthik Gopalan1, Jonathan I Tamir1, Ana Claudia Arias1, and Michael Lustig1

1Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States

We aim to design and build reproducible phantoms with anatomy-mimicking resolution and image contrast. We mix solutions of paramagnetic ions in agar gel to target specific relaxation parameters. Chambers for different tissue types are 3D printed and filled with the agar gels. Microfiber cloths are added to create additional high-resolution structure. We validate the ability to reproduce target relaxation values through spin-echo imaging and quantitative mapping, and present two 3D printed phantom designs.

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Kitchen Safe T1 and T2 Phantom Creation
Kenneth O Johnson1, N Okai Addy1, Reeve Ingle1, Michelle Nystrom1, William Overall1, Galen Reed1, and Juan Santos1

1HeartVista, Los Altos, CA, United States

Typical magnetization prepared phantoms require paramagnetic salts such as copper, nickel and manganese chloride, which are toxic. Accordingly, governing bodies label these as hazardous materials requiring special storage, labeling and disposal. In search of a simpler and cheaper solution we have revisited this topic to make a kitchen-safe phantom recipe that is both cheap and easy to make. We used glycerine (a sweetener or for skin care) and Agar agar powder (a food additive for thickening or gel) to make phantoms with a physiological range of T1 and T2, and characterize these non-hazardous materials for 1.5 T MRI scanners.


Electronic Poster

CEST/MT/NOE: Animal Models & Human Translation

Exhibition Hall Monday 17:15 - 18:15

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CEST imaging of an unlabelled chemotherapy agent (gemcitabine) 30 minutes after administration in a mouse model of colorectal cancer
Thomas A Roberts1, May Zaw-Thin1, Angela D'Esposito1, Yanan Zhu1, John J Connell1, Mark F Lythgoe1, and Simon Walker-Samuel1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom

Imaging of drug delivery is useful for improving our understanding of the physical factors that contribute to the efficacy of anticancer therapies. Gemcitabine, a standard chemotherapeutic agent, has two hydroxyl groups and one amine group, making it potentially amenable to CEST imaging via proton exchange with tissue water. Recently, Li et al. (2016) showed that many anticancer drugs can induce CEST contrast and demonstrated that liposome-encapsulated gemcitabine can be imaged 5-hours post-administration in a pre-clinical model of cancer1. Here, we extend this exciting work and investigate the use of CEST to image acute gemcitabine uptake within 30 minutes of administration. 

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In Vivo Tracking of Hyaluronic Acid Hydrogel Degradation Using Temporal Evolution of Chemical Exchange Saturation Transfer Signal in a Mouse Subcutaneous Injection Model
Mohammed Salman Shazeeb1, Rubina Corazzini2, Dinesh Bangari3, Robert Fogle1, Jennifer Johnson3, Paul J. Konowicz2, Xiaoyou Ying1, and Pradeep K. Dhal2

1Bioimaging, Translational In Vivo Models, Sanofi, Framingham, MA, United States, 2Biomaterials, Sanofi, Framingham, MA, 3Pathology, Translational In Vivo Models, Sanofi, Framingham, MA

Hyaluronic acid (HA) hydrogels have a wide range of applications in biomedicine from regenerative medicine to drug delivery applications. In vivo quantitative assessment of these hydrogels using magnetic resonance imaging (MRI) provides a powerful technique to assess the biodegradability of HA hydrogels. This study investigated the potential of chemical exchange saturation transfer (CEST) MRI in tracking HA hydrogels with varying degradation profiles in vivo in a mouse subcutaneous injection model over 77 days. Since CEST-MRI provides a unique chemical signature to visualize HA hydrogels, this technique can be used as a guide in hydrogel optimization process for drug delivery applications.

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Magnetization Transfer MRI Noninvasively Detects Renal Fibrosis Swine Atherosclerotic Renal Artery Stenosis at 3.0 T
Kai Jiang1, Christopher M. Ferguson1, John R. Woollard1, Roger C. Grimm2, James D. Krier1, Xiangyang Zhu1, and Lilach O. Lerman1

1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States, 2Department of Radiology, Mayo Clinic, Rochester, MN, United States

In this study, we tested the capability of magnetization transfer (MT) imaging for measuring renal fibrosis in a swine model of atherosclerotic renal artery stenosis (ARAS) at 3.0 T. A collagen phantom study was performed to select appropriate offset frequencies of MT pulses for collagen detection. In an in vivo study, the MT ratio (MTR) and percent change in MTR between two offset frequencies were quantified, and both showed a good correlation with renal fibrosis measured ex vivo by Picro-Sirius red staining, supporting the use of MT to assess renal fibrosis in swine ARAS. 

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Modification of tumour hypoxia with Atovaquone measured by CEST MRI
Kevin J Ray1, James Coates1, Rathi Puliyadi1, Thomas M Ashton1, Paul Kinchesh1, Sean Smart1, Michael A Chappell2, Geoff S Higgins1, and Nicola R Sibson1

1Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 2Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, United Kingdom

Tumours often have areas of hypoxia, which renders cancer cells resistant to many therapies. Recently the anti-malarial drug Atovaquone has been shown to modify the oxygen consumption rate of cancer cells, reducing tumour hypoxia. Non-invasive mapping of tumour hypoxia would be particularly useful for translation of these preclinical findings into a clinical environment. Here, we tested the hypothesis that CEST MRI could be used to visualise changes in tumour hypoxia.

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Investigation into the origin of the APT MRI signal in ischemic stroke
Kevin J Ray1, James R Larkin1, Brad A Sutherland2,3, George Harston2, Andrew Baldwin4, Alastair M Buchan2, Peter Jezzard5, James Kennedy2, Michael A Chappell6, and Nicola R Sibson1

1Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 2Acute Stroke Programme and Acute Vascular Imaging Centre, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom, 3School of Medicine, Faculty of Health, University of Tasmania, Hobart, Australia, 4Physical and Theoretical Chemistry Laboratory, Department of Chemistry, University of Oxford, Oxford, United Kingdom, 5Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 6Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, United Kingdom

Studies employing CEST MRI to study ischemic stroke focus on the sensitivity of amide proton transfer (APT) MRI signals to tissue pH, assuming identical intracellular protein concentration as healthy tissue. This study shows that whilst cytoplasmic protein concentration remains stable in penumbral stroke regions, it decreases in the infarct core. By analysing APT MRI data with APTR*, which is specifically sensitive to amide proton exchange effects, we demonstrate that the APT signal change in infarct core is dominated by decreased protein concentration, whilst penumbral APT changes can be attributed to decreased tissue pH.

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In Vivo Detection of Reactive Oxygen Species Using MRI with Endogenous Contrast
Rong-Wen Tain1,2, Alessandro Scotti1,2,3, Weiguo Li4,5, Xiaohong Joe Zhou1,2,3,6, Riya Thomas7, Leon Tai7, and Kejia Cai1,2,3

1Radiology, University of Illinois at Chicago, Chicago, IL, United States, 2Center for MR Research, University of Illinois at Chicago, Chicago, IL, United States, 3Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 4Research Resource Center, University of Illinois at Chicago, Chicago, IL, United States, 5Radiology, Northwestern University, Chicago, IL, United States, 6Neurosurgery, University of Illinois at Chicago, Chicago, IL, United States, 7Anatomy and Cell Biology, University of Illinois at Chicago, Chicago, IL, United States

Reactive oxygen species (ROS) contribute to pathogenesis of many human diseases including Parkinson’s and Alzheimer's diseases, cancer, and diabetes. There is a crucial need for using fully noninvasive imaging to further evaluate the role of ROS in pathogenesis and the potential treatment strategies. Our previous phantom studies demonstrated that ROS containing unpaired electrons can be detected with endogenous CEST and T1 weighted contrasts. However, in vivo detection of ROS using MRI has not yet been demonstrated. This study therefore aimed to demonstrate the feasibility of in vivo ROS detection using endogenous MRI. 

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Imaging of neuronal compartment using gluCEST method
Jérémy Pépin1, Pierrick Jego1, Julien Valette1, Gilles Bonvento1, and Julien Flament1,2

1Molecular Imaging Research Center (MIRCen), Commissariat à l’Energie Atomique (CEA), Fontenay-aux-Roses, France, 2UMS27, INSERM, Fontenay-aux-Roses, France

GluCEST imaging has been proposed to image brain glutamate distribution with a better resolution than spectroscopic methods and has many potential applications for the study of neurodegenerative diseases. In this study, we pushed further the limits of gluCEST imaging by combining high magnetic field and high performance cryoprobe to acquire gluCEST images with the best resolution so far. Thanks to the organization of hippocampal cell layers and the high resolution, we acquired gluCEST data in regions mostly reflecting the neuronal compartment.

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Assessment of hepatic glycogen metabolism ex vivo and in vivo in mice using chemical exchange saturation transfer MRI
Corin Miller1, Jin Cao1, Chunlian Zhang1, Eduard Chekmenev2, Bruce Damon2, Alan Cherrington3, and John Gore2

1Translational Imaging Biomarkers, Merck & Co., Inc, West Point, PA, United States, 2VUIIS, Vanderbilt University, Nashville, TN, United States, 3Vanderbilt Medical Center, Vanderbilt University, Nashville, TN, United States

Despite being integral to whole body glucose homeostasis, liver glycogen remains difficult to measure non-invasively.  Recent works have demonstrated the feasibility of detecting liver glycogen using CEST MRI.  In this presentation we present data that builds upon this observation and investigate whether CEST can be used to monitor glycogen synthesis and breakdown in mice in real time both ex vivo in a perfused liver system, and in vivo.  Treatment with hyperglycemia or glucagon resulted in increases or decreases, respectively, in the CEST MTRasym AUC over time.  This demonstrates that CEST-based approaches can be used to non-invasively monitor glycogen metabolism.

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GlucoCEST MRI and brain blood barrier permeability in the mouse brain
Maria Yanez Lopez1, Nicoleta Baxan2, Miriam Ries3, David Sharp1, and Magdalena Sastre3

1The Computational, Cognitive and Clinical Neuroimaging Laboratory, Division of Brain Sciences, Department of Medicine, Imperial College London, London, United Kingdom, 2The Imperial College Biological Imaging Centre, Department of Medicine, Imperial College London, London, United Kingdom, 3Division of Brain Sciences, Department of Medicine, Imperial College London, London, United Kingdom

The aim of the study is to examine the feasibility of using GlucoCEST to evaluate subtle BBB dysfunction in the mouse brain, by comparing it with conventional gadolinium DCE. DCE and GlucoCEST showed no significant differences between WT and 5XFAD mice (3 months). However, the degree of the response after injection was similar for DCE and GlucoCEST for all animals except one, indicating shared contributions to the signal and supporting the potential for biodegradable d-glucose as a cheap, low-risk alternative/complement to DCE MRI. More work is required to assess GlucoCEST sensitivity to low-level BBB dysfunction, such as in Alzheimer’s disease.

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2-Deoxyglucose-Weighted MR Imaging in Rodent Brain Using Inverse Z-Spectrum Analytic Scheme
Ping-Huei Tsai1,2,3, Fei-Ting Hsu2,3, Hua-Shan Liu3,4, Hsiao-Wen Chung5, Yu-Chieh Kao1,3, Chia-Feng Lu1,3, Huai-Lu Chen3,6, Paul Blakeley3,6, Gilbert Aaron Lee3,6, and Cheng-Yu Chen1,2,3

1Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, 2Department of Medical Imaging, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan, 3Translational Imaging Research Center, College of Medicine, Taipei Medical University, Taipei, Taiwan, 4School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan, 5Graduate Institute of Biomedical Electrics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 6Department of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan

Our proposed method provides an alternative to extract glucose profile and could be more robust to the field drift, which may be helpful in the implementation of in vivo brain glucoCEST imaging for further application.

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3D-CEST Imaging of a Mouse Model of Polycystic Kidney Disease
Shanrong Zhang1, Matanel Yheskel2, Vishal Patel2, Masaya Takahashi1, and A. Dean Sherry1

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Department of Internal Medicine and Division of Nephrology, University of Texas Southwestern Medical Center, Dallas, TX, United States

The objective is to develop a new 3D-CEST imaging method (3-dimensional chemical exchange saturation transfer) to investigate a mouse model of polycystic kidney disease (PKD). It is based on 3D magnetization prepared rapid acquisition gradient echo sequence (3D MPRAGE) by applying a pre-saturation pulse consisting of three continuous Gauss shaped pulses.

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Z-spectrum acquisition and interpretation in the presence of fat: influence of imaging parameters
Shu Zhang1, Jochen Keupp2, Ivan E Dimitrov3,4, Robert E Lenkinski1,4, and Elena Vinogradov1,4

1Department of Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Philips Research, Hamburg, Germany, 3Philips Medical Systems, Gainesville, FL, United States, 4Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

CEST-MRI is increasingly evolving from brain to body applications. One of the known problems in body imaging is the presence of strong lipid signals. Their influence on the CEST signal is acknowledged but underexplored. The goal is to investigate the effects of lipids on the Z-spectrum taking TE into account. We performed simulations and verified the results in phantoms and in vivo. We demonstrate the mutual influence of fat fraction and TE on the Z-spectrum for gradient echo based sequences. This study provides a systematic understanding of lipid artifacts in CEST imaging and lays the foundations for their efficient removal.

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Monitoring neoadjuvant chemotherapy in breast cancer patients using CEST and 31P-MRS at 7 tesla
Erwin Krikken1, Vitaliy Khlebnikov1, Moritz Zaiss2, Wybe J.M. van der Kemp1, Tijl A. van der Velden1, Hanneke W.M. van Laarhoven3, Dennis W.J. Klomp1, and Jannie P. Wijnen1

1Radiology, UMC Utrecht, Utrecht, Netherlands, 2Max Planck Institute for Biological Cybernetics, Tubingen, Germany, 3Oncology, Amsterdam Medical Center, Amsterdam, Netherlands

Treatment monitoring is of importance for breast cancer patients receiving systemic therapy. Metabolic imaging methods such as CEST and 31P-MRS may have potential to predict treatment efficacy in an early stage of the treatment. In this study we assessed the amide proton transfer (APT) signal and the pH change in breast cancer patients before and after the first cycle of neoadjuvant chemotherapy to explore the relation between APT and pH. We observed changes in both the APT signal and the pH between the two measurements. These changes may serve as biomarkers for predicting treatment response to NAC in an early stage. 

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Are MT and NOE (at -3.5 ppm) in z-spectroscopy coupled in the brain?
Nicolas Geades1, Olivier E Mougin1, Simon Shah1, and Penny A Gowland1

1Sir Peter Mansfield Imaging Center, University of Nottingham, Nottingham, United Kingdom

The origin of the Nuclear Overhauser Enhancement (NOE) signal observed in the CEST spectrum of the brain is still under debate. The effect is detected upfield from water, in the frequency range of non-exchangeable aliphatic/olefinic protons, indicating that the transfer of magnetization is not occurring via proton or chemical exchange; furthermore the lineshape is relatively narrow, suggesting the signal is coming from mobile protons with T2 of the order of 300μs. This study investigates the correlation between NOE and MT in the human brain at 7T, and shows the two effects are strongly coupled, across a wide age range.

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3D Quantitative CEST MRI of the human brain at 9.4T
Moritz Zaiss1, Philipp Ehses1, and Klaus Scheffler1

1Magnetic Resonance Center, Max-Planck-Institute for biological cybernetics, Tuebingen, Germany

Selective quantitative CEST MRI was shown to be feasible at 7T and for single-slice readout. In this study we extend qCEST MRI to a field strength of 9.4 T making use of the increase spectral resolution, and by employing a single-shot 3D CEST approach, more coverage of the human brain was realized.

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A longitudinal study of brain tumors in the course of radiotherapy using protein CEST MRI at 7T
Jan-Eric Meissner1, Andreas Korzowski1, Sebastian Adeberg2, Steffen Goerke1, Nicolas Behl1, Heinz-Peter Schlemmer3, Jürgen Debus2, Mark E. Ladd1, Peter Bachert1, and Daniel Paech3

1Medical Physics in Radiology, German Cancer Research Center, Heidelberg, Germany, 2Radiation Oncology, University Hospital of Heidelberg, Heidelberg, Germany, 3Radiology, German Cancer Research Center, Heidelberg, Germany

Chemical Exchange Saturation Transfer (CEST) offers unique contrasts sensitive to micro environmental information such as protein concentration and pH. Thus CEST could be a promising biomarker to investigate radiotherapy-induced changes in tissue. In this study we examine brain tumor patients in the course of definitive radiotherapy on a 7 T whole-body scanner using the relaxation compensated contrast AREX. We compare the results of CEST imaging to Single Voxel Spectroscopy and high-resolution T2-weighted imaging.

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Voxel-wise comparison of amide proton transfer (APT) weighted image and fluorodeoxyglucose (FDG)-PET in brain tumors with a PET/MR system
Koji Sagiyama1, Yuji Watanabe2, Ryotaro Kamei1, Sungtak Hong3, Jochen Keupp4, 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, 4Philips Research

Amide proton transfer (APT) imaging has been reported to be useful for assessing malignancy or evaluating treatment efficacy. In this study, we evaluated the validity of APT signals in brain tumors by direct voxel-wise comparison with standardized uptake values (SUVs) from fluorodeoxyglucose positron emission tomography (FDG-PET) on a PET-magnetic resonance (PET/MR) system. APT imaging showed discrepancies with FDG-PET due to structural inhomogeneity, and the correlation between APT signals and SUVs was poor. The correlation was significantly improved after correcting for the apparent diffusion coefficient (ADC). APT/ADC could be a reliable metabolic marker with better correlation with SUVs.

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Repeatability study of APT CEST quantification techniques for identification of ischaemic penumbra in stroke
Yunus Msayib1,2, George W. J. Harston3, Yee K. Tee4, Fintan Sheerin3, Nicholas P. Blockley5, Thomas W. Okell5, Peter Jezzard5, Stephen Payne1, James Kennedy3, and Michael A. Chappell1

1Engineering Science, University of Oxford, Oxford, United Kingdom, 2Centre for Doctoral Training in Healthcare Innovation, University of Oxford, Oxford, United Kingdom, 3Radcliffe Department of Medicine, University of Oxford, 4Department of Mechatronics and Biomedical Engineering, Universiti Tunku Abdul Rahman, 5Nuffield Department of Clinical Neurosciences, University of Oxford

The aim of this study was to identify the analysis technique with the optimum repeatability for quantifying APT CEST imaging for use in the clinical setting. The repeatability of eight quantification techniques was assessed across imaging time points in healthy subjects, and between the contralateral hemispheres of stroke patients. Model-based techniques exhibited better repeatability compared to simpler model-free methods, and are thus better-suited for use in clinical imaging at 3T.

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Chemical exchange rotation transfer (CERT) of human brain at 3 T
Eugene C. Lin1, Hua Li1, Zhongliang Zu1, Elizabeth A. Louie1, Xiaoyu Jiang1, and Daniel F. Gochberg1

1Vanderbilt University Institute of Imaging Science, Nashville, TN, United States

It has been shown that the changes in chemical exchange saturation transfer (CEST), and specifically amide proton transfer (APT) and nuclear Overhauser effect (NOE), reflect abnormal tissues in tumor, stroke and other diseases. However, quantitative and specific imaging of these effects is challenging due to the influences from asymmetric magnetization transfer and direct water saturation. These obstacles can be avoided with chemical exchange rotation transfer (CERT), which is a pulsed version of CEST with the constraint of constant average power and varying rotation angle. In this study, we present initial CERT results in human brain at 3 T, with the goal of quantifying APT and NOE.

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The Chemical Exchange Saturation Transfer (CEST) and Nuclear Overhauser Enhancement (NOE) effects observed in human blood at 7 T under different physiological conditions.
Simon Shah1, Olivier Mougin1, Andrew Carradus1, Nicolas Geades1, William Morley1, and Penny Gowland1

1Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom

CEST maps at 7T display higher APT and amine signal from the sagittal-sinus compared to elsewhere in the brain. We investigate CEST and NOE signals detected in ex-vivo blood under with varying oxygenation, haematocrit levels, pH and cell structure. Showing that human blood produces significant amounts of CEST and NOE, dominated by the cellular components of blood and independent of blood oxygenation. Clotting and lysing red-blood-cells has no impact on the observed CEST and NOE. We also observed increased APT and NOE with increasing pH. These result are important when interpreting exchange in conditions associated with blood volume change. 

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Optimization of Amide Proton Transfer (APT) Imaging Experimental Parameters for Brain Tumors: Does RF Saturation Length Always Increase APT Contrast?
Hye-Young Heo1,2, Yi Zhang1, Shanshan Jiang1, and Jinyuan Zhou1,3

1Russell H Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

Current APT imaging studies have used a moderate repetition time or relaxation delay to reduce the scan time. However, when a relatively short relaxation delay compared with T1 is applied, the steady-state water longitudinal magnetization is reduced, resulting in a decrease in APT effect. Therefore, experimental parameters must be optimized on a combination of the RF saturation power, saturation length, and relaxation delay. Here, we quantitatively investigated the dependence of APT and NOE signals on the experimental parameters using Bloch simulations and rat brain tumor models at 4.7 T.

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Development of Glutamate-Sensitive CEST at Clinical Field Strength for In Vivo Application
Kristin P. O'Grady1,2, Samantha By2,3, Bailey A. Box1,2, and Seth A. Smith1,2,3

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

Cognitive impairment (CI) is a significant symptom of multiple sclerosis (MS), is the strongest predictor of unemployment in MS patients, and is critical to the decline of quality of life. There is an unmet need for imaging techniques that probe the pathological substrate of CI at a clinically relevant field strength. To address this need, we have investigated the translation of glutamate-sensitive chemical exchange saturation transfer (GluCEST) MRI to 3T, as glutamate abnormalities have been linked to CI in MS. Our results demonstrate the clinical feasibility of GluCEST imaging for application to studying cortical gray matter glutamate signals in vivo.

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Correction of fat artifacts for unbiased CEST-MRI of the human breast at 7 T
Ferdinand Zimmermann1, Steffen Görke1, Johannes Breitling1, Kerstin Klopries2, Johannes Windschuh1, Heinz-Peter Schlemmer2, Mark Edward Ladd1, Daniel Paech2, and Peter Bachert1

1Medical Physics in Radiology, German Cancer Research Center, Heidelberg, Germany, 2Division of Radiology, German Cancer Research Center, Heidelberg, Germany

Chemical Exchange Saturation Transfer (CEST) MRI in the mammary gland is affected by the high fat content in the human breast. Chemical shift induced artifacts are visible in the Z-Spectrum. We showed a method to test and verify water-fat separation techniques in vitro. Transfer of the gained insights to realize water-only CEST-MRI in the human breast is currently under investigation.

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Interleaved B0-mapping during dynamic Creatine-CEST for correction of temporarily fluctuating B0 inhomogeneities during plantar flexion exercise at 7T
Esau Poblador Rodriguez1, Philipp Moser1, Barbara Dymerska1, Siegfried Trattnig1,2, and Wolfgang Bogner1

1High Field MR Centre. Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Austria, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

Once the time resolution and specificity of Cr-CEST become comparable with 31P-MRS, it may replace it for the diagnosis of muscular disorders and treatment assessment due to its superior spatial resolution and sensitivity. The need of a complete Z-spectrum acquisition for B0 inhomogeneity correction limits the achievable time resolution and is unable to track temporal ∆B0 due to subject movement or B0 field drifts that occur during a CEST experiment. Temporal B0 field tracking allows independent B0 inhomogeneity correction for each z-spectral point, which may substantially improve the reliability of spectral CEST asymmetry analysis.


Electronic Poster

CEST: Acquisition, Quantification & Characterization

Exhibition Hall Monday 17:15 - 18:15

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The inhomogeneous MT (ihMT) technique: Achievements and perspectives
Gopal Varma1, Olivier M Girard2, Valentin H Prevost2, Samira Mchinda2, Guillaume Duhamel2, and David C Alsop1

1Radiology, Division of MR Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States, 2Aix Marseille Univ, CNRS, CRMBM, Marseille, France

The inhomogeneous (ihMT) technique represents a relatively simple addition to MT, but provides a different contrast that is sensitive to the dipolar relaxation time T1D. A review is provided of: method(s) for its application; considerations for optimizing the ihMT signal; the use of models to obtain quantitative parameters and guide acquisition; and its application in vivo.

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On the Precision of Myelin Imaging: Characterizing Ex vivo Dog Spinal Cord with MRI and Histology
Manh-Tung Vuong1,2, Tanguy Duval1, Julien Cohen-Adad1,3, and Nikola Stikov1,2

1NeuroPoly Lab, Polytechnique Montréal, Montréal, QC, Canada, 2Montreal Heart Institute, Montréal, QC, Canada, 3Functional Neuroimaging Unit, CRIUGM, Université de Montréal, Montréal, QC, Canada

There is an ongoing debate in the myelin imaging community about which MR-based biomarker has the greatest precision, sensitivity and specificity to myelin.  In this work, we compared several MR-based myelin imaging techniques (quantitative magnetization transfer, myelin water fractions, and macromolecular tissue volume) by evaluating their repeatability and their relation to large-scale histology in dog spinal cord. Qualitatively the contrasts were similar, and all techniques had comparable scan-rescan and correlations with histology.  Surprisingly, the correlations between the various myelin measures were almost as high as the scan-rescan correlations. The correlations decreased when only white matter was considered, which could be due to the small dynamic range of the measurement, or due to artifacts related to the preparation and panoramic scanning of the tissue.

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Assessment of Lipid Order in Model Myelin Membrane Systems with MT and ihMT
Scott D. Swanson1, Mario L. Fabiilli1, Dasha I. Malyarenko1, Ashok Srinivasan1, Zhongliang Zu2, and Daniel F. Gochberg2

1Radiology, University of Michigan, Ann Arbor, MI, United States, 2Radiology, Vanderbilt University, Nashville, TN

We report here a study of MT and enhanced MT (eMT), using dual-sided RF saturation, in model membrane system to measure lipid dynamics and structure in systems of known lipid order. The eMT signal generated by dual-sided RF saturation of phospholipid vesicles is well described by Gaussian line shape and T2b is easily determined. T2b of the lipids is related to the lipid order with T2b(liquid disorder) > T2b(liquid order) > T2b(solid order). These tools provide a method to estimate lipid order in vivo.

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Combining multi gradient echo acquisitions with inversion recovery: estimating the residence time of myelin water from transient MT effects.
Peter van Gelderen1 and Jeff H Duyn1

1Advanced MRI, LFMI, NINDS NIH HHS, Bethesda, MD, United States

Combining multi-gradient-echo (MGRE) acquisitions with inversion/saturation preparation pulses allows for separation of white matter signal in several water compartments and estimation of both their T1 and exchange properties. A model of multiple myelin, myelin water and axonal/interstitial water compartments was implemented, including exchange from and across individual lipid bi-layers. Fitting this model to the inversion prepared MGRE-data resulted in T1's and exchange rates for all compartments. The results from a corpus-callosum region of interest indicate that the single layer myelin water residence time is a few hundred microseconds, while the average residence time of all myelin water combined is around 15ms.

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Characterization of the power dependency regimes of inhomogeneous Magnetization Transfer (ihMT)
Samira Mchinda1, Gopal Varma2, Valentin H Prevost1, Arnaud Le Troter1, Maxime Guye1,3, Jean Pelletier1,4, Jean-Philippe Ranjeva1, David C Alsop2, Guillaume Duhamel1, and Olivier M Girard1

1Aix Marseille Univ, CNRS, CRMBM, Marseille, France, 2Radiology, Division of MR Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States, 3Aix Marseille Univ, APHM, Hôpital de La Timone, Pôle d'Imagerie Médicale, CEMEREM, Marseille, France, 4Aix Marseille Univ, APHM, Hôpital de La Timone, Pôle de Neurosciences Cliniques, Service de Neurologie, Marseille, France

Inhomogeneous magnetization transfer (ihMT) is a new MRI technique that shows promise for myelin imaging. A significant boost of the ihMT signal intensity is achievable when using a concentrated energy deposition scheme. Here we characterized the power dependency of ihMT for various energy deposition schemes (distributed vs. concentrated RF) and we identified distinct regimes with linear, sub-linear and saturated B1 dependency.  This has a strong impact on the ihMT response to variable sequence configurations and on the most suitable conditions for different field strengths, e.g. to enhance sensitivity or provide immunity to B1+ inhomogeneities.

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From in situ to ex vivo: the effect of autolysis and fixation on quantitative MRI markers for myelin
Siawoosh Mohammadi1,2,3, Jan Sedlacik4, Martina F Callaghan2, Jens Fiehler4, Gunther Helms5, and Christian Sprenger1,6

1Department of Systems Neuroscience, Medical Center Hamburg-Eppendorf, Hamburg, Germany, 2UCL Institute of Neurology, University College London, London, GA, United Kingdom, 3Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 4Department of Neuroradiology, Medical Center Hamburg-Eppendorf, Hamburg, Germany, 5Medical Radiation Physics, Lund University, Sweden, 6Department of Engineering, University of Cambridge, United Kingdom

Ex vivo histology remains the gold standard against which MRI biophysical models, e.g. the MR g-ratio which characterises the fraction of a fibre’s diameter that is myelinated, are evaluated. The MR g-ratio model requires a measure of myelin density, for which magnetization transfer saturation (MT) has been used as a biomarker. However, changes occurring post mortem, e.g. autolysis, temperature changes and fixation, significantly alter the MRI signal. Here we investigate how these changes impact MT. We found that MT decreased post mortem but greatly increased upon fixation. These effects are similar to reported changes of other established MRI myelin-markers. 

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On the boost effect of inhomogeneous Magnetization Transfer (ihMT)
Valentin H Prevost1, Olivier M Girard1, Samira Mchinda1, Gopal Varma2, David C Alsop2, and Guillaume Duhamel1

1Aix Marseille Univ, CNRS, CRMBM, UMR 7339, Marseille, France, 2Division of MR Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States

A new implementation of inhomogeneous magnetization transfer (ihMT) has recently been introduced, consisting of concentrating the RF energy deposition within the saturation period and demonstrating a significant boost of the ihMT sensitivity. The boost effect has been characterized in this study among different ihMT sequences, species and field strengths and reveals common features. The optimal sequence settings vary with the number of consecutive MT pulses and are presumably related to the timescale of the underlying T1D components and magnetization exchange rates.

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Accelerating CEST Imaging with Experimental Undersampling and Compressed Sensing
Huajun She1, Bian Li1, Joshua S. Greer1,2, Jochen Keupp3, Ivan E. Dimitrov1,4, Ananth Madhuranthakam1,5, Robert Lenkinski1,5, and Elena Vinogradov1,5

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Bioengineering, UT Dallas, Dallas, TX, United States, 3Philips Research, Hamburg, Germany, 4Philips Healthcare, Gainesville, FL, United States, 5Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

Chemical exchange saturation transfer (CEST) is a new contrast mechanism in MRI. However, a successful application of CEST is hampered by its slow acquisition and fast acquisition is desired. Compressed sensing (CS) is powerful for perfect reconstruction of highly undersampled data. Existing works mostly focus on the retrospectively downsampled studies, but few implementation and analysis of truly undersampled scheme with CEST has been reported. This work experimentally implements the random Cartesian undersampled scheme and the golden angle radial sampling sequence for CEST. The results demonstrate influence of experimental conditions that are not accounted for in the retrospectively undersampled studies.

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Robust image registration in CEST-acquisitions by exploiting a low-rank plus sparse decomposition of the Z-spectrum
Tobias Wech1,2 and Herbert Köstler1,2

1Department of Diagnostic and Interventional Radiology, University Hospital of Würzburg, Würzburg, Germany, 2Comprehensive Heart Failure Center, University Hospital of Würzburg, Würzburg, Germany

A robust motion correction technique for in vivo CEST-acquisitions is proposed. The algorithm exploits a low-rank plus sparse decomposition of the Z-spectrum to separate signal variations due to different off-resonance preparations from accompanying motion. The method was validated in a phantom study and subsequently used to register a CrCest acquisition of the human thigh during exercise.

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snapCEST – A single-shot 3D CEST sequence for motion corrected CEST MRI
Moritz Zaiss1, Philipp Ehses1, and Klaus Scheffler1

1Magnetic Resonance Center, Max-Planck-Institute for biological cybernetics, Tuebingen, Germany

In this study, we present a single-shot 3D MRI readout that allows acquisition of a CEST prepared volume within 2 s. This makes it possible to correct for motion, which otherwise can cause severe artifacts in CEST imaging.

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Multi-Band Enhanced Magnetization Transfer Contrast (MBE-MTC) Preparation
Xiufeng Li1, Jialu Zhang1,2,3, Wendy Elvendahl1, Dingxin Wang4, Kamil Ugurbil1, and Gregory J. Metzger1

1Radiology-CMRR, University of Minnesota, Minneapolis, MN, United States, 2Interdisciplinary Institute of Neuroscience and Technology, Zhejiang University, Hangzhou, People's Republic of China, 3Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China, 4Siemens Healthcare, Minneapolis, MN, United States

To overcome the limitations of traditional magnetization contrast (MTC) preparation methods, the Multi-Banded (MB) RF-pulse Enhanced Magnetization Transfer Contrast (MBE-MTC) preparation was proposed by using the multi-banded RF pulses for the MTC preparation. Such an approach has been evaluated via studies in the skeleton muscle, kidneys and the brain with demonstrated benefits. The proposed MBE-MTC preparation provides an alternative way for MTI either for increased MTC or simultaneous and symmetric capture of the MTC or its changes in tissue.  

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Separating out Fast and Slow Chemical Exchange Using Off-resonance Variable Delay Multiple Pulse (VDMP)
Lin Chen1,2,3, Xiang Xu2,3, Haifeng Zeng2,3, Kannie W.Y. Chan2,3,4, Nirbhay Yadav2,3, Shuhui Cai1, Kathryn J. Schunke5, Nauder Faraday5, Peter C. M. van Zijl2,3, and Jiadi Xu2,3

1Department of Electronic Science, Xiamen University, Xiamen, People's Republic of China, 2Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, MD, United States, 4Department of Mechanical and Biomedical Engineering, City University of Hong Kong, Hong Kong, People's Republic of China, 5Department of Anesthesiology/Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States

We demonstrate that off-resonance VDMP can be used as an exchange rate filter to distinguish and quantify the slow- and fast-exchanging components in Z-spectra by applying an appropriate number of pulses and varying the mixing times. The method can be used to extract predominantly fast-exchanging protons by separating out the slow-MTC pool, and provides information about the chemical exchanging species in tissue that conventional MT/CEST technique cannot access.

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Chemical Exchange Rotation Transfer Imaging of CEST signal at 2ppm
Zhongliang Zu1, Elizabeth A Louie1, Eugene Lin1, Xiaoyu Jiang1, Mark D Does1, John C Gore1, and Daniel F Gochberg1

1Vanderbilt University, Nashville, TN, United States

The CEST signal around 2 ppm may have applications in cancer and muscle imaging and is likely related to an important energy molecule, creatine. In this work, we provide a specific metric to better quantify this signal based on modification of our previously developed CERT approach and an inverse analysis. Results show that the CEST signal at 2 ppm is hypointense in tumors which may be due to decreased creatine content.

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Chemical Exchange Saturation Transfer (CEST) with a Multiple Gradient Echo Chemical Shift Imaging (CSI) Sequence
Ken-Pin Hwang1, Chunxiao Guo2, Joshua Yung1, Christopher J. MacLellan1, Erik N.K. Cressmann2, and R. Jason Stafford1

1Department of Imaging Physics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 2Department of Inverventional Radiology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States

Chemical exchange saturation transfer (CEST) is observed by applying off-resonance saturation pulses at multiple frequencies and measuring the change in water signal. However, if lipid molecules are present, signals from both species contribute to overall voxel signal, confounding spectral measurement. A multiple gradient echo sequence was developed to simultaneously perform chemical shift imaging with CEST to decouple these signals and measure the independent effect of off-resonance saturation transfer to water. 2D spectra were reconstructed, from which individual water-only z-spectra were obtained. In data from a mixed species phantom, amide proton peaks were clearly visible despite the presence of lipid signal.

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Chemical exchange-sensitive MRI at 9.4 T versus 15.2 T:  Effect on Sensitivity and Background Signals
Julius Juhyun Chung1,2, Wonmin Choi1,3, Tao Jin4, Jung Hee Lee1,2,3,5, and Seong-Gi Kim1,2,3

1Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Samsung Advanced Insitute for Health Sciences and Technology, SKKU, Seoul, Korea, Republic of, 3Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 4Radiology, University of Pittsburgh, 5Radiology, Sungkyunkwan University, Seoul, Korea, Republic of

With chemical-exchange sensitive imaging, increasing field narrows the linewidth of magnetization transfer effects and shifts relative exchange rates (exchange rate vs. chemical shift) toward a slower exchange regime.  This study is intended to explore the interplay of contrast mechanisms and sensitivity benefits by comparing phantom and in-vivo data acquired at the fields of 9.4T and 15.2T.  The linewidth narrowing effect between the fields is demonstrated in agar phantoms with nicotinamide as well as spectra from the rat cortex.  Spectra taken at higher power shows increase of sensitivity by shifting toward a slower exchange regime. 

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Dual-CEST: a novel 3D-CEST sequence exploiting simultaneous transverse and longitudinal CEST signal encoding.
Robert C. Brand1, Nicholas P. Blockley1, Michael A. Chappell2, and Peter Jezzard1

1Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2Department of Engineering Science, University of Oxford, Oxford, United Kingdom

We propose a novel 3D method called Dual-CEST, which simultaneously captures the CEST contrast stored in the longitudinal and transverse magnetisation of the bulk water. By including ADC events and a hexagonal spoiling scheme during the CEST preparation phase we collected the usually neglected transverse signal, generated by direct water saturation (a method we call NoXi-CEST). The unaffected longitudinal magnetisation is then acquired using a 3D-GRASE readout resulting in one (Dual-CEST) sequence (3:15 min) that provides XY-spectra, in addition to conventional Z-spectra, and producing additional CEST-contrast and B0-maps without loss of contrast or additional scan time (compared with conventional imaging). 

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Human cardiac creatine by CrCEST: potential improved fitting methods
Jane Ellis1, Mabel Li1, Michael Chappell2, Mathew Robson1, and Christopher Rodgers1

1OCMR, RDM Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom, 2Department of Engineering Science, University of Oxford, Oxford, United Kingdom

The development of a novel CEST technique optimised to measure creatine in the human heart. After unsuccessful measurement of in vivo creatine concentrations using MTRasym, more robust model-based analysis methods based on spectral line shapes were tested and implemented on phantom data, with these model-based methods showing significant improvement to MTRasym analysis. Going forward, the developed pulse sequence combined with the model-based analysis methods are a promising step towards human cardiac creatine CEST.

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Dominant pH-sensitive amide proton transfer effect during acute ischemic stroke - Quantification of multi-pool contribution to commonly used MTRasym analysis in a rat model of acute stroke
Yin Wu1, Iris Yuwen Zhou2, Jing Zhao1, and Phillip Zhe Sun2

1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, MA, United States

Routinely used magnetization transfer (MT) asymmetry in measurement of pH-sensitive amide proton transfer (APT) effect is susceptible to concomitant contributions, including semisolid MT and nuclear overhauser effect (NOE). In this study, multi-pool contribution from NOE, MT, CEST at 2 ppm and APT during the acute stroke was resolved with a sum of five Lorentzian functions. Results confirmed the changes in MT and NOE offset each other, and reduction of APT was approximately two-fold of the CEST effect decrease at 2 ppm, dominating the commonly observed pH-sensitive MTRasym change during acute stroke.

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Towards Fast Quantitative CEST: A New Model for Quantifying the CEST Effect in the Presence of MT
Alex K Smith1,2,3, Richard D. Dortch2,3,4, and Seth A Smith2,3,4,5

1FMRIB, University of Oxford, Oxford, United Kingdom, 2Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 3Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 4Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 5Department of Ophthalmology, Vanderbilt University, Nashville, TN, United States

Basic models to characterize the CEST effect in vivo suffer from competing magnetization transfer (MT) effects. Here, we use qMT to model the CEST effect and derive CEST indices that are independent of MT. Additionally, simultaneously assessing the MT and CEST effects provides more robust estimates of other elements of the MT effect. Simulations and initial in vivo findings suggest that combining MT and CEST fitting provides a more accurate fit of CEST z-spectra than a traditional single pool Lorentzian fit, and thus provides estimates of the CEST effect that are not dependent on the MT effect.

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Overlap-resolved cest (orCEST) MRI: imaging gaba and glutamate at 16.4T
Frederico Severo1 and Noam Shemesh1

1Champalimaud Centre for the Unknown, Lisbon, Portugal

Chemical Exchange Saturation Transfer (CEST) affords metabolic imaging at high spatial resolution, especially at ultrahigh fields. However, when spectral overlap exists downfield, metabolite maps may be contaminated by other unwanted signals. Here, we present a methodology termed overlap-resolved-CEST (orCEST), which, through subtraction in CESTasym spectra, provides enhanced specificity. We demonstrate how this technique can be used to resolve the signals of Glutamate and GABA – the Central Nervous System’s primary neurotransmitters in vivo. 

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Model-Based Analysis of Partial Z-spectra for Rapid Quantification of Amide Proton Transfer MRI
Paula L. Croal1, Kevin Ray2, Yunus Msayib1, James Larkin2, Brad Sutherland3,4, George Harston3, Andy Baldwin5, Alastair Buchan3, Peter Jezzard6, James Kennedy3, Nicola Sibson2, and Michael Chappell1

1Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom, 2Oxford Institute for Radiation Oncology, University of Oxford, Oxford, United Kingdom, 3Acute Vascular Imaging Centre & Acute Stroke Programme, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom, 4School of Medicine, Faculty of Health, University of Tasmania, Hobart, Australia, 5Physical and Theoretical Chemistry Laboratory, Department of Chemistry, University of Oxford, Oxford, United Kingdom, 6Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

Model-based analysis of APT MRI has been shown to quantitatively outperform conventional approaches such as asymmetry analysis. However clinical application is hindered by slow acquisition of whole z-spectra, and processing times. Here, we demonstrate that by using only  a subset of frequency offsets, acquisition and processing time can be reduced by ~70% and ~90%, respectively. Using an MCAO model of ischemic stroke, we demonstrate that our Reduced Frequency Offset approach is able to detect significant differences in APTR* between healthy and ischemic tissue.

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Peak RF Optimization for Baseline Enhancement (PROBE) for CEST/NOE with in-vitro application at 7T
Tobias Lenich1, André Pampel1, Toralf Mildner1, Riccardo Metere1, and Harald E. Möller1

1Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

In CEST/NOE experiments, induced saturation intended for certain metabolites also saturates other moieties, leading to mingled backgrounds in Z-spectra. Precise quantification of endogenous metabolites is impeded by slow acquisition times and confounding background contributions. We present an optimization framework targeting a flattened baseline in Z-spectra, with direct water saturation and non-specific macromolecular contributions fully compensated. Saturation pulse amplitudes as a function of frequency offset were derived using optimal-control-based calculation. Feasibility of this approach is demonstrated in vitro for NOE/CEST in the presence of tissue-like background and accelerated acquisition by distinct offset selection. Experimental results show good agreement with concentration levels.

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Volatility analysis for asymmetry-based CEST/NOE evaluation methods in the presence of multi-pool background systems with MT – Application to creatine CEST
Tobias Lenich1, André Pampel1, Toralf Mildner1, Riccardo Metere1, and Harald E. Möller1

1Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

Here, we aim to demonstrate the effects of complex multi-pool background systems with magnetization transfer (MT) on asymmetry and ratio-based analyses for CEST/NOE experiments. By using creatine in cross-linked BSA as a model, we show effects of background variations on such analyses for creatine CEST (CrCEST) based on experimentally obtained spin system parameters. For changes of up to 50% in background pool fractions, the CrCEST peak was found to change by up to 35% in asymmetry analysis. The necessity of model-based fitting with inclusion of complex background systems in contrast to conventional lineshape-based analysis is outlined.

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CEST and NOE signals in ischemic stroke at 9.4T evaluated using a Lorentzian multi-pool analysis: a drop, an increase or no change?
Yee Kai Tee1, Badrul Abidin1, Alexandr Khrapitchev2, Brad A Sutherland3,4, James Larkin2, Kevin Ray2, George Harston4, Alastair M Buchan4, James Kennedy4, Nicola R Sibson2, and Michael A Chappell5

1Department of Mechatronics and Biomedical Engineering, Universiti Tunku Abdul Rahman, Kajang, Malaysia, 2Cancer Research UK & Medical Research Council Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, United Kingdom, 3School of Medicine, Faculty of Health, University of Tasmania, Australia, 4Acute Stroke Programme, Radcliffe Department of Medicine, University of Oxford, United Kingdom, 5Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, United Kingdom

CEST and NOE effects in ischemic stroke at 9.4T were studied using a Lorentzian multi-pool approach. It was found that both the CEST and NOE signals had significant changes in region of acute ADC reduction when compared with contralateral tissue. The contrast or relative values to the contralateral tissues of MTRasym(3.5 ppm) was found to correlate moderately strongly with the relative amide signal at 3.5 ppm but not the relative reference signal at –3.5 ppm, suggesting that it is should be used in the group analysis in a population-wide basis to assess the change of APT in the ischemic stroke.


Electronic Poster

Contrast Mechanisms: Miscellaneous

Exhibition Hall Monday 17:15 - 18:15

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Flip Angle Optimization for Spin-Echo Based Sequences (RARE/TRAPS) for Hyperpolarized Nuclei
Sebastien Bär1, Matthias Weigel2, Dominik von Elverfeldt1, Jürgen Hennig1, and Jochen Leupold1

1Dept. of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Radiological Physics, University of Basel Hospital, Basel, Switzerland, Saint Helena

For applications like dynamic imaging, the relatively fast decaying hyperpolarized signal must be acquired over a higher number of sequence cycles and the optimal refocusing flip angle needs to be determined. Optimizing the RARE refocussing flip angles allow to optimize the signal exploitation. Furthermore, optimizing the flip angles of a RARE-based varying flip-angle TRAPS sequence enables an even longer prolongation of the signal lifetime.

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Longitudinal in vivo 19F MR imaging by ZTE of 19F labeled calcium phosphate cement implanted in bone defects in the rat
Weiqiang Dou1, Simone Mastrogiacomo2, Olga Koshkina3, Andor Veltien1, Mangala Srinivas3, X. Frank Walboomers2, and Arend Heerschap1

1Radiology, Radboud University Medical Centre, Nijmegen, Netherlands, 2Biomaterials, Radboud University Medical Centre, Nijmegen, Netherlands, 3Tumor Immunology, Radboud University Medical Centre, Nijmegen, Netherlands

To enhance MR image contrast of calcium phosphate cement (CPC) to bone, CPC was tagged with 19F loaded nanoparticles.  This 19F labeled CPC material, after implantation into bone defects in rat legs, was monitored in vivo at 11.7T by longitudinal 19F zero echo time (ZTE) MR imaging. We demonstrate that the overlay of 19F ZTE images on 1H images allows for an excellent qualitative view of CPC with no background. By a quantitative evaluation of the 19F signal the in vivo degradation of CPC over weeks can be followed by MRI. 

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Computer 99
Image contrast at sub-millisecond echo times
Jinil Park1,2, Soon Ho Yoon3, Chanhee Lee1, Jin Mo Goo3, and Jang-Yeon Park1,2

1Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 3Department of radiology, Seoul National University Hospital, Seoul University College of Medicine, Seoul, Korea, Republic of

Some contrast mechanisms like in- and out-of-phase contrasts of fat and water come into play at sub-millisecond echo times(TE) at high field strengths above 3T, and under-recognition of them can lead to misunderstanding of signal intensities and inappropriate interpretation of normal and disease pathology. Here the TEs including the sub-millisecond ones were estimated at various field strengths and it was demonstrated by phantom and human lung imaging that contrast mechanisms are apparently seen at the sub-millisecond TE and thus should not be overlooked at high field strengths when using UTE imaging techniques that can cover the range of sub-millisecond TE.

3786
Computer 100
Threonine Manganese Chelate-a New Gastrointestinal Contrast Agent for MRI
Yan Luo1, Hao Yu1, and Yaqi Shen1

1Radiology Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China

Threonine manganese chelate is a widely used nutritional food addictive. In this pilot study, we investigated the feasibility of threonine manganese chelate as a gastrointestinal contrast agent for MRI in rat models. Our study found that threonine manganese chelate aqueous solution created dark lumen on T1w, T2w and DWI images on rat models without obvious side effect. Threonine manganese chelate might be a promising enteral contrast agent for MRI on animal models.

3787
Computer 101
Non-invasive 3T lymphangiography using 3D velocity-suppressed T2-weighted MRI
Rachelle Crescenzi1, Paula M.C. Donahue2,3, Allison O Scott1, Vaughn G Braxton1, Helen B Mahany1, Sarah K Lants1, and Manus J Donahue1,4,5,6

1Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, United States, 3Vanderbilt Dayani Center for Health and Wellness, Nashville, TN, United States, 4Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 5Psychiatry, Vanderbilt University Medical Center, Nashville, TN, United States, 6Physics and Astronomy, Vanderbilt University, Nashville, TN, United States

We demonstrate for the first time abilities to perform lymphangiography non-invasively using turbo-spin-echo 3.0T MRI pulse sequences. Contrast consistent with lateralizing disease was observed in patients with known secondary lymphedema from breast cancer treatment-related lymphedema, which also adjusted in an expected manner following manipulation of lymphatic stasis through manual lymphatic drainage therapy. These findings suggest that MRI may be well-suited to evaluate lymphatic functioning and lymphedema treatment response, and may have relevance for informing personalized lymphedema risk before surgery or following breast cancer therapies. 

3788
Computer 102
High Resolution Magic Angle Spinning (HR-MAS) NMR characterization of inhomogeneous magnetization transfer (ihMT) responsive samples
Olivier M. Girard1, Victor Carvalho1,2, Pierre Thureau2, Valentin H. Prevost1, Samira Mchinda1, Gopal Varma3, David C. Alsop3, and Guillaume Duhamel1

1Aix Marseille Univ, CNRS, CRMBM, Marseille, France, 2Aix Marseille Univ, CNRS, ICR, Marseille, France, 3Division of MR Research, Beth Israel Deaconess Medical Center, Harvard Medical School

Inhomogeneous magnetization transfer (ihMT) is a promising technique for central nervous system imaging. Although ihMT signal is mostly observed in myelinated tissues, weaker ihMT signal may be revealed in other biological tissue. The fundamental relationship between the underlying NMR lineshape and the ihMT signal is still an open question. Here we investigate high resolution magic-angle spinning (HR-MAS) NMR to provide insight into the mechanisms underpinning line broadening of ihMT responsive samples. The resulting spectra evidence different dipolar Hamiltonian components contributing to line broadening and support ihMT as being dominated by inhomogeneous interaction in myelinated tissues.

3789
Computer 103
In Vivo Deuterium Labeling and Detection Of Organs Containing Rapidly Dividing Cells
Martin J Lizak1, Natella Maglakelidze2, Brittany Oliver2, Don E Farthing2, Hellmut Merkle3, Ronald E Gress4, and Nataliya P Buxbaum5

1Mouse Imaging Facility, NINDS, National Institutes of Health, Bethesda, MD, United States, 2Experimental Transplantation and Immunology Branch, NCI, National Institutes of Health, Bethesda, MD, 3Laboratory for Functional and Molecular Imaging, NINDS, National Institutes of Health, Bethesda, MD, United States, 4Experimental Transplantation and Immunology Branch, NCI, National Institutes of Health, Betesda, MD, United States, 5Experimental Transplantation and Immunology Branch, NCI, National Institutes of Health, Bethesda, MD, United States

In vivo deuterium labeling via ingestion of deuterated water was combined with magnetic resonance imaging to demonstrate a method for studying diseases with groups of rapidly dividing cells.  This method was applied to a mouse model of chronic graft versus host disease to demonstrate feasibility.

3790
Computer 104
Fast Field-Cycling NMR of human glioma resections: characterization of heterogeneity
Lionel Marc Broche1, Yang Huang2, Sandra Pierre2, Francois Berger2, David J Lurie1, Pascal Henry Fries3, and Hana Lahrech2

1University of Aberdeen, Aberdeen, United Kingdom, 2U1205 BrainTech Lab, INSERM, Grenoble, France, 3INAC-SCIB, CEA, Grenoble, France

FFC-NMR is a unique tool for the measurements of molecular dynamics in the range of nano- to microseconds. With the development of FFC-MRI scanner, it is now possible to investigate new contrasts using field-dependant variations of T1 to obtain quantitative markers in diseases. In this work we investigate what information FFC-NMR can provide in the context of glioma, using frozen human brain resection from glioma and epileptic surgery. We found that the quadrupolar peaks and T1 dispersions values may be useful biomarkers.

3791
Computer 105
Optimisation of Fast Field-Cycling MRI pulse sequences by numerical simulation.
Nicholas R. Payne1, Lionel M. Broche1, and David J. Lurie1

1University of Aberdeen, Aberdeen, United Kingdom

Fast Field-Cycling MRI (FFC-MRI) has the ability to access contrast invisible to conventional scanners – that resulting from the dependence of T1 on magnetic field strength. Simulating FFC-MRI sequences by iteratively applying the Bloch equations as the magnetic field strength changes with time was found to give highly accurate predictions of signal intensity at the end of each cycle. This information was used to optimise parameters of the FFC-MRI scans.

3792
Computer 106
Measurement of R2 dispersion profiles using Fast Field Cycling MRI
Nicolas Chanet1, Geneviève Guillot1, and Ludovic de Rochefort2

1IR4M (Imagerie par Résonance Magnétique Médicale et Multi-modalités), Univ. Paris-Sud, CNRS, UMR8081, Université Paris-Saclay, Orsay, France, 2Aix Marseille Univ., CNRS, CRMBM UMR 7339, Marseille, France

Fast Field Cycling (FFC) MRI enables rapid and precise relaxometry measurements as a function of magnetic field B0. Up to now, it was possible to measure longitudinal R1-NMRD profiles and to generate innovative R1-dispersive contrasts. However, the ability to measure transverse R2-NMRD profiles has still to be investigated. Here, a spin-echo based FFC sequence is developed to measure R2-dispersion, and is applied to ferritin and Gd-DOTA in the range 1.15 to 1.85 T. It is shown that measurements of R2 dispersion could be obtained accurately with the FFC-MRI technology.

3793
Computer 107
Vector field perfusion imaging
Pascal Spincemaille1, Qihao Zhang2, Thanh Dang Nguyen3, and Yi Wang3,4

1Radiology, Weill Cornell Medicine, New York, NY, United States, 2Weill Cornell Medicine, 3Radiology, Weill Cornell Medicine, New York, NY, 4Biomedical Engineering, Cornell University, Ithaca, NY

A vector field perfusion (VFP) approach is proposed to quantify three dimensional blood flow in tissue. The traditional lumped-element Kety equation for characterizing perfusion is fundamentally flawed with the indetermination of arterial input function. The standard continuity equation based on velocity vector field is proposed for fitting tomographic data. Preliminary analysis of dynamic contrast enhanced MRI and arterial spin labelled MRI of the brain demonstrate the feasibility of this VFP approach.

3794
Computer 108
Diffusion effects on NMR transverse relaxation around randomly distributed capillaries
Lukas Reinhold Buschle1,2, Christian H Ziener1, Martin Rückl3, Ke Zhang1,2, Volker J Sturm1,2, Gergely M Solecki4, Frank Winkler4, Martin Bendszus2, Sabine Heiland2, Heinz-Peter Schlemmer1, and Felix T Kurz1,2

1E010 Radiology, German Cancer Research Center, Heidelberg, Germany, 2Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany, 3Department of Physics, Humboldt University Berlin, Berlin, Germany, 4Neurooncology, German Cancer Research Center, Heidelberg, Germany

The gradient echo and spin echo signal in brain tissue depend both on diffusion and susceptibility effects around and from capillaries, i.e. on structural and functional information that arise from the microvascular networks. In this work, the dependence of the relaxation rates R2 and R2* on capillary radius are considered for a random arrangement of capillaries in the strong collision approximation, and a closed-form solution is derived. Radius maps are then constructed for glioblastoma mice (N=8) to reveal an increased vessel radius in tumorous tissue as compared to non-affected brain tissue.

3795
Computer 109
Quantitative, semiautomatic comparison of ferumoxytol and gadoteridol enhancement in treated glioma patients
Andrea Horváth1, Csanad Varallyay1, Daniel Schwartz1, Joao Prola Netto1, Peter Varallyay2, Laszlo Szidonya1, Gerda Toth1, Rongwei Fu1, Prakash Ambady1, Peter Bogner3, and Edward Neuwelt1

1Oregon Health and Science University, Portland, OR, United States, 2National Institute of Clinical Neurosciences, Budapest, Hungary, 3University of Pécs, Pécs, Hungary

Ferumoxytol is a nano-sized iron oxide particle approved for iron replacement therapy and may be used off label as an MRI contrast agent. While gadolinium-based contrast agents leak into the brain parenchyma where the blood brain barrier is not intact several minutes after administration, ferumoxytol remains intravascular for hours due to its high molecular weight, enabling excellent vascular visualization, with visible parenchymal enhancement peaking 24 hours after administration. In this study, we compared ferumoxytol T1 enhancement to standard of care gadoteridol enhancement with a quantitative method, which is an important step to develop ferumoxytol as an alternative MR imaging agent. 

3796
Computer 110
Dynamic Blood Volume Assessment in Extracranial Tissues using Gadofosveset
Tameshwar Ganesh1,2, Marvin Estrada3, James Duffin4, and Hai-Ling Margaret Cheng1,2,5,6

1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada, 2Ted Rogers Centre for Heart Research, Translational Biology & Engineering Program, Toronto, ON, Canada, 3Lab Animal Services, Hospital for Sick Children, 4Anesthesia, University of Toronto, Canada, 5The Edward S. Rogers Sr. Department of Electrical & Computer Engineering, University of Toronto, Toronto, ON, Canada, 6Institute of Biomaterials & Biomedical Engineering, University of Toronto, Toronto, ON, Canada

The ability of blood vessels to modulate vascular tone (i.e. blood volume) is an important normal physiological function, which is compromised in multiple diseases, including diabetes and heart diseases.  To date, there is no non-invasive imaging technique to assess dynamic microvascular blood volume response. Herein we present a novel MRI technique to assess vasoactive response in “near” real-time in extra-cranial tissues.  We employ a blood-pool agent Gadofosveset (Vasovist) together with a variety of vasoactive gas stimuli. In-vivo results in kidney and liver demonstrate we can visualize dynamic changes in gas-induced blood volume changes, as confirmed on laser Doppler perfusion. 

3797
Computer 111
Comparison of MRI and optical CT measurements of murine kidney blood volume.
Ciara M McErlean1, Yann Jamin2, Jessica K R Boult2, James A D'Arcy2, Martin O Leach2, David J Collins2, Simon P Robinson2, and Simon J Doran2

1CRUK Cancer Imaging Centre, Institute of Cancer Research, Sutton, United Kingdom, 2CRUK Cancer Imaging Centre, Institute of Cancer Research

Functional MRI measurements of vasculature must be robustly validated pre-clinically. Optical computed tomography (CT) offers high-resolution ex vivo 3D imaging of perfused vasculature using India ink staining. We compared optical CT measurements of murine kidney blood volume with previously published MRI relative blood volume measurements. Fractional blood volumes of different kidney regions in optical CT images were calculated using Frangi vessel filtering, for three concentrations of India ink-staining. Significant positive correlations were found between optical CT and MRI measurements for 10% and 15% India ink staining. This is a potentially promising method for easily and cheaply validating MRI vasculature measurements. 

3798
Computer 112
A novel MR-based framework for subject-specific guidance of TMS treatments
Stefano Mandija1, Petar I Petrov2, Jord JT Vink2, Sanne Schuite-Koops2, Peter R Luijten1, Cornelis AT van den Berg1, and Sebastian FW Neggers2

1Center for Image Sciences, UMC Utrecht, Utrecht, Netherlands, 2Rudolf Magnus Institute of Neuroscience, UMC Utrecht, Utrecht, Netherlands

In the field of neurostimulation, Transcranial Magnetic Stimulation is gaining more and more momentum since it allows direct control on brain activation in a non-invasive and non-painful manner. However, accuracy of TMS administrations and precise knowledge on its biological effects are still limited. To better understand TMS induced effects, we propose a novel combined TMS-MRI framework which allows us to map the TMS induced magnetic field and to map subject-specific brain activation by means of concurrent TMS-MRI measurements. These subject-specific measurements, will allow us to validate neuronal models which are currently used to predict TMS induced brain activations.

3799
Computer 113
Mulitplexed OxFlow for Rapid Estimation of Whole-Brain Oxygen Consumption at Rest and During Apneic Challenge
Hyunyeol Lee1, Michael C. Langham1, Cheng Li1, Ana E. Rodriguez-Soto1, and Felix W. Wehrli1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States

The OxFlow method provides a global CMRO2 estimation in a single pulse sequenc by combining phase-contrast-based flow mapping with estimation of venous oxygen saturation via susceptometry-based oximetry. However, four-interleave in convenional OxFlow makes it difficult to measure rapid changes of brain metabolic states such as response to apneic stimuli. Thus, in this work a highly efficient, multiplexed imaging based OxFlow method was developed and its feasibility was demonstrated in estimation of dynamic CMRO2 in response to an apneic challenge.

3800
Computer 114
Quantification of cerebral venous oxygenation using a two-compartment model of local phase evolution
Elena Kleban1, Richard Bowtell1, Penny Gowland1, and Molly Bright1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, UK, Nottingham, United Kingdom

We propose that a two-compartment model of the evolution of signal phase, processed using Frequency Difference Mapping, could be applied to study venous oxygenation and architecture at the microscopic scale. This study demonstrates proof-of-concept, quantifying Yv in large vessels, and tests the sensitivity of these values to hyperoxia. We discuss how this new method can be adapted to probe venous microstructure within grey matter, providing more sensitive measures of brain tissue function.

3801
Computer 115
A feasibility study of using noninvasive renal oxygenation imaging to delineate different severities of renal ischemia in atheroembolic renal disease model
Chengyan Wang1, Fei Gao2, Hanjing Kong1, Li Jiang3, Wenjian Huang1, Rui Wang4, Kai Zhao4, Yan Jia5, Hui Xu5, He Wang6, Xiaodong Zhang4, Li Yang5, Jue Zhang1,2, Xiaoying Wang1,4, and Jing Fang1,2

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2College of Engineering, Peking University, Beijing, People's Republic of China, 3Philips Healthcare, Suzhou, People's Republic of China, 4Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China, 5Renal Division, Peking University First Hospital, Beijing, People's Republic of China, 6Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, People's Republic of China

Since the use of angiographic and endovascular procedures increased rapidly during the past decades, the frequency of atheroembolic renal disease raised recently. This study demonstrates the feasibility of applying an MRI based oxygenation imaging to evaluate renal ischemia in an atheroembolic renal disease model. The average renal oxygen extraction fraction (OEFs) as well as the ratios between embolized kidney and contralateral kidney show significant differences between groups. Renal OEF measurement appears to be able to delineate different severities of renal ischemia by revealing information about the balance between tubular workload and delivery of oxygen. 

3802
Computer 116
Differential modulation of arterial and venous oxygenation through inhalation of carbogen (95%O2/5%CO2) vs. 100% O2.
Harshan Ravi1, Wen-Tung Wang1, Dzung Pham1, and John Butman1,2

1Center for Neuroscience and Regenerative Medicine, National Institute of Helath, Bethesda, MD, United States, 2Radiology and imaging sciences, National Institute of Helath, Bethesda, MD, United States

Susceptibility-weighted imaging (SWI) is a MRI sequence which exploits the susceptibility contrast between various tissues by incorporating MRI phase data. In some clinical applications it may be useful to increase such contrast (e.g. identification of plaque associated veins) and in other cases it may be useful to suppress or decrease such contrast (e.g. visualization of microhemorrhage). Here we explore the use of gas inhalation (oxygen and carbogen) to modulate the conspicuity of brain vasculature.

3803
Computer 117
Estimation of arterial blood T1 during hyperoxic gas-mixture breathing
Erin K Englund1, Zachary B Rodgers1, Hyunyeol Lee1, and Felix W Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States

Hyperoxia gas mixture breathing causes additional oxygen to be dissolved in blood plasma thereby shortening the T1 of arterial blood (T1a). Here, we propose a method estimate T1a during hyperoxia gas breathing by solving a perfusion quantification model for T1a given CBF measured during hyperoxia via phase contrast (PC) of the feeding arteries in the neck. The ratio between PC-based total CBF and ASL-based regional CBF was first determined at baseline, and then applied to normalize the expected ASL-based CBF during hyperoxia. T1a was estimated as 1.46±0.09 s during hyperoxia gas mixture breathing, in reasonable agreement with previous reports. 

3804
Computer 118
Tagging distance dependent Z-spectrum (TADDZ) for ASL MRI free from B0-inhomogeneity induced errors
Frederick C. Damen1,2, Rong-Wen Tain1,2, Weigo Li3, Xiaohong Joe Zhou1,2, Leon Tai4, and Kejia Cai1,2

1Radiology, University of Illinois at Chicago, Chicago, IL, United States, 2Center for Magnetic Resonance Research 3T Program, University of Illinois at Chicago, Chicago, IL, United States, 3Research Resources Center, University of Illinois at Chicago, Chicago, IL, United States, 4Anatomy and Cell Biology, Chicago, IL, United States

Arterial spin labeling (ASL) MRI, based on endogenous contrast from blood water, is used for research and diagnosis of cerebral vascular conditions. However, artifacts due to imperfect imaging conditions such as B0 inhomogeneity could lead to variations in the quantification of cerebral blood flow (CBF).  In this study, we investigated the CBF variation artifacts due to B0‑inhomogeneity using Signal Targeting with Alternating Radio frequency (STAR) based ASL. We developed a novel technique, TADDZ, similarly to the corrections for chemical exchange saturation transfer (CEST) experiments, to remove the B0 inhomogeneity induced CBF artifacts.  

3805
Computer 119
A 3D printed perfusion phantom for quality controlled measurement of arterial spin labeled perfusion
Joshua S. Greer1,2, Xinzeng Wang2, Keith Hulsey2, Robert E. Lenkinski2,3, and Ananth J. Madhuranthakam2,3

1Bioengineering, UT 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 non-contrast quantitative perfusion maps. 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 3D printed perfusion flow phantom that can be easily replicated, and used to test the precision and repeatability of ASL perfusion measurements.

3806
Computer 120
Dynamic Magnetic Resonance Imaging with Vaginal and Rectal Contrast for the Observation of Vaginal Vault and Rectocele
Huici Zhu1, Jianyu Liu1, and Lizhi Xie2

1Radiology Department of Peking University Third Hospital, Beijing, People's Republic of China, 2GE Healthcare, MR Research China, BeiJing, People's Republic of China

To determine which method is better for the observation of vaginal vault and rectocele, this research compared the routine dynamic MRI with the dynamic MRI with vaginal and rectum contrast. There was statistically significant difference between the dynamic MR imaging and dynamic MR imaging with vaginal and rectum contrast. For the observation of vaginal vault prolapse and rectocele, the dynamic MR imaging with vaginal and rectum contrast was better than the routine method. 


Electronic Poster

Non-Proprietary Software/Hardware/Analysis

Exhibition Hall Tuesday 8:15 - 9:15

3807
Computer 1
NUFFT: Fast Auto-Tuned GPU-Based Library
Teresa Ou1, Frank Ong1, Martin Uecker2, Laura Waller1, and Michael Lustig1

1University of California, Berkeley, Berkeley, CA, United States, 2University of Göttingen, Göttingen, Germany

We present a fast auto-tuned library for computing non-uniform fast Fourier Transform (NUFFT) on GPU. The library includes forward and adjoint NUFFT using precomputation-free and fully-precomputed methods, as well as Toeplitz-based operation for computing forward and adjoint NUFFT in a single step. Computation of NUFFT depends heavily on gridding parameters, desired accuracy, trajectory type, amount of undersampling, and level of precomputation. The library automatically chooses optimal gridding parameters and algorithms, and it can be easily extended to include implementations from other libraries. The library allows researchers to accelerate iterative reconstructions without the difficulties of choosing optimal parameters and algorithms.

3808
Computer 2
ASL-MRICloud: Towards a comprehensive online tool for ASL data analysis
Yang Li1,2, Peiying Liu1, Yue Li3, Hongli Fan1, Shin-Lei Peng4, Denise C. Park5, Karen M. Rodrigue5, Hangyi Jiang1, Andreia V. Faria1, Can Ceritoglu6, Michael Miller6, Susumu Mori1, and Hanzhang Lu1

1Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Graduate School of Biomedical Sciences, UT Southwestern Medical Center, Dallas, TX, United States, 3AnatomyWorks, LLC, Baltimore, MD, United States, 4Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung City, Taiwan, 5Center for Vital Longevity, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, TX, United States, 6Center for Imaging Science, Johns Hopkins University, Baltimore, MD, United States

ASL has drawn tremendous attention from both research and clinical community during recent years. Therefore, we deployed a cloud-based tool for ASL data analysis on top of MRICloud platform. Different from other downloadable ASL toolboxes, ASL-MRICloud features an automated interface via a web browser for data upload and results download. The computation is performed on the online server. Here we summarized the current functionalities, underlying algorithms, and representative results of ASL-MRICloud.

3809
Computer 3
MRIQC: automated assessment and quality reporting of MRI scans
Oscar Esteban1, Craig Anthony Moodie1, William Triplett2, Russell Alan Poldrack1, and Krzysztof Jacek Gorgolewski1

1Department of Psychology, Stanford University, Stanford, CA, United States, 2Department of Physical Therapy, University of Florida

Assessing the quality of MRI is necessary and time-consuming. MRIQC automates the quantification extracting a number of image quality measures (IQMs), and eases the individual inspection through specialized visual reports. MRIQC supports T1w, fMRI and dMRI brain images. MRIQC is an easy to use, “plug-and-play” tool, since it is multi-platform (including desktop and high performance clusters), and BIDS- and BIDS-apps compliant. The IQMs extracted automatically will yield unbiased exclusion criteria in MRI analyses.

3810
Computer 4
Simulation Reveals Evidence for Bias in Parameter Estimates for Compressed Sensing of Temporally Dynamic Systems
Nathan Murtha1,2, James Rioux1,2,3, Olliver Marriott2, Chris Bowen1,2,3, Sharon Clarke1,2,3, and Steven Beyea1,2,3

1Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada, 2Biomedical Translational Imaging Centre, QE2 Health Sciences Centre, Halifax, NS, Canada, 3Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada

There exists no objective framework for assessment of acquisition and reconstruction methods in compressed sensing (CS) MRI involving temporal dynamics. We propose a simulation framework to address this gap. Image quality was assessed using two quantitative metrics, and temporal parameters were recovered using least-squares fitting. CS regularization weighting was varied to determine the effect on both image quality and accuracy of recovered temporal dynamic parameters. Image quality metrics displayed distinct optima, though bias, dependent on the underlying temporal dynamics, was introduced to temporal parameter estimates. These results support the need for an objective tool to characterize CS MRI methodologies.

3811
Computer 5
Developing an automated MRI Decision support system: MIROR a non-region specific modular analysis toolbox
Niloufar Zarinabad1,2, Karen Manias1,2, Katharine Foster2, and Andrew Peet1,2

1University of Birmingham, Birmingham, United Kingdom, 2Birmingham children hospital, Birmingham, United Kingdom

There is a need for an MRI diagnostic analysis-tool which can provide healthcare investigators with a platform for extraction of relevant information and allow for comparison with similar cases to aid decision-making. The aim of this study was to develop a modular, non-region-specific Medical-Image-Region-of-interest-analysis-tool and Repository (MIROR) in order for advanced MRI techniques to become a part of the clinical routine. Here, the first development phase is presented as applied to diffusion-weighted-imaging of pediatric body-tumors combined with comparison to a repository of cases. MIROR acts as a foundation which can be extended to more advanced image-analysis and sophisticated decision-support. 

3812
Computer 6
Implementation of a parallel processing pipeline of multi-channel phase data
Timothy M Whelan1, Martyn L Klassen1, Igor Solovey1, Junmin Liu1, and Maria Drangova1,2

1Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada, 2Dept. of Medical Biophysics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada

Evidence exists to show that phase unwrapping performed before channel combination results in fewer artifacts (singularities, open ended fringe lines) than when phase unwrapping occurs after channel combination. We have implemented a fast and efficient pipeline designed to enable processing of multi-channel phase data. Specifically, non-iterative phase unwrapping and channel combination are employed within the pipeline that links the MR scanner to a DICOM server, which displays the final combined images, while preserving all metadata.

3813
Computer 7
An abstraction layer for simpler EPIC pulse programming on GE MR systems in a clinical environment
Stefan Skare1,2, Enrico Avventi1, Ola Norbeck1, and Henric Ryden1

1Neuroradiology, Karolinska University Hospital, Stockholm, Sweden, 2Karolinska Institutet, Stockholm, Sweden

A C-library that simplifies EPIC pulse programming on GE MR systems is presented, containing a large set of new structs and functions for EPIC. Three pulse sequences have been developed (GRE, FSE and EPI) using this library with EPIC. These sequences have most of the functionality expected in a clinical neuro MRI setting, including arbitrary scan planes, full user interface support, online/offline reconstruction, and with common generic sequence plugins/modules such as SpatialSat, FatSat, and Inversion. The KSFoundation library, pulse sequences and sequence modules can be used to quickly develop new pulse sequences with reduced amount of code.

3814
Computer 8
Implementation of Pulseq in GPI Lab
Keerthi Sravan R1, Imam Ahmed Shaik1, Stefan Kroboth2, Maxim Zaitsev2, and Sairam Geethanath1

1Medical Imaging Research Center, Dayananda Sagar Institutions, Bangalore, India, 2Dept. of Radiology – Medical Physics, Medical Center, University of Freiburg, Germany

A major challenge for researchers in designing new pulse sequences is the limitation of needing to know vendor-specific programming environment. The Pulseq tool in Matlab has overcome this issue. This work demonstrates an open source implementation of Pulseq in GPI Lab to further access to Pulseq. Also, this enables a single platform on GPI to integrate the PSD with the rest of the MR research pipeline: simulation, reconstruction, image analysis and visualization. The Pulseq-GPI implementation is demonstrated through a gradient recalled echo. It is capable of designing all sequences/enhancements that Pulseq currently offers.

3815
Computer 9
ImFEATbox: An MR Image Processing Toolbox for Extracting and Analyzing Features
Annika Liebgott1,2, Sergios Gatidis1, Petros Martirosian1, Fritz Schick1, Bin Yang2, and Thomas Küstner1,2

1Diagnostic and Interventional Radiology, University Hospital of Tübingen, Tübingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany

In various image processing applications, finding appropriate mathematical descriptions which reflect or extract characteristics of the underlying content from acquired MR images is an important and crucial step. There exists a variety of features which can be used for MRI, but which ones are the most meaningful depends on the underlying scientific or diagnostic question/application as well as the image itself. To reduce the time spent searching for, implementing and testing features for a specific application, we provide a toolbox of features along with a GUI to easily choose and extract them, which will be made publicly available.

3816
Computer 10
PyMRT and DCMPI: two new Python packages for MRI data analysis
Riccardo Metere1 and Harald E. Möller1

1NMR Unit, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

Among the many packages available for data analysis in magnetic resonance imaging, only few offer specific tools for quantitative MRI. Additional limitations often come from implementation details, where fast development cycles and code maintainability can be difficult to achieve. Recently, Python has emerged as an ideal tool for the development of software for scientific computing.Here, we propose two easily extensible software packages implemented in Python: PyMRT for the analysis of MRI data, notably for quantitative applications; DCMPI for simplifying and automatize portions of the data collection step.

3817
Computer 11
A Matlab-based graphical user interface for processing dynamic CEST-MRI data
Neil Wilson1, Hari Hariharan1, and Ravinder Reddy1

1CMROI, University of Pennsylvania, Philadelphia, PA, United States

A graphical user interface was designed in Matlab to process dynamic CEST-MRI experiments. Field corrections due to B0 and B1 inhomogeneities are applied, ROIs are taken, CEST signal is fitted, and high quality figures are produced with minimal user input. Data is presented for an exercise-induced skeletal muscle creatine elevation experiment though the GUI is highly customizable. 

3818
Computer 12
Day 1 of MRI and NMR education: Interactive visualization of MR basics
Lars G. Hanson1,2

1Center for Magnetic Resonance, DTU Elektro, Technical University of Denmark, Kgs. Lyngby, Denmark, 2Danish Research Centre for MR, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark

It is challenging to teach and learn the very basics of Magnetic Resonance as used in NMR and MRI. A simple approach is demonstrated that provides accurate understanding of basic MR phenomena, also for non-technical students. An interactive free simulation tool is used that invites student exploration of Compass and Nuclear MR via browser or app. This CompassMR simulator offers you a unique opportunity to finally make anybody intuitively understand MR in minutes, even your parents who always wanted to know what you are doing.

3819
Computer 13
IMAGING ON THE EARTH'S MAGNETIC FIELD
Ruth Agiobu-Alafun1, Steven Sourbron1, and Leonidas Georgiou1

1Division of Biomedical Imaging, University of Leeds, Leeds, United Kingdom

This educational abstract is aimed at providing a better understanding of NMR principles and optimisation of scan parameters for imaging using graphical illustrations and images generated with the Terranova-MRI EFNMR system. It is benefitial to clinicians who seek a more intuitive way to educate themselves with regards to MRI;  to students who need hands on experience to gain a better understanding of the underlying mechanisms of signal and image formation; and to academic researchers who are looking to introduce alternative teaching methods of MRI techniques in their institutions.

3820
Computer 14
3 Dimensional Image Reconstruction – Innovation Improves Diagnosis in Pediatric MRI
Dianna M.E. Bardo1, Craig E Barnes1, Robyn Augustyn1, and Marrit Thorkelson1

1Diagnostic Radiology, Phoenix Children's Hospital, Phoenix, AZ, United States

3D and 2D image reconstruction and other image post-processing techniques are vital in developing a complete understanding of anatomy and pathology.  The ability to visualize structures in 3 dimensions, perhaps showing pathology in the orientation a surgeon will see as they approach during surgery, provide information which allows planning a procedure before the patient is under anesthesia can improve care and reduce surgical or interventional times.  Further, 3D images or printed 3D models a valuable resource for teaching a patient or a child’s parent about the necessary care and treatment of their child.

3821
Computer 15
Segment Deep Gray Matter Nucleus from MR Images: An Automatic Computational Tool for Early Diagnosis of Parkinson’s Disease
Pei Dong1, Yanrong Guo1, Yue Gao2, Peipeng Liang3, Yonghong Shi4,5, Qian Wang6, Dinggang Shen1, and Guorong Wu1

1Department of Radiology and BRIC, The University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2School of Software, Tsinghua University, Beijing, People's Republic of China, 3Department of Radiology, Capital Medical University, Beijing, People's Republic of China, 4School of Basic Medical Sciences, Fudan University, Shanghai, People's Republic of China, 5Shanghai Key Laboratory of Medical Imaging Computing and Computer-Assisted Intervention, 6Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, People's Republic of China

Accurate and automatic brainstem nuclei segmentation from MR images plays an important role in seeking for imaging-biomarkers of Parkinson’s disease (PD). To address the segmentation challenge from regular MR images, we propose a novel multi-atlas patch based label fusion method where we use hyper-graph technique to handle the low image contrast issue. Our proposed method is successfully applied to a set of MR images from PPMI (Parkinson’s Progression Markers Initiative) dataset, and we have achieved significant improvements in terms of segmentation accuracy compared to the state-of-the-art methods.

3822
Computer 16
Cerebra-QSM: An Application for Exploring Quantitative Susceptibility Mapping Algorithms
Marina Salluzzi1,2, D Adam McLean1,2, David G Gobbi1,2, Cheryl R McCreary2,3, M Louis Lauzon2,3, and Richard Frayne2,3

1Calgary Image Processing and Analysis Centre, Foothills Medical Centre, Calgary, AB, Canada, 2Departments of Radiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 3Seaman Family Research MR Centre, Foothills Medical Centre, Calgary, AB, Canada

Cerebra-QSM is a modular C++ application for quantitative susceptibility mapping that logs the inputs and results from each stage of the QSM processing pipeline. It provides a user interface for analysis, review and process validation, as well as a scripting interface for batch processing. It is flexible and intuitive, allowing rapid evaluation of algorithms and training of end-users on the specifics of QSM estimates. It has been adopted by multiple researchers, facilitating independent work. Cerebra-QSM provides a robust, simple and scalable framework for evaluation of processing pipelines. 

3823
Computer 17
Hough-transform based detection of vascular structures applied to automate and accelerate planning of super-selective Arterial Spin Labeling
Thomas Lindner1, Olav Jansen1, and Michael Helle2

1Clinic for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany, 2Tomographic Imaging Department, Philips Research, Hamburg, Germany

Super-selective Arterial Spin Labeling (ASL) is a technique to perform non-contrast enhanced flow territory mapping. Prior to image acquisition, the labeling focus has to be positioned on each artery of interest separately. Depending on the arterial architecture, this process can be time-consuming, especially for untrained operators. In this study, an algorithm for automated vessel detection and planning is introduced to accelerate the planning procedure of super-selective ASL measurements, which is based on the Hough transform to detect circular structures (i.e. arteries) on a transversal time-of-flight (TOF) scan.

3824
Computer 18
Advanced platform-independent MR prototyping: From EPI to Arterial Spin Labeling without code compilation
Thorsten Honroth1, Cristoffer Cordes1,2, Saulius Archipovas1, Federico von Samson-Himmelstjerna1,2, Matthias Günther1,2,3, and David Porter1

1Fraunhofer MEVIS, Bremen, Germany, 2University of Bremen, Bremen, Germany, 3mediri GmbH, Heidelberg, Germany

A previously demonstrated, platform-independent rapid prototyping environment for MR sequences that provides a workflow without code compilation has been extended with features that allow the creation of a FAIR Arterial Spin Labeling (ASL) sequence.  Also, the calculation code for the necessary FOCI inversion pulse, which is protocol dependent and which needs to be executed during runtime on the scanner, can be implemented compilation-free using a scripting language.

3825
Computer 19
An online Cloud-ORiented Engine for advanced MRI simulations (coreMRI)
Christos G. Xanthis1,2, Håkan Arheden1, and Anthony H. Aletras1,2

1Lund Cardiac MR Group, Department of Clinical Physiology, Lund University, Lund, Sweden, 2Laboratory of Computing and Medical Informatics, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

Despite high-performance, multi-GPU MR simulations are not widespread. In this study, we present coreMRI, an advanced simulation platform delivered as a web-service through an on-demand, scalable cloud-based and GPU-based infrastructure. coreMRI achieved with a 8xGPUs configuration a speedup of up to 63 when compared to a single-GPU configuration, bringing hour-long simulations down to a couple of minutes. In conclusion, coreMRI allows its users to exploit the highly-tuned computer performance of GPUs on MR simulations with neither upfront investment for purchasing advanced systems nor technical programming expertise. 

3826
Computer 20
An Automated Phantom QA procedure for the Rhineland Study
Eberhard Daniel Pracht1, Christian Schmickler1, Monique Breteler1, and Tony Stoecker1,2

1German Center for Neurodegenerative Diseases, Bonn, Germany, 2Department of Physics and Astronomy, University of Bonn, Bonn, Germany

For the Rhineland study, a fully automated phantom QA procedure was developed to monitor the quality characteristics of the MRI scanners. Various QA metrics are investigated to characterize scanner stability and performance over time and across different sites. To ensure measurement reproducibility and consistency standardized phantoms were developed and a dedicated QA protocol as well as a processing pipeline was implemented. The QA scans are acquired each day after the last subject to be able to detect data inconsistencies and hardware defects as soon as possible. This ensures high-throughput data collection with minimal data loss.

3827
Computer 21
Development of 3D UTE Reconstruction Software Using Python Language
Eun-Kee Jeong1,2, Kyle Jeong1,3, Bijaya Thapa1,4, and Insun Lee1

1Utah Center for Advanced Imaging Research, University of Utah, Salt Lake City, UT, United States, 2Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States, 3Biomedical Engineering, University of Utah, Salt Lake City, UT, United States, 4Physics and Astronomy, University of Utah, Salt Lake City, United States

3D radial, such as ultra-short TE (UTE) MRI, is receiving a growing attention, because of its unique features, which include free of motion artifact and imaging of short T2* species. However, reconstruction of UTE data is very challenging, therefore, only a handful research institutes possess the reconstruction capability. We developed a GUI-based software to construct UTE images using Python and C++ languages. We will present details about the development of this software using Python, which includes difficulties. 

3828
Computer 22
Implementation of a Dual Parameter Segmentation Tool for Identification of Brown Adipose Tissue on Magnetic Resonance Imaging
David Reading1, Dana Mathews2, Yee Ng1, Binu Thomas3, Orhan Oz2, Jonathan Graff4, and Takeshi Yokoo5

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Radiology, Division of Nuclear Medicine, UT Southwestern Medical Center, Dallas, TX, United States, 3Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 4Department of Developmental Biology, UT Southwestern Medical Center, Dallas, TX, United States, 5Radiology, Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

Defining regions of brown adipose tissue (BAT) on MRI remains challenging.  Dissemination of existing methods is complicated by propriety algorithms, variability between institutions, and the need for time consuming manual segmentation. In this pilot imaging study, we implemented an online segmentation tool for the open-source OsiriX DICOM viewer platform (Pixmeo, Geneva) that can be used to identify regions of BAT on MRI through simultaneous fat fraction and T2* thresholding automatic segmentation. Since an OsiriX plugin is easily distributable and usable across different centers, our tool may facilitate future research studies of BAT using MRI. 

3829
Computer 23
An Image Simulation Tool for 3D TSE Including Flow Effects
John W Grinstead1, Gregor Koerzdoerfer2, Gerhard Laub2, William Rooney3, and Mathias Nittka2

1Siemens Healthcare, Portland, OR, United States, 2Siemens Healthcare, 3Oregon Health & Science University, Portland, OR, United States

A 3D TSE simulation tool designed as both an educational tool as well as a guide for optimizing protocols is described. The pulse sequence protocol user interface triggers integrated Bloch simulations for a user-defined set of tissues based on current protocol settings including the variable flip angle scheme and reordering mode. The tool models tissue T1 & T2 as well as flow effects. We demonstrate applicability to the issue of flow-induced signal loss in CSF and compare simulations to in vivo measurements. The effects of parameter changes that would otherwise require lengthy in vivo comparisons can now be easily explored.

3830
Computer 24
SNR and volume characterization of RF coils: A simple procedure and an automatic post-processing tool for a straightforward comparison
laurent Mahieu-Williame1, Sophie Gaillard1, Denis Grenier1, Radu Bolbos2, Jean-Baptiste Langlois2, Franck Lamberton2, Sorina Camarasu-Pop1, and Olivier Beuf1

1Univ.Lyon, CREATIS, CNRS UMR 5220, Inserm U1206, INSA-Lyon, UJM- Saint Etienne Université Claude Bernard Lyon 1, Villeurbanne, France, lyon, France, Metropolitan, 2CERMEP – imagerie du vivant, Lyon, France, lyon, France, Metropolitan

To choose the most suitable RF coil available for an MRI study, we propose a procedure which uses a calibrated phantom, a 3D gradient-echo sequence, and an automatic post-processing tool available on the web. This tool generates a report which contains the measurement of a SNR with uniform volumes located in the depth. The post-processing could be done on MR images acquired on most main MRI vendors (Siemens, GE, Philips and Bruker) with prior verification of applied scaling or filtering. RF coil characterization results performed on at 4.7T and 7T were compared. The tool can be used for quality control.


Electronic Poster

Multi-Band Pulses & Simultaneous Multi-Slice

Exhibition Hall Tuesday 8:15 - 9:15

3831
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MR Fingerprinting ASL: multi-slice acquisition, sequence optimization, and validation with DSC
Pan Su1,2, Yang Li1,2, Deng Mao1,2, Wenbo Li1,3, Qin Qin1,3, Jay J. Pillai1, and Hanzhang Lu1

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2Graduate School of Biomedical Sciences, The University of Texas Southwestern Medical Center, Dallas, TX, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

MR Fingerprinting (MRF) based Arterial Spin Labeling (ASL) has been recently proposed as a new approach to measure multiple hemodynamic parameters in a single scan. However, the previous implementation of MRF-ASL has several limitations, including a single-slice-only acquisition, incomplete optimization of the sequence, and an absence of comparison with existing techniques such as Look-Locker ASL and dynamic-susceptibility-contrast (DSC) MRI. In this work, we conducted a series of six studies to fill these technical gaps: we optimized several key imaging parameters in MRF-ASL and compared the results to existing methods.

3832
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Using a Novel Multiband Multi-Echo Simultaneous ASL/BOLD Sequence to Measure Cerebrovascular Reactivity
Alexander D. Cohen1, Andrew S. Nencka1, and Yang Wang1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

A multiband, multi-echo simultaneous ASL/BOLD sequence was developed and used to estimate cerebrovascular reactivity (CVR) using a breath hold (BH) task. In addition, both the BOLD and ASL data were denoised using multi-echo independent component analysis (ME-ICA). ICA was used to extract the BH activation component from the data, which was then correlated with the whole brain. CVR was estimated as the percent signal change from the BH task. Denoising resulted in increased BH activation and more robust CVR maps. Furthermore, the data-driven approach used here eliminates the need to model for the complicated BH response.

3833
Computer 27
Comparison of Methods for Simultaneous Multi-Slice Balanced SSFP Imaging
Yuan Zheng1, LeLe Zhao2, Cong Zhang2, Jian Xu1, Ruchen Peng3, and Weiguo Zhang2

1UIH America, Houston, TX, United States, 2Shanghai United Imaging Healthcare Co., Ltd, Shanghai, People's Republic of China, 3Medical Imaging Center, Beijing Luhe Hospital Affiliated to Capital Medical University, Beijing, People's Republic of China

Many previously reported SMS-bSSFP sequences use RF phase modulation for slice shifting, which inevitably shifts the bSSFP frequency band and is thus susceptible to banding artifacts. Another slice-shifting method is to modulate slice-select dephasing/rephasing gradients.  We have studied these two strategies and showed that gradient modulation is more advantageous, since it does not modify the RF phase cycling scheme and bSSFP frequency selectivity is kept the same for all slices. We have acquired phantom and in-vivo head images using both approaches, and demonstrated that gradient modulation does not introduce banding artifacts and produces high quality images.

3834
Computer 28
Tailored 3D RF pulses for g-factor reduction in phase-constrained simultaneous multislice imaging
Ádám Kettinger1,2, Stephan A. R. Kannengiesser3, Felix A. Breuer4, Zoltán Vidnyánszky1, and Martin Blaimer4

1Brain Imaging Centre, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary, 2Department of Nuclear Techniques, Budapest University of Technology and Economics, Budapest, Hungary, 3MR Application Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany, 4Magnetic Resonance and X-ray Imaging Department, Fraunhofer Development Center X-ray Technology (EZRT), Würzburg, Germany

Simultaneous multislice imaging techniques are widely used to accelerate the acquisition process, however, non-ideal coil geometries can introduce noise enhancement. This effect can be reduced by using the virtual-conjugate-coil technique, in which case the g-factors will be dependent of the object background phase. It has been shown that an optimal phasemap exists that minimizes the g-factors. We have used 3D tailored RF pulses to approximate the optimal phase distribution in each simultaneously acquired slice to reduce the noise amplification in phantom and also in vivo. Our results imply that g-factors can be reduced significantly while flip angle homogeneity remains reasonable.

3835
Computer 29
Quantitative Susceptibility Mapping Using 2D Simultaneous Multi-slice Gradient-echo Imaging at 7T
Wei Bian1, Adam Bruce Kerr2, Kongrong Zhu2, Paymon Rezaii1, Maged Goubran1, Christopher Lock3, May Han3, Yi Wang4, Zhe Liu4, Sherveen Parivash1, Brian Rutt1, and Michael Zeineh1

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 3Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, United States, 4Department of Radiology, Weill Cornell Medical College, New York, NY

A 2D multi-echo simultaneous multi-slice (SMS) gradient-echo imaging sequence was implemented for simultaneous anatomical imaging, R2* mapping and quantitative susceptibility mapping (QSM). Imaging acceleration in the slice direction speeds up the sequence to clinical scan times while using a longer TR and larger flip angle compared to 3D imaging. Evaluation from both healthy and multiple sclerosis subjects showed that, using the same acquisition time and imaging resolution as a 3D sequence, the proposed sequence improved tissue susceptibility contrast, suggesting 2D SMS GRE imaging may be a viable alternative for clinical applications of susceptibility-based imaging. 

3836
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Minimum-Duration Parallel Transmit Pulses for Simultaneous Multislice Imaging
Mihir Pendse1 and Brian K Rutt1

1Stanford University, Stanford, CA, United States

We describe a procedure for obtaining minimum duration parallel transmit pulses for simultaneous multislice imaging. The strategy involves a combination of the IMPULSE parallel transmit pulse design algorithm for mitigating local SAR hotspots and enforcing flip angle homogeneity; an optimal control algorithm for intelligent design of slice selective subpulse shape with minimum power; and time-optimal VERSE for reducing peak power with minimum increase in pulse duration. Results indicate a reduction in pulse duration by a factor of 4.9 compared to a pTx-SMS pulse designed with conventional techniques.

3837
Computer 31
Super Resolution Motion Correction (SUPREMO) using Simultaneous Multi-Slice EPI based fMRI
Jose R. Teruel1, Nathan S. White1, Timothy T. Brown2, Joshua M. Kuperman1, and Anders M. Dale1,2

1Department of Radiology, University of California San Diego, La Jolla, CA, United States, 2Department of Neurosciences, University of California San Diego, La Jolla, CA, United States

In this study, we describe a method to correct for motion in fMRI acquisitions with sub-TR temporal resolution, applying the Extended Kalman Filter framework, using each multi-slice EPI shot as its own navigator.

3838
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Simultaneous Multislice MRF with Hadamard RF-Encoding
Alice Yang1, Yun Jiang1, Dan Ma2, Kawin Setsompop3, Vikas Gulani2,4, and Mark Griswold2

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, Case Western Reserve University, Cleveland, OH, United States, 3Radiology, Massachusetts General Hospital, Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 4Radiology, University Hospitals, Cleveland, OH, United States

Relaxation times can be measured efficiently with Magnetic Resonance Fingerprinting (MRF) but further acceleration of MRF is difficult as individual images are already highly undersampled. In this study Hadamard RF-encoding is utilized to acquire four slices simultaneously.  It is demonstrated that the proposed method can provide T1 and T2 maps for simultaneously acquired slices at 2mm slice thickness.

3839
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Simultaneous multi-slice triple-echo steady-state (SMS-TESS) T1, T2, PD, and B0 mapping in the human brain
Rahel Heule1,2, Zarko Celicanin1,2, Sebastian Kozerke3, 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, 3Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

Triple-echo steady-state (TESS) has so far been investigated mainly as a particular robust and intrinsically B1-insensitive method for T2 relaxation time mapping. Here, its potential for fast simultaneous multi-parametric (T1, T2, PD, and B0) mapping of human brain tissues from a single scan is explored. TESS imaging is performed in 2D mode to mitigate motion sensitivity in the brain and accelerated by simultaneous multi-slice (SMS) imaging using CAIPIRINHA to excite two slices simultaneously providing similar SNR in half the acquisition time as compared to sequential single-slice imaging.

3840
Computer 34
Snapshot whole-brain T1 mapping using 2D multi-slice variable flip angle spiral imaging with steady-state preparation
Rahel Heule1,2, Josef Pfeuffer3, 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, 3Siemens Healthcare, Application Development, Erlangen, Germany

Spiral imaging substantially shortens MR fingerprinting acquisitions to tolerable scan times. Also more traditional “state-of-the-art” parametric mapping techniques can potentially benefit from the speed-up ability of fast spiral trajectories as opposed to Cartesian sampling. Here, a variable flip angle T1 quantification approach based on an interleaved 2D spiral multi-slice spoiled gradient echo sequence is combined with a steady-state preparation scheme. The investigated method offers accurate whole-brain T1 determination at clinically relevant resolution in only half a minute (including the B1 mapping scan in about 40 s) with an acceleration factor of an order of magnitude compared to conventional Cartesian sampling.

3841
Computer 35
Improvements in Simultaneous Multislice Imaging Through the Use of SPIRiT and Virtual Conjugate Coils
Nikolai J Mickevicius1 and Eric S Paulson2

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiation Oncology, Biophysics, Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

Simultaneous multislice (SMS) imaging is an attractive solution for accelerating MR acquisition due to its higher inherent SNR.  However, further acceleration of SMS images along the phase encoding direction results in increased noise amplification. We demonstrate here the advantages of a combined virtual conjugate coil based phase-constrained SPIRiT reconstruction to minimize the g-factor penalty associated with highly accelerated SMS acquisitions.

3842
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Slice-GRAPPA calibration using pre-scan data and application to simultaneous multi-slice PROPELLER
Kun Zhou1, Wei Liu1, Fang Dong1, and Shi Cheng1

1Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, People's Republic of China

In simultaneous multi-slice imaging technique, the kernels used for unfolding the collapsed slices are estimated using integrated or separated reference scans, which require additional scan time. In this work a slice-GRAPPA calibration method utilizing the pre-scan data is developed to save the time for acquiring training data. This method has been applied to slice accelerated PROPELLER sequence. The result shows that the proposed method can correctly fit the SG kernel and reconstruct the slice undersampled images.

3843
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Application of time-optimal Simultaneous Multi-Slice refocusing to TSE/RARE
Christoph Stefan Aigner1, Armin Rund2,3, Berkin Bilgic4,5, Borjan Gagoski6, Kawin Setsompop4,5, Karl Kunisch2, and Rudolf Stollberger1

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria, 3BioTechMed Graz, Graz, Austria, 4Massachusetts General Hospital, Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 5Harvard Medical School, Boston, MA, United States, 6Department of Radiology, Boston Children's Hospital, Boston, MA, United States

RF pulses for Simultaneous Multi-Slice imaging (SMS) are still limited by hardware and safety requirements leading to lengthy pulse durations. In this work we apply a bi-level time-optimal control method to design a minimum time SMS refocusing pulse for a multiband factor of 15 with 1mm slice thickness resulting in a refocusing duration of 4.58ms, which is 1.7x shorter than the state of the art MultiPINS pulse. The optimized RF pulse and the corresponding shaped slice selective gradient are tested in-vivo in a T2-TSE SMS wave-CAIPI scan of the whole head in 70s.

3844
Computer 38
An optimized slice-GRAPPA reconstruction method to reduce leakage artifacts in small-animal multiband imaging
Hiroshi Toyoda1, Sosuke Yoshinaga2, Naoya Yuzuriha2, Mitsuhiro Takeda2, and Hiroaki Terasawa2

1Center for Information and Neural Networks, National Institute of Information and Communications Technology, Suita, Japan, 2Department of Structural BioImaging, Kumamoto University, Kumamoto, Japan

Accurate slice separation for simultaneous multi-slice acquisition continues to be challenging, especially when animal scanners equipped with relatively few receiver coil elements are used. We propose an optimized slice-GRAPPA method to reconstruct the dual-band EPI of rat brains, in which the size-optimized kernel was iteratively estimated to reduce artifacts. The reconstructed images were evaluated in terms of inter-slice leakage, g-factor, and temporal variation across the repetitions. With the proposed method, inter-slice leakage artifacts and the g-factor were reduced, and the average signal-to-noise ratio was improved. Thus, the total reconstruction accuracy was improved in the multiband EPI in a small animal study.

3845
Computer 39
SOMS: Simultaneous Orthogonal Multi-Slice Imaging
Sebastian Rosenzweig1,2 and Martin Uecker1,2

1Diagnostische und Interventionelle Radiologie, University Medical Center Göttingen, Göttingen, Germany, 2Partner site Göttingen, German Centre for Cardiovascular Research (DZHK), Göttingen, Germany

Simultaneous multi-slice (SMS) MRI has become a popular technique in both research and clinical practice, as it provides information about multiple slices at the time of a conventional single-slice measurement. For technical reasons, SMS is commonly limited to the acquisition of parallel slices. Here, we propose a new Cartesian sequence for the simultaneous excitation of orthogonal slices. We dub this technique simultaneous orthogonal multi-slice (SOMS). In this proof of concept phantom study, we reconstruct two 2-fold undersampled, simultaneously acquired orthogonal slices.

3846
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Evaluation of upper airway neuromuscular reflex and passive collapsibility using real-time multi-slice MRI during CPAP
Weiyi Chen1, Emily Gillett2, Sally L. Davidson Ward2, Michael C.K. Khoo1, and Krishna S. Nayak1

1University of Southern California, Los Angeles, CA, United States, 2Children's Hospital Los Angeles, Los Angeles, CA, United States

We demonstrate a new imaging test that uses simultaneous multi-slice real-time MRI during continuous positive airway pressure (CPAP) to quantify upper airway neuromuscular reflex and passive collapsibility. Both are measured using cross-sectional area fluctuation during abrupt changes to CPAP. We applied this test to patients with obstructive sleep apnea (OSA) and healthy controls. Subjects with OSA showed 3-5x higher airway area fluctuation compared to healthy volunteers, and this difference was statistically significant (p < 0.05). Neuromuscular reflex and area fluctuation varied greatly among the OSA patients, suggesting a potential spectrum of active/physiological and passive/anatomical factors contributing to OSA.

3847
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Multi-slice extension of iVASO for absolute cerebral blood volume mapping using a 3D GRASE readout
Swati Rane1, Thomas J Grabowski1, John C Gore2,3,4, Jun Hua5, and Manus J Donahue2,6

1Radiology, University of Washington Medical Center, Seattle, WA, United States, 2Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 3Biomedical Engineering, Vanderbilt University School of Medicine, Nashville, TN, United States, 4Physics and Astronomy, Vanderbilt University School of Medicine, Nashville, TN, United States, 5Radiology, Johns Hopkins University, Baltimore, MD, United States, 6Neurology, Vanderbilt University School of Medicine, Nashville, TN, United States

We present a multi-slice approach to evaluate arterial cerebral blood volume with non-invasive inflow-vascular space occupancy (iVASO) approach using a 3D GRASE readout in conjunction with the iVASO preparation pulses.

3848
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Simultaneous Multi-Slice Radial Phase Contrast MRI
Liyong Chen1,2 and David Feinberg1,2

1Advanced MRI Technologies, LLC, Berkeley, CA, United States, 2Helen Wills Neuroscience Institute, Univ of California, Berkeley, Berkeley, CA, United States

The purpose was to develop and evaluate a novel approach to MR phase imaging of blood flow by combining radial cine phase contrast (radial cine-PC) with simultaneous multi-slice (SMS) technique to measure velocity in several slice planes simultaneously. Comparisons were made between SMS radial and SMS Cartesian 2D cine-PC and the velocity curves measured in cerebral vessels were similar between them. The higher acquisition efficiency of SMS radial cine PC allows for simultaneous cross-sectional hemodynamic quantification and may be useful for medical diagnoses.

3849
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Improved unbiased multi-slice T1 measurement with compressed-sensing assisted variable-repetition-delay turbo-spin echo acquisition for ultra-high field preclinical applications
DongKyu Lee1, Sohyun Han1, and HyungJoon Cho1

1Bio-medical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of

The benefits of compressed-sensing (CS) assisted turbo-spin-echo (TSE), i.e. CS-TSE, acquisition for variable-repetition-delay T1 measurement were investigated with two-dimensional multi-slice ex vivo and in vivo T1 mappings at 7T preclinical scanner. The direct advantages resulting from replacing the refocusing pulses of TSE with CS acceleration included reduced scan times for multi-slice coverage and minimization of inter-slice interferences, which are all required in order to improve the accuracy of multi-slice T1 measurement. 

3850
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Ultrafast 2D MRI method based on multi-slice spatiotemporal encoding with simultaneous image refocusing
Yao Luo1, Jun Zhang1, Shuhui Cai1, and Congbo Cai2

1Department of Electronic Science, Xiamen University, Xiamen, People's Republic of China, 2Department of Communication Engineering, Xiamen University, Xiamen, People's Republic of China

We propose a new ultrafast multi-slice spatiotemporally encoded (SPEN) MRI technique, termed SeMSPEN, which outmatches conventional multi-slice EPI in its capability in shortening sampling time by producing multiple images in single echo train, and in lowering the specific absorption rate by segmenting the slice-selective dimension. The feasibility of this new method is verified theoretically and experimentally.  

3851
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Improved CAIPIRINHA for Simultaneous Multislice Imaging Using Total Variation Regularization
Song Gao1 and Yajun Ma1

1Medical Physics Department, Peking University, Beijing, People's Republic of China

The CAIPIRINHA (Controlled Aliasing in Parallel Imaging Results in Higher Acceleration), proposed for simultaneous multislice imaging, combines the multiband excitation and phase cycling techniques to reduce scan time and improve the subsequent imaging reconstruction.The total variation (TV) regularization uses an edge-preserving prior which imposes a relationship between neighboring pixels for image reconstruction. In this work, the TV regularization method is applied to further improve the CAIPIRINHA.  In vivo data results demonstrate that the TV regularization is very powerful in suppressing noise, maintaining fine imaging details and reducing aliasing artifacts.

3852
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Independent band-specific correction for B0 and B1 inhomogeneities in multiband 2D RF pulses
Yuxin Hu1,2, Valentina Taviani3, Bruce L. Daniel1, and Brian A. Hargreaves1

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 3GE Healthcare, Menlo Park, CA, United States

2D in-plane multiband RF pulses have been developed to offer high-resolution diffusion-weighted imaging (DWI) with minimal distortion. However, B0 and B1 inhomogeneities may lead to significant and varying signal loss in different bands, that can in turn result in signal inconsistency between bands. In this work, correction for B0 and B1 variations was implemented by independently tuning the RF center frequency and amplitude for each band. Phantom images acquired with corrected pulses were shown to have higher signal amplitude and reduced slab boundary artifacts.

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Simultaneous multi-slice (SMS) imaging technique for radial trajectory using inter-slice shifting gradient.
Dongchan Kim1, Jaejin Cho2, Kinam Kwon2, Byungjai Kim2, Yeji Han1, Jun-Young Chung1, and HyunWook Park2

1Gachon University, Incheon, Korea, Republic of, 2Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of

SMS imaging techniques utilized phase modulated RF pulses, blipped gradients, or inter-slice shifting gradients to increase the use of sensitivity information of multi-channel coils. In this work, we extended the use of inter-slice shifting gradient based SMS techniques of a Cartesian trajectory to a radial trajectory. We modulated the ratio between inter-slice shifting gradient and readout gradient (i.e. view angle) with the cosine function. In addition, we adjusted the direction of shift of each slice by adjusting the offset of cosine function, thereby increase sampling efficiency of a radial trajectory when the imaging objects need an anisotropic field-of-view.

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Improved Simultaneous Multislice Pulse Design Directly Constraining Peak RF Amplitude
Sydney N Williams1, Douglas C Noll2, and Jeffrey A Fessler3

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 2BIomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 3Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI, United States

In this abstract, we propose the design of SMS RF pulses using a new method based on the small-tip angle approximation that directly constrains peak amplitude using a least-square optimization. We compare our proposed method to the equivalent phase-modulated Shinnar-Le Roux (SLR) SMS pulse with optimized phase scheduling for minimal RF power. Our proposed method provides lower simulation error than SLR-based designs at equivalent pulse lengths and same error for shorter pulse lengths that are unrealizable (in the peak amplitude sense) with the SLR-based approach. In experiment we show sharp excitation slice profiles for our SMS designs.


Electronic Poster

Sparse & Low-Rank Reconstruction

Exhibition Hall Tuesday 8:15 - 9:15

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Improved Accelerated Model-based Parameter Quantification with Total-Generalized-Variation Regularization.
Oliver Maier1, Matthias Schloegl1, Andreas Lesch1, Andreas Petrovic1, Martin Holler2, Kristian Bredies2, Thomas Pock3, and Rudolf Stollberger1

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute of Mathematics and Scientific Computing, University of Graz, Graz, Austria, 3Insitute for Computer Graphics and Vision, Graz University of Technology, Graz, Austria

Incorporating TGV-regularization to accelerated model-based parameter-quantification can lead to improved image quality, however, adds non-differentiability to the problem which poses a problem for commonly used first order optimization methods like non-linear Conjugate-Gradient. The proposed method overcomes this limitation by handling the problem within a Gauss-Newton-framework and applying a Primal-Dual-algorithm to solve the inner TGV-regularized problem. Numerical simulations exhibit high agreement to references for four different parameter mapping problems up to 18-fold acceleration. In-vivo results for T1-VFA and T2-MESE models strengthen these findings. The proposed method offers huge acceleration potential for model-based parameter-quantification with similar quantification quality as fully sampled data.

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Comparison of Compressed Sensing Accelerated TOF MRA of the Neck with Conventional TOF MRA and Ultrasound in Clinical Cases
Takayuki YAMAMOTO1, Tomohisa OKADA2, Yasutaka FUSHIMI1, Koji FUJIMOTO3, Akira YAMAMOTO1, Peter SPEIER4, Michaela SCHMIDT4, Yutaka NATSUAKI5, and Kaori TOGASHI1

1Diagnostic Imaging and Nuclear Medicine, Kyoto University, Graduate School of Medicine, Kyoto, Japan, 2Human Brain Research Center, Kyoto University, Graduate School of Medicine, Kyoto, Japan, 3Center for Advanced Imaging Innovation and Research (CAI2R) and Bernard and Irene Schwartz Center of Biomedical Imaging, New York University School of Medicine, Ner York, NY, United States, 4Siemens Healthcare GmbH, 5Siemens Medical Solutions USA, Inc.

Compressed sensing (CS) can accelerate time-of-flight magnetic resonance angiography (TOF MRA) of the neck. The whole length of carotid arteries from the aortic arch to the skull base was scanned in 2 minutes with an acceleration factor of 7.5. Iterative reconstruction that exploits regularization in 3 spatial directions required less than 3 minutes on a GPU. The degree of stenosis at carotid bifurcation for 22 patients was subjectively evaluated on maximum intensity projection images. Results of CS accelerated TOF MRA and conventional TOF MRA were compared with stenotic rates measured by ultrasound, and showed an excellent correlation.

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High frame rate vocal tract MRI using compressed sensing on randomly sampled Cartesian spoiled fast gradient echo
Pierre-André Vuissoz1,2, Benjamin Elie3, Freddy Odille2,4, and Yves Laprie3

1IADI, Université de Lorraine, Nancy, France, 2U947, INSERM, Nancy, France, 3LORIA, INRIA/CNRS/Université de Lorraine, Nancy, France, 4CIC-IT 1433, CHRU Nancy, Nancy, France

MRI becomes an important tool in the study of speech, in particular in the understanding of articulatory gestures. Distributed Compressed Sensing and Projection Onto Convex Sets are used to reconstruct dynamic sequences of vocal tract images at 33 frames per second with a spatial resolution enabling the extraction of vocal tract contours. 15 seconds long, spoiled gradient echo sequence acquisitions with pseudo random Cartesian sampling were recorded while subjects were repeating sentences. 76 sentences were recorded, representing the majority of the French phonemes. High frame rate dynamic vocal tract MRI will enable the study of coarticulation in French.

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Self-Calibrated Non-Cartesian Multi-shot Diffusion Imaging
Merry Mani1, Arnaud Guidon2, Baolian Yang2, Vincent Magnotta1, and Mathews Jacob3

1Radiology, University of Iowa, Iowa City, IA, United States, 2GE Healthcare, 3Electrical and Computer Engineering, University of Iowa, Iowa City, IA, United States

Non-Cartesian multi-shot sequences (e.g. spiral) offer several benefits over Cartesian counterparts in the context of high spatial resolution diffusion weighted imaging (DWI), including reduced B0 & T2* artifacts, as well as improved SNR resulting from lower TE. However, their main drawback of the above scheme is the sensitivity of the multi-shot imaging to motion artifacts. To achieve motion compensation, the multi-shot reconstruction methods rely on a phase-calibration procedure, during which an estimate of motion induced phase map is computed.  Not only is the phase-calibration step time consuming, it also involves heavy optimization of parameters. The main focus of this work is to develop a phase calibration-free motion-compensated reconstruction for multi-shot non-Cartesian diffusion imaging.

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Low Rank Alternating Direction Method of Multipliers Reconstruction for MR Fingerprinting
Jakob Assländer1,2,3, Martijn A Cloos1,2, Florian Knoll1,2, Daniel K Sodickson1,2, Jürgen Hennig3, and Riccardo Lattanzi1,2

1Dept. of Radiology - Bernard and Irene Schwartz Center for Biomedical Imaging, New York University School of Medicine, New York, NY, United States, 2Dept. of Radiology - Center for Advanced Imaging Innovation and Research, New York University School of Medicine, New York, NY, United States, 3Dept. of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany

The proposed reconstruction framework for MR-Fingerprinting (MRF) combines a low rank approximation of the  signal's temporal evolution with the alternating direction method of multipliers. This general framework allows for incorporating parallel imaging and compressed sensing. The low rank approximation of the  signal's temporal evolution reduces the number of fast Fourier transformations significantly and adresses the non-convexity of the MRF-reconstruction problem. Overall, the convergence is improved and undersampling artifacts are reduced, resulting in a fast, robust and flexible reconstruction framework.

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Multi-Compartment MR Fingerprinting via Reweighted-l1-norm Regularization
Sunli Tang1, Jakob Asslaender2, Lee Tannenbaum3, Riccardo Lattanzi2, Martijn Cloos2, Florian Knoll2, and Carlos Fernandez-Granda1,3

1Courant Institute of Mathematical Sciences, NYU, New York, NY, United States, 2Center for Biomedical Imaging, NYU School of Medicine, 3Center for Data Science, NYU

This work implements a Magnetic Resonance Fingerprinting (MRF) reconstruction that accounts for the presence of multiple compartments in a voxel. We estimate the contributions of the different tissues by incorporating a sparse-recovery method, based on reweighted-l1-norm regularization, within an iterative procedure that fits a multi-compartment model to the measured k-space data. The proposed approach is validated with simulated data, as well as with a controlled phantom experiment. In addition, we present preliminary results on in-vivo measurements of a brain.

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Compressed Sensing 3D GRASE with Group-Sparse Reconstruction for Brain Myelin Water Imaging
Henry Szu-Meng Chen1, Emil Ljungberg2, Alex L MacKay1,3,4, and Piotr Kozlowski3,5

1Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, 2Medicine, University of British Columbia, Vancouver, BC, Canada, 3Radiology, University of British Columbia, Vancouver, BC, Canada, 4UBC MRI Research Centre, Vancouver, BC, Canada, 5UBC MRI Research Centre, Vancouer, BC, Canada

Myelin water fraction (MWF), which reflects myelin content, can be derived from multiple T2 weighted images. In this study, compressed sensing was used to accelerate 3D GRASE myelin water imaging in simulated experiments using a Cartesian undersampling scheme. Group-sparse reconstruction that exploits the correlation between the echoes, and different echo sampling schemes, were tested. Group-sparse reconstruction was found to improve the overall data quality, and identical phase encode undersampling for each echo was found to improve MWF map quality. Using both, MWF map quality remained usable for up to 4x acceleration.

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Fast 4D MRI Reconstruction Analytics using Low-Rank Tensor Imputation
Morteza Mardani1, Joseph Cheng1,2, John Pauly1, and Lei Xing1

1Stanford University, Stanford, CA, United States, 2Stanford University, United States

An imaging analytic is proposed that efficiently reconstruct high-resolution 4D MR images using GPU computing. Modeling k-space data low dimensionality with low PARAFAC rank of tensors, the correlation across different dimensions are captured via tensor subspaces, sequentially learned from the subsampled data, to impute the missing k-space entries. The novel analytics gain considerable computational saving relative to the state-of-the-art compressive sampling schemes, while achieving failry similar image quality. 

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Compressive T2 Mapping with Non-Local Clustering and Subspace Constraints
Sagar Mandava1, Mahesh B Keerthivasan1, Maria I Altbach2, and Ali Bilgin1,2,3

1Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 2Medical Imaging, University of Arizona, Tucson, AZ, United States, 3Biomedical Engineering, University of Arizona, Tucson, AZ, United States

Subspace constrained T2 mapping uses PCA to reconstruct a few principal components instead of all the echo train images before T2 fitting. The temporal (contrast) subspace in these methods is estimated either from acquired training data or via training curves from a signal model. Typically, a single global PC basis is used for all the contrast signals. In this work we present a T2 mapping method based on non-local clustering of signal relaxation curves and tailor the PC bases for the curves in each cluster and compare it with the global PC basis approach.

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Respiratory motion-field reconstruction using low-rank plus sparse (L+S) approach for dynamic MRI of the lungs
Matthew John Muckley1, Li Feng1, Hersh Chandarana1, Daniel K Sodickson1, and Ricardo Otazo1

1Radiology, New York University, New York, NY, United States

A motion-guided low-rank plus sparse (L+S) approach for reconstruction of respiratory motion fields is presented for dynamic MRI of the lungs with high spatiotemporal resolution. Motion-guided L+S represents a paradigm shift where motion fields that describe deformations between respiratory phases are reconstructed instead of the respiratory phases themselves. The technique is demonstrated for normal and deep breathing imaging and compared against standard L+S reconstruction.

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Free-breathing and ungated cardiac imaging using calibrationless manifold smoothness regularization
Sunrita Poddar1, Xiaoming Bi2, Dingxin Wang2, and Mathews Jacob1

1University of Iowa, Iowa City, IA, United States, 2Siemens Healthcare

 We introduce an image manifold smoothness regularization, coupled with spatial regularization, for high-resolution free-breathing and ungated cardiac cine imaging. Prior work in this area relied on additional navigators within each image frame to estimate the manifold structure. In this abstract, we focus on eliminating the need for navigators, which will provide improved sampling efficiency.

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True Temporal Resolution TWIST Imaging using Annihilating Filter-based Low-rank wrap around Hankel Matrix
Eun Ju Cha1, Kyong Hwan Jin2, Eung Yeop Kim3, and Jong Chul Ye1

1KAIST, Daejeon, Korea, Republic of, 2EPFL, Lausanne, Switzerland, 3Gacheon University Gil Medical Center, Incheon, Korea, Republic of

Temporal resolution is an important factor in dynamic enhanced contrast (DCE) MRI. Time-resolved angiography with interleaved stochastic trajectories (TWIST) has been widely used due to its improved temporal and spatial resolution. However, the temporal resolution of TWIST imaging is not a true one because of the view sharing. To provide more improved temporal resolution, we proposed a novel reconstruction algorithm based annihilating filter-based low rank Hankel matrix approach (ALOHA) which exploits the fundamental duality between sparsity in transform domain and low-rankness of Hankel matrix constructed using k-space data. Experimental result using in-vivo data showed the significantly improved temporal resolution than the conventional reconstruction. 

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Total Generalized Variation as a Temporal Regularizer in Compressed Sensing MRI
Karthik Rao Aroor1,2, Steven Kecskemeti1,2, and Andrew Alexander1,2

1University of Wisconsin Madison, Madison, WI, United States, 2Waisman Laboratory for Brain Imaging and Behavior, Madison, WI, United States

A novel compressed sensing temporal regularizer, Total Generalized Variation is introduced to enable accelerated temporal imaging. This regularizer eliminates the staircase artifacts typically observed when using a Total Variation regularizer.

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CARDIO-RESPIRATORY MOTION ESTIMATION FOR COMPRESSED SENSING RECONSTRUCTION OF FREE-BREATHING 2D CINE MRI
Javier Royuela-del-Val1, Muhammad Usman2, Lucilio Cordero-Grande2,3, Federico Simmross-Wattenberg1, Marcos Martin-Fernandez1, Claudia Prieto2, and Carlos Alberola-López1

1Image Processing Lab, University of Valladolid, Valladolid, Spain, 2Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom, 3Centre for the Developing Brain and Department of Biomedical Engineering, King’s College London, London, United Kingdom

In this work a joint cardio-respiratory motion estimation technique is introduced for the compensation of both the respiratory and cardiac motion of the heart during free-breathing cardiac MRI examinations. The proposed technique is combined with an extra-dimensional reconstruction scheme in which respiratory and cardiac motions are resolved. Initial results for 2D cine cardiac MRI are presented for synthetic and real data.

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Robust GRASP: A novel approach using the Huber norm in projection space for robust data consistency in undersampled radial MRI
Marcelo V. W. Zibetti1, Rebecca Ramb2, Li Feng2, Ricardo Otazo2, Leon Axel2, and Gabor T. Herman3

1NYU/CUNY/UTFPR, New York, NY, United States, 2Radiology, NYU School of Medicine, New York, NY, United States, 3Computer Science, CUNY, New York, NY, United States

Robust data consistency using the Huber norm is proposed for compressed sensing radial MRI to reduce artifacts associated with outliers in the acquired data that cannot be removed by the sparse reconstruction. System imperfections such as chemical shift can introduce this type of large data distortions, or outliers. The quadratic shape of the usually employed Euclidean norm for data consistency is very sensitive to very large errors. In the proposed method, named RObust Golden-angle Radial Sparse Parallel MRI (ROGRASP), the Huber norm enables large errors to remain in the data discrepancy, not transferring them to the reconstructed image. In vivo acquisitions with outlier-contaminated data illustrate this improvement in quality for free-breathing cardiac MRI.

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Parallel Imaging Reconstruction with Compressed Sensing Calibration for Real-time Neonatal Chest MRI
Yu Y. Li1,2

1Cardiac Diagnostic Imaging, St. Francis Hospital, Roslyn, NY, United States, 2Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States

In the presented work, a compressed sensing approach is introduced to calibrate k-t space parallel imaging reconstruction. This approach removes the need for calibration data and improves image reconstruction using data sparsity associated with narrow bandwidth of physiological motion signals. The new approach is used to enable real-time neonatal chest MRI. It is experimentally demonstrated that real-time imaging can provide high-quality cardiac and pulmonary images for improved clinical diagnosis in premature babies.

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Real-time dynamic image reconstruction using Compressed Sensing and Principal Component Analysis (CS-PCA)
Bryson Dietz1, Eugene Yip1, Jihyun Yun2, Gino Fallone1,2, and Keith Wachowicz1,2

1Oncology, University of Alberta, Edmonton, AB, Canada, 2Medical Physics, Cross Cancer Institute, Edmonton, AB, Canada

An online real-time reconstruction technique that combines compressed sensing with principal component analysis (CS-PCA) was developed for the purpose of adaptive radiotherapy using our Linac-MR system. Our technique uses a database of images, acquired prior to an incoherently accelerated acquisition, to fill in the missing lines of k-space using PCA. Our technique can reconstruct images ranging from 5-20 frames per second with minimal artefacts.

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Evaluation of image quality of compressed sensing MRI with natural image quality evaluator
Thai Akasaka1, Koji Fujimoto2, Tomohisa Okada1, Yasutaka Fushimi1, Akira Yamamoto1, Takayuki Yamamoto1, Toshiyuki Tanaka3, Masayuki Ohzeki3, and Kaori Togashi1

1Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Center for Advanced Imaging Innovation and Research (CAI2R) and Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 3Department of Systems Science, Graduate School of Informatics, Kyoto University, Kyoto, Japan

Many image quality assessments (IQA) have been proposed for natural image assessment but few reports have applied them to MRI images, much less to reconstructed images by compressed sensing (CS). Ten subjects were scanned for time-of-flight MR angiography (TOF-MRA), retrospectively under-sampled, and reconstructed by CS. The reconstructed images were evaluated subjectively by radiologists and quantitatively by several IQAs. Structural similarity, scale-invariant feature transform and natural image quality evaluator correlate well with radiologists’ perception and hence can be used to determine the optimal parameters for CS of TOF-MRA.

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Highly Accelerated Quantitative MRI with ICTGV Regularized Reconstruction
Matthias Schloegl1, Martin Holler2, Oliver Maier1, Thomas Benkert3, Kristian Bredies2, Kai Tobias Block3, and Rudolf Stollberger1

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute of Mathematics and Scientific Computing, University of Graz, Austria, 3Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY, United States

This work describes the use of ICTGV regularization for highly accelerated T1 and T2 quantification. For increased robustness of quantitative MRI multiple parameter encodings are necessary. With conventional encoding, this strategy increases scan time, in particular for T1. By using appropriate subsampling and iterative image reconstruction with ICTGV regularization, high quantification quality is achieved up to an acceleration factor of 16.

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Accelerated Multicontrast Volumetric Imaging Using Compressed Sensing Parallel Imaging Reconstruction with Low Rank and Spatially Varying Edge-Preserving Constraints: In-Vivo Preclinical Validation for High-Resolution Myocardial Infarction Characterization
Li Zhang1,2 and Graham Wright1,2

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Schulich Heart Research Program and Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada

To improve characterization of myocardial infarction using high-resolution multicontrast volumetric imaging, this work presents a new compressed sensing parallel imaging reconstruction using low rank and spatially varying edge-preserving constraints. The proposed method was validated in vivo in preclinical studies on pigs with chronic myocardial infarction with comparison to histopathology, demonstrating the promise of robust reconstruction of fine image detail from a single breath-hold multicontrast acquisition at an isotropic resolution of 1.5mm. 

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Joint Reconstruction of Multi-Contrast Images: Compressive Sensing Reconstruction using both Joint and Individual Regularization Functions
Emre Kopanoglu1, Alper Gungor1, Toygan Kilic2,3, Emine Ulku Saritas2,3, Tolga Cukur2,3, and H. Emre Guven1

1Aselsan Research Center, Ankara, Turkey, 2Electrical and Electronics Engineering, Bilkent University, Turkey, 3National Magnetic Resonance Research Center (UMRAM), Bilkent University, Turkey

In many clinical settings, multi-contrast images of a patient are acquired to maximize complementary information. With the underlying anatomy being the same, the mutual information in multi-contrast data can be exploited to improve image reconstruction, especially in accelerated acquisition schemes such as Compressive Sensing (CS). This study proposes a CS-reconstruction algorithm that uses four regularization functions; joint L1-sparsity and TV-regularization terms to exploit the mutual information, and individual L1-sparsity and TV-regularization terms to recover unique features in each image. The proposed method is shown to be robust against leakage-of-features across contrasts, and is demonstrated using simulations and in-vivo experiments. 

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Self-Calibrating Multi-Coil Phase Combination Using The Localized Singular Value Decomposition
Jong Bum Son1

1Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

MRI can encode clinically important information in the image-phase, thus has great potentials to extend its capability for clinical applications. However, if phase references are not available, the multi-coil phase combination using the weighted average suffers from dominant signal losses coming from phase cancellations due to uncompensated coil-dependent phase offsets.

In this work, we developed a self-calibrating multi-coil phase combining method which does not require any additional scans for phase references. When applied to a single-point Dixon imaging, we verified the proposed method could successfully estimate the global phase-map with the minimal signal loss only using a single-scan image.


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OEDIPUS: Towards optimal deterministic k-space sampling for sparsity-constrained MRI
Justin P. Haldar1 and Daeun Kim1

1Electrical Engineering, University of Southern California, Los Angeles, CA, United States

We propose a novel approach to designing optimal k-space sampling patterns for sparsity-constrained MRI.  The new approach, called OEDIPUS (Oracle-based Experiment Design for Imaging Parsimoniously Under Sparsity constraints), is inspired by insights and methods from estimation theory and the statistical design of experiments.  Specifically, OEDIPUS combines the oracle-based Cramér-Rao bound for sparsity-constrained reconstruction with sequential greedy algorithms for observation selection. We demonstrate that OEDIPUS can be used to deterministically and automatically generate k-space sampling patterns that are tailored to specific hardware and application contexts, and which lead to better reconstruction performance relative to conventional sampling approaches for sparse MRI.  

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GenSeT: Reconstruction of k-space under-sampled DCE-MRI data using high-order generalized series and temporal constraint
Hien Minh Nguyen1, Yuan Le2, and Wei Huang3

1Electrical Engineering & Information Technology, Vietnamese-German University, Binh Duong New City, Vietnam, 2Department of Radiology, Mayo Clinic Arizona, Scottsdale, AZ, United States, 3Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States

A novel reconstruction method exploiting high-order generalized series and temporal sparsity constraint has been presented for sparsely-sampled DCE-MRI. The method uses a static reference to model high-resolution anatomical structures while extrapolating the missing k-space and imposing the sparsity of the time frame difference. Our initial experience with human breast DCE-MRI data shows that the proposed GenSeT method yields more accurate spatiotemporal dynamics and PK analysis than the conventional zero-filling and TWIST reconstruction methods. Further validation of the method as a useful reconstruction approach for sparsely-sampled DCE-MRI is warranted in a larger cohort and with data from different organs.


Electronic Poster

Multimodal & Multiparametric

Exhibition Hall Tuesday 8:15 - 9:15

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Correlating ZTE MRI signal to bone density to derive a patient-specific attenuation correction map in brain PET/MR
Maya Khalifé1, Brice Fernandez2, Olivier Jaubert1, Michael Soussan3, Irène Buvat3, Vincent Brulon3, and Claude Comtat3

1Brain and Spine Institute (ICM), Hôpital de la Pitié-Salpêtrière, Paris, France, 2Applications and Workflow, GE Healthcare, Orsay, France, 3Laboratoire d’Imagerie Moléculaire In Vivo (IMIV), Commissarriat à l'Energie Atomique et aux Energie Alternatives (CEA), Orsay, France

Attenuation correction (AC) is needed for an accurate PET image quantification in brain PET/MR. Regular MRI cannot distinguish between different tissue types based on electron density, thus, Zero Echo Time (ZTE) has been used to segment bone, air and soft tissue. Furthermore, a correlation has been established between histogram normalized ZTE intensity and measured CT density in Hounsfield Unit (HU) in bone on a CT-MR database of 16 patients. The patient-specific AC map generated by combining ZTE-based segmentation and linear scaling of normalized ZTE signal into HU showed to be a good substitute of the measured CT-AC map in brain PET/MR.

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Fully-Integrated 3D High-Resolution Multi-Contrast Abdominal PET-MR with High Scan Efficiency
Christoph Kolbitsch1,2, Radhouene Neji3, Matthias Fenchel4, Andrew Mallia2, Paul Marsden2, and Tobias Schaeffter1,2

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany, 2Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom, 3MR Research Collaborations, Siemens Healthcare, Frimley, United Kingdom, 4MR Oncology Application Development, Siemens Healthcare, Erlangen, Germany

Abdominal PET-MR scans commonly combine free-breathing PET with breathhold or respiratory-triggered MR scans (T1/T2-weighted). This ensures high MR image quality but can lead to PET images impaired by motion blurring. Furthermore, PET can suffer from artefacts close to tissue-lung interfaces due to misalignment of breathhold MR-based attenuation correction (AC) information used for free-breathing PET. Here we present a free-breathing MR-technique which yields motion-compensated 3D T1-weighted and T2-weighted MR images. Respiratory-resolved AC maps and motion compensation improved uptake values (125±131%) and resolution (22±16%). Respiratory motion information is obtained with an accuracy of 1.3±0.1mm without an increase in scan time.

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Penta-contrast imaging: a Novel Pulse Sequence for Simultaneous Acquisition of Proton Density, T1, T2, T2* and FLAIR images
Jinhee Jeong1, Yoonho Nam2, and Jongho Lee1

1Department of electrical and computer engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul Saint Mary's Hospital

A penta-contrast imaging sequence that generates proton density (PD), T1, T2, T2* and FLAIR images in a single scan is developed. Compared to conventional imaging sequences, the scan time is reduced by 50 %. Additionally, the new method generates T1 and T2 maps.

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Magnetic Resonance Fingerprinting for T1 and T2* quantification with Cartesian readout
Benedikt Rieger1, Fabian Zimmer1, Jascha Zapp1, Sebastian Weingärtner1,2,3, and Lothar R. Schad1

1Computer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany, 2Electrical and Computer Engineering, University of Minnesota, 3Center for Magnetic Resonance Research, University of Minnesota

Magnetic resonance fingerprinting (MRF) has shown exceptional promise for simultaneous quantification of T1 and T2, based on numerous spiral readouts. We propose an implementation of the MRF paradigm for quantitative imaging using spoiled echo-planar imaging (EPI) with Cartesian readout for simultaneous assessment of T1 and T2* within 10s. Joint T1 and T2* parameter-maps acquired in phantoms with the proposed MRF method are in good agreement with reference measurements and demonstrate high quality in-vivo. This approach offers a rapid supplement to the non-Cartesian MRF portfolio, with potentially increased usability and robustness.

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Validation of an Image Derived Input Function Method for PET/MR Brain Scans
Mohammad Mehdi Khalighi1, Mathias Engström2, Mark Lubberink3, and Greg Zaharchuk4

1Applied Science Lab, GE Healthcare, Menlo Park, CA, United States, 2Applied Science Lab, GE Healthcare, Uppsala, Sweden, 3Nuclear Medicine & PET, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden, 4Radiology Department, Stanford University, Palo Alto, CA, United States

Accurate measurement of the arterial input function (AIF) is essential in quantitative analysis of cerebral blood flow (CBF) using 15O-water PET imaging. The time-of-flight enabled SIGNA PET/MR scanner (GE Healthcare, Waukesha, WI, USA) provides high quality PET images, which can be used for non-invasive Image Derived Input Function (IDIF) estimation. AIF was measured using a proposed IDIF method on 4 patients and the results were compared with the gold standard, arterial blood sampling. The comparison shows excellent correspondence between IDIF and blood sampling, thus validating the IDIF method.

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Whole-body morphological and functional atlas using an integrated PET-MRI system and fat-water registration
Simon Ekström1, Therese Sjöholm1, Filip Malmberg1,2, Lars Lind3, Håkan Ahlström1,4, Joel Kullberg1,4, and Robin Strand1,2

1Division of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden, 2Centre for Image Analysis, Uppsala University, Uppsala, Sweden, 3Department of Medical Sciences, Uppsala University, Uppsala, Sweden, 4Antaros Medical, Sweden

Today, when whole-body PET-MRI datasets are analyzed, the data is typically reduced to a few a priori specified measurements. New tools are developed in an attempt to utilize the full potential of large whole-body datasets. The purpose of this work was to build a preliminary whole-body atlas, containing both morphological (fat and water MR) and functional (FDG-PET) information on normality. An atlas was built out of 30 subjects using an integrated PET-MRI system together with an efficient registration method for fat-water MR images. The atlas was used in a proof-of-concept anomaly detection in FDG-PET using a pointwise t-test, which successfully detected anomalies in our test subject.

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Bayesian Experimental Design for Multi-Parametric T1/T2 Relaxometry and Diffusion
David Owen1, Andrew Melbourne2, Magdalena Sokolska3, David L Thomas2,4, Jonathan Rohrer4, and Sebastien Ourselin2

1Translational Imaging Group, University College London, London, United Kingdom, 2Translational Imaging Group, University College London, 3Department of Medical Physics, University College London Hospitals, 4Dementia Research Centre, University College London

Multi-parametric imaging, such as joint relaxometry and diffusion, can allow for a time-efficient measurement of several parameters of interest. However, it is unclear how best to make use of valuable scanner time when using such novel imaging techniques. In this work, we explore how Bayesian experimental design can be used to derive a maximally time-efficient joint imaging experiment.

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Rapid Dual Echo UTE MR-Based Attenuation Correction
Hyungseok Jang1 and Alan B McMillan1

1Department of Radiology, University of Wisconsin, Madison, WI, United States

Recently, ultrashort TE imaging based MR-based attenuation correction (MRAC) has been proposed in literature to overcome the intrinsic difficulty in MRI to resolve bone contrast and hence enable more reliable estimation of attenuation map. However, the long acquisition time required for UTE imaging still remains challenging. In this study, we propose a novel, rapid dual echo method for UTE based MRAC, which allows segmentation of bone, air, fat, and water with high spatial resolution (1mm3) in a single scan with extremely short scan time (35sec).

3887
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Atlas-based generation of synthesized transmission images for brain PETMR attenuation correction using MPRAGE
Karl D Spuhler1, Nandita Joshi2, Christine DeLorenzo1,3, Ramin Parsey3, and Chuan Huang1,3,4

1Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 2Electrical and Computer Engineering, Stony Brook University, Stony Brook, NY, United States, 3Psychiatry, Stony Brook Medicine, Stony Brook, NY, United States, 4Radiology, Stony Brook Medicine, Stony Brook, NY, United States

Attenuation correction remains a challenge in simultaneous PETMR, as MR signal is not directly related to attenuation. This is particularly problematic in PETMR studies of the brain, where accurate radiotracer quantification is extremely important. Here, we present a method for generating individual-specific transmission data for attenuation correction from an input MPRAGE MR volume. The method uses an atlas of matched MPRAGE and transmission images in order to achieve this. Our method does not add to scan time, as do common MR-based methods, and directly yields attenuation data for PET energies, unlike CT-based methods.

3888
Computer 82
Intensity inhomogeneity correction of whole body fat-water images using fat and water fraction information on a 3T PET/MR scanner
Therese Sjöholm1, Simon Ekström1, Filip Malmberg1,2, Robin Strand1,2, Magnus Johansson1, Lars Lind3, Mathias Engström4, Håkan Ahlström1,5, and Joel Kullberg1,5

1Radiology, Uppsala University, Uppsala, Sweden, 2Centre for Image Analysis, Uppsala University, Uppsala, Sweden, 3Medical Sciences, Uppsala University, Uppsala, Sweden, 4Applied Science Laboratory, GE Healthcare, Uppsala, Sweden, 5Antaros Medical, Mölndal, Sweden

We describe and evaluate a method for intensity non-uniformity correction of whole-body fat-water MR data acquired with both surface and body coils on a 3T PET/MRI system. The proposed method consists of two steps. Abrupt station intensity changes are first supressed, followed by correction of smooth intensity changes using fat and water fraction information. Visual and quantitative evaluations of 42 corrected fat-water datasets show that the method gives improved adipose and lean tissue uniformity for both surface and body coil acquisitions. This renders the data suitable for continued analysis in a whole-body imaging framework.

3889
Computer 83
Multiple Instantaneous Switchable Scans interleaving T2W and DWI for Prostate Biparametric MRI
Wei WANG1, Xiubo QIN1, Juan WEI2, and Xiaoying WANG1

1Peking University First Hospital, Beijing, People's Republic of China, 2Philips Research China, Shanghai, People's Republic of China

Multiple Instantaneous Switchable Scans (MISS) is a type of interleaved scan method. In our study of prostate MRI, we combined the 3D-T2W and DWI by MISS into one scan, both of which are essential sequences for PIRADS v2. The combined sequences improved the scan efficiency (6min to 4min30s). The image quality and lesion display of MISS is similar to conventional T2W and DWI. The 3D-T2W in MISS showed better performance of seminal vesicles and lesion contrast and allowed for interactive multiplanar reformation.

3890
Computer 84
PET-MRI in hepatocellular carcinoma: Correlation of DCE-MRI perfusion quantification using shutter-speed model with FDG uptake
Stefanie Hectors1, Mathilde Wagner1, Cecilia Besa1, Wei Huang2, and Bachir Taouli1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States

Shutter-speed modeling (SSM) of DCE-MRI data allows for estimation of the mean intracellular water molecular lifetime (τi), which has been suggested to be associated with tissue metabolic activity. In this study, we assessed the correlation between SSM DCE-MRI parameters and FDG-PET uptake in hepatocellular carcinoma (HCC) lesions. While Ktrans did show a significant negative correlation with the standardized uptake value (SUV) in the HCC lesions, τi was not significantly associated with FDG uptake. Our preliminary findings suggest that τi may not be associated with the up-stream tumor glucose metabolism as measured by FDG-PET.

3891
Computer 85
Detection of recurrent prostate cancer with 18F-Fluciclovine PET/MRI
Kirsten Margrete Selnæs1,2, Mattijs Elschot1, Brage Krüger-Stokke1,3, Håkon Johansen4, Per Arvid Steen3, Sverre Langørgen3, Bjørg Yksnøy Aksnessæther5, Gunnar Indrebø5, Torill Anita Eidhammer Sjøbakk1, May-Britt Tessem1, Siver Andreas Moestue1, Heidi Knobel6, Torgrim Tandstad6, Helena Bertilsson7,8, Arne Solberg6, and Tone Frost Bathen1,2

1Department of Circulation and Medical Imaging, NTNU- Norwegian University of Science and Technology, Trondheim, Norway, 2St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway, 3Department of Radiology, St. Olavs Hospital, Trondheim University Hospital, 4Department of Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, 5Ålesund sjukehus, Helse Møre og Romsdal HF, 6Department of Oncology, St. Olavs Hospital, Trondheim University Hospital, 7Department of Urology, St. Olavs Hospital, Trondheim University Hospital, 8Department of Cancer Research and Molecular Medicine, NTNU- Norwegian University of Science and Technology, Trondheim, Norway

Simultaneous PET/MRI has the potential to improve the detection accuracy in recurrent prostate cancer, since it combines the excellent soft-tissue contrast of MRI with the high molecular sensitivity of PET in one imaging session. The aim of this observational study is to assess the detection rate of recurrent prostate cancer by simultaneous 18F-Fluciclovine PET/MRI. We demonstrate that18F-Fluciclovine PET/MRI can detect suspicious lymph node, prostatic and bone lesions in patients with a wide range of PSA levels and that the number of equivocal findings is reduced when MR images are evaluated in conjunction with PET uptake.  . 

3892
Computer 86
Simultaneous acquisition of T1rho and T2 map of liver with black blood effect in a single breathhold
Weitian Chen1, Vincent WS Wong2, Queenie Chan3, Yixiang J Wang1, and Winnie CW Chu1

1Imaging and Interventional Radiology, The Chinese University of Hong Kong, New Territory, Hong Kong, 2Medicine and Therapeutics, The Chinese University of Hong Kong, New Territory, Hong Kong, 3Philips Healthcare, New Territory, Hong Kong

T1rho is promising for early detection of liver fibrosis. However, the richness of blood vessels in the liver coupled with respiratory motion makes T1rho measurement prone to errors. In this work, we propose a pulse sequence to simultaneously obtain a T1rho and a T2 map of liver in a single breathhold with black blood effect. 

3893
Computer 87
Using 31P-MRI of hydroxyapatite for bone attenuation correction in PET-MRI: proof of concept in the rodent brain
Vincent Lebon1, Sébastien Jan2, Yoann Fontyn2, Brice Tiret3, Géraldine Pottier2, Emilie Jaumain2, and Julien Valette3

1DRF/I2BM/SHFJ, CEA, Orsay, France, 2DRF/I2BM/SHFJ/IMIV, CEA-Université Paris Saclay, Orsay, France, 3DRF/I2BM/MIRCen/UMR9199, CEA-CNRS-Université Paris Saclay, Fontenay-aux-Roses, France

Current techniques for skull attenuation correction in PET-MRI provide indirect estimates of cortical bone density, leading to inaccurate estimates of brain activity. Here we propose an alternate method based on the detection of hydroxyapatite crystals by 31P-MRI, providing individual and quantitative assessment of bone density. 31P-MRI was performed in rodent to estimate the µ-map of the skull. FDG-PET data were acquired in the same animal and reconstructed with 31P-based attenuation correction, demonstrating proper distribution of 18F activity throughout the brain.

3894
Computer 88
Water content, diffusion measures (DTI/DKI) and FET-PET in brain tumours: investigating similarities and differences
Ana-Maria Oros-Peusquens*1, Ricardo Loucao*1,2, Hugo Ferreira2, Karl-Josef Langen1, and Nadim Jon Shah1

1INM-4, Research Centre Jülich, Jülich, Germany, 2Instituto de Biofísica e Engenharia Biomédica, Sciences Faculty, University of Lisbon, Lisbon, Portugal

Water content, diffusion measures and FET-PET measured simultaneously on a hybrid 3T scanner in 40 brain tumour patients were investigated. Despite reasonable expectations of finding some microscopic-structure-driven correlations between these parameters, compared here for the first time, low correlations were found in healthy tissue. Interestingly, the correlation between water content and diffusion indices -while still rather low -  increased in tumour tissue. Importantly, this implies that each parameter reflects different aspects and thus their combination should be more powerful for oncology than using single parameters

3895
Computer 89
In Vivo T1 and T2 Mapping using Single-Shot EPI Fingerprinting
Cory Robert Wyatt1,2, John Grinstead3, and Alexander Guimaraes1

1Radiology, Oregon Health and Science University, Portland, OR, United States, 2Advanced Imaging Research Center, Oregon Health and Science University, Portland, OR, United States, 3Siemens Healthcare, Portland, OR, United States

MR fingerprinting (MRF) studies have been performed using heavily undersampled spiral acquisitions, which constantly rotate and use uncorrelated aliasing to fit quantitative T1 and T2 maps. On top of the usual spiral sensitivity to off-resonance, the undersampling used in MRF requires a slowly varying signal evolution to “see through” the aliasing artifacts. Echo-planar imaging (EPI) would avoid these aliasing issues while still having a short measurement time due to a single-shot acquisition and parallel imaging acceleration.  In this study, a single-shot EPI sequence is combined with fingerprinting techniques to obtain T1 and T2 maps similar to those from spiral fingerprinting.

3896
Computer 90
Fast Magnetic Resonance Fingerprinting of Mouse Brain Using a Spiral Trajectory
Yuning Gu1, Charlie Wang1, Christian Anderson1, Yuchi Liu1, Dan Ma1, Yun Jiang1, Mark A. Griswold1,2, Chris A. Flask1,2,3, and Xin Yu1,2,4

1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Department of Radiology, Case Western Reserve University, Cleveland, OH, United States, 3Department of Pediatrics, Case Western Reserve University, Cleveland, OH, United States, 4Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, United States

In this study we developed spiral-based MRF sequences for fast T1 and T2 mapping of mouse brain at 7T. A variable density spiral trajectory that fully sampled the inner 10×10 k-space with 4 interleaves enabled up to 6-fold acceleration for both MRF-bSSFP and MRF-FISP sequences, corresponding to a 3-min scan to acquire 1024 time frames for simultaneous T1 and T2 mapping.

3897
Computer 91
PET-MR Motion Correction of Entire Listmode Data Sets Using Pilot Tone Navigation
Thomas Vahle1, David Stephen Rigie2, Ryan Brown2, Tiejun Zhao, Li Feng2, Matthias Fenchel1, Peter Speier1, and Fernando Boada2

1Siemens Healthcare GmbH, Erlangen, Germany, 2Radiology, Center for Advanced Imaging Innovation and Research (CAI2R), New York University Langone Medical Center, New York, NY

The introduction of simultaneous PET-MR provides new opportunities for motion tracking and correction during PET imaging. The ideal clinical workflow for a PET-MR exam would allow for PET data to be continuously acquired alongside any desired MR sequences and to reconstruct a motion-corrected PET image utilizing the entire dataset. In this work we combine a surface coil driven by an external signal generator with an MR motion model to navigate PET data during an entire PET-MR exam. We demonstrate the approach on one human subject that underwent a PET-MR exam.

3898
Computer 92
SPM-BASED SEGMENTATION OF AIR IN THE HUMAN HEAD FOR IMPROVED PET ATTENUATION CORRECTION IN SIMULTANEOUS PET/MR
Jakub Baran1,2, Zhaolin Chen1,3, Francesco Sforazzini1, Sharna Jamadar1,4,5, Nicholas Ferris1,6, Nadim Jon Shah1,7, Marian Cholewa2, and Gary Egan1,4,5

1Monash Biomedical Imaging, Monash University, Melbourne, Australia, 2Department of Biophysics, University of Rzeszow, Rzeszow, Poland, 3Department of Electrical and Computer Systems Engineering, Monash University, Melbourne, Australia, 4Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, Australia, 5Australian Research Council Centre of Excellence for Integrative Brain Function, Monash University, Melbourne, Australia, 6Monash Imaging, Monash Health, Melbourne, Australia, 7Institute of Neuroscience and Medicine, Forschungszentrum Jülich GmbH, Jülich, Germany

Dual-echo UTE MR sequences are widely used to estimate PET attenuation coefficients in simultaneous PET/MR imaging. However, due to susceptibility artefacts, air cavities in the head together with brain tissues and bones, can be misclassified, especially around air-tissue interface regions. In this work, we propose an SPM-based air and background segmentation method to improve the PET attenuation correction for simultaneous PET/MR imaging of the human brain. We compare air segmentation methods for more accurate air classification using an in-vivo MR-PET dataset and demonstrate improved PET image reconstruction accuracy.

3899
Computer 93
Impact of MR-based Motion Correction on clinical PET/MR data of patients with thoracic pathologies
Marcel Gratz1,2, Verena Ruhlmann3, Lale Umutlu4, Matthias Fenchel5, and Harald H. Quick1,2

1Erwin L. Hahn Institute, University Duisburg-Essen, Essen, Germany, 2High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 3Department of Nuclear Medicine, University Hospital Essen, Essen, Germany, 4Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany, 5Siemens Healthcare GmbH, Erlangen, Germany

A new PET/MR method for MR-based motion correction of PET data was set up and evaluated in a clinical study to assess the potential gain of significance and visibility of lesions in the thorax for a free-breathing patient. The new method (MoCo) was applied to 20 patients and compared to reconstructions of a single respiratory state (gated) and the total non-corrected (static) dataset. Having a comparably high statistical confidence like the static PET imagery, the motion-corrected reconstruction shows superior image quality with sharper depiction of moving lesions and thus may facilitate the diagnosis of thoracic pathologies in routine PET/MR applications.

3900
Computer 94
MR-Based Respiratory and Cardiac Motion Corrected 18F-FDG-PET/MR in Cardiac Sarcoidosis
Philip M Robson1, Nicolas A Karakatsanis1, Maria Giovanna Trivieri1, Ronan Abgral2, Marc R Dweck3, Jason C Kovacic4, and Zahi A Fayad1

1Translational and Molecular Imaging Institute, icahn school of medicine at mount sinai, New York, NY, United States, 2Department of Nuclear Medicine, European University of Brittany, 3British Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, 4Cardiovascular Institute, Icahn School of Medicine at Mount Sinai

A major advantage of hybrid PET/MR systems is the radiation-free high spatial and temporal resolution of cardiac MR imaging that can be used to estimate respiratory and cardiac motion present during PET data acquisition. This information can be incorporated into algorithms to correct for the effects of motion in the PET data to reduce blurring and increase target-to-background ratios of PET hotspots.  In this work, we demonstrate a method for respiratory and cardiac motion correction in patients with cardiac sarcoidosis.

3901
Computer 95
Automatic Extraction of Cardiac and Respiratory Motion via Self-Refocused Rosette Navigators and Independent Component Analysis
David Rigie1, Thomas Vahle2, Tiejun Zhao3, Klaus Schäfers4, Björn Czekalla 4, Lynn Frohwein4, and Fernando Boada1

1Radiology, Center for Advanced Imaging Innovation and Research (CAI2R), New York University Langone Medical Center, New York, NY, United States, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Siemens Healthcare, New York, NY, 4European Institute for Molecular Imaging, University of Mϋnster, Mϋnster, Germany

Due to the recent availability of simultaneous PET-MR, there has been much interest in MR-based motion correction for PET imaging. A key component of any such scheme is a mechanism for tracking respiratory and cardiac motion phases throughout the entire exam. In this work, we present a robust, automated approach whereby respiratory and cardiac motion information is jointly encoded with rosette navigators and decoded via independent component analysis (ICA). This approach obviates the need for any external motion tracking devices (e.g. bellows or ECG) and requires just a contrast-neutral, self-refocused navigator echo (≈2ms) per repetition time and so may be easily incorporated into many clinical sequences.


Electronic Poster

System Characterization & Corrections

Exhibition Hall Tuesday 8:15 - 9:15

3902
Computer 97
Limitations of NMR Field Cameras for B0 Field Monitoring
Paul Chang1,2, Sahar Nassirpour1,2, and Anke Henning1,3

1MPI for Biological Cybernetics, Tuebingen, Germany, 2IMPRS for Cognitive and Systems Neuroscience, Eberhard University of Tuebingen, Tuebingen, Germany, 3Institute of Physics, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany

We compare the fields measured by a field camera to the fields obtained from B0 mapping at 9.4T. The B0 maps have higher spatial resolution and are therefore taken as a benchmark. We analyse the loss of spatial fidelity due to the lower spatial samples of the field camera and compare two different field probe position calibration and optimisation methods that would help alleviate the problem of discrepancies between field monitoring and field mapping.

3903
Computer 98
Estimating B0 inhomogeneities with projection FID navigator readouts
Alexander Loktyushin1,2, Philipp Ehses1,3, Bernhard Schölkopf2, and Klaus Scheffler1,3

1High-field MRI, 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

B0 field inhomogeneities can negatively impact the image acquisition process, cause artifacts such as ghosting and blurring and introduce physiological noise in fMRI time series. It is common to address the static inhomogeneity components by using shim coils. Physiological motion during the acquisition can lead to temporal variations in the field configuration. Dynamic shimming necessitates fast, real-time estimation of B0 distortions. In this work, we augment projection-encoded FID readouts with a simple projection-based spatial encoding and train a neural network to learn the mapping from projection FIDs to field maps, which we obtain using a double-echo EPI sequence.

3904
Computer 99
High-Dynamic-Range High-SNR B1+ Mapping Using Multiple Cyclic MR Signals
Mélina Bouldi1, Tatiana Nemtanu2,3, and Jan M Warnking2,3

1Département Ingénierie des Equipements de Travail, INRS, Nancy, France, 2U1216, Inserm, Grenoble, France, 3Grenoble Institut des Neurosciences, Université Grenoble Alpes, Grenoble, France

A method is presented to perform B1+-mapping simultaneously with high dynamic range and high SNR by optimally combining data from acquisitions with different acquisition parameters. Reconstruction of the B1+-maps is performed using dictionary matching methods. This approach is applicable to various B1+-mapping sequences. Examples based on the AFI sequence are shown in both numeric simulations and a phantom experiment in the presence of a severe B1+ hot-spot. The performance of the proposed methods largely exceeds that of classic AFI sequences, simultaneously matching low-flip-angle acquisitions in dynamic range and high-flip-angle acquisitions in SNR, at identical acquisition times.

3905
Computer 100
Assessment of Geometric Distortion in EPI with a SPAMM Tagged Acquisition
Ken-Pin Hwang1, Joseph Meier1, Joshua Yung1, and R. Jason Stafford1

1Department of Imaging Physics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States

Diffusion weighted EPI is susceptible to distortions due to multiple causes, and the amount of distortion is dependent on many interacting factors. Hence no good methodology currently exists for assessing and characterizing these distortions. In this work an EPI sequence is modified to include Spatial Modulation of Magnetization (SPAMM), a preparation technique that produces tagged grid lines in the imaged volume. This sequence is acquired to measure induced distortion in several phantoms in different coils with different sequence options, measuring distortion as it varies with parallel imaging acceleration, diffusion weighting direction, and susceptibility of various phantom materials.

3906
Computer 101
Encoding of Inductively Measured k-Space Trajectories in MR Raw Data
Jan Ole Pedersen1,2, Christian G. Hanson, Rong Xue3, and Lars G. Hanson1,2

1Centre for Magnetic Resonance, DTU Elektro, Technical University of Denmark, Kgs Lyngby, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark, 3Institute of Biophysics, Chinese Academy of Sciences, State Key Laboratory of Brain and Cognitive Science, Beijing, People's Republic of China

For reconstruction of MRI from raw data, the k-space trajectory is needed. We propose to measure this simultaneously with the MRI signal using novel hardware and the scanner itself. As a first step, we demonstrate real-time processing of a gradient pickup coil voltage during scanning, modulation of this signal to a frequency within the MR acquisition bandwidth, and signal extraction from MR raw data. This principle is applied to measure k-space trajectories inductively and perform image reconstruction based on this. The resulting images have comparable quality to images reconstructed using nominal k-space trajectories. The method can potentially provide generic image reconstruction with limited hardware, even for challenging and dynamically updated gradient schemes.

3907
Computer 102
On the deviation of actual isocenter slice position in magnetic resonance imaging
Julian Emmerich1, Sina Straub1, and Frederik Bernd Laun1,2

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Institute of Radiology, University Hospital Erlangen, Erlangen, Germany

Due to imperfect laser positioning, actual  isocenter slicepositions can deviate from manufacturer indication. Using MRI as tool for dose planning in MR guided radiation therapy, the geometric correct position of MR-slices is an essential quality parameter that can affect dose calculation and definition of the planning target volume (PTV). To evaluate the magnitude of the deviation of the actual slice position from the true isocenter of the scanner, a phantom study was performed. Scanner-dependent deviations in isocenter slice position occurred in the range of 1 mm - 5 mm.

3908
Computer 103
Robust B1 Mapping with Phase-sensitive Orthogonal Excitation RF Pulses
Jie Wen1, Alexander Sukstansky1, and Dmitriy Yablonskiy1

1Radiology, Washington University in St. Louis, St. Louis, MO, United States

Accurate B1 measurement is important in many MR related applications. In this study, we proposed and optimized a phase-sensitive approach for B1 mapping that relies on a multi-gradient-echo sequence with two successive orthogonal RF pulses used for signal excitation. We also proposed optimized methods for combining multi-channel data, allowing for optimal parameters’ estimation. The method was validated on phantoms and tested on human participants. By applying this method on SMART (Simultaneous Multi-Angular Relaxometry of Tissue) MRI, we reaffirmed the importance of the B1 correction for quantifying biological tissues relaxation and magnetization transfer parameters.

3909
Computer 104
Implementation of a Gradient Pre-emphasis Based on the Gradient Impulse Response Function
Manuel Stich1, Tobias Wech1, Anne Slawig1, Ralf Ringler2, Andrew Dewdney 3, Andreas Greiser3, Gudrun Ruyters3, Thorsten Bley1, and Herbert Köstler1

1Department of Diagnostic and Interventional Radiology, University of Würzburg, Würzburg, Germany, 2X-Ray & Molecular Imaging Lab, Technical University Amberg-Weiden, Weiden, Germany, 3Siemens, Erlangen, Germany

The gradient impulse response function (GIRF) completely characterizes the gradient system as a linear and time-invariant (LTI) system, and has recently been used to correct for distorted k-space trajectories in image reconstruction. We now report on the implementation of a GIRF-based pre-emphasis, which is resulting in gradient waveforms already matching the desired k-space trajectory and rendering post-corrections obsolete. The method was successfully tested in a sequence with modulated phase-encoding gradients, as for example used in Wave-CAIPI.

3910
Computer 105
Spatiotemporal Magnetic Field Monitoring with Hall Effect Sensors
Koray Ertan1, Soheil Taraghinia1, Ayca Takmaz2, Secil Eda Dogan2, Safa Ozdemir1, and Ergin Atalar1

1National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 2Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey

Hall effect sensors can be used to monitor the spatiotemporal field dynamics. However, measurement of the z component of the magnetic field (Bz) requires very large dynamic range for the Hall effect sensors due to superposition of encoding fields with main magnetic field (B0). Instead, we propose to measure the transverse components of the magnetic field in several spatial positions to reconstruct spatiotemporal dependency of Bz and we have demonstrated reconstruction of the first order spherical harmonic field distributions.

3911
Computer 106
Free breathing Motion-Robust Cardiac B1+ mapping at 3.0T based on DREAM
Teresa Rincón1,2, Anne Menini2, Ana Beatriz Solana2, André Fischer2,3, Guido Kudielka2, and Wei Sun4

1Technische Universität München, Munich, Germany, 2GE Global Research, Munich, Germany, 3Cardiac Center of Excellence, GE Healthcare, Munich, Germany, 4GE Healthcare, Waukesha, WI, United States

Radiofrequency (RF) field inhomogeneities affect image quality while performing body and cardiac imaging especially at high field strengths. RF shimming and quantitative MR applications such as T1 mapping can potentially benefit from an accurate knowledge of variations of the transmitted RF field (B1+).

The purpose of this work is to investigate spatial homogeneity of the B1+ in the myocardium at 3.0T. For this study, we developed a prospective ECG-gated method based on DREAM (Dual Refocusing Echo Acquisition Mode).

The presented approach allows free breathing multi-shot acquisition B1+ mapping and its feasibility is shown in vivo.


3912
Computer 107
Quality Assurance Phantoms and Procedures for UHF MRI ‒ The German Ultrahigh Field Imaging (GUFI) Approach
Maximilian N. Voelker1, Oliver Kraff1, Eberhard Pracht2, Astrid Wollrab3, Andreas K. Bitz4, Tony Stöcker2, Harald H. Quick1,5, Oliver Speck3,6, and Mark E. Ladd1,4

1Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany, 2German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany, 3Otto-von-Guericke-University, Magdeburg, Germany, 4Medical Physics in Radiology, German Cancer Research Center (dkfz), Heidelberg, Germany, 5High Field and Hybrid MR Imaging, University Hospital Essen, University of Duisburg-Essen, 6Leibniz Institute for Neurobiology, Magddeburg, Germany

The German Ultrahigh Field Imaging network (GUFI, www.mr-gufi.de) is a user group of 13 German and neighboring sites that all operate a UHF (7T or 9.4T) MRI system. Due to the lack of common quality assurance (QA) procedures for UHF, GUFI started an initiative to unify QA procedures at these sites. A QA phantom and measurement protocol were developed especially for UHF that is currently being rolled out to all member sites. The QA data allow monitoring of individual system performance based on long-term data analysis or by comparison to pooled data from all sites.

3913
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Application of Magnetic Resonance Fingerprinting to evaluate degradation of Magnetic Resonance Imaging system
Imam Ahmed Shaik1, Rajeshree Malage1, and Sairam Geethanath1

1Medical Imaging Research Centre (MIRC), Dayanada Sagar Institutions, Bangalore, India

Detection of artefact and its automated correction is an active area of MRI research. The aim of this study is to evaluate MR system/sub-system degradation and detection of root cause for image quality degradation using Magnetic Resonance Fingerprinting (MRF). The method is demonstrated on Terranova, an earth’s field MR imager as part of the preliminary studies. The 3 major coils: polarizer, gradient and Audio Frequency (AF) coils were considered for degradation evaluation. A dictionary similar to MRF with 64 entries for different ranges of inputs was generated. It is shown that based on dictionary a decision can be made about the status of the system.   

3914
Computer 109
Characterization of a matrix gradient system using a magnetic field probe
Ying-Hua Chu1,2, Sebastian Littin2, Yi-Cheng Hsu1,2, and Maxim Zaitsev2

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Medical Physics, Department of Radiology, University Medical Center Freiburg, Freiburg, Germany

Measuring GIRF using field probe and chirp gradient waveform is an efficient method to characterize the gradient behavior. We demonstrate that by measuring GIRF for each channel we are able to predict the response of simultaneously driven 12-channel gradient operation. Full characterization of the gradient system can be used to detect suboptimal matching of the amplifier and can be used to achieve desired performance also in such complex systems as matrix gradient coils.

3915
Computer 110
Accurate dynamic magnetic field monitoring and diffusion-weighted image reconstruction using uncorrelated local field measurements
Ying-Hua Chu1, Yi-Cheng Hsu1, and Fa-Hsuan Lin1,2

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We proposed a method to decouple field probes and to improve the accuracy of dynamic magnetic field estimation. A sensitivity matrix of probes was measured and to decouple NMR signals. Diffusion weighted phantom images with off-resonance characterized by decoupled probes had a more invariant structure than by coupled probes when diffusion sensitivity gradients along different directions were applied. The phantom image reconstructed with field disturbances estimated from decoupled probes also shows a more homogeneous background than from coupled probes. Human brain images also demonstrated the improved image quality when decoupled probes were used.

3916
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DREAM-based B1-shimming for cardiac imaging at 7 T
Bart R. Steensma1, Ingmar Voogt1, Luijten R. Peter1, Tim Leiner1, Dennis W.J. Klomp1, van den Berg A.T. Nico2, and Alexander J.E. Raaijmakers1,3

1Division Imaging, Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Division Imaging, Department of Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands, 3Biomedical Image Analysis, Eindhoven University of Technology, Eindhoven, Netherlands

RF shimming for multi-transmit systems is commonly performed by phase-only shimming. Improved B1+ homogeneity is reached by phase-amplitude shimming but this requires knowledge of the B1+ magnitude distributions. For cardiac imaging at 7 Tesla, the acquisition of these distributions is challenging. We present a DREAM-based acquisition series to reconstruct B1+ magnitude maps in the heart. This method is applied to homogenize the transmit field for three subjects using phase-amplitude shimming. Results demonstrate a clear improvement of transmit field homogeneity in the heart in comparison to phase-only shimming without B1magnitude information. 

3917
Computer 112
Interaction between trajectory deviations and B0 field inhomogeneity in readout-segmented EPI and spiral imaging
Yoko A Spirig1,2, Nadine N Graedel2, Lars Kasper1, Karla L Miller2, Robert Frost2, Stuart Clare2, Klaas P Pruessmann1, and S Johanna Vannesjo2

1Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland, 2FMRIB centre, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

We studied the effect of encoding imperfections due to gradient errors with a focus on their interaction with $$$B_0$$$ inhomogeneities. Using a simulation framework, we retrospectively sampled data using k-space trajectories of two fast imaging sequences and compared reconstructions based on nominal, gradient impulse response (GIRF) predicted and measured (ground-truth) trajectories for spiral and readout-segmented EPI sequences.  We found that the detrimental impact of trajectory imperfections on image quality is strongly amplified by $$$B_0$$$ inhomogeneities, especially for non-Cartesian trajectories. Furthermore, we confirmed that GIRF-predicted trajectory based reconstructions (requiring only a one-time calibration) allow effective artifact reduction.

3918
Computer 113
Robust Accelerated Reconstruction for Bloch-Siegert B1-mapping
Andreas Lesch1, Matthias Schlögl1, and Rudolf Stollberger1,2

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2BioTechMed Graz, Graz, Austria

In this work we evaluate the performance and the robustness of an algorithm for the reconstruction of B1+-maps out of highly accelerated Bloch-Siegert data. The algorithm is based on variational modeling with a problem specific regularization approach. We evaluate the influence of different sampling patterns on the achievable accuracy and sampling efficiency and the influence of both regularization parameters on the final result. All results are compared to the fully-sampled reference using conventional reconstruction. We can show the general robustness of our algorithm and the most effective sampling pattern for this purpose.

3919
Computer 114
Computer Analysis of Linear-Array Resolution Insert
Alex C Karpilow1,2, Kathryn E Keenan, Stephen E Russek, and Karl F Stupic

1NIST, Boulder, CO, United States, 2University of Colorado, Boulder, CO, United States

Linear-array resolution inserts are considered for evaluations of MRI scanner performance in terms of spatial accuracy. The linear design allows for simple computer analysis of MR images, which can be used for a quick and quantitative comparison of MRI systems.

3920
Computer 115
Field Mapping using bSSFP Elliptical Signal Model
Meredith Taylor1, Joseph Valentine1, Steven Whitaker1, Michael N Hoff2, and Neal Bangerter1

1Electrical Engineering, Brigham Young University, Provo, UT, United States, 2University of Washington

It is well known that the bSSFP signal is highly dependent on the precession frequency off-resonance value at each pixel.  The bSSFP signal can be modeled as an ellipse in the complex plane that rotates about the origin, with the degree of rotation depending on the regional off-resonance value.  If a specific point on the axis of the ellipse could be localized, the phase of that point could be used to produce a field map. Xiang and Hoff came up with a geometric solution (GS) which removes banding artifacts by estimating a consistent cross point within the ellipse.

3921
Computer 116
Magnetic Field Monitoring of Spiral Echo Train Imaging
Craig H Meyer1, Gudrun Ruyters2, John P. Mugler III3, Samuel W. Fielden4, Berthold Kiefer5, and Josef Pfeuffer5

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Physics, Siemens Healthineers GmbH, Erlangen, Germany, 3Radiology & Medical Imaging, University of Virginia, Charlottesville, VA, United States, 4Geisinger Health System, Lewisburg, PA, United States, 5Application Development, Siemens Healthineers GmbH, Erlangen, Germany

The goal of this study was to characterize the k-space trajectories of a spiral echo train pulse sequence using a dynamic field camera. The spiral trajectories were quite repeatable, with typical measured error less than 0.01% of the maximum k-space magnitude.  This was true for constant-density, dual-density, and spiral-in/out trajectories. A somewhat larger error was typically observed in the first echo. Overall, this study demonstrates that 3D spiral echo train imaging using the same k-space estimation method for all echoes was sufficient to achieve high image quality.  


3922
Computer 117
Assessing changes in MRI measurands incurred in a scanner upgrade: Is my study comprised?
Kathryn E Keenan1, Slavka Carnicka1, Sophia C Gottlieb2, and Karl F Stupic1

1Physical Measurement Laboratory, National Insitute of Standards and Technology, Boulder, CO, United States, 2Bates College, Lewiston, ME, United States

Scanner upgrades due to software and hardware changes are an inevitable part of MR research and, without quality assurance protocols, can jeopardize studies. We used two standardized phantoms to evaluate change in T1 relaxation time and ADC measurements on a system that underwent an ‘everything but the magnet’ upgrade. Post-upgrade, the ADC measurements are comparable or better than the pre-upgrade measurements, while T1 measurements (VFA and IR) are affected by the upgrade. Upgrades can have unintended consequences, and we recommend the development of standardized quality assurance protocols that test not only contrast, but also quantitative measurements to identify variations and enable corrections.

3923
Computer 118
A within-subject comparison of anatomical and diffusion scans from Siemens TimTrio and Prisma scanners
Ross William Mair1,2 and Stephanie McMains1

1Center for Brain Science, Harvard University, Cambridge, MA, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States

Siemens' latest 3 Tesla scanner, the Magnetom Prisma, represents a significant upgrade in performance capability over the Magnetom TimTrio. To quantify the improvements offered by such a significant system upgrade, we scanned 8 subjects using a variety of anatomical, functional and diffusion protocols on the TimTrio platform, and then repeated the same protocols on the Prisma platform with the same subjects after the upgrade process. We found consistency in morphometric results from anatomical scans acquired using recommended T1-weighted imaging protocols.  Modest improvements in tSNR for high-resolution and highly-slice accelerated BOLD scans were seen, but more traditional 3mm resolution scans yielded no improvement presumably due to the dominance of physiological noise. The DTI scans conducted here benefit greatly from the new gradient coil in the Prisma, when protocols are optimized to reduce TE and bandwidth as allowed by the new gradient set.

3924
Computer 119
Compensating for Eddy Current Effects in Motion-compensated Diffusion-prepared TSE Sequences
Anh Tu Van1, Barbara Cervantes2, Hendrik Kooijman3, and Dimitrios C Karampinos2

1IMETUM, Technical University of Munich, Garching, Germany, 2Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 3Philips Healthcare, Hamburg, Germany

Diffusion-prepared (dprep-TSE) TSE sequences are gaining attention for high-resolution distortion-free body DWI. However, dprep-TSE suffers from phase errors induced by both motion and eddy current effects. Motion compensation reduces motion effects, but eddy currents remain a source of phase errors. The present study investigates the performance of two alternative methods for compensating for eddy current effects in a motion-compensated dprep-TSE sequence: the use of phase cycling and the use of magnitude stabilizers.

3925
Computer 120
A Three-Dimensional Spiral-In/Out Turbo-Spin-Echo Technique with Long Readout Echo Train and Concomitant Phase Compensation
Zhiqiang Li1, John P Karis2, and James G Pipe1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States, 2Neuroradiology, Barrow Neurological Institute, Phoenix, AZ, United States

TSE is a rapid technique routinely used for T2 and FLAIR imaging. Three-Dimensional TSE with variable flip angles provides high scan efficiency, high SNR, and contiguous slice coverage. In this project we develop a 3D spiral TSE sequence employing a spiral-in/out readout for efficient acquisition but without the drawbacks associated with conventional spiral-out TSE. The variable flip angle schedule is adapted for long echo space to reduce waste in acquisition time. A concomitant phase compensation technique is incorporated to minimize the violation of the CPMG condition. Preliminary results demonstrate the feasibility of the proposed technique.


Electronic Poster

Motion Correction

Exhibition Hall Tuesday 9:15 - 10:15

3926
Computer 73
Robust EEG-fMRI using optical motion tracking: Retrospective EEG Motion Educated Gradient Artefact Suppression REEG-MEGAS
Danilo Maziero1 and David W Carmichael2

1Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, United States, 2Developmental Imaging and Biophysics Section, University College London, London, United Kingdom

Here we present a method capable of suppressing motion-related EEG GA instabilities, induced EEG voltages and fMRI artefacts in simultaneous EEG-fMRI data. This correction method appeared to allow for the removal of harmonics associated with incomplete GA removal even in a moving subject. Therefore our findings might be helpful in improving both EEG quantification reliability and data quality in populations prone to movement e.g. children or for studying patients with epilepsy during seizures. 

3927
Computer 74
Method of choice to increase the motion-robustness for free-breathing applications: Self-gating, motion-weighting, or extra-dimensional reconstruction
Thomas Benkert1,2, Li Feng1,2, Mark E Bittman1,2, Justin Ream1,2, Daniel K Sodickson1,2, Ricardo Otazo1,2, Kai Tobias Block1,2, and Hersh Chandarana1,2

1Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, 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

Previously proposed techniques based on non-Cartesian or modified Cartesian sampling schemes allow for free-breathing acquisitions with solid motion-robustness. However, residual artifacts such as motion blurring often remain. Techniques including self-gating, motion-weighting, and extra-dimensional reconstruction have been proposed to further improve image quality.

Here, an analysis of these techniques is provided by performing multiple reconstructions of several volunteer and patient datasets, which were then evaluated by radiologists.


3928
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More than meets the eye: Quantitative evaluation of prospective motion correction at 7T
Hendrik Mattern1, Falk Lüsebrink1, Alessandro Sciarra1, and Oliver Speck1,2,3,4

1BMMR, Otto-von-Guericke-University, Magdeburg, Germany, 2German Center for Neurodegenerative Disease, Magdeburg, Germany, 3Center for Behavioral Brain Sciences, Magdeburg, Germany, 4Leibniz Institute for Neurobiology, Magdeburg, Germany

Prospective motion correction inherently does not provide uncorrected images. Thus, for image assessment usually motion corrected and uncorrected data from two different scans – therefore with different motion patterns – are qualitatively compared. In this study, prospectively corrected data from a highly trained cohort is retrospectively decorrected to enable a quantitative assessment with image-based and segmentation-based metrics. The results indicate that for the observed small-scale, involuntary subject motion quantitative rather than qualitative assessment is necessary to estimate the image degradation.

3929
Computer 76
PET motion correction by co-registering multiple MR contrasts in simultaneous brain MR-PET
Francesco Sforazzini1, Richard McIntyre1,2, Nicholas Ferris1, Nadim Jon Shah1,3,4, Gary Egan1,5,6, and Zhaolin Chen1,4

1Monash Biomedical Imaging, Monash University, Melbourne, Australia, 2Monash Medical Centre, Clayton, Australia, 3Forschungszentrum Jülich GmbH, Institute of Neuroscience and Medicine, Jülich, Germany, 4Department of Electrical and Computer Systems Engineering, Monash University, Monash University, Melbourne, Australia, 5Australian Research Council Centre of Excellence for Integrative Brain Function, Monash University, Melbourne, Australia, 6Monash Institute of Cognitive and Clinical Neuroscience, Monash University, Melbourne, Australia

Head movement is a major issue in dynamic brain PET imaging. The introduction of a simultaneous MR-PET scanner enabled new opportunities to use MR information for PET motion correction. Here we present a novel method based on routinely acquired MRI sequences. Multi-contrast MR images are co-registered to extract motion parameters. These motion parameters are then used to guide PET image reconstruction. Results on both phantom and human data provide evidences that this method can significantly enhance image contrast and reduce motion artefact in brain PET images, without affecting MR protocol.

3930
Computer 77
A Novel Position and Orientation Sensor for MRI
James A. Smith1, Glyn S. Spencer1, Richard W. Bowtell1, Penny A. Gowland1, and Paul M. Glover1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

The effect of head motion is a significant problem for MRI. Here we present the early stages in the development of a novel device which is able to measure head pose within the scanner. By using a combination of a commercially available 3-axis MEMS accelerometer and an anisotropic magnetoresitive bridge sensor, the orientation of the device is monitored with root-mean-square accuracy of ±0.12° while translation is estimated using voltages induced in a single coil by time-varying magnetic field gradients with an accuracy of ±0.45mm. With further development, this device could be used effectively for prospective and retrospective motion correction.

3931
Computer 78
A Registration Framework for Prostate mpMRI via Combining Intensity and Shape Information
Xia Li1, Sandeep Gupta1, Rakesh Mullick2, Oguz Akin3, and Dattesh Shanbhag2

1GE Global Research Center, Niskayuna, NY, United States, 2GE Global Research Center, Bengaluru, India, 3Memorial Sloan-Kettering Cancer Center, New York, NY, United States

In prostate MRI, tissue alignment between T2w and DWI can be challenging due to elastic distortions in DWI induced by fast switching of gradients. In this work, we propose a joint approach to perform registration between DWI and T2w on the prostate data, by considering both image intensity and prostate gland shape information. After rigid alignment between segmented prostate masks, surface points on the prostate masks were extracted and Gaussian mixture model was used to build shape correspondence. The shape information was integrated into mutual-information based deformable registration to constrain undesired distortions. The proposed framework was compared with other strategies and demonstrated the best registration accuracy (DICE = 0.91 between T2 and DWI based prostate masks).

3932
Computer 79
Self-gated 4D-MRI of the Liver: Initial Clinical Results of Comprehensive Real-Time Imaging of Hepatic Enhancement
Jakob Weiss1, Ahmed E Othman2, Petros Martirosian3, Marcel Dominik Nickel4, Jana Taron2, Manuel Kolb2, Christer Ruff2, Konstantin Nikolaou2, and Mike Notohamiprodjo2

1Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany, 2Diagnostic and Interventional Radiology, University of Tuebingen, 3Section on Experimental Radiology, University of Tuebingen, 4Siemens Healthcare

A remaining challenge of abdominal MRI are artifacts due to patient motion. In this study, we evaluated a prototype volume-interpolated breath-hold examination (VIBE) sequence with automated respiration self-gating and compressed sensing reconstruction (VIBESG-CS) for continuous dynamic contrast-enhanced (DCE) liver MRI in comparison to a standard multiphase breath-hold examination (VIBEBH-STD). VIBESG-CS provided similar overall image quality and lesion conspicuity and improved image sharpness as compared to VIBEBH-STD. Therefore, VIBESG-CS seems to be a promising approach to improve the validity and reliability of DCE-MRI of the liver, especially in patients with impaired breath-hold capabilities.

3933
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Effect of head motion on B0 shimming based on magnetic field probes
Joep Wezel1, Andrew G. Webb1, and Matthias J. van Osch1

1Radiology, Leiden University Medical Center, Leiden, Netherlands

Magnetic field probes (FP) can be used to monitor B0-changes and this approach has shown great potential for real time correction of artifacts produced by such changes. When estimating B0 fluctuations in the brain it is, however, not known how head motion influences the FP-based B0-estimation. Head motion introduces a B0-change both inside and outside the head, this study assesses the impact on field probe estimated B0-distributions within the brain at 7 Tesla. FP based correction after head motion can actually lead to a higher error especially evident when using third order spherical harmonics. Improved performance is, however, identified when using first order spherical harmonics.

3934
Computer 81
A generalized prospective motion correction framework for improved spectroscopy, structural and angiographic imaging
Mads Andersen1, Vincent Oltman Boer2, Anouk Marsman2, and Esben Thade Petersen2,3

1Philips Healthcare, Copenhagen, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Denmark, 3Electrical Engineering, Technical University of Denmark, Lyngby, Denmark

Subject motion is a major problem in brain imaging and spectroscopy, misleading diagnosis in the clinic and lowering data quality in research. A promising solution is to update the field-of-view in real time based on tracking with volumetric navigators. This was implemented using a new interleaved scanning framework and a product functionality for self-navigation of fMRI. The implementation is simple to use and very flexible, as the navigator and target sequence are simply defined as two different scans, that can be interleaved at any level. It was demonstrated to improve motion robustness in single voxel spectroscopy, T1-weighted imaging and angiography.

3935
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One-Dimensional Phase Navigation of Diffusion-Weighted 3D TSE for High Resolution Musculoskeletal Diffusion Imaging
Barbara Cervantes1, Anh T Van2, Hendrik Kooijman3, Kim van de Ven4, Andreas Hock3, Ernst J Rummeny1, Jan S Kirschke5, and Dimitrios C Karampinos1

1Department of Diagnostic and Inteventional Radiology, Technical University of Munich, Munich, Germany, 2IMETUM, Technical University of Munich, Garching, Germany, 3Philips Healthcare, Hamburg, Germany, 4Philips Healthcare, Best, Netherlands, 5Department of Neuroradiology, Technical University of Munich, Munich, Germany

Diffusion-prepared 3D TSE (dprep-3D-TSE) imaging has been recently applied for high-resolution distortion-free body and musculoskeletal DWI. Dprep-3D-TSE has been combined with magnitude stabilizers to reduce magnitude modulation effects induced by both motion and eddy current effects. In addition, velocity compensation has been proposed to reduce motion-induced phase modulation effects. However, given that dprep-3D-TSE is a multi-shot diffusion technique, it suffers from motion-induced phase variation effects across different shots and it requires phase navigation. The purpose of the present study is to develop an acquisition and phase correction scheme for one-dimensional phase navigation of dprep-3D-TSE imaging.

3936
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Optical Motion Monitoring for Abdominal and Lung Imaging
Joseph Y. Cheng1, Jonathan Lu2, Grieg Scott2, and Shreyas S. Vasanawala1

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Electrical Engineering, Stanford University, Stanford, CA, United States

The accuracy to compensate or correct for MR image artifacts from motion depends on the ability to precisely measure patient motion. Optical cameras are a compelling solution as they simplify patient setup and do not negatively impact MR data acquisition. However, most efforts have been focused on integrating and applying optical cameras to neuroimaging. In this work, setup and methods for video processing were developed for lung and abdominal MRI where MRI acquisition is especially sensitive to motion. The proposed solution had high correlation with conventional approaches of respiratory bellows and MRI navigators; also, comparable image quality was achieved. 

3937
Computer 84
Joint Non-Rigid Motion Estimation and Image Reconstruction via Sparse Blind Deconvolution
Frank Ong1 and Michael Lustig1

1Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States

We propose a non-parametric method of jointly estimating non-rigid motion and the underlying image without the assumption of motion smoothness. We model non-rigid motion as local linear translation, which is equivalent to convolution with 1-sparse kernels. We then pose the non-rigid motion recovery problem as a sparse blind deconvolution problem. Our reconstruction results demonstrate that non-rigid motion can be well approximated as local translation motion using the proposed method. The proposed formulation can also be viewed as a generalization of locally low rank reconstruction.

3938
Computer 85
Exploring the Sensitivity of Magnetic Resonance Fingerprinting to Different Types of Motion and Possible Correction Mechanisms
Zidan Yu1,2,3, Tiejun Zhao1,2,4, Jakob Assländer1,2, Riccardo Lattanzi1,2,3, Daniel K Sodickson1,2,3, and Martijn A Cloos1,2,3

1Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY, United States, 3The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States, 4Siemens Medical Solutions USA, Inc., Siemens Healthineers, New York, NY, United States

In this work, we experimentally explore the sensitivity of Magnetic Resonance Fingerprinting (MRF) to various types of motion at different time intervals during the scan. Our results show that the T1 values are least affected by motion, but the maps may be blurred if the motion occurs early in the scan. Also, motion in the middle of the scan leads to a systematic underestimation in T2. In addition, we show that simply removing the corrupted time-points from the data can restore quantitative parameter values to the correct range.  

3939
Computer 86
Image-Based Non-Rigid Motion Correction for Free-breathing 3D Abdominal MRI
Jun Lv1, Ming Yang2, Jue Zhang1,3, Xiaoying Wang1,4, and Jing Fang1,3

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2Philips Healthcare, Suzhou, People's Republic of China, 3College of Engineering, Peking University, Beijing, People's Republic of China, 4Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

Free breathing abdomen imaging requires non-rigid motion registration of the unavoidable respiratory motion in the 3D under-sampled datasets. In this work, pyramidal Lucas-Kanade based optical flow estimation is proposed to perform upper abdomen registration, which enables reconstruction of motion-free abdominal images throughout the respiratory cycle. Preliminary results on images acquired using 3D golden radial phase encoding eThrive scan demonstrate that our approach makes vessels in liver sharper and more consecutive when compared to traditional NMC and LREG based methods.  

3940
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Reconstruction of highly accelerated free-breathing 3D abdominal MRI using Stacked Convolutional Auto-Encoder Network
Jun Lv1, Kun Chen1, Ming Yang2, Jue Zhang1,3, Xiaoying Wang1,4, and Jing Fang1,3

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2Philips Healthcare, Suzhou, People's Republic of China, 3College of Engineering, Peking University, Beijing, People's Republic of China, 4Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

Free-breathing 3D abdominal imaging is a challenging task for MRI since respiratory motion severely degrades image quality.Our purpose is to develop a novel reconstruction approach for highly accelerated free-breathing 3D abdominal images with stacked convolutional auto-encoders. The whole structure of our proposed method consists of 9 hidden layers except to input and output layer.The proposed method achieves similar quality to the whole sampling reconstruction with non-significant differences for structural similarity index measure (SSIM) (0.99 and 1.00, respectively). Moreover, the average reconstruction time is very short (about 0.25 s/image). Therefore, our method should be employed for a wide range of clinical applications.

3941
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Real-time prospective bulk motion exclusion for robust 3D free-breathing abdominal imaging
Bjorn Stemkens1,2,3, Thomas Benkert2,3, Hersh Chandarana2,3, Cornelis A.T. Van den Berg1, Jan J.W. Lagendijk1, Daniel K. Sodickson2,3, Rob H.N. Tijssen1, and Kai Tobias Block2,3

1Department of Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands, 2Center of Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY, United States, 3Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States

3D free-breathing approaches have shown potential for abdominal imaging in patients who are unable performing breath-holds, such as pediatric patients and uncooperative adults. However, these free-breathing techniques fail when bulk motion occurs. This study proposes a method to detect and exclude such bulk motion to ensure diagnostic image quality, even in this challenging group of patients. Without requiring user interaction, this technique improves robustness for abdominal MR imaging, while minimizing the scan time on an individual basis, using a real-time implementation on the MRI system, which may enable robust non-sedated pediatric imaging.

3942
Computer 89
Radial MRI and model-based iterative reconstruction for motion robust quantification of the water content in the brain at 3 Tesla
Markus Zimmermann1, Zaheer Abbas1,2, Dominik Ridder1, Ana-Maria Oros-Peusquens1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine – 4, Medical Imaging Physics, Forschungszentrum Juelich GmbH, Juelich, Germany, 2Department of Neurology, Faculty of Medicine, RWTH Aachen University, JARA, Aachen, Germany

Quantitative water content mapping is a promising technique to monitor brain diseases. However, established protocols suffer from long acquisition times and sensitivity to patient motion. To overcome these issues, we propose to use golden angle radial MRI and model-based iterative reconstruction. This allows accurate and precise estimation of water content and T1 values, while providing significantly higher motion robustness, as shown in phantom and in vivo experiments. The golden angle-based k-space sampling allows for a nearly optimal k-space coverage even in the event of early termination of measurement. This opens the opportunity to apply such a technique in the clinic.

3943
Computer 90
A head motion model for fusion of patient pose measurements from different sensing modalities.
Adam M. J. van Niekerk1, Ernesta M. Meintjes1, and Andre J. W. van der Kouwe1,2,3

1Division of Biomedical Engineering, Human Biology, University of Cape Town, Cape Town, South Africa, 2Athinoula A. Martinos Center, Massachusetts General Hospital, Charlestown, MA, United States, 3Radiology, Harvard Medical School, Boston, MA, United States

In this work we aim to address the challenges of fusing motion parameters measured using different sensing modalities, as temporal resolutions differ widely between navigator and external motion tracking techniques. A model is presented in which head motion is characterised as simple rolling motion. The resulting equations describe subject motion to within 2 mm when applied in an open loop manner.  A filter, with feedback, is then implemented where navigator data is used to estimate model parameters.  The filtered translation output is smooth without the cost of increased latency due to the fast orientation estimates. 

3944
Computer 91
Accurate High-speed 3D-Registration of EPI vNavs for Head Motion Correction
Yingzhuo Zhang1, Iman Aganj2,3, André J.W. van der Kouwe2,3, and Matthew Dylan Tisdall4

1John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Radiology Department, Massachusetts General Hospital, Charlestown, MA, United States, 3Department of Radiology, Harvard Medical School, Boston, MA, United States, 4Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

Low-resolution, whole-head volumes can be acquired rapidly with EPI-based volumetric navigators (vNavs). vNavs interspersed in a longer scan are widely used for prospective motion correction in a variety of sequences. To further improve the accuracy and flexibility of vNavs, we present a novel registration algorithm, tailored specifically for the vNavs application. Accuracy of the algorithm is tested on navigator volumes acquired with human volunteers at three isotropic resolutions, 6.4mm, 8mm, and 10mm, using a series of field of view (FOV) rotations and translations to provide ground truth rigid “motion”. 

3945
Computer 92
Regularly Incremented Phase Encoding Magnetic Resonance Fingerprinting (RIPE-MRF) for Enhanced Motion Suppression in Cartesian MRF
Christian Anderson1, Charlie Wang1, Yuning Gu1, Mark Griswold1,2, Xin Yu1,2,3, and Chris Flask1,2,4

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, United States, 3Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, United States, 4Pediatrics, University Hospitals Cleveland Medical Center, Cleveland, OH, United States

Preclinical quantitative MRI is susceptible to the motion artifacts caused by the rapid respiratory motion and high heart rates present in small animals. This can be alleviated through the use of gating/triggering but these are difficult to implement in magnetic resonance fingerprinting due to the need for dynamic, coherent signal evolutions. We propose a method for an incremented phase encoding MRF acquisition that enhances motion suppression in Cartesian MRF. This phase incremented strategy distributes motion artifacts throughout the acquisition creating incoherent artifacts allowing the MRF method to “see through” the artifacts and produce artifact free T1 and T2 maps.

3946
Computer 93
A novel and robust reconstruction method for free-breathing cine DENSE by minimizing k-space entropy
Xiaoying Cai1, Kenneth C Bilchick2, and Frederick H Epstein1,3

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Medicine, University of Virginia, Charlottesville, VA, United States, 3Radiology, University of Virginia

A reliable free-breathing (FB) cine DENSE method would benefit myocardial strain imaging in many patients. An echo due to T1 relaxation is an important source of artifacts, particularly for free-breathing acquisitions. We propose to optimize suppression of these echoes by minimizing k-space entropy. The method was tested in 10 subjects (6 healthy volunteers and 4 heart failure patients) and compared to a conventional diaphragm navigator method (dNAV). Image reconstruction by minimizing k-space entropy provided better image quality than the conventional dNAV method.

3947
Computer 94
Motion-Robustness Evaluation and Motion Correction of Wave-Encoding
Feiyu Chen1, Joseph Y Cheng2, Tao Zhang3, John M Pauly1, and Shreyas S Vasanawala2

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States, 3Global MR Applications and Workflow, GE Healthcare, Houston, TX, United States

The motion-robustness of a 3D wave-encoded SPGR sequence was evaluated by simulating the acquisition of a Gaussian-profile object with periodic motion. Compared with non-wave-encoded sampling, wave-encoding provides better motion property because of wider diffusion of motion artifacts. A motion-correction method was also proposed for wave-encoding based on 3D translational motion estimates. This motion-correction method is demonstrated to effectively reduce motion artifacts in wave-encoded scans.

3948
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Simultaneous motion and B0 correction using FID-SNAVS
Patricia M Johnson1,2, Junmin Liu1, and Maria Drangova1,2

1Robarts Research Institute, London, ON, Canada, 2Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

Global B0 shifts caused by subject motion and scanner heating, result in phase inconsistencies, which lead to image artefacts. In this work, an FID readout is added to Spherical Navigator Echoes (FID-SNAVs) in order to perform retrospective motion and frequency shift (Δf) correction. The accuracy of FID-SNAVs in measuring Δf is evaluated, and simultaneous Δf and motion measurement is demonstrated in phantom experiments. FID-SNAVs estimate Δf accurately, and shifts of approximately -10 to 6Hz are measured during translations of ±1.5cm. Combined Δf and motion correction demonstrates dramatic improvement of image quality compared to motion correction alone.

3949
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3D motion quantification based on the temporal evolution of the noise covariance matrix of a receive array
Robin J.M. Navest1, Anna Andreychenko1, Jan J.W. Lagendijk1, Baudouin Denis de Senneville1,2, and Cornelis A.T. van den Berg1

1Department of Radiotherapy, Center for Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 2IMB, UMR 5251 CNRS/University of Bordeaux, Bordeaux, France

Motion quantification is essential for successful MR imaging and MRI guided radiotherapy of mobile organs. Currently, 3D MRI is too slow to quantify organ displacements and a motion model could alternatively be used for tracking and/or motion compensation. A motion model trained on MRI data and driven by the noise covariance matrix (NCM) of a receive array is proposed to quantify internal anatomy motion. Passive thermal noise measurements have a high temporal resolution (~10ms) and do not interfere with or rely on MR signal. Abdominal organ displacement can be accurately estimated in 3D, through the NCM of the receive array.


Electronic Poster

Pulse Sequences

Exhibition Hall Tuesday 9:15 - 10:15

3950
Computer 1
SNR analysis and sequence parameter optimization for T1 and T2 mapping using an ellipse fitting approach of phase cycled bSSFP data
Yulia Shcherbakova1, Cornelis A.T. van den Berg2, Chrit T.W. Moonen1, and Lambertus W. Bartels3

1Center for Imaging Sciences/Imaging Division, University Medical Center Utrecht, Utrecht, Netherlands, 2Dept. of Radiotherapy/Imaging Division, University Medical Center Utrecht, Utrecht, Netherlands, 3Image Sciences Institute/dept. of Radiology, University Medical Center Utrecht, Utrecht, Netherlands

An ellipse fitting approach has been recently proposed for simultaneous estimation of the relaxation times T1 and T2 from phase-cycled balanced steady-state free precession (PC-bSSFP). In this work we present an analysis of the SNR sensitivity of the proposed method and optimization of the sequence parameter settings. We demonstrate, that it is feasible to perform an accurate and precise T1 and T2 mapping while using an optimal FA and TR combination for realistic SNRs.

3951
Computer 2
A Fast Interleaved Bipolar Imaging Method for Fat Quantification
JaeJin Cho1, Hyunseok Seo1, Kinam Kwon1, Seohee So1, Byungjai Kim1, and HyunWook Park1

1Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea, Republic of

The fat quantification using the bipolar multi-echo signals has several benefits such as fast imaging time, SNR, resolution, and robust separation. However, the fat quantification using the bipolar multi-echo signals suffers from the bipolar artifacts due to the imperfect gradient. In this abstract, to overcome these problems, fat quantification is independently performed for each polarity of the readout gradient. Because the acquisition of fully sampled data takes too much time, a new interpolation method for interleaved bipolar multi-gradient-echo acquisition is proposed, which uses the low-rankness of entire data. The experiment results show that the proposed method successfully quantifies the correct fat fraction without bipolar artifacts in a short imaging time.

3952
Computer 3
Using Pre-calculated Direct Signal Control Solutions for 7T 3D FLAIR Brain Imaging
Arian Beqiri1, Alessandro Sbrizzi2, Joseph V Hajnal1,3, Shaihan J Malik1, and Hans Hoogduin2

1Biomedical Engineering and imaging Sciences, King's College London, London, United Kingdom, 2Image Sciences Institute, University Medical Centre Utrecht, Utrecht, Netherlands, 3Centre for the Developing Brain, King's College London, London, United Kingdom

Direct Signal Control can be used for improving signal uniformity for TSE based 3D-FLAIR imaging at 7T by using dynamic RF shimming through the echo train. The need to calibrate and optimize on a subject-specific basis can be a workflow issue. In this work we evaluate generic solutions that are calculated in advance, in comparison with individual subject-specific optimizations.

3953
Computer 4
Gradient Field Design for RF Excitation in Simultaneous Multi-Slice and Simultaneous Multi-Slab Imaging by Using a Z-Gradient Array
Koray Ertan1, Soheil Taraghinia1, Hamed Mohammadi2, and Ergin Atalar1

1National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 2Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey

Multiple locations inside the volume of interest can be mapped to same frequency by applying spatially oscilating magnetic fields (SOMFs) created by 9 channel z-gradient array. Such a mapping can lead to excitation of multiple slices or slabs with a single band RF pulse as well as doubling the number of slices excited by a multi-band RF pulse. Depending on the slice or slab locations, spatially oscillating magnetic fields can be shifted using a independent gradient amplifiers. We have demonstrated 2 slab excitation with a single band RF pulse and 6 slice excitation with a 3-band RF pulse.

3954
Computer 5
Simultaneous Variable-slab Dual-echo TOF MR Angiography and Susceptibility-Weighted Imaging
Won-Joon Do1, Seung Hong Choi2, and Sung-Hong Park3

1Dept. of Bio and Brain Engineering, KAIST, Daejeon, Korea, Republic of, 2Dept. of Radiology, Seoul National University Hospital, Seoul, Korea, Republic of, 3Dept. of Bio and Brain Enginnering, KAIST, Daejeon, Korea, Republic of

Multi-slab time of flight MR angiogram (TOF MRA) provides more detailed vascular structure than single-slab MRA, whereas single-slab susceptibility weighed imaging (SWI) provides better SNR than multi-slab SWI. In previous CODEA study, conflicting requirement on number of slab was not solved. In this study, we proposed and demonstrated an efficient method to acquire TOF MRA and SWI simultaneously with different number of slabs using variable-slab CODEA, which suppressed slab boundary artifacts in TOF MRA. Also demonstrated was acceleration of the variable-slab CODEA with a parallel imaging technique, GRAPPA. These improvements would provide more diverse clinical information in a limited scan time.

3955
Computer 6
Root-flipped multiband pulses with inherently aligned echoes
Samy Abo Seada1, Jo Hajnal1, and Shaihan Malik1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

Root-flipped multiband pulses have peculiar spin-echo behaviour due to their non-linear phase profile. In spin-echo sequences, different slices will typically have different relaxation weightings. This work investigates the typical time-delays of the spin-echoes such pulses, and proposes a novel root-flipping method to minimize differences in relaxation weighting.

3956
Computer 7
Spatial biases in Magnetic Resonance Fingerprinting parameter maps arising from undersampling patterns
Gregor Körzdörfer1,2, Thomas Kluge1, Josef Pfeuffer1, Matthias Gebhardt3, Dan Ma4, Yun Jiang4, Mark Griswold4,5, and Mathias Nittka1

1Application Development, Siemens Healthcare, Erlangen, Germany, 2Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany, 3Physics department, Siemens Healthcare, 4Department of Biomedical Engineering, Case Western Reserve University, OH, United States, 5Dept. of Radiology, Case Western Reserve University and University Hospitals of Cleveland, OH, United States

Magnetic Resonance Fingerprinting (MRF) is an MR technique that generates parameter maps by matching pseudo randomly generated MR signals with a precalculated dictionary. In order to acquire the signals in a reasonable time, rapid imaging techniques with high undersampling factors are necessary. We show a detailed analysis of the artifacts originating from this and their impact on measured signals and subsequently on parameter maps. Additionally, an analytical approach of predicting undersampling artifacts is proposed. With the help of this approach, a more robust and time efficient sampling of signals in MRF can be designed.


3957
Computer 8
High-resolution 3D T2 mapping using a stack-of-stars radial FSE pulse sequence
Mahesh Bharath Keerthivasan1, Manojkumar Saranathan2, Ali Bilgin1,2, Diego R Martin2, and Maria Altbach2

1Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 2Medical Imaging, University of Arizona, Tucson, AZ, United States

T2 mapping is a parametric imaging approach that provides quantification of T2-weighted images for a more accurate diagnosis of pathology. 2D multi-slice T2 estimation techniques cannot be used for thin slice isotropic imaging. To overcome this limitation, we present a T2 mapping technique using a 3D radial FSE pulse sequence with a variable flip angle scheme for optimal T2-weighting and T2 mapping within SAR constraints. Data is acquired in a stack-of-stars radial trajectory and T2 maps are reconstructed using model based iterative algorithms. The method is demonstrated in phantoms and in vivo brain and musculoskeletal imaging.  

3958
Computer 9
Triple Quantum Filtering in Sodium Magnetic Resonance Imaging Using Strongly Modulated Pulses
Aliaksandra Shymanskaya1, Wieland A. Worthoff1, and N. Jon Shah1,2

1Institut of Neuroscience and Medicine - 4, Forschungszentrum Jülich GmbH, Jülich, Germany, 2Department of Neurology, Faculty of Medicine, JARA, RWTH Aachen University, Aachen, Germany

23Na-MRI can be used for non-invasive investigation of metabolic disease, based on discrimination between sodium signals arising from different tissue compartments due to development of multiple quantum coherences mainly in intracellular space. Strongly modulated pulses in NMR and MRI can be created using optimal control design to generate the most efficient transfer between the initial and target states of the nuclear spin ensemble, defined by the density matrix formalism. The Krotov algorithm and its implementation by Maximov of the optimal control design were used to modify the first hard RF pulse in the SISTINA sequence. 

3959
Computer 10
Fast Interrupted Steady-State (FISS) Magnetic Resonance Imaging
Ioannis Koktzoglou1,2 and Robert R Edelman1,3

1Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 2Radiology, University of Chicago Pritzker School of Medicine, Chicago, IL, United States, 3Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, United States

We report an imaging approach, Fast Interrupted Steady-State (FISS), for retaining the high signal associated with true fast imaging with steady-state free precession (TrueFISP), while lessening its sensitivity flow artifacts.

3960
Computer 11
Magnetic Resonance Fingerprinting with Quadratic RF Phase for Simultaneous Measurement of δf, T1, T2, and T2*
Charlie Yi Wang1, Simone Coppo2, Bhairav Bipin Mehta2, Nicole Seiberlich1,2, Xin Yu1,2, and Mark Alan Griswold1,2

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, Case Western Reserve University, OH, United States

We propose a modified Magnetic Resonance Fingerprinting pulse sequence with quadratic RF excitation phase (qRF-MRF) for the purpose of simultaneous measurement of T2* in addition to previously established spin parameters δf, T1, and T2.   Existing bSSFP based MRF pulse sequence1 was modified to incorporate excitation segments with quadratic RF phase to sensitize signal evolutions to T2*.  Measurements using qRF-MRF were performed in both phantom and in vivo.  Maps from qRF-MRF were validated against traditional MRF, literature, and Multi-Echo GRE.  

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Computer 12
Fast T1 Correction for Fat Quantification using a Dual-TR Chemical Shift Encoded MRI Acquisition
Xiaoke Wang1,2, Diego Hernando2,3, Curtis N Wiens2, and Scott Reeder1,2,3,4,5

1Biomedical 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, 4Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States, 5Medicine, University of Wisconsin-Madison, Madison, WI, United States

Dual flip angle (DFA) methods facilitate T1-corrected proton density fat-fraction (PDFF) quantification at the cost of doubling scan time compared to small flip angle (SFA) methods.  In this study, a novel “dual-TR” (DTR) fat quantification strategy was proposed. It acquired 2 spoiled gradient echo (SGRE) dataset sequentially, one with a shortened echo train and reduced TR to alleviate scan time penalties. Monte-Carlo simulation and Cramer-Rao lower bound demonstrated improved noise performance using the proposed method compared with SFA and DFA methods. Phantom experiments demonstrated the feasibility of T1-corrected PDFF estimates using the proposed DTR method. 

3962
Computer 13
In-vivo Validation of MR-STAT: Simultaneous Signal Localization and Quantification of Tissue Parameters on a 3T Clinical MR-System
Oscar van der Heide1, Alessandro Sbrizzi1, Anna Kruseman1, Martijn Cloos2, Peter Luijten1, and Nico van den Berg1

1UMC Utrecht, Utrecht, Netherlands, 2NYU School of Medicine, New York, United States

MR-STAT is a framework for obtaining quantitative parameter maps from a single short scan. It is based on a time domain model. Large numerical inversion problems are solved to simultaneously localize signal and estimate tissue parameters. In this work we demonstrate the first experimental in-vivo results obtained with a clinical MR system.

3963
Computer 14
Partial Fourier techniques in single-shot cross-term spatiotemporal encoding (xSPEN) MRI
Zhiyong Zhang1 and Lucio Frydman1

1Weizmann Institute of Science, Rehovot, Israel

xSPEN is a new single-shot imaging approach with exceptional resilience to field heterogeneities: its images do not suffer from miss-registrations, require a priori information nor use post-acquisition corrections, to deliver faithfully the spins’ spatial distribution. xSPEN, however, suffers from SNR penalties due to its non-Fourier nature and its considerable diffusion losses –especially when desiring high resolution. This study introduces partial Fourier transform approaches that acting along either the readout or the spatiotemporally-encoded dimensions, reduce both of these penalties. The principles of these partial FT methods are given, and applications in materials, preclinical and human single-shot xSPEN imaging are presented.

3964
Computer 15
IR-TSE MRF: Rapid and Accurate Parametric Mapping Using Inversion-recovery Turbo Spin Echo and MR Fingerprinting
Congyu Liao1, Xiaozhi Cao1, Zhixing Wang1, Qing Li1, Ying Chen1, Huihui Ye1, Qiuping Ding1, Hongjian He1, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China

This study proposes a rapid and accurate MR fingerprinting (MRF) framework based on inversion-recovery turbo spin echo (IR-TSE) sequence. Compared with the conventional quantitative imaging method and FISP-MRF, the proposed one can provide T2 maps with high accuracy in addition to T1 and proton density (PD) for whole brain in about 6 minutes. In this regard, this new MRF strategy would potentially aid in achieving high resolution quantitative mapping for T2-sensitive circumstances such as epilepsy and multiple sclerosis applications.

3965
Computer 16
Optimized Trajectory Dual-Echo Fat and Water Separation
Hyungseok Jang1 and Alan B McMillan1

1Department of Radiology, University of Wisconsin, Madison, WI, United States

Two-point Dixon methods enable robust fat suppression particularly in body and abdominal applications where large field of view imaging is required. However, a limitation of this approach is the decreased efficiency and longer TR’s necessary to acquire multiple echoes. Furthermore, due to system performance constraints, flexible choice of image parameters necessary to obtain near in and out-of-phase echo times limits valid combinations of field of view, matrix size, and encoding bandwidth. In this study, we describe a novel, generalized framework to optimize a ramp-sampled readout, which allows reduced scan time, flexible parameter selection, and improved quantitative fat and water separation.

3966
Computer 17
Reference-Free Distortion Correction with Segmented Partial Fourier Acquisitions for High Resolution DTI at 7T
Michael Herbst1, Benedikt A Poser2, and Marco Reisert1

1Dept. of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Department of Cognitive Neuroscience, Maastricht Brain Imaging Centre (MBIC)

Single-Shot diffusion weighted echo planar imaging (EPI) is known for its strong distortions due to long imaging readouts. However, even for segmented acquisitions, high resolution diffusion weighted imaging suffers from image distortions. Our approach shows that intrinsic field information of a segmented DTI acquisition can be used for robust distortion correction without blurring effects. In addition this approach offers the advantage to reduce artifacts from partial Fourier (PF) acquisitions due to better data distribution in k-space. In combination with the MUSE approach, this promising technique is applied to whole brain DTI with a resolution of 1mm isotropic.

3967
Computer 18
Comparison of R2* and B0 Field in 2D and 3D Ferumoxytol-Enhanced Chemical Shift-Encoded MRI of the Healthy Rhesus Placenta
Ante Zhu1,2, Ann Shimakawa3, Sydney Nguyen4, Kevin M. Johnson2,5, Ian M. Bird4, Ted Golos4,6,7, Sean B. Fain1,2,5, Dinesh M. Shah6, Oliver Wieben2,5, Scott B. Reeder1,2,5,8,9, and Diego Hernando2,5

1Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 2Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Global MR Applications and Workflow, GE Healthcare, Menlo Park, CA, United States, 4Comparative Biosciences, University of Wisconsin-Madison, Madison, WI, United States, 5Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 6Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, WI, United States, 7Wisconsin National Primate Research Center, University of Wisconsin-Madison, Madison, WI, United States, 8Medicine, University of Wisconsin-Madison, Madison, WI, United States, 9Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

A motion-robust 2D sequential chemical shift-encoded MRI (CSE-MRI) technique with a short temporal footprint for each slice is investigated for ferumoxytol-enhanced MRI of placental inflammation. In this study, the proposed 2D technique was compared with the reference 3D-CSE-MRI technique in healthy pregnant rhesus, which were anesthetized eliminating fetal motion. B0 field map boundary measurements, as well as R2* measurements in the placenta were compared across the two techniques to assess the accuracy of the 2D technique. High correlations between the measurements from 2D-CSE-MRI and 3D-CSE-MRI were demonstrated and thus provide promise for motion-robust imaging of human placental inflammation.

3968
Computer 19
Improved Pulmonary Artery Non-Contrast Balanced Steady State Free Precession MR Imaging using Golden Angle Radial versus Cartesian Sampling
Alexander Fyrdahl1,2, Roberto Vargas Paris3,4, Sven Nyrén1,4, Karen Holst1,2, Magnus Båth5,6, Martin Ugander1,2, Peter Lindholm3,4, and Andreas Sigfridsson1,2

1Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden, 2Department of Clinical Physiology, Karolinska University Hospital, Stockholm, Sweden, 3Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden, 4Department of Radiology, Karolinska University Hospital, Stockholm, Sweden, 5Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden, 6Department of Radiation Physics, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

Free-breathing steady-state free precession MRI has shown promising results for pulmonary embolism diagnosis in preliminary studies. However, the acquisition is susceptible to artifacts from cardiorespiratory motion and flow. We propose a Golden Angle radial trajectory and show increased robustness to such artifacts in healthy volunteers, while providing added benefits such as sliding window reconstructions with higher temporal resolution than what is achievable by Cartesian sampling.

3969
Computer 20
Evaluation of phase-cycled bSSFP for qMT mapping in the brain in off-resonance conditions
Nicholas G Dowell1, Nathan Evans2, and Mara Cercignani1

1CISC, BSMS, Brighton, United Kingdom, 2Physics, University of Sussex, Brighton, United Kingdom

The balanced steady-state free precession acquisition approach is well-suited to quantitative magnetization transfer studies, owing to intrinsic MT weighting, rapid acquisition times and good SNR. However, the presence of off-resonance banding artefacts have limited its use, especially at B0>1.5T. This work is the first to evaluate a phase-cycled approach to bSSFP that can remove banding artefacts by taking maximum intensity projection MIP or taking a weighted mean as part of the qMT analysis. We conclude that neither MIP and weighted mean alone are capable of fully removing banding artefacts from qMT maps.

3970
Computer 21
Field-of-View Packing and k-Space Fast Sampling
Yudong Zhu1

1Zhu Consulting, Scarsdale, NY, United States

By natural or artificial arrangement, excited spins may cluster in discrete areas of a multi-dimensional image-space. By leveraging gaps in-between, one may under-sample k-space while preserving the ability to map the spin distribution. FOV-packing is a new technology that maximizes efficiency mapping gapped distribution (spatially, spectrally and etc.) and extends reach. When applied to simultaneous multi-slice MRI, it leads to a unique technique that is speedy (due to sampling of image space and acceleration of encoding), with √N SNR scaling (due to volumetric encoding’s noise averaging effect) and super-resolution capability (due to FOV packing and the option of resolving sub-slices).

3971
Computer 22
Density Optimized Low-Discrepancy k-Space Trajectory for Accelerated Single-Point Imaging
Tobias Speidel1 and Volker Rasche2

1Core Facility Small Animal Imaging, University of Ulm, Ulm, Germany, 2Department of Internal Medicine II, University of Ulm, Ulm, Germany

Single-point imaging (SPI) methods are a rarely discussed topic due to the related long acquisition times. However, single-point imaging sequences provide a powerful tool for the suppression of susceptibility and chemical shift artefacts. Additionally, single-point imaging methods exhibit the intrinsic possibility of arbitrary sampling, which makes them predestinated for the combination with imaging acceleration methods, such as Compressed Sensing as a type of non-linear optimization. In this work, we present a three-dimensional spherical SPI quasi-random MRI trajectory, generated using low-discrepancy algorithms with density-optimized centre-oversampling, capable of high undersampling and metal-artefact suppression.

3972
Computer 23
3D Dual-Echo Dixon Turbo Spin Echo Imaging of the Spine using Compressed Sensing
Holger Eggers1, Xinzeng Wang2, Christian Stehning3, Ananth J Madhuranthakam2, and Peter Börnert1,4

1Philips Research, Hamburg, Germany, 2UT Southwestern Medical Center, Dallas, TX, United States, 3Philips Healthcare, Hamburg, Germany, 4Leiden University Medical Center, Leiden, Netherlands

The acceptance of 3D TSE sequences in spine imaging has been low up to now, mainly because of their long scan times. In this work, their acceleration by a combination of compressed sensing and parallel imaging was investigated. Moreover, their extension by an integration of chemical shift encoding was explored to obtain two contrasts simultaneously. For this purpose, a 3D dual-echo Dixon TSE sequence was implemented and evaluated in T2-weighted imaging of the lumbar spine.

3973
Computer 24
B0 Mapping of Highly Inhomogeneous Fields using Missing-Pulse Steady-State Free Precession (MP-SSFP)
Naoharu Kobayashi1, Djaudat Idiyatullin1, Gregor Adriany1, and Michael Garwood1

1Center for Magnetic Resonance Research,Department of Radiology, University of Minnesota, Minneapolis, MN, United States

A B0 mapping of highly inhomogeneous fields is introduced. The method acquires refocused echo signals generated by a missing-pulse steady-state free precession (MP-SSFP) sequence with three-dimensional phase-encoding gradients. A B0 map is calculated from the refocusing and dephasing of spin phase around the echo centers. Validation was performed in a phantom experiment conducted with a permanently inhomogeneous field produced by mounting a head gradient coil at 36 cm out of the isocenter of a 90-cm 4T magnet. Using the measured B0 field map, we demonstrate correction of image distortion caused by the extremely nonlinear inhomogeneous B0 field.


Electronic Poster

Artificial Intelligence & Machine Learning

Exhibition Hall Tuesday 9:15 - 10:15

3974
Computer 25
Cascaded Convolutional Neural Network (CNN) for Reconstruction of Undersampled Magnetic Resonance (MR) Images
Taejoon Eo1, Yohan Jun1, Taeseong Kim1, Jinseong Jang1, and Dosik Hwang1

1Yonsei University, Seoul, Korea, Republic of

We propose cascaded CNN operating on k-space and image domain alternatively for reconstruction of undersampled MR images. Our cascaded CNN is capable of restoring most of detailed structures in the full-sampled image while sufficiently removing undersampling artifacts.

3975
Computer 26
In-vivo Segmentation of Carotid Plaque MRI with Deep Convolutional Neural Networks
Yuxi Dong1, Yuchao Pan1, Rui Li2, and Wei Xu1

1Institute for Interdisciplinary Information Sciences, Tsinghua University, Beijing, People's Republic of China, 2Center for Biomedical Imaging Research, Tsinghua University, Beijing, People's Republic of China

MRI is gaining popularity for identifying atherosclerosis, a common disease caused by the accumulation of cholesterol in arteries.  To identify vulnerable plaque, the components in plaque need to be segmented by radiologist manually, which is both hard and tedious.  Previous attempts to solve the problem using probability maps are limited by their accuracy.  We leverage the recently developed convolutional neural networks (CNN) to build a model based on 1,000 subjects automatically, achieving significantly better accuracy in almost every metric over traditional methods.

3976
Computer 27
Deep network training based sparsity model for reconstruction
Jiahao Lin1,2, Stamatios Lefkimmiatis3, and Kyunghyun Sung2

1Electrical Engineering, University of California, Los Angeles, Los Angeles, CA, United States, 2Radiology, University of California, Los Angeles, Los Angeles, CA, United States, 3Skolkovo Institute of Science and Technology, Moscow, Russian Federation

One challenge for MR reconstruction is to heuristically select the appropriate regularizer for the optimization problem. This abstract proposes a novel deep learning based reconstruction approach for accelerated MR imaging. With the training using clinical MR images and their retrospectively undersampled noisy images, this algorithm learns the specific parameters of a general regularizer for the optimization problem, and uses this regularizer in the iterative reconstruction to achieves high image quality with high acceleration factors.

3977
Computer 28
Super resolution reconstruction in MRI by deep convolutional neural networks
zhengchao dong1 and hong Wang2

11. Columbia University, New York, NY, United States 2. New York State Psychiatric institute, New York, NY, United States, NY, United States, 21. Columbia University, New York, NY, United States 2. School of Science,Tianjin University, Tianjin, People's Republic of China

The sparse-representation-based super resolution is an efficient learning-based method. This method involves two key steps. One is to learn two dictionaries for low/high-resolution image patches, and the other is to learn a mapping between low resolution example patches and their corresponding high resolution patches from massive external images. We presented a super resolution method for MRI from reduced k-space acquisition sequences via deep convolutional neural networks. The proposed method directly learns an end-to-end mapping between the low/high-resolution images.Our proposed method is tested on the OpenfMRI database. It significantly outperforms the zero-filled reconstruction and an existing learning-based MRI SR method.

3978
Computer 29
Deep Learning Feature Classification for Predicting Treatment Decision: A Preliminary Study on Prostate Cancer Patients
Hansang Lee1 and Junmo Kim1

1School of Electrical Engineering, KAIST, Daejeon, Korea, Republic of

We investigated the novel problem of predicting treatment decision for cancer patients using imaging feature analysis. We implemented deep learning feature classification framework consisting of feature computation with deep convolutional neural network (CNN) model and k-nearest neighbor (kNN) feature classification. The preliminary study on TCIA prostate cancer T2 MRI database showed the promising results and the potential of future researches.

3979
Computer 30
Automated reference-free assessment of MR image quality using an active learning approach: Comparison of Support Vector Machine versus Deep Neural Network classification.
Sergios Gatidis1, Annika Liebgott1, Martin Schwartz1, Petros Martirosian1, Fritz Schick1, Konstantin Nikolaou1, Bin Yang2, and Thomas Küstner1,2

1Department of Radiology, University of Tuebingen, Tuebingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart

In this study we compare the performance of Support Vector Machine (SVM)-based and Deep Neural Network (DNN)-based active learning for automated assessment of MR image quality. MR images were labeled by radiologists concerning perceived image quality and used as training and test data. DNN and SVM were trained to classify image quality on the training data. An active learning scheme was used for optimization of the training procedure. We found that using acitve learning with either SVM- or DNN- based classification allows for accurate and efficient automated assessment of MR image quality.

3980
Computer 31
Fat/Water Classification Using a Supervised Neural Network
Anne Menini1, Kang Wang2, Zachary W. Slavens3, and Christopher J. Hardy4

1GE Global Research, Munich, Germany, 2Global MR Applications & Workflow, GE Healthcare, Madison, WI, United States, 3GE Healthcare, Waukesha, WI, United States, 4GE Global Research, Niskayuna, NY, United States

Fat/Water classification methods relying on image intensity histograms or hydrogen chemical-shift spectra can be subject to failure when assumptions in the algorithm are not met. In this study, we propose a new classification method based entirely on machine learning. Different neural network types were trained and tested on databases covering various anatomies, RF-coil types and image contrasts. A 2D paired classification using a fully connected neural network was capable of reliably classifying fat versus water with an accuracy of 100% on test data sets different from the training data, with a clinically relevant processing time of 0.05 s per case.

3981
Computer 32
Classification of Head Movements Inside an MRI Scanner using a Single Marker and Neural Networks
Aditya Singh1, Brian Keating1, Sara Hayama1, Michael Herbst1, and Thomas Ernst1

1JABSOM, University of Hawaii, Honolulu, HI, United States

Detection and classification of head motion may be required for optimal application of prospective motion correction techniques for brain imaging using external tracking systems. Supervised neural networks using various motion metrics were designed to classify head motion inside MR scanner into rigid-body motion and skin motion using single-marker 6-DOF information. The neural networks were trained using volunteer data and then applied to head motion data from 6 clinical in-patients. Neural networks could consistently achieve overall accuracy of 75% or greater.  

3982
Computer 33
Artificial Neural Network for Suppression of Banding Artifacts in Balanced Steady-State Free Precession MRI
Ki Hwan Kim1,2 and Sung-Hong Park1,2

1Department of Bio and Brain Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea, Republic of, 2Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea, Republic of

This study is the first attempt for a learning-based algorithm to be applied to banding artifact suppression in balanced steady-state free precession (bSSFP). We trained multilayer perceptron (MLP) models with two or four phase‑cycling datasets and banding-free datasets as inputs and outputs, respectively. We demonstrated that MLP was superior to existing methods in terms of banding artifact suppression and SNR efficiency, which was clearer in two phase‑cycling datasets. Furthermore, MLP was widely applicable to various image sets, irrespective of scan parameters, body organs, and field strengths. The learning-based approach is promising for banding artifact suppression of bSSFP.

3983
Computer 34
Boosting SNR and/or Resolution of Arterial Spin Label (ASL) imaging using Multi-contrast Approaches with Multi-lateral Guided Filter and Deep Networks
Enhao Gong1, John Pauly1, and Greg Zaharchuk2

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States

Arterial Spin Labeling (ASL) MRI is a powerful neuro imaging tool which provides quantitative perfusion maps. However, ASL perfusion maps typically suffer from low SNR and resolution. Averaging from multiple scans (high Nex value) can improve the SNR but at the cost of significantly increased acquisition time. In the work we proposed a technique for improved ASL image quality with boosted SNR and/or resolution by 1) incorporating the information of multi-contrast images 2) using nonlinear, non-local, spatial variant multi-lateral filtering, 3) training a deep network model to adaptively tune the final denoising level and further boost the SNR and improve image quality. Various in-vivo experiments demonstrate the superior performance of the proposed method which will significantly accelerate ASL acquisition and improve image quality.

3984
Computer 35
Undersampling trajectory design for fast MRI with super-resolution convolutional neural network
Shanshan Wang1, Taohui Xiao1,2, Sha Tan1,3, Yuanyuan Liu1, Leslie Ying4, and Dong Liang1

1Paul C. Lauterbur Research Center for Biomedical Imaging, SIAT, Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2School of Physics and Optoelectronics, Xiangtan University, Xiangtan, People's Republic of China, 3School of Information Engineering, Guangdong University of Technology, Guangzhou, People's Republic of China, 4Department of Biomedical Engineering and Department of Electrical Engineering, The State University of New York, NY, United States

Deep learning based fast MR imaging (DeepLearnMRI) has been an appealing new research direction, which utilizes networks to draw valuable prior information from enormous existing high-quality MR images and then assists accurate MR image reconstruction from undersampled data. This paper explores optimal undersampling trajectory for DeepLearnMRI. Specifically, we designed hamming filtered asymmetrical 1D partial Fourier sampling scheme for fast MR imaging with our developed super-resolution convolutional neural network. Experimental results on in vivo dataset show that the proposed scheme allows DeepLearnMRI to reconstruct more accurate MR images with less time compared to the Classical GRAPPA and SPIRiT.

3985
Computer 36
Feasibility of Multi-contrast MR imaging via deep learning
Shanshan Wang1, Tao Zhao1,2, Ningbo Huang1,3, Sha Tan1,4, Yuanyuan Liu1, Leslie Ying5, and Dong Liang1

1Paul C. Lauterbur Research Center for Biomedical Imaging, SIAT, Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2College of Mining and Safety Engineering, Shandong University of Science and Technology, Qingdao, People's Republic of China, 3School of Computer Science and Technology, Changchun University of Science and Technology, Changchun, People's Republic of China, 4School of Information Engineering, Guangdong University of Technology, Guangzhou, People's Republic of China, 5Department of Biomedical Engineering and Department of Electrical Engineering, The State University of New York, NY, United States

This paper develops a deep learning based multi-contrast MR imaging method. Unlike existing methods which mainly draw prior information from the target structure or a few reference images, we design a multi-contrast convolutional neural network to draw automatic feature descriptors for describing the multi-contrast correlations and identify the nonlinear mapping with the utilization of enormous existing multi-contrast MR images as training samples. Once the network is learned, it performs as a predicator for the online multi-contrast MR imaging. Experimental results on multi-contrast in vivo dataset show that the proposed method could restore lost information from the undersampled MR images while keeping their contrasts.

3986
Computer 37
Automatic Segmentation of MR Images of the Proximal Femur Using Deep Learning
Spencer Hallyburton1,2, Gregory Chang3, Stephen Honig4, Kyunghyun Cho5, and Cem M Deniz1,6

1Department of Radiology, Center for Advanced Imaging Innovation and Research (CAI2R) and Bernard and Irene Schwartz Center for Biomedical Imaging, New York University Langone Medical Center, New York, NY, United States, 2Harvard College, Cambridge, MA, United States, 3Department of Radiology, Center for Musculoskeletal Care, New York University Langone Medical Center, New York, NY, United States, 4Osteoporosis Center, Hospital for Joint Diseases, New York University Langone Medical Center, New York, NY, United States, 5Courant Institute of Mathematical Science & Centre for Data Science, New York University, New York, NY, United States, 6The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States

Magnetic resonance imaging (MRI) of bones has added value for fracture risk assessment in osteoporosis, a disease of weak bones. However, manual segmentation of bone images is time-intensive, causing slow throughput for test results and inefficient risk assessment for patients. In this work, we implemented an automatic proximal femur segmentation algorithm by modeling a convolutional neural network (CNN) as a pixel-wise binary classification. The accuracy of automatic segmentation was investigated by analyzing similarity between automatic and manual ground-truth segmentation. In addition, we compared the time required for manual fine-tuning of the CNN segmentation with original manual segmentation.

3987
Computer 38
Performance comparison of artificial neural network and fuzzy deep learning algorithms for respiratory motion prediction in pseudocontinuous arterial spin labeling of the abdomen
H Michael Gach1, Hao Song2, Seonyeong Park3, Yuichi Motai3, Dan Ruan4, Wenyang Liu4, V Andrew Stenger5, Rolf Pohmann6, and Jingqin Luo7

1Radiation Oncology and Radiology, Washington University in St Louis, St Louis, MO, United States, 2Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 3Electrical and Computer Engineering, Virginia Commonwealth University, Richmond, VA, United States, 4Radiation Oncology, University of California Los Angeles, Los Angeles, CA, United States, 5Medicine, University of Hawai'i at Manoa, Honolulu, HI, United States, 6High-Field Magnetic Resonance Center, Max Planck Institute for Biological Cybernetics, Tubingen, Germany, 7Biostatistics and Medicine, Washington University in St Louis, St Louis, MO, United States

Subtraction-based imaging methods like pseudocontinuous arterial spin labeling (pCASL) in the body are challenging due to physiological motion. Respiratory motion prediction (RMP) using an artificial neural network (ANN) and pencil beam navigators was previously integrated into a pCASL sequence to permit free-breathing perfusion MRI of the kidney. In an effort to improve the accuracy of the RMP, we compared the performance of a promising fuzzy deep learning (FDL) algorithm with ANN using navigator-echo displacements recorded from 8 volunteers during pCASL. FDL combines ANN with fuzzy logic. However, the ANN performance was significantly better than FDL for the pCASL application.

3988
Computer 39
A Study of Simulated Training Data for Image Reconstruction from Subsampled MR Data using Artificial Neural Network
kinam kwon1, Jaejin Cho1, Seohee So1, Byungjai Kim1, Yoonmee Lee1, kyungtak Min1, and HyunWook Park1

1KAIST, Daejeon, Korea, Republic of

 Recently, several works have applied the deep learning technique to medical imaging problems such as lesion classification and image reconstruction. The deep learning techniques have advantages of learning from big data, however, in medical imaging, collecting an amount of training data is not easy because of expense, privacy, and so on. Strategies to supplement insufficient training data are important topics for applying deep learning to medical imaging field. In this study, training data are generated from the simulated images and the acquired MR images, which are utilized to learn the architecture of multilayer perceptron to reduce imaging time. 

3989
Computer 40
Robust and Efficient Dictionary Matching in Magnetic Resonance Fingerprinting with Neural Networks
Daniel Truhn1, Christoph Haarburger2, Volkmar Schulz3, Dorit Merhof2, and Christiane Kuhl1

1Radiology, University Hospital Aachen, Aachen, Germany, 2Institute of Imaging and Computer Vision, 3Physics of Molecular Imaging Systems

We implemented efficient and robust matching of signals acquired in magnetic resonance fingerprinting by use of neural networks and show its superiority in terms of speed and robustness to noise.

3990
Computer 41
Deep Mapping: Using deep convolutional neural networks to estimate quantitative T1 maps trained on a 7 T minimum deformation average model
Steffen Bollmann1, Andrew Janke1, and Markus Barth1

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia

Deep convolutional neural networks are increasingly being used to solve challenging medical image processing tasks. The acquisition of high resolution quantitative parameter maps in MRI, such as T1 and quantitative susceptibility maps often require long or additional acquisitions and post-processing steps. We therefore trained a convolutional neural network on a minimum deformation model of MP2RAGE data acquired at 7 T and show the feasibility of computing T1 maps from single subject data.

3991
Computer 42
Dynamic cardiac MR image reconstruction models using machine learning on large training data sets
Johannes Schmidt1 and Sebastian Kozerke1

1University and ETH Zurich, Zurich, Switzerland

An online learning algorithm is used to derive a generic model for dynamic cardiac MR data from a large set of training data. Image quality of reconstructed data could be improved and smoothing in time domain reduced.


3992
Computer 43
SAR-Efficient RF Shim Prediction via Machine Learning
Julianna D. Ianni1,2, Zhipeng Cao1,2, and William A. Grissom1,2,3,4

1Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 2Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 3Department of Radiology, Vanderbilt University, Nashville, TN, United States, 4Department of Electrical Engineering, Vanderbilt University, Nashville, TN, United States

A method is presented for prediction of patient-tailored, SAR-efficient RF shims via machine learning.  An iterative training scheme allows fast prediction of SAR-efficient shims for new head phantoms using little B1+ map data.

3993
Computer 44
Machine-learning-based treatment response stratification for trans-arterial chemoembolization in HCC patients.
Atilla Peter Kiraly1, Robert Grimm2, Mounes Aliyari Ghasebeh3, Li Pan4, David Liu1, Berthold Kiefer2, and Ihab Roushdy Kamel3

1Medical Imaging Technologies, Siemens Medical Solutions USA, Princeton, NJ, United States, 2MR Application Predevelopment, Siemens Healthcare, Erlangen, Germany, 3The Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Siemens Healthcare, Baltimore, MD, United States

In determining the effectiveness of chemoembolization in HCC, functional MRI has been shown to differentiate responders and non-responders earlier than anatomical measurements such as RECIST or EASL criteria. In previous studies, multiparametric response criteria based on thresholds of changes in ADC and venous enhancement (VE) intensities were proposed. We present improved stratification based on machine learning and image-based features. On a set of 57 chemoembolization patients, the proposed approach achieved a mean classification accuracy of 84% versus 66% for the previous threshold-based approach. These results further demonstrate the incremental value of functional MRI over traditional anatomical measures.

3994
Computer 45
A Machine Learning Based Approach for Fast T1 estimation with Improved Accuracy
Anirban Sengupta1, Rakesh Kumar Gupta2, Sumeet Agarwal3, and Anup Singh4

1CBME, IIT Delhi, New Delhi, India, 2Radiology Department, FORTIS hospital,Gurgaon, India, 3Electrical Engineering, IIT Delhi, India, 4Centre for Biomedical Engineering, IIT Delhi; AIIMS Delhi, New Delhi, India

The purpose of this study is to propose a fast T1 estimation method with improved accuracy over existing approaches in a Multiple Flip Angle setting. A supervised machine learning based approach has been proposed that can be used to predict additional Flip Angle data using limited available Flip Angle data, thereby producing more accurate T1 estimation in reduced scan time. Both experimental as well as simulation results are shown to illustrate the efficacy of this approach. The accuracy of T1 estimation depends on the choice of Flip Angle data to be predicted.

3995
Computer 46
Semi-Automated Assessment for Distinguishing Glioblastoma and Solitary Brain Metastasis: A Machine Learning Approach
Nathaniel Swinburne1, Javin Schefflein1, Yu Sakai2, Iris Chen2, Ehsan Tadayon2, and Kambiz Nael1

1Department of Radiology, Mount Sinai Medical Center, New York, NY, United States, 2Mount Sinai Medical Center, New York, NY, United States

Although machine learning applications for non-medical imaging are well-established, its use in radiologic imaging interpretation remains nascent.  We trained a support vector machine using advanced MR imaging to differentiate glioblastoma and brain metastasis with 72.6% balanced accuracy.  The ability for machine learning to aid radiologists in differentiating pathologies with similar appearance on conventional imaging appears promising. 

3996
Computer 47
A Novel Multi-Center Classification Method for ASD Diagnosis via Sparse Multi-Modality Multi-Task Learning
Jun Wang1,2, Qian Wang3, Jialin Peng1, Dong Nie1, Feng Zhao1, Chong-Yaw Wee4, Shitong Wang2, and Dinggang Shen1

1Department of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2School of Digital Media, Jiangnan University, Wuxi, People's Republic of China, 3Med-X Research Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, People's Republic of China, 4Department of Biomedical Engineering, Faculty of Engineering, National University of Singapore, Singapore

Multi-task classification targeting multi-center ASD diagnosis is not well investigated yet. Taking advantages of the Autism Brain Imaging Data Exchange (ABIDE) database, we propose a novel multi-modality multi-center classification (M3CC) method for accurate ASD diagnosis. We formulate the diagnosis into a multi-task learning problem, as each task corresponds to the classification of the subjects of one center. Our comprehensive experiments show that, by incorporating multi-modality neuroimaging data and handling multiple centers jointly, the performance of computer-assisted ASD diagnosis is increased significantly.

3997
Computer 48
Application of Random Forest Regression for Fast and Robust MRF Dictionary Matching
Shivaprasad Ashok Chikop1, Vimal Chandran2, Imam Shaik1, Mauricio Antonio Reyes Aguirre2, and Sairam Geethanath1

1Medical Imaging Research Centre, Dayananda Sagar Institutions, Bangalore, India, 2Institute of Surgical Technology and Biomechanics, University of Bern, Bern, Switzerland

Magnetic Resonance Fingerprinting (MRF) provides for simultaneous generation of MR multi-parametric maps from a single acquisition. In this work, a machine learning based regression method that does not require a dictionary has been demonstrated. A leave-one-out evaluation strategy was employed for numerical evaluation of the proposed MRF-RF approach. A comparative study was performed on two previously employed matching methods. Results depict that proposed MRF-RF method produces maps similar to the vector dot product approach, with a 10-fold saving in time. The method can also be extended to other non-linear maps such as B0 inhomogeneity, diffusion maps, and perfusion maps. 


Electronic Poster

Non-Cartesian

Exhibition Hall Tuesday 9:15 - 10:15

3998
Computer 49
High-Resolution DWI Using Multishot Variable Density Spiral with SPIRiT-Based Reconstruction
Zijing Dong1, Xiaodong Ma1, Fuyixue Wang1,2, Chun Yuan1,3, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 2Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 3Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

Multishot variable density spiral is an efficient sequence for diffusion imaging with the oversampled k-space center serving as a navigator. However, the shot-to-shot phase variation of multishot acquisition due to motion must be corrected. To improve the reconstruction accuracy, we propose a novel reconstruction framework using SPIRiT-based reconstruction, integrating the information of phase variation and coil sensitivity in order to correct for the ghosting artifacts of multi-shot DWI. Both simulation and in-vivo experiment validated the superior performance of the proposed method to reconstruct more accurate images than CG-SENSE for VDS DWI.

3999
Computer 50
Golden-Ratio Rotated Stack-of-Stars Acquisition for Improved Volumetric MRI
Ziwu Zhou1, Fei Han1, Lirong Yan2, Danny J.J. Wang2, and Peng Hu1

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Neurology, University of Southern California, Los Angeles, CA, United States

In this abstract, we developed and evaluated an improved stack-of-stars (SOS) sampling strategy that can efficiently sample 3D k-space and reduce streaking artifacts. Compared with conventional SOS sampling strategies that collect the same radial angle for every slice, proposed method rotates the spokes in a golden-angle manner along the slice direction, which modifies the aliasing pattern resulted from k-space under-sampling. With either gridding reconstruction or more advanced methods, proposed rotated SOS sampling strategy provides improved image quality with reduced streaking artifacts and better delineation of fine structures.

4000
Computer 51
a-f SPARSE: Radial Extension to k-t SPARSE
Madison Kretzler1, Jesse Hamilton2, Mark Griswold1,2,3, and Nicole Seiberlich1,2,3

1Electrical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 3Radiology, University Hospitals, Cleveland, OH

a-f SPARSE is a new technique which enables the k-t SPARSE approach to be used for radial trajectories in the Radon domain. Its use for cardiac imaging retrospectively accelerated by a factor of 4 is presented.

4001
Computer 52
Unstreaking: Radial MRI with Automatic Streaking Artifact Reduction
Li Feng1, Hersh Chandarana1, Daniel K Sodickson1, and Ricardo Otazo1

1Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, NY, United States

Streaking artifact is one of the major causes of image quality degradation in radial MRI.  Since multicoil arrays are widely used in modern MR scanners, an easy way to reduce streaking artifacts is to identify coil elements that are contaminated by a high level of streaks, and then exclude them from image reconstruction. However, such an approach requires accurate clustering algorithms to automatically select unwanted coil elements. In this work, a method called “Unstreaking” is proposed for automatic streaking artifact reduction without the need to exclude coil elements. The method was tested for accelerated radial DCE-MRI of the liver. 

4002
Computer 53
Rapid Non-Cartesian Regularized SENSE Reconstruction using a Point Spread Function Model
Corey A Baron1, Nicholas Dwork1, John M Pauly1, and Dwight G Nishimura1

1Stanford University, Stanford, CA, United States

Iterative reconstructions of undersampled non-Cartesian data are computationally expensive because non-Cartesian Fourier transforms are much less efficient than Cartesian Fast Fourier Transforms. Here, we introduce an algorithm that does not require non-uniform Fourier transforms during optimization iterations, resulting in large reductions in computation times with no impairment of image quality.

4003
Computer 54
Rapid Two-Step 2D Filtered Backprojection for 3D radial-data reconstruction: Comparison of computatonal times with conventional methods
JeongTaek Lee1,2, Seung-Kyun Lee1,2, Jinil Park1,2, and Jang-Yeon Park1,2

1Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University (SKKU), Suwon, Korea, Republic of

3D-FFT via gridding is generally recognized as computationally faster than direct 3D filtered backprojection (FBP) in 3D radial-data reconstruction. To overcome the computational time issue of 3D-FBP, we investigated two-step 2D-FBP reconstruction having an alternative k-space trajectory. Computational requirements were theoretically analyzed to permit clear comparison among three reconstruction methods and computational burdens based on mathematical expressions were compared to actual computation times. In conclusion, two-step FBP provides considerable computational speed benefit over direct 3D-FBP and, under certain realistic conditions (e.g., with many channels), even over 3D-FFT, while showing almost same image quality in phantom and brain imaging.

4004
Computer 55
Comparison of Sequential and Joint Methods for Spiral Water-fat Separation and Deblurring
Dinghui Wang1 and James G. Pipe1

1Imaging research, Barrow Neurological Institute, Phoenix, AZ, United States

Most previous approaches to spiral water-fat imaging perform the water-fat separation and deblurring sequentially based on the assumption that the phase accumulation and blurring are separable. A joint water-fat separation and deblurring method has been recently proposed using more accurate signal models. In this study, the sequential and joint methods are quantitatively compared.  Simulation and experiments have demonstrated that the results of the joint method  are significantly better in regions where the field inhomogeneity changes rapidly in space. The loss of signal-to-noise-ratio is minor for both approaches at optimal TEs when the noise in the field map Δf0 is negligible.


4005
Computer 56
Improved reconstruction of free breathing abdominal imaging using non-Cartesian iterative reconstruction and elastic image registration
Jan Hendrik Wülbern1, Mariya Doneva1, Sven Kabus1, and Peter Börnert1

1Philips Research Europe, Hamburg, Germany

Stack-of stars k-space trajectories following the golden angle scheme allow retrospective binning and reconstruction of data acquired from free-breathing patients, which is of particular interest in abdominal applications. Here we demonstrate that using an iterative non-Cartesian reconstruction in combination with an elastic registration algorithm produces images with high image quality for all motion states, regardless of the degree of under-sampling in the reference motion state.

4006
Computer 57
Rapid 3D imaging with multiplanar spirals
Maria Engel1, Lars Kasper1, and Klaas Paul Pruessmann1

1ETH, Zürich, Switzerland

Rapid 3D acquisition with long spiral readouts is enabled by multiplanar undersampling, array detection and an expanded signal model including off-resonance. Whole brain coverage with 1.5 mm isotropic resolution is achieved in 3.1 s.

4007
Computer 58
Automatic truncation of the Principal Component Analysis for improved image quality in radial cardiac real-time imaging
André Fischer1,2, Peng Lai3, and El-Sayed Ibrahim4

1GE Global Research Europe, Garching bei München, Germany, 2Cardiac Center of Excellence, GE Healthcare, Garching bei München, Germany, 3GE Healthcare, Menlo Park, CA, United States, 4GE Healthcare, Waukesha, WI, United States

Radial cardiac real-time datasets are usually compromised by streaking artifacts. Truncated principal component analysis (PCA) has been proposed to remove streaking and improve apparent SNR of the images. However, a proper threshold for truncation of the PCA has to be selected to maintain good temporal fidelity. This work proposes a method for automatic truncation of the PCA and compares a soft against the standard hard thresholding approach. Results indicate that the proposed method in combination with soft thresholding offers reduced temporal blurring and streaking artifacts while improving apparent SNR.

4008
Computer 59
Implementation and Optimization of an Automatic k-Space Trajectory Correction for Ultrashort Echo Time Imaging
Simon Konstandin1 and Matthias Günther1,2

1MR-Imaging and Spectroscopy, University of Bremen, Bremen, Germany, 2Fraunhofer MEVIS, Bremen, Germany

Ultrashort echo time (UTE) sequences are usually applied for imaging of very short T2* tissues, for the evaluation of water content in the cortical bone and for X-nuclei imaging. The aim of this study was the implementation of an automatic calibration measurement to determine the actual k-space trajectory considering noisy data samples in UTE imaging. In contrast to most other studies, not only gradient delays were taken into account, but also gradient waveform distortions. It could be demonstrated that there exist an optimal number of samples used for correction (depending on signal-to-noise ratio) that should be determined by calibration scans.

4009
Computer 60
A Least Squares Optimal Density Compensation Function for Gridding
Nicholas Dwork1, Corey Baron1, Ethan Johnson1, Adam B. Kerr1, Dwight G. Nishimura1, and John Pauly1

1Electrical Engineering, Stanford University, Stanford, CA, United States

Gridding is a relevant algorithm for both image reconstruction and pulse design.  With Gridding, it is crucial to appropriately compensate for varying density of the sampling trajectory.  In this paper, we present a technique to determine the weights by solving a least squares optimization problem.

4010
Computer 61
Reducing the effects of under-sampling in images acquired with a 3D radial sequence for the purposes of real-time navigation.
Leah Morgan1, Ernesta Meintjes1, and Andre van der Kouwe1,2

1Division of Biomedical Engineering, Department of Human Biology, University of Cape Town, Cape Town, South Africa, 2Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States

Radial sequences hold great potential for real-time navigation in MRI. Navigator images can be produced off very few spokes of sampled data however, characteristic streaking artifacts appear due to under-sampling at the outer edges of the k-space field of view. In this study, a method is proposed to reconstruct navigator images with a reduced base resolution to minimize the effects of under sampling and reduce the appearance of streaking artifacts, improving the accuracy of motion-registration. The success of this method supports the pursuit of radial sequences for applications in real-time navigation.

4011
Computer 62
Ultrashort echo time imaging at 1.5 T using an insertable unshielded gradient coil and cone trajectories
Ayana Setoi1 and Katsumi Kose1

1University of Tsukuba, Tsukuba, Japan

Ultrashort echo time (UTE) imaging with cone trajectories was installed to a 1.5T compact MRI system using an unshielded insertable gradient coil. K-trajectories of the 3D cone trajectory acquisition were measured using a small capillary phantom and used for image reconstruction. A LEGO block sample with T2* of about 0.6 ms was successfully imaged with echo time of 0.05 ms to 0.6 ms. This result demonstrated that UTE imaging sequences with cone trajectories were successfully installed to our system.

4012
Computer 63
The efficacy of existing k-space correction methods for 2D golden angle radial sampling on clinical 1.5T and 3T systems
Tom Bruijnen1, Bjorn Stemkens1, Jan J. W. Lagendijk1, Cornelis A. T. van den Berg1, and Rob H. N. Tijssen1

1Center for image sciences, University Medical Center Utrecht, Utrecht, Netherlands

Golden angle radial acquisitions are sensitive to gradient imperfections leading to reduced image quality. Multiple methods are known to compensate for the zeroth and first order gradient waveform imperfections. Here we quantify the effect of these different methods on Philips 1.5T and 3T wide bore Ingenia scanners, and assess four direct correction methods on efficacy. We show that on these systems a gradient delay correction has minimal impact on the image quality, while phase correction provides a considerable improvement. 

4013
Computer 64
Evaluation of Rapid Radial Imaging Methods for Assessment of First Pass Myocardial Perfusion
James J Pilla1, Gamaliel Isaac1, Joseph H Gorman III1, Robert C Gorman1, and Lawrence Dougherty1

1University of Pennsylvania, Philadelphia, PA, United States

Rapid image acquisition is required to assess myocardial first-pass perfusion. K-t CS which uses compressed sensing has produced dynamic images with sufficient resolution. View sharing methods such as k-t VS could potentially provide similar results eliminating the need for regularization weights and significantly decreasing reconstruction time.  K-t CS and k-t VS were investigated to determine their temporal and spatial response during first-pass myocardial perfusion. Results demonstrate that images reconstructed using each method had similar resolution and showed good correlation in assessing uptake kinetics. However, at higher acceleration, k-t CS showed increased SNR and smoother appearance while k-t VS used a less computationally intense and faster reconstruction.

4014
Computer 65
Variable-blipped-EPI (VB-EPI) for Lower Acoustic Noise and Higher Efficiency with non-Cartesian iterative Reconstruction
Patrick Liebig1,2, Robin Martin Heidemann2, Bernhard Hensel1, and David Porter3

1University of Erlangen-Nuremberg, Erlangen, Germany, 2Siemens Healthcare GmbH, 3Fraunhofer MEVIS

Echo-Planar-Imaging1 (EPI) with trapezoidal Readout (RO) and blipped Phase-Encoding (PE) gradients gives a high level of acoustic noise2. To reduce acoustic noise we suggest prolonging the duration of the blipped PE gradient in combination with a sinusoidal or trapezoidal RO gradient and continuous data sampling throughout the whole RO train. This results in a variable density sampling along PE (less dense at the edges, denser in the centre of k-space) with a non-Cartesian trajectory, where we use ESPIRiT3 to reconstruct the data. The efficiency is improved due to continuous data sampling, resulting also in a reduced echo time.

4015
Computer 66
Partial Fourier Shells Trajectory with Non-Iterative Homodyne Reconstruction
Shengzhen Tao1, Yunhong Shu1, Joshua D Trzasko1, Paul T Weavers1, Erin M Gray1, John Huston III1, and Matt A Bernstein1

1Radiology, Mayo Clinic, Rochester, MN, United States

The 3D Shells trajectory-based MRI acquisition is a non-Cartesian acquisition technique that divides the 3D k-space into a series of concentric shells and samples each one with 3D helical readouts. Using the Shells trajectory, the inner k-space can be efficiently sampled within several interleaves, making it a maximally centric 3D acquisition. Partial Fourier (PF) acquisition is a commonly-used acceleration technique by exploiting the conjugate symmetry of k-space measurement. In this work, we present a new asymmetric 3D Shells trajectory design with PF acceleration to combine the advantages from both techniques, and develop a non-iterative homodyne reconstruction framework for it.

4016
Computer 67
Spherical-surface Poisson disc point selection for radial-trajectory MRI
Ethan M Johnson1, Kim Butts Pauly2, and John M Pauly1

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States

A design consideration for center-out k-space trajectories is the angular distribution of trajectory endpoints (or equivalently, exit angles).  Uniformity is desirable, but the regularity of spacing affects aliasing patterns, which can dictate undersampling performance.  Here, a method for choosing points on a sphere with Poisson disc spacing is described, and its use in selecting angles for a 3D radial UTE sequence is validated.

4017
Computer 68
Correction of dynamic off-resonance in spiral 2D real-time MRI of speech
Yongwan Lim1, Sajan Goud Lingala1, Shrikanth Narayanan 1, and Krishna Nayak1

1Ming Hsieh Department of Electrical Engineering, University of Southern California, Los Angeles, CA, United States

Spiral real-time MRI (RT-MRI) is a valuable tool in speech production research. A key drawback is off-resonance blurring artifact that appears at the boundaries of important articulators. In this work, we demonstrate dynamic off-resonance estimation that is directly captured from phase of single echo-time dynamic images after coil phase compensation. Multi-frequency reconstruction then provides deblurring and improved depiction of articulator boundaries including the tongue, hard palate, and soft palate. 

4018
Computer 69
Sliding Slice 2D Spiral Time of Flight MRA
Nicholas R. Zwart1 and James G. Pipe1

1MR Technology Design Group, Barrow Neurological Institute, Phoenix, AZ, United States

The scan technique and reconstruction method presented in this work are designed to reduce the scan duration of 2D time-of-flight angiography sequences. The acquisition makes use of a sliding-slice technique that eliminates the need for steady-state prep pulses, which are needed before each slice in time-of-flight. This reduces the total scan time of a 2D spiral time-of-flight sequence by almost half, without a reduction in k-space coverage. 

4019
Computer 70
Spiral MPRAGE Acquisition and Segmentation
Kyoko Fujimoto1,2, Brian R. Keating2, and V. Andrew Stenger1,2

1Department of Electrical Engineering, University of Hawaii at Manoa, Honolulu, HI, United States, 2Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, United States

High-resolution MPRAGE has become a standard structural imaging sequence in clinical settings yet it is difficult to repeat the scan because of its relatively long acquisition time. Acceleration techniques allow the reduction of acquisition times although excessive acceleration can result in artifacts. We implemented a fast MPRAGE sequence using a spiral trajectory and demonstrated segmentation of acquired images. The spiral MPRAGE can acquire a whole-brain T1 volume in less than 25% of the acquisition time of the conventional MPRAGE while maintaining comparable contrast and segmentation results. 

4020
Computer 71
A Two-Dimensional Spiral Turbo-Spin-Echo Technique with T2-delay Correction and Concomitant Phase Compensation
Zhiqiang Li1, Dinghui Wang1, Ryan K Robison1, 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) is a rapid technique routinely used for T2 and FLAIR imaging. Two-dimensional spiral TSE is very challenging due to T2 signal decay. In this project we develop a 2D spiral TSE sequence employing a spiral-in/out readout for efficient acquisition without off-resonance phase errors, and a double encoding mechanism as well as signal demodulation to minimize T2 signal decay induced artifacts. A concomitant phase compensation technique is incorporated to mitigate the violation of the CPMG condition. Preliminary spiral TSE FLAIR results demonstrate comparable image quality to its Cartesian counterpart.

4021
Computer 72
Spiral keyhole imaging for MR fingerprinting
Guido Buonincontri1, Laura Biagi1,2, Pedro A Gómez3,4, Rolf F Schulte4, and Michela Tosetti1,2

1IMAGO7 Research Center, Pisa, Italy, 2IRCCS Stella Maris, Pisa, Italy, Pisa, Italy, 3Technische Universität München, Munich, Germany, 4GE Global Research, Munich, Germany

MR Fingerprinting can be used for a fast and quantitative estimation of physical parameters in MRI.  For the fast acquisition of MRF, common approaches have used non-Cartesian sampling of k-space. Here, we introduce a method for non-iterative anti-aliasing of the spiral MRF time series, based on the concept of keyhole imaging. Our approach does not change acquisition or dictionary creation and matching procedures. As frames require only minimal density compensation in k-space, noise amplification during reconstruction is reduced. After applying our algorithm, individual images from the MRF time series are artifact-free and clearer parameter maps are obtained in a shorter time while preserving the accurate quantification of MRF. 


Electronic Poster

Contrast Mechanisms: From A to ZTE

Exhibition Hall Tuesday 9:15 - 10:15

4022
Computer 97
2D Zero TE Imaging Implemented with Gradient-Extended 2D Spiral-in Excitation and Spiral-out Acquisition (GRESS-ZTE)
Qing Li1, Xiaozhi Cao1, Congyu Liao1, Hongjian He1, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China

A 2D zero TE imaging technique was implemented with a gradient-extended 2D spiral-in excitation to excite a slice within 3mm full-width-half-maximum (FWHM) with pulse duration less than 6ms and spiral-out acquisition (GRESS-ZTE) strategy. Our preliminary data showed its ability to acquire signals in bones with very short T2*.

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High resolution dual-echo subtraction ZTE imaging at 7T with TE estimation based on multiple scaled trajectories
Hyo Min Lee1, Markus Weiger1, and Klaas Paul Pruessmann1

1Institute for Biomedical Engineering, University and ETH Zürich, Zürich, Switzerland

In dual-echo subtraction ZTE (DE-ZTE) MRI, it is crucial to correct for gradient delays in the second echo for high image quality. Linear phase fitting on the relative phase difference between projection pairs in image domain can be performed to estimate TE shifts, but it is not highly robust. Field camera can be used to externally provide TE shifts arising from gradient delays, but the probes tend to dephase at high resolution DE-ZTE scans. We demonstrate that gradient delays can be characterized as a linear function of gradient strength. Furthermore, we show that this can be exploited to reconstruct high resolution DE-ZTE data at 7T for high image quality.

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Ultra-short Echo-time MRI Lung Segmentation using High-Dimensional Features and Continuous Max-Flow
Fumin Guo1, Khadija Sheikh1, Robert Peters2, Michael Carl2, Aaron Fenster1, and Grace Parraga1

1Robarts Research Institute, London, ON, Canada, 2General Electric Healthcare, Milwaukee, WI, United States

Ultra-short-echo-time MRI may be used to generate imaging biomarkers to phenotype pulmonary abnormalities and facilitate the development of novel treatments but requires clinically-acceptable lung segmentation. We proposed an adaptive kernel K-means approach combining MRI signal intensity and neighbourhood location information for optimized lung segmentation. The resultant high dimensional features were implemented using a K-nearest neighbour graph and relaxed to a point-wise upper-bound formulation regularized by image edge information, which was implemented iteratively using a continuous max-flow optimization approach. Experimental results for 10 asthmatics demonstrated highly accurate, reproducible and computationally efficient lung segmentation for our approach consistent with clinical workflows.

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Whole-Body, Zero TE Based Pseudo CT Conversion
Florian Wiesinger1, Sangtae Ahn2, Sandeep Kaushik3, Cristina Cozzini1, Dirk Beque1, Lishui Cheng2, Jaewon Yang4, Andrew Leynes4, Dattesh Shanbhag3, Thomas A. Hope4, and Peder E. Z. Larson4

1GE Global Research, Munich, Germany, 2GE Global Research, Schenectady, NY, United States, 3GE Global Research, Bangalore, India, 4Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States

Proton density (PD) weighted Zero TE (ZTE) MR imaging has been demonstrated to provide accurate bone depiction, segmentation and pseudo CT conversion in the head.  However, when applied for the whole-body, discriminating between air and bone appears challenging (primarily because of SNR and RF shading).  Here we present a novel method for decomposition of low ZTE signal intensity regions into bone and air based on connected component and shape analysis.  The method is demonstrated for whole-body, pseudo CT conversion in three PET/MR patients.  

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Accelerated Adaptive Quasi-Random Single-Point Imaging for in vivo Artefact Reduction
Tobias Speidel1 and Volker Rasche2

1Core Facility Small Animal Imaging, University of Ulm, Ulm, Germany, 2Department of Internal Medicine II, University of Ulm, Ulm, Germany

MR imaging of short relaxation times spin systems has been a widely discussed topic with serious clinical applications and led to the emergence of fast imaging ultra-short echo-time sequences such as UTE and ZTE. Nevertheless, these sequences suffer from image blurring due to the related point-spread function and are highly prone to imaging artefacts arising from e.g. chemical shifts or magnetic susceptibilities. In this work, we present a fully functional concept of spherical quasi-random single-point imaging that is highly acceleratable due to intrinsic undersampling properties and capable of strong metal artefact suppression with high tissue contrast.

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The Value of Ultrashort-Echo-Time (UTE) MR in Depiction of the Eustachian Tube at 3 Tesla
Wu Chao1, Qian Tianyi2, Wang Guangbin1, Li Li3, Wang Yuyu4, Shi Honglu1, Gao Fei1, and Zhao Bin1

1Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China, 2MR Collaborations NE Asia, Siemens Healthcare, 3Shandong Provincial Hospital Affiliated with Shandong University, 4Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, People's Republic of China

This study aimed to investigate the feasibility of ultrashort echo time (UTE) in visualizing the Eustachian tube (ET). Nineteen healthy volunteers were involved in this study. The quality of images was rated by two experienced radiologists using a double-blind method. Using the depiction of the cartilaginous part of the ET from standard T2-weighted images and that of the bony part from CT acquisition as reference points, UTE images were analyzed. The results indicate that UTE can not only display ET cartilage, but also display bone structure. This could lead to the application of whole-ET imaging in one MR exam.

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2D-UTE based pantomography with half-pulse excitation
Kilian Stumpf1, Elena Kaye2, Jan Paul1, Stefan Wundrak3, and Volker Rasche1

1Internal Medicine II, University Hospital of Ulm, Ulm, Germany, 2Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 3Dental Imaging, Sirona Dental Systems GmbH, Bensheim, Germany

Standard imaging methods in dental radiology are almost exclusively based on X-rays. Not only does magnetic resonance imaging (MRI) avoid ionizing radiation, but has also been shown to be superior in identifying carious lesions. In this work we present a 2D-UTE sequence with an echo time of 35µs, utilizing 240µs half-pulses to ensure reduced signal attenuation from tissues with short T2 relaxation during excitation. The feasibility of the method was demonstrated with the successful acquisition of in vivo MR pantomograms.

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An Iterative Gradient Delay Correction Method for 3D UTE Imaging
Qi Liu1, Xiaomao Gong2, Xiaolei Guan2, Xueming Cao2, Lingzhi Hu1, Xiaodong Zhou2, Jian Xu1, and Weiguo Zhang2

1UIH America, Inc., Houston, TX, United States, 2Shanghai United Imaging Healthcare Co., Ltd., Shanghai, People's Republic of China

Gradient imperfections such as gradient delay can cause image distortion and artifacts in UTE imaging. In this work, we report an iterative gradient delay correction method for 3D UTE imaging that allows use of arbitrary gradient waveform model, independent calibration of x, y, and z gradients, and subject-specific delay correction with an embedded prescan. The feasibility of improved image quality using this proposed method was demonstrated by volunteer data.

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Myelin and cortical bone short-T2 quantification using saturation and diffusion-based long-T2 suppression in a steady-state 3D-UTE sequence
Lucas Soustelle1, Paulo Loureiro de Sousa1, Julien Lamy1, Mathieu D. Santin2, François Rousseau3, and Jean-Paul Armspach1

1Université de Strasbourg, CNRS, ICube, FMTS, Strasbourg, France, 2ICM, CENIR, UPMC-Inserm U1127, CNRS 7225, Paris, France, 3Institut Mines Télécom, Télécom Bretagne, INSERM LaTIM, Brest, France

Imaging of the very-short T2 tissues in the head is challenging in that the signals decay very rapidly (T2 < 1 ms), as well as their signal quantity being often overwhelmed by long-T2 relaxing components (fat, free-water). In this work, we explore the feasibility of short-T2 quantification in the white matter and in the cortical bone using a novel method for long-T2 suppression based on diffusion and coherence effects in a steady-state 3D-UTE sequence.

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Long-T2 suppression based on saturation and diffusion in a steady-state 3D-UTE sequence
Lucas Soustelle1, Julien Lamy1, Paulo Loureiro de Sousa1, François Rousseau2, and Jean-Paul Armspach1

1Université de Strasbourg, CNRS, ICube, FMTS, Strasbourg, France, 2Institut Mines Télécom, Télécom Bretagne, INSERM LaTIM, Brest, France

A new method for long-T2 suppression in a prepared steady-state 3D-UTE sequence is introduced. The method is based on long-T2 signal behavior in steady-state as the diffusion-inducing spoiling gradients are modified, giving a theoretical signal cancellation using appropriate coherence combinations. At the same time, short-T2 signal quantity is optimized, offering a positive contrast over this component. Imaging experiments over a Lego brick soaked in doped water show an excellent agreement with theoretical predictions.

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Inversion-non-Recovery (InoR) method for long-T2 suppression in a steady-state 3D-UTE sequence for short-T2 imaging
Lucas Soustelle1, Julien Lamy1, Paulo Loureiro de Sousa1, François Rousseau2, and Jean-Paul Armspach1

1Université de Strasbourg, CNRS, ICube, FMTS, Strasbourg, France, 2Institut Mines Télécom, Télécom Bretagne, INSERM LaTIM, Brest, France

A novel method for long-T2 suppression in 3D-UTE imaging is introduced. The method is based on long- and short-T2 components phase states in a dual-segment acquisition scheme (digital summation of two k-spaces before reconstruction, respectively acquired with and without adiabatic inversion), and offers a substantial contrast-to-noise ratio over the different components. We compare our method to the state-of-the-art IR-UTE. It shows higher performance and efficiency in terms of signal suppression and short-T2 contrast.

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MR-embedded respiratory motion tracking in ZTE lung imaging for PET-MRI
Tanguy Boucneau1, Brice Fernandez2, Michael Soussan3, Luc Darrasse1, and Xavier Maître1

1Imagerie par Résonance Magnétique Médicale et Multi-Modalités, IR4M, CNRS, Univ Paris-Sud, Université Paris-Saclay, Orsay, France, 2Applications & Workflow, GE Healthcare, Orsay, France, 3Imagerie Moléculaire in Vivo, IMIV, Inserm, CEA, CNRS, Univ Paris-Sud, Université Paris-Saclay, Orsay, France

This study aims at showing the feasibility of MR-embedded respiratory motion tracking in ZTE lung imaging. It was shown that the motion information in a moving phantom as well as in free-breathing human volunteers and patients could be extracted from the off-center k-space data sampled during a ZTE acquisition with a faithful accuracy and precision in time and in amplitude with respect to a respiratory belt measurement. This new intrinsic motion follow-up method could be useful for retrospective motion correction of simultaneously acquired PET/MR images.

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Influence of k-space trajectory corrections on the proton density mapping precision with Ultrashort Echo Time Imaging.
Peter Latta1, Zenon Starčuk2, Marco Gruwel3, and Boguslaw Tomanek1,4

1Central European Institute of Technology, Masaryk University, Brno, Czech Republic, 2Institute of Scientific Instruments, Academy of Sciences of the Czech Republic, Brno, Czech Republic, 3Biological Resources Imaging Laboratory, Lowy Cancer Research Centre, Sydney, Australia, 4University of Alberta, Edmonton, Canada

The ultrashort echo time (UTE) sequence is capable to provide information about tissues with short T2.  On the other hand, as with all non-Cartesian data sampling schemes in general, it is sensitive to mismatching in the acquisition trajectory. This can be a potential source of errors, especially when used for quantitative applications such as proton density  (PD) mapping. This problem can be reduced by calibration and correction of the k-space acquisition trajectories. The presented experiments demonstrate the importance of sampling trajectory corrections for UTE imaging, especially when applied for quantitative measurements.

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Fast, Volumetric and Silent Multi-contrast Zero Echo Time Imaging
Xin Liu1,2, Pedro Gómez1,2, Tim Sprenger1,2, Ana Beatriz Solana2, Florian Wiesinger2, Marion Menzel2, Jonathan Sperl2, and Bjoern Menze1

1Technical University Munich, Garching, Germany, 2GE Global Research, Garching, Germany

The current work aims to provide a volumetric, fast and silent method for quantitative T1 mapping with Zero Echo Time (ZTE) imaging, and generate multiple T1-weighted images at virtual inversion times. By designing an interleaved radial trajectory for ZTE, and constraining the temporal behavior of the signal with low-dimensional subspace and spatiotemporal low rank regularization, we conducted a volumetric T1 mapping in 2 minutes with acoustic noise only 1.1dB higher than scanner background. 

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A new ultrafast 3D gradient-echo magnetic resonance imaging method: RASE-I
JaeKyun Ryu1,2, SoHyun Han1,2, Joon-sung Lee1,2, Seong-gi Kim1,2, and Jang-Yeon Park1,2

1Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Biomedical Engineering Sungkyunkwan University (SKKU), Suwon, Korea, Republic of

One version of a new ultrafast gradient-echo-based 3D imaging technique using spatiotemporal encoding (RASE-I) is proposed which can provide very short TEs in some slices. RASE-I maintains most of appealing features of other spin-echo-based SPEN imaging methods including no Nyquist ghosting and high tolerance to field inhomogeneities. It is barely affected by T2* signal modulation and less sensitive to T2* effects due to local rephasing mechanism along the SPEN direction. Its performance is demonstrated by lemon and in-vivo mouse kidney imaging at 9.4T, including the measurement of dose-dependent arterial-input-function (AIF) of kidney-feeding artery.

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Ultra-high-bandwidth, high-resolution MRI of fast relaxing spins
Romain Nicolas Froidevaux1, Markus Weiger1, Manuela B. Rosler1, Bertram Wilm1, Franciszek Hennel1, Roger Luechinger1, Benjamin Dietrich1, Jonas Reber1, and Klaas Paul Pruessmann1

1University and ETH Zurich, Zürich, Switzerland

High resolution MRI of fast relaxing spins in human sets strong requirements on hardware and pulse sequences. Indeed, the acquisition duration is limited by the relaxation time of the protons of interest and high resolution can only be achieved with large magnetic field gradients. Also when large field-of-view is required, additional challenges appear. The sequence and receive hardware needs to be adapted to larger bandwidth.  In this work, we image short T2 compounds in human scanners with gradient strengths up to 200 mT/m and bandwidth up to 1.63 MHz.

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Utilization of T1ρMR imaging in Sjögren’s syndrome with normal appearing parotid glands: initial findings
Zhengyang Zhou1, huayong zhang2, and Weibo Chen3

1Department of Radiology, Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, People's Republic of China, 2Department of Rheumatology, Drum Tower Hospital, School of Medicine, Nanjing University, People's Republic of China, 3Philips Healthcare, Shanghai, People's Republic of China

Sixteen SS patients and age- and gender- match healthy volunteers underwent parotid MR imaging to evaluate whether T1ρ values could diagnose of SS patients. T1ρ values between the patients and healthy volunteers were compared. ROC analysis was used to evaluate the diagnostic performance of the T1ρ values. The T1ρ values of SS patients were significantly higher than those of healthy volunteers. With a cutoff value of 88.02 ms, the diagnostic sensitivity and specificity of the parotid T1ρ value was 75.0% and 100.0%, respectively. Parotid T1ρ MR imaging held the potential in the diagnosis of SS without morphological changes of glands.

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Human In-vivo MR Current Density Imaging (MRCDI) Based on Optimized Multi-echo Spin Echo (MESE)
Cihan Göksu1,2, Lars Grüner Hanson1,2, Philipp Ehses3,4, Klaus Scheffler3,4, and Axel Thielscher1,2,3

1Center for Magnetic Resonance, DTU Elektro, Technical University of Denmark, Kgs. Lyngby, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark, 3High-Field Magnetic Resonance Center, Max-Planck-Institute for Biological Cybernetics, Tübingen, Germany, 4Department of Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany

MRCDI aims at imaging an externally injected current flow in the human body, and might be useful for many biomedical applications. However, the method requires very sensitive measurement of the current-induced magnetic field component ∆Bz,c parallel to main field. We systematically optimized MESE to determine its most efficient parameters. In one of the first human in-vivo applications of MRCDI, the optimized sequence was successfully used to image the ∆Bz,c distribution in the brain caused by a two-electrode montage, as confirmed by finite-element calculations of ∆Bz,c. Further improvements will be performed to increase its robustness to field drifts.

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Tissue Relaxometry Defined (TRD) pseudo-CT imaging based on a single multi-gradient-echo MRI scan
Jie Wen1, Bin Cai2, Michael Gach2, Olga Green2, Christina Tsien2, Jiayi Huang2, Sasa Mutic2, and Dmitriy Yablonskiy1

1Radiology, Washington University in St. Louis, St. Louis, MO, United States, 2Radiation Oncology, Washington University in St. Louis, St. Louis, MO, United States

Generating MRI-based pseudo-CT images, providing electron density information for dose calculation, is the first step towards MRI-based radiation therapy treatment planning. Existing methods either require prior knowledge of a CT-MR atlas or require acquisition of multiple scans. In this study, we demonstrated the feasibility of producing pseudo-CT images by using a single multi-gradient-echo sequence. This method takes advantage of tissue-specific relaxation properties of MRI signal to provided segmentation of bone, air and other anatomical structures. Since all images are generated from a single scan and are naturally co-registered, this method is fast and avoids registration errors.

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Multi-compartment T2 relaxometry Model using Gamma Distribution representations: A framework for Quantitative Estimation of Brain Tissue Microstructures.
Sudhanya Chatterjee1, Olivier Commowick2, Simon K. Warfield3, and Christian Barillot4

1VisAGeS, IRISA U746, Universite de Rennes-1, Rennes, France, 2VisAGeS Inserm U746, IRISA, Inria, Rennes, France, 3Boston Children’s Hospital, Boston, MA, United States, 4VisAGeS, INRIA/IRISA, Inserm U746, CNRS, Rennes, France

Advanced MRI techniques (e.g. – d-MRI, MT, relaxometry etc.) can provide quantitative information of brain tissues. Image voxels are often heterogeneous in terms of microstructure information due to physical limitations and imaging resolution. Quantitative assessment of the brain tissue microstructure can provide valuable insights into neurodegenerative diseases (e.g. - Multiple Sclerosis). In this work, we propose a multi-compartment model for T2-Relaxometry to obtain brain microstructure information in a quantitative framework. The proposed method allows simultaneous estimation of the model parameters.

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Fast, Robust and SimulTaneous (FRoST) relaxometry at polarizing field
Rashmi Rao1, Shreyas Indurkar1, Girish Koulagi1, Nithin V Vajuvalli1, Arush Honnedevasthana Arun1, Sneha Potdar1, and Sairam Geethanath1

1Medical Imaging Research Centre, Dayananda Sagar Institutions, Bangalore, India

T1 and T2 measurements in polarizing field systems have long acquisition times due to the inclusion of a polarizer pulse. Current work demonstrates Fast, RObust and SimulTaneous relaxometry (‘FRoST’) measurements at Earth’s field on water and CuSO4 phantoms. FRoST creates a variation of the net magnetization through a series of CPMG acquisitions by varying the polarizing pulse (τp) to obtain simultaneous T1 and T2 weighting. T1 and T2 values obtained are similar to standard sequences and the acquisition time is reduced by 55%-84%.

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Impact of Magnetic Susceptibility Anisotropy at 3 T and 7 T on T2*-based Myelin Water Fraction Imaging
Eva Alonso Ortiz1, Ives R. Levesque1,2, and G. Bruce Pike3

1McGill University, Montreal, QC, Canada, 2Research Institute, McGill University Health Centre, Montreal, QC, Canada, 3University of Calgary, Calgary, AB, Canada

In this work we estimated the impact of myelin’s magnetic susceptibility anisotropy on the Myelin Water Fraction (MWF) at 3T and 7T. We simulated realistic multicomponent T2* decay and then computed the MWF using three different fitting models. Our findings indicate that the effect of myelin’s magnetic susceptibility anisotropy does not need to be considered when computing the MWF at 3T. However, failure to do so at 7T can lead to a significant bias in the MWF.

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A Fast Multi-Contrast Knee Imaging Method Using a Hybrid bSSFP Pulse Sequence
Hyunseok Seo1, Seohee So1, Byungjai Kim1, Yoonmee Lee1, Kyungtak Min1, and HyunWook Park1

1Electrical Engineering, KAIST (Korea Advanced Institute of Science and Technology), Daejeon, Korea, Republic of

To increase the contrast between the bone and the cartilage, fat saturation techniques are additionally applied to the conventional imaging sequences. However, the fat saturation techniques eliminate most of the bone information. Thus, using the modified bSSFP (balanced steady-state free precession) pulse sequence called a hybrid bSSFP pulse sequence, the proposed method offers the multi-contrast knee images with very short imaging time (< 10 sec).

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High Resolution Steady State Diffusion and Magnetization Transfer Imaging of the Spinal Cord
Matthias Weigel1,2 and Oliver Bieri1,2

1Radiology, Radiological Physics, University Hospital Basel, Basel, Switzerland, 2Dept. of Biomedical Engineering, University of Basel, Basel, Switzerland

The potential of high resolution steady state diffusion and magnetization transfer (MT) imaging approaches with short acquisition times of less than 2min were investigated for the depiction of the spinal cord. As a surprising result, diffusion weighted time-reversed fast imaging with steady state precession (PSIF) sequences are not able to generate notable diffusion based contrast in the spinal cord (identical diffusion quotient DQ = 1.96+-0.20). High resolution balanced steady state free precession (bSSFP) sequences, however, are able to depict MT induced signal saturation in spinal cord white matter (MT ratio = 0.30+-0.07).


Electronic Poster

MS: Longitudinal Studies

Exhibition Hall Tuesday 13:45 - 14:45

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Longitudinal Study of MS lesions using Multi-contrast Ultra-high Field (7Tesla) MRI
SANJEEV CHAWLA1, Ilya Kister2, Tim Sinnecker3, Jens Thomas Wuerfel4, Friedemann Paul5, and Yulin Ge6

1Radiology, UNIVERSITY OF PENNSYLVANIA, Philadelphia, PA, United States, 2Neurology, Multiple Sclerosis Care Center, NYU School of Medicine, New York, NY, United States, 3Neurology, Universitätsspital, Basel, Switzerland, 4Medical Image Analysis Center, Basel, Switzerland, 5NeuroCure Clinical Research Center, Charité-Universitätsmedizin, Berlin, Germany, 6Radiology, NYU School of Medicine, New York, NY, United States

To track evolution of multiple sclerosis (MS) lesions, 9 patients underwent gradient-echo-T2* and quantitative susceptibility mapping on 7T MR system at baseline and at follow-up period (mean duration=2.4years). Majority of lesions were non-iron laden at baseline and most of them remained unchanged in size, morphology and susceptibility patterns. Some of these lesions accumulated iron deposition on follow-up. A minority of iron-laden lesions underwent redistribution of iron content. Small increase in lesion count was observed at follow-up. Interestingly, majority of these lesions were iron-enriched.  This study may provide insights into pathophysiological features of MS lesions during the course of disease evolution. 

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A longitudinal study of neurite orientation dispersion and density imaging in relapsing-remitting multiple sclerosis
Elda Fischi-Gomez1,2,3, Guillaume Bonnier1,2, Pavel Falkowskiy3,4,5, David Romascano3, Myriam Schluep6, Renaud Du Pasquier6, Alessandro Daducci3, Jean-Philippe Thiran3,4, Gunnar Kruger7, and Cristina Granziera1,2

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

We explored the sensitivity of a novel diffusion MRI method i.e. “Neurite orientation dispersion and density imaging”, to detect and characterize brain microstructure alterations in relapsing-remitting multiple sclerosis patients that we followed up over 2 years. Cross-sectionally, NODDI revealed that an increase in orientation dispersion and a decrease in neurite density in NAWM and in lesions of RRMS patients compared to healthy subjects. Longitudinally, NODDI measured a decreased dispersion and an increased neurite density in MS lesions at 2 years follow-up. Also, NODDI metrics at baseline were highly related to cognition at both baseline and follow-up.

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Systematic Differences in High Angular Resolution Diffusion Imaging at Baseline in a Multicenter Longitudinal Clinical Trial
Ken Sakaie1, Xiapeng Zhou1, Josef Debbins2, Mark Lowe1, and Robert Fox1

1The Cleveland Clinic, Cleveland, OH, United States, 2Keller Center for Imaging Innovation, Barrow Neurological Institute, Phoenix, AZ, United States

The lack of imaging biomarkers is a key obstacle to the development of treatment for progressive multiple sclerosis. While diffusion MRI is a promising biomarker, variability among scanners may limit its use. We examine site-related variability among multiple sclerosis patients to inform the design of multicenter trials.

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Myelin water imaging provides evidence of long-term remyelination and neuroprotection in Alemtuzumab treated multiple sclerosis patients
Irene Margaret Vavasour1, Cornelia Laule1,2, Shannon H Kolind1,3, Roger Tam1, David KB Li1, Alex L MacKay1,4, and Anthony L Traboulsee3

1Radiology, University of British Columbia, Vancouver, BC, Canada, 2Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 3Medicine (Neurology), University of British Columbia, Vancouver, BC, Canada, 4Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada

To test the potential neuroprotective and reparative properties of alemtuzumab (a highly effective disease modifying therapy for relapsing remitting MS), we used myelin water imaging to measure myelination in MS patients treated with either alemtuzumab, interferon, or no treatment. NAWM MWF showed a steady 4% increase in alemtuzumab-treated subjects whereas MWF in subjects treated with interferon or without treatment decreased by 10% over 5 years. Myelin recovery following treatment with alemtuzumab supports previous clinical trial findings, provides understanding of the biological mechanisms underlying observed clinical improvement and demonstrates that MWF is a powerful biomarker for neuroprotection and repair in MS.

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Myelin-Related MRI Metrics Demonstrate Longitudinal Differences for Relapsing MS Patients Treated with Ocrelizumab or Inteferon Beta-1a Over 96 Weeks
Shannon Kolind1,2, Irene Vavasour2, Roger Tam2, Lisa Tang3, Alexander Rauscher2,4, Robert Carruthers1, Rick White5, Victoria Levesque6, Hideki Garren6, David Clayton6, David Li2, and Anthony Traboulsee1

1Neurology, University of British Columbia, Vancouver, BC, Canada, 2Radiology, University of British Columbia, Vancouver, BC, Canada, 3Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada, 4Pediatrics, University of British Columbia, Vancouver, BC, Canada, 5Statistics, University of British Columbia, Vancouver, BC, Canada, 6Genentech, South San Francisco, CA, United States

Conventional MRI scans cannot evaluate disease-related changes in normal-appearing white matter, and have limited sensitivity for detecting changes in chronic lesions. In this work, we employed 2 quantitative MRI measures related to myelin content, myelin water fraction and magnetization transfer ratio, to evaluate the effects a potential novel therapy for multiple sclerosis (ocrelizumab) compared to a commonly-used therapy (interferon beta-1a). Over 2 years, these myelin-related measurements increased or remained stable in all regions for patients taking ocrelizumab, while they decreased for interferon beta-1a. These results support the use of quantitative MRI measures for more efficient, biologically specific clinical trial outcomes.

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LONGITUDINAL ASSESSMENT OF LARGE-SCALE BRAIN FUNCTIONAL NETWORKS  IN PATIENTS WITH MS: RELATIONSHIP WITH CLINICAL DISABILITY AND COGNITIVE IMPAIRMENT
Paola Valsasina1, Maria Assunta Rocca1, Fiammetta Pirro1, Annalisa Colombi1, Elisabetta Pagani1, Ermelinda De Meo1, Bruno Colombo2, Paolo Preziosa1, Vittorio Martinelli2, 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

Aim of this study was to investigate the temporal evolution of resting state (RS) functional connectivity (FC) in patients with multiple sclerosis (MS) and its correlation with clinical and cognitive worsening. The predictive value of baseline functional network measures on the worsening of clinical disability/cognitive impairment was also explored. No significant RS FC changes were detected in healthy controls, while MS patients showed a complex pattern of longitudinal changes in the different networks, with a trend towards an increase (or stability) of RS FC in clinically stable MS patients, and a decrease of RS FC in clinically worsened MS patients. 

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Longitudinal assessment of cervical cord atrophy across MS clinical phenotypes: a multicenter study
Paola Valsasina1, Maria Assunta Rocca1, Mohammad Ahmad Abdullah Ali Aboulwafa1, Paolo Preziosa1, Frederik Barkhof2, Hugo Vrenken2, Claudio Gobbi3, Chiara Zecca3, Alex Rovira4, Xavier Montalban5, Hugh Kearney6, Olga Ciccarelli6, Lucy Matthews7, Jacqueline Palace7, Antonio Gallo8, Alvino Bisecco8, Achim Gass9, Philipp Eisele9, Carsten Lukas10, Barbara Bellenberg10, Giancarlo Comi11, and Massimo Filippi1

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2MS Centre Amsterdam, VU Medical Centre, Amsterdam, Netherlands, 3Department of Neurology, Neurocenter of Southern Switzerland, Lugano, Switzerland, 4Department of Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain, 5Department of Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain, 6Queen Square MS Centre, UCL Institute of Neurology, London, United Kingdom, 7Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 8MRI Center "SUN-FISM", Second University of Naples, Naples, Italy, 9Universitaetsmedizin Mannheim, University of Heidelberg, Mannheim, Germany, 10St Josef Hospital, Ruhr University Bochum, Bochum, Germany, 11Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

Aims of this large, multicenter study were to characterize baseline cervical cord atrophy in patients with multiple sclerosis (MS) compared with healthy controls, and to evaluate the modification of cervical cord cross-sectional area (CSA) over one-year of follow-up in such patients. Results indicated that baseline cord atrophy was present in MS patients vs controls, with a differential effect across phenotypes and a greater severity of atrophy in the progressive forms of the disease. Significant CSA decrease over time was found in relapsing remitting, primary progressive MS and in clinically worsened patients.

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A longitudinal study of the effect of Multiple Sclerosis on surrounding white matter using z-spectrum imaging at 7T
Kingkarn Aphiwatthanasumet1, Olivier Mougin1, Nick Geades1, Nikos Evangelou2, Richard Bowtell1, and Penny Gowland1

1Physics and Astronomy, Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Neurology, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom

MS lesions are known to evolve in time, many showing signs of remyelination. To investigate this, we considered the changes in the regions around existing lesions of varying ages, to test the hypothesis that there is ongoing tissue damage in the regions around white matter lesions in MS. We found that the quantitative MT measured at 7T values in the region surrounding MS lesions decreased over the period of a longitudinal 6 month study. No systematic trend was found for the lesion core. This supports the hypothesis that an MS lesion causes ongoing damage in the region surrounding the lesion. 

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Brain sodium concentrations in healthy subjects are constant over time: a 3-year longitudinal 23Na MRI study at 3T
Adil Maarouf1,2,3, Soraya Gherib1, Elisabeth Soulier1, Sylviane Confort-Gouny1, Maxime Guye1,2, Jean Pelletier1,3, Jean-Philippe Ranjeva1, and Wafaa Zaaraoui1

1Aix-Marseille Univ, CNRS, CRMBM, Marseille, France, 2Aix-Marseille Univ, APHM, Hopital de la Timone, CEMEREM, Marseille, France, 3Aix Marseille Univ, APHM, Hôpital de la Timone, Pôle de Neurosciences Cliniques, Service de Neurologie, Marseille, France

Longitudinal evaluation of brain sodium concentration in physiological conditions

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Manifold valued statistical models for longitudinal analysis of MRI data
Nagesh Adluru1, Hyunwoo J Kim2, Richard J Davidson3, Andrew L Alexander4, Sterling C Johnson5, and Vikas Singh6

1Waisman Center, University of Wisconsin-Madison, Madison, WI, United States, 2Computer Sciences, University of Wisconsin-Madison, 3Psychology and Psychiatry, University of Wisconsin-Madison, 4Medical Physics and Psychiatry, University of Wisconsin-Madison, 5Medicine, University of Wisconsin-Madison, 6Biostatistics and Computer Sciences, University of Wisconsin-Madison

This work presents novel statistical image analysis methods to characterize complex morphological brain changes using MRI data. Specifically, our procedure utilizes the fundamental representations of "longitudinal change" -- voxel-wise Jacobian matrices obtained from image registration. Currently their univariate summaries (for example determinants) are ubiquitously used in neuroimaging studies. Operating directly with representations of Jacobians namely Cauchy deformation tensors, which are elements of an abstract mathematical manifold of symmetric positive definite matrices, yields promising improvements in statistical power in detecting subtle but statistically significant effects. The key technical contributions are computational algorithms for estimating multivariate general linear models with manifold-valued response variables.

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A preliminary study: the Values of Quantitative Susceptibility Mapping (QSM) in CIS and MS in Children
Hua CHENG1, Hong ZHANG1, Yang FAN2, TongLi HAN3, Yue LIU1, and Yun PENG1

1Imaging Center, Beijing Children's Hospita, Capital Medical University, Beijing, People's Republic of China, 2MR Research China, GE Healthcare, 3Neurology Department, Beijing Children's Hospita, Capital Medical University, Beijing, People's Republic of China

Quantitative Susceptibility Mapping (QSM) has been well used in evaluating the iron quantity changes in adult patients with multiple sclerosis (MS). However, it has not been tested in pediatric MS patients. In the present study, QSM was applied to assess difference of iron quantity in clinically isolated syndrome (CIS) and MS in children. It is shown that QSM provides a superior sensitivity method in the detection iron of changes of MS-related tissue in children, which suggests that QSM may serve as a potential sensitive biomarker in pediatric MS.

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STRUCTURAL CONNECTIVITY ABNORMALITIES UNDERLYING COGNITIVE IMPAIRMENT IN PEDIATRIC MULTIPLE SCLEROSIS
Loredana Storelli1, Maria Assunta Rocca1, Ermelinda De Meo1, Elisabetta Pagani1, Lucia Moiola2, Angelo Ghezzi3, Pierangelo Veggiotti4, Ruggero Capra5, Maria Pia Amato6, Agnese Fiorino2, Lorena Pippolo3, Maria Carmela Pera4, Giancarlo Comi2, Andrea Falini7, 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, 3Multiple Sclerosis Center, Ospedale di Gallarate, Gallarate, Italy, 4Fondazione "Istituto Neurologico Casimiro Mondino", Pavia, Italy, 5Multiple Sclerosis Center, Spedali Civili di Brescia, Brescia, Italy, 6Department of Neurology, University of Florence, Florence, Italy, 7Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

In this study, diffusion tensor (DT) magnetic resonance imaging (MRI) was applied to describe brain structural network architecture and connectivity abnormalities underlying cognitive dysfunction in 53 pediatric multiple sclerosis (MS) patients in comparison to 26 age- and gender-matched healthy controls (HC). Global and local network analyses were performed to assess between-group differences of connectivity metrics and cortical hubs. Cognitive impairment in pediatric MS patients seemed to be mainly associated to a reduced strength of connections of structural hubs and loss of efficiency in information transmission.

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Longitudinal Changes in Magnetic Resonance Spectroscopy Over 96 Weeks in Relapsing MS Treated with Ocrelizumab versus Interferon Beta-1a
Erin L MacMillan1, Julia J Schubert1, Irene M Vavasour1,2, Roger Tam2, Alexander Rauscher2, Rick White3, Hideki Garren4, David Clayton4, Victoria Levesque4, David KB Li2, Anthony L Traboulsee1, and Shannon H Kolind1

1Neurology, University of British Columbia, Vancouver, BC, Canada, 2Radiology, University of British Columbia, Vancouver, BC, Canada, 3Statistics, University of British Columbia, Vancouver, BC, Canada, 4Genetech, Roche Pharmaceuticals, South San Francisco, CA, United States

Single voxel magnetic resonance spectroscopy (MRS) was performed in thirty-seven relapsing multiple sclerosis (MS) patients, who were enrolled in a phase III clinical trial of ocrelizumab versus interferon beta-1a, at baseline, 24, 48, and 96 weeks follow-up. 24 healthy controls were also scanned. MRS demonstrated a significant interaction between visit and treatment group in the NAA/tCr ratio. The change in absolute metabolite concentrations over 96 weeks revealed that this interaction was primarily driven by increased NAA and reduced inflammation in the ocrelizumab group, while the interferon beta-1a group exhibited a smaller increase in NAA and ongoing inflammation.  

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Toward a standardized quantitative imaging protocol for multiple sclerosis: a multisite study of magnetization transfer and quantitative T1 imaging techniques
Ian Tagge1, Daniel Schwartz1, Katherine Powers1, Rohit Bakshi2, Peter Calabresi3, Todd Constable4, John Grinstead1,5, Roland Henry6, Govind Nair7, Jiwon Oh3,8, Li Pan9, Nico Papinutto6, Daniel Pelletier10, Daniel S Reich7, Nancy Sicotte10, Jack Simon1, William Stern6, and William Rooney11

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Brigham & Women's Hospital, Harvard Medical School, 3Johns Hopkins, 4Yale, 5Siemens Medical Solutions, Portland, OR, 6University of California San Francisco, 7National Institute of Neurological Disease and Stroke, National Institute of Health, 8University of Toronto, 9Siemens Healthcare, Baltimore, MD, 10University of Southern California, Keck School of Medicine, 11Oregon Health & Science University, Portland, OR, United States

The current lack of standardization in MRI protocols leads to increased variability, particularly in semi-quantitative techniques such as MTR, and makes comparisons between studies almost impossible. A single subject with clinically stable RRMS travelled to seven North American sites and underwent two distinct 3T MRI sessions following a standardized MTR and qT1 protocol at each site. Both MTR and qT1 mapping have been shown to have potential in elucidating tissue characteristics and underlying pathology. This work demonstrated that use of carefully standardized protocols produces consistent quantitative and semi-quantitative measurements across sites in MS brain tissue in-vivo.

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Graph theoretical measures predict volumetric changes in multiple sclerosis
Thalis Charalambous1, Carmen Tur1, Ferran Prados1,2, Steven H.P. van de Pavert1, Declan T. Chard1, David H. Miller1, Sebastien Ourselin2, Jonathan D. Clayden3, Claudia A.M. Gandini Wheeler-Kingshott1,4,5, Alan J. Thompson 1, and Ahmed T. Toosy1

1UCL Institute of Neurology, Queen Square MS Centre, University College London, London, United Kingdom, 2Translational Imaging Group, Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 3UCL GOS Institute of Child Health, University College London, London, United Kingdom, 4Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy, 5Brain MRI 3T Mondino Research Center, C. Mondino National Neurological Institute, Pavia, Italy

Numerous studies demonstrated structural network changes in patients with multiple sclerosis (MS). However, the predictive nature of the graph-derived metrics is not yet examined. In this longitudinal study, we constructed baseline diffusion-based structural networks and we used multiple linear regression analysis to assess the ability of the network measures to predict follow-up increased lesion load and brain atrophy in MS (n=49). Our results suggest that edge density, global and local efficiency can predict follow-up brain atrophy after adjusting for the nuisance variables, signifying that network analysis can provide new insights into disease trajectories and offer potential biomarkers for MS progression.

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THE EVOLUTION OF CORTICAL AND SUB-CORTICAL LESION SIZE AND NUMBER CORRELATES WITH CHANGES IN COGNITION IN EARLY-STAGE RELAPSING-REMITTING MULTIPLE SCLEROSIS PATIENTS
Alexandra Şorega1, Mário João Fartaria 2,3,4, Guillaume Bonnier5, Tobias Kober2,3,4, Renaud Du Du Pasquier6, Myriam Schluep6, Gunnar Krueger7, Meritxell Bach Cuadra3,4,8, and Cristina Granziera5,6

1Department of Radiology, Valais Hospital, Sion, Switzerland, 2Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 3Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 4Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 5Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States, 6Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 7Siemens Medical Solutions USA, Boston, MA, United States, 8Medical Image Analysis Laboratory (MIAL), Centre d'Imagerie BioMédicale (CIBM), Lausanne, Switzerland

Lesion load and activity in multiple sclerosis (MS) patients, as identified by conventional magnetic resonance imaging (MRI), correlate only moderately with patients clinical status and evolution. Cortical lesion number and volume measured with advanced MRI may provide better correlates to cognitive dysfunction and disability. In this work, we studied the clinical impact of  advanced MRI metrics of cortical and subcortical lesion evolution in a cohort of early relapsing-remitting MS patients. The number and volume of lesions that “shrunk”, disappeared or remained stable over time were strong determinants of changes in cognition in our patients cohort.

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Longitudinal outer and inner cortical MTR abnormalities in different MS clinical phenotypes
Rebecca Sara Samson1, Manuel J Cardoso2,3, Nils Muhlert1,4, Varun Sethi1,5, Özgür Yaldizli1,6, Maria A Ron1, Ferran Prados 1,2, Sebastian Ourselin2,3, David H Miller1,7, Claudia A M Gandini Wheeler-Kingshott1,8,9, and Declan T Chard1,7

1UCL Institute of Neurology, Queen Square MS Centre, University College London, London, United Kingdom, 2Translational Imaging Group, Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 3Dementia Research Centre, Department of Neurodegenerative Diseases, UCL Institute of Neurology, University College London, London, United Kingdom, 4Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester, United Kingdom, 5Department of Neurology, Nottingham University Hospitals, Nottingham, United Kingdom, 6Department of Neurology, University Hospital Basel, Basel, Switzerland, 7National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre, United Kingdom, 8Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy, 9Brain MRI 3T Center, C. Mondino National Neurological Institute, Pavia, Italy

Outer cortical magnetisation transfer ratio (cMTR) is potentially a sensitive measure of pathology linked to clinical disease progression in multiple sclerosis (MS). Here we aimed to investigate longitudinal outer and inner cMTR changes in healthy controls (HC) and people with MS of different clinical subtypes. Follow-up (FU) outer cMTR showed larger reductions in secondary progressive (SP)MS than other subtypes, and inner cMTR was also reduced more than in HC and relapsing-remitting (RR)MS, although cMTR was reduced in all MS patients at FU. This supports histopathological findings and suggests that cMTR measurement may be relevant to clinical disease progression in MS.

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Monitoring Disease Progression in Experimental Autoimmune Encephalitis  using VDMP-CEST MRI
Aline Thomas1, Jiadi Xu2, Peter Van Zijl2, and Jeff Bulte3

1Johns Hopkins School of Medicine, Baltimore, MD, United States, 2Kennedy Krieger, 3Johns Hopkins School of Medicine

VDMP-CEST MRI can spatiotemporally monitor disease progression in a mouse model of multiple sclerosis. Lower VDMP-CEST signals corresponded to a decreased lipid and metabolite content in the peri-ventricular region of the brain, characteristic of the disease, with magnetic resonance spectroscopy used as validation.

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ACCURACY AND REPRODUCIBILITY OF AN AUTOMATED LESION SEGMENTATION TOOL-LESIONQUANT
Weidong Luo1, Kelly Leyden1, Aziz M Ulug1,2, Sebastian Magda1, Julia Albright1, Robert Haxton1, and Chris Airriess1

1CorTechs Labs, San Diego, CA, United States, 2Institute of Biomedical Engineering, Bogazici University, Istanbul, Turkey

Quantitative measures such as lesion volume and distribution have significant value for clinicians evaluating disease progression. Clinical standards for lesion evaluation include visual inspection of MRI images, or expert manual segmentation of lesions. These subjective measurements are often vulnerable to inter- and intra-rater variability, resulting in low reproducibility. CorTechs Labs’ LesionQuant is a fully-automated lesion segmentation tool for clinical use designed to provide accurate and reproducible lesion segmentations. This study objectively evaluates the segmentation results of LesionQuant compared to expert manual segmentation.

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Automated Lateral Ventricle Segmentation in Multiple Sclerosis – Assessing Reliability and Clinical Impact in a 5-Years Follow-Up Cohort Study
Esther Ruberte1, Tim Sinnecker1,2, Michael Amann1,3, Yvonne Naegelin2, Iris-Katharina Penner4, Matteo Pardini5, Jens Kuhle2, Tobias Derfuss2, Christoph Stippich3, Ludwig Kappos2, Jens Wuerfel1, and Özgür Yaldizli1,2

1Medical Image Analysis Center AG, Basel, Switzerland, 2Department of Neurology, Universitätsspital Basel, Basel, Switzerland, 3Department of Neuroradiology, Universitätsspital Basel, Basel, Switzerland, 4Department of Neurology, University Hospital Düsseldorf, Düsseldorf, Germany, 5Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa and IRCCS S. Martino-IST, Genoa, Italy

As pars pro toto, lateral ventricle enlargement might give an indirect estimate of brain atrophy. In contrast to whole brain atrophy, ventricle enlargement is, however, clinically easy to assess and its quantification is robust to MR images of less than perfect quality. Here we investigate i) the applicability of an automatic lateral ventricle delineation algorithm (ALVIN) in multiple sclerosis (MS), and ii) the association between of lateral ventricle enlargement and clinical disability in MS longitudinally. We found that ALVIN reliably estimates the lateral ventricle volume in MS that is associated with whole brain atrophy and neurological as well as cognitive disability.

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Using multi-inversion time ASL to explore gray matter perfusion in patients with multiple sclerosis: repeatability and relationship to disease characteristics
Ilona Lipp1, Catherine Foster1, Rachael Stickland1, Alison Davidson1, Richard G Wise1, and Valentina Tomassini1,2

1CUBRIC, Cardiff University, Cardiff, United Kingdom, 2IRCCS Fondazione Santa Lucia, Rome, Italy

The first aim of this study was to investigate retest-reliability of gray matter perfusion estimates in patients with multiple sclerosis. Using multi-inversion time pulsed ASL, we demonstrate good repeatability of global and local perfusion estimates over a four-week interval. The perfusion estimates were consistently lower in the patients than in a group of healthy controls. The second aim was to relate GM perfusion to disease characteristics. We could not find an effect of disease duration or stage (relapsing-remitting vs progressive) on perfusion, but we did observe a weak correlation with cognition, supporting previous studies.

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Reproducibility of Brain Network Metrics in People with Multiple Sclerosis
Thomas Welton1, Dorothee P Auer1, Cris S Constantinescu2, and Rob A Dineen1

1Radiological Sciences, University of Nottingham, Nottingham, United Kingdom, 2Clinical Neurology, University of Nottingham, Nottingham, United Kingdom

Knowledge of reproducibility of graph-theoretic brain network metrics in disease populations is critically important for applications in clinical studies but non-existent in published literature. We compared reproducibility of graph metrics over time in a cohort of MS patients to reported values in published studies of reproducibility in healthy volunteers. We found that reproducibility was good in MS patients but slightly lower than in healthy people. Reproducibility of graph-theoretic brain network metrics in MS patients is not greatly dissimilar to that in healthy populations, which supports their use in clinical studies.

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Progressive Iron Accumulation in Multiple Sclerosis Phenotypes Revealed by Sparse Classification of Deep Gray Matter
Ahmed M. Elkady1, Dana Cobzas1, Hongfu Sun1, Gregg Blevins2, and Alan H. Wilman1

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

Purpose: To create an anatomically-interpretable framework for localized analysis of brain iron accumulation/demyelination, and apply this framework to Multiple Sclerosis (MS) Deep Gray Matter (DGM).

Materials and Methods: Quantitative Susceptibility and R2* maps were computed for 110 MS and 75 control subjects.

Results: Significant iron accumulation and insignificant demyelination were detected in MS DGM. Common MS pathological volumes and their pathological effect size progressively increased with advanced phenotypes. The developed framework offered improved statistical power and iron specificity compared to whole structure and singular analysis.

Conclusion: Using a novel localized analysis pipeline, we demonstrated the progressive iron accumulation in MS DGM.    


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Predicting visual function clinical outcome in MS: a MRI and OCT metrics study.
Eduardo Caverzasi1,2, Christian Cordano1,3, Alyssa Zhu4, Antje Bischof1,5, Gina Kirkish1, Nico Papinutto1, Michael Devereux1, Nicholas Baker1, Sam Arnow1, Justin Inman1, Hao Yiu1, Carolyn Bevan1, Jeffrey M Gelfand1, Bruce A Cree1, Stephen L Hauser1, Roland G Henry1, and Ari J Green1

1Neurology, University of California, San Francisco, San Francisco, CA, United States, 2University of Pavia, Italy, 3DINOGMI, University of Genova, Italy, 4Imaging Genetics Center, Stevens Neuroimaging and Informatics Institute, University of Southern California, United States, 5Basel University Hospital, Switzerland

Fifty Multiple Sclerosis subjects were evaluated by optical coherence tomography and MRI, including multi-shell and putative myelin content imaging focused on primary visual area, thalamus and cerebellum. Predictive models of visual function performance, measured by visual evoked potentials and low contrast visual acuity were tested using a partial least square regression analysis. Combination of MRI and OCT metrics appears to strongly describe the visual function. Myelin content imaging, in particular, has a strong predictive value once there is history of optic neuritis. These preliminary results may improve the understanding of the pathological mechanisms underlying clinical dysfunction in multiple sclerosis.


Electronic Poster

Neuro: Animal Studies: Probing Disease

Exhibition Hall Tuesday 13:45 - 14:45

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Environmental enrichment changes neuroanatomy more than exercise and does not require CREB
Dulcie A Vousden1,2, Alexander Friesen1, Lily Qiu1, Rylan Allemang-Grand1,2, Jan Scholz1, Sheena A Josselyn3,4, Paul W Frankland3,4, and Jason P Lerch1,2

1Mouse Imaging Centre, Hospital for Sick Children, Toronto, ON, Canada, 2Dept. of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Hospital for Sick Children, Toronto, ON, Canada, 4Dept. of Psychology, University of Toronto, Toronto, ON, Canada

Human and rodent imaging studies show that experience can lead to task-specific increases in brain structure, but the cellular and molecular basis of these changes is unknown. Here, we test the hypothesis that the these volume changes depend on the same signaling pathways required for learning and memory formation. We exposed mice lacking CREB (a transcription factor critical for memory) to an enriched housing environment, and imaged their brains longitudinally over two weeks. Surprisingly, enrichment altered the neuroanatomy of all mice, regardless of CREB genotype. These findings provide evidence that the volume changes are due to CREB-independent processes. 

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MEMRI atlas-based assessment of brain volumes in adult NSG mice irradiated at birth
Balasrinivasa R Sajja1, Aditya N Bade2, Mariano G Uberti1, Michael D Boska1,2, Howard E Gendelman2, Santhi Gorantla2, and Yutong Liu1,2

1Radiology, University of Nebraska Medical Center, Omaha, NE, United States, 2Pharmacology & Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE, United States

Use of HIV-1 humanized mice allows the evaluation of brain morphology affected by disease and disease altering therapies. We posit that such studies can elucidate the pathobiology of HIV-1 associated neurological disorders. As irradiation, administered at birth, is a required step for long-term graft integrity we evaluated the effect of irradiation on mouse brain development using manganese-enhanced MRI (MEMRI) atlas-based segmentation. Brain size reductions in irradiated mice showed substantive morphological alterations. Thus, evaluation of irradiation effects on brain morphology is a requisite step in assessments of virus-induced brain pathology.

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Resting-state functional connectivity reveals deep brain stimulation and 5-HT treated alteration in autism rat
Ssu-Ju Li1, Hui-Yu Wang1, Hui-Ching Lin2,3, Ting-Chun Lin1, Han-Fang Wu2, Chi-Wei Lee2, Yu-Chun Lo4, You-Yin Chen1, and Hsin-Yi Lai5

1Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan, 2Department and Institute of Physiology, National Yang-Ming University, Taipei, Taiwan, 3Brain Research Center, National Yang-Ming University, Taipei, Taiwan, 4The PhD Program for Neural Regenerative Medicine, Taipei Medical University, Taipei, Taiwan, 5Interdisciplinary Institute of Neuroscience and Technology, Zhejiang University, Hangzhou City, Zhejiang Province, People's Republic of China

This study demonstrates changes of functional connectivity in motor related brain areas and the motor cortex and striatum may be crucial areas for treatment and evolution of autism spectrum disorder (ASD). Our results indicate that both CT-DBS and 5-TH treatments can alter the social interaction and motor related functional connectivity VPA-induced ASD rats by modifying the motor cortico-striatal circuit. The rsfMRI has the potential to explore functional connectivity in the brain and monitor functional plasticity changes in a specific neuroanatomical pathway in vivo

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Effect of administration time of hydrogen sulfide on neuroprotective effects in the cerebral ischemia/reperfusion injury model
Chul-Woong Woo1, Jae Im Kwon1, Sang Tae Kim1, Kyung won Kim2, YoonSeok Choi3, Jinil Kim1, Jeong Kon Kim2, Su Jeong Ham1, Seul I Lee1, Ho-jin Kim1, Jeeheon Kang1, and Dong-Cheol Woo1

1Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea, Republic of, 2Department of Radiology, Asan Medical Center, 3Medical research institute, Gangneung Asan Hospital

Recent evidence indicated that hydrogen sulfide is capable of attenuating ischemia/reperfusion (I/R) injury in brain. However, the influence of H2S administration timing on its neuroprotective efficacy has not yet been assessed, thus we aimed to perform this study which used MRI and 1H-MRS in rats with focal cerebral I/R injury. Our study demonstrated that hydrogen sulfide administration at 1 minute before reperfusion showed better neuroprotective effect than that at 30 minutes before reperfusion.

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Neurochemical Alterations and Behavioral Impairments in Late Stage Alcoholic Liver Fibrosis in Mice
Su Xu1,2, Wenjun Zhu1,2, JiaBei Wang3, Xi Chen4, Rao P Gullapalli1,2, Edward Herskovits1, Elias Melhem1, and Qi Cao1

1Radiology, University of Maryland School of Medicine, Baltimore, MD, United States, 2Core for Translational Research in Imaging @Maryland, Baltimore, MD, United States, 3Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, MD, United States, 4Harvard Medical School McLean Hospital, Belmont, MA, United States

A mouse model of late-stage alcoholic liver fibrosis (LALF) was used to investigate changes of neurochemical levels in specific brain regions that may relate to behavioral changes at LALF. Higher glutamine levels result in osmotic/oxidative stress were found in the thalamus and hippocampus of the alcohol-treated mice than in controls. Thalamic levels of taurine and creatine were significantly diminished and were strongly correlated with the alcohol-induced depressive behavior observed in an open field test. In addition, significant elevations in hippocampal glutamate were indicative of upregulated local glutamatergic activation. These pilot findings provide novel insight into the development of alcohol-induced HE.

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Diffusion MRI Quantifies Hippocampal CA1 Dendritic Loss and Inflammation in TMEV-Induced Epilepsy
Jie Zhan1, Tsen-Hsuan Lin2, Jane E. Libbey3, Peng Sun2, Ze-Zhong Ye4, Chunyu Song5, Michael Wallendorf6, Honghan Gong1, Robert S. Fujinami3, and Sheng-Kwei Song2,5,7

1Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, People's Republic of China, 2Radiology, Washington University in St. Louis, St. Louis, MO, United States, 3Pathology, University of Utah, Salt Lake City, UT, United States, 4Chemsitry, Washington University in St. Louis, St. Louis, MO, United States, 5Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, United States, 6Biostatistics, Washington University in St. Louis, 7Hope Center for Neurological Disorders, Washington University in St. Louis, St. Louis, MO, United States

Hippocampal neuronal damage and inflammation are the hallmark pathologies of epilepsy. We demonstrate the capability of diffusion based spectrum imaging (DBSI) to quantify hippocampal CA1 neuronal dendritic injury/loss and inflammation in TMEV-induced epilepsy mice, followed by immunohistochemistry (IHC) validation. Results demonstrate that both DTI and DBSI metrics changed in CA1 region of TMEV-induced seizure mouse. DBSI-derived fiber fraction correlated with MAP2-positive area fraction, and DBSI-derived restricted isotropic diffusion fraction correlated with DAPI-positive nucleus density.

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Effects of SHH Signaling Pathway in Post-Stroke Recovery Assessed by MRI
Yifan Zhang1, Yongming Jin2, Agnes Yu Luo2, and Xin Yu1

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Neurological Surgery, Case Western Reserve University, Cleveland, OH, United States

The current study investigated the effect of sonic hedgehog agonist (SAG) treatment in post-stroke recovery. SAG- and vehicle-treated mice were evaluated with MRI at day 2 and day 30 after middle cerebral artery occlusion (MCAO) surgery. Our results show that SAG treatment showed significantly increased cerebral perfusion in the ischemic penumbra at day 30, suggesting enhanced angiogenesis. In addition, SAG-treated mice also exhibited decreased T2, suggesting reduced neuronal damage. These results suggest that the sonic hedgehog signaling pathway can be a potential therapeutic target for stroke treatment.

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Myelin degeneration in cynomolgus macaques with advanced age using quantitative myelin imaging
Wenwen Yu1, Zhe Wu2, Hongjian He2, Jianhui Zhong2, and Zheng Wang1

1Institute of Neuroscience, Chinese Academy of Sciences, Shanghai, People's Republic of China, 2Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China

Effects of normal aging on myelin have drawn considerable attention for decades. Previous studies hypothesized that myelin sheath degeneration could result in the reduction of the fraction of myelin water due to the inflow of intra- or extra-cellular water between myelin sheath. This study investigates aging effects on myelin degeneration in elderly macaques using a multi-echo GRE sequence. Using a three-pool model, we observed a significant decrease in the fraction of myelin water in the body of corpus callosum and a negative correlation with ages in 8 monkeys (aged 21~25), indicating heterogeneous degradation of white matter infrastructure with aging.

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Effects of taurine on resting-state fMRI activity in rat model of attention deficit hyperactivity disorder
Hong-Chun Chou1, Bor-Show Tzang2, Vincent Chin-Hung Chen3,4, and Jun-Cheng Weng1,5

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Institute of Biochemistry, Microbiology and Immunology, Chung Shan Medical University, Taichung, Taiwan, 3School of Medicine, Chang Gung University, Taoyuan, Taiwan, 4Department of Psychiatry, Chang Gung Memorial Hospital, Chiayi, Taiwan, 5Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan

Attention deficit hyperactivity disorder (ADHD) is a most common developmental disorders in both children and adult population. However, the treatment for ADHD remains limited. To investigate the effects of taurine on ADHD, a spontaneously hypertensive rat (SHR) animal model was adopted in this study. The functional brain signals including functional connectivity (FC) and mean amplitude of low-frequency fluctuation (mALFF) were detected by using resting-state functional magnetic resonance imaging (rs-fMRI). Our findings in FC and mALFF suggested that taurine administration probably improves the hyperactive behavior in ADHD by changing brain functional signals in SHR rats.

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Ultra high resolution MR histology using ROI-extraction and SNR efficient gradient echo imaging
Joseph Guy1,2, Robin Franklin3, Kevin Brindle1, and Daniel Reich2

1Biochemistry, Cambridge University, Cambridge, United Kingdom, 2Translational Neuroradiology Section, National Institute of Neurologic Disorders and Stroke, Bethesda, MD, United States, 3Clinical Neuroscience, Cambridge University, Cambridge, United Kingdom

Custom-built solenoid coils and 3D-printed rat brain slicers were used to identify and extract surgically placed inflammatory regions of interest within rat brains. The sequentially smaller and more sensitive coils combined with a highly-optimized gradient echo sequence, imaging setup, and registration algorithm achieved ultra high 25 µm isotropic resolution 3D MRI datasets. These images contained fully sampled k-space of the tissue pathology with preservation of the high frequency image details.

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Social isolation in rats as a model for schizophrenia - a functional connectivity approach
Jonathan Rochus Reinwald1, Robert Becker1, Claudia Falfan-Melgoza1, Anne Mallien2, Dragos Inta2, Peter Gass2, Alexander Sartorius1, and Wolfgang Weber-Fahr1

1Translational Imaging, Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim / Heidelberg University, Mannheim, Germany, 2Animal Models in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim / Heidelberg University, Mannheim, Germany

Post-weaning social isolation rats are a widely used translational animal model for schizophrenia based on its typical schizophrenic-like behavioral alterations. Nevertheless, effects of isolation on functional brain connectivity are highly understudied. We used resting-state functional magnetic resonance imaging with seed-based and graph analyses to investigate effects of social isolation in rats on brain connectivity. Our major findings consistently demonstrated dysmodularity, hypofrontality, posterior hyperconnectivity and reorganization of the somatosensory cortex. These features resemble alterations of functional brain connectivity commonly observed in schizophrenic patients and other translational animal models, underlining the potential use of isolated rats as a translational model of schizophrenia.

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Characterizing the evolving property of de-and re-myelination in a mouse model using NODDI and MRI texture
Tim Luo1, Peng Zhai1, Olayinka Oladosu2, Kahlil Rawji1, and Yunyan Zhang1

1University of Calgary, Calgary, AB, Canada, 2Queens University, Kingston, ON

Myelin injury and repair are associated with many neurological diseases including multiple sclerosis. We evaluated the utility of NODDI and MRI texture analysis for assessing myelin integrity using a mouse model of de- and re-myelination. Following lesion induction in mouse spinal cord, 9.4T MRI was conduced during demyelination (day 7) and ongoing remyelination (days 14, 28, and 35). With histological verification, both texture heterogeneity and neurite orientation dispersion (ODI) increased when demyelination occurs. But the latter showed persistent recovery with remyelination, similar to lesion size. These findings suggest the utility of ODI and texture heterogeneity as measures of myelin integrity.

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Patterns of resting-state functional connectivity in the prodromal phase of Alzheimer’s disease: insights from a tauopathy mouse model (Thy-Tau22)
Laetitia Degiorgis1, Meltem Karatas1, Marion Sourty1, Chrystelle Po1, Thomas Bienert2, Hsu Lei Lee, Dominik von Elverfeldt2, Chantal Mathis3, Anne-Laurence Boutillier3, Frédéric Blanc4, Jean-Paul Armspach1, and Laura-Adela Harsan1,2,5

1ICube, Université de Strasbourg-CNRS, Strasbourg, France, 2Department of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 3Laboratoire de Neurosciences Cognitives et Adaptatives, Université de Strasbourg-CNRS, Strasbourg, France, 4Centres Mémoire de Ressources et de Recherche, CHU de Strasbourg, Services Neurologiques et Gériatriques, Strasbourg, France, 5Département de Biophysique et Médecine Nucléaire, Hôpitaux Universitaires de Strasbourg, CHU de Hautepierre, France

Resting state functional magnetic resonance imaging (rsfMRI) has opened a new window into the brain and its connectome, proposing abnormal functional connectivity as a candidate biomarker of brain pathologies1. We explored this pathway and performed rsfMRI and network analysis in the Thy-Tau22 transgenic mouse model of Alzheimer’s disease, evaluating possible network signatures of early pathological states. We mapped the brain functional connectivity patterns and found overactive resting state BOLD signal in core players of the memory and learning systems, including the hippocampal network. This correlates with subtle memory deficits characterizing a very early pathological phenotype of the Thy-Tau22 mouse model.

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Imaging plasticity associated with hippocampal kindling using simultaneous LFP-ofMRI
Ben A Duffy1, ManKin Choy1, and Jin Hyung Lee2

1Department of Neurology, Stanford University, Stanford, CA, United States, 2Departments of Neurology, Bioengineering, Neurosurgery, Electrical Engineering, Stanford University, Stanford, CA, United States

The kindling model of epilepsy is associated with a permanent form of synaptic potentiation, which is considered to be pathological. In this study we used optogenetic fMRI to observe changes in plasticity that occur following a kindling regime. Upon stimulation of the ventral hippocampus, post-kindling fMRI data displayed significantly more widespread activation, particularly in pre-frontal regions compared to pre-kindling acquisitions. Simultaneous LFP measurements were used to confirm the absence of epileptic activity that would confound the interpretation. This represents a powerful technique which can be used for understanding cognitive impairments or understanding the mechanism of anti-epileptogenic therapies.

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MRI monitoring of the in vivo permeability increase of brain tumor vessels induced by synchrotron microbeam radiation therapy
Audrey Bouchet1,2, Marine Potez3, Nicolas Coquery 3, Claire Rome3, Benjamin Lemasson3, Elke Bräuer-Krisch4, Chantal Rémy3, Jean Albert Laissue5, Emmanuel Luc Barbier3, Valentin Djonov5, and Raphael Serduc3

1INSERM, Grenoble, France, 2University of Bern, Bern, Switzerland, 3INSERM, 4ESRF, 5University of Bern

Synchrotron microbeam radiation therapy (MRT), a spatially fractionated preclinical radiotherapy, is more efficient than broad beam irradiation (BB) at opening the blood-brain tumor barrier of intracranial rodent glioblastomas. MRT-induced increase of tumor vascular permeability is significantly greater, earlier and more prolonged than in the BB alone group, especially in highly proliferative areas. MRT targeted all tumor regions, including areas not impacted by BB. High dose microbeams might be used to facilitate the delivery of intravenously injected drugs to tumoral tissue: Adjuvant chemotherapy might thus be more effective when coupled with MRT than with homogeneous radiation fields used in conventional radiotherapy.

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Diffusion Tractography Reveals Pervasive Asymmetry of Cerebral White Matter Tracts in the Bottlenose Dolphin
Alexandra Wright1, Rebecca Theilmann2, Sam Ridgway3, and Miriam Scadeng2

1Scripps Institution of Oceanography, University of California San Diego, San Diego, CA, United States, 2Radiology, University of California San Diego, San Diego, CA, United States, 3National Marine Mammal Foundation, San Diego

Summary
Brain enlargement is associated with concomitant growth of interneuronal distance, increased conduction time, and reduced neuronal interconnectivity. Recognition of these functional constraints led to the hypothesis that large-brained mammals should exhibit greater structural and functional brain lateralization. As a taxon with the largest brains in the animal kingdom, Cetacea (whales, dolphins, and porpoises) provide a unique opportunity to examine asymmetries of brain structure and function. In the present study, diffusion tensor imaging (DTI) and tractography were used to investigate cerebral white matter asymmetry in the bottlenose dolphin.

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Mapping and modulation of Down Syndrome specific functional network in Dp(16)1yey mouse model
Laura-Adela Harsan1,2,3, Meltem Karatas1, Thu Lan NGUYEN4, Anna Mechling3, Tanzil Arefin 3, Thomas Bienert3, Hsu-Lei Lee3, Dominik von Elverfeldt3, and Yann Herault4

1Engineering science, computer science and imaging laboratory (ICube), University of Strasbourg-CNRS France, Strasbourg, France, 2Biophysics and Nuclear Medicine, Faculty of Medicine and University Hospital, Strasbourg, Strasbourg, France, 3Medical Physics, AMIR, University Hospital, Freiburg, Freiburg, GA, Germany, 4Translational medicine and neurogenetics, Institute of Genetics and Molecular Imaging, University of Strasbourg

Resting state functional MRI (rsfMRI) is currently the only non-invasive approach capable of giving insight into the large-scale cerebral networks architecture and its dynamic changes in pathology or following therapeutic interventions. With the aim of deciphering specific network signatures underlying memory and cognitive impairments in Down Syndrome pathology, we performed rsfMRI and network analysis in the Dp(16)1yey mouse model. We found perturbed synchrony of BOLD-signal in the hippocampal network of Dp(16)1yey mice. We further modulated this memory specific cerebral circuitry via therapeutic treatment with a DYRK1A kinase inhibitor, aimed at rescuing the memory and cognitive dysfunctions characterizing this mouse model.

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Integrated setup and characterization of an MRI-compatible PET camera for preclinical ultra-high field imaging
Nicola Bertolino1, Yegor Sinelnikov2, Dhaval Shah1, Robert Zivadinov1,3, and Ferdinand Schweser1,3

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 2SynchroPET, Inc., Stony Brook, NY, United States, 3MRI Clinical and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States

Simultaneous Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) in small animals would enable entirely new approaches to drug development and yield to a better functional understanding of living organisms. However, preclinical systems that allow truly simultaneous PET and MRI are not yet commercially available. We present the integration of an optimized microPET camera with ultra-high magnetic field strength MRI.

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Preclinical detection of leptomeningeal inflammation using contrast-enhanced FLAIR at 9.4T in the EAE-MOG mouse model of Multiple Sclerosis
Nicola Bertolino1, Suyog Pol1, Robert Zivadinov1,2, Natan Babek1, Michelle Sudyn1, Michele Sveinsson1, Danielle Siebert1, Marilena Preda1,2, Dhaval Shah1, and Ferdinand Schweser1,2

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 2MRI Clinical and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States

Persistent clusters of inflammatory cells in the leptomeningeal compartment  are thought to contribute directly to subpial cortical demyelination and neurodegeneration in MS patients. In human patients, post-contrast 3D T2-FLAIR allows the detection of leakage of contrast agent into inflammatory foci and the subarachnoid space. We propose a pulse sequence for LMI imaging in rodents and demonstrate its applicability in the EAE-MOG model of MS at 9.4T. 

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Correlation of striatal remodeling with changes in song performance: a longitudinal diffusion tensor imaging study of adult male zebra finches
Julie Hamaide1, Kristina Lukacova1,2, Lubica Kubikova2, Marleen Verhoye1, and Annemie Van der Van der Linden1

1Department of Biomedical Sciences, Bio-Imaging Lab, University of Antwerp, Wilrijk, Belgium, 2Institute of Animal Biochemistry and Genetics, Slovak Academy of Sciences, Bratislava, Slovakia

In vivo diffusion tensor neuroimaging of adult male zebra finches was used to longitudinally monitor the effects of bilateral neurotoxic lesioning of a striatal component of the song control network and to explore possible causal relationships between the observed neuroplastic changes and specific alterations in song performance.

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Application of multiphase pseudo-continuous ASL for quantitative blood flow measurement in rat brain metastasis
Manon A. Simard1, James R. Larkin1, Alexandre A. Khrapitchev1, Kevin J. Ray1, Michael A. Chappell2, and Nicola R. Sibson1

1CRUK and MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 2Institute of Biomedical Engineering, Department of Engineering, University of Oxford, Oxford, United Kingdom

Arterial spin labelling (ASL) MRI is a useful clinical method of measuring blood flow in brain disorders such as tumours. This work presents a pre-clinical assessment of cerebral blood flow (CBF) by pseudo-continuous ASL in progressing rat breast cancer brain metastases. A statistically significant decrease in CBF of brain metastases was readily observed when tumours had grown sufficiently to breach the blood brain barrier, allowing gadolinium enhancement in T1-weighted images. Upon histological analysis, the brain metastases proved to be hypoxic, consistent with a reduction in CBF in those regions.

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Brain-wide functional connectivity changes following self-administration of cocaine and a period of abstinence
Heather K. Decot1,2, Sung-Ho Lee3,4, Han Zhang3,5, Fei Fei Wang6, Regina M. Carelli1,6, Yen-Yu Ian Shih1,3,7,8, and Garret D. Stuber1,2,9

1Neuroscience curriculum, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 3Biomedical Research Imaging Center (BRIC), University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 4Neurology, Chapel Hill, NC, United States, 5Radiology, Chapel Hill, NC, United States, 6Psychology, University of North Carolina at Chapel Hill, NC, United States, 7Neurology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 8Biomedical Engineering, Chapel Hill, NC, United States, 9Cell Biology and Physiology, Chapel Hill, NC, United States

Several different neural systems are likely to be dysregulated to promote maladaptive behaviors associated with drug addiction.  Here, we investigate changes in global functional connectivity across the brain following self-administration of cocaine and a period of abstinence in rats.  We found whole brain enhancement in synchronized activity immediately following cocaine self-administration compared to pre-cocaine.  Furthermore, whole brain network connectivity continued to strengthen following a period of abstinence.  These data suggest that the dynamic shifts in functional connectivity following cocaine exposure persist during periods of abstinence and may provide a critical mechanistic link to relapse susceptibility.

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Imaging of glutamate alterations in a mouse model of temporal lobe epilepsy
Niels Leonard Schwaderlapp1, Philipp Janz2, Jochen Leupold1, Dominik von Elverfeldt1, Jan Korvink3, Jürgen Hennig1, Carola Haas2, and Pierre LeVan1

1Dept. of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Dept. of Neurosurgery, Experimental Epilepsy, University Medical Center Freiburg, 3Institute of Microstructure Technology, Karlsruhe Institute of Technology

Hippocampal sclerosis involves neuronal loss in hippocampal subfields and is a common characteristic of temporal lobe epilepsy (TLE). Investigation of the metabolic alterations following a status epilepticus may lead to a better understanding of epileptogenesis and can reveal biomarkers for TLE. Overcoming the major disadvantages of single voxel 1H MR spectroscopy, namely a low spatial and temporal resolution, this study investigates the capability of the glutamate chemical exchange saturation transfer (GluCEST) method to map endogenous glutamate alterations in a mouse model of TLE.

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Hyperpolarized Water Perfusion in the Porcine Brain – a Pilot Study
Esben Søvsø Szocska Hansen1,2, Kasper Wigh Lipsø3, Rasmus Stilling Tougaard1,4, Christoffer Laustsen1, and Jan Henrik Ardenkjær-Larsen3,5

1The MR Research Centre, Aarhus University, 8200, Denmark, 2Danish Diabetes Academy, Odense, Denmark, 3Department of Electrical Engineering, Technical University of Denmark, 4Department of Cardiology, Aarhus University Hospital, Denmark, 5GE Healthcare, Denmark

Dynamic Contrast-Enhanced MR (DCE-MR) perfusion assessment with gadolinium contrast agents is currently the most widely used cerebral perfusion MR method. Hyperpolarized water has recently been shown to succeed 13C probes as angiography probe. In this study, we demonstrate the feasibility of hyperpolarized water for visualizing the brain vasculature of a large animal in a clinically relevant setting. In detail, reference perfusion values were obtained and large to small arteries could be identified.


Electronic Poster

Fetal & Pediatric Neuroimaging

Exhibition Hall Tuesday 13:45 - 14:45

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The development of automatic 3D fetal brain MRI analysis methods for depicting growth trajectories of fetal brain tissues
YISHAN LUO1,2, LIN SHI3,4,5, DANTONG MIAO6, XIN ZHANG6, Queenie Chan7, Winnie CW CHU1, BING ZHANG6, and DEFENG WANG1,8

1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 2Shenzhen Research Institute,The Chinese University of Hong Kong, Shenzhen, People's Republic of China, 3Chow Yuk Ho Technology Center for Innovative Medicine, Hong Kong, 4Therese Pei Fong Chow Research Centre for Prevention of Dementia, 5Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, 6Department of Radiology, Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School, Nanjing, People's Republic of China, 7Philips Healthcare, Hong Kong, 8Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, People's Republic of China

In this paper, we proposed a set of fetal brain MRI analysis methods to quantify the fetal brain tissue volume. We used deep learning-based brain mask extraction method to obtain brain mask and reconstructed 3D fetal brain volumes using registration-based reconstruction method. Then an age-specific atlas-based segmentation method was applied to segment three major tissues (White Matter, cortical Gray Matter, cerebrospinal fluid). The changes of intracranial volume and the three brain tissue volumes across different gestational ages were calculated and fitted with both linear and quadratic curves. The results demonstrated the effectiveness of the automatic 3D fetal MRI quantification methods.  

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Developmental Susceptibility changes from neonate to early childhood using Quantitative Susceptibility Mapping (QSM)
Takuya Hinoda1, Yasutaka Fushimi1, Tomohisa Okada1,2, Akira Yamamoto1, Tsutomu Okada1, and Kaori Togashi1

1Department of Diagnostic Imaging and Nuclear medicine, Graduate school of Medicine, Kyoto University, Kyoto, Japan, 2Human Brain Research Center, Graduate School of Medicine, Kyoto University

To assess the susceptibility changes in early childhood (0 45 months) and these consistencies with previous reports. In our study, 35 children were enrolled and QSM was calculated from 3D gradient-echo images. Susceptibility values in deep gray matter structures showed positive correlation with the subjects’ age and theoretical iron contents, and these in white matter structures showed negative correlation in posterior peduncle of internal capsule and optic radiation. These results reflect the normal neural development in the early childhood and QSM can provide us quantitative methods to evaluate brain development.

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Quantification of myelin in children using multi-parametric quantitative MRI
Hyun Gi Kim1, Jin Wook Choi1, Sung-Min Gho2, Young Ju Lee2, and Ha Young Shin3

1Radiology, Ajou University School of Medicine, Suwon, Korea, Republic of, 2MR Apps & WF, GE Healthcare, Korea, Republic of, 3Neurology, Yonsei University College of Medicine, Seoul, Korea, Republic of

Clinical usage of myelination quantification is wide in children. With multi-parametric quantitative MRI, it is possible to acquire T1-weighted or T2-weighted contrast image simultaneously with absolute values of R1 and R2 relaxation rates and proton density. Using the absolute values, myelination water fraction (MWF) can be calculated. 

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Patterns of Microstructural Correlations in the White Matter of the Neonatal Brain
Douglas C Dean III1,2, Elizabeth M Planalp1,3, William Wooten2, Nagesh Adluru1, H Hill Goldsmith1,3, Richard J Davidson1,2,3,4, and Andrew L Alexander1,4,5

1Waisman Center, University of Wisconsin-Madison, Madison, WI, United States, 2Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, United States, 3Psychology, University of Wisconsin-Madison, Madison, WI, United States, 4Psychiatry, University of Wisconsin-Madison, Madison, WI, United States, 5Medical Physics, University of Wisconsin-Madison, Madison, WI, United States

Quantitative MRI affords a unique opportunity to map dynamic patterns of neurodevelopment and provide insight into relations between brain maturation and emerging cognition. Using a data-driven technique, we investigated underlying patterns of white matter microstructure and subsequently examined the relationships of these microstructural correlations with respect to gestation-corrected age. We demonstrate that patterns of white matter development may be informative to studies of early brain development.

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Assessment of subcortical white matter myelination progression based on T2WI visual evaluation during the age of 6-48 months: a DTI-based validation study
Congcong Liu1, Zhijie Jian2, Xianjun Li2, Chao Jin3, Miaomiao Wang3, Heng Liu3, and Jian Yang3

1Department of Diagnostic Radiology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi'an,China, People's Republic of China, 2Department of Diagnostic Radiology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, P.R. China, 3Department of Diagnostic Radiology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, P.R. China, People's Republic of China

Assessment of WM myelination is important to diagnose WM disorders in infants and children. We retrospectively evaluated 109 subjects (age of 6-48 months) using modified Cecilia Parazzini’s scoring method based on T2WI visual evaluation. A significantly positive correlation was found between age and total scores of WM myelination with non-linear correlation coefficient of 0.948 (p<0.01). TBSS results demonstrated WM myelination progressed rapidly during age of 6-20 months and relatively stable during age of 21-48 months. The modified scoring method was more applicable to assess the WM myelination in infant with age of 6-20 months.

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White Matter Brain Asymmetries in Preterm and at Term Newborns
Paola Scifo1,2, Pasquale Anthony Della Rosa2,3, Elisa Marchetta2,3, Silvia Pontesilli2,3, Roberta Scotti2,3, Antonella Poloniato4, Andrea Falini2,3, and Cristina Baldoli2,3

1Nuclear Medicine Dept, San Raffale Scientific Institute, Milan, Italy, 2CERMAC, San Raffaele University, Milan, Italy, 3Neuroradiology Dept, San Raffaele Scientific Institute, Milan, Italy, 4Pediatrics Dept, San Raffaele Scientific Institute, Milan, Italy

  Aim of this study is to investigate, through DTI, structural white matter (WM) asymmetries in newborns and compare these differences in control and in preterm newborns scanned at term. Both controls and preterms show multiple regions of asymmetries in all the DTI indices. A small area localised in the talamic radiations was found to have a significant difference of WM brain asymmetries between the two groups of subjects.

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Axon development revealed by directional diffusivities in intra-axonal and extra-axonal compartments
Xianjun Li1,2, Miaomiao Wang1, Heng Liu1,2, Jie Gao1, Xiaocheng Wei3, and Jian Yang1

1Department of Radiology, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, People's Republic of China, 2Department of Biomedical Engineering, the Key Laboratory of Biomedical Information Engineering of the Ministry of Education, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, People's Republic of China, 3MR Research China, GE Healthcare, Bei Jing, People's Republic of China

White matter in human brain undergoes a complex and long lasting process. It is not likely that conventional diffusion parameters are specific enough to distinguish axon-related and myelin-related processes. This study investigates directional diffusivities in intra-axonal and extra-axonal compartments on preterm neonates, term neonates, infants, and adults. Two change patterns of extra-axonal axial and radial diffusivities are found during development. This may be related to premyelination and myelination. Developmental changes of the fiber dispersion and intra-axonal diffusivities are observed in both pre-myelination and myelination periods. Directional diffusivities in intra-axonal and extra-axonal compartments provide more detailed information to evaluate axonal development.

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Characterization of Extensive Microstructural Variations Associated with Punctate White Matter Lesions in Preterm Neonates
Xianjun Li1,2, Jie Gao1, Miaomiao Wang1, Edward S. Hui3, Xiaocheng Wei4, and Jian Yang1

1Department of Radiology, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, People's Republic of China, 2Department of Biomedical Engineering, the Key Laboratory of Biomedical Information Engineering of the Ministry of Education, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, People's Republic of China, 3Department of Diagnostic Radiology, the University of Hong Kong, Hong Kong, People's Republic of China, 4MR Research China, GE Healthcare, Bei Jing, People's Republic of China

Punctate white matter lesions (PWML) are common in preterm neonates. Neurodevelopmental outcome of the neonates is related to the lesion extensions. This study aimed to characterize the extent of microstructural variations for different PWML grades. White matter microstructural variations were different across PWML grades. The severe PWML were associated with extensive microstructural changes. Pattern of increased AD, increased RD, and reduced/unchanged FA was found proximal to the PWML. Unchanged AD, increased RD, and reduced/unchanged FA were observed in the vast regions distal from the PWML. These findings may help in determining outcomes of PWML and treatment strategies.

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Convolutional Neural Networks for Identifying Preterm Infants at High Risk of Developmental Disorders
Ahmed Serag1, Emma J Telford1, Scott Semple1, and James P Boardman1

1University of Edinburgh, Edinburgh, United Kingdom

Preterm birth is a major cause of neuropsychiatric impairment in childhood and leads to significant long-term clinical, educational and social problems. A major issue confronting clinicians who work with preterm infants and their families is the identification of infants who are most at risk for subsequent neurodevelopmental disability and who may benefit from early intervention services. We designed a system for the identification of preterm infants at high risk of developmental disorders using convolutional neural networks (CNN). The designed network yields an accuracy of 83.33%, and is applicable to the automated analysis of larger study cohorts.

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Music training enhances functional connectivity in preterm newborns
Serafeim Loukas1,2, Lara Lordier1,3, Frédéric Grouiller4, Didier Grandjean3, François Lazeyras5, Dimitri Van de Ville2,5, and Petra S. Hüppi1

1Division of Development and Growth, Department of Pediatrics, University Hospital of Geneva, Geneva, Switzerland, 2Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 3Neuroscience of Emotion and Affective Dynamics Lab, Department of psychology, University of Geneva, Geneva, Switzerland, 4Swiss center for affective neurosciences, University of Geneva, Geneva, Switzerland, 5Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland

In this study we examined the impact of the environmental enrichment of preterm newborns with music on auditory cortex functional connectivity. A group of preterm infants listened to music from 33 weeks gestational age until term equivalent age. Two control groups were used: preterm and full-term infants without music. Auditory cortex functional connectivity with cerebral regions known to be implicated in tempo and familiarity processing were identified for preterm newborns that had music training during their stay in the NICU using Psychophysiological Interaction (PPI) analyses. Our results suggest that music training during hospitalization can modify functional connectivity in the newborn brain.

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Early life predictors of brain development at term-equivalent age in infants born across the gestational ages.
Deanne K Thompson1,2,3, Claire E Kelly1, Jian Chen1,4, Richard Beare1,4, Marc L Seal1,3, Peter J Anderson1,3, Lex W Doyle1,5,6, Alicia J Spittle1,5,7, and Jeanie LY Cheong1,5,6

1Murdoch Childrens Research Institute, Melbourne, Australia, 2Florey Institute of Neuroscience and Mental Health, Melbourne, Australia, 3Department of Paediatrics, The University of Melbourne, Melbourne, Australia, 4Department of Medicine, Monash Medical Centre, Monash Univeristy, Melbourne, Australia, 5Royal Women’s Hospital, Melbourne, Australia, 6Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Australia, 7Department of Physiotherapy, The University of Melbourne, Melbourne, Australia

Many early life factors contribute to how well a preterm child will develop, and these affect the brain differently based on how early the infant is born. The current study found that earlier gestational age is related to smaller brain volumes and less mature white matter at term-equivalent age. Correlated with these brain measures were lower birthweight SD score, multiple birth or high social risk. We show that infants born moderate and late preterm have altered brain development, not just those born very preterm, and there is a differential effect of early life predictors based on gestational age. 

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Investigating early brain-behaviour relationships in infants born preterm using whole brain, multimodal magnetic resonance imaging
Claire E Kelly1, Alicia J Spittle1,2,3, Jeanie LY Cheong1,3,4, Jian Chen1,5, Joy E Olsen1,3, Abbey L Eeles1, Jennifer M Walsh1,3,4,6, Marc L Seal1,7, Peter J Anderson1,7, Lex W Doyle1,3,4,7, and Deanne K Thompson1,7,8

1Murdoch Childrens Research Institute, Melbourne, Australia, 2Department of Physiotherapy, The University of Melbourne, Melbourne, Australia, 3Newborn research, Royal Women’s Hospital, Melbourne, Australia, 4Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Australia, 5Department of Medicine, Monash Medical Centre, Monash University, Melbourne, Australia, 6Pediatric, Infant, Perinatal Emergency Retrieval (PIPER), Royal Children’s Hospital, Melbourne, Australia, 7Department of Paediatrics, The University of Melbourne, Melbourne, Australia, 8Florey Institute of Neuroscience and Mental Health, Melbourne, Australia

The neonatal period is critical for brain development, however relationships between the brain and behaviour early in life are poorly understood. This study investigated relationships between whole brain, multimodal, quantitative magnetic resonance imaging (MRI) measures and neurobehavioural function in 257 preterm infants at term-equivalent age. Voxel-based morphometry and tract-based spatial statistics identified regions where grey and white matter volume and white matter microstructure were associated with various aspects of neurobehavioural function, with regions varying depending on the function. Thus, this study improves knowledge of brain-behaviour relationships early in life, which may help with predicting long-term outcomes and assessing early interventions to improve outcomes. 

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Neonatal whole brain volume and microstructure in infants born preterm and neurodevelopmental outcomes at 2 years of age
Claire E Kelly1, Jeanie LY Cheong1,2,3, Alicia J Spittle1,2,4, Jian Chen1,5, Marc L Seal1,6, Peter J Anderson1,6, Lex W Doyle1,2,3,6, and Deanne K Thompson1,6,7

1Murdoch Childrens Research Institute, Melbourne, Australia, 2Newborn research, Royal Women’s Hospital, Melbourne, Australia, 3Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Australia, 4Department of Physiotherapy, The University of Melbourne, Melbourne, Australia, 5Department of Medicine, Monash Medical Centre, Monash Univeristy, Melbourne, Australia, 6Department of Paediatrics, The University of Melbourne, Melbourne, Australia, 7Florey Institute of Neuroscience and Mental Health, Melbourne, Australia

Infants born preterm are at risk of neurodevelopmental delays in childhood, and MRI may improve knowledge of underlying cerebral changes. Relationships were investigated between whole brain volumes and microstructure in 256 preterm infants and neurodevelopmental outcomes at age 2 years using voxel-based morphometry and tract-based spatial statistics. Lower grey and white matter volumes and altered white matter microstructure were associated with poorer outcomes. In general, relatively widespread brain regions were associated with cognition, more central regions with cerebral palsy, and more peripheral regions with language. This study provides further understanding of how brain structure in preterm infants is related to longer-term outcomes. 

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The type and prevalence of incidental findings on magnetic resonance imaging of the low risk term born neonatal brain.
Emer J Hughes1, Olivia Carney2, Nora Tusor1, Kelly Pegoretti1, Sophie Arulkumaran1, Lucilio Cordeo-Grande3, Christopher Kelly1, Madeline Barnett1, Michelle Krishnan1, Johannes Steinweg1, Joanna Allsop1, Ana Dos Santos Gomes1, Julia Wurie1, Jose Bueno-Conde1, Matthew Fox1, Amber Strang1, Maryanne Sharma1, Suresh Victor1, Counsell J Serena1, David A Edwards1, Joseph V Hajnal3, and Mary A Rutherford1

1Perinatal Imaging and Health, Kings College London, London, United Kingdom, 2Paediatric radiology, Great Ormond Street Hospital, London, United Kingdom, 3Biomedical engineering and imaging sciences, Kings College London, London, United Kingdom

The aim of this study was to ascertain the prevalence and type of incidental findings present in the low risk term brain using MRI. Out of 200 infants, 105 had incidental findings, with 8 requiring follow-up assessment.  Common findings included subdural haemorrhage, punctate and cystic lesions and hyperintense signal of the basal ganglia. Findings requiring further assessment included subarachnoid, cerebellar, and germinal matrix haemorrhages, ectopic posterior pituitary lobe, subepenymal heterotopia and venous infarcts. Prevalence of incidental findings in this cohort is significant. Communicating to parents the possibility of detecting abnormalities and referral pathways are important considerations in neonatal research. 

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Characterizing brain microstructural changes in childhood arterial ischemic stroke using multi-shell diffusion magnetic resonance imaging
Joseph Yuan-Mou Yang1,2,3, Richard Beare3,4, Belinda Stojanovski2,5, Wirginia J Maixner1,2, Marc L Seal3,6, and Mark T Mackay2,5

1Neurosurgery, Royal Children's Hospital, Melbourne, Australia, 2Neuroscience Research, Murdoch Childrens Research Institution, Melbourne, Australia, 3Developmental Imaging, Murdoch Childrens Research Institution, Melbourne, Australia, 4Stroke and aging research group, Department of Medicine, Monash University, Melbourne, Australia, 5Neurology, Royal Children's Hospital, Melbourne, Australia, 6Paediatrics, University of Melbourne, Melbourne, Australia

Imaging markers that can infer microstructural changes occurring in childhood arterial ischemic stroke (CAIS) may lead to a better understanding of the disease’s neurobiological substrates. We applied both the Neurite Orientation Dispersion and Density Imaging (NODDI) and the Spherical Mean Technique (SMT) diffusion compartment models to two-shell diffusion data acquired in four acute CAIS patients. We demonstrate that parameter estimates derived from the stroke-affected regions were consistent with known microstructural changes described in acute stroke histopathology. The magnitudes of parameter changes were associated with stroke severity, and the motor outcomes at follow-up.

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Amide proton transfer imaging of neonatal brain injury: a preliminary study
Yang Zheng1, Xiaoming Wang2, and Xuna Zhao3

1Shengjing Hospital of China Medical University, shenyang, People's Republic of China, 2Shengjing Hospital of China Medical University, People's Republic of China, 3Philips Healthcare, People's Republic of China

The environment of the brain dynamically changes with neonatal brain development, and the topic of whether the application of magnetic resonance imaging (MRI) can reflect these brain environment changes is a recent one. In recent years, a new magnetic resonance contrast technology called amide proton transfer (APT) imaging has emerged which can detect protein and peptides through the signal from water (1), reflecting in vivo pH and protein concentration at the cellular and molecular level. The so-called amide proton mainly refers to the amide proton from the free protein and the polypeptide backbones.

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Deep grey matter brain alkalosis in neonatal encephalopathy measured using 31P ISIS is associated with seizure burden and poor outcomes
David Price1, Cristina Uria-Avellanal 2, Magdalena Sokolska1, Subhabrata Mitra2, Alan Bainbridge1, Xavier Golay3, and Nicola Robertson4

1Medical Physics and Biomedical Engineering, UCLH NHS Trust, London, United Kingdom, 2Neonatology, UCLH NHS Trust, London, United Kingdom, 3Institute of Neurology, University College London, 4Institute for Women's Health, University College London

31P image selected in vivo spectroscopy was used to measure deep grey matter intracellular pH in 43 neonates with hypoxic-ischaemic encephalopathy.  All neonates had previously received therapeutic hypothermia, the current standard of care.  Brain alkalosis was associated with poor outcomes reproducing what was found from whole-brain pH measurements in the pre-cooling era. Brain alkalosis was associated with increased seizure burden, the first time this has been shown in babies.  Avoiding brain alkalosis could be a new objective for treating seizures and for neuroprotection in neonatal encephalopathy.

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Diffusion-Weighted MR Signal Sparsity Indicates Impaired White Matter Organization in Lissencephaly
Vishal Patel1 and Noriko Salamon1

1University of California, Los Angeles, Los Angeles, CA, United States

We demonstrate a novel technique for studying white matter pathology by examining the statistical properties of the DWI signal. We apply a sparse coding method, K-SVD, to decompose a diffusion-weighted series. We then quantify the efficiency of the resulting encoding by computing the Gini coefficient.  We show that this measure is abnormally decreased in a cohort of lissencephaly patients compared to age-matched control subjects.  Our results support the hypotheses that more organized white matter can be more sparsely encoded and that the sparsity of the encoding may thus be used to infer pathological white matter states.

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VOLUMETRIC BRAIN FINDINGS IN CHILDREN WITH SEIZURES
PhuaHwee TANG1 and HsiaoPiau NG

1Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, Singapore, Singapore

Retrospective study of MRI brains with volumetric measurements done using voxel based morphology was conducted for children with seizures imaged in KK Women’s and Children’s Hospital since 2006.  There was decreased cerebral volume and increased ventricular volume in children with hippocampal abnormalities compared to children with structurally normal brain, the difference in volumes exceeding 1 standard deviation, not statistically significant likely on account of the small sample sizes.  Relative reduced grey matter to white matter is seen in children with hippocampal abnormalities as well as in children with neuronal migration abnormalities, reaching statistical significance in both groups. 

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Imaging Genomics of Young Children with Global Developmental Delay: Preliminary DTI connectome study correlated with Allen brain atlas gene expression level
Jeong-Won Jeong1,2, Harry Chugani3, Michael Behen1,2, and Senthil Sundaram1,2

1Pediatrics and Neurology, Wayne State University, Detroit, MI, United States, 2Translational Imaging Lab, Children's Hospital of Michigan, Detroit, MI, United States, 3Neurology, Nemours DuPont Hospital for Children, Wilmington, DE, United States

This study is to investigate if different types of genetic mutations observed in children with global developmental delay (GD) are associated with white matter dysmorphologies and neuropsychological assessments. Eight children with GD having different mutations underwent a 3T MRI including diffusion tensor imaging with topological whole brain connectome analysis. Four of eight GD-associated mutations having high gene expression level in frontal and hippocampal regions showed apparently increased connectivity strengths in frontal and hippocampal regions which were significantly correlated with three behavioral phenotypes (IQ, memory, communication) suggesting that white matter abnormalities in different regions are perhaps driven by different genetic mutations. 

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CEREBELLAR TRACTOGRAPHY STUDY ON ADOLESCENT IDIOPATHIC SCOLIOSIS
Cindy Xue1, Lin Shi2, Steve C.N Hui1, Tsz-ping Lam3, Bobby K.W Ng3, Jack C.Y Cheng3, and Winnie C.W Chu4

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, 3Department of Orthopedics and Traumatology, The Chinese University of Hong Kong, 4Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong

Adolescent Idiopathic Scoliosis (AIS) is a 3-dimensional spinal deformity which occurs predominantly in adolescent girls. Impaired postural balance and tonsillar ectopia are reported findings in AIS. This study sought to investigate and compare white matter integrity of the cerebellar pathways in AIS with matched controls. Anatomically-guided deterministic tractography was used to reconstruct the cerebellar pathways. Lower FA value was found in spinocerebellar tract and in intracerebellar tract in AIS, suggestive of, reduced white matter integrity of the cerebellar pathway, which is in agreement with similar changes in other white matter pathways within the brain of AIS patients.  

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Increased Global Functional Connectivity in Hormonal Maturation Girls: a Resting-State Functional MRI Study
Wenjing Zhang1, Yaxin Zhu2, Di Yang2, Peining Liu3, Zhihan Yan2, and Su Lui1

1Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, People's Republic of China, 2Radiology, The Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China, 3Child Health Care, The Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China

To investigate the impact of hormone maturation on brain function and psychological development, seventy-three girls aged 6-11 years were enrolled. Using the global voxel-wise functional connectivity, we found that girls with hormonal maturation showed significantly greater functional connectivity strength mainly in the default mode network and limbic system, relative to girls who were not hormonally maturated. While these two networks contribute substantially to the social cognition, cognitive processing and emotion regulation, our finding suggested that the hormonal maturation manifested its effects greatly on regions which are crucial to the social, self-referencial, and emotional cognition development.

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Longitudinal Hypergraph Learning: A Consistent Segmentation Method for Measuring the Growth Trajectory of Infant Hippocampus from Brain MR Images
Yanrong Guo1,2, Pei Dong1, Guorong Wu1, Weili Lin1, and Dinggang Shen1

1Department of Radiology and BRIC, The University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2School of Computer and Information, Hefei University of Technology, Hefei, People's Republic of China

Automatic and consistent hippocampus segmentation from longitudinal infant brain MR image sequences is crucial for the measurement and analysis of its growth trajectory during early brain developing stage. To achieve this goal, we propose to use the longitudinal hypergraph method for joint learning the MR images from multiple acquisition time-points. We apply the proposed method to segment hippocampus from infant brain MR dataset which contains five time-points from 2 weeks to 12 months of age. According to the experimental results, our method outperforms other state-of-the-art label fusion methods in terms of both segmentation accuracy and consistency. 

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Early Prediction of Cognitive Deficits in Very Preterm Infants using Machine Learning Algorithms
Lili He1,2 and Nehal A. Parikh1,2

1Perinatal Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States, 2Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States

By school age, 30-50% of very preterm infants exhibit cognitive deficits. Unfortunately, cognitive deficits cannot be reliably diagnosed until 3 to 5 years of age. These early years are now recognized as critical for neuroplasticity when early intervention therapies can enhance infants’ ability to reach their full cognitive potential. Diffuse white matter abnormality (DWMA) is seen on term-equivalent age MRI in 50-75% of very preterm infants and is predictive of cognitive deficits. In this study, we examined features of DWMA and conducted personalized prediction in very preterm infants, soon after birth, using machine learning algorithms.


Electronic Poster

Alzheimer's Disease

Exhibition Hall Tuesday 13:45 - 14:45

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Detecting Perfusion Deficit in AD and MCI by Resting-State Functional MRI
Tianyi Qian1, Zhigang Qi2, and Kuncheng Li2

1MR Collaboration NE Asia, Siemens Healthcare, Beijing, People's Republic of China, 2Radiology, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China

Resting-state fMRI has been widely used to investigate the functional deficits of Alzheimer's disease (AD) and mild cognitive impairment (MCI). In this study, we applied this method to investigate the differences in tissue perfusion deficits between MCI, AD, and normal control (NC) groups. The results show that the AD and MCI groups have areas with less fast perfusion than normal controls. While the MCI group has more perfusion deficits in the frontal lobe, the AD group has more perfusion deficits in the parietal and occipital lobe.

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Degeneracy between apolipoprotein E ε3 and ε4 alleles predicts elderly episodic memory variation: a longitudinal study with independent validation
Hao Shu1,2, Gang Chen2, Zan Wang1, Duan Liu1, Guangyu Chen2, B. Douglas Ward2, Chunxian Yue1, Fan Su1, Lihua Gu1, Feng Bai1, Shi-Jiang Li2, and Zhijun Zhang1

1Department of Neurology, Affiliated ZhongDa Hospital, Neuropsychiatric Institute and Medical School of Southeast University, Nanjing, People's Republic of China, 2Department of Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States

We reported distinct EM neural correlates among APOE alleles in elderly subjects but still unclear whether and how the APOE ε4 carriers’ distinct EM neural correlates contribute to an increased risk of AD onset. This study found that higher HFC strength in the EM neural correlates correlated with better longitudinal EM performance in the APOE ε3ε3 subjects but associated with inferior longitudinal EM performance in the ε4 carriers. These findings indicate that the degeneracy of EM function advance differential AD onset risk among APOE alleles, and provide a potential tool to predict APOE ε4 carriers with impending cognitive decline.

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Reduced BOLD connectivity is related to hypoperfusion in Alzheimer’s disease
Jens Goettler1, Isabelle Riederer1, Lorenzo Pasquini1, Stephan Kaczmarz1, Claus Zimmer1, Christine Preibisch1, and Christian Sorg1

1Department of Neuroradiology, Technische Universität München, Munich, Germany

BOLD-functional connectivity (BOLD-FC) is decreased in Alzheimer’s disease (AD), and suggested to reflect reduced coherence of neural activity. However, the BOLD signal is based on vascular hemodynamics, therefore, impaired perfusion might also contribute to reduced BOLD-FC. Here, 32 AD patients and 22 controls underwent a simultaneous MR/PET, assessing BOLD-FC by resting-state fMRI, baseline CBF by pASL, and neuronal activity by FDG-uptake. Patients’ BOLD-FC, CBF, and FDG-uptake were reduced within the same precuneal regions. BOLD-FC was positively associated with mean CBF, specifically in patients and independently from FDG-uptake. Data indicate that impaired vascular hemodynamics contribute to reduced BOLD-FC in AD.

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Fibre-specific white matter changes in Alzheimer's disease: novel insights from Fixel-Based Analysis
Remika Mito1,2, David Raffelt1, Thijs Dhollander1, David N Vaughan1,2,3, Olivier Salvado4, Amy Brodtmann1,2,5, Christopher Rowe6,7, Victor L Villemagne2,6,7, and Alan Connelly1,2

1Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia, 2Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria, Australia, 3Department of Neurology, Austin Health, Victoria, Australia, 4Health & Biosecurity, CSIRO, Brisbane, Queensland, Australia, 5Eastern Clinical Research Unit, Box Hill Hospital, Monash University, Victoria, Australia, 6Department of Medicine, Austin Health, University of Melbourne, Victoria, Australia, 7Department of Molecular Imaging & Therapy, Centre for PET, Austin Health, Heidelberg, Victoria, Australia

Alzheimer’s disease (AD) is characterised by extensive white matter disruption, however voxel-based studies have been unable to provide fibre-specific insight into how this alters brain connectivity. Here, we applied fixel-based analysis (FBA) to diffusion MRI data to investigate changes in AD and mild cognitive impairment (MCI) patients. AD patients exhibited significant reductions in both fibre density and cross-section across multiple fibre tracts, while significant decreases in MCI were only evident in the posterior cingulum and uncinate, upon tract-of-interest analysis. This work demonstrates the value of FBA in identifying both macroscopic and microscopic changes to specific fibre pathways in the investigation of AD.

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Machine learning on resting state fMRI classifies the prevalent underlying disease in subjects with mixed dementia
Gloria Castellazzi1,2, Letizia Casiraghi2,3, Giovanni Savini2,4, Fulvia Palesi2,5, Paolo Vitali6, Nicoletta Anzalone7, Elena Sinforiani8, Giovanni Magenes1, Cristina Cereda9, Claudia AM Gandini Wheeler-Kingshott3,6,10, Giuseppe Micieli11, and Egidio D'Angelo2,3

1Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy, 2Brain Connectivity Center, C. Mondino National Neurological Institute, Pavia, Italy, 3Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy, 4Department of Physics, University of Milan, Mialn, Italy, 5Department of Physics, University of Pavia, Pavia, Italy, 6Brain MRI 3T research center, C. Mondino National Neurological Institute, Pavia, Italy, 7Scientific Institute H.S. Raffaele, Milan, Italy, 8Neurology Unit, C. Mondino National Neurological Institute, Pavia, Italy, 9Genomic and Post-Genomic Center, C. Mondino National Neurological Institute, Pavia, Italy, 10Queen Square MS Centre Department of Neuroinflammation, UCL Institute of Neurology, London, United Kingdom, 11Department of Emergency Neurology, C. Mondino National Neurological Institute, Pavia, Italy

Evidence from recent studies suggests that machine learning applied on MRI can be used to reliably differentiate Alzheimer disease from other major dementia diseases, e.g. Vascular Dementia (VD). In this work we used a machine learning approach applied on features derived from resting state fMRI (rs-fMRI) to build a model that is able not only to differentiate AD from VD, but also to classify the prevalent underlying disease (AD or VD) in a group of early dementia patients for whom clinical profile presented major overlap between symptoms of AD and symptoms of VD (i.e. mixed dementia subjects, MXD).

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Constant decline in Alzheimer's disease: A brain morphometry study.
Jeam Haroldo Oliveira Barbosa1, Silvio Ramos Bernardes da Silva Filho2, Carlo Rondinoni2, Antonio Carlos Santos2, Carlos Ernesto Garrido Salmon1, Nereida Kilza Costa Lima2, Eduardo Ferriolli2, and Júlio César Moriguti2

1InBrain Lab, Department of Physics, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of Sao Paulo, Ribeirão Preto, SP, Brazil, 2Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP, Brazil

Constant atrophy in Alzheimer's disease is observed until the later DAD stages.

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Towards automated MP2RAGE-based hippocampal volumetry for routine clinical practice
Bénédicte Maréchal1,2,3, Sophie Espinoza4, Wadie Ben Hassen5, Tobias Kober1,2,3, Christophe Habas4, and Alexis Roche1,2,3

1Advanced Clinical Imaging Technology, Siemens Healthcare HC CEMEA SUI DI PI, Lausanne, Switzerland, 2Department of Radiology, CHUV, Lausanne, Switzerland, 3LTS5, EPFL, Lausanne, Switzerland, 4Service de NeuroImagerie, Centre Hospitalier National d'Ophtalmologie des XV-XX, Paris, France, 5Siemens Healthcare S.A.S., Saint-Denis, France

We investigate the potential of an automated method to provide hippocampal volume estimates using T1-weighted images obtained from the MP2RAGE sequence. Scheltens visual medial temporal atrophy scores from 27 patients undergoing clinical brain MRI for workup of cognitive decline were compared to automated volumetric measures using multinomial logistic regression. Strong correlation was observed which suggests that the employed hippocampal volumetry method may help supporting diagnosis of neurodegenerative diseases.

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Diagnostic Decision Support in Alzheimer’s Disease: Predicting Typical and Mixed Forms from Combined Routine Brain Volumetry and Cognitive Assessment
Alexis Roche1,2,3, Daniel Damian4, Frédéric Pedron1, Bénédicte Maréchal1,2,3, Patric Hagmann1, Philippe Maeder1, Reto Meuli1, Tobias Kober1,2,3, and Jean-François Démonet4

1Department of Radiology, CHUV, Lausanne, Switzerland, 2Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 3LTS5, EPFL, Lausanne, Switzerland, 4Leenaards Memory Centre, CHUV, Lausanne, Switzerland

We implemented an automated classifier using T1-weighted magnetic resonance imaging-based brain volumetry and the Montreal Cognitive Assessment test to predict whether patients of a University Memory Clinic with suspected neurocognitive disorders have subjective complaints, or suffer from either typical or mixed forms of Alzheimer's disease. The classifier achieved an accuracy of 80.8% and was found to require both psychometric and brain morphometric data to perform best.

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The effects of a Western-type diet on the cerebrovascular response to hypercapnia in a double transgenic mouse model for Alzheimer's Disease
Kristof Govaerts1, Jessica Sternisa1, Tom Dresselaers2, Fred Van Leuven3, and Uwe Himmelreich1

1Imaging & Pathology, KU Leuven, Leuven, Belgium, 2Radiology, UZ Leuven, Leuven, Belgium, 3Human Genetics, KU Leuven, Leuven, Belgium

Alzheimer's Disease (AD) is the most common neurodegenerative disease, and is influenced by various environmental factors. In this study, we evaluate the effect of a high-fat, high-sugar ‘Western-type’ diet on the on the vascular response capacity to hypercapnia in a double transgenic (APP/PS1) mouse model of AD. We make use of Arterial Spin Labelling to investigate basal perfusion and cerebrovascular response to hypercapnia (CVR) in the hippocampus, cortex and thalamus. 

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Can measuring hippocampal atrophy over a 3 year interval with a fully automatic method be substantially less noisy than manual?
Keith S Cover1, Ronald A van Schijndel2, Adriaan Versteeg2, Alberto Redolfi3, Paolo Bosco3, Soheil Damangi4, Bob W van Dijk1, Hugo Vrenken1,2, Giovanni B Frisoni3,5, and Frederik Barkhof2

1Physics and Medical Technology, VU University Medical Center, Amsterdam, Netherlands, 2Radiology, VU University Medical Center, Amsterdam, Netherlands, 3IRCCS SanGiovannidiDioFatebenefratelli, Italy, 4KarolinskaInstitutet, Stockholm, Sweden, 5University Hospitals and University of Geneva, Switzerland

The segmentation noise of hippocampal atrophy measurement methods can be measured using the  back-to-back (BTB) reproducibility with the ADNI1 data set. Previous studies have only measured the segmentation noise over a one year interval. In the current study, two methods are shown to be substantially less noisy than manual hippocampal atrophy measurements over both 1 and 3 years - MAPS-HBSI and the recent FreeSurfer 6.0 Beta B (Build 20161008). Scatter plots of the 1 year versus 3 year BTB differences were found to be a particularly simple and effective way to display the segmentation noise of a method.

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The disturbed subcortical local intrinsic activity synchronism in mild cognitive impairment and its association with spatial navigation ability: a resting-state fMRI study
Zhao Qing1, Weiping Li1, Wenbo Wu1, Fangfang Wang1, Renyuan Liu1,2, Zuzana Nedelska3,4, Jakub Hort3, Hui Zhao2, Weibo Chen5, Queenie Chan6, Bin Zhu1, Yun Xu2, and Bing Zhang1

1Department of Radiology, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, NanJing, People's Republic of China, 2Department of Neurology, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, NanJing, People's Republic of China, 3Memory Disorders Clinic, Department of Neurology, Charles University in Prague, 2nd Faculty of Medicine and Motol University Hospital, Prague, Czech Republic, Czech Republic, 4International Clinical Research Center, St.Anne’s University Hospital Brno, Brno, Czech Republic, Czech Republic, 5Philips Healthcare, Shanghai, People's Republic of China, People's Republic of China, 6Philips Healthcare, HongKong, People's Republic of China, People's Republic of China

Loss of spatial navigation skills is a typical feature in mild cognitive impairment. Here we investigate intrinsic activity using resting-stat functional magnetic resonance imaging within the subcortical regions, which is previously reported to be important in spatial navigation. Right hippocampus, pallidum and thalamus showed significant decreased regional homogeneity of local intrinsic activity in the patients, and the correlational trend between regional homogeneity and allocentric navigation performance showed significantly difference between patients and normal aging controls. These results showed evidences for the intrinsic subcortical activity damage and a possible compensatory mechanism of spatial navigation in the early mild cognitive impairment.

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A multi-modal study of the neural mechanisms behind the beneficial effects of repetitive TMS over the precuneus of MCI patients
Matteo Mancini1,2, Mara Cercignani2,3, Sonia Bonnì4, Silvia Picazio4, Viviana Ponzo4, Maria Concetta Pellicciari4, Elias Casula4, Laura Serra2, Carlo Caltagirone4, Giacomo Koch4,5, and Marco Bozzali2

1University of Rome "Roma Tre", Rome, Italy, 2Neuroimaging Laboratory, Santa Lucia Foundation, Rome, Italy, 3Clinical Imaging Sciences Centre, University of Sussex, Brighton, United Kingdom, 4Non-Invasive Brain Stimulation Unit, Santa Lucia Foundation, Rome, Italy, 5Stroke Unit, Policlinico Tor Vergata, Rome, Italy

We present a double-blind randomized cross-over clinical study that aims to investigate the efficacy of two weeks of repetitive transcranial magnetic stimulation (TMS) in modulating cognitive performances in patients with mild cognitive impairment (MCI) and to characterize in vivo brain connectivity changes in MCI patients after rTMS. We used a multi-modal approach based on behavioural tests, TMS-EEG, DWI and fMRI. The behavioural and neurophysiological results support the role of medial parietal region in memory process. Moreover, our findings suggest that TMS may be a potential effective strategy in treatment of MCI patients for whom, currently, there is no available therapy. 

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HYPOTHALAMIC-PITUITARY-GONADAL AXIS DYSREGULATION ALTERS RESTING STATE FUNCTIONAL CONNECTIVITY IN A MOUSE MODEL OF ALZHEIMER’S DISEASE
FIRAT KARA1, Michael Belloy1, Garima Yadav1, An Langbeen2, Jules Jacobs3, Disha Shah1, Steffen Roßner4, Peter Ponsaerts5, Marleen Verhoye1, and Annemie Van Der Linden1

1Bioimaging Lab, Antwerp University, Antwerp, Belgium, 2Laboratory of Veterinary Physiology and Biochemistry, Antwerp University, Antwerp, Belgium, 3Mathematics, Leiden University, Netherlands, 4Paul Flechsig Institute for Brain Research, University of Leipzig, Leipzig, Germany, 5Experimental Cell Transplantation Group, Antwerp University, Antwerp, Belgium

Dysregulation of hypothalamic pituitary gonadal (HPG) axis signaling  with  menopause is considered as a risk factor for Alzheimer’s disease (AD). Menopause leads to decreased sex steroid signaling and increased luteinizing hormone signaling which may have profound effects on many cellular processes that predispose to neurodegeneration and impairment in cognitive function. The effects of amyloid production on resting state BOLD fMRI using functional connectivity analysis in a mouse model of AD have been previously published. However how HPG axis dysregulation affect resting state functional connectivity in a mouse model of AD has not been studied. Here we show that ovariectomized AD mice, a commonly used animal model to study menopause related hormonal changes in the  HPG axis, exhibit alterations in resting state connectivity in the mouse default mode network connectivity. These findings  establish a causal link between AD and HPG axis dysregulation.

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Changes in susceptibility-weighted MRI contrast reflect differences in cortical spreading of pathology in early-onset and late-onset Alzheimer patients
Marjolein Bulk1,2, Boyd Kenkhuis1, Linda M. van der Graaf1,2, Ingrid M. Hegeman3, Mark A. van Buchem1, Remco Natté3, and Louise van der Weerd1,2

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Human Genetics, Leiden University Medical Center, Leiden, Netherlands, 3Pathology, Leiden University Medical Center, Leiden, Netherlands

Changes in susceptibility-based MRI contrast and histological correlates of post-mortem brain tissue have been used to distinguish differences in spreading patterns of AD pathology over the cortex between AD subtypes. Susceptibility-based MRI allowed us to clearly distinguish early-onset and late-onset AD patients. The MRI contrast in the different regions closely reflected the overall severity of pathology. This study confirms iron deposition as the underlying source of MRI contrast in all cortical regions, and demonstrates that iron deposition is a putative biomarker for disease progression, with a spatial and temporal spreading pattern independent of amyloid and tau.

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Simultaneous measurement of regional cerebral perfusion and glucose metabolism in frontotemporal dementia.
Udunna C Anazodo1, Elizabeth Finger2, Claes Nøhr Ladefoged3, Frank S Prato1, Jonathan D Thiessen1, and Keith S St Lawrence1

1Medical Biophysics, Lawson Health Research Institute, London, ON, Canada, 2Clinical Neurological Sciences, London, ON, Canada, 3Rigshospitalet (Copenhagen University Hospital), Copenhagen, Denmark

This study examined regional associations of hypoperfusion to hypometabolism in frontotemporal dementia patients using simultaneous PET/MRI acquisitions. Concordance between modalities was observed across regions. In general ASL-CBF appears to complement PET-FDG measurements

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3D DCE-MR imaging shows compromised brain waste transport in spontaneously hypertensive rats
Kristian Nygaard Mortensen1, Simon Sanggaard1, Hedok Lee2, Palle Koch3, Maiken Nedergaard1,4, Bjørn Quistorff3, and Helene Benveniste2

1Center for Basic and Translational Neuroscience, University of Copenhagen, Copenhagen, Denmark, 2Department of Anesthesiology, Yale University, New Haven, CT, United States, 3Cellular and Metabolic Research & NMR, University of Copenhagen, Copenhagen, Denmark, 4Department of Neurosurgery, University of Rochester, Rochester, NY, United States

The link between hypertension and cerebral small vessel disease is key to understanding pathobiology of certain types of dementia. We studied the effects of mild hypertension on a newly discovered pathway for clearance of solutes from the brain parenchyma in young spontaneously hypertensive rats using DCE-MRI after intrathecal infusion of a paramagnetic contrast agent. We found normal-to-increased tracer influx and decreased efflux to and from the brain parenchyma, consistent with a lowered efficiency of brain solute clearance. This suggests that a compromised brain waste transport system may be implicated in the development of cerebral small vessel disease and dementia. 

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A promising endogenous, non-radioactive method to quantify neuroinflammation in Alzheimer Disease
Qing Wang1, Yong Wang1, Jon Christensen1, Yi Su1, Lisa Cash1, John Morris1, Mark Mintun2, and Tammie Benzinger1

1Washington University in St. Louis, St. Louis, MO, United States, 2Avid Radiopharmaceuticals, Inc., Philadelphia, PA, United States

Accumulation of amyloid beta (Aβ) plaques and neurofibrillary tau tangles are the neuropathological hallmarks of Alzheimer disease (AD). However, increasing evidence points to the involvement of neuroinflammation in early AD and disease progression. Diffusion basis spectrum imaging (DBSI) is a novel non-invasive and non-radioactive multi-parametric diffusion MRI technique to quantify neuroinflammation in AD. We demonstrated that DBSI derived neuroinflammation marker significantly correlated with 11C-PK11195 PET imaging, a marker for microglia activation and neuroinflammation, suggesting DBSI as a promising endogenous, non-radioactive method to quantify neuroinflammation in AD.

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Using time-encoded pCASL to study vascular function in a mouse model of Alzheimer’s disease
Leon P. Munting1,2, Lydiane Hirschler3,4,5, Ernst Suidgeest1, Emmanuel L. Barbier3,4, Matthias J. P. van Osch1, and Louise van der Weerd1,2

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Human Genetics, Leiden University Medical Center, Leiden, Netherlands, 3Grenoble Institut des Neurosciences, Université Grenoble Alpes, Grenoble, France, 4Inserm U836, Grenoble, France, 5Bruker Biospin, Ettlingen, Germany

Cerebral Blood Flow (CBF) as measured with ASL-MRI is an emerging Alzheimer’s Disease (AD) biomarker. However, vascular pathology may delay the arterial transit time (ATT) of the magnetic label and influence the measurement. Thus, ATT estimation can potentially reveal vascular pathology and benefit CBF quantification. To evaluate CBF and ATT as read-out markers in AD mouse models, time-encoded ASL was used to measure ATT and CBF in the APPswe/PS1ΔE9 AD model. No major CBF difference was found when ATT was taken into account. However, AD mice showed increased ATT in the thalamus and decreased CBF in the cortex and striatum. 

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Longitudinal progression of white matter deficits in Young Onset Alzheimer's Disease and Its Syndromic Variants using NODDI
Jiaying Zhang1, Catherine F Slattery2, Ross W Paterson2, Alexander JM Foulkes2, Laura Mancini3,4, David L Thomas3,4, Marc Modat1, Nicolas Toussaint1, David M Cash1,2, John S Thornton5, Daniel C Alexander1, Sebastien Ourselin1, Nick C Fox2, Jonathan M Schott2, and Hui Zhang1

1Department of Computer Science and Centre for medical image computing, University College London, London, United Kingdom, 2Department of Neurodegenerative disease, Institute of Neurology, University College London, London, United Kingdom, 3Neuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, UK, University College London, London, United Kingdom, 4Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK, University College London, 5Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK, University College London, London, United Kingdom

Young Onset Alzheimer's disease (YOAD) is characterised by its syndromic diversity, which may be underpinned by different patterns of white matter (WM) network breakdown. This prompts considerable interest in studying WM. We have previously shown that NODDI, a multi-shell diffusion MRI technique, is more sensitive at detecting WM changes in YOAD than standard DTI and demonstrated unique profiles of WM deficits in its syndromic variants. Here we investigated longitudinal WM changes in YOAD patients using NODDI, and explored the patterns of longitudinal WM changes associated with syndromic variants using tract-based spatial statistics (TBSS). 

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Automated Fiber Quantification Identifies the Extent of White Matter Integrity Loss Concurrent to Hippocampal Atrophy
Joseph A Helpern1, George Russell Glenn1, Andreana A Benitez2, Fatima A Falangola3, Rachael A Deardorff1, and Jens A Jensen1

1Radiology, Medical University of South Carolina, Charleston, SC, United States, 2Neurology, Medical University of South Carolina, Charleston, SC, United States, 3Neuroscience, Medical University of South Carolina, Charleston, SC, United States

Automated fiber quantification with white matter tract integrity metrics identified subtle changes in brain microstructure occurring in the early stages of Alzheimer’s pathology. These metrics were found to be significantly different in the posterior section of the parahippocampal white matter in cognitively normal older adults with hippocampal atrophy as compared to those without. Axonal water fraction distinguished those with hippocampal atrophy versus those without with the largest effect size (Cohen’s d = 0.86, p = 0.004). As expected, the metrics for these two groups did not differ in the arcuate fasciculus, a tract typically unaffected in Alzheimer’s disease.

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Relationships among Cortical Glutathione Levels, Brain Amyloidosis, and Memory in Normal Older Adults Investigated in vivo with 1H MRS and PiB PET
Gloria C Chiang1, Xiangling Mao2, Guoxin Kang3, Eileen Chang2, Sneha Pandya2, Shankar Vallabhajosula2, Richard Isaacson2, Lisa D Ravdin2, and Dikoma C. Shungu1

1Radiology, Weill Cornell Medicine, New York, NY, United States, 2Radiology, Weill Cornell Medicine, 3Radidology, Weill Cornell Medicine

Oxidative stress has been implicated as an important pathological mechanism in the development of Alzheimer’s disease (AD). The purpose of this study was to assess whether J-edited 1H MRS levels of glutathione (GSH) –  the primary antioxidant in living tissue – are associated with brain amyloidosis, as assessed with PET, and memory in a community-dwelling cohort of nondemented older adults. The results showed an inverse association relating GSH, a sensitive marker of oxidative stress, and amyloidosis, one of the pathological hallmarks of AD, and a weaker association with memory, thereby collectively further implicating oxidative stress in AD pathophysiology.



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Differentiation of deep gray matters in patients with Alzheimer’s disease (AD), dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD) using T1 weighted images and quantitative susceptibility maps (QSM)
Eo-Jin Hwang1, Hyun Seok Choi 1, Jinhee Jang1, Seung Eun Jung1, So-Lyung Jung1, Kook-Jin Ahn1, Bum-soo Kim1, and Joong-Seok Kim1

1Seoul St.Mary Hospital, Seoul, Korea, Republic of

The purpose of this study was to differentiate Alzheimer’s disease (AD), dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD) by evaluating deep gray matter regions of the three subject groups. The 3D T1 weighted images and quantitative susceptibility maps (QSM) were segmented into 15 deep gray matter structures to estimate volumes and mean susceptibility values, and differences among the three groups were evaluated using a one-way analysis of covariance (ANCOVA) with age and gender as covariates. A multivariate logistic regression and receiver operating characteristic curve analyses were performed to determine associated imaging features and diagnostic performance.

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Development of the oligomeric amyloid-beta targeted MRI contrast agents to diagnose the early stage of Alzheimer’s disease
Geon-Ho Jahng1, Sang-Tae Kim2, Peter Verwilst3, Hyug-Gi Kim4, Jee-Hyun Cho5, Kwan Soo Hong5, Ki Woong Kim2, Jong Seung Kim3, Wook Jin1, Eui Jong Kim6, and Dal Mo Yang1

1Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea, Republic of, 2Bundang Hospital of Seoul National University, Kyunggeedo, Korea, Republic of, 3Korea University, Seoul, Korea, Republic of, 4Kyung Hee University, Seoul, Korea, Republic of, 5Korea Basic Science Institute, Cheongju, Korea, Republic of, 6Radiology, Kyung Hee University Hospital, Seoul, Korea, Republic of

A new T1 molecular MRI contrast agent specifically designed to be specific for oligomeric Aβ was developed by combining the commercially available gadolinium (Gd)-Dota with an oligomeric Aβ-specific DNA aptamer. We confirmed the protein size with Aβ polymerization in aspect of molecular masses when polymers were formed. We performed the following experiment in the cell level and AD-model mice. We identified a particular region with a significantly distinct T1 MRI signal, allowing for distinguishing Alzheimer's disease model mice from non-Tg mice.

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Functional MRS in patients with mild cognitive impairment and Alzheimer’s disease: Three-year longitudinal study
Soo Hyun Cho1, Geon-Ho Jahng2, Jang-Hoon Oh3, Hyug-Gi Kim3, Hak Young Rhee4, Chang Woo Ryu2, Key-Chung Park1, Dal Mo Yang2, Eui Jong Kim5, and Wook Jin2

1Kyung Hee University Hospital, Seoul, Korea, Republic of, 2Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea, Republic of, 3Kyung Hee University, 4Kyung Hee University Hospital at Gangdong, 5Radiology, Kyung Hee University Hospital, Seoul, Korea, Republic of

To measure temporal changes of the metabolite level during a memory task, proton functional MRS (fMRS) data with a single-voxel PRESS sequence were acquired at the precuneus and posterior cingulate brain region during a face-name association task using a 3 Tesla MRI scanner for the 28 cognitive normal elderly, 16 amnestic mild cognitive impairment, and 12 Alzheimer’s disease individuals. We measured the fMRS data three times at the eight-month interval. All of the acquired data were analyzed using LCModel software. Glx at the second trial increased significantly compared to that of the first trial in the novel condition.


Electronic Poster

Neurodegeneration

Exhibition Hall Tuesday 13:45 - 14:45

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Quantitative susceptibility mapping (QSM) as a biomarker for evaluating white matter alterations in Parkinson’s disease
Xiaojun Guan1, Peiyu Huang1, Qiaoling Zeng1, Chunlei Liu2, Min Xuan1, Quanquan Gu1, Xiaojun Xu1, Nian Wang2, Nian Wang2, Xinfeng Yu1, Xiao Luo1, Jingjing Xu1, Wei Luo3, Yong Zhang4, and Minming Zhang1

1Radiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China, 2Brain Imaging and Analysis Center, Duke University School of Medicine, Durham, NC, United States, 3Neurology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China, 4MR Research, GE Healthcare, Shanghai, People's Republic of China

Myelinated white matter showing diamagnetic susceptibility is important for information transfer in the brain. In Parkinson’s disease, the white matter is damaged secondary to nigral degeneration. Quantitative susceptibility mapping is a novel technique for noninvasive assessment of regional white matter ultrastructure, and provides different information to standard diffusion tensor imaging.

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The quantitative susceptibility mapping and non-motor symptoms of patients with early Parkinson disease
Chae Won Shin1, Sun-Won Park2,3, Jee-Young Lee1, Jongho Lee4, Seon Lee5, Jae Myung Kim4, and Jung Hyo Lhim2

1Department of Neurology, SNU-SMG Boramae Medical Center, Seoul, Korea, Republic of, 2Department of Radiology, SNU-SMG Boramae Medical Center, Seoul, Korea, Republic of, 3Department of Radiology, College of Medicine, Seoul National University, 4Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 5Department of Mechanical and Aerospace Engineering, Seoul National University, Seoul, Korea, Republic of

This study is to evaluate the impact of quantitative susceptibility mapping (QSM) on regional distribution of iron deposition and its correlations with non-motor symptoms in patients with early Parkinson disease (PD). The QSM values of deep nuclei and clinical data using validated scales were obtained from patients. There were no differences in regional QSM values between patients and controls, and the QSM values were not correlated with any of motor or non-motor symptoms in PD patients. This study suggests that the QSM may not be a sensitive tool enough to use in patients with early PD.

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Co-activation Pattern Analysis in Parkinson’s Disease
Xiaowei Zhuang (co-first)1, Ryan R Walsh (co-first)1, Zhengshi Yang1, Virendra Mishra1, Karthik Sreenivasan1, and Dietmar Cordes1,2

1Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States, 2University of Colorado Boulder, Boulder, CO, United States

In this study, we explored the dynamics of Parkinson’s disease (PD) brain network function utilizing the co-activation pattern (CAP) analysis emphasizing sensorimotor network (SM) function during resting-state. We modified the routine to calculate group dominant CAPs (d-CAPs) and proposed a novel way to obtain within-subject CAP switching-rate. Reduced dynamics of the SM network in PD was demonstrated by both decreased number of d-CAPs and decreased switching-rate, which corroborates electrophysiologic data.

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Distinct structural backbone-network in early Parkinson’s disease (PD) subjects: Insights from Parkinson’s Progressive Markers Initiative (PPMI) dataset
Virendra Mishra1, Karthik Sreenivasan1, Christopher Bird1, Dietmar Cordes1, and Ryan R Walsh1

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

In vivo imaging that reliably captures the impact of the spreading pathology of Parkinson’s disease (PD), including its impact on both white and gray matter, remains elusive. In this study, we applied graph-theoretical techniques to multi-site diffusion-MRI data from a cohort of early PD-subjects in Parkinson’s Progressive Markers Initiative (PPMI) database. A distinctive structural backbone-network was revealed in early PD-subjects without any a-priori assumptions involving cortical and subcortical regions that are known to be involved in various stages of PD, including early PD (Olfactory-cortex, globus-pallidum, and striatum). Our study opens new avenues to understanding progression of PD from a graph-theoretical approach.

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Characterizing diffusion MRI based structural connectome of the human brain in Parkinson’s disease
Apurva Shah1, Shivali Amit Wagle1, Jitendra Saini2, Pramod Pal3, and Madhura Ingalhalikar1

1Electronics and Telecommunication, Symbiosis Institute of Technology, pune, India, 2Department of Neurology, NIMHANS, Banglore, 3Department of Neurology, NIMHANS, Banglore, India

This study aims at assessing the large scale structural network changes in Parkinson’s disease. The structural connectome is computed using probabilistic fiber tracking on diffusion MRI between 95 regions of interest. Graph theoretic analysis on the connectome is carried out at several levels of granularity: global, local (nodal) and lobar. We find that patients with PD demonstrate lower network clustering capability and lower neural connectivity as well as significantly reduced nodal influence of the hippocampus. Additionally, widespread patterns of reduced connectivity are observed in the temporal and occipital areas. These deficits could potentially mark the non-motor symptoms indicated in PD.

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Altered Topological Properties of Structural Connectome in Early-Stage, Drug-naive PD Revealed by Graph Theoretical Analysis
Xueling Suo1, Du Lei2, Nannan Li3, Lan Cheng3, Lei Li1, Fuqin Chen4, Meiyun Wang5, Rong Peng3, and Qiyong Gong1

1Radiology, West china hospital, Chengdu, People's Republic of China, 2Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, United Kingdom, 3Neurology, West china hospital, People's Republic of China, 4Medical Information Engineering, School of Electrical Engineering and Information, Sichuan University, People's Republic of China, 5Radiology, Henan Provincial People's Hospital & the People's Hospital of Zhengzhou University, People's Republic of China

To use diffusion tensor imaging (DTI) and graph theory approaches to explore the brain structural connectome in patients with early-stage drug-naive Parkinson's disease (PD). The structural connectome was constructed by using deterministic tractography and thresholding the mean fractional anisotropy of 90 brain regions to yield 90*90 partial correlation matrixes. The decreased characteristic path length Lp and increased global efficiency Eglob in the PD patients relative to healthy controls indicated that structural networks are closer to randomization, providing a structural basis for functional alterations of PD.

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Altered Dynamic Functional Connectivity State Patterns of Patients with Idiopathic Parkinson’s Disease
Naying He1,2, Shiyang Chen3, Jason Langley4, Yong Zhang5, Fuhua Yan1, and Xiaoping Hu4,6

1Radiology, Ruijin Hospital,Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China, 2Center for Advanced Neuroimaging, University of California, Riverside, Riverside, CA, United States, 3Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, United States, 4Center for Advanced Neuroimaging, University of California, Riverside, Riverside, Riverside, CA, United States, 5MR Research, GE Healthcare, Shanghai, People's Republic of China, 6Department of Bioengineering, University of California, Riverside, Riverside, Riverside, CA, United States

Parkinson’s disease (PD) is a neurodegenerative disorder characterized by nigral-striatal dopamine deficiency and motor symptoms. Neuroimaging studies have shown that functional connectivity within cortical-striatal networks and related connections are disturbed in PD. But these are based on conventional static resting-state analyses which assume functional connectivity being static over time. Recent studies have demonstrated that resting state brain activity is highly dynamic. In this work, we applied Gaussian Hidden Markov Model to investigate dynamic functional connectivity in PD and compared it with that in normal controls. Our results show alterations in sensorimotor, DMN, and visual networks in PD.

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Quantitative Magnetization Transfer Imaging of the Substantia Nigra in Parkinson’s Disease
Paula Trujillo1,2, Paul E. Summers2, Alex K. Smith3, Seth A. Smith4,5, Antonella Costa2, and Daniel O. Claassen1

1Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 2Neuroradiology, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy, 3FMRIB, University of Oxford, Oxford, United Kingdom, 4Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 5Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States

Parkinson’s disease (PD) is characterized by the loss of pigmented dopaminergic neurons in the substantia nigra pars compacta (SNc). The aim of the study was to evaluate the feasibility of rapid magnetization pool size ratio (PSR) mapping as a subset of the magnetization transfer (MT) properties of the SNc in healthy subjects and patients with PD. These results demonstrated the feasibility of performing quantitative PSR mapping in human SN within reasonable scan times, and that PSR is likely the quantitative MT parameter most relevant for PD.

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Abnormal Brain White Matter Connectivity in Diabetic Neuropathy: A Magnetic Resonance Diffusion Tensor Imaging Study.
Dinesh Selvarajah1, Joseph Harding1, Shillo Pallai1, Solomon tesfaye2, and Iain Wilkinson1

1University of Sheffield, Sheffield, United Kingdom, 2Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom

This study for the first time has shown alterations in white matter MD in patients with DSPN. Increased MD in the primary somatosensory cortex in patients with diabetic neuropathy (DN) is suggestive of white matter microarchitecture degeneration, and supports the evidence of neuronal loss in the somatosensory cortex in patients with . Furthermore, these results also support the previous evidence of thalamic neuronal dysfunction in DN on MR spectroscopy. Changes in the degree of white matter structure might provide a pathophysiological underpinning of spinal cord atrophy and brain volume reduction in DN. 

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Brain gray matter changes in type 2 diabetes mellitus: A meta-analysis of whole-brain voxel-based morphometry study
lin lin1 and Guangyao wu1

1radiology, Affiliated Zhongshan Hospital of Dalian University, Dalian, People's Republic of China

To our knowledge, this is the first whole-brain VBM meta-analysis showing a reduced volume of whole and regional gray matter (GM) in the brains of type 2 diabetes mellitus (T2DM) patients. we used a new meta-analytic tool, signed differential mapping to identify consistent results about global and regional abnormalities in T2DM, and explore the relationship between cognitive and GM alternations. We showed educed volume of whole and regional GM in T2DM patients, particularly in the temporal lobe, the GM volumes of the right insula were positively correlated with MMSE scores, and those changes may indicate a risk of dementia.

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Altered White Matter Microstructure in Middle-Aged Type 2 Diabetic Patients: A Diffusional Kurtosis Imaging Study Based on Two-compartment White Matter Model
Jie Gao1, Min Tang1, Xin Zhang1, Xiaoling Zhang1, Kaining Shi2, and Xiaohong Wu1

1Shaanxi Provincial People's Hospital, Xi'an, People's Republic of China, 2Clinical science, Philips Healthcare China

This study aims to use a two-compartment diffusion model of white matter based on diffusional kurtosis imaging (DKI) to explore early white matter alternations in middle-aged type 2 diabetes mellitus (T2DM) . 33 T2DM patients and 13 healthy control were enrolled. All diffusion parameters (FA=fractional anisotropy, MD=mean diffusivity, AD=axial diffusivity, RD=radial diffusivity, MK=mean kurtosis, AK=axial kurtosis, RK=radial kurtosis, Da=intra-axonal diffusivity, De∥=axial extra-axonal space diffusivity, De⊥= radial extra-axonal space diffusivity) were compared. De⊥ was demonstrated to be the most sensitive in detecting the diffusion changes. These increased De⊥ (extra-axonal diffusivity) and unchanged Da (intra-axonal diffusivity) reflected the increased water and/or demyelination.

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An animal model of comorbid cerebral hypoperfusion and metabolic syndrome
Jessica Livingston-Thomas1, Greg O. Cron2,3,4, Therese Gagnon5, Anthony Carter6, Matthew Jeffers5, and Dale Corbett5,6

1Cellular and Molecular Medicine, The University of Ottawa, Ottawa, ON, Canada, 2Medical Imaging, The Ottawa Hospital, Ottawa, ON, Canada, 3The Ottawa Hospital Research Institute, Ottawa, ON, Canada, 4Radiology, The University of Ottawa, Ottawa, ON, Canada, 5Cellular and Molecular Medicine, The University of Ottawa, 6Canadian Partnership for Stroke Recovery

Vascular cognitive impairment (VCI) arises from chronic cerebral hypoperfusion and is characterized by executive dysfunction, memory problems, and motor impairments.  In countries where people eat highly processed, energy-dense food, there are high rates of VCI.  Poor diet is also linked to metabolic syndrome, which is also associated with cognitive dysfunction.  Metabolic syndrome and VCI commonly coexist within cardiovascular patients.  Due to the translational failure of many promising preclinical treatments for cardiovascular disease, researchers are trying to incorporate human comorbidities within animal disease models.  Here, we develop a rat model which combines cerebral hypoperfusion with an unhealthy diet.

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MR-NODDI Evaluating Amyotrophic Lateral Sclerosis: a Tract Based Spatial Statistics Analysis
Rifeng Jiang1, Wenzhen Zhu2, Qing Duan1, Yunjing Xue1, Yihao Yao2, Jingjing Shi2, and Linying Guo2

1Fujian Medical University Union Hospital, Fuzhou, People's Republic of China, 2Tongji Hospital, HUST, Wuhan, People's Republic of China

This study uses NODDI, a novel tool, to quantify changes of white matter (WM) skeleton in patients with ALS. By TBSS analysis, significant FA reductions were demonstrated within the (pre)frontal WM, partial parietal WM, corpus callosum and partial corticospinal tract. Similarly, significant Ficvf reductions were found within almost all the WM skeleton, which was more extensive than that of FA. In contrast, ODI showed no significant changes in all the WM skeleton. Therefore, NODDI is a more potential tool to demonstrating the neurite density reductions for ALS patients, which will help lead to earlier diagnosis and treatment for ALS.


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Reorganization of Brain Connectivity in the Speech and Language Network in the Non-fluent variant of PPA
Maria Luisa Mandelli1, Christa Watson1, Eduard Vilaplana2, Jesse A Brown1, Zachary A Miller1, Isabel H Honey1, Ariane Welch1, Miguel A Santos-Santos3, Howard J Rosen1, Bruce L Miller1, William W Seeley1, and Maria Luisa Gorno-Tempini1

1Memory and Aging Center, Neurology, University of California, San Francisco, San Francisco, CA, United States, 2Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau - Biomedical Research Institute Sant Pau – Universitat Autonoma de Barcelona, Spain, 3Fundació ACE, Alzheimer Research Center, Institut Català de Neurociències Aplicades, Barcelona, Spain Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute, Barcelona, Spain

Graph theory analysis is a method recently introduced to study the brain as a network. In this study we investigate the topological distribution of the speech and language functional network in nfvPPA patients characterized by isolated and progressive language impairments. We identified the hubs of the speech and language network in healthy controls and nfvPPA. In patients, the network  presented an abnormal topological distribution where right-sided brain regions were recruited. These findings suggest that in nfvPPA this network reorganizes in the presence of localized gray matter volume loss.

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Sporadic Jakob-Creutzfeld Disease quantitative diffusion profiles and resting state functional correlates
Matteo Paoletti1, Eduardo Caverzasi2, Maria Luisa Mandelli3, Jesse A. Brown3, William W. Seeley3, Roland G. Henry2,4, Howard J. Rosen3, Bruce L. Miller3, Maria Luisa Gorno-Tempini3, Stefano Bastianello5,6, and Michael D. Geschwind3

1Institute of Radiology, University of Pavia, Pavia, Italy, 2Department of Neurology, University of California, San Francisco, San Francisco, CA, 3Memory and Aging Center, University of California, San Francisco, San Francisco, CA, 4Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, 5Department of Neuroradiology, IRCCS C. Mondino Neurological Institute, University of Pavia, Pavia, Italy, 6Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy

Diffusion restriction on MRI is an important diagnostic finding in sporadic Jakob-Creutzfeld disease. We performed group-wise quantitative cortical and subcortical grey matter mean diffusivity analysis at 3.0 T and tested feasibility of single-subject diffusivity restriction maps, that, compared to group-wise analysis, can better describe variable patterns of involvement in sJCD. DMN-related regions demonstrated prominent diffusion restriction; thus DMN functional connectivity was evaluated. DMN showed a increased connectivity in sJCD, that based on cross-sectional analysis seems to decrease along with clinical worsening. Resting-state fMRI may be a promising candidate to evaluate involvement in sJCD especially during the preclinical phase.

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Structural and Functional MRI Characterization of Trial Spinal Cord Stimulation Responders in Failed Back Surgery Syndrome
Guangyu Chen1, Andrew S. Nencka2, Hao Shu1,3, Shekar N. Kurpad4, Shi-Jiang Li1, and Peter A. Pahapill4

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Neuropsychiatric Institute and Medical School, Southeast University, Nanjing, People's Republic of China, 4Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States

Chronic pain is an important and growing problem in aging populations. A key challenge to treating chronic pain is the absence of effective, objective methods of assessment. This study,  from a homogeneous group of chronic pain patients with failed back surgery syndrome, demonstrated that the functional interaction strength between the limbic striatum and neocortex were very tightly correlated with the patients’ pain scores. We believe this index may form the basis for an objective, non-invasive biomarker for chronic lower back pain, and may be generalizable to other types of chronic pain.

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The Grey Matter Density of the Thalamus Correlates with the Cirrhotic Indexes and Child-Pugh Score in Cirrhotic Patients: A Voxel-Based Morphometry Study.
Chun-Qiang Lu1, Yun Jiao2, and Shenghong Ju3

1ZhongDa Hospital, Nanjing, People's Republic of China, 2Information Department, ZhongDa Hospital, Nanjing, People's Republic of China, 3Radiology Department, ZhongDa Hospital, Nanjing, People's Republic of China

Altered brain structure in cirrhotic patients have been seen in previously reported studies. Many studies focus on the grey matter change of the caudate putamen, while few study investigate the relationship of thalamus grey matter change and cirrhotic symptoms. Our study reveal that the grey matter density of thalamus is closely correlated with the clinical makers of the cirrhosis, which may help to clarify the mechanism of the thalamus structural change.

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Imaging Impairment of the Glymphatic System after Diabetes
Quan Jiang1,2, Li Zhang1, Guangliang Ding1, Esmaeil Davoodi-Bojd1, Qingjiang Li1, Lian Li1, David Hearshen3, Michael Chopp1,2, and Zhenggang Zhang1

1Neurology, Henry Ford Health System, Detroit, MI, United States, 2Physics, Oakland University, Rochester, MI, United States, 3Radiology, Henry Ford Health System, Detroit, MI, United States

The recently discovered glymphatic system has fundamentally altered the traditional model of cerebrospinal fluid (CSF) hydrodynamics and shown promising results in applications for understanding neurological diseases1, 2. However, little is known how diabetes affects the glymphatic system. The current study is the first investigation of the effect of diabetes on the glymphatic system and the relationship between glymphatic system and cognitive impairment in diabetic rats using MRI and fluorescence imaging.

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Volumetric MR analysis of brain areas identifies SCA 1, 2 and 3 by applying random forest classifier
Dibashree Tamuli1, Tavpritesh Sethi2, Anup Singh3,4, S. Senthil Kumaran5, Ashok Kumar Jaryal1, Achal Kumar Srivastava6, and Kishore Kumar Deepak1

1Physiology, All India Institute of Medical Sciences (AIIMS), NewDelhi, India, 2Pediatrics, All India Institute of Medical Sciences (AIIMS), New Delhi, India, 3Center for Biomedical Engineering (CBME), Indian Institute of Technology (IIT), New Delhi, India, 4Center for Biomedical Engineering (CBME), All India Institute of Medical Sciences (AIIMS), NewDelhi, India, 5NMR, All India Institute of Medical Sciences (AIIMS), NewDelhi, India, 6Neurology, All India Institute of Medical Sciences (AIIMS), NewDelhi, India

Brain volumetric analysis of SCA 1, 2 and 3 shows differential measurements with reference to cortical thinning and volumes of brain stem and cerebellum. Therefore, to find a solution to classify SCA1, 2 and 3, we have applied machine learning approach for feature selection followed by random forest modeling using volumetric features of the brain.

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Altered Structural Connectivity Networks in Young Adults Perinatally-infected with HIV
Mohammed Z Goryawala1, Elizabeth J Willen2,3,4, Anai M Cuadra2, and Varan Govind1

1Radiology, University of Miami, Miami, FL, United States, 2Pediatrics, University of Miami, Miami, FL, 3Pediatrics, University of Missouri, Kansas City, MO, 4Developmental and Behavioral Sciences, Children's Mercy, Kansas City, MO

Milder forms of HIV-associated neurocognitive disorders (HAND) are frequently observed in approximately half of the HIV-infected individuals, even with treatment for HIV infection. Cognitive deficits observed in them can be associated with injury to the frontal and temporal lobes of their brains. The goal of this study was to assess the impact of HIV infection on vulnerable structural connections in these lobar regions in adults perinatally-infected with HIV. Our results indicate that altered connectivity in frontal lobe regions with differentiated modularity and significant alterations in hub patterns at the temporo-parietal junction occurred in the HIV group. 

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Susceptibility-related phase contrast associated with the alterations of myelo-architecture in adult-onset leukoencephalopathy with neuroaxonal spheroids and pigmented glia
Hansol Lee1, Minkyeong Kim2, HyungJoon Cho1, Se Young Chun3, Gi Yeong Huh4, Eun-Joo Kim5, and Jae-Hyeok Lee6

1Department of Biomedical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of, 2Department of Neurology, Pusan National University Yangsan Hospital, Yangsan, Korea, Republic of, 3Department of Electrical and Computer Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of, 4Department of Forensic Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea, Republic of, 5Department of Neurology, Pusan National University Hospital, Busan, Korea, Republic of, 6Department of Neurology, Pusan National University Yangsan Hospital

 To investigate the origin of susceptibility-weighted imaging (SWI) contrast in frontal white matters of adult-onset leukoencephalopathy with neuroaxonal spheroids and pigmented glia (ALSP), we performed a combined post-mortem magnetic resonance imaging (MRI) and histological study of ALSP pathology. The myelin architectural changes, marked central myelin loss with preserved U-fibers beneath cortical gray matter, mainly contributed to the susceptibility contrast.

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Assessment of chemotherapy-induced brain structural alterations in breast cancer patients using GQI and its correlation with cognitive performance
Tsung-Yuan Li1,2, Vincent Chin-Hung Chen3,4, Shu-Ling Huang5, Dah-Cherng Yeh6, Jyh-Wen Chai2, Clayton Chi-Chang Chen2, and Jun-Cheng Weng1,7

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan, 3School of Medicine, Chang Gung University, Taoyuan, Taiwan, 4Department of Psychiatry, Chang Gung Memorial Hospital, Chiayi, Taiwan, 5Department of Psychology, Chung Shan Medical University, Taichung, Taiwan, 6Breast Center, Taichung Tzu Chi Hospital, Taichung, Taiwan, 7Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan

Neuroimaging studies suggest that white matter and cognitive function changes were affected by breast cancer and its treatments. Our study interested in the early effect of the brain by chemotherapy. This study included 19 breast cancer survivors who had completed their chemotherapy and 20 healthy control group. Generalized q-sampling imaging (GQI) with voxel-based analysis was performed to show the brain structural differences between two groups. Multiple regression was also used to detect the correlation between Mini-Mental State Examination (MMSE) and the indices of GQI. Our results provided further evidence that breast cancer and adjuvant chemotherapy are associated with adverse effects on white matter.

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The association of MRI-detected brain volume change with prenatal exposure to Perfluoroalkyl Substances in teenage
Chao-Yu Shen1,2,3, Shu-Li Wang4, Jeng-Dau Tasi5, Ju-Chien Wu2, and Jun-Cheng Weng2,3

1Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan, 2Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 3Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, 4National Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan, 5School of Medicine and Department of Pediatrics, Chung Shan Medical University and Hospital, Taichung, Taiwan

The current study was to explore the relationship between prenatal exposure to PFASs, determined in maternal blood collected during the third trimester of pregnancy and the children’s brain volume difference at the age of 13-15 years old. The results showed a significant negative correlation between the maternal blood PFASs concentrations and the children's brain MRI in multiple different brain areas, including both gray matter and white matter.

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Diffusion magnetic resonance imaging for predicting changes in the severity of Progressive Supranuclear Palsy
Xiang-An Zhao1, Lin Sung-Han1, Tsai Chih-Chien1, Wu Yi-Ming2, Lin Wey-Yil3, Weng Yi-Hsin3, Lu Chin-Song3, and Wang Jiun-Jie1

1Medical Imaging and Radiological Sciences, Chang Gung University, Taoyuan City, Taiwan, 2Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan City, Taiwan, 3Neurology, Chang Gung Memorial Hospital, Taoyuan City, Taiwan

Progressive Supranuclear Palsy (PSP) is an atypical Parkinsonism, which shared similar symptoms with Parkinson’s disease (PD) and PSP progressed typically much faster than PD and the prognosis is often poor. The linear regression analysis demonstrated the capability of diffusion MRI indices as measured from multiple brain regions in the prediction of two-year clinical severity. Strong predictive power can be observed in mHY, motor subscale of UPDRS and PIGD. The two-year clinical decay in patients with PSP can be accurately predicted by using diffusion tensor derived parameters as measured from distinct brain regions.


Electronic Poster

Brain Tumor: Diffusion, Perfusion, fMRI & Vascular Imaging

Exhibition Hall Tuesday 14:45 - 15:45

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An application of histogram analysis for multiparameters from multimodal MRI combining DCE, IVIM-DWI and 3D-Asl in predicating the Glioma grading and survival
Lin-Feng Yan1, Xin Zhang1, Yu Han1, Yu-Chuan Hu1, Hai-Yan Nan1, Ying-Zhi Sun1, Zhi-Cheng Liu1, Yang Yang1, Wen Wang1, and Guang-Bin Cui1

1Tangdu Hospital, Xi'an, People's Republic of China

To find the early biomarkers for predicting the histological grading and prognosis of glioma, the study compared the discriminating efficiency of multiple metrics from DCE, Multi-b DWI and 3D-ASL with a histogram analysis approach, and further evaluated the combined accuracy and the survival association. The accuracy of assessing glioma grading and survival would not significantly improved by a univariate parameter, but highly promoted by combining the multiple parameters of histogram analysis from various MRI modality. We will further utilize the machine learning to evaluate the classifying accuracy.

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ADC-Map Based Computer Aided Radiological Diagnostics (CARD) for the Initial Differential Diagnosis of Medulloblastoma versus Pilocytic Astrocytoma – A Reproducibility Study.
Urspeter Knecht1, Nicole Porz2, Beate Sick3, Elvis Murina4, Nuno Miguel Pedrosa de Barros5, Philippe Schucht6, Evelyn Herrmann7, Jan Gralla1, Roland Wiest1, Marwan El-Koussy5, and Johannes Slotboom8

1Neuroradiology, University Hospital Bern, Bern, Switzerland, 2Neurosurgery, University Hospital Bern, Bern, Switzerland, 3Department of Biostatistics, Institute of Epidemiology, Biostatistics and Prevention, University of Zürich, Zürich, Switzerland, 4Institute for Data Analysis and Process Design, ZHAW, Switzerland, 5Neuroradiology, University Bern, University Hospital, Bern, Switzerland, 6Neurosurgery, University Hospital Bern, Bern, 7Radiooncology, University Bern, University Hospital, Bern, Switzerland, 8Neuroradiology, University Hospital Bern, Switzerland

The diagnosis of brain tumors using visual criteria is very challenging. A novel computational method for computer aided radiologic diagnostics (CARD) is described based on quantitative textural features from ADC-maps, and a machine learning algorithm (Random-Forest classification). The reproducibility of the method was examined with 3 human raters was performed, and the Fleiss'-Kappa-test revealed high inter-rater agreement of κ=0.821 (p-value<<0.001) and an intra-rater agreement of κ =0.822 (p-value<<0.001). The method significantly improves the differential diagnosis of medulloblastoma versus pilocytic-astrocytomas.

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3D Parametric Histogram Analysis of Extravascular Extracellular Space for Identifying Subpopulations of Glioblastoma Related to Survival
Ka-Loh Li1, Natale Quartuccio1, Xiaoping Zhu1, Samantha Mills, and Alan Jackson1

1Division of Informatics, Imaging and Data Sciences, The University of Manchester, Manchester, United Kingdom

Histogram Analysis of ve was used for quantification of heterogeneity in glioblastomas and to study whether heterogeneity is related to survival. 27 patients with GBM were imaged. ve histograms were processed by using a 4-mixture Gaussian distribution. Patients with short survival show an increasing proportion of the third Gaussian distribution.  The mean of the 2nd Gaussian component, μ2,  (p = 0.00015) and the weight of the 3rd components, w3 (p = 0.0066) were the most predictive for survival.  The identification of tissue components, characterized by Gaussian fitting of ve values suggests that these represent, in some way, separate tissue subpopulations.

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Evaluation of the Applicability of Territorial Arterial Spin Labelling in Meningiomas for Presurgical Assessments Compared with 3-Dimensional Time-of-Flight Magnetic Resonance Angiography
Yiping Lu1, Bo Yin1, Shihai Luan2, Li Liu3, Ji Xiong1, Jianbo Wen1, Jianxun Qu4, and Daoying Geng1

1Department of Radiology, Huashan Hospital, Fudan University, Shanghai, People's Republic of China, 2Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, People's Republic of China, 3Department of Radiology, Shanghai Cancer Center, Shanghai, People's Republic of China, 4MR Research China, GE Healthcare, Shanghai, People's Republic of China

In this research, territorial Arterial Spin Labelling (t-ASL) and unenhanced 3D-TOF-MRA were used to evaluate the usage in identification of the feeding vasculature of meningiomas in 20 consecutive patients. Results showed that the inter-observer agreement was excellent for the identification of the origin of the feeding arteries by t-ASL, which was better than the inter-observer agreement of 3D-TOF-MRA. The inter-modality agreement between t-ASL and 3D-TOF-MRA for the feeding arteries was moderate. The information about feeding arteries was potentially related to patients’ symptoms and pathology, making it crucial for neurosurgeons in planning surgery and evaluating prognosis.

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Three-dimensional pseudo-continuous arterial spin labeling(3D-pcASL) in differentiating tumor progression from treated effects in glioma
Yuelei Lyu1,2, Bo Hou 1, Shuai Liu 3, Hui You1, Yu Wang3, Wenbin Ma 3, and Feng Feng1

1Department of Radiology, Peking Union Medical College Hospital, Beijing, People's Republic of China, 2Department of Radiology, Beijing Chao-Yang Hospital, Beijing, People's Republic of China, 3Department of Neurosurgery, Peking Union Medical College Hospital, Beijing, People's Republic of China

This study investigates the role of 3D-pcASL in discriminating between glioma progression(TP)and treatment related changes(TRC). We found that the maximum CBF (absolute value and its normalized values) in the lesion from 3D-pcASL were significantly higher in the TP group than in the TRC group. The ROC curve analysis showed the maximum CBF has an excellent performance in differentiating TP from TRC in patients with newly diagnosed glioma who have undertaken radiotherapy or chemoradiotherapy.

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Proposed thresholds for parametric response mapping using intravoxel incoherent motion diffusion weighted imaging (IVIM-DWI) for the assessment of brain tumor treatment response
Ashley M Stokes1, Jack T Skinner2, Laura C Bell1, Adrienne N Dula3, Thomas E Yankeelov3, and C. Chad Quarles1

1Translational Bioimaging Group, Barrow Neurological Institute, Phoenix, AZ, United States, 2Imaging Programs, National Comprehensive Cancer Network (NCCN), Philadelphia, PA, United States, 3University of Texas - Austin

The purpose of this study is to establish thresholds for parametric response mapping (PRM) using apparent diffusion coefficients (ADC) and intra-voxel incoherent motion (IVIM) parameters in healthy controls and to apply these thresholds in a cohort of brain tumor patients to study regional treatment-induced changes in diffusion and perfusion. We obtained thresholds (95% confidence intervals) of 0.38 and 0.32 x10-3 mm2/s for ADC and IVIM-D, respectively. For the perfusion-related distributions, the thresholds were 10 ml/100g (IVIM-fp) and 54 ml/100g/min (IVIM-fpD*). This multi-parametric sensitivity to local tumor changes could be useful to simultaneously evaluate treatment-induced changes in perfusion and cellularity.

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Repeatability of ktrans derived from DCE-MRI in newly diagnosed glioblastoma across multiple baseline images and processing methods.
Andrew L Beers1, Yi-Fen Yen2, Kyrre Eeg Emblem3, Elizabeth R Gerstner4, Bruce Rosen2, and Jayashree Kalpathy-Cramer2

1Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Radiology, Massachusetts General Hospital, 3Oslo University Hospital, 4Neurology, Massachusetts General Hospital

We evaluate the reproducibility of ktrans values derived from dynamic contrast MRI images in patients with newly diagnosed glioblastoma. Particular focus is put on the reproducibility across choices of T1 values and arterial input functions (AIFs) to the Tofts-Kermode model. Reproducibility is assessed across multiple pre-therapy baseline visits in a 45 patient cohort. Our model based on static population AIFs and static global T1 values had excellent reproducibility compared to other models including unique individual AIFs and T1 maps. There is relatively little concordance between all tested models, but individual AIFs led to higher mean ktrans values.

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Influence of Preload and Post-Processing Methods on the Consistency of Cerebral Blood Volume Values from Dynamic Susceptibility Contrast MRI
Laura C. Bell1, Leland S. Hu2, Ashley M. Stokes1, Samuel C. McGee1, Leslie C. Baxter1, and C. Chad Quarles1

1Barrow Neurological Institute, Phoenix, AZ, United States, 2Mayo Clinic, Phoenix, AZ

With DSC-MRI, contrast agent leakage effects in high-grade gliomas must be resolved for accurate CBV measurements. Our aim is to compare CBV values across 1) varying preload doses, 2) two different previously published leakage correction methods, 3) normalized to either the AIF or normal appearing white matter (NAWM), and 4) different CBV integration limits. This was accomplished by acquiring six consecutive DSC-MRI with varying preloads in 14 glioma patients. We found that leakage corrected CBV measurements exhibit high consistency across variable preload doses, particularly when data is integrated under the “First Pass Only” and normalized to the AIF.

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True progression versus radiation necrosis in glioma: a comparative study of arterial spin labelling and dynamic susceptibility contrast imaging
Qian Xu1, Kai Xu1, Qi Liu1, Hong Ma1, Jiangfen Wu2, and Jianxun Qu2

1Department of radiology, Affiliation hospital of Xuzhou Medical University Department of Radiology, Xuzhou, People's Republic of China, 2GE Healthcare, Shanghai, People's Republic of China

Differentiation of treatment-related radiation necrosis from recurrent neoplasm is often difficult and dynamic susceptibility contrast perfusion MR imaging (DSC-MRI) is reported to be a surrogate marker for distinguishing them. However, DSC technique is invasive and has its disadvantage. Three dimensional pseudo-continuous ASL (3D-pcASL) can provide noninvasive absolute cerebral blood flow (CBF) measurement with insensitivity to permeability, and it is especially necessary for the evaluation of the postoperative gliomas patients where the blood-brain barrier (BBB) is completely broken with much more leakage effects. This study aimed to differentiate true progression from radiation necrosis of gliomas by using 3D-pcASL and DSC-MRI.

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Cerebral Blood Volume (CBV) Normalization for Dynamic Susceptibility Contrast (DSC) MRI in Glioblastoma Patients
Lei Qin1, Xiang Li2, Jinrong Qu2, Katherine Leung3, Angie Li3, and Geoffrey S Young3

1Dana-Farber Cancer Institute, Boston, MA, United States, 2Radiology, Affiliated Cancer Hospital of Zhengzhou University, 3Radiology, Brigham and Women's Hospital

Gaussian normalization generates more consistent nCBV maps than the gold standard, manual NAWM normalization. The ease of implementation and automated aspect of Gaussian normalization makes it an appealing method that could be successfully implemented in the clinical setting.

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Preliminary Analysis of Neurite Orientation Dispersion and Density Imaging in Grading of Gliomas
Jing Zhao1, Jian-ping Chu2, Jing-yan Wang2, and Xu Yan3

1The First Affiliated Hospital of Sun Yat-sen University, Guang Zhou, People's Republic of China, 2The First Affiliated Hospital of Sun Yat-sen University, 3Shang Hai

Neurite orientation dispersion and density imaging (NODDI) was an advanced DWI. Our study is to quantitatively evaluate the diagnostic efficiency of NODDI in grading gliomas. 29 patients were recruited and they underwent whole-brain DWI which were collected at three b value (0, 1000 and 2000 s/mm2) and 1000 and 2000 s/mm2 with 30 directions. Compared with LGG, ficvf and ODI are significantly higher in HGG and the mean value of ficvf showed the highest diagnostic value. Quantitative parameters from NODDI can aid in gliomas grading and the mean value of ficvf showed the highest diagnostic power.

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Diffusion kurtosis imaging: a novel tool to evaluate survival of glioma patients
Rifeng Jiang1, Wenzhen Zhu2, Lingyun Zhao2, Qing Duan1, Yunjing Xue1, and Jingjing Jiang2

1Fujian Medical University Union Hospital, Fuzhou, People's Republic of China, 2Tongji Hospital, HUST, Wuhan, People's Republic of China

DKI is a promising tool to predict the survival of glioma patients. MK, MD and ADC were significantly correlated with overall survival (OS) of patients with astrocytic tumor. By univariate Kaplan-Meier survival analyses, OS of the patients was related to tumor grade, Ki-67 LI, resection status, enhancement degree, edge, edema degree, lesion number, MK, MD and ADC (log rank p < 0.05 for all).  Multivariate Cox regression analysis indicated that MK is an independent predictor of OS in these patients, and it is a risk factor (P = 0.006, HR=2.142 and 95%CI=1.247-3.679 for MK increasing every 0.1). These results are helpful to clinic.

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Predicting WHO grade of brain glioma using inflow-based vascular-space-occupancy MR imaging at 3 Tesla
Yuankui Wu1, Shukun Liao1, Danni Wang2, Lichao Ma1, Jun Hua3,4, Yingjie Mei2, Jun Wang5, Jun Zhou6, and Yikai Xu1

1Department of Medical Imaging, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China, 2School of Biomedical Engineering, Southern Medical University, Guangzhou, People's Republic of China, 3Neurosection, Division of MRI Research, Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA, 4F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, United States, 5Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China, 6Department of Pathology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China

The purpose of this study is to investigate the feasibility of grading primary brain gliomas with inflow-based vascular-space-occupancy (iVASO) MRI. The iVASO MRI perfusion approach enables the quantitative analysis of physiological information of tumor without using exogenous contrast agent. The measured arteriolar cerebral blood volume (CBVa) showed a significant association with tumor grades as well as the capability to predict tumors grades. When exogenous contrast agent administration is difficult or contraindicated in certain patient populations, iVASO MRI may used as an option for the clinical management of brain tumors.

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Clinical Applications of Simultaneous Multi-slice (SMS) Imaging with High-angular-resolution Diffusion Imaging (HARDI) : a Comparative Study of Brain Tumor Pre-operative Evaluation with and without SMS
Louis-Olivier Bouchard1,2, Christian Berthelot2, and Maxime Villeneuve3

1Radiology, Université Laval, Québec, QC, Canada, 2Radiology, CHU de Québec, Québec, QC, Canada, 3CHU de Québec, QC, Canada

Diffusion MRI can be helpful in pre-operative brain tumor evaluation to assess white matter tracts involved. It is however a time-consuming sequence, a problem that Simultaneous Multi-slice Imaging was designed to solve, although it has to demonstrate its quality non-inferiority. We compared in five patients tractographic data (using HARDI), acquired with and without SMS techniques, to evaluate the quality of imaging data as measured by the number of fibers between two regions of interest. We found that SMS-factor 2, cut time down by 37%, which is clinically relevant. We also found that SMS-2 is indeed non-inferior (alpha=0,03125) and can be used without quality compromise. 

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Perfusion imaging of brain gliomas using arterial spin labeling: Correlation with histopathological vascular density in MRI-guided biopsies
Haopeng Pang1, Ningning Di1, Chengjun Yao2, Yan Ren1, Jingsong Wu 3, Yong Zhang4, Jianxun Qu 4, and Zhenwei Yao 1

1Radiology, Huashan Hospital, Shanghai, People's Republic of China, 2Glioma Surgery Division, Huashan Hospital, Shanghai, People's Republic of China, 3Neurosurgery, Huashan Hospital, Shanghai, People's Republic of China, 4MR Research China, GE Healthcare, Shanghai, People's Republic of China

This study was designed to determine if CBF derived from ASL perfusion imaging could be used to quantitatively evaluate the MVD of brain gliomas on a “point-to-point” basis. The study enrolled 47 patients with treatment-naive brain gliomas who underwent preoperative ASL before stereotactic surgery. We histologically quantified MVD from CD34-stained sections of stereotactic biopsies and co-registered biopsy locations with localized CBF measurements. CBF showed a statistically significant positive correlation with MVD. ASL can be a quantitative and noninvasive perfusion MR method for evaluating the MVD of brain gliomas, and may reflect the microvascularity of gliomas.

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Non-invasive, contrast-exempt (NICE) assessment of glioblastoma (GBM) using multi-slice ASL and iVASO imaging
Jalal B. Andre1, S Kristie McKown2, and Swati Rane2

1Radiology, University of Washington, Seattle, WA, United States, 2University of Washington

Assessment of cerebral and tumor perfusion has frequently been advocated for initial prognostication, and evaluation for possible progression, of primary brain tumors, historically accomplished via intravenous injection of a gadolinium-based contrast agent (GBCA).  The potential for intracranial and corporeal deposition of GBCA invites the development and optimization of non-invasive, contrast-exempt (NICE) methods to assess cerebral perfusion.  We sought to develop and implement NICE spin-label-based methods incorporating cerebral blood flow (CBF) and volume (CBV) assessment, applied in treated GBM patients.

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Intraoperative Arterial Spin Labeling – feasibility and first results
Thomas Lindner1, Isabel Lübbing2, Christian von der Brelie2,3, Michael Helle4, Olav Jansen1, Michael Synowitz2, and Stephan Ulmer1,5

1Clinic for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany, 2Clinic for Neurosurgery, University Hospital Schleswig-Holstein, Kiel, Germany, 3Clinic for Neurosurgery, University Hospital Göttingen, Göttingen, Germany, 4Tomographic Imaging Department, Philips Research, Hamburg, Germany, 5Medizinisch Radiologisches Institut, Zurich, Switzerland

Performing MRI studies in an intraoperative setting is generally limited due to hardware and patient positioning restrictions. Structural imaging alone might not be sufficient to gather all required information. The goal of this study was to implement pseudo-continuous ASL in the intraoperative neurosurgical setting with limited hardware available and compare the images with measurements obtained pre-, and postoperatively on different clinical MRI scanners. The first application in a patient shows the potential of intraoperative ASL imaging with regards to visualizing residual tumor mass already during the surgical intervention in similar image quality.

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Evaluation of intravoxel incoherent motion in pituitary adenoma using turbo spin-echo diffusion-weighted imaging
Kiyohisa Kamimura1, Masanori Nakajo1, Yoshihiko Fukukura1, Shingo Fujio2, Takashi Iwanaga3, Tomoyuki Okuaki 4, and Takashi Yoshiura1

1Radiology, Kagoshima University Medical and Dental Hospital, Kagoshima, Japan, 2Neurosurgery, Kagoshima University Medical and Dental Hospital, Kagoshima, Japan, 3Clinical Engineering Department Radiation Section, Kagoshima University Hospital, Kagoshima, Japan, 4Philips Healthcare, Tokyo

Our purpose was to evaluate the intravoxel incoherent motion (IVIM) in the pituitary adenoma using turbo spin-echo diffusion-weighted imaging (TSE-DWI). The f (perfusion fraction) in the pituitary adenoma was significantly lower than that in the normal pituitary gland, which is consistent with histopathologically known lower microvascular density in adenomas compared to normal pituitary tissue. There was no significant correlation between the f and the volume in pituitary adenomas. TSE-DWI-based IVIM imaging is a viable imaging technique for assessment of vascularity in skull base lesions including pituitary adenoma.

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Histogram Analysis of Intravoxel Incoherent Motion in Peritumoral Edema for Distinguishing between Central Nervous System Lymphoma and Other Brain Tumors
Kazuhiro Murayama1, Takashi Fukuba2, Shigeharu Ohyu3, Ayako Ninomiya3, Kazuhiro Katada4, and Hiroshi Toyama1

1Radiology, Fujita Health University, Toyoake, Japan, 2Radiology, Fujita Health University Hospital, Toyoake, Japan, 3Toshiba Medical Systems Corporation, Japan, 4Joint Research Laboratory of Advanced Medical Imaging, Fujita Health University, Toyoake, Japan

Additional benefits of quantitative analysis of peritumoral edema for distinguishing between brain tumors by diffusion weighted image or dynamic susceptibility contrast MRI has been described. Our aim was to investigate the hypothesis that quantitative analysis of intravoxel incoherent motion (IVIM) in peritumoral edema may be a useful parameter for distinguishing between central nervous system lymphoma (CNSL) and other brain tumors. Quantitative analysis of IVIM indicates that D* and f maps of CNSL visually showed increase values in peritumoral edema. Our results indicate that these IVIM parameters have been successfully applied to obtain quantitative estimates of the vascularity and perfusion in peritumoral edema for differenciating CNSL and others without gadolinium contrast agent.

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Independent Component-based Denoising for Mapping Cerebrovascular Reactivity with Resting-State Fluctuation of BOLD Signal Amplitude in Patients with Gliomas
AI-LING HSU1, Ping-Ni Wang2, Jyh-Horng Chen3, and Ho-Ling Liu4

1Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 2Department of Medical Physics, University of Wisconsin-Madison, 3Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, 4Department of Imaging Physics, The University of Texas MD Anderson Cancer Center

Cerebrovascular reactivity (CVR) with hypercapnia challenges, such as a breath-hold (BH) task, has been proposed to indicate areas with neurovascular uncoupling potentials for presurgical fMRI. Previous studies have shown that BH response correlated with resting-state fluctuation of amplitude (RSFA) in healthy adults. This study explores the use of RSFA for indicating sites with neurovascular uncoupling potentials in presurgical fMRI of patients with gliomas. The RSFA with ICA-based denoising approaches was found to perform superior to the traditional approaches. Unlike BH, RS-fMRI is less dependent on patient performance thus can be widely applied in clinical practice. 

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Active and passive fMRI for preoperative localization of motor function areas in brain tumor patients
Chen Niu1, Xiao Ling1, Pan Lin2, Kun Zhang3, Xin Liu4, Liping Guo1, Wenfei Li1, Hao Song2, Ming Zhang1, and Maode Wang5

1Department of Medical Imaging, The First Affiliated Hospital of Xi'An Jiaotong University, Xi'An, People's Republic of China, 2Key Laboratory of Biomedical Information Engineering of Education Ministry, Institute of Biomedical Engineering, Xi’an Jiaotong University, 3Department of Electronics Engineering, Northwestern Polytechnical University, 4Technical University Munich, 5Department of neurosurgery, The First Affiliated Hospital of Xi'An Jiaotong University, Xi'An, People's Republic of China

The aim of this study is to investigate whether there is consistency between active and passive movement in patients with brain tumors. Two motor tasks (active and passive hand movement) were applied to brain tumor patients. Our results demonstrate that there is no statistical difference of activation intensity between active hand movement and passive hand movement in patients with brain tumors. Our results suggest that passive movement fMRI provides a potential method for presurgical mapping in cases where patients are unable to comply with task instructions.

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Predicting pre-surgical language lateralization using resting state fMRI in patients with neuropathologies
Bradford A Moffat1, Sarah Kalus2, Christopher Steward2, Chris Kokkinos3, Patricia M Desmond2, and Pramit Phal3

1Anatomy and Neuroscience, The University of Melbourne, Parkville, Australia, 2Radiology, The University of Melbourne, Parkville, Australia, 3Epworth Medical Imaging, Richmond, Australia

We present a quantitative resting state fMRI method for determining the laterality of language processing in patients undergoing neurosurgical procedures. The results show that laterality indices based on the resting state fMRI can predict a patient’s laterality based on a language task fMRI. This has potential for guiding neurosurgical interventions in patients unable to perform task fMRI exams or during surgery with an interventional MRI scanner.

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Brain Structural Network of Working Memory and Processing Speed for ALL Survivors
Junyu Guo1, John O. Glass1, JungWon Hyun1, Yimei Li1, Heather Conklin1, Lisa Jacola1, Ching-Hon Pui1, Sima Jeha1, and Wilbrun E. Reddick1

1St Jude Children's Research Hospital, Memphis, TN, United States

Acute lymphoblastic leukemia survivors may have significant deficits in processing speed and working memory even when treated with only chemotherapy. We investigate the relationship of diffusion tensor imaging metrics in an a priori brain structural network with neurocognitive functions such as processing speed and working memory. We found that fractional anisotropy values in the structural network were significantly positively associated with processing speed performance in two MR exams two years apart, and axial diffusivity values were negatively associated with working memory in the MR exam at the end of therapy.  These findings may provide potential evidence for a structural neurocognitive network.

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Altered network topology in patients with primary brain tumors after fractionated radiotherapy
Naeim Bahrami1, Tyler Seibert 1, Roshan Karunamuni1, Jona Hattangadi-Gluth1, Nikdokht Farid1, Anders Dale1, and Carrie McDonald1

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

The purpose of this study is to determine whether brain structural network properties change in brain tumor patients following fractionated, partial brain radiotherapy(RT). We applied graph theory to MRI-derived cortical thickness estimates in 54 patients pre and post-RT and examine global and local changes in network topology. Increases in global efficiency, transitivity, and modularity were observed post-RT compared to pre-RT. Decreases in local efficiency and clustering coefficient were seen in regions receiving higher doses of RT. Our findings demonstrate alterations in global and local network topology following RT in patients with primary brain tumors.


Electronic Poster

Neuro Educational

Exhibition Hall Tuesday 14:45 - 15:45

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The pitfalls of MR fiber g-ratio mapping in neurological disease patients.
Masaaki Hori1, Kouhei Kamiya2, Yuichi Suzuki2, Ryuji Nojiri3, Yasuaki Turushima3, Ryo Ueda1,4, Issei Fukunaga1, Misaki Nakazawa1,4, Akifumi Hagiwara2, Christina Andica1, Koji Kamagata1, Keiichi Ishigame3, Kanako Kunishima Kumamaru1, and Shigeki Aoki1

1Radiology, Juntendo University School of Medicine, Tokyo, Japan, 2Radiology, The University of Tokyo Hospital, Tokyo, Japan, 3Radiology, Tokyo Medical Clinic, Tokyo, Japan, 4Health Science, Tokyo Metropolitan University, Tokyo, Japan

The purpose of this exhibit is to present the pitfalls of generating MR fiber g-ratio mapping in neurological disease patients, and to propose possible solutions. While the g-ratio maps can help to make comprehensive diagnosis together with clinical information (i.e. symptoms), probable differential diagnosis and conventional MR imaging findings can help to avoid the misuse of MR fiber g-ratio maps in the clinical setting.

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State of the art stroke imaging
Olivier Clerk-Lamalice1 and John W Chen1

1Neuroradiology, Massachusetts General Hospital, Boston, MA, United States

This work will review key concepts of our current understanding of stroke pathophysiology, imaging protocol with an interest on specific MRI sequences. This review will also introduce important concepts regarding stroke-related neuroinflammation.

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Partial Volume Effects in Arterial Spin Labelling: Something to Live With or Correct For?
Michael A Chappell1, Iris Asllani2, Xavier Golay3, Matthias Günther4,5,6, Juan A Hernández-Tamames7, and Matthias J.P van Osch8

1Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom, 2Department of Biomedical Engineering, Rochester Institute of Technology, Rochester, NY, United States, 3Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom, 4Fraunhofer MEVIS, Bremen, Germany, 5University Bremen, Bremen, Germany, 6mediri GmbH, Heidelberg, Germany, 7Radiologie & Nucleaire Geneeskunde, Erasmus MC, Rotterdam, Netherlands, 8C.J. Gorter Center for High Field MRI, Leiden University Medical Center, Leiden, Netherlands

Partial Volume Effects have a profound influence on the perfusion images generated using Arterial Spin Labelling. We are only starting to appreciate how this influences our interpretation of the images and what we can discover when using perfusion imaging in studies. This e-poster seeks to outline the key issues, underlying theory about what effects PVE might have, methods to correct for them, and when correction may or may not be a good idea.

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Optimizing pediatric leptomeningeal metastasis detection: technical considerations
Julie H Harreld1, Muhammad Ayaz1, Claudia M Hillenbrand1, Ralf Loeffler1, Scott N Hwang1, Junyu Guo1, and Zoltan Patay1

1Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States

MRI has assumed a central role in the detection of leptomeningeal metastasis for risk stratification of pediatric CNS tumors, but not all sequences are created equal for detection of tumor in CSF.  In this presentation, we describe the strengths, weaknesses and tradeoffs of sequences commonly used for this purpose, and suggest guidelines for a targeted imaging protocol with increased sensitivity for leptomeningeal tumor, in less scan time. 

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Malformations of cortical development: MRI evaluation
Maria Camila Arango-White1, Diego Herrera2, and Sergio Alberto Vargas3

1radiology, Universidad de Antioquia, Medellin, Colombia, 2Radiology, CEDIMED, medellin, Colombia, 3Radiology, CEDIMED, Medellin, Colombia

Cortical development malformations are relatively uncommon conditions but have an enormous impact in children with neuro-developmental delay, disability and epilepsy. We aim to present cases from our clinical practice to illustrate the pathology spectrum and review the existing literature about these malformations. We emphasize the importance of an MRI approach to elaborate a differential diagnosis which can be useful to focus genetic tests, and to establish prognosis in these patients.

4195
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Expanding the Role of the Rapid Sequence MRI in Pediatric Neuroimaging
Cory Pfeifer1, Amber Pokorney1, and Patricia Cornejo1

1Phoenix Children's Hospital, Phoenix, AZ, United States

The Image Gently campaign has resulted in increased awareness of radiation risks in the pediatric population. A major effect of this is a reduction in computed tomography in pediatric hospitals. While MRI may be able to achieve many of the goals of CT, risks related to sedation and the need for increased resources to perform sedated MRI must also be considered for children with conditions known to require follow-up imaging. In cases where children have external ventricular shunts in place over a long term, rapid sequence MRI has been well-described in its role to assess ventricular size while avoiding both ionizing radiation and sedation. Here we describe the use of our version of the rapid sequence MRI to assess additional indications, as more than half of the patients undergoing this study in our facility do not have indwelling ventricular shunt catheters at the time of imaging. Limitations of this technique are also discussed.

4196
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Magnetic Resonance Imaging of Myelin Water: Principles and Applications
Cornelia Laule1,2,3, Irene M. Vavasour1, Shannon H. Kolind1,4, Thorarin A. Bjarnason1,5,6, Jing Zhang1, Donna J.M. Lang1, Hanwen Liu3,7, Emil Ljungberg4, Roger Tam1, Erin L. MacMillan4, John K. Kramer3,8, Sandra Sirrs4, Piotr Kozlowski1,3,7, Alexander Rauscher1,9, Lara Boyd10, G.R. Wayne Moore2,3,4, Anthony L. Traboulsee4, David K.B. Li1,4, and Alexander L. MacKay1,7

1Radiology, University of British Columbia, Vancouver, BC, Canada, 2Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 3International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, BC, Canada, 4Medicine, University of British Columbia, Vancouver, BC, Canada, 5Interior Health, Kelowna, BC, Canada, 6Computer Science, Mathematics, Physics & Statistics, University of British Columbia Okanagan, Kelowna, BC, Canada, 7Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada, 8Kinesiology, University of British Columbia, Vancouver, BC, Canada, 9Pediatrics, University of British Columbia, Vancouver, BC, Canada, 10Physical Therapy, University of British Columbia, Vancouver, BC, Canada

Myelin water imaging (MWI) provides quantitative and specific mapping of myelin content in-vivo. Water trapped between myelin bilayers have a short T2 relaxation time; the fractional proportion of this myelin water signal correlates strongly with histological staining for myelin. MWI has successfully been used to study both the brain and spinal cord where it can increase our understanding of development, aging and disease processes, and may also improve accuracy of diagnosis, prognosis and assessment of therapeutic response. Moving forward, MWI is expected to play an important role in the development and monitoring of new treatments targeted at remyelination and neuroprotection.

4197
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The adaptive learning processing of establishing a research imaging core lab
Marina Salluzzi1,2, Nicole Blenkin1,2, and Richard Frayne2,3

1Calgary Image Processing and Analysis Centre, Foothills Medical Centre, Calgary, AB, Canada, 2Departments of Radiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 3Seaman Family Research MR Centre, Foothills Medical Centre, Calgary, AB, Canada

As institutions, agencies and governing bodies move toward increased value for invested research funds, core laboratory facilities have been found to be an effective solution to researcher needs. The Calgary Image Processing and Analysis Centre was envisioned as a core lab to support the local research community, and today it provides an evolving suite of services to facilitate the translation efforts in medical imaging research. CIPAC's evolution has been possible due to the synergy with local researchers striving for a quality solution to research image data management needs.

4198
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Relation between brain temperature and cerebral perfusion and metabolism in human brain
Shunrou Fujiwara1,2, Takaaki Beppu1,3, Kuniaki Ogasawara1, and Yoshichika Yoshioka2,4

1Department of Neurosurgery, Iwate Medical University, Morioka, Japan, 2WPI Immunology Frontier Research Center, Osaka University, Suita, Japan, 3Department of Hyperbaric Medicine, Iwate Medical University, Morioka, Japan, 4Center for Information and Neural Networks (CiNet), NICT and Osaka University, Suita, Japan

Brain temperature (BT) had traditionally been discussed whether it may be a simple parameter depending on body (core) temperature or it may regulate the neural activities; however, recent reports with magnetic resonance imaging (MRI) system demonstrated BT was strongly associated with the cerebral perfusion and metabolism in patients with ischemic change. Here, we reviewed BT measurement techniques with a MRI system and discussed the pathologic conditions causing BT alteration relating to the cerebral perfusion and metabolism.

4199
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Clinical Application of Synthetic MRI: Benefits and Pitfalls
Christina Andica1, Akifumi Hagiwara1,2, Misaki Nakazawa1,3, Masaaki Hori1, and Shigeki Aoki1

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

Synthetic MRI is a method of imaging based on the quantification of T1, T2, PD and B1 field by a single scan. The features of synthetic MRI such as; quantitative maps, tailored contrast-weighted imaging, brain tissue and myelin segmentation and volumetry show some advantages in the evaluation of brain disorders. However, some limitations were also noted.

4200
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Brain abscess due to odontogenic infection: Insights from dental CT for differential diagnosis.
Daiji Uchiyama1, Katsumi Nakamura1, and Takehisa Tsuji2

1Radiology, Tobata Kyoritsu Hospital, Kitakyushu, Japan, 2Neurosurgery, Kitakyushu, Japan

We herein report the 4 cases of brain abscess secondary to odontogenic infection due to an untreated tooth decay.  In all cases, there were no abnormalities on physical and intraoral examinations, nor overt trismus or facial swelling. Dental CT showed a periapical radiolucency around the root tips of a decayed tooth, which revealed periodontal abscess. After the multidisciplinary therapy including antibiotics, abscess drainage, and dental treatments, all the patients recovered and discharged.

4201
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Navigating the Brachial Plexus: An MRI Visual Primer
Manu Singh1, Bernard Chow1, and Kai Kinder1

1Radiology, Santa Barbara Cottage Hospital, Santa Barbara, CA, United States

This educational exhibit provides an up-to-date, practical approach for MRI evaluation of the brachial plexus.

4202
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The Review of Age-Related White Matter Changes in Alzheimer’s Disease Trials
Dewen Yang1

1ICON Clinical Research, North Wales, PA, United States

Age-related white matter changes (ARWMC) are prevalent brain imaging findings and important substrates for cognitive impairment in the elderly. The true pathogenesis of ARWMC is not well understood. Previous studies verified that ARWMC also associate with cognitive decline. In Alzheimer’s disease, ARWMC is also common findings on MRI images. The clinical importance of ARWMC in AD trials is reviewed.

4203
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Imaging features of myoepithelial carcinoma in the nasopharynx and paranasal sinus
Chunyan Zhang1, Jingliang Cheng1, Yong Zhang1, Kangkang Xue1, and Shaoyu Wang2

1MRI Division, the First Affiliated Hostipal of Zhengzhou University, Zhengzhou,China, People's Republic of China, 2Siemens Healthcare Ltd., People's Republic of China

This study aimed to explore the diagnostic points of myoepithelial carcinoma(MEC)in the nasopharynx analyze through analysing the imaging features.11 patients with MEC in the nasopharynx and paranasal sinus confirmed by pathology were analyzed retrospectively. CT and MRI appearances can localize the tumors,show tumors’size, and delineate the relationship of the 1esions with the surrounding tissue.On CT findings, MEC easily has osteolytic destruction and on MR and ADC vuale it owns certain characteristic features.These characteristics are conducive to the early diagnosis and rational treatment in clinics.


4204
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Intraspinal bronchogenic cyst: Series of case reports and literature review
Xueying Ma1, Dun Ding1, Fengli Liang1, Zhuonan Wang1, Haining Li1, Yingxiang Sun1, and Ming Zhang1

1Imaging Medical, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China

The purpose of this study was to provide a deeper knowledge of clinical presentation, imaging diagnosis, differential diagnosis and the management of the intraspinal bronchiogenic cysts. We retrospectively studied three cases of SBCs which were registered in our department and analyzed eight case reports which were all published in English. The SBCs can occur anywhere in the spinal canal, but they are more likely to present at the cervical canal and might be along with some developmental malformations of spine. We emphasize the role of MRI findings in the diagnosis before surgery. It is recommended that the lesion should be removed as completely as possible on the premise of protecting the spinal cord from being injured.

4205
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The study of brain iron by SWI and T2 * imaging in Parkinson’s disease
Lixia Yang1 and Yu Cheng1

1Department of image center, Shanghai Xuhui central hospital,Shanghai, Shanghai, People's Republic of China

Both Susceptibility Weighted Imaging (SWI) and T2 star (T2*) imaging can measure the brain iron deposition. However, the two ways by which the brain iron is measured are not compared. This study measured the brain iron of healthy volunteers and Parkinson’s disease patients by SWI and T2* imaging. we found that SWI and T2* imaging could estimate the brain iron, and the SWI radiant values of SNr and RN were significance difference between healthy volunteers and Parkinson’s disease patients, suggesting the SWI had better reliability to diagnose the Parkinson’s disease than the T2* imaging.

4206
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Imaging Mimics of Brain Tumors: Radiologic-Histopathologic Correlation
Ozden Kilinc1, Sara Dastmalchian1, Michael Coffey1,2, Mark Cohen2,3, Jeffrey Sunshine1,2, Andrew Sloan2,4, and Chaitra Badve1,2

1Department of Radiology, Case Western Reserve University School of Medicine, Cleveland, OH, United States, 2University Hospitals Cleveland Medical Center, Cleveland, OH, United States, 3Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH, United States, 4Department of Neurological Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, United States

Neuroimaging plays critical diagnostic and prognostic role in the management of brain tumors. However, there can be a significant overlap in the imaging features between neoplastic and various non-neoplastic pathological processes in the brain. The knowledge of key differentiating features of such non-neoplastic entities is essential for a radiologist to facilitate accurate and timely diagnosis. Additionally, in such settings, judicious use of advanced imaging techniques such as perfusion imaging and spectroscopy can help the radiologist as problem-solving tools. In this exhibit, we review the conventional and advanced imaging features of different disease processes that are encountered in day-to-day clinical practice and can mimic brain neoplasms on imaging. 

4207
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Image Quality Comparison of High Resolution PC-MRA (4D-Flow) with Time of Flight in Healthy Volunteers
Warren Chang1, Michael Loecher1, Daniel B Ennis1, Aichi Chien1, and J. Pablo Villablanca1

1Department of Radiological Sciences, University of California, Los Angeles, CA, United States

In this study, image quality of high resolution PC-MRA (4D Flow) and 3D-TOF was compared. Ten healthy volunteers were scanned with high resolution 4D-Flow and 3D-TOF angiograms at 0.5 mm isotropic spatial resolution in clinically-useful scan times of 7 and 12 minutes.  There was no significant difference in image quality between 4D Flow and 3D-TOF in both source images and MIPs.  4D Flow acquisitions were velocity encoded, allowing hemodynamic evaluation of intracranial structures.   This study demonstrated that phase-contrast techniques such as 4D-Flow have comparable image quality to 3D-TOF while obtaining velocity measurements, showing promise as a viable alternative to 3D-TOF. 


Electronic Poster

Psychiatric Neuroimaging

Exhibition Hall Tuesday 14:45 - 15:45

4208
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Individual metabolic differences in murine nucleus accumbens (NAc) measured by 1H-MRS at 14.1 Tesla is associated with trait-anxiety levels
Antoine Cherix1, Thomas Larrieu2, Arantxa Duque Moreno3, Hongxia Lei4, Santiago Moléon3, Carmen Sandi2, and Rolf Gruetter1,5,6

1Laboratory for Functional and Metabolic Imaging (LIFMET), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Laboratory of Behavioral Genetics (LGC), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 3Department of Psychobiology, University of Valencia, Valencia, Spain, 4Center for Biomedical Imaging (CIBM), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5Department of Radiology, University of Geneva, Geneva, Switzerland, 6Department of Radiology, University of Lausanne, Lausanne, Switzerland

1H-MRS was used to study metabolic changes associated with basal anxiety levels in nucleus accumbens (NAc) and medial prefrontal cortex (mPFC) of naive mice. Results indicate some neuroenergetic differences specific to the NAc, which supports the idea that this structure plays a critical role in the etiology of anxiety.

4209
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Elevated Glycine and Glutamate Metabolite Levels in Patients with First-Episode Psychotic Disorders Measured by TE-averaged PRESS at 4 T
Sang-Young Kim1,2, Marc J. Kaufman1,3, Bruce M. Cohen4, Joseph T. Coyle5, Fei Du1,2, and Dost Öngür2

1McLean Imaging Center, McLean Hospital, Harvard Medical School, Belmont, MA, United States, 2Psychotic Disorders Division, McLean Hospital, Harvard Medical School, Belmont, MA, United States, 3Translational Imaging Laboratory, McLean Hospital, Harvard Medical School, Belmont, MA, United States, 4Program for Neuropsychiatric Research, McLean Hospital, Harvard Medical School, Belmont, MA, United States, 5Laboratory for Psychiatric and Molecular Neuroscience, McLean Hospital, Harvard Medical School, Belmont, MA, United States

In this work, we present the advantage of TE-averaged PRESS approach to reliably quantify brain glutamate and glycine levels in vivo in patients with psychosis. Since glutamtergic dysregulation and NMDA receptor hypofunction are implicated in the pathophysiology of major psychiatric conditions, non-invasive in vivo assessments of glutamate and its NMDA receptor modulator, glycine, would be of great importance. We found significantly elevated glutamate and glycine levels in the anterior cingulate cortex and parieto-occipital cortex of patients with first-episode psychosis as compared to healthy controls, suggesting increased brain glutamatergic activity with compensatory attempts to correct for NMDA receptor hypofunction.  

4210
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Modular organization of functional connectivity in schizophrenia patients beyond the resolution limit
Cecile Bordier1, Carlo Nicolini1, and Angelo Bifone1

1Center for Neuroscience and Cognitive Systems, Istituto Italiano di Tecnologia, Rovereto (TN), Italy

Graph theoretical methods have been widely applied to study the modular organization of functional connectivity networks in neuropsychiatric disorders like Schizophrenia. However, current methods are affected by a resolution limit that prevents detection of modules that are smaller than a scale determined by the size of the entire network. We have developed a resolution-limit-free method, dubbed Surprise, and applied it to study resting state functional connectivity networks in a large cohort of Schizophrenia patients and matched controls. Improved resolution reveals substantial reorganization of resting state connectivity structure in patients, with previously undetected fragmentation and merging of sensory and associative modules.

4211
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Decreased Brain Nicotinamide Adenine Dinucleotide (NAD) Levels in Adolescent Bipolar Disorder
Young-Hoon Sung1,2, Xian-Feng Shi1,2, Perry F. Renshaw1,2,3, and Douglas G. Kondo1,2,3

1Brain Institute, Salt Lake City, UT, United States, 2University of Utah Department of Psychiatry, Salt Lake City, UT, United States, 3Veterans Administration Rocky Mountain MIRECC for Suicide Prevention, Salt Lake City, UT, United States

Converging evidence implicates mitochondrial dysfunction in bipolar disorder (BPD). Treatments of adolescent BPD have limited efficacy, and are associated with significant toxicity. Phosphorus magnetic spectroscopy imaging (31P MRSI) may shed light on the pathophysiology and neural markers of adolescent BPD. In the present study, nicotinamide adenine dinucleotide (NAD) levels were measured using 31P MRSI in 15 adolescents with BPD and 23 healthy controls (HC). BPD adolescents had significantly decreased NAD levels compared to HC. Clinical trials of NAD precursors are required to determine whether restoration of NAD levels is feasible, and can serve as a treatment for adolescent BPD.

4212
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White matter structure asymmetry of drug-naïve first-episode schizophrenia patients under different genetic load
Wenbin Li1, Huaiqiang Sun1, Su Lui1, and Qiyong Gong1

1West China Hospital, Chengdu, People's Republic of China

We analyzed the white matter (WM) asymmetry in a relatively large sample of drug-naïve schizophrenia patients under different genetic load. Based on this method, our findings demonstrated similar overall WM brain torque in sporadic and familial schizophrenia patients and healthy controls. Furthermore, our observation that familial illness was associated with more abnormal brain asymmetry compared to sporadic patients and that these specific changes were mainly located in a functional network associated with auditory hallucinations suggesting genetic factors may play critical roles in impacting risk for the most common form of hallucinations in schizophrenia.

4213
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Connectome-wide exploration of altered resting-state connectivity in combat veterans with and without PTSD and real-time fMRI neurofeedback training effect on abnormal connectivity
Masaya Misaki1, Raquel Phillips1, Vadim Zotev1, Chung Ki Wong1, Frank Krueger2, Matthew Feldner3, and Jerzy Bodurka1,4

1Laureate Institute for Brain Research, Tulsa, OK, United States, 2Department of Psychology, George Mason University, Fairfax, VA, United States, 3Deptartment of Psychological Science, University of Arkansas, Fayetteville, AR, United States, 4College of Engineering, Stephenson School of Biomedical Engineering, University of Oklahoma, Tulsa, OK, United States

In combat veterans with and without PTSD diagnosis, we performed connectome-wide exploration of the whole-brain voxel-by-voxel fMRI connectivity using multivariate distance-based matrix regression (MDMR) analysis to determine connectivity abnormalities without a priori hypothesis. PTSD veterans showed increased connectivity across sensory motor areas and the superior temporal to default mode network (DMN) areas compared to non-trauma-exposed control. Veterans without PTSD also showed altered connectivity in the bilateral insula compared to control. This abnormal connectivity pattern was normalized after real-time fMRI neurofeedback training focused on learning to control left amygdala activity with positive autobiographical memory recall.

4214
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Substructural Volumes of the Thalamus in Alcoholism
Natalie M Zahr1,2 and Manojkumar Saranathan3

1Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States, 2Neurosciences, SRI International, Menlo Park, CA, United States, 3Medical Imaging, Univ. of Arizona, Tucson, AZ, United States

Volumes of the thalamus and 4 thalamic substructures (i.e., anterior (AT), mediodorsal (MD), ventrolateral (VL), pulvinar (Pul)) were quantified using a novel automated segmentation algorithm in 18 individuals meeting criteria for Alcohol Use Disorders (AUD) and 28 healthy controls (Con). Multiple regressions considered contributions of diagnosis (i.e., Con vs. AUD), age, sex, and intracranial volume on substructural volumes. Volumes of AT, VL, and Pul were smaller with increasing age. Volumes of MD and Pul were affected by diagnosis: both were smaller in the AUD relative to the Con group. These results suggest that thalamic substructures have differential vulnerability to pathological processes.

4215
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Localized connectivity in obsessive-compulsive disorder: An insight from univariate and multivariate pattern analyses
Xinyu Hu1, Ming Zhou1, Lu Lu1, Lianqing Zhang1, Xiaoxiao Hu1, Xuan Bu1, Hailong Li1, Yanchun Yang2, Qiyong Gong1, and Xiaoqi Huang1

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

The current study, for the first time, integrated voxel-wise univariate analysis and multivariate pattern classification approach to evaluate the alterations of localized neural connectivity in a relatively large sample of drug-naive patients with obsessive-compulsive disorder (OCD). Our findings (i) suggested the disequilibrium between the fronto-parietal circuit and the cerebellum might be associated with the pathophysiology of OCD, (ii) indicated the translational role of the localized neural connectivity as a potential discriminative pattern to identify OCD at the individual level and (iii) highlighted the hyperactivation of the prefrontal cortex in the pathophysiologic process of OCD.

4216
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The ability of magnetic resonance spectroscopy to measure metabolite changes in response to ketamine in major depression at 7T
Jennifer Evans1, Niall Lally1, Li An1, Allison Nugent1, and Carlos Zarate1

1NIMH, NIH, Bethesda, MD, United States

This study investigates the feasibility of measuring glutamate and glutamine metabolites by 7T 1H-MRS after a ketamine infusion in a double blind placebo cross-over study in major depression. MRS data was acquired from the pre-genual anterior cingulate in 15 depressed and 13 healthy controls. Glutamate levels, but not glutamine, were found to be significantly different between groups.

4217
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Aberrant fronto-limbic effective connectivity during repeated fearful face stimuli in body dysmorphic disorder and anorexia nervosa
D Rangaprakash1,2, Nathan L Hutcheson1, Katherine E Lawrence1, Teena D Moody1, Sarah Madsen1,3, Sahib Khalsa1,4,5, Michael Strober1, Cara Bohon6, and Jamie D Feusner1

1Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, United States, 2AU MRI Research Center, Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 3Imaging Genetics Center, Department of Neurology, University of Southern California, Los Angeles, CA, United States, 4Oxley College of Health Sciences, University of Tulsa, Tulsa, OK, United States, 5Laureate Institute for Brain Research, University of Tulsa, Tulsa, OK, United States, 6Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States

Anorexia nervosa (AN) and body dysmorphic disorder (BDD) share distorted perception of appearance, anxiety, and depression, yet their common and distinguishing neural phenotypes of emotion processing remain unknown. To address this, we studied fronto-limbic connectivity using functional MRI data obtained while participants (N=94) viewed fearful faces and rated their own subjectively experienced fearfulness. Healthy controls exhibited, as predicted, significant bidirectional medial prefrontal (mPFC)-amygdala connectivity, which increased across blocks. However, BDD participants exhibited significant mPFC-to-amygdala but not amygdala-to-mPFC connectivity (indicating limbic hypo-responsiveness), while AN exhibited no significant prefrontal-amygdala connectivity. This study suggests distinct, aberrant fronto-limbic modulatory connectivity in AN and BDD.

4218
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Accumulation of Prefrontal Lactate Levels in Chronic Schizophrenia
Lijing Xin1, Philipp S Baumann2,3, Raoul Jenni2,3, Luis Alameda2,3, Carina Ferrari2,3, Philippe Conus3, Rolf Gruetter4,5, and Kim Q Do2

1Center for Biomedical Imaging (CIBM), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Unit for Research in Schizophrenia, Center for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital (CHUV), Lausanne, Switzerland, 3Service of General Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV), Lausanne, Switzerland, 4Laboratory of Functional and Metabolic Imaging, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5Departments of Radiology, University of Lausanne and Geneva, Lausanne and Geneva, Switzerland

Mitochondrial dysfunction including altered brain energy metabolism has been implicated in the pathophysiology of schizophrenia. The aim of this study was to investigate prefrontal lactate(Lac) levels in patients with chronic schizophrenia. An increase of [LacmPFC] was observed in patients with chronic schizophrenia relative to healthy controls. This may be associated with glucose metabolism impairment and mitochondrial dysfunction resulting from oxidative stress. Indeed, oxidative damages can impair mitochondrial oxidative phosphorylation and enzyme activities of pyruvate dehydrogenase, leading to Lac production. Therefore, this study provides in vivo evidence supporting that oxidative stress and mitochondrial dysfunction may be involved in schizophrenia. 

4219
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Brain Cortical Thickness in Adolescents from Multiplex Alcohol Dependence Families
Bharath Holla1, Rajanikanth Panda2, Ganesan Venkatasubramanian3, Rose Dawn Bharath2, and Vivek Benegal1

1Centre for Addiction Medicine and Department of Psychiatry, National Institute of Mental Health & Neuro Sciences (NIMHANS), Bangalore, India, 2Cognitive Neuroscience Centre and Department of Neuroimaging and Interventional Radiology (NIIR), National Institute of Mental Health & Neuro Sciences (NIMHANS), Bangalore, India, 3Translational Psychiatry Laboratory and Department of Psychiatry, National Institute of Mental Health & Neuro Sciences (NIMHANS), Bangalore, India

Adolescents with high familial-loading of alcoholism exhibit altered premorbid subcortical and cerebellar brain-volumes compared to their peers. They also differ in brain-activity during executive-functioning, reward, and emotion-processing tasks. However, the changes in the maturation of the cortical thickness during the adolescence in these high-risk (HR) individuals and their relationship with the externalizing-behaviors have never been examined. Our findings reveal wide-spread delays in cortical maturation in HR subjects, which may ultimately contribute to their addiction vulnerability. More importantly, these effects reduce with age by late-adolescence in the absence of substance-misuse. Additionally, cortical thinning was associated with better behavioral control across groups

4220
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Proton magnetic resonance spectroscopy study of amygdala, anterior cingulate cortex and thalamus in pediatric post-traumatic stress disorder patients
Weina Wang1, Xiaorui Su2, Qiyong Gong2, and Qiang Yue2

1Department of Radiology, West China Hospital of Sichuan University, Chengdu, People's Republic of China, 2West China Hospital of Sichuan University, People's Republic of China

PTSD is associated with a variety of structural and functional brain abnormalities, but the molecular pathophysiological mechanisms are unknown. 25 pediatric PTSD and 24 matched healthy control subjects underwent single voxel 1H-MRS. Right amygdala NAA was significantly increased in pediatric PTSD subjects than in controls, and the other metabolites did not differ significantly between the groups. We hypothesis that long-term excessive activation in amygdala after traumatic events may lead to increase density and activity of the neurons in pediatric PTSD patients with increased NAA concentration, which may be an adaptive response to traumatic stimulation in the human brain. Our findings add the neurochemical abnormality evidence in pediatric PTSD.

4221
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Disruptions in T1-weighted MRI signal trajectories over age in Bipolar Disorder Type-1
Christopher Dennis Rowley1, Manpreet Sehmbi1, Luciano Minuzzi2, Benicio Frey2, and Nicholas Bock3

1Neuroscience, McMaster University, Hamilton, ON, Canada, 2Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada, 3Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON, Canada

T1-weighted signal is known to be correlated with age and myelin content. T1-weighted images with optimized intracortical contrast were taken in subjects aged 17-45. The half cortical depth signal was mapped in 67 healthy controls and 43 individuals diagnosed with bipolar disorder type-1. We investigated the trajectory of the signal with age in each group and it was found that healthy signal trajectory follows a quadratic form with age, while no correlation with age was found in bipolar disorder. We have shown that it is possible to map signal trajectory changes in clinical populations across the cortex. 

4222
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Resting-state functional connectivity abnormalities associated with posttraumatic stress disorder and traumatic stress: a graph-based analysis
Lei Li1, Xinyu Hu1, Xiaoqi Huang1, and Qiyong Gong1

1Department of Radiology, Huaxi MR Research Center, Chengdu, People's Republic of China

Previous studies have clarified that differentiating the disease- and traumatic stress-related brain changes may elucidate the core neural mechanism of PTSD. This study is to investigate brain functional alterations in PTSD and the traumatic exposed controls (TEC) relative to the non-traumatized healthy controls (HC) separately, using a data-driven graph theoretical approach--whole-brain functional connectivity strength (FCS) mapping. The current study provided the preliminary evidence of common and separate abnormalities of neural correlates at whole-brain level associated with PTSD and traumatic stress. The disequilibrium between the DMN and the SN might be associated with the pathophysiology of PTSD.

4223
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Discrimination of patients with first episode schizophrenia via quantitative cortical morphology features and machine learning methods
Huaiqiang Sun1, Ying Chen1, Haoyang Xing1, Su Lui1, and Qiyong Gong1

1Huaxi MR research center, Department of Radiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China

A multivariable analysis framework for schizophrenia prediction with quantitative cortical morphology features features extracted at individual level.

4224
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Detailed T1-weighted laminar profiles from the human cortex measured in vivo at 3T and validated at 7T
Bart Ferguson1, Natalia Petridou2, Alessio Fracasso2,3, Martijn P Van den Heuvel1, Rachel M Brouwer1, Hilleke E Hulshoff Pol1, Rene S Kahn1, and Rene C W Mandl1,4

1Psychiatry, UMC Utrecht, Utrecht, Netherlands, 2Radiology, UMC Utrecht, Utrecht, Netherlands, 3Experimental Psychology, Utrecht University, Utrecht, Netherlands, 4CNSR, Psykiatrisk Center Glostrup, Glostrup, Denmark

Patients with schizophrenia show cortical gray matter thinning but it is unknown whether all six cortical layers are implicated or that specific layers are affected. Knowing which layers are involved gives more insight in the underlying pathophysiological processes of schizophrenia. Here we present a method to compute detailed laminar profiles per brain area from conventional 3T T1-weighted scans, which can be used to obtain information on relative layer organization. We validate this method by comparing average profiles computed from conventional 3T scans to profiles computed from high resolution scans, acquired at ultra-high field MRI (7T).

4225
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The acute pharmacological MRI response to a citalopram challenge is modulated by earlier selective serotonin reuptake inhibitor exposure in an age dependent manner
Michelle Solleveld1,2, Anouk Schrantee1, Henk-Jan Mutsaerts1,3, Paul Lucassen2, and Liesbeth Reneman1

1Department of Radiology, Academic Medical Center Amsterdam, Amsterdam, Netherlands, 2Swammerdam Institute for Life Sciences, Center for Neurosciences, University of Amsterdam, Amsterdam, Netherlands, 3Sunnybrook Research Institute, University of Toronto, Toronto, Canada

Preclinical studies have shown that selective serotonin reuptake inhibitor (SSRI) treatment, when applied to the developing brain, is associated with long-term changes in the adult serotonergic system. Using pharmacological MRI (phMRI), we here investigated whether SSRIs can also induce such age-dependent changes in the human serotonergic system. We found that the phMRI response to citalopram was decreased in the amygdala only in adult female subjects who had been first exposed to SSRIs early in life, whereas a blunted response was found in subjects first exposed at a later age.

4226
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Utility of MR-Spectroscopy in Early Drug Discovery: Characterization of Psychiatric Dysfunctions & Psycho-active Drug Effects
Sakthivel Sekar1, Joanes Grandjean 1, Joanne Garnell1, Sankar Seramani1, Marc Ceuster2, Hilde Lavreysen2, and Kishore Bhakoo1

1Singapore Bioimaging Consortium, Singapore, Singapore, 2Neuroscience Therapeutic Area, Janssen Pharmaceuticals R&D, Belgium

MR-Spectroscopy offers a unique potential to characterize underlying neuronal mechanisms of psychiatric dysfunctions and the effects of psychoactive drugs, at a fundamental neuro-metabolite level in-vivo. We studied two preclinical disease models: the chronic mild unpredictable stress (CMUS) model, a putative model for depression, and a sub-chronic memantine (NMDA antagonist) model, a putative model for psychosis using single voxel spectroscopy (SVS). Our results represents metabolic fingerprinting of dysfunctions utilising live metabolic flux profiling; documenting neuro-metabolic effects of novel psycho-active drugs, presenting novel insights in-vivo. Our results and unique approach, exemplifies the potential value of SVS in early stage drug discovery and its potential translation to clinical research.

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Altered causal connectivity of the anterior cingulate cortex in obsessive compulsive disorder
Fei Li1, Su Lui1, Li Yao1, Xiaoqi Huang1, Yanchun Yang2, and Qiyong Gong1

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

In order to explore the role of anterior cingulate cortex (ACC) in the pathophysiology of obsessive-compulsive disorder (OCD), we used the resting-state functional magnetic resonance imaging (rfMRI) and Granger causality analysis (GCA) and found that the left pregenual ACC of OCD showed decreased amplitude of low-frequency fluctuation (ALFF) than controls. The areas with altered ALFF exhibited decreased driving effect to right dorsal superior frontal gyrus (dSFG) and left precuneus, and a significant increase in the causal influence from left ventral SFG (vSFG) to the left pregenual ACC in OCD compared to controls.

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Evaluation of abnormal structural changes in major depressive disorder with self-harm using generalized q-sampling MRI
Kung-Te Chu1, Vincent Chin-Hung Chen2,3, Te-Wei Kao1, and Jun-Cheng Weng1,4

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2School of Medicine, Chang Gung University, Taoyuan, Taiwan, 3Department of Psychiatry, Chang Gung Memorial Hospital, Chiayi, Taiwan, 4Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan

Major depressive disorder (MDD) is a significant brain dysfunction that might cause self-harm behavior. The abnormal brain structures between MDD and healthy control have been investigated by using diffusion tensor imaging (DTI) in several studies. However, few studies discussed the brain structure changes in MDD patients with self-harm behavior. Moreover, there were some limitations in DTI. Therefore, our study aimed to find the abnormalities of neurological structure of white matter among MDD without self-harm behavior (MDD_N), MDD with self-harm behavior (MDD_S), and healthy control (HC), using generalized q-sampling imaging (GQI). We found the significant differences in the corpus callosum, superior longitudinal fasciculus (SLF), cingulum, and frontal lobe of GQI indices in individual groups.

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Altered Hippocampus Microstructure in Schizophrenia: A Diffusional Kurtosis Imaging and Magnetic Resonance Spectroscopy Imaging Study
Mariana Lazar1, Maia Boudzinskaia2, Emma Meyer2, Dolores Malaspina2, James Babb1, and Oded Gonen1

1Radiology, New York University School of Medicine, New York, NY, United States, 2Psychiatry, New York University School of Medicine, New York, NY, United States

Diffusional Kurtosis Imaging (DKI) and Magnetic Resonance Spectroscopy Imaging were employed to assess microstructural changes of hippocampus in patients with schizophrenia. Increased mean kurtosis and mean diffusivity were observed for both left and right hippocampi in patient compared to the control group. In patients, mean kurtosis showed a strong negative correlation with N-acetylaspartate concentration. These results suggest disorganized hippocampal microstructure, likely due to neuroinflammatory processes such as micro- and astrogliosis and/or disorganized neuronal domains. DKI’s apparent sensitivity to microstructural deficits may ultimately be employed to identify individuals with microscopic hippocampal impairment.

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Measuring Alanine in Schizophrenia using 2D Correlation Spectroscopy
Adrienne Lee1, Luke Wang1,2, Benjamin Rowland1, Vicky Liao1, Elisabetta Del Re3, Robert McCarley3, and Alexander Lin1

1Center for Clinical Spectroscopy, Brigham and Women’s Hospital, Boston, MA, United States, 2Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children’s Hospital and Harvard Medical School, Boston, MA, 3Laboratory of Neuroscience, Veterans Affairs Boston Healthcare System, Boston, MA

Degree of schizophrenia (SZ) was determined by phase-locking factor (PLF) acquired through an electroencephalogram (EEG). Correlation spectroscopy (COSY) spectra of the chronic SZ patients and age-matched healthy controls were then compared. A significant difference (p < 0.05) between SZ and controls was found in the concentrations of alanine supported by a strong correlation between PLF and alanine levels.  These results suggest further studies to examine alanine as a potential biomarker for schizophrenia. 

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Regional Brain Volume Changes in Alcohol-dependent Individuals during Short-term and Long-term Abstinence
Xiaowei Zou1,2, Timothy C. Durazzo3,4, and Dieter J. Meyerhoff1,2

1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Center for Imaging of Neurodegenerative Diseases, San Francisco VA Medical Center, San Francisco, CA, United States, 3Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States, 4Mental Illness Research and Education Clinical Centers and Sierra-Pacific War Related Illness and Injury Study Center, VA Palo Alto Health Care System, CA, United States

The general goal of this study is to determine the volume changes of cortical and subcortical brain regions in smoking and currently non-smoking alcohol-dependent individuals during short-term and long-term abstinence from alcohol, compared with non-/light-drinking controls. Preliminary results from paired t-tests within each group show that the anterior cingulate cortex, dorsolateral prefrontal cortex, orbitofrontal cortex, insula, and hippocampus have different recovery patterns, which suggest potentially different neuropathological changes and/or injuries. More statistical analyses will test for cross-sectional and longitudinal differences between the groups for a better interpretation of the regional volume changes and their cognitive and behavioral correlates.   



Electronic Poster

Brain Tumor: Molecular Imaging, Machine Learning & Emerging Techniques

Exhibition Hall Tuesday 14:45 - 15:45

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RAFF, T1ρ and T2ρ mapping of human gliomas: association with IDH mutation, 1p19q co-deletion and Ki67
Harri Merisaari1,2,3, Ivan Jambor3,4, Marko Pesola3,4, Maria Gardberg5, Janek Frantzén6, Pekka Jokinen6, Hannu Aronen3,4, Timo Liimatainen7,8, Heikki Minn9, and Aida Kiviniemi3,4

1Turku PET Centre, University of Turku, Turku, Finland, 2Department of Information Technology, University of Turku, Turku, Finland, 3Medical Imaging Centre of Southwest Finland, Turku University Hospital, Turku, Finland, 4Department of Diagnostic Radiology, University of Turku, Turku, Finland, 5Department of Pathology, University of Turku and Turku University Hospital, Turku, Finland, 6Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital, Turku, Finland, 7Department of Biotechnology and Molecular Medicine, A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 8Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland, 9Department of Oncology and Radiotherapy, Turku University Hospital, Turku, Finland

Our aim was to study the feasibility of quantitative RAFF, T1ρcw, T1ρadiab and T2ρadiab imaging for the first time in human gliomas and to assess their ability to differentiate gliomas with specific genetic profile. FLAIR lesion segmentation and histogram analysis from parametric maps were applied. Both IDH mutated and 1p19q codeleted gliomas demonstrated a tendency for lower relaxation values compared to IDH wild-type and 1p19q intact gliomas, respectively. Additionally, T2ρ, adiab significantly correlated to Ki-67 and tumor aggressiveness. We conclude that RAFF, T1ρcw, T1ρadiab and T2ρadiab imaging of gliomas is feasible and carry a potential for improving non-invasive glioma characterization.

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Detecting treatment response of a novel immune stimulator in an animal model of glioblastoma with conventional and cell tracking MRI
Runze Yang1, Susobhan Sarkar2, V. Wee Yong2, and Jeff F Dunn1,2

1Radiology, University of Calgary, Calgary, AB, Canada, 2Clinical Neuroscience, University of Calgary

Glioblastoma Multiforme (GBM) is an aggressive brain cancer. Immunotherapy is a promising avenue of exploration for treatment of GBM. We discovered a new drug capable of stimulating innate immunity and showed that it is able of reducing tumor growth in a mouse model of GBM. We used ultrasmall iron oxide nanoparticles (USPIO) to track the migration of stimulated immune cells and showed that this drug related response can be detected with as little as 7 days of treatment. MRI tracking of immune cells using USPIO is a promising tool that can be easily translated into the clinical setting.

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Metabolic imaging with Gallium-68 citrate PET and 3D MRSI in patients with glioma
Yan Li1, Spencer Behr1, Susan Chang2, Sarah J Nelson1, and Michael Evans1

1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, United States

This study evaluated the feasibility of using combined metabolic imaging methodologies, namely 3D lactate-edited proton magnetic resonance spectroscopic imaging and Gallium-68 citrate PET, in patients with glioma using a PET/MR scanner. 

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MRI Signal Enhancement in Early-Stage GBM Detection by Nonlinear Spin Dynamics using Active Feedback Fields
Huimin Yang1, Chaohsiung Hsu2, and Yung-Ya Lin1

1Chemistry and Biochemistry, University of California, Los Angeles, Los Angeles, CA, United States, 2Chemistry, National Taiwan University, Taipei, Taiwan

Application of MR imaging is very limited in imaging sensitivity and contrast in regards to the detection of brain tumor at an early stage because of tiny variations between healthy tissue and early-stage tumor. The radiation damping effect provides insight about the nonlinear spin evolution. Taking advantage of nonlinear spin evolution, we confirmed theoretically and experimentally that MR imaging provides a more stable and significant contrast in comparison to conventional methods. 

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Ferumoxytol Iron Nanoparticle Enhanced MR Imaging is a Noninvasive Biomarker of Isocitrate Dehydrogenase Mutational Status in Recurrent Glioblastoma and Pseudoprogression
Ramon Francisco Barajas Jr1,2, Bronwyn E Hamilton1, David R Pettersson1, Daniel L Schwartz2,3, Jenny Firkins3, Prakash Ambady3, Andrea Horvath3, Heather L McConnell3, Joao Prola-Netto1,3, Csanad Varallyay1,3, Jerry J Jaboin4, Charlotte D Kubicky4, Ahmed M Raslan5, Aclan Dogan5, Jeremy Ciporen5, Leslie L Muldoon3, William Rooney2, and Edward A Neuwelt3,5

1Radiology, Oregon Health & Science University, Portland, OR, United States, 2Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 3Neurology, Oregon Health & Science University, Portland, OR, United States, 4Radiation Medicine, Oregon Health & Science University, Portland, OR, United States, 5Neurological Surgery, Oregon Health & Science University, Portland, OR, United States

Ferumoxytol iron nanoparticles are used as an off label molecular MR imaging contrast agent in patients with reduced renal function precluding gadolinium administration.  Glioblastoma molecular features are now recognized as an integral component of glioma pathogenetic classification and clinical outcome.  IDH1 mutation accounts for approximately 10% of glioblastoma.  The absence of a reliable noninvasive biomarker of glioblastoma IDH mutation prompted this retrospective study to determine if Ferumoxytol MR Imaging is diagnostic of IDH mutational status.  We observed that the presence of increased Ferumoxytol to Gadolinum enhancing ratio was a significant 3T MR imaging biomarker for IDH mutational status in recurrent glioblastoma and the differentiation of pseudoprogression. 

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Standard DICOM Structured Reports as a Vehicle for Multi-Modal Region-of-Interest MR Analysis Results for Clinical Workflows and Radiomic Studies for Brain Tumor Patients
Marram P Olson1, Jason C Crane1, Janine Lupo1, Marisa Lafontaine1, and Sarah J Nelson1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States

Quantitative analysis of metabolic and dynamic imaging data produces maps of parameters that show promise for improving medical diagnosis and therapeutic monitoring for patients with brain tumors. Statistical ROI analysis of these maps can be used to quantitatively summarize multi-modality imaging metrics and longitudinal changes. In this work we demonstrate a standards-based mechanism for generating and communicating minable, quantitative Region of Interest (ROI)  analysis results that can easily be integrated into clinical workflows and radiomic studies.

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Prediction of IDH Mutation Status of Diffuse-Gliomas Based on Short-Echo Time Magnetic Resonance Spectroscopy at 3T
Esin Ozturk-Isik1, Sevim Cengiz1, Koray Ozduman2,3, Alpay Ozcan3,4, Cengiz Yakicier5, M. Necmettin Pamir2,3, and Alp Dincer3,6

1Institute of Biomedical Engineering, Bogazici University, Istanbul, Turkey, 2Department of Neurosurgery, Acibadem University, Istanbul, Turkey, 3Neuroradiology Research Center, Acibadem University, Istanbul, Turkey, 4Department of Medical Engineering, Acibadem University, Istanbul, Turkey, 5Department of Molecular Biology and Genetics, Acibadem University, Istanbul, Turkey, 6Department of Radiology, Acibadem University, Istanbul, Turkey

The tumor biology of diffuse-gliomas is best reflected by their molecular profile. Isocitrate dehydrogenase (IDH) mutation status has the strongest correlation to treatment response and patient survival among all molecular markers. The aim of this study is to predict IDH mutation status of gliomas based on short-echo time MR spectroscopic (MRS) biomarkers by using machine learning algorithms at 3T. Our results indicated that MRS based biomarkers were able to discriminate between IDH-mutant and IDH-wild type patients with up to 91% sensitivity, %78 specificity, and 86.9% accuracy by using an ensemble of bootstrap-aggregated decision trees classification with a three-fold cross validation.

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Minimizing the confounding effect of gadolinium contrast on subsequent ferumoxytol MRI in the brain
Csanad Gyorgy Varallyay1, Andrea Horvath2, Gerda Toth2, Laszlo Szidonya2, Emily Youngers2, and Edward Neuwelt3

1Dept. of Radiology, Oregon Health and Science University, Portland, OR, United States, 2Oregon Health and Science University, Portland, OR, United States, 3Dept. of Neurology, Oregon Health and Science University, Portland, OR, United States

Ferumoxytol as an MRI contrast agent has the advantage of long intravascular phase and strong transverse relaxivity, allowing high resolution depiction of abnormal vasculature and steady state blood volume (SS-CBV) mapping. In clinical studies it would be beneficial to use ferumoxytol as an immediate extension of standard of care gadolinium enhanced MRI, instead of imaging on two separate days. This study concludes that the 3D T2* weighted acquisition has substantial T1 weighting, while the 2D acquisition does not, therefore the latter one is preferable for ferumoxytol vascular imaging if gadolinium is on board.

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Comparison of gadoterate meglumine and gadobutrol in MRI diagnosis of brain tumors: a double-blind randomized intra-individually controlled in cross-over study (the REMIND study)
Kenneth Maravilla1, Daniel San Juan Orta2, Sang Joon Kim3, and Guillermo Elizondo Riojas4

1Radiology, University of Washington, Seattle, WA, United States, 2Clinical Research Institute S.C., Tlanepantla de Baz, Mexico, 3Asan medical center / Radiology, Seoul, Korea, Democratic People's Republic of, 4Universidad Autonoma de Nuevo Leon, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Monterrey, Mexico

This double-blind randomized cross-over study was conducted to demonstrate non-inferiority of gadoterate meglumine vs. gadobutrol in MRI diagnosis of brain tumors. Images from two identical MRIs with each agent were evaluated by three independent off-site readers. Overall lesion visualization and characterization was scored as “good” or “excellent” in >90% of patients by all readers. Despite a small difference in signal intensity measurements in favor of gadobutrol, similar results were observed with the two agents regarding overall lesion visualization and characterization or qualitative efficacy criteria. Non-inferiority of gadoterate meglumine vs. gadobutrol in diagnosis of brain tumors by MRI was demonstrated. 

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23Na-MRI demonstrates a sodium gradient within gliomas as a biomarker of tumor heterogeneity
Fulvio Zaccagna1, Frank Riemer1, Mary A. McLean2, James T. Grist1, Joshua Kaggie1, Rolf F Schulte3, Sarah Hilborne1, Tomasz Matys1, Jonathan H. Gillard1, Colin Watts4, Stephen J. Price4, Martin J. Graves1, and Ferdia A. Gallagher1

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom, 3GE Global Research, Munich, Germany, 4Neurosurgery Unit, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom

Glioma grade and the extent of local infiltration are important factors for guiding management. Imaging tumor heterogeneity may also improve diagnosis and therapy planning. 23Na-MRI has been used here to demonstrate a gradient in sodium concentration across gliomas: necrosis greater than viable tissue greater than edema. This gradient was evident in all 17 tumors analyzed and is consistent with the expected underlying histopathology; concentration is increasing throughout the evolution from edema, dominated by the extracellular compartment, to the necrotic core, dominated by dead cells and broken sodium pumps. 23Na-MRI may therefore represent an imaging biomarker of tumor heterogeneity in glioma.

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CEST and binding water MT separation in brain tumor by multi pool model CEST Peak Extraction method
Mitsuharu Miyoshi1, Masafumi Harada2, Yuki Kanazawa2, and Hiroyuki Kabasawa1

1Global MR Applications & Workflow, GE Healthcare Japan, Hino, Tokyo, Japan, 2Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan

Although MTR asymmetry is often used as a CEST parameter, it is not quantitative. In this study, CEST Peak Extraction (CPE) method was used to separate CEST and MT parameters. CEST peaks in brain tumor could be fitted with Lorentzian function on CPE spectrum. Each fitted parameter had a quantitative meaning in multi pool model, which includes CEST pool, binding water MT pool and free water pool.


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Spectroscopic Imaging-based detection of 2-hydroxyglutarate (2HG) in IDH1 mutant human gliomas on 3T Clinical
Gaurav Verma1, Sanjeev Chawla1, Harish Poptani2, MacLean Nasrallah3, Michael Albert Thomas4, Arati Desai5, Steven Brem6, and Suyash Mohan7

1Neuroradiology, University of Pennsylvania, Philadelphia, PA, United States, 2Cellular and Molecular Physiology, University of Liverpool, Liverpool, United Kingdom, 3Pathology, University of Pennsylvania, Philadelphia, PA, United States, 4Radiology, University of California Los Angeles, Los Angeles, CA, United States, 5Hematology Oncology, University of Pennsylvania, Philadelphia, PA, United States, 6Neurosurgical Oncology, University of Pennsylvania, Philadelphia, PA, United States, 7Radiology, University of Pennsylvania, Philadelphia, PA, United States

Mutations in isocitrate dehydrogenase (IDH) play an increasing role in clinical assessment of human gliomas and determination of treatment. The performance of Chemical Shift Imaging (CSI) to detect 2-hydroxyglutarate (2HG) in mutant-IDH gliomas was assessed in the routine clinical environment. Specificity of 80% and sensitivity of 63% was achieved in a cohort of 15 patients scanned with the technique at 3T. Greater sensitivity, through longer acqusition or more sensitive equipment could result in reliable non-invasive detection of this putative biomarker present in a majority of Grade II/III gliomas.

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Differentiation of Radiation Necrosis from Tumour Progression Using Chemical Exchange Saturation Transfer (CEST)
Hatef Mehrabian1,2, Hany Soliman3, Arjun Sahgal3, and Greg J Stanisz2

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 3Radiation Oncology, Sunnybrook Research Institute, Toronto, ON, Canada

Radiation necrosis is the most common side-effect of stereotactic radiosurgery (SRS) and has similar characteristics to tumor progression on standard anatomical MRI. Differentiating these two conditions is a major long standing clinical challenge.  In this study the potential of chemical exchange saturation transfer (CEST) in differentiating the two conditions in patient with brain metastases is investigated. The results showed that the magnetization transfer ratio (MTR) of amide and NOE peaks provided the best separation of radiation necrosis cases from tumor progression cases. However, the commonly used amide proton transfer (APT) was unable to differentiate the two conditions. 

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High resolution 7 T magnetic resonance spectroscopic imaging of glioma in the brain
Gilbert Hangel1, Eva Heckova1, Bernhard Strasser1, Michal Považan1,2, Stephan Gruber1, Elisabeth Springer1, Georg Widhalm3, Matthias Preusser4, Siegfried Trattnig1,2, and Wolfgang Bogner1,2

1High Field MR Centre, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Department of Neurosurgery, Medical University of Vienna, 4Department of Medicine I, Division of Oncology, Medical University of Vienna

We present the application of single-slice high-resolution FID-MRSI with short acquisition delay at 7T that provides whole-slice metabolite maps in eight patients with different types of glioma. With six minutes measurement time, it could be easily integrated into a standard imaging protocol. The results show that it is possible to resolve metabolic deviations in an extended number of biochemical compounds in tumors with unprecedented spatial details, thereby offering deeper insight into the neurochemical profiles of different glioma types. This suggests that the demonstrated method has a high potential for the research of glioma.

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Detection 2-Hydroxyglutarate in IDH-Mutant Gliomas using TE-Averaged PRESS at 3T
Vivek TIWARI1, Sandeep Ganji, ZhongXu An, and Changho Choi

1UT Southwestern Medical Center, Dallas, TX, United States

Gliomas harboring mutations in Isocitrate-Dehydrogenase (IDH) 1/2 exhibits a neomorphic-activity resulting in production of 2-hydroxyglutarate (2HG) by 2-3 orders of magnitude. Non-invasive detection of 2HG using conventional 1H Magnetic Resonance Spectroscopy (MRS) is challenging due to extensive overlap with the resonances of neighboring metabolites. Here we have designed a TE-Averaged PRESS 1H-MRS that reduces the spectral-overlaps of GABA, Gln, Glu and glutathione signals on 2HG-2.25ppm-resonance that provides a reliable-detection of 2HG. We have also estimated T2 in each brain-tumor by taking the advantage of multiple-TEs used in TE-averaging acquisitions, and used patient-specific T2 for estimation of 2HG. 

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Characterizing CRT-Induced Vascular Injury in the Developing Brain
Melanie A Morrison1, Erin Felton2, Angela Jakary1, Andrew Leynes1, Peder Larson1, Sabine Mueller2, and Janine Lupo1

1Radiology & Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Neurology, University of California San Francisco, CA, United States

In the treatment of pediatric medulloblastomas, cranial radiation therapy (CRT) may induce long-term effects including CRT-induced vascular injury and cognitive impairments. 7T Susceptibility-weighted MRI was used to characterize CRT-induced injury in the form of cerebral microbleeds (CMBs) as potential markers of cognitive deficits. The majority of CMBs were located in the frontal lobe, which develop late in the adolescent brain. CMB density was associated with deficits in working and visual memory as a function of time since CRT. This work supports a modification of future standards for defining radiation target volumes, with evidence for early intervention with cognitive rehabilitation strategies.  

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Optimizing Statistical Texture Model to Improve the Classification Accuracy of Tumor Grade in Glioma Patients with Machine Learning Based on Multimodality MR Images
Yang Yang1, Lin-Feng Yan1, Xin Zhang1, Hai-Yan Nan1, Yu-Chuan Hu1, Yu Han1, Jin Zhang1, Wen Wang1, and Guang-Bin Cui1

1Tangdu Hospital, Fourth Military Medical University, Xi'an, People's Republic of China

Texture analysis is a powerful image analysis method to assess the heterogeneous distribution of tumor quantitatively. Different statistical models have been applied in texture analysis to classify glioma grade and level. It has not been evaluated that which model is the most efficient. The aim of this study is to compare four texture models in glioma grading. Texture features were extracted from multimodality MR images in 3D ROIs. After machine learning and leave-one-out cross validation, the gray-level run-length matrix was found as the best model while gray-level was set as 256. 

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Texture analysis of quantitative ADC maps to differentiate  low from high grade glioma
Yingqiu Liuyang1, Jin Shang1, Yanwei Miao1, Shesnia Salim Padikkalakandy Cheriyath1, and Yan Guo2

1First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China, 2GE Healthcare,Lifescience,China

The objective of this study, was to differentiate low from high grade glioma using texture analysis of quantitative ADC maps, and further aimed at revealing the microscopic changes of glioma in the evolution of low grade to high grade.Conclusion that texture analysis of ADC signal value based on entire tumor could provide more information in differentiation of low and high grade glioma. Through logistic regression analysis we obtain skewness, entropy,long run emphasis are the independent influence  factors, and joint application of them showed superior diagnostic value.

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A morphological classification of primary central nervous system lymphoma: new insights of the imaging analysis to facilitate treatment planning
Jing Liu1,2, Kannie W.Y. Chan3, Bin Zhang1, Guan Shu Liu2, and Shui Xing Zhang1

1Department of Radiology, Guangdong Academy of Medical Sciences/Guangdong General Hospital, Guangzhou, People's Republic of China, 2Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Department of Mechanical and Biomedical Engineering, City University of Hong Kong, Hong Kong, People's Republic of China

A preliminary classification of primary central nervous system lymphoma (PCNSL) was reported based on the MRI radiographical features. We classified the 90 PCNSL patients based on the T1 contrast-enhanced MRI findings and assessed treatment responses. The goal is to provide some guidelines and additional information for diagnosis and treatment planning. We categorized these patients into four distinctive types of PCNSL according to the T1 findings and observed the treatment response rate, which we found the highest in type Ia. This could potentially facilitate the diagnosis and treatment plan of PCNSL in a routine clinical setting.  

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Radiogenomic analysis of distinct tumor sub-compartments on T2 and FLAIR predict distinct molecular subtypes in Lower Grade Gliomas
Niha Beig1, Ramon Correa1, Prateek Prasanna1, Jhimli Mitra1, Ameya Nayate2, Anant Madabhushi1, and Pallavi Tiwari1

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, University Hospitals, Cleveland, OH, United States

The recent categorization of low-grade Glioma (LGG) has been modified based on the molecular aberrations associated with IDH mutations (IDHmut or IDH-WT) and 1p19q co-deletions (codel or non-codel). We explored the utility of radiogenomic analysis to identify radiomics signatures (computer extracted features from MRI) that distinguish IDHmut codel, IDHmut noncodel, and IDH-WT LGG tumors on T2 and FLAIR sequences.  Initial results indicate that radiomic features from non-enhancing regions on T2 and infiltrative edges on FLAIR can segregate the 3 subgroups. A non-invasive means of discerning molecular subtypes on MRI may allow clinicians to determine prognosis, and inform treatment strategy.

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Textural Analysis Tool for Grading of Astrocytoma on Quantitative Susceptibility Mapping
Yihao Yao1, Ilhami Kovanlikaya2, Ramin Jafari3, Yi Wang2,4, and Wenzhen Zhu1

1Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, People's Republic of China, 2Department of Radiology, Weill Cornell Medical College, New York, NY, United States, 3Department of Biomedical Engineering, Cornell University, Ithaca, NY, United States, 4Biomedical Engineering, Cornell University, Ithaca, NY, United States

The accuracy of grading astrocytic brain tumors using texture analysis (TA) on quantitative susceptibility mapping (QSM) was studied. For texture analysis training data set, most discriminant factor (MDF1) values were significantly different for low grade and high grade astrocytomas (p<0.01), as well as Grade II and III, Grade II and IV, Grade III and IV (p<0.01). For texture analysis test data set, 19/20 cases in differentiating low grade from high grade astrocytomas, 16/20 cases in Grade II, III and IV differentiation were correctly classified. TA promises to be a useful tool for grading astrocytoma on QSM.

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Voxel-based Multiparametric Analysis of Magnetic Resonance Imaging Data for Differentiating Recurrent Glioblastoma from Delayed Radiation Necrosis
Ra Gyoung Yoon1, Ho Sung Kim2, Myeong Ju Koh3, and Sang Joon Kim2

1Radiology, Catholic Kwandong University International St. Mary’s Hospital, Incheon, Korea, Republic of, 2Radiology and Research Institute of Radiology, Asan Medical Center, Seoul, Korea, Republic of, 3Jeju National University Hospital

We evaluated a volume-weighted voxel-based multiparametric (MP) clustering method as an imaging biomarker for differentiating recurrent glioblastoma from delayed radiation necrosis, comparing to the single imaging parameters of DWI, DSC and DCE perfusion MR. In an area under the receiver operating characteristic curve analysis, volume-weighted voxel-based MP clustering demonstrated better diagnostic accuracy for discriminating these two conditions than single imaging parameters. When performed with use of an optimal cutoff, volume-weighted voxel-based MP clustering improved the overall sensitivity. Therefore, quantitative analysis using volume-weighted voxel-based MP clustering is superior to single imaging parameter measurements for differentiating recurrent glioblastoma from delayed radiation necrosis.

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Medulloblastomas in adults: An MRI radiogenomic approach to an extremely rare disease
Vera Catharina Keil1, Monika Warmuth-Metz2, Christina Reh1, Jonas Enkirch1, Torsten Pietsch3, Hans Heinz Schild1, Elke Hattingen1, and Peter Hau4

1Radiology, University Hospital Bonn, Bonn, Germany, 2Institute for Diagnostic and Interventional Neuroradiology, University Hospital Wuerzburg, Wuerzburg, Germany, 3Institute for Neuropathology, University Hospital Bonn, Bonn, Germany, 4Wilhelm Sander-Therapieeinheit NeuroOnkologie and Clinic and Policlinic for Neurology, University Hospital Regensburg, Regensburg, Germany

Medulloblastoma in adults is very rare and shows prognostically relevant histological and genetic subtypes. Within a nation-wide multicenter study, pre-surgical MRIs of 28 cases were analysed to identify imaging biomarkers, which may be used to non-invasively predict these subtypes based on a radiophenotype. Molecular genetic subtypes SHH p53wt, WNT and non-WNT/non-SHH (Group 4) were significantly distinct in their relation to the 4th ventricle and lower rhombic limb, and extent of edema. Further imaging biomarkers could be identified that differentiate histological subtypes and nuclear-ß-catenin expression patterns. Imaging biomarkers were not congruent to markers identified in pediatric patients implying possible age-related differences.

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Measuring Tumor Boundary Variability to Improve Automated Segmentation of Brain Tumors Using Multimodal MRI.
Edgar A. Rios Piedra1,2, Benjamin M. Ellingson1,2, Suzie El-Saden1,2, Ricky K. Taira1,2, Alex A. T. Bui1,2, and William Hsu1,2

1Department of Radiological Sciences, David Geffen School of Medicine., University of California, Los Angeles, Los Angeles, CA, United States, 2Department of Bioengineering, David Geffen School of Medicine., University of California, Los Angeles, Los Angeles, CA, United States

We present an automated brain tumor segmentation framework to measure the variability associated to the tumor boundary that is observed on multimodal MRI; this is a vital task to accomplish as quantitative and automated tumor measurements and assessment become the standard in neuro-oncology for disease diagnosis, treatment planning, and clinical monitoring.


Electronic Poster

Normal & Aging Brain

Exhibition Hall Tuesday 14:45 - 15:45

4256
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Enhanced Quality of Myelin Water Fraction Mapping from GRASE Imaging Data of Human Brain using a New Nonlocal Estimation of multi-Spectral Magnitudes (NESMA) Filter
Mustapha Bouhrara1, Michael C. Maring1, David A. Reiter1, Jean-Marie Bonny2, and Richard G. Spencer1

1NIA, National Institutes of Health, Baltimore, MD, United States, 2QuaPa, INRA, Clermont-Ferrand, France

 Changes in myelin water fraction (MWF) represent a biomarker for central nervous system disease. However, high quality mapping of MWF is challenging, requiring very high signal-to-noise ratio for accurate and stable results. In this work, we demonstrate the potential of a new multispectral filter to permit high quality MWF mapping using in-vivo GRASE brain imaging datasets. Indeed, unlike conventional averaging filters, our filter permits substantial reduction of the random variation in derived MWF estimates while preserving edges and small structures. Finally, our results regarding patterns of MWF as a function of age are consistent with recent literature.  

4257
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Quantitative cerebral arteriolar vasomotor function mapping by spectral analysis of time series MR signal fluctuations
Minghui Tang1, Keigo Nishi2, and Toru Yamamoto1

1Faculty of Health Sciences, Hokkaido University, Sapporo, Japan, 2Department of Radiology, National Hospital Organization Hokkaido Medical Center, Sapporo, Japan

Cerebral arteriolar vasomotor function would be a biomarker for early diagnosis of dementia. We developed a quantitative mapping technique for cerebral arteriolar vasomotor function without administrating any agents. The natural respiratory fluctuation of CO2 in arterial blood was used, which alters cerebral blood flow and venous blood oxygenation, and hence modulates the MRI signal. This new technique is based on our finding of a strong correlation in MR signals between the cardiac fluctuation in brain parenchyma and the respiratory fluctuation at the sagittal sinus. Using this new mapping technique, the degeneration of arteriolar vasomotor function associated with aging was observed.

4258
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Cardiovascular risk factors, cerebral blood flow, and cognitive functions: preliminary results in a community based study in Chinese elders
Xin Hong1, Sei Hwan Oh1, Ying Hwey Nai1, Saima Hilal2,3, Suz-Chieh Sung1, Mohammad Kamran Ikram3,4, Christopher Chen2,3, and Kai-Hsiang Chuang1

1Singpare Bioimaging Consortium, Agency for Science Technology and Research, Singapore, Singapore, 2Department of Pharmacology, National University of Singapore, 3Memory Aging & Cognition Centre, National University of Singapore, 4Singapore Eye Research Institute, Singapore National Eye Center

Cerebral blood flow (CBF) is an important biomarker of the brain function and has been shown to correlate with cognitive performance in diseases. Since cardiovascular and metabolic complications are common in elders, to understand the influence of vascular confound in cognitive correlation, we investigated how cardiovascular risk factors may affect the relationship between cognitive functions and CBF in non-demented elders. We found that mean arterial blood pressure, haematocrit, blood cholesterol and glucose levels had significant negative effects on CBF. This suggests that cardiovascular risk factors shall be taken into consideration when analyzing CBF in aging, cognitive impairment, and neurodegenerative diseases.

4259
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Oscillating Gradient Spin Echo Diffusion Tensor MRI of the Corpus Callosum with Typical Aging
Pascal Tétreault1, Diana Valdés Cabrera1, Robert Stobbe1, Corey Baron1, and Christian Beaulieu1

1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada

This study compared short diffusion time (4 ms) oscillating gradient spin echo (OGSE) relative to regular long diffusion time (40 ms) pulsed gradient spin echo (PGSE) DTI in healthy individuals over a 40 year age span (n=12, 24 to 67 years old) to identify unique microstructure organization and reveal potential age related changes in three portions of the corpus callosum. Diffusivity and anisotropy were shown to depend on the diffusion time, mostly in the splenium, and these changed with age possibly reflecting alterations of restrictive dimensions such as the loss of specific axon diameters with aging.

4260
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Brain morphological alterations and functional changes during visually stimulated sexual arousal in menopausal women
Gwang-Won Kim1, Chung-Man Moon1, and Gwang-Woo Jeong1,2

1Research Institute of Medical Imaging, Chonnam National University Medical School, Gwangju, Korea, Republic of, 2Department of Radiology, Chonnam National University Hospital

The aging process and menopausal transition are important factors in sexual dysfunction of menopausal women. Until now, it has been unknown how menopause synchronously influences brain morphology and brain function during visually stimulated sexual arousal in menopausal women. We used structural and functional magnetic resonance imaging (fMRI) in parallel to evaluate menopause-related brain morphological and functional alterations during visually stimulated sexual arousal in menopausal women.

4261
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MR R2* and Quantitative Susceptibility Mapping: Variability in Normal Subjects across the Adult Lifespan
Christopher M O'Neill1,2, Cheryl R McCreary1,2, and Richard Frayne1,2

1Radiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 2Seaman Family MR Research Centre, Foothills Medical Centre, Alberta Health Serivces, Calgary, AB, Canada

R2* relaxation and susceptibility measurements are both candidate biomarkers for studying brain change. The relative variability of R2* and quantitative susceptibility mapping (QSM) approaches was studied in six deep brain regions in 182 normal subjects (18-89 years). The variability of R2* measures (average coefficient of variation, CoV: 0.33, mean ± standard deviation over regions) was found to be significantly less than QSM measurements (average CoV: 5.72). The variability in R2* measurements was found to vary with age, unlike QSM which showed no age effects. The increased variability observed in QSM measurements, however, may obscure smaller age effects.

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The Effects of Long-Term Physical Intervention for Active Ageing on the White Matter Hyperintensities in Older Adults
Toshiharu Nakai1,2, Noriko Ogama3, Takashi Sakurai4, Mika Ueno1, Sachiko Kiyama1,5, and Ayuko Tanaka1,6

1NeuroImaging & Informatics, National Center for Geriatrics & Gerontology, Ohbu, Japan, 2Department of Radiological Science, Nagoya University Graduate School of Medicine, Nagoya, Japan, 3Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Ohbu, Japan, 4Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics & Gerontology, Ohbu, Japan, 5College of Liberal Arts and Sciences, Mie University, Tsu, Japan, 6Faculty of Human Sciences, Kobe Shoin Women's University, Kobe, Japan

The relationship between the history of participation in community based physical exercise activity and the volume of white matter hyperintensity was evaluated in order to investigate the long-term effects of physical exercises on the neurophysiological status of brain to support cognitive processing in older adults. The FLAIR MR images obtained from 54 community dwelling older adults were segmented semi-automatically and the WMH volumes were quantified. It was suggested that long-term physical exercises more than 5 years for 90 minutes once per week may potentially reduce the progress of WMH lesions as well as the risk of fall.

4263
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QSM and R2* texture analysis in the aging brain
Arturo Cardenas-Blanco1,2, Matthew J Betts1, Peter J Nestor1, Emrah Düzel1,2, and Julio Acosta-Cabronero1

1DZNE, Magdeburg, Germany, 2Institute of cognitive neurology and dementia research (IKND), Magdeburg, Germany

To date, several studies have shown the value of quantitative susceptibility mapping (QSM) and R2* to detect aging-associated neurobiological mechanisms often based on single parametric features, either mean or median values, to characterise QSM/R2* behaviours in regions of interest (ROIs). In this study we propose the use of Haralick texture features to probe regional distribution characteristics of voxel intensities in R2*/QSM images. The results demonstrate that Haralick texture features add value to study the aging brain since they increase significantly the accuracy in subcortical R2*/QSM differentiation between elderly and young subjects.

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Changes in myelination and cortical thickness with advancing age
Andrew John Carradus1, Benjamin Hunt1, Prejaas Tewarie1, Nicolas Geades1, Simon Shah1, Olivier Mougin1, Matthew Brookes1, and Penny Gowland1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

This study explores the relationships that cortical myelination and cortical thickness have with age, and expands on existing literature by investigating whether the previously reported trends are still present when only looking at individual lobes of the brain. We find that quadratic variations occur in all four lobes of the brain in regards to myelination, and that cortical thickness declines linearly with age in all lobes except the temporal. We also find that myelination levels and cortical thickness appear to change independently of each other.

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Cross-Sectional Assessment of Diffusion Parameters in Specific Brain Tracts correlated with Cortical Thinning throughout Healthy Aging
Maíra Siqueira Pinto1, Antônio Carlos dos Santos2, and Carlos Ernesto Garrido Salmon1

1InBrain Lab, Department of Physics, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil, 2Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

The human brain is a complex structure that undergoes continuous, non-linear changes over the lifespan. We used anatomic and diffusion data from 165 healthy subjects, collected retrospectively from CCIFM/HC-FMRP. T1-weighted images were used for cortical parcellation, thus 102 of 148 cortical regions had statistically significant decrease with age. Three fiber tracts were selected: Corpus Callosum, Uncinate Faciculus and Corticospinal Tract, their diffusion parameters, FA and MD, showed significant relationship with cortical thickness of the biggest cortical area in the ending of each tract. Despite these correlations, it was possible to verify that age is the pivotal variable in this relationship.


4266
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Human Connectome Project (HCP) Lifespan Pilot: age-course of structural, microstructural and functional parameters in the hubs of the default mode network
Daniele Mascali1, Emily Kittelson2, Keith Jamison2, Kâmil Uğurbil2, Essa Yacoub2, Shalom Michaeli2, Lynn Eberly3, Melissa Terpstra2, Federico Giove1, and Silvia Mangia2

1Museo Storico della Fisica e Centro Studi e Ricerche “Enrico Fermi”, Rome, Italy, 2Center for Magnetic Resonance Research, Dept. of Radiology, University of Minnesota, Minneapolis, MN, United States, 3Division of Biostatistics, University of Minnesota, Minneapolis, MN, United States

Age-courses of multiple MRI outcomes were here characterized with a specific focus to default mode network (DMN) regions. Data were collected with unprecedented sensitivity and spatial resolution using the Human Connectome Project Lifespan Pilot protocol from 65 subjects divided in 4 age-groups (teen, young, middle-age and older adults). Age-related decreases of grey matter volumes, mean diffusivity, amplitude of resting-state oscillations and regional homogeneity were observed in both anterior and posterior DMN, and were more pronounced in anterior than in posterior DMN.  Connectivity between posterior and anterior DMN regions remained relatively stable during the lifespan.

4267
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Investigating the compensatory mechanisms of the ageing brain in response to a sub-maximal exercise task
Andrew Hale1,2, Penny Gowland1, Paul Greenhaff1,2, and Susan Francis1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2MRC/ARUK Centre for Musculoskeletal Ageing Research, University of Nottingham, Nottingham, United Kingdom

Age-related alterations in cerebral vascular function may be better understood by investigating cerebral response to exercise. We performed a MR study involving low/moderate intensity exercise in healthy young and older subjects. We assess the effect of exercise on CBF response, cerebral oxygenation, and CMRO2. We also investigate the relationship of GM-volume and physical fitness with ageing. At rest, there was no difference between CBF and CMRO2 but an increase in oxygen extraction with age. On exercise the age-related increase in OEF remained, however CBF and CMRO2 were blunted in older subjects. GM-volume was found to be associated with VO2max.

4268
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A two-region approach to assess brain iron changes as a function of age in basal ganglia, midbrain and dentate nuclei of healthy subjects using quantitative susceptibility mapping
Kiarash Ghassaban1, Sean K Sethi1, Shuang Xia2, and E. Mark Haacke1,3

1Magnetic Resonance Innovations Inc., Detroit, MI, United States, 2Department of Radiology, Tianjin First Central Hospital, Tianjin, People's Republic of China, 3Department of Radiology, Wayne State University, Detroit, MI, United States

In this work, 81 healthy subjects were recruited to assess iron deposition as a function of age in eight major brain nuclei using quantitative susceptibility mapping. By thresholding out high iron content region for each structure, seven basal ganglia and midbrain structures were evaluated locally and compared with the literature. Global (the entire structure) and regional (high iron content) susceptibility changes versus age were also analyzed for the dentate nucleus. In addition to the global analysis being consistent with the literature, regional analysis showed more sensitivity and precision as well as the left hemisphere dominance in terms of iron deposition.

4269
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High Resolution Magnetic Resonance Histology of the Human Brain Temporal Lobe
Alexandra Badea1, Nian Wang1, Gary P Cofer1, Simon W Davis2, John F Ervin2, Dianne A Cruz3, and G Allan Johnson1

1Center for InVivo Microscopy, Department of Radiology, Duke University Medical Center, Durham, NC, United States, 2Department of Neurology, Duke University Medical Center, Durham, NC, United States, 3Departments Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, United States

Detecting early brain changes in neurodegenerative diseases such as Alzheimer’s disease (AD) is essential for enabling interventions. We thus need to increase our ability to accurately localize areas that change, and to quantifying changes. The temporal lobe is essential for memory function. This is where AD hallmarks such as plaques, tangles, and neuronal death happen first. White matter has been proposed to have a role in early AD. We use high resolution magnetic resonance histology and diffusion tensor imaging to characterize the temporal lobe and its tracts. A compressed sensing acquisition with cluster based reconstruction increased efficiency four-fold.

4270
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Effects of Working Memory Training on Microstructural Brain Changes in HIV-positive and Seronegative Subjects
Chad Otoshi1, Thomas Ernst1, Kenichi Oishi2, Hua Jun Liang1, David Greenstein1, and Linda Chang1

1Department of Medicine, University of Hawaii John A. Burns School of Medicine, Honolulu, HI, United States, 2Department of Radiology and Radiological Science, Johns Hopkins Medicine, Baltimore, MD, United States

Microstructural brain changes before, 1-month and 6-months and after working Memory Training was evaluated in both HIV-positive and seronegative individuals.  While working memory training improved performance in both trained and non-trained working memory tasks, brain diffusivities increased in most brain regions after training in both groups, more in HIV than controls in some regions. These findings suggest ongoing brain inflammation associated with normal aging or HIV may mask the training-related changes in DTI measures.

4271
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Aging effects on kurtosis measures of limbic and association white matter tracts
Qinmu Peng1,2, King Kevin3,4, Minhui Ouyang1, Hanzhang Lu5, and Hao Huang1,2

1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Imaging, Huntington Medical Research Institutes, 4Department of Radiology, University of Texas Southwestern Medical Center, 5Department of Radiology, Johns Hopkins University

Numerous studies have revealed that DTI-derived metrics are sensitive to the microstructural changes of the aging white matter tracts. However, microstructural changes associated with non-Gaussian water diffusion cannot be quantified by DTI-derived metrics, but uniquely quantified by DKI-derived metrics. Little is known on the progressive white matter microstructural changes measured by DKI-derived metric during aging. In this study, we found that the measurements of DKI-derived mean kurtosis (MK) decrease heterogeneously across white matter tracts, characterized with significant MK decreases in limbic tracts including fornix and cingulum and insignificant MK decreases in the association tracts.

4272
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Longitudinal Cerebrovascular Analysis of the Aging Mouse Brain using Contrast Enhanced-MRA
Lindsay Kathleen Hill1,2,3, Dung Minh Hoang2, Willis Chen4, and Youssef Zaim Wadghiri5

1Biomedical Engineering, SUNY Downstate Medical Center and New York University, New York, NY, United States, 2Radiology, NYU School of Medicine, New York, NY, United States, 3Chemical and Biomolecular Engineering, NYU Tandon School of Engineering, Brooklyn, NY, United States, 4NYU School of Medicine, New York, NY, United States, 5New York University School of Medicine, New York, NY, United States

Here we study normal brain aging in wild type C57BL/6 mice and have detected a decline in cerebrovasculature over the two year aging process

4273
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Age Related Differences in the geomT2 Relaxation Assessed Using Multi-Echo T2 Imaging
Muzamil Arshad1,2, Jeffrey A. Stanley1, and Naftali Raz3,4

1Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, United States, 2MD/PhD Program, Wayne State University School of Medicine, Detroit, MI, United States, 3Psychology, Wayne State University, 4Institute of Gerontology, Wayne State University

Multi-echo T2 imaging (ME-T2) enables the investigation of multiple white matter compartments. The short T2 compartment has been the focus of recent investigations due to its specificity for the myelin water compartment. However, the much larger intra/extra cellular (IE) compartment has been relatively less explored. Here we investigate age differences in the geometric mean T2 (geomT2IEW) of the IE compartment in subcortical white matter tracts. We demonstrate that the effects of age on geomT2IEW are not uniform across white matter tracts and suggest that this index may offer additional value in the characterization of age differences of white matter microstructure. 

4274
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Quantification of Brain Metabolites in Alcohol Dependent Patients Using MRS with Experimental Basis Sets at 3T
Hyeon-Man Baek1,2 and Yeong-Jae Jeon1,2

1Korea Basic Sicence Institute, Ochang, Korea, Republic of, 2Dept. Bio-Analytical Science, Univ of Science & Technology, Daejeon, Korea, Republic of

In this study, in vivo quantification of brain metabolites measured on the dorsolateral prefrontal cortex (DLPFC) was carried out with LCModel using a priori knowledge based on experiment metabolite basis set signals. The main observation in this work was the significant reduction of tCho and Ins, and increase of GSH and Glx concentrations in the left DLPFC of alcohol dependent patients compared to healthy control subjects.

4275
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Anomalous diffusion γ metrics detects physiological and microstructural changes in brain normal aging
Michele Guerreri1,2, Alessandra Caporale1,3, Marco Palombo4, Emiliano Macaluso5, Marco Bozzali6, and Silvia Capuani1

1CNR ISC UOS Sapienza University of Rome, Rome, Italy, Rome, Italy, 2SAIMLAL Dept., Morphogenesis and Tissue Engineering, Sapienza University of Rome, Rome, Italy, 3SAIMLAL Dept., Morphofunctional Sciences, Sapienza University of Rome, 4MIRCen, CEA/DSV/I2BM, Fontenay-Aux Roses, France, 5ImpAct Team, Lyon Neurosince Research Center, Lyon, France, 6Neuroimaging Laboratory, Santa Lucia Foundation, Rome, Italy

The intent of this study was to test the potential of parameters extracted by the so-called anomalous diffusion (AD) stretched exponential γ-imaging model, to detect microstructural modifications occurring in brain during normal aging. Conventional DTI metrics was also considered. 27 healthy volunteers with age range 21-77y underwent DW acquisitions. Parametric maps of Mean γ (Mγ) and γ Anisotropy (γA) were obtained and a quantitative analysis was carried in different regions of White and Deep Grey Matter. We found that AD and DTI parameters correlations with age indicate changes in different brain regions diversifying thus aging patterns.

4276
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Sub-clinical trait anxiety relates to cerebral blood flow in brain regions related to autonomic arousal
William J Cottam1,2,3, Diane Reckziegel1,2,3, Marianne M Drabek1,2,3, and Dorothee P Auer1,2,3

1Radiological Sciences, Division of Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom, 2Arthritis Research UK Pain Centre, University of Nottingham, Nottingham, United Kingdom, 3Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

Arterial spin labelling is a powerful, non-invasive tool to map cerebral blood flow (CBF) in the study of neural activity patterns underpinning spontaneous behaviour or personality traits. In this study we sought to directly investigate the effects of negative affect, specifically trait anxiety on local cerebral blood flow in a group of patients with chronic pain known to have mildly elevated anxiety scores. This study found widespread cerebral blood flow in osteoarthritis subjects with chronic pain that correlate significantly with trait anxiety, overlapping with regions previously reported to relate to autonomic functions. fMRI studies should account for increased physiological arousal.  

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Evaluation of aging effects on cerebral hemodynamics by Magnetic Resonance Imaging
João Paulo Santos Silva1, Ícaro Agenor Oliveira1, André Monteiro Paschoal1, and Renata Ferranti Leoni1

1Physics, University of Sao Paulo, Ribeirao Preto, Brazil

Recently, the effects of aging on human brain tissue, mainly how structural changes may be related to functional changes, have been extensively discussed. However, there is still no agreement on which brain regions have altered perfusion and how it is related with dementia. Therefore, in the present study, we investigated regional changes in perfusion and gray matter concentration in healthy aging, Mild Cognitive Impairment and Alzheimer’s disease. The results indicate a significant age- and disease-related reduction of regional cerebral perfusion associated with brain atrophy. Therefore, these alterations may be important biomarkers for neurodegeneration.

4278
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Both Rostral  and Dorsal Anterior Cingulate Cortices Exhibit Age-related Metabolic Changes
Pui Wai Chiu1,2, Hui Zhang1, Savio Wai Ho Wong3, Tianyin Liu4, Gloria Hoi Yan Wong5, Queenie Chan6, and Henry Ka Fung Mak1,2,7

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, Hong Kong, 4Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong, 5Department of Social Work and Administration, The University of Hong Kong, Hong Kong, Hong Kong, 6Philips Healthcare, Hong Kong, Hong Kong, Hong Kong, 7Alzheimer's Disease Research Network, The University of Hong Kong, Hong Kong, Hong Kong

Rostral ACC displays a characteristic task-induced deactivation, while dorsal ACC displays positive BOLD responses in cognitive tasks. Nevertheless, the effect of age on the rostral ACC and dorsal ACC has never been investigated within the same cohort. In this study, quantitative proton magnetic resonance spectroscopy was used to investigate the metabolic changes in the rostral ACC and dorsal ACC in a local Chinese cohort at 3.0T. Both rostral ACC and dorsal ACC showed age-related metabolic changes. Rostral ACC may reveal greater degree of compensation compared to dorsal ACC. 

4279
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Memory Recall Accuracy is Associated with Glutamatergic Neurotransmission in the Right Hippocampus
Pui Wai Chiu1,2, Hui Zhang1, Savio Wai Ho Wong3, Tianyin Liu4, Gloria Hoi Yan Wong5, Queenie Chan6, and Henry Ka Fung Mak1,2,7

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, Hong Kong, 4Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong, 5Department of Social Work and Administration, The University of Hong Kong, Hong Kong, Hong Kong, 6Philips Healthcare, Hong Kong, Hong Kong, Hong Kong, 7Alzheimer's Disease Research Network, The University of Hong Kong, Hong Kong, Hong Kong

Memory for face–name associations is an important type of memory in our daily lives, and often declines in older adults, but the neural mechanisms underlying such decline are still unknown. In this study, quantitative proton magnetic resonance spectroscopy was used to investigate the metabolic changes in the bilateral hippocampi in a local Chinese cohort at 3.0T. The relationship between metabolite concentrations and memory recall accuracy from a face-name recognition task was also assessed. Right hippocampus revealed the plausibility of compensation activity during aging, and the memory recall accuracy was associated with alterations in glutamatergic neurotransmission.


Electronic Poster

RF Simulation & Design Strategies

Exhibition Hall Tuesday 16:15 - 17:15

4280
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Visualizing the role of ideal current patterns in minimizing sample noise using dark mode current patterns for a spherical sample
Manushka V. Vaidya1,2,3, Daniel K. Sodickson1,2,3, Christopher M. Collins1,2,3, and Riccardo Lattanzi1,2,3

1Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, 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, 3Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States

We show that the ideal surface current patterns maximizing internal signal-to-noise ratio (SNR)  are composed of a) signal-optimizing current patterns which maximize the signal sensitivity without considering sample noise, and b) “dark mode” current patterns which minimize sample noise without affecting signal. For a central voxel in a spherical sample, the absence of dark mode current patterns on an encircling sphere suggests that optimally tracking the precessing spin while ignoring sample noise is sufficient to achieve the best possible SNR. For an off-center voxel, however, the dark mode current patterns form high magnitude localized currents that efficiently minimize sample noise.

4281
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The Twisted Solenoid RF Phase Gradient Transmit Coil for TRASE Imaging
Stephanie Yong1, Boguslaw Tomanek2, and Jonathan C. Sharp2

1Physics, University of Alberta, Edmonton, AB, Canada, 2Oncology, University of Alberta, Edmonton, AB, Canada

TRASE is a k-space encoding method that uses RF transmit phase gradient fields to achieve mm-level resolution. However, image quality is critically dependent upon the efficient generation of B1 fields with uniform magnitude and strong phase gradients. We present a new family of phase gradient coil designs based upon a solenoid twisted about a transverse axis. Four twisted solenoids wound on a single cylindrical former are sufficient to encode two spatial dimensions. The design has many attractive geometric, electrical and magnetic characteristics, including the ability to encode in the B0-direction, previously not possible for transverse-B0 magnet geometries.

4282
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Alternative approach for modeling a geometrically complex RF coil for evaluation in simulation.
Gillian G Haemer1,2,3, Nicole Wake1,2,3, Martijn Cloos1,2, Christopher Collins1,2,3, Daniel K Sodickson1,2,3, and Graham C Wiggins1,2

1The Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY, United States, 2The Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 3The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States

An alternative approach for generating a digital model of an RF coil is described that avoids the use of geometric priors and ensures structural accuracy. This approach is demonstrated on a helmet-shaped transmit-receive coil, and the resulting simulations are compared to experimental data.

4283
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Evaluation of a high permittivity helmet for use as a coil former for an 8ch transmit/receive array with dodecahedral symmetry.
Gillian G Haemer1,2,3, Manushka V Vaidya1,2,3, Christopher Collins1,2,3, Daniel K Sodickson1,2,3, and Graham C Wiggins1,2

1The Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY, United States, 2The Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 3The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States

A helmet shaped coil former made of high permittivity material is simulated with an 8 channel transmit/receive coil as an evaluation step towards coil construction. The addition of the high permittivity material improves performance in both transmit and receive but the choice of a permittivity that is too high may lead to undesired split-resonance effects.

4284
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EM-Circuit Co-Simulation Experience with a 7T 16-ch Array: Challenge, Errors, Speeding Factor, and Simulation Protocol towards Simulation Automation
Jinfeng Tian1, Xiaoping Wu1, Brian Hanna1, John Strupp1, Kamil Ugurbil1, Gregor Adriany1, and J. Thomas Vaughan1,2

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Columbia University, New York, NY, United States

A complete MRI RF simulation has at least two parts involved: S-parameter optimization including frequency tuning, impedance matching and channel decoupling, and RF field generation. Previous EM-Circuit co-simulation work used every port data for field synthesis. In this abstract, the speeding factor, or the CPU/GPU time reduction factor, of the co-simulation method against the traditional broadband calculation, is present. We also compared the accuracy of field synthetization from every port data, vs. from every channel data, and propose a highly automatic optimal simulation flow that offers best field accuracy, minimum computer disk space and memory requirement, and fast data processing.

4285
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Simulation of B1 Efficiency in 64-Channel Phased Head Arrays at 7T and 10.5T.
J. W. Radder1, S. Moeller1, G. Adriany1, P.-F. Van de Moortele1, B. Tramm2, E. Auerbach1, and K. Ugurbil1

1CMRR University of Minnesota, Minneapolis, MN, United States, 2Life Services, LLC, Minneapolis, MN, United States

Simulation results are presented for 64-channel phased arrays operating at frequencies of 296.5 MHz (7T) and 447 MHz (10.5T) with 4.5 cm element loop diameters.  FDTD simulations were performed per channel to obtain B1 receive fields of the coil array placed around a 2 mm resolution voxel anatomical head model.  Sum-of-squares B1 efficiency maps show improved performance of the array at 10.5T compared to 7T over the whole head region.

4286
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Mixed Dipole and Loop Coil for Macaque Brain Imaging at 7T: A Simulation Study
Yang Gao1,2, Weidao Chen1,2, Jinfeng Tian3, Yi Sun4, Gang Chen1,2, Anna Wang Roe1,2, and Xiaotong Zhang1,2

1Interdisciplinary Institute of Neuroscience and Technology, Zhejiang University, Hangzhou, People's Republic of China, 2College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, People's Republic of China, 3Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, United States, 4MR Collaboration Northeast Asia, Siemens Healthcare, Shanghai, People's Republic of China

For monkey brain functional MR imaging, sufficient SNR is essential to reveal significant functional activities. Through a series of numerical simulation, we have demonstrated that under 7T environment, to image macaque brain whose size is much smaller than the natural resonate dimension of a dipole antenna, combining dipole and loop can feasibly provide considerably high SNR in both local cortical and deep brain regions. It is believed that such design will effectively benefit functional MRI over macaque with much enhanced signal quality.

4287
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Ultimate Intrinsic SNR Based on Expansion Coefficient Optimization for Realistic 3D Macaque Head Model
Yang Gao1,2, Weidao Chen1,2, and Xiaotong Zhang1,2

1Interdisciplinary Institute of Neuroscience and Technology, Zhejiang University, Hangzhou, People's Republic of China, 2College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, People's Republic of China

We have calculated the ultimate SNR at a particular voxel located at monkey cortex through finding the optimized expansion coefficient. Our proposed method enables us to find the relative contribution of divergence free and curl free in UISNR at particular position in the realistic model.

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Degree of RF MRI Coil Detuning and SAR Variations over an Anatomically Realistic Respiratory Cycle Modeled with the Finite Element Method
Anh Tran1, Sergey Makarov1,2, and Harshal Tankaria

1Worcester Polytechnic Institute, Worcester, MA, United States, 2NEVA Electromagnetics, LLC, Yarmouth Port, MA, United States

Respiratory motion is an important problem in Magnetic Resonance Imaging (MRI), contributing to image blurring during data acquisition and coil detuning. Using the concept of an ideal (perfectly matched and tuned at all available ports) RF transmit coil and the VHP-Female v4.0 dynamic CAD model, we estimate the detuning of a full-body RF coil detuning during the respiratory cycle. Our results show that the computed resonant capacitance values change by at most 0.5%.

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Design of Elliptical Birdcage Coil with Constant Ring-capacitor Value
Yoshihisa Soutome1, Shin-ichiro Suzuki2, Hideta Habara2, Takahide Shimoda2, and Yoshitaka Bito2

1R&D Group, Hitachi, Ltd., Kokubunji, Japan, 2Healthcare Business Unit, Hitachi, Ltd., Tokyo, Japan

The value of ring capacitors in elliptical birdcage coil (EBC) should be varied gradually according to the location of the ring capacitor in order to generate uniform B1+ field distribution. Usually, it is difficult to adjust the value of the ring capacitor precisely by using fixed capacitors, because the value of the fixed capacitor is discretized. To realize the easy fabrication of EBC, we have designed EBC with constant ring-capacitor value at 1.5T. Simulation and experimental results indicated that the designed EBC generated uniform B1+ field distribution and showed the same transmission efficiency as the conventional EBC.

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Ultra-high field RF coils with adjustable longitudinal coverage: Traveling-wave meets standing-wave
Xinqiang Yan1,2, John C. Gore1,2,3, and William A. Grissom1,2,3

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

7T scanners currently are not equipped with body coils, so for MR imaging of relatively short coverage along the z-direction (head, knee and prostate), local transmit coils with standing-wave behavior are commonly used to achieve high efficiency. For MR imaging that requires long coverage such as the legs, traveling wave MRI is potentially a competitive choice since it is extremely simple to implement and enables large FOV imaging. In this study, we propose a coverage-adjustable transmit coil which combines the concepts of traveling-wave and standing-wave. The new design exhibits excellent efficiency over short regions, but maintains the ability to cover longer areas for MR imaging of the legs or whole body.

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Improved traveling wave efficiency in 7T human MRI using wireless local loop and dipole arrays
Xinqiang Yan1,2, Xiaoliang Zhang3,4, John C. Gore1,2,5, and William A. Grissom1,2,5

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 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, United States, 5Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

Traveling-wave MRI has robust matching performance and capability for large field-of-view (FOV) imaging. However, the efficiency of traveling-wave MRI is much lower than conventional methods, which limits its application. One way to improve  the efficiency is to place local wireless resonators around the subject. The feasibility of this approach has been demonstrated in previous works using a single small loop. However, it is not clear whether other kinds of coils (such as electric dipoles) can be used as local elements, and it is not clear how much the improvements can be maintained in human imaging using an array design. By using wireless local loop coil and transverse dipole arrays, the transmit efficiency (B1+) of traveling-wave MRI can be improved by 3.4-fold in the brain and 2-fold in the knee. The coil types (loops or dipoles) should be carefully chosen for brain or knee imaging to maximize the improvement since they exhibit different types of coupling to the TE11 mode, and the enhancement depends on the local body configuration

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New resonator geometries for ICE decoupling of loop arrays
Xinqiang Yan1,2, John C. Gore1,2,3, and William A. Grissom1,2,3

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

To overcome B1 inhomogeneities and technological difficulties in building large-sized volume resonators, multi-channel arrays are commonly used for transmission at ultra-high fields. One of the main challenges in designing transmit arrays is to minimize the coupling among coil elements. The induced current elimination (ICE) method, which uses additional resonator elements to cancel coils’ mutual electromagnetic (EM) coupling, has proven to be a simple and efficient approach to decouple loop, stripline and dipole arrays. However, in previous embodiments the decoupling elements acted as “magnetic-walls”, blocking the magnetic field and leading to MR signal loss near the elements. In this study, we improved the ICE method to avoid the signal cancellation by using overlapped and perpendicular decoupling loops.

4293
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An analytic expression for the ultimate intrinsic SNR in a uniform sphere
Hong-Hsi Lee1, Daniel K. Sodickson1, and Riccardo Lattanzi1

1Center for Biomedical Imaging, New York University, New York, NY, United States

Ultimate intrinsic SNR (UISNR) is the theoretically highest SNR for given geometry and electrical properties, independent of the coil design. Here, we introduce an analytic exact expression to calculate the UISNR at the sphere center, enabling to directly analyze the dependence on main magnetic field, sample geometry and electric properties. The analytic expression can approximate the UISNR near the center with < 5% error. This work can enable people without access to the full simulation code to calculate UISNR and use it, for example, as an absolute reference to assess the performance of head coils with spherical phantoms.

4294
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A Novel Optimization Method for the Design of Permanent Magnet Array and its Application to a Portable Magnetic Resonance Imaging (MRI) System
Zhi Hua Ren1 and Shao Ying Huang1,2

1EPD, Singapore University of Technology and Design, Singapore, Singapore, 2Department of Surgery, National University of Singapore, Singapore, Singapore

Permanent magnet array is a welcome option to provide main magnetic field for portable magnetic resonance imaging (MRI). In this abstract, we propose an efficient and fast optimization method which can optimize the filed strength and homogeneity for the design of permanent magnet arrays. The magnetic field of permanent magnets with the interference of irons is calculated by applying boundary integral method (BIM). For optimization, genetic algorithm particle swarm optimization (GAPSO) is applied which offers highly diversified options and converges fast. A permanent magnet array is optimized with significantly improved performance, and it will be built for low-field portable MR imaging. 

4295
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Decoupling and Integration of Electric Dipoles into RF Arrays
Ian Robert Oliphant Connell1,2 and Ravi S Menon1,2

1Centre for Functional and Metabolic Mapping, Robarts Research Institute, London, ON, Canada, 2Medical Biophysics, University of Western Ontario, London, ON, Canada

To-date, increasing interest in adapting dipole antennae for imaging at ultra-high field strengths has spawned the design and construction of many dipole-based RF arrays. However, increased electric-field interactions between dipole-to-sample and dipole-to-dipole provide an implementation barrier due to mutual coupling and load-sensitivity. This study presents an analysis of dipole-to-dipole coupling and implements a filter design method to isolate dipole elements in a highly-conformal array designed for human brain imaging at 7 Tesla.

4296
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RF Pulse Design - based Parallel Transmit Array Design
Zhipeng Cao1,2, Xinqiang Yan2, Jun Ma1,2, and William A. Grissom1,2

1Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 2Institue of Imaging Science, Vanderbilt University, Nashville, TN, United States

A novel parallel transmit array design method is proposed that integrates both Maxwell and Bloch equations. The method is demonstrated to be better than traditional coils in dynamic multiband shimming and reduced field-of-view imaging scenarios to achieve better excitation accuracy and lower RF energy deposition, as well as robustness across multiple subjects and excitation schemes.

4297
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Wireless Q-spoiling of Receive Coils at 1.5T MRI
Jonathan Y Lu1, Fraser Robb2, John Pauly1, and Greig Scott1

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Advanced Coils, GE Healthcare Inc, Aurora, OH, United States

In this work, we demonstrate wireless Q-spoiling of an MRI surface coil in a 1.5T scan using commercial Linx LR series modules. These modules send a digital data stream wirelessly using an On-Off-Keying (OOK) protocol and a carrier frequency of 418MHz. With the simple Linx modules for wireless scanner state detection, it becomes possible to perform tasks such as wirelessly Q-spoiling MRI receive coils and beginning readout of receive coil data. Such steps are necessary for the ultimate goal of wireless MRI.

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A Simple Setup to Measure the Noise Figure of MRI Preamplifiers
Roland Müller1 and Harald E. Möller1

1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

Noise figure measurements have the reputation of being intricate and needing special equipment. Here, we will demonstrate that a simple setup involving an RTL-SDR dongle achieves convenient results. It requires, besides the inexpensive dongle, only common equipment, which should be available in all MRI coil labs.

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Practical aspects of preamplifier designs for 13C imaging.
Daniel Højrup Johansen1, Juan D. Sanchez-Heredia1, Vitaliy Zhurbenko1, and Jan H. Ardenkjær-Larsen1

1Department of Electrical Engineering, Technical University of Denmark, Kgs. Lyngby, Denmark

This abstract presents two preamplifier designs for 13C imaging optimized either for single or array coil usage. For single coil usage the preamplifier is designed to minimize noise yielding a noise figure of 0.25 dB. For array coils coupling between elements is a problem when the input impedance of the preamplifier is high. Hence the main contribution of this work is a low resistance, inductive input impedance preamplifier yielding better decoupling for array coils, while maintaining acceptable gain (20 dB) and noise figure (0.75 dB).

4300
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Comparison of different RF coil designs for short T2* samples
Agazi Samuel Tesfai1, Johannes Fischer1, Ali Caglar Özen1, and Michael Bock1

1Dept. of Radiology, Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany

MRI of short T2* samples is possible with ultra-short echo time sequences (UTE) which can be further improved using dedicated RF coils optimized for short-TE imaging. This work compares the performance of a commercial wrist coil with two custom-built coils (birdcage, solenoid) for UTE imaging of a mummy hand (low water content, short T2*), and an in-vivo measurement of a human hand in which short-T2* tissues such as tendons are highlighted by UTE image subtraction.

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Effect of Mismatching on the Transmit and Receive Performance of a Human Head 9.4T Tight-Fit Transceiver Phased Array.
Nikolai I. Avdievich1, Ioannis A. Giapitzakis1, and Anke Henning1,2

1Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Institute of Physics, Ernst-Moritz-Arndt University, Greifswald, Germany

Tight-fit multi-channel ultra-high field (UHF, >7T) transceiver (TxRx) phased arrays improve transmit (Tx) efficiency in comparison to larger Tx-only arrays. However, tight-fit TxRx-arrays may require matching for each subject. To evaluate a potential use of tight-fit TxRx-arrays without matching, we investigated both numerically and experimentally an effect of a strong mismatch on performance of a 9.4T 8-channel human head TxRx-array. We demonstrated that mismatching caused only ~5% decrease of the B1+ field, while may have stronger effect on the maximum local SAR. Additionally it also effects the SNR distribution. While overmatching favors SNR, undermatching may enhance Tx-efficiency evaluated as B1+/√SAR10g.

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ANALYTICAL RF COILS DECOUPLING: A THEORETICAL APPROACH FOR PARALLEL TRANSMISSION
Angelo Galante1,2,3, Marco Fantasia1, Piero Sebastiani4, Antonello Sotgiu4, and Marcello Alecci1,2,3

1Department of Life, Health and Environmental Sciences, L'Aquila University, L'Aquila, Italy, 2Laboratori Nazionali del Gran Sasso, Istituto Nazionale di Fisica Nucleare, L'Aquila, Italy, 3Istituto SPIN-CNR, CNR, L'Aquila, Italy, 4Imaging Technology Abruzzo, L'Aquila, Italy

We show, by Finite Elements Modelling, the tuning and matching feasibility of a highly coupled parallel transmission (PTx) array by means of two degrees of freedom (two capacitances values) and decouple them a posteriori. This approach could be useful to simplify the design of PTx arrays avoiding complex procedures to geometrically and/or electrically decouple the elements. The procedure is stable for small parameters changes and this suggests a possible experimental verification of the results.


Electronic Poster

RF Coils & Systems

Exhibition Hall Tuesday 16:15 - 17:15

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Experimental realization of a novel dual-nuclei coil for small animal imaging at 7 Tesla based on periodic structures of metal strips
Anna A. Hurshkainen1, Anton V. Nikulin1, Stanislav B. Glybovski1, Irina V. Melchakova1, Pavel A. Belov1, Benoit Larrat2, Elodie Georget2, Stefan Enoch3, Pierre Sabouroux3, Ana L. Neves3, and Redha Abdeddaim3

1Department of Nanophotonics and Metamaterials, ITMO University, Saint-Petersburg, Russian Federation, 2DRF/I2BM/Neurospin/UNIRS, CEA-Saclay, Paris, France, 3CNRS, Institut Fresnel, Aix-Marseille Université, Marseille Cedex, France

In order to acquire image or MR spectra at two different nuclei dual-frequency RF-coils are used. Conventional approaches of tuning and matching a coils at several frequencies employ expensive non-magnetic capacitors which also introduce dissipative losses. We propose an alternative method of tuning and matching the coils at multiple desired frequencies. This method is based on resonant excitation of hybridized eigenmodes of periodic structures of metal strips. The proposed method allows one to build cheap coil with reduced dissipative losses resonating on two different frequencies simultaneously.

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32-Channel In-Vivo Parallel Transmit Body Imaging at 7 Tesla
Sören Johst1, Sascha Brunheim1,2, Marcel Gratz1,2, Harald H Quick1,2, Mark E Ladd1,3, and Stephan Orzada1

1Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany, 2High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 3Division of Medical Physics in Radiology (E020), German Cancer Research Center (DKFZ), Heidelberg, Germany

In this work we present phantom and in-vivo pTx excitation results acquired with a 32-channel add-on pTx system based on a 1-channel 7T MRI system. The add-on system uses custom-built I/Q modulators and custom-built amplifiers located inside the magnet room. The single exciter channel is split into 32 sub-channels, whereby the modulators control the phase and amplitude of the individual pTx RF pulses. The modulators and pre-calculated pTx gradients are synchronized via trigger signals generated in the imaging sequence. With the 32-channel pTx system, reduced FOV imaging of the lumbar vertebrae during free breathing was possible.

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A 8-channel pTx transceive coil for hip imaging at 7 T
Jin Jin1, Ewald Weber1, Kieran O’Brien2, Aurelien Destruel1, Bassem Henin3, Craig Engstrom1, and Stuart Crozier1

1University of Queensland, St Lucia, Australia, 2Siemens Ltd, Brisbane, Australia, Australia, 3American University of the Middle East, Kuwait

This paper presents the initial in vivo imaging results from a new unilateral 8-channel pTx transceive array designed and constructed for 7 T MRI of the hip joint. With subject-specific RF shims, 3D sequences (DESS and MEDIC) provided sufficient coverage, uniform image intensity and excellent contrast. The RF techniques employed in the construction of the array promote efficient use of RF power, enabling turbo spin echo sequences with full coverage of hip joint to be performed with adequate excitation. Comprehensive and conservative RF safety procedures ensure that local RF energy absorption is well below regulatory limits.

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Comparison of a 32-channel remote body coil for 7 Tesla with local and remote 8- and 16-channel transmit coil arrays
Thomas M. Fiedler1, Martina Flöser1, Stefan H. G. Rietsch2,3, Stephan Orzada2, Harald H. Quick2,3, Mark E. Ladd1,2, and Andreas K. Bitz1

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany, 3High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

The RF shimming performance of a 32-channel remote body coil is compared to ideally and non-ideally decoupled local and remote arrays consisting of 8 and 16 channels by evaluation of the singular values as well as evaluation of the RF shimming performance in axial and coronal slices with L-curves. For high-field body imaging, multi-ring remote coil arrays provide high degrees of freedom for RF shimming and can achieve higher B1+ homogeneity, especially for coronal slices. However, to utilize the full RF shimming potential of remote multi-ring transmit arrays, high local SAR has to be taken into account during safety assessment.

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Occipital-parietal coil with variable-density element distribution for 7T functional imaging
Kyle M Gilbert1, Joseph S Gati1, and Ravi S Menon1

1Centre for Functional and Metabolic Mapping, The University of Western Ontario, London, ON, Canada

A 32-channel receive coil with variable-density element distribution, in conjunction with an 8-channel transmit coil, was developed for imaging of the occipital-parietal regions of human brain at 7T. Spatial SNR maps demonstrate targeted sensitivity to the peripheral occipital pole, with a smoothly varying SNR proximal to this region. The temporal SNR of the occipital-parietal coil attained 35% higher SNR in the visual cortex than a whole-head coil.

4308
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64-channel Double-Octagon Tx Head Coil for 7T Imaging
Tales Santini1, Narayanan Krishnamurthy2, Sossena Wood3, Shailesh Raval3, Yujuan Zhao3, Anthony Fischetti3, Minseok Koo3, Howard Aizenstein3, and Tamer Ibrahim3

1University of Pittsburgh, Pittsburgh, PA, United States, Pittsburgh, PA, United States, 2University of Pittsburgh, PA, United States, 3University of Pittsburgh

This work presents the design of a 64-channel double-rowed head coil (16 octagons with 4 Tx channels on each octagon).  The magnetic field ( ) and the specific absorption rate (SAR) generated by the new coil were then compared with the TEM and 16-channel Tic Tac coils using Finite-Difference Time Domain (FDTD) simulations. Preliminary data shows significant improvements in all of performance parameters: coefficient of variation (CV) = 14.9% (  field distribution) and maximum/minimum (Max/Min) = 2.45 (  field intensity) across the whole head above and including the cerebellum; and peak/average SAR = 4.97/1.51 W/Kg/10g.  

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Optimization of the Receive Performance of a Tight-Fit Transceiver Phased Array for Human Brain Imaging at 9.4T.
Nikolai I. Avdievich1, Ioannis A. Giapitzakis1, and Anke Henning1,2

1Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Institute of Physics, Ernst-Moritz-Arndt University, Greifswald, Germany

Tight-fit ultra-high field (UHF) (>7T) surface loop transceiver (TxRx)-phased arrays improve transmit (Tx) efficiency in comparison to Tx-only arrays built larger to accommodate for receive (Rx)-only array inserts. However, the number of elements in TxRx-arrays is restricted by the number of available RF Tx-channels (commonly 8 or 16), which limits the Rx-performance. A prototype of a 16-element array, which consists of 8 TxRx-surface loops circumscribing a head and 8 additional “vertical” Rx-only loops positioned in the center of each TxRx-loop perpendicularly, was constructed. This addition improves the Rx-performance substantially and has a minimal effect on both the Tx-efficiency and maximal local SAR.

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Lightweight Size Optimized Printed Pediatric Receive Array
Joseph Corea1, Balthazar Lechene1, Shreyas Vasanawala2, Ana Clauda Arias1, and Micheal Lustig1

1UC Berkeley, Berkeley, CA, United States, 2Stanford Hospital

The current landscape of pediatric body MRI lacks dedicated high-density arrays, especially for small children. Therefore many centers use existing arrays designed for adults. These arrays are much larger than the patients, reducing the effective number of elements. Adult arrays are heavy for children and are supported by additional padding, increasing the distance from the patient and reducing image quality. Here, we present an appropriately sized blanket-like array designed from patient data for torso and chest/abdominal imaging of 0-2 and 3-5 year olds respectively. This pediatric array is fabricated using screen-printed electronics to produce an extremely lightweight and flexible coil.

4311
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Software Synchronization of Independent Receivers by Transmit Phase Tracking
Greig Scott1, Fraser Robb2, John Pauly1, and Pascal Stang3

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2GE Healthcare, Aurora, OH, United States, 3Procyon Engineering, San Jose, CA

For add on receiver electronics, and wireless receiver coils, a major challenge is the synchronization of on-coil digitizers without a physical connection to the scanner. We propose that a digitizer that multiplexes the RF pulse and FID to an ADC can then use the transmit data to phase and frequency correct the MRI image data. We demonstrate frequency estimator and pulse sequence frequency tracking feasibility with a test bench that synthesizes the wireless MRI data acquisition and artifact-free image reconstruction.

4312
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Fast method to get an upper bound of the maximum $$$SAR_{10g}$$$ for body coil arrays
Ettore Flavio Meliadò1,2, Alexander J.E. Raaijmakers1,3, Peter R. Luijten1, and Cornelis A.T. van den Berg1

1Center for Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 2MR Code BV, Zaltbommel, Netherlands, 3Biomedical Image Analysis, Eindhoven University of Technology, Eindhoven, Netherlands

One of the most demanding challenges with ultra-high field MRI is the SAR10g assessment during a multi-channel transmit MRI examination. A worst-case estimate is often used. In this work a fast method is presented to assess the upper bound of the maximum SAR10g for body coil arrays with knowledge on only the power distribution among the channels. The performance is assessed for prostate imaging at 7T using our database with 23 realistic subject-specific models. The mean overestimation factor is 1.58 and the mean reduction in overestimation is 0.75 compared to a recently presented alternative estimation method.

4313
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Measurement of Phosphocreatine and BOLD Kinetics in the Lower Extremity Muscles using a Dual-Frequency Coil Array
Ryan Brown1,2, Oleksandr Khegai1,2, and Prodromos Parasoglou1,2

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, New York University School of Medicine, New York, NY, United States

MRI provides the unique ability to study metabolic and microvasculature functions in skeletal muscle using phosphorus and proton measurements. However, the low sensitivity of these techniques can make it difficult to capture dynamic muscle activity due to the temporal resolution required for kinetic measurements during and after exercise tasks. We developed a dual-nuclei coil array to enable proton and phosphorus MRI of the human lower extremities with SNR more than double that of a birdcage coil in the gastrocnemius muscles. This enabled the local assessment of phosphocreatine recovery kinetics following a plantar flexion exercise using an efficient sampling scheme with a 6 s temporal resolution. The integrated proton array demonstrated image quality approximately equal to that of a clinical state-of-the-art knee coil, which enabled fat quantification and dynamic blood oxygen level-dependent measurements that reflect microvasculature function.

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29-channel Receive-only Dense Dipole Head Array for 7T MRI
Bei Zhang1, Gang Chen1,2, Martijn Cloos1, Zidan Yu1,2, Jerzy Walczyk1, Christopher Collins1,2, Ryan Brown1, Riccardo Lattanzi1,2, Daniel Sodickson1,2, and Graham Wiggins1

1Bernard 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

Inspired by recent theoretical work indicating that z-oriented currents could capture most of the optimal SNR and outperform loops in reception at high frequencies, we constructed and evaluated a close-fitting dense dipole receive-only head array with 29 elements. The array was combined with a dual-channel transmit birdcage for experiments. SNR was good throughout a head phantom at 7T and outperformed a commercial head coil in regions above and below the center. Future work will focus on detuning mechanisms for dipole elements to enable safe in-vivo measurements.

4315
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An open 8-channel pTx coil for 7-Tesla MRI of the knee and ankle joints at multiple postures
Ewald Weber1, Craig Engstrom1, Kieran O’Brien2, Aurelien Destruel1, Bassem Henin3, Jin Jin1, and Stuart Crozier1

1University of Queensland, St Lucia, Australia, 2Siemens Ltd, Brisbane, Australia, 3American University of the Middle East, Kuwait

This paper presents the initial in vivo imaging results from a new open 8-channel pTx transceive array designed and constructed for 7 T MRI of the knee and ankle joints. The open design of the coil provides easy access and conformable accommodation of both joints, while enabling the joints to be imaged at multiple angles for enhanced pathological assessment. With individualized RF shims, the array provided full coverages and uniform excitations for both joints, demonstrated with high quality 2D TSE and 3D GRE (DESS and MEDIC) images.

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Utilization of Slotted Antennas for Capturing Ideal Current Patterns at Ultra High Field
Leeor Alon1,2, Christopher M. Collins1,2, 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, 2Center for Biomedical Imaging, New York University School of Medicine, New York, NY, United States

Slotted antennas were demonstrated to be highly efficient coils for ultra high field magnetic resonance imaging. In this work, we elucidate the performance of such antennas using the ideal current patterns theoretical work.

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Combining loops and dipoles at 7 T and 10.5 T: a simulation study
Bart R. Steensma1, M. Arcan Ertürk2, Kamil Uğurbil2, Luijten R. Peter1, Dennis W.J. Klomp1, van den Berg A.T. Nico3, Gregory J. Metzger2, and Alexander J.E. Raaijmakers1,4

1Division Imaging, Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minnesota, United States, 3Division Imaging, Department of Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands, 4Biomedical Image Analysis, Eindhoven University of Technology, Eindhoven, Netherlands

The combined use of loops and dipoles as transmit elements is investigated at 7 T and 10.5 T. A 8 channel loop/8 channel dipole setup is compared to a 16 channel dipole setup at both field strengths. It is found that combining loops and dipoles enhances transmit performance at both field strengths. The 8 loop/8 dipole transmit setup is the best performing setup at both field strengths. Additionally, increasing the channel count from 8 to 16 channels provides an almost 50% reduction in SAR10g/(B1+)2 at 10.5 T.   

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Metamaterial Double-loop RF Head Coil for UHF MRI: A Numerical Evaluation and Experimental Verification at 7T
Elizaveta Motovilova1, Yang Gao2,3, Zhihua Ren1, Xiaotong Zhang2,3, and Shao Ying Huang1,4

1Engineering Product Development, Singapore University of Technology and Design, Singapore, Singapore, 2Interdisciplinary Institute of Neuroscience and Technology, Zhejiang University, Hangzhou, People's Republic of China, 3College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, People's Republic of China, 4Department of Surgery, National University of Singapore, Singapore, Singapore

This study presents a numerical evaluation of a novel RF coil array for human head imaging at 7T. The 8-element coil was developed using a metamaterial concept. As the main advantage of a metamaterial transmission line is that the uniformity of RF-magnetic near field does not dependent of the TL’s physical length, we applied this meta-TL concept to a loop in order to achieve a larger coverage of B1+-field. Numerical comparison to conventional designs demonstrate an improved B1-field homogeneity of the proposed coil. Preliminary experimental studies show a reasonable agreement with simulations.

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The potential of a 256-Channel receive-only Array Coil for accelerated Cardiac Imaging at 3T
Bernhard Gruber1,2, Arjan D. Hendriks 1, Cezar B.S. Alborahal3, Bas Brussen3, Tim Leiner1, Gustav Strijkers1, Dennis W. J. Klomp1,3, and Martijn Froeling1

1Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Institute of Biomedical Mechatronics, Johannes Kepler University, Linz, Austria, 3MR Coils B.V., Zaltbommel, Netherlands

High-density coil arrays can be used to accelerate MRI. Here we present the results from measurement-based extrapolations of a 256 Channel Cardiac Array Coil obtained by 16 sequential scans of a 16 Channel Array to assess acceleration performance and sensitivity constraints for 3T MRI. With element sizes of 55 mm x 33 mm, tissue load remains dominant at the 3T Larmor frequency of water, while SENSE accelerations can go up to 20-fold at low g-factors. These results motivate the design of a 256 channel cardiac array for accelerated 3T MRI.

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A bent dipole antenna and 4-channel loop array for 1H/31P brain application at 3 T MRI
Suk-Min Hong1, Chang-Hoon Choi1, Jörg Felder1, Arthur W. Magill1,2, and N. Jon Shah1,3

1Institute of Neuroscience and Medicine - 4 Medical Imaging Physics Forschungszentrum Juelich GmbH, Juelich, Germany, 2Current Address: Medical Physics in Radiology, German Cancer Research Centre (DKFZ), Heidelberg, Germany, 3Department of Neurology, Faculty of Medicine, RWTH Aachen University, JARA, Aachen, Germany

A dipole antenna achieves good isolation from a loop coil when it is located over the centre of a loop coil. Such an arrangement can be used as a dual-tuned coil, by tuning the dipole and the loop to the 1H and X frequencies, respectively. At 3 T, however, the length of a dipole antenna is too long to be of use for brain applications. In this study, we bent the dipole antenna around the head to overcome the length problem. We then evaluated the feasibility of combining two dipole antennae and a 4-loop array for 1H/31P application.

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PIN-diode switched dual-tuned RF coils
YongHyun Ha1, Arthur W. Magill1,2, Chang-Hoon Choi1, and N. Jon Shah1,3

1Institute of Neuroscience and Medicine - 4, Forschungszentrum Juelich, Juelich, Germany, 2Current Address: Medical Physics in Radiology, German Cancer Research Centre (DKFZ), Heidelberg, Germany, 3Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

In this work we investigate the transmit and receive performance of a probe employing such switching, using a simple loop coil tuned to 45 and 169 MHz for the detection of 23Na and 1H, respectively, at 4T. PIN diode switched-capacitor networks work well under forward bias, but perform poorly in reverse bias. Specifically, a high reverse bias voltage is required to allow operation over a realistic range of RF transmit voltages. This makes such switched-capacitor networks unsuitable for use in transmit probes. However, they can be used in receive-only probes, because the voltages present on the loop are much smaller.

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Folded four-ring double-tuned birdcage coil design
YongHyun Ha1, Chang-Hoon Choi1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine - 4, Forschungszentrum Juelich, Juelich, Germany, 2Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

In this work, we designed a double-tuned 1H/23Na four-ring birdcage coil with a modification that entailed folding the outer end-rings by 90 degrees to overcome the available space limitation. And  23Na SNR of the folded four-ring birdcage coil reached more than 93% of that obtained with the single-tuned birdcage coil. One benefit of folded four-ring birdcage coil compared to conventional four-ring birdcage coil is that there is no space restriction. This helps to build double-tuned coils that have a smaller diameter, leading to higher filling factors.

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Half-wave Cavity Resonator for MR Coils Cable Assembly Testing
Victor Taracila1, Louis Vannatta1, Robert Rainey1, Miguel Navarro1, Aleksey Zemskov1, and Fraser Robb1

1GE Healthcare Coils, Aurora, OH, United States

In MR coils or MR table there are multiple cables. Their presence is not desirable because they distort the B1 field; therefore multiple RF traps are distributed along the cable length to minimize induced cable currents. Tuning and performance of the MR cable traps’, also called cable baluns, on the cable are always difficult to predict, because the cable shape and position may vary. A coaxial half-wave cavity resonator is shown to be a precise tool to test cable balun assembly. It facilitates precise measurement of a balun’s coupling to the cable, its loss, and coupling to neighboring baluns.

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A General Approach to Interfacing Multi-Nuclear RF Coils
karthik lakshmanan1, Ryan Brown1, Christopher Collins1, and Graham C Wiggins1

1NYU School of Medicine, Newyork, NY, United States

RF coils for multi-nuclear imaging require scanner-specific front-end interfaces that can limit their compatibility to one particular scanner platform. On the other hand, an intermediate interface that allows legacy coil compatibility with modern scanner architecture can be valuable in large institutions that operate a variety of scanners. In this work we describe the tools to build an intermediate interface with electronically controlled low-loss RF and DC signal pathways to provide a flexible means to route signals between the coil and scanner. While the tools are generally applicable to a variety of platforms, we focus on enabling compatibility between legacy multinuclear coils and a current scanner platform.

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Initial tests of a 4-channel building block for a local 32-channel Rx-only body coil at 7T
Stefan HG Rietsch1,2, Stephan Orzada1, Sarah Handtke1, Sascha Brunheim1,2, Mark E Ladd1,3, and Harald H Quick1,2

1Erwin L. Hahn Institute for MR Imaging, University of Duisburg-Essen, Essen, Germany, 2Highfield and Hybrid MR Imaging, University Hospital Duisburg-Essen, Essen, Germany, 3Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

Receive-only (Rx) radiofrequency (RF) arrays are widely used in the clinical environment at 1.5 and 3T. At 7T, there is by default no integrated RF body coil. Yet, a 32-channel Tx/Rx body coil built into a 7T MRI system was recently presented. Consequently, this paves the way for 7T body imaging using this coil for Tx and local coils to receive the RF signal. In this work we present a 32-channel Rx-only coil for 7T and evaluate SNR boost and acceleration capabilities of one 4-channel building block.

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Optimization of Remote RF Transmit Coil Elements and Arrays for 7T UHF Body MRI
Stefan HG Rietsch1,2, Stephan Orzada1, Andreas K Bitz3, Marcel Gratz1,2, Mark E Ladd1,3, and Harald H Quick1,2

1Erwin L. Hahn Institute for MR Imaging, University of Duisburg-Essen, Essen, Germany, 2Highfield and Hybrid MR Imaging, University Hospital Duisburg-Essen, Essen, Germany, 3Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

Remote radiofrequency (RF) body coils are broadly used as built-in body RF coils for signal transmission in clinical MR systems at 1.5 and 3T. For ultra highfield MR at 7T, remote body coils in conjunction with pTx systems have recently been presented. In this work we present a modified micro stripline RF element with meanders and investigate the performance of a 7T remote RF transmit array for body imaging applications featuring 8 of these elements concerning coupling, degrees of freedom within the B1+ fields, distribution of losses, power efficiency, and SAR efficiency.


Electronic Poster

Gradient, Shim & Magnet Technology

Exhibition Hall Tuesday 16:15 - 17:15

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A comparative study of coil winding techniques of a full body 1.5 T MgB2 based MRI magnets.
Abdullah Al Amin1, Bhumi Bhusal2, Tanvir Noor Baig2, Robert Deissler2, Laith Sabri2, Ozan Akkus1, and Michael Martens2

1Mechanical & Aerospace Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Department of Physics, Case Western Reserve University, Cleveland, OH, United States

Control of strain development in an MgB2 based full body MRI magnet is a challenge towards realizing a conduction cooled system. It is possible to alter the strain development in an MRI magnet by modifying the coil winding support conditions and by varying the winding stress on the wire across the layers. A multiscale multiphysics model is employed to study the strain comparison by varying support conditions and winding prestress. Results conclude, radial support with constant winding prestress generates about 50% less stress and 42% less strain compared to no mandrel support.

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Concurrent use of 4 gradient axis enables eddy current compensation of an unshielded gradient insert coil
Tijl A van der Velden1, Quincy van Houtum1, Vincent O. Boer1,2, Peter R. Luijten1, Jeroen C.W. Siero1,3, and Dennis W.J. Klomp1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Denmark, 3Spinoza Center for Neuroimaging, Amsterdam, Netherlands

In this work, a method is presented where a whole-body gradient system corrects for eddy currents induced by an unshielded gradient insert coil. A single-axis unshielded gradient breast insert coil was positioned in a 7 tesla whole body MR system. Field cameras were used to analyze the eddy currents and validate the proposed method.

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A lightweight gradient insert coil for high resolution brain imaging
Tijl A van der Velden1, Carel C. van Leeuwen1, Erik R. Huijing1, Martino Borgo2, Peter R. Luijten1, Dennis W.J. Klomp1, and Jeroen C.W. Siero1,3

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Futura Composites B.V., Heerhugowaard, Netherlands, 3Spinoza Center for Neuroimaging, Amsterdam, Netherlands

A lightweight insert gradient coil was constructed for high resolution brain imaging. The coil was designed as a single-axis unshielded coil to accelerate EPI readouts. The resulting coil weighs 45 kg and can be quickly positioned in the scanner by two persons. Theoretically, a gradient strength of 210 mT/m can be achieved with a slew rate of 1088 T*m-1*s-1 when driven at 400V/600A. In a 7 tesla scanner, an efficiency of 0.35 mT*m-1*A-1 with a slew rate of 800 T*m-1*s-1 was measured. Experiments on five healthy volunteers resulted in no experiences of nerve stimulation.

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Global and dynamic shimming with the scanner’s inbuilt shim system and a custom-made multi-coil setup at 9.4 T
Ali Aghaeifar1,2, Irena Zivkovic1, Christian Mirkes1, Theodor Steffen1, and Klaus Scheffler1,3

1Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2IMPRS for Cognitive and Systems Neuroscience, University of Tübingen, Tübingen, Germany, 3Department of Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany

The homogenization of static magnetic field (B0) is necessary for MR imaging. The unwanted B0 inhomogeneity becomes more pronounced in ultra high field, and the scanner's inbuilt shim setup can not compensate the B0 fluctuation as is needed. Here we propose to use combined setup of the multi-coil approach and the scanner's shim setup to achieve higher homogeneity of B0 field. We employed custom-built multi-coil for slice-wise shimming in combination with the scanner's shim setup for global shimming. The results show improvement about 50% compare to dynamic shimming alone in the most of the slices.

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A Compact Affordable Three-Bore Cryogen-Free Superconducting Magnet for Extremity Imaging
Shahin Pourrahimi1, Jerome L. Ackerman2,3, John E. C. William1, Nadder Pourrahimi1, and Alexey Kaplan1

1Superconducting Systems, Inc., Billerica, MA, United States, 2Martinos Center, Dept of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 3Department of Radiology, Harvard Medical School, Boston, MA, United States

In a project to develop a compact MRI limb scanner for orthopedic and metabolic bone disease applications we developed a three-bore 1.5T magnet with the following design goals: ability to operate the magnet in a small point-of-care space, elimination of liquid cryogens for installation or operation, a comfortable patient experience while scanning knees, ability to tilt the magnet to accommodate patients rather than requiring patients to accommodate to the magnet, and capability for conventional and solid state proton and phosphorus MRI for metabolic bone disease assessment.

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The numerical limitation of Multi-coil shim and Orthogonal RF-Shim coil
Jiazheng Zhou1, Pu-Yeh Wu1, Jason P. Stockmann2,3, and Fa-Hsuan Lin1,4

1Institute of Biomedical Engineering, National Taiwan University, Taipei City, Taiwan, 2A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 3Harvard Medical School, Boston, MA, United States, 4Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We used numerical simulations to study the relationship between attainable field homogeneity and the number as well as the orientation of shim coils in a multi-coil shim array. We found that, constrained the same number of shim coils, arranging shim coils in three orthogonal directions can provide the best shimming. Inspired by simulations, we propose a design of the integrated RF-shim coil at 3 T to place shim and RF coil orthogonally.

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Controlled E-peak field gradient coil
Hector Sanchez Lopez1,2, Luca Zilberti3, Oriano Bottauscio3, Mario Chiampi3,4, Xiaodong YANG2, and Yajie XU2

1ARKFIELD PTY LTD, Brisbane, Australia, 2Medical Imaging Department, Suzhou Institute of Biomedical Engineering and Technology (SIBET), Suzhou, People's Republic of China, 3Division of Metrology for Quality of Life, Istituto Nazionale di Ricerca Metrologica (INRIM), Torino, Italy, 4Energia Department, Politecnico di Torino, Torino, Italy

This work presents a new shielding method capable to reduce E-peak field values by minimizing the infinite norm of the induced current density. The target volume (“organ”) is surrounded by a conductive surface “shell” where the infinite norm of the induced current density is minimized thereby producing a uniform distribution of the E-field inside the target volume and its surrounding. The method was effectively applied in the design of a whole body gradient coil with E-field control. E-field reduction larger than 10% are registered in a human phantom model. Further reductions in E-field is possible by compromising the coil performance.

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Design of an MRI Gradient Field Exposure System for Medical Device Testing
Daniel J Martire1, William B Handler1, Colin M McCurdy1, Justin C Peterson1, and Blaine A Chronik1

1Physics and Astronomy, Western University, London, ON, Canada

A method to design and numerically optimize a gradient field exposure system for testing medical devices is presented. Magnet windings are modelled as small current elements in space, and dimensions of a coil capable of emulating the switching rate and strength of MRI gradient fields are chosen by a grid search of parameter space. A buildable option capable of achieving 1.2% homogeneity over an 8 cm DSV, a slew rate of 246 T/s, and a maximum field shift of 68 mT was determined to be sufficient for our application and for satisfying relevant elements of ISO/TS 10974.

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Very low field MRI setup for brain imaging
Reina Ayde1 and Claude Fermon1

1Commissariat à l'enegie Atomique, Saclay, France, Metropolitan

Mixed sensors coupled to tuned flux transformer could more effective than classical tuned coils in detecting MRI signals on a very low field range. In order to compare later on their effectiveness, first, a very low field head MRI system (8.4 mT) is developed. Homogeneity, gradients strength, excitation and reception coils were adjusted. A homogeneity of 84 ppm was achieved in a quasi-open configuration. The amplitude of each gradient was 100 times lower than at high field but sufficiently high to achieve a resolution of less 2 mm x 2 mm x 2 mm. Images with a 3D imaging acquisition without pre-polarization technique nor magnetic shielding room were achieved.

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A new method for optimizing performances of gradient coils based on singular value decomposition and genetic algorithm
Koki Matsuzawa1, Katsumi Kose1, and Yasuhiko Terada1

1Institute of Applied Physics, University of Tsukuba, Tsukuba, Japan

 Designing gradients coils with arbitrary geometries has been realized by matrix inversion optimization techniques. Use of a truncated singular value decomposition (SVD) is promising because magnetic field accuracies are controlled by choosing the appropriate SVD eigenmodes. However, in the SVD method, the gradient performances, such as inductance and power dissipation, cannot be optimized. Here we proposed a new strategy to optimize a desired coil performance. A key feature is the use of a genetic algorithm to optimize the appropriate combination of SVD eigenmodes. The concept is demonstrated for a biplanar geometry, and would be readily applicable to arbitrary geometries.

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Oval gradient coils for a vertical magnetic field MRI
Koki Matsuzawa1, Katsumi Kose1, and Yasuhiko Terada1

1University of Tsukuba, Tsukuba, Japan

Small gradients are ideal in performance. Vertical-field MRI systems use biplanar gradient coils, and the coil sizes are no smaller than the magnet gap. Here we propose the oval geometry for gradient coils for vertical-field MRI to increase coil performance, Oval coils could be smaller than biplanar coils with maintaining the high accessibility and gradient linearity. Moreover, oval coils are preferable from the viewpoint of heating problems, because the gradient heat is efficiently cooled by air. In this study, we designed and constructed oval gradient coils for a 0.3 T, open MR scanner, and demonstrated the validity of the concept.

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B0 shimming in a small volume at 9.4T – irregular coil geometry setup vs. loop coil setup
Irena Zivkovic1, Iliya Tolstikhin2, Bernhard Schoelkopf2, and Klaus Scheffler1,3

1High Field MRI, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Empirical Inference, Max Planck Institute for Intelligent System, Tuebingen, Germany, 3Dept. for Biomedical Magnetic Resonance, University of Tuebingen, Tuebingen, Germany

At high magnetic fields B0 inhomogeneities are more pronounced and B0 shimming becomes very important. Dynamic or slice based shimming always provides better results than global or shimming in a volume. For shimming in a small volume, we propose a setup composed of irregularly shaped coils. Performances of the proposed setup are compared to performances of the configuration composed of only loop elements. The setup with irregular coils shows improved performances over the setup containing only loop elements. Future work should validate performances of the proposed setup on different volume sizes and different brain’s B0 maps.

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Measuring Slice Profiles Across the Industry With the ACR Phantom
Moriel NessAiver1

1Simply Physics, Baltimore, MD, United States

As part of mandated yearly performance evaluations on over 120 GE, Siemens, Philips and Toshiba 1.5T scanners, the ACR phantom was used to make 2555 measurements of RF slice profiles and thicknesses.  Aggregated slice profiles are plotted showing clear differences between vendors both in terms of ‘squareness’ and FWHM thickness.  With a target slice thickness of 5.0 mm the measured thicknesses ranged from 4.21 to 6.65 mm!  The affect that interslice gap has on measured profiles (RF crosstalk) is demonstrated for T1 weighted sequences.  A very surprising dependence of measured thickness on slice position on the ACR phantom is demonstrated. 

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Continuous SWIFT: Analog Leakage Compensation Utilizing an Embedded System
Jonathan Weine1, Florian Maier1, Daniel Polak1, and Reiner Umathum1

1German Cancer Research Center, Heidelberg, Germany

Methods for simultaneous excitation and acquisition enable measurements of signals with ultrashort T2* relaxation times. In this work, a method was developed and implemented to analogously compensate leakage of the excitation pulse into the receiver channel due to imperfections in coil tuning and the quadrature hybrid utilized in cSWIFT setups. The setup was enhanced with an embedded system, a vector modulator and a summing unit to subtract the leakage from the signal. Feasibility of the real-time compensation was demonstrated. Leakage was reduced by up to -40 dB.

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High field MRI in-vivo setup for observing brain plasticity in Eastern Fenced Lizards
Yee Eun Kim1, Thomas Neuberger2, Gangchea Lee1, and Lara LaDage3

1PSU, University Park, PA, United States, 2HUCK Institute, PSU, University Park, PA, United States, 3PSU, Altoona, PA, United States

In this work, Eastern Fenced lizards, a non-model species known for high neurogenesis, were used to explore the extent of adult brain plasticity after exposing the animals to a complex environment and inmates. To conduct this study a MR setup for in-vivo lizard imaging was designed, constructed and tested. High resolution baseline in-vivo three dimensional lizard brain MR microscopy data sets were acquired and analyzed. The high quality of the images will allow to detect any brain volume changes after exposing the lizards to the enriched environment and having them scanned a second time.

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An open source waveform generator based on PulSeq for matrix coils
Huijun Yu1, Mohamed Hamed2, Sebastian Littin1, Feng Jia1, Stefan Kroboth1, and Maxim Zaitsev1

1Department of Radiology, University Medical Center Freiburg, Freiburg, Germany, 2Faculty of Engineering, University of Freiburg, Freiburg, Germany

An open source waveform generator based on Pulseq (open-source pulse sequence programming environment) for emerging matrix coils was developed, with the channel count of up to 64. The FPGA development board integrated with USB3.0 is used to store the waveform data and generate the waveform in real-time when external trigger signal is activated. The generator software was written in Python 2.7 with a queue structure.

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Using machine learning with dynamic exam block lengths to decrease patient wait time and optimize MRI schedule fill rate.
Michael C. Muelly1, Paul B. Stoddard1, and Shreyas S. Vasanwala1

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

MRI has advantages compared to other radiologic modalities in terms of tissue visualization, versatility, and lack of risks associated with ionizing radiation. However, cost of MRI is often the limiting factor favoring other modalities. Using historical scanner data and a Monte Carlo type discrete event simulation, we investigated how estimating exam length on the basis of patient demographics and dynamic block lengths affect mean patient wait times and schedule fill rate. In our simulation we are able to significantly lower mean patient wait times and optimize the schedule fill rate, which would theoretically result in lower cost per exam while enhancing patient satisfaction.

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Automated quality control of MR images using deep convolutional neural networks
Michael C. Muelly1, Paul B. Stoddard1, and Shreyas S. Vasanwala1

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

The complexity of MR scanners results in significant variability in the quality of images produced, in some cases requiring clinical expertise to recognize suboptimal images. Deep convolutional neural networks are an emerging technique with potential clinical applications. We aim to investigate whether deep convolutional neural networks could be trained for three MR image quality control classification tasks: 1) Recognize adequacy of MR elastography wave propagation, 2) determine whether rectal gas susceptibility artifact obscuring the prostate is present, and 3) determine scan technique in unlabeled images. Using the Inception v4 deep convolutional neural network we found high classification accuracy for two out of these three problems suggesting the potential to automate certain aspects of MR quality control.

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Evaluation of an Anthropomorphic Phantom with In-Vivo Using Quantitative MRI
Sossena Wood1, Tales Santini1, Narayanan Krishnamurthy1, Shailesh Raval1, and Tamer S. Ibrahim, PhD1,2

1Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States, 2Radiology, University of Pittsburgh, PA, United States

In this work, a developed refillable multi-compartment 3D-printed head phantom (established from MRI scans obtained in-vivo) was compared to a homogeneous commercial spherical phantom, the phantom itself with homogeneous loading in all of its compartments and in-vivo (the same volunteer on whom the phantom was based).  Through B1 mapping and SAR analysis within an RF coil, the heterogeneous multi-compartment head phantom results were most accurate to the in-vivo volunteer.

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Real time gain stabilization for PET detectors in PET/MR
Floris Jansen1, Mark Fries1, Tuoyu Cao1, Mehdi Khalighi2, and Chang Kim1

1GE Healthcare, Waukesha, WI, United States, 2GE Healthcare, Palo Alto, CA, United States

Accurate quantitation in PET requires good stability of the detector gain. The challenging thermal environment of the detector in a PET/MR system (proximity to gradients, induced eddy currents, heat from RF shield, ...) makes accurate temperature compensation important. Current solutions rely on characterization of detector response together with real time temperature measurement for a predictive (open loop) gain control. This work presents a method of gain control that operates in real time by analyzing spectral information of singles events, permitting closed loop gain control in the presence of temperature gradients or count rate variations.

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Prototype Hardware of FPGA Controlled Multi-Channel All-Digital RF Transmitter for Parallel Magnetic Resonance Imaging
Filiz Ece Filci1, Aylin Dogan1, Gokhan Cansiz1, Bulent Sen1, Volkan Acikel1, and Ergin Atalar2,3

1Aselsan Inc., Ankara, Turkey, 2Electrical-Electronics Engineering Department, Ihsan Dogramaci Bilkent University, Ankara, Turkey, 3National Magnetic Resonance Center, Ihsan Dogramaci Bilkent University, Ankara, Turkey

In this study, prototype hardware of FPGA Controlled Multi-Channel All-Digital Transmitter for Parallel Magnetic Resonance Imaging is presented. The transmitter system consists of a RF power amplifier and a digital signal generator to feed each channels and a user interface computer to control the signal type, amplitude, phase, and frequency of targeted pulse. Digital signal generator uses a novel method which is IQ Pre-Modulation Delta Sigma Modulation Based Digital Single Side Band modulator and enables frequency, phase, and amplitude modulation schemes. The prototype hardware is produced to feed a 12-channel RF-coil, thus RFPA module consists of 12-PA are implemented.  

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Cost-effective RF Signal Transmit-Receive chain at 9.5mT
Samarth Singh1, Darshan Shivaramu Keelara1, Chennagiri Rajarao Padma1, Rashmi Rao1, Imam Ahmed Shaik1, and Sairam Geethanath1

1Medical Imaging Research Centre, Dayanand Sagar Institutions, Bangalore, India

A cost-effective RF Signal Transmit-Receive chain with independent transmit and receive coil was designed with inexpensive off-the-shelf electronic components, costing around 175 US dollars. A Direct Digital Synthesizer (DDS) module was controlled using an Arduino Uno R3 microcontroller board. RF pulses were timed to precision using Arduino IDE, and the 405 kHz sine wave required to operate a 9.5 mT system was pulsed to a transmit coil. This signal was detected successfully by a custom-made surface coil. While the transmit, pulse was at 1.12Vpp from the DDS module, the surface coil successfully picked up a 1.75 Vpp signal.

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Unified Coils (UNIC) for Simultaneous RF Reception and Targeted Local B0 Shimming
HUI HAN1, John Stager1, Hsin-Jung Yang1, Na Zhang1, Sizhe Guo1, Zhuoqi Li1, Yicheng Wang1, and Debiao Li1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, LOS ANGELES, CA, United States

We propose a new general MR coil concept with integrated RF and Bo shimming applicable to almost all MRI coils and systems. Innovative geometrical decoupling methods are proposed to bring the distance between separate shim and RF loops to zero millimeters and to make shim loops physically free from the RF loops. Therefore, both RF and shim coils can be in close proximity to the subject and be designed independently to maximize the performance of each function. It also opens a new window to integrate shim and RF coils or other coils in the constricted scanner bore space. 

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Design and Construction of Shielded Enclosures for MRI
Jonathan Howard1 and Rexford Newbould1

1Imanova Ltd, London, United Kingdom

A significant limiting factor for electronic devices within the scanner room is the electromagnetic interference (EMI) that they generate. Also, electromagnetic radiation from the scanner can interfere with the safe operation of electronics in close proximity to the scanner. We describe the development of an approach that enables researchers to fabricate inexpensive and reliable shielded enclosures without access to extensive engineering facilities. Our investigation explores the relative advantages and disadvantages in the design and construction of three different shielded enclosures and concludes with a performance evaluation by measuring the frequency dependent attenuation of electromagnetic signal intensity.


Electronic Poster

Cancer Treatment Response

Exhibition Hall Tuesday 16:15 - 17:15

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A multi-parametric MRI-based radiomics approach to predict the high level of microsatellite instability in colorectal cancer
Zaiyi Liu1, Yanqi Huang1, Xin Chen2, Zhongping Zhang3, Lan He1, and Xiaomei Huang1

1Radiology, Guangdong General Hospital, Guangzhou, People's Republic of China, 2Radiology, Guangzhou First Hospital, Guangzhou, People's Republic of China, 3MR Research China, GE Healthcare, Beijing, People's Republic of China

Microsatellite instability (MSI) is the condition of genetic hypermutability that results from impaired DNA mismatch repair (MMR). High levels of microsatellite instability (MSI-H) is regarded as a prognostic marker and predictor of the response to chemotherapy in colorectal cancer (CRC). This study presented a multi-parametric radionics classifier for preoperative and individualized prediction of MSC-H status in CRC patients. The potential application of this radiomics approach may aid the prognostic evaluation and decision-making in CRC patients.


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Magnetic Resonance Spectroscopic Early Predictors of 2-Year Progression Free Survival in IDH Mutated WHO II and III Gliomas
Min Zhou1, Raymond Huang2, Huijun Liao1, Benjamin Rowland1, Yue Zhou1, Nils Arvold3, and Alexander Lin1

1Center for Clinical Spectroscopy, Brigham and Women's Hospital, Boston, MA, United States, 2Radiology, Brigham and Women's Hospital, Boston, MA, United States, 3Radiation Oncology, Brigham and Women's Hospital, Boston, MA, United States

Most MR spectroscopy studies of patients with IDH-mutated gliomas have focused on the sensitivity and specificity of the 2-hydroxyglutarate measures but none that have examined the predictive value of 2HG in comparison to other brain metabolites for treatment outcome.  This prospective longitudinal study measured MRS at baseline and two time points after radio/chemotherapy of IDH-mutated gliomas.    Results showed that Cho/NAA shows the greatest predictive value followed by Cho/Cr, NAA/Cr, and Lac/Cr ratios but that all three time points 2HG levels were not predictive of outcome demonstrating that it is likely reflective of pathways distinct from membrane proliferation.

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Radiation-induced changes in normal-appearing brain in patients with nasopharyngeal carcinoma: a MR T1ρ imaging study
Xiang Xiao1, Yikai Xu1, Yuankui Wu1, Yingjie Mei2, and Queenie Chan3

1Medical Imaging Center, Nanfang Hospital of Southern Medical University, Guangzhou, People's Republic of China, 2Philips Healthcare, Guangzhou, People's Republic of China, 3Philips Healthcare, Hongkong, People's Republic of China

Radiation encephalopathy is the primary complication in patients with nasopharyngeal carcinoma (NPC) following radiotherapy (RT). In order to detect early radiation-induced alterations in the brain of NPC patients after RT, we recruited NPC patients before RT and after RT with normal-appearing brain for MR T1ρ examinations. We found abnormal microstructural changes of gray matter and white matter in NPC patients after RT can be detected by MR T1ρ even when routine MRI findings are negative. MR T1ρ may be used to predict early radiation-induced alterations of the brain following RT for NPC patients.

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Using MRI to investigate the impact of radiation-induced damage on promoting tumor growth in a mouse model of brain metastasis
Amanda M Hamilton1, Eugene Wong2, and Paula J Foster1,2

1Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada, 2Medical Biophysics, University of Western Ontario, London, ON, Canada

Whole brain radiotherapy (RT) is the standard of care for breast cancer patients with multiple brain metastases but there are multiple negative consequences associated with the irradiation of normal brain tissue. In our study we investigated the influence that RT-induced damage of healthy brain has on the arrest and growth of metastatic breast cancer cells in a mouse model of breast cancer brain metastasis. We observed that irradiated but otherwise healthy neural tissue had an increased propensity to support metastatic growth compared to control. Elucidating the impact of RT on normal neural tissue could have implications in clinical patient management.   

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Quantitative assessment of water diffusivity in bladder tumors: can response be predicted prior to neoadjuvant chemotherapy?
Huyen Thanh Nguyen1, Amir Mortazavi2, Kamal K Pohar3, Lai Wei4, Zarine K Shah1, Debra L Zynger5, Guang Jia6, and Michael V Knopp1

1Wright Center of Innovation in Biomedical Imaging, Department of Radiology, The Ohio State University, Columbus, OH, United States, 2Department of Internal Medicine, The Ohio State University, Columbus, OH, United States, 3Department of Urology, The Ohio State University, Columbus, OH, United States, 4Center for Biostatistics, The Ohio State University, Columbus, OH, United States, 5Department of Pathology, The Ohio State University, Columbus, OH, United States, 6Louisiana State University, Baton Rouge, LA, United States

This study is to correlate the degree of tumor heterogeneity in Apparent Diffusion Coefficient (ADC) at baseline with chemotherapeutic response in bladder cancer patients. MRIs of twenty muscle-invasive bladder cancer patients were performed with Diffusion weighted MRI (DWI). Freehand ROIs were placed on the whole tumor volume on ADC maps to obtain a dataset of voxel-wise ADC values for each patient. Histogram analysis was performed on each patient’s ADC dataset to calculate uniformity (U) and entropy (E) at baseline. These quantities were then correlated with the patient’s chemotherapeutic response. Our data showed that there was a strong correlation of tumor heterogeneity, which is characterized by U and E, and the patient’s chemotherapeutic response. While U was significantly higher, E was significantly lower in responders (both P<0.01) compared to non-responders. In conclusion, quantification of tumor ADC heterogeneity can provide useful information that enables the ability to predict chemotherapeutic response prior to the treatment, to improve the patient outcomes. 

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Simultaneous imaging of tumor size with contrast-enhanced MRI and response to therapy with extracellular pH readout from BIRDS
Jyotsna Upendra Rao1,2, John Walsh3, Maxime Parent2, Yuegao Huang2, Meser Ali4, Daniel Coman2, and Fahmeed Hyder2,3

1Cardiff University School of Medicine, Cardiff, United Kingdom, 2Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States, 3Biomedical Engineering, Yale University, New Haven, CT, United States, 4Neurology, Henry Ford Hospital, Detroit, MI, United States

Acidic extracellular pH (pHe) of gliomas promotes tumor growth and builds resistance to therapy. Thus, to monitor therapeutic response, we used Biosensor Imaging of Redundant Deviation in Shifts (BIRDS), to generate pHe maps of rat brains bearing U251 tumors. Upon TmDOTP5- infusion, MRI identified tumor boundary and BIRDS imaged the intratumoral and peritumoral pHe gradient (DpHe). Two weeks post implantation of U251 glioma cells, animals were either treated with temozolomide (40 mg/kg) or were left untreated. The results of both terminal and longitudinal studies suggest that temozolomide therapy hinders tumor growth and normalizes intratumoral pHe.

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Anatomical sites’ dependency of 3.0 T whole-body MRI’s signal fat fraction and apparent diffusion coefficient in multiple myeloma focal lesions
Arash Latifoltojar1, Margaret Hall-Craggs1, Alan Bainbridge2, Neil Rabin2, Rakesh Popat1, Ali Rismani2, Kwee Yong1, and Shonit Punwani1

1University College London, London, United Kingdom, 2University College London Hospital, United Kingdom

The increasing utility of MRI's quantitative imaging biomarkers for disease characterisation and response monitoring necessitates a better understanding of underlying pathophysiological changes.

This might be more pertinent when heterogeneous organ such as skeletal system is being investigated.  In this work, we carry out a study into the heterogeneity of multiple myeloma's focal lesions on the basis of the various anatomical locations in skeleton.


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HCC treated with 90Yttrium radioembolization: can pre-treatment and 6week post-treatment volumetric ADC histogram measurements predict subsequent tumor response?
Sonja Gordic1,2, Mathilde Wagner1,3, Riccardo Zanato1, Stefanie Hectors1, Cecilia Besa1, Edward Kim4, and Bachir Taouli1,4

1Translational and Molecular Imaging Institute, New York, NY, United States, 2Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland, 3Radiology, Groupe Hospitalier Pitié Salpêtrière, Paris, France, 4Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, Switzerland

We evaluated the potential of volumetric ADC histogram measurements (vADC) obtained pre- and 6 weeks (6w) post-treatment for prediction of HCC response to 90Yttrium radioembolization (RE). 22 patients underwent MRI at baseline and 6w after RE using a routine liver MRI protocol including DWI. Tumor response was assessed by mRECIST at 6 months post treatment. vADC mean, median and mode obtained at 6w post-treatment were significantly different between patients with partial/complete response vs. those with stable/progressive disease, and were a significant predictor of complete tumor response at 6 months, with vADC mode performing best. Pre-treatment vADC did not have any predictive value for response. 

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Evaluation of HCC Response to Loco-regional Therapy: Validation of Response Criteria with MRI using Explant as a Reference
Sonja Gordic1,2, Idoia Corcuera-Solano3, Ashley Stueck4, Pamela Argiriadi3, Preethi Guniganti3, Michael King3, Edward Kim3, Swan Thung4, and Bachir Taouli1,3

1Translational and Molecular Imaging Institute, New York, NY, United States, 2Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland, 3Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, United States

We assessed the performance of various imaging response criteria for the prediction of complete pathologic necrosis (CPN) of hepatocellular carcinoma post locoregional therapy on liver explant. Patients who underwent liver transplantation after locoregional therapy were included in this retrospective study. All patients underwent MRI using routine liver protocol within 90 days of liver transplant. RECIST, mRECIST, EASL, percentage of necrosis on subtraction images, and DWI (signal intensity and ADC) were assessed. CPN was retrospectively assessed in all tumors at histopathology. mRECIST, EASL, percentage of necrosis and signal intensity on DWI were all significant predictors of CPN while RECIST and ADC criteria were not. 

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Value of Tumor Stiffness Measured with MR Elastography for Assessment of Response of Hepatocellular Carcinoma to Locoregional Therapy
Sonja Gordic1,2, Jad Bou Ayache3, Paul Kennedy 1, Cecilia Besa1, Mathilde Wagner1, Octavia Bane1, Richard Ehman4, Edward Kim3, and Bachir Taouli1,3

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland, 3Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Department of Radiology, Mayo Clinic, Rochester, MN, United States

We correlated tumor stiffness (TS) measured with MR elastography (MRE) to degree of tumor enhancement and necrosis on contrast-enhanced T1-weighted imaging (CE-T1WI) in hepatocellular carcinomas (HCC) treated with locoregional therapy.  Patients with HCC who underwent locoregional treatment and controls with newly diagnosed untreated HCC were included. TS values were obtained by placing regions of interest (ROIs) over HCCs on stiffness maps. Visual assessment of tumor necrosis on subtraction images and calculation of enhancement ratios by placing ROIs over tumors on CE-T1WI was performed. TS measured with MRE showed a significant correlation with tumor enhancement and necrosis. 

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in vivo detection of tumor response to radiotherapy using Imaging Micro-structural Parameters Using Limited Spectrally Edited Diffsuion
xiaoyu jiang1, hua li1, zou yue1, junzhong xu1, and john Gore1

1vanderbilt university institute of imaging science, nashville, TN, United States

The changes that occur over a cell cycle play a vital role in mediating a cell’s sensitivity towards radiation therapy. Radiation exposure is expected to arrest cells at a particular cell cycle phase which improves the effectiveness of subsequent doses of radiation/chemotherapy. Cells in different phases have different sizes that can be detected by diffusion MRI with appropriate diffusion times. In this study, we evaluate the hypothesis in a rat glioma model that measurements of mean tumor cell size provides a means to quantify changes of cell phase distributions, and hence is capable of monitoring tumor response to radiotherapy.

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ADC and Kurtosis parameters show early response to anti-angiogenic therapy in patients with liver metastases
Mihaela Rata1, Khurum Khan1, David Collins1, Matthew Orton1, James d'Arcy1, Nina Tunariu1, Maria Bali1, Ian Chau1, Nicola Valeri1, David Cunningham1, Martin O Leach1, and Dow-Mu Koh1

1CR-UK Cancer Imaging Centre, The Institute of Cancer Research and Royal Marsden Hospital, London, United Kingdom

Diffusion Weighted Imaging (DWI) is a valuable method of characterising tumour cellularity and assessing tumour response to therapy. Diffusion Kurtosis Imaging (DKI) is now being investigated outside of the brain, as the diffusional kurtosis metrics are strongly linked to cellular microstructure and heterogeneity in tissues. This work assesses tumour response to anti-angiogenic therapies as derived from DWI and DKI data in a cohort of patients with liver metastases enrolled on an early phase clinical trial. Our results demonstrate a significant cohort response to treatment of the ADC parameter, but also observed significant non-Gaussian diffusion behaviour.

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Impacting cancer cells via mechanical waves: can we change cellular behaviour?
Marlies Christina Hoelzl1, Frederic Festy2, Gilbert Fruhwirth3, and Ralph Sinkus4

1Biomedical Engineering, King's College London, London, United Kingdom, 2Tissue Engineering & Biophotonics, King's College London, 3Imaging Chemistry and Biology, King's College London, London, United Kingdom, 4Biomedical Engineering, King's College London, Lodon, United Kingdom

90% of cancer related deaths are caused by cancer metastasis, a process where cells leave the primary tumour, disseminate and form outgrowth at the secondary metastatic site. The tumour microenvironment provides crucial signals ((bio)chemical, mechanical) to regulate tumour formation, progression, and cell spread throughout the body. Translation of mechanical forces, displacements and deformations into biochemical signals (i.e. mechanotransduction) affects their cell behaviour (adhesion, spread, survival).1,2 We show here that multiple treatment of tumour spheroids (solid tumour model in vitro) with focussed shear waves operating at specific frequency and amplitude results in reduced growth and reduced invasive behaviour of cancer cells.

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Evaluation of tumor oxygenation following radiation and PS-targeting antibody therapy in an orthotopic lung cancer model
Heling Zhou1, Olivier Belzile2, Zhang Zhang3, Debabrata Saha3, Jo Wagner1, Brock Sishc3, Strahinja Stojadinovic3, Rolf Brekken2,4, and Ralph P Mason1

1Radiology, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 2Hamon Center for Therapeutic Oncology Research, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 3Radiation Oncology, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 4Surgery, Univ Texas Southwestern Medical Center, Dallas, TX, United States

Combining phosphatidylserine (PS)-targeting monoclonal antibodies with radiation therapy can potentially enhance treatment efficacy. Oxygenation is important in radiation therapy response and could influence future treatment design. Oxygen enhanced MRI was used to examine changes in oxygenation in orthotopic lung tumors in rats treated by radiation or radiation plus a PS-targeting antibody. Orthotopic tumors were well oxygenated and responsive to oxygen breathing challenges before and after treatment. Combination therapy appeared to be more effective in tumor control than radiation alone. 

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Multiparametric MRI assessment of tumor physiological changes during hypofractionated SABR
Heling Zhou1, Zhang Zhang2, Rebecca Denney1, Jessica S Williams3, Jeni Gerberich1, Strahinja Stojadinovic2, Debabrata Saha2, John M Shelton3, and Ralph P Mason1

1Radiology, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 2Radiation Oncology, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 3Internal Medicine, Univ Texas Southwestern Medical Center, Dallas, TX, United States

Hypofractionated stereotactic body radiation therapy, a new radiation treatment scheme, may be particularly susceptible to tumor hypoxia. We applied oxygen enhanced MRI together with DCE MRI to observe tumor physiological changes induced by a radiation fraction in a human lung cancer xenograft rat model. This study showed reduced vascular oxygenation 24 hours after the first fraction of 12 Gy, as indicated by the significant decrease in T2* compared to baseline, but no significant response in dynamic contrast enhanced MRI. DCE parametric maps revealed a multinodular structure in the tumor as confirmed by histology.

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Absence of oxygen enhanced changes in T2* within head and neck cancer metastatic cervical lymph nodes is associated with local disease recurrence within 2-years following chemoradiotherapy
Harbir Singh Sidhu1, Chiara Tudisca1, David Price2, Sola Adeleke1, Marianthi-Vasiliki Papoutsaki1, Martin Forster3, Ruheena Mendes4, Stuart Andrew Taylor1, and Shonit Punwani1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Medical Physics, University College London Hospital, London, United Kingdom, 3Research Department of Oncology, University College London, London, United Kingdom, 4Radiotherapy Department, University College London Hospital, London, United Kingdom

Hypoxia within head and neck squamous cell cancer metastatic lymph nodes is associated with poorer outcomes following chemoradiotherapy when measured directly using polarographic probes.

The utility of non-invasive pretreatment T2* measurement in prediction of chemoradiotherapeutic response was investigated. Our data suggest, however,  that nodes demonstrating sustained post-therapy complete local response based on two-year follow-up are significantly more hypoxic compared with relapsing-nodes and paradoxically demonstrate a significant increase in hypoxia on breathing 100%-oxygen.

Following further work to ascertain the mechanisms of these observed changes, the differential response to oxygen and lower baseline oxygenation in responding-nodes could be exploited in risk stratification.


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Prediction of Individual Breast Tumor Therapeutic Response
Charles S. Springer, Jr.1, Xin Li1, Megan L. Troxell2, Karen Y. Oh3, Arpana Naik4, Kathleen A. Kemmer5, Aneela Afzal1, May H. Mishal1, Alina Tudorica3, and Wei Huang1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Pathology, Oregon Health & Science University, Portland, OR, 3Radiology, Oregon Health & Science University, Portland, OR, 4Surgical Oncology, Oregon Health & Science University, Portland, OR, 5Medical Oncology, Oregon Health & Science University

Synopsis:  A kio parametric image maps Na+,K+ATPase activity with intra-tumor resolution.  For breast tumors, the kio hot spot fraction decreases after one NACT cycle if the tumor goes on to be cancer-free after NACT completion, but not if it maintains residual cancer.  Also, though kio hot spots are reduced after one NACT cycle, new ones appear in different loci.  This is consistent with metabolic competition between different cancer cell populations within the tumor.  

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In-vivo Detection of Acute Intracellular Acidification in Glioblastoma Multiforme by AACID CEST MRI Following a Single Dose of Cariporide and Quercetin
Mohammed Albatany1,2, Alex Li2, Susan Meakin3, and Robert Bartha1,2

1Department of Medical Biophysics, University of Western Ontario, London, ON, Canada, 2The Centre for Functional and Metabolic Mapping, Robarts Research Institute, University of Western Ontario, London, ON, Canada, 3Department of Biochemistry, University of Western Ontario, London, ON, Canada

Identification of tumor boundaries is challenging due to the infiltrative nature of the cancer. Cariporide and quercetin are drugs approved for human use that target different pH regulatory mechanisms in cancer. The goal of the current study is to determine whether chemical exchange saturation transfer (CEST) MRI is sensitive to tumor acidification after cariporide or quercetin injection. In mice with U87 glioblastoma brain tumors, we found both drugs significantly reduced tumor pH within two hours of treatment measured by CEST MRI. The physiological change induced by cariporide or quercetin could help localize brain cancer and monitor tumor response to chemotherapy. This unique approach to cancer detection does not require injection of an imaging contrast agent.

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The use of DCE MRI in predicting early chemo-radiotherapy treatment response for Larynx and hypopharynx carcinoma
Wei Guo1, Dehong Luo1, Xinyi Chen2, Bing Wu3, Meng Lin1, Lin Li1, Yanfeng Zhao1, Xinming Zhao1, and Chunwu Zhou1

1Radiology, Peking Union Medical College, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, BeiJing, People's Republic of China, 2Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, HangZhou, People's Republic of China, 3GE MR Research China

In this work, we evaluated the utility of pretreatment semi-quantitative dynamic contrast-enhanced magnetic resonance imaging (MRI) in predicting early response to CRT (chemo-radiotherapy) in patients with larynx and hypopharynx carcinoma from primary tumors. To our knowledge, few studies correlate DCE-MRI semi-quantitative parameters on larynx and hypopharynx carcinoma. These quantitative methods do not require high computational power and were very suitable for clinical application.

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DCE-MRI Assessment of Breast Cancer Response to Neoadjuvant Chemotherapy: Early Prediction of Response and Evaluation of Residual Disease
Alina Tudorica1, Karen Y Oh1, Kathleen A Kemmer1, Megan L Troxell1, Arpana Naik1, Neda Jafarian1, Yiyi Chen1, Stephen YC Chui1, Eric Goranson1, Nicole Roy1, Aneela Afzal1, May Mishal1, Megan L Holtorf1, Charles S Springer1, Xin Li1, and Wei Huang1

1Oregon Health & Science University, Portland, OR, United States

DCE-MRI was performed on 47 breast cancer patients (49 primary tumors) before, during, and after neoadjuvant chemotherapy (NACT).  DCE-MRI data were subjected to Tofts model (TM) and Shutter-Speed model (SSM) pharmacokinetic (PK) analysis.  Imaging metrics and the corresponding percent changes were correlated with binary pathologic complete response (pCR) and non-pCR endpoints, as well as residual cancer burden (RCB) index values.  By NACT midpoint, several DCE-MRI PK parameters and percent changes are good early predictors of pCR vs. non-pCR, while tumor size is a poor predictor.  Both PK parameters and tumor size after NACT completion are good markers of RCB.  TM and SSM parameters perform equally well for prediction of NACT response and evaluation of RCB.

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Near infrared photoimmunotherapy for lung cancer in a transgenic mouse model evaluated by MRI
Yuko Nakamura1,2, Marcelino Bernardo1, Zoe Weaver Ohler3, Tadanobu Nagaya1, Shuhei Okuyama1, Fusa Ogata1, Peter L. Choyke1, and Hisataka Kobayashi1

1National Cancer Institute, Bethesda, MD, United States, 2Diagnostic Radiology, Hiroshima University, Hiroshima, Japan, 3Frederick National Laboratory for Cancer Research

Near infrared photoimmunotherapy (NIR-PIT) is a new cancer treatment that combines the specificity of antibodies for targeting tumors with the toxicity induced by photoabsorbers after irradiation with NIR light. The purpose of this study was to determine whether MRI can monitor the therapeutic effect of NIR-PIT in spontaneously occurring lung cancers that express epidermal growth factor receptor. Tumor volume ratio was inhibited significantly in the NIR-PIT group compared with control group. Thus, MRI can be a useful imaging modality for monitoring the therapeutic effects of NIR-PIT for cancer.

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Rapid MR Pancreatic and Ovarian Screening Imaging for Patients with BRCA Mutation Undergoing Screening Breast MRI – Pilot Study
Sandra Huicochea Castellanos1, Mitchell C. Raeside, Andrea Agostini, Richard K.G. Do, Amita Amita Shukla-Dava, David Aramburu Nunez, Ramesh Ramesh , Olga Smelianskaia, Monika Khan, Yuliya Lakhman, Evis Sala, and Lorenzo Mannelli

1MSKCC, New York, NY, United States

The purpose of this study was to develop and optimize a rapid MR pancreas and ovarian screening protocol to be performed in conjunction with breast MRI screening in BRCA mutation carriers. Images were acquired with the patient in the prone position, with the breast coil still in place, but using the built-in body coil on a 3T magnet, and evaluated for image quality and detection of lesions. 30 women had research MR for pancreatic screening and 5 of them also underwent for rapid ovarian MR screening which provided diagnostic quality images within a short time of acquisition.

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Preoperative T Staging of Potentially Resectable Esophageal Cancer: 3T MRI based on T2-TSE-BLADE and contrast-enhanced free-breathing radial VIBE (StarVIBE) vs endoscopic ultrasound
Jinrong Qu1, Hongkai Zhang1, Hui Liu2, Xu Yan2, Zhaoqi Wang1, Hailiang Li1, Kiefer Berthold3, Nickel Marcel Dominik3, and Ihab R. Kamel4

1Radiology, the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, People's Republic of China, 2MR Collaboration, Siemens Healthcare, 3MR Pre-development, Siemens Healthcare, 4Radiology, Johns Hopkins University School of Medicine

 This study compared MRI based on the combination of T2-TSE-BLADE and contrast-enhanced T1 radial VIBE (StarVIBE) against endoscopic ultrasound (EUS) for T staging of potentially resectable esophageal cancer (EC). The histology confirmation of the T stage was used as reference. The results showed that the combination of T2-TSE-BLADE and StarVIBE is comparable to EUS in T staging of potentially resectable EC with lesions of T1/T2 stage, and is superior to EUS with lesions of T3/T4 stage.

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Appearance of Changes From Focal Therapy on Multiparametric Prostate Magnetic Resonance Imaging
Daniel Margolis1, Ely Felker2, Shyam Natarajan3, Chris Alabastro4, and Leonard Marks3

1Department of Radiology, Weill Cornell Medical College, New York, NY, United States, 2Radiology, UCLA Geffen School of Medicine, Los Angeles, CA, United States, 3Urology, UCLA Geffen School of Medicine, Los Angeles, CA, United States, 4School of Medicine, UCLA Geffen School of Medicine, Los Angeles, CA, United States

Understanding the changes corresponding to focal therapy of prostate cancer on MRI is paramount to appropriate management, as serum tests may fail to accurately monitor these patients.


Electronic Poster

Perfusion, Permeability & Diffusion in Cancer

Exhibition Hall Tuesday 16:15 - 17:15

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The Effects of AIF Quantification Variations on DCE-MRI Prediction of Soft Tissue Sarcoma Response to Preoperative Therapy: A Preliminary Multicenter Study
Kimberly Li1,2, Yiyi Chen2, Yun Yu2, Xia Li3, Andriy Fedorov4, Guido Jajamovich5, Dariya Malyarenko6, Madhava Aryal6, Peter LaViolette7, Matthew Oborski8, Finbarr O'Sullivan9, Richard Abramson10, Kourosh Jafari-Khouzani11, Aneela Afzal2, Alina Tudorica2, Brendan Moloney2, Sandeep Gupta3, Cecilia Besa5, Jayashree Kalpathy-Cramer11, James Mountz8, Charles Laymon8, Mark Muzi12, Paul Kinahan12, Kathleen Schmainda7, Yue Cao6, Thomas Chenevert6, Bachir Taouli5, Fiona Fennessy4, Thomas Yankeelov13, Xin Li2, and Wei Huang2

1International School of Beaverton, Beaverton, OR, United States, 2Oregon Health & Science University, Portland, OR, United States, 3GE Global Research, 4Brigham and Women's Hospital, 5Icahn School of Medicine at Mt Sinai, 6University of Michigan, 7Medical College of Wisconsin, 8University of Pittsburgh, 9University College, 10Vanderbilt University, 11Massachusetts General Hospital, 12University of Washington, 13The University of Texas at Austin

Soft tissue sarcoma DCE-MRI data collected at baseline and after one chemotherapy cycle were shared among nine centers and individual arterial input functions (AIFs) were quantified with center-specific methods.  Pharmacokinetic (PK) modeling of the data was performed with these AIFs and the Tofts model.  Considerable variations in estimated PK parameters and the corresponding percent changes were observed due to AIF variations.  kep is less susceptible to AIF variation than Ktrans and may be a more robust imaging biomarker of microvasculature.  kep percent change correlates in a uniformly negative relationship with necrosis percentage of resection specimen across all individually measured AIFs.

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Predicting MGMT expression levels in glioma patients using multi-inversion-time PASL
Yuchao Liang1, Yinyan Wang1, Tianyi Qian2, Josef Pfeuffer3, Shaowu Li4, Tao Jiang1,5, and Lei Wang1

1Neurosurgery, Beijing Tiantan Hospital, Beijing, People's Republic of China, 2MR Collaborations NE Asia, Siemens Healthcare, Beijing, People's Republic of China, 3Application Development, Siemens Healthcare, Erlangen, Germany, 4Neuroimaging center, Beijing Neurosurgical Insitute, Beijing, People's Republic of China, 5Neurosurgery, Beijing Neurosurgical Insitute, Beijing, People's Republic of China

To evaluate the differences in cerebral blood flow between glioma patients with high MGMT expression and those with low MGMT expression, we retrospectively compared cerebral blood flow in pre-operative MR images acquired using multi-inversion-time PASL from glioma patients with histopathologically confirmed high MGMT expression and those with histopathologically confirmed low MGMT expression. The results demonstrate that MGMT expression status significantly correlates with both quantitative CBF and relative CBF.

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Utilizing correlations between Ktrans and plasma volume fraction estimates improves extended Kety modelling of DCE-MRI data
Matthew R Orton1, Mihaela Rata1, David J Collins1, James A d'Arcy1, and Martin O Leach1

1CRUK Cancer Imaging Centre, Division of Radiotherapy and Imaging, Institute of Cancer Research, Sutton, United Kingdom

The extended Kety model is widely used for deriving quantitative perfusion and vascularity measures from DCE-MRI. In practice the signal contribution from the plasma space can be low compared to the signal-to-noise ratio (SNR) of the data which leads to cases where Ktrans is non-zero (indicating delivery of contrast to the tissues), but where the plasma volume fraction is estimated as zero: a logical contradiction.  This work describes a model and fitting methodology to overcome this that makes use of a relationship between Ktrans and the plasma volume fraction to ensure both are positive or both are zero.

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Application of dynamic contrast-enhanced MRI in differential diagnosis of benign and malignant lung lesions
Zhi-yun Jiao1, Fang Du1, Jianxun Qu2, Ling He1, Chao Xu1, Xia Ye1, and Jiangfen Wu3

1Department of Radiology, First People’s Hospital of Yangzhou, Yangzhou, People's Republic of China, 2MR Research China, GE Healthcare, Shanghai, People's Republic of China, 3GE Healthcare

Dynamic contrast enhancement (DCE) MRI is rarely used in lung lesions in previous studies, because of the influence of heart rate and respiratory motion. With the development of 3D non-rigid registration algorithm, high resolution dynamic enhanced MRI application in lung disease is increasing. After registration, the image is more clearer and the quantitative parameters are more accurate. The quantitative parameters Ktrans and Kep are capable of differentiating benign and malignant lung lesions, which has an important value in clinical work.

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Differential diagnosis of hepatocellular carcinoma and hepatic metastases using Radiomics Features from Quantitative DCE-MRI
Ye Li1, Lian Ai Liu, Ning Huang2, and Yan Guo2

1First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China, 2GE Healthcare, Lifescience, China

To evaluate the value of Ktrans and HPI (hepatic arterial perfusion index), and their radiomics features in the differential diagnosis of hepatocellular carcinoma (HCC) and hepatic metastases from colorectal cancer (HM) using dynamics contrast enhanced MRI (DCE-MRI). Exchange model with dual input-based arterial input function was used to obtain the radiomics features that can provide a comprehensive assessment of tumors’ physiologic properties including vascular permeability, microcirculation and hemodynamic information. Our results indicated that IDM (Ktrans), inertia and correlation (HPI) are of great significance to differentiate HM and HCC.

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R2* relaxation affects pharmacokinetic analysis of DCE-MRI at high field strength
Eugene Kim1, Jana Kim1, and Siver Andreas Moestue1

1MR Cancer Group, Department of Circulation and Medical Imaging, NTNU Norwegian University of Science and Technology, Trondheim, Norway

In DCE-MRI, the effect of the r2* relaxivity of gadolinium-based contrast agents is often assumed to be negligible. Here, the validity of this assumption at 7T was tested. DCE-MRI was performed on two preclinical cancer models using a spoiled multiple gradient-echo acquisition, which enabled correction for transverse relaxation. Not accounting for R2* resulted in underestimation of the Tofts pharmacokinetic parameters, with Ktrans being the most affected and vp the least. Simulations showed that the R2* effect can be significant even at 3T in highly perfused regions but can be mitigated by decreasing TE and TR or increasing the flip angle.

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Arterial Input Function Selection in DSC-MRI of Brain Tumors Using Differential Evaluation Clustering Method
Hossein Rahim Zadeh1, Anahita Fathi Kazerooni1,2, Mohammad Reza Deevband3, and Hamidreza Saligheh Rad1

1Quantitative MR Imaging and Spectroscopy Group, Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran, 2Department of Medical Physics and Biomedical Engineering, Tehran University of Medical Sciences, Tehran, Iran, 3Shahid Beheshti University of Medical Sciences, Tehran, Iran

Proper arterial input function (AIF) selection is a critical step for accurate quantification of dynamic susceptibility contrast enhanced (DSC) MRI in brain tumor patients. In this study, we have employed differential evaluation (DE) clustering method on processed perfusion images for accurate AIF selection. The procedure consists of two main steps: preprocessing for eliminating non-arterial curves including tissue, noisy and those contaminated with partial volume effects; and AIF selection using DE clustering method. The performance of this clustering method was compared to K-means and Hierarchical Clustering techniques and the results show the superiority of the proposed approach for accurate AIF selection.

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Quantitative Perfusion Imaging in Rectal Cancer – Choice and Influence of the Arterial Input Function to Perfusion Parameters
Tanja Gaa1, Sonja Sudarski2, Lothar R. Schad1, and Frank G. Zöllner1

1Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 2Institute of Clinical Radiology and Nuclear Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

Quantitative perfusion analysis in rectal cancer with DCE-MRI is highly dependent on the choice of the arterial input function (AIF). In nineteen patients it was investigated whether the selection affects the quantification of plasma flow (PF) applying with three different perfusion models (fast deconvolution algorithm, two-compartment uptake model, two-compartment exchange model). Results show disagreements in PF between the two AIFs for all three models with significant differences for the two-compartment exchange and uptake model.

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Model-based and Non-model-based Perfusion-related Predictors of Response to Chemotherapy in Intrahepatic Cholangiocarcinoma
Kristen Zakian1, Aditi Iyer1, Aditya Apte1, Taryn Boucher2, William Jarnagin3, Nancy Kemeny4, and Richard Do2

1Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, NY, United States, 2Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY, United States, 3Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, United States, 4Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, United States

Hepatic arterial infusion of floxuridine has shown benefit in intrahepatic cholangiocarcinoma. Due to the complexity and expense of this treatment, a pre-treatment or early biomarker of efficacy would be advantageous. We employed non-model-based (NMB) analysis to maximize information from breath-motion degraded DCE-MRI in 24 patients. Model-based and NMB parameters were compared to RECIST response. The kurtosis value of pre-treatment time-to-half-maximum correlated with response, as did 1 month changes in perfusion parameters (Ktrans and signal at half maximum).  NMB analysis resulted in fewer voxels being discarded due to motion and thus may be more representative of tumor physiology while not requiring modeling.

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Optimization of acquisition and modelling parameters for accurate and precise estimation of tumor vascular permeability using modified K-CNR
Thomas S.C. Ng1, Ravi T. Seethamraju2, and Ritu R. Gill1

1Radiology, Brigham and Women's Hospital, Boston, MA, United States, 2Siemens Healthcare USA

Adoption of quantitative clinical DCE-MRI remains limited given the challenges in accurate and precise estimation of kinetic parameters. Simulations are being increasingly used to guide protocol optimization1, but the relative effects of altering protocol variables are seldom considered. We used a modified K-CNR  metric to quantify tumor Ktrans estimation. K-CNR provided a simple way to compare how input variables affect Ktrans output. The extended Toft’s model was shown to be robust for tumor relevant Ktrans. Lengthening baseline time can improve Ktrans estimation. Care must be taken when using nested model analysis; wrong model convergence can occur with non-optimized acquisition variables.

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Robust and Efficient Perfusion Parameter Estimation for DCE-MRI of the Prostate Utilizing the Variable Projection (VARPRO) Method
Soudabeh Kargar1, Eric Stinson2, Eric Borisch2, Adam Froemming2, Akira Kawashima3, Lance Mynderse4, Joshua Trzasko2, and Stephen Riederer1,2

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

Dynamic contrast enhanced-MRI is essential for assessment of tissue microvasculature, and thus improved methods of parameter estimation for evaluation of tissue perfusion can be valuable. This work demonstrates how application of Variable Projection (VP) in perfusion analysis increases the robustness and computation efficiency compared to the conventional Levenberg-Marquardt (LM) method. A numeric simulation is used to validate the perfusion estimation and evaluate the robustness with respect to noise. The computation speed of VP is shown to be improved about 5× faster compared to LM method. VP-based perfusion analysis is demonstrated in eight patients with known prostate cancer.

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Weighted Total Least Squares for Parameter Estimation with the Two Compartment Exchange Model
Anders Garpebring1 and Tommy Löfstedt1

1Radiation Sciences, Umeå University, Umeå, Sweden

When using linear least squares to estimate pharmacokinetic model parameters in dynamic contrast-enhanced MRI there is a risk of introducing bias due to noise correlations. By using a weighted total least squares (WTLS) method instead, these correlations are taking into account. The results of this study shows that the WTLS method is able to reduce the bias considerably compared to the linear least squares method for the two compartment exchange model, however, at the expense of increased computational time.  

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Diffusion-weighted MRI of rectal cancer: baseline tumour perfusion fraction predicts chemoradiotherapy response and survival
Kine Mari Bakke1,2, Knut Håkon Hole3, Svein Dueland4, Krystyna Grøholt5, Kjersti Flatmark6,7,8, Anne Hansen Ree1,8, Therese Seierstad3, and Kathrine Røe Redalen1

1Department of Oncology, Akershus University Hospital, Lørenskog, Norway, 2Institute of physics, University of Oslo, Oslo, Norway, 3Department of Radiology and Nuclear Medicine, Oslo University Hospital, 4Department of Oncology, Oslo University Hospital, 5Department of Pathology, Oslo University Hospital, 6Department of Tumor Biology, Oslo University Hospital, 7Department of Gastroenterological Surgery, Oslo University Hospital, 8Institute of Clinical Medicine, University of Oslo

More accurate diagnostics for prediction of treatment responses in locally advanced rectal cancer is warranted. We employed a simplified approach to the intravoxel incoherent motion imaging method to estimate the tumour perfusion fraction from diffusion-weighted MRI. The perfusion fraction was predictive of the histologic tumour response after chemoradiotherapy (p = 0.02), and in combination with tumour volume this parameter was also predictive of five-year progression-free survival of the patients (p = 0.002). This simplified approach does not require substantial extra scan time in a routine diagnostic scanning, and may offer a clinically feasible approach to stratifying patients to individualised treatment.    

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Anomalous diffusion in cerebral gliomas assessed using a fractional motion model
Boyan Xu1, Lu Su2, Zhenxiong Wang3, Yaoyu Zhang1, Yang Fan4, Bing Wu4, Gaolang Gong5, Wenzhen Zhu3, Peiyi Gao2, and Jia-Hong Gao1

1Center for MRI Research, Peking University, Beijing, People's Republic of China, 2Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China, 3Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China, 4MR Research China, GE Healthcare, Beijing, People's Republic of China, 5State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, People's Republic of China

Several models have been proposed to explain the anomalous diffusion in biological tissues. Among them, the fractional motion (FM) model was considered more appropriate. In this study, the FM model was applied in gliomas to assess its feasibility for grading gliomas. It was found that the FM model could improve the diagnostic accuracy in differentiation low- and high-grade gliomas, indicating the potential of the FM model to facilitate future studies of neuro-pathological changes in clinical populations.

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Discriminatory ability of MRSI and DW-MRI in prostatic diseases in biopsy naïve men with PSA 4-10 ng/ml
Durgesh Kumar Dwivedi1,2, Rajeev Kumar3, Alok Kumar Dwivedi4, Girdhar S. Bora3, Sanjay Thulkar5, Sanjay Sharma5, Siddhartha Datta Gupta6, and Naranamangalam R. Jagannathan1

1Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, Delhi, India, 2Department of Radiodiagnosis, King George's Medical University, Lucknow, India, 3Department of Urology, All India Institute of Medical Sciences, New Delhi, Delhi, India, 4Division of Biostatistics and Epidemiology, Department of Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, Texas, TX, United States, 5Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, New Delhi, India, 6Department of Pathology, All India Institute of Medical Sciences, New Delhi, New Delhi, India

Multivariate approach of including different MR parameters offer a holistic view of entire data, which could provide better approach in differentiating various prostatic diseases. This approach may help in reducing the burden of unnecessary biopsy in men with PSA 4-10 ng/ml.  we evaluated discriminatory ability of MRSI and DW-MRI in prostatic diseases in biopsy naïve men with PSA 4-10 ng/ml. The combined model (PSA + ADC + metabolite ratio) showed highest discriminatory ability in various prostatic diseases with AUC of 89% in men with clinically challenging group of PSA.

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Diffusion Weighted Fast Spin Echo for tumor delineation in head-and-neck radiotherapy: a comparison with FDG-PET
Tim Schakel1, Boris Peltenburg1, Jan-Willem Dankbaar2, Carlos Cardenas3, Michalis Aristophanous3, Chris Terhaard1, Hans Hoogduin2, and Marielle Philippens1

1Department of Radiotherapy, UMC Utrecht, Utrecht, Netherlands, 2Department of Radiology, UMC Utrecht, Utrecht, Netherlands, 3Department of Radiation Physics, MD Anderson Cancer Center, TX, United States

DWI shows high contrast between tumor and surrounding tissue, which shows potential for target volume delineation in head-and-neck radiotherapy treatment planning. In this study we assess the performance of a diffusion weighted fast spin echo sequence (DW-SPLICE) for target delineation in terms of interobserver agreement and spatial concordance with PET. Fifteen patients underwent both PET and DW-SPLICE. PET was segmented using a Gaussian mixture model, DW-SPLICE was delineated by 3 observers. Target volume delineation using DWI is feasible in head-and-neck radiotherapy. Using an optimized DWI sequence, target volumes could be defined with good interobserver agreement and large similarity with PET.

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Distortion-Free Diffusion MRI using an MRI-Guided Tri-Cobalt 60 Radiotherapy System: Sequence Validation and Preliminary Clinical Experience
Yu Gao1,2, Minsong Cao2,3, Tania Kaprealian3, Mitchell Kamrava3, Michael Wang3, John Neylon3, Daniel Low2,3, Yingli Yang2,3, and Peng Hu1,2

1Radiology, University of California, Los Angeles, Los Angeles, CA, United States, 2Physics and Biology in Medicine IDP, University of California, Los Angeles, Los Angeles, CA, United States, 3Radiation Oncology, University of California, Los Angeles, Los Angeles, CA, United States

Limited resolution, severe distortion, and inaccurate quantification in low SNR scenarios associated with the conventional DW-ssEPI are problematic for adaptive radiotherapy based on tumor response. In this study, we sought to develop a reliable, accurate and distortion-free diffusion sequence that is practicable for longitudinal assessment of tumor response using an MRI-guided radiotherapy system. Quantitative phantom studies validated the superiority of the proposed technique over standard DW-ssEPI in terms of geometric fidelity and ADC accuracy. Excellent ADC reproducibility makes it a promising candidate for tumor response monitoring. Preliminary patient study demonstrated its feasibility to be used for tumor response assessment. 

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Proton Magnetic Resonance Spectroscopy of the Lipid Metabolic Response of a Murine Tumor Model to Radiation Therapy
Anthony G. Tessier1, Atiyah Yahya1,2, Matthew Larocque1,2, B. Gino Fallone1,2, and Alasdair Syme3,4

1Medical Physics, Cross Cancer Institute, Edmonton, AB, Canada, 2Oncology, University of Alberta, Edmonton, AB, Canada, 3Radiation Oncology, Dalhousie University, Halifax, NS, Canada, 4Medical Physics, QEII Health Sciences Centre, Nova Scotia Health Authority, Halifax, NS, Canada

The temporal dependence of the lipid metabolic response to single fraction radiation therapy of human glioblastoma multiforme xenografts in NIH III nude mice was assessed with in vivo 1H magnetic resonance spectroscopy (MRS) on a 9.4T magnetic resonance system. Lipid MRS can measure fat polyunsaturation, and therapeutic response can be monitored. The methylene:methyl peak ratio (CH2/CH3) can assess drug treatment and disease progression. Herein, lipid parameters and their response to radiotherapy in tumors are studied, including methyl, lactate + methylene, diallylic, and allylic protons, protons in α position to the carbonyl group, CH2/CH3, and mean polyunsaturation.

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Longitudinal diffusion MRI for treatment assessment of sarcoma patients with pre-operative radiation therapy
Yingli Yang1, Minsong Cao1, Yu Gao2, Mitchell Kamrava1, Anusha Kalbasi1, Nzhde Agazaryan1, James Lamb1, Ke Sheng1, Daniel Low1, and Peng Hu2

1Radiation Oncology, UCLA, Los Angeles, CA, United States, 2Radiology, UCLA, Los Angeles, CA, United States

Diffusion weighted MRI (DWI) is promising for early prediction of tumor response to radiation therapy. We report our results of using longitudinal DWI approach performed on ViewRay system for predicting the response of sarcoma patient to pre-op RT. Six sarcoma patients were recruited in this study. Each patient subsequently underwent surgery. The tumor necrosis score was then used to compare to the ADC values to assess the predictive value of longitudinal DWI. Each patient successfully underwent 3–5 diffusion MRI scans. Based on the data from 6 patients, our longitudinal changes in tumor ADC matched well with pathology necrosis results. 

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Integrated volumetric diffusion-weighted MR imaging and HPV genotyping in outcome prediction for stage IB-IV cervical cancer patients following chemoradiation therapy
Gigin Lin1, Chyong-Huey Lai1, and Yu-Chun Lin1

1Medical Imaging and Intervention, Chang Gung Memorial Hospital, Linkou, Taiwan

We evaluated the values of integration of pretreatment volumetric ADC analysis with human papillomavirus (HPV) genotyping in prediction of survival and recurrence for women with locally advanced cervical cancer in 82 women following concurrent chemoradiation therapy (CCRT). Independent poor prognostic indicators for OS and DFS by stepwise multivariate analysis, i.e., lower ADC10, advanced T or M stage and high-risk HPV status were composed to generate a novel outcome-predicting model, in which death was found in all the high-risk group patients whiles none of the low-risk group died or recurred during the follow up.  

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Longitudinal assessment of tumor volume and apparent diffusion coefficient in patients on active surveillance: a good way of monitoring disease progression?
Veronica A Morgan1, Christopher Parker2, and Nandita M deSouza1

1CRUK Imaging Centre, The Institute of Cancer Research, Surrey, United Kingdom, 2Academic Urology Unit, The Royal Marsden Hospital NHS Foundation Trust, Sutton, United Kingdom

Tumor growth on T2-W MRI in 151 men with low-risk prostate cancer managed by active surveillance was related to tumor apparent diffusion coefficient (ADC). Volume increases greater than the 95% upper Limits of Agreement of reproducibility (~60%, n=20) were seen in 52 (34.4%) men. ADC was more reproducible (~5% variability). Baseline ADC values did not differ between those with and without measurable growth (p=0.06) but change in ADC did (-6.8±12.3% for those with measurable growth vs. 0.23±10.1% for those without, p=0.0005). A 5.6% reduction in ADC with time indicated a measurable increase in tumor volume (specificity 77.0%, sensitivity 54.9%, AUC=0.67).

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Textural Analysis based Segmentation of Bone tumours using Diffusion Weighted MR Image
Amit Mehndiratta1,2, Esha Baidya Kayal3, Rishabh Gupta3, Abhimanyu Sahai3, Jayendra Tiru Alampally4, Sameer Bakhshi5, Raju Sharma4, and Devasenathipathy Kandasamy 4

1Centre for Biomedical Engineering, Indian Institute of TechnologyDelhi, New Delhi, India, 2Department of Biomedical Engineering, All India Institute of Medicine, New Delhi, India, 3Centre for Biomedical Engineering, Indian Institute of TechnologyDelhi, 4Department of Radio Diagnosis, All India Institute of Medical Sciences, 5Institute-Rotary Cancer Hospital, All India Institute of Medical Sciences

Diffusion weighted imaging (DWI) plays a crucial role in diagnosis and prognosis of cancerous diseases. Proper demarcation of tumour on DWI is therefore necessary for qualitative assessment as well as quantitative image analysis like ADC or IVIM. Manual demarcation of tumour on each DWI slice is time consuming, prone to error and hard to reproduce. Automated and semi-automated algorithms were implemented and tested to segment bone tumours specifically on DWI. Experimental results reveal that semi-automated Active-Contours performed tumor segmentation better than other methods with acceptable levels of accuracy with considerable less time and manual effort.

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MR imaging in the prediction of aggressive histological features in papillary thyroid carcinoma
Bin Song1 and Hao Wang1

1Radiology, Central Hospital of Minhang District, Fudan University, Shanghai, People's Republic of China

Purpose To investigate the value of magnetic resonance imaging (MRI) features for prediction of tumor aggressiveness in papillary thyroid cancer (PTC). Method A consecutive series of 119 lesions with PTC were preoperatively evaluated by MR imaging. A multivariate analysis was performed to predict tumor aggressiveness by 18 independent variables. Results Multivariate analysis demonstrated that lesion size classification and tumor margin on delayed contrast-enhanced images were the independent predictors of high aggressive PTC. Conclusion Lesion size classification and tumor margin on delayed contrast-enhanced images can be used preoperatively to estimate the risk of high aggressive of PTC.

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Optimization of b-values in iShim diffusion-weighted MR imaging of the thyroid gland: to improve the visualization of malignant thyroid nodules and the accuracy in differentiating malignant from benign thyroid nodules
Qingjun Wang1, Qinglei Shi2, Tianyi Qian3, Alto Stemmer4, and Yong Guo1

1Department of Radiology, Chinese Navy General Hospital, Beijing, People's Republic of China, 2Scientific Marketing, Siemens Healthcare, People's Republic of China, 3MR Collaobration, HC NEA MR COL, Siemens Healthcare, People's Republic of China, 4MR Application Predevelopment, Siemens Healthcare GmbH

To investigate the optimal b-values of diffusion-weighted imaging (DWI), a prototype sequence with integrated slice-specific shimming (iShim) was applied for visualizing thyroid malignant nodules and making accurate differentiation between benign and malignant nodules. DWI images were acquired with five b-values including 0, 800, 1000, 2000 and 3000 sec/mm2. The results show that the iShim-DWI with b-value of 800 s/mm2 can present the clearest delineation of malignant thyroid nodules and that the images with b-value of 3000 s/mm2 had the best performances in differentiating malignant from benign thyroid nodules.


Electronic Poster

UHF Imaging & Spectroscopy

Exhibition Hall Tuesday 17:15 - 18:15

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From medulla to lower cervical levels, a multi-parametric quantitative MR investigation dedicated to the diffuse alterations of the spinal cord at 7T: first insights into Amyotrophic Lateral Sclerosis
Aurélien Massire1,2,3, Henitsoa Rasoanandrianina1,2,3, Thorsten Feiweier 4, Manuel Taso1,2,3, Aude-Marie Grapperon5, Shahram Attarian5, Maxime Guye1,2, Jean-Philippe Ranjeva1,2,3, Annie Verschueren5, and Virginie Callot1,2,3

1Aix-Marseille Université, CNRS, CRMBM UMR 7339, Marseille, France, Marseille, France, 2AP-HM, Hôpital de la Timone, Pôle d’imagerie médicale, CEMEREM, Marseille, France, Marseille, France, 3iLab-Spine - Laboratoire international associé - Imagerie et Biomécanique du rachis, France/Canada, Marseille, France, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Service de Neurologie et Maladies neuromusculaires, Hôpital de La Timone, AP-HM, Marseille, France

Amyotrophic lateral sclerosis (ALS) may benefit from unique contrasts and high-spatial resolutions provided by ultra-high field brain MRI. This also stands for spinal cord; nevertheless spinal cord imaging at 7T has lagged considerably behind brain investigations until recently. In this work, we propose a multi-parametric quantitative MR imaging protocol (T1, T2*, DTI, CSA), in an acquisition time compatible with clinical research (50min), to comprehensively investigate spinal cord diffuse alterations in neurodegenerative diseases such as ALS. With imaging along the whole cervical cord and medulla, theses multi-parametric acquisitions have the potential to provide new insights for the study of ALS.

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Density Weighted Concentric Rings K-Space Trajectory for 1H MRSI with gradient offset independent adiabatic pulses at 7T
Mark Chiew1, Wenwen Jiang2, Peder Larson2,3, Brian Burns4, Peter Jezzard1, Albert Thomas5, and Uzay E Emir1

1Oxford Centre for Functional MRI of the Brain (FMRIB), University of Oxford, Oxford, United Kingdom, 2UC Berkeley-UCSF Graduate Program in Bioengineering, University of California, Berkeley and University of California, San Francisco, CA, United States, 3Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States, 4Department of Oncology, University of Oxford, Oxford, United Kingdom, 5Department of Radiological Sciences, University of California, Los Angeles, CA, United States

In this study, we have developed and demonstrated a GOIA-semi-LASER sequence with density-weighted (DW)-concentric rings trajectory (CRT) that performs robustly at 7 Tesla and within a clinically feasible acquisition time. DW-CRT has been validated in a series of phantom experiments and its feasibility assessed in a healthy volunteer with an in-plane resolution of 5×5 mm2. Experiments qualitatively demonstrate the advantage of DW-CRT over uniformly-weighted (UW)-CRT in terms of its improved resolution and reduced contamination of spectra from neighboring voxels. 

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A form-fitted 1H/13C transceive coil array for MR spectroscopy in the human calf muscles at 7 T: initial results
Sigrun Goluch1, Roberta Frass-Kriegl1, Michael Pichler1, Martin Gajdošík2,3, Juergen Sieg1, Ewald Moser1, Martin Meyerspeer1, Martin Krššák2,3,4, and Elmar Laistler1

1Division MR Physics, Center für Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 2High-Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 3Christian Doppler Laboratory for Clinical Molecular MR Imaging, Medical University of Vienna, Vienna, Austria, 4Division of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria

Carbon-13 (13C) MR spectroscopy (MRS) requires RF coils enabling acquisition at two different Larmor frequencies, namely at the 1H frequency (f1H=297.2 MHz) for scout imaging, B0 shimming and proton decoupling, as well as at the 13C frequency (f13C=74.7 MHz) for acquisition of the carbon spectra at 7T. In this work we present preliminary data on the development of a dual tuned 13C/1H coil array for calf muscle studies at 7 T, including simulation, bench and MR measurements in a glucose phantom.

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Quantitative MRI of extra-ocular muscles in the clinical evaluation of systemic diseases
Luc van Vught1,2, Robert de Meel3, Jedrzej Burakiewicz2, Stijn Genders1, Martine Jager1, Irene Notting1, Jan Verschuuren3, Hermien Kan2, and Jan-Willem Beenakker1,2

1Ophthalmology, LUMC, Leiden, Netherlands, 2Radiology, CJ Gorter center for high field MRI, LUMC, Leiden, Netherlands, 3Neurology, LUMC, Leiden, Netherlands

Current diagnostic tools fail to accurately assess the condition of the eye muscles and orbital fat in ocular diseases. We have developed a high-resolution 7 Tesla quantitative MRI-protocol of the eye and evaluated its clinical value for Graves' orbitopathy and myasthenia gravis. The scan protocol proved to be robust against eye-motion and extra-ocular muscles were easily segmented from the orbital fat. Patient data showed elevated muscle fat fractions for both conditions compared to healthy subjects. Since the method quantifies the condition of the tissues, which otherwise can only be assess via an invasive biopsy, it  potentially is an efficient technique to assess treatment response.

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Towards Homogeneous 7T Neuro Imaging: Findings and Comparisons between 7T TTT and NOVA RF Coil Systems
Tamer S Ibrahim1,2, Tales Santini1, Shailesh Raval1, Narayanan Krishnamurthy1, Sossena Wood3, Jung-Hwan Kim1, Yujuan Zhao1, Xiaoping S Wu4, Essa S Yacoub4, Howard S Aizenstein5, and Tiejun Zhao6

1Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States, 2Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 3Bioengineering, University of Pittsburgh, Cranberry Twp, PA, United States, 4Radiology, University of Minnesota, Minneapolis, MN, United States, 5Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States, 6Siemens Medical Solutions, United States

Several major obstacles still face neuro UHF imaging including scanning and preparation time for every subject (for TX arrays) and RF intensity limitations due to increased local/global power deposition. The solutions provided and compared in this work represent non-subject specific configurations (combined mode NOVA coil system, PTX NOVA coil system operating in quadrature, and combined mode 16Tx/32Rx Tic-Tac-Toe coil system) and subject specific configurations (PTX NOVA coil system RF-shimmed for each subject). Experimental results shows significant drop in the B1+ field intensity in the left temporal lobe and cerebellum in the NOVA coil systems, issue alleviated with the Tic-Tac-Toe design.

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A Feasibility Study on Bilateral Monopole Antenna with Two Common Grounds for 7T MRI
Han-Joong Kim1, Hyunwoo Song1, Sang-Doc Han1, Phil Heo1, Donghyuk Kim2, Yeonjin Choi3, and Kyoung-Nam Kim3

1Department of Health Sciences and Technology, Gachon University, Incheon, Korea, Republic of, 2Neuroscience Research Institute, Gachon University, Incheon, Korea, Republic of, 3Department of Biomedical engineering, Gachon University, Incheon, Korea, Republic of

In this study, a bilateral monopole antenna was proposed to have ring element of existing ring-monopole as common ground and to consist of two interlocking monopole antennas along z-axis to improve lopsided |B1| field toward the ground plate. Geometry of the proposed bilateral monopole antenna was optimized with EM simulation then optimized antenna was compared with a transceiver array coil and a birdcage coil for quality verification. Even with worse power consumption, the proposed bilateral monopole antenna can be an alternative for existing RF coils such as transceiver array coil and birdcage coil due to its improved |B1+| field uniformity.

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Unified Proton and Fluorine Imaging of Small and Low Spin Density Samples at a Human Whole-Body 7 T MRI
Christian Bruns1, Tim Herrmann1, Markus Plaumann1, Chang-Hyun Oh2, Chulhyun Lee 3, Suchit Kumar4, and Johannes Bernarding1

1Department for Biometrics und Medical Informatics, Otto-von-Guericke University, Magdeburg, Germany, 2Department of Electronics and Information Engineering, and Korea Artificial Organ Center, Korea University, Seoul, Korea, Republic of, 3Bioimaging Research Team, Korea Basic Science Institute, Ochang, Korea, Republic of, 4Department of Biomicrosystem Technology and Korea Artificial Organ Center, Korea University, Seoul, Korea, Republic of

In order to provide a system, which allows imaging of 19F MR contrast agents, an in-house-built 19F/1H transmit/receive system for 7 T was successfully tested in a human whole-body 7 T MRI system. This system enables the measurement of concentrations of 1.85 mM. For this approach we used a 19F tuned coil which provided still enough signal gain at the proton frequency to allow 1H imaging for comparison. This showed the possibility of using 19F as contrast agents with a quite simple coil design in comparison to other dual tuned approaches.

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Newly Designed Miniaturized Patch Antenna with High Dielectric Material Plugs
Gangchea Lee1, Navid Pourramzan Gandji2, Seokwon Jung3, Elena Semouchkina2, Michael Lanagan4, and Thomas Neuberger1,5

1Bio Engineering, Pennsylvania State University, University Park, PA, United States, 2Electrical and Computer Engineering, Michigan Tech University, Houghton, MI, United States, 3Mechanical and Nuclear Engineering, Pennsylvania State University, University Park, PA, United States, 4Engineering Science and Mechanics, Pennsylvania State University, University Park, PA, United States, 5Huck Institutes of the Life Sciences, Pennsylvania State University, University Park, PA, United States

High performance Radio Frequency resonators (RF resonators) produce strong and homogeneous magnetic fields. Due to their large sizes, patch antennas have hardly been considered to be used as RF resonators in Magnetic Resonance Imaging (MRI), especially at high fields. In this work, a newly developed miniaturized patch antenna with high dielectric material plugs was designed, simulated, built and tested at 14.1 T. The simulated and experimental magnetic fields were compared to confirm the performance of the fabricated patch antenna as a RF resonator for MRI.

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Multi Scroll Coil Setup for Simultaneous Acquisition of MR Microscopy Data of 3D Printed Cells
Gangchea Lee1, Jeongin Choi2, Eberhard Munz3,4, Ibrahim Tarik Ozbolat 5, Michael Lanagan5, and Thomas Neuberger1,6

1Bio Engineering, Pennsylvania State University, University Park, PA, United States, 2Physics, Pennsylvania State University, University Park, PA, United States, 3Experimental Physics 5, University of Wurzburg, Wurzburg, Germany, 4Leibniz Institute of Plant Genetics and Crop Plant Research, Gatersleben, Germany, 5Engineering Science and Mechanics, Pennsylvania State University, University Park, PA, United States, 6Huck Institutes of the Life Sciences, Pennsylvania State University, University Park, PA, United States

High resolution, and high Signal to Noise Ratio (SNR) images in Magnetic Resonance Imaging (MRI) require long imaging times. In this work a setup for two separate shielded scroll coils with a common gradient and magnet was introduced to produce two independent three dimensional MRI data sets for MR microscopy. The RF coils and shields were designed, fabricated, and tested. 3-D printed cell samples were imaged using the fabricated set up. Overall, two samples could be acquired with a larger field of view and a similar SNR in the same time compared to a single sample in a solenoid.

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Co-localization of individual neuroanatomical structures and intracranial electrodes to assist brain mapping for pre-surgical evaluation of epilepsy
Syu-Jyun Peng1 and Yue-Loong Hsin2

1National Chiao Tung University, Hsinchu, Taiwan, 2Chung Shan Medical University and Chung Shan Medical University Hospital, Taichung, Taiwan

We proposed a method to precisely visualize subdural strip and grid electrodes in relation to underlying Brodmann’s area labeled cortical gyration. We transformed a reference brain labeled with Brodmann’s areas to match individual brain. Then we registered the digitalized electrodes from post-implant CT onto the anatomically labeled brain MRI.

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Characteristics of fat in orbits of patients with early-stage hyperthyroidism
Huajie Jiao1, Rongrong Zhu2, Kaining Shi3, Yong Yang4, and Weiheng He4

1Ningxia people's hospital, yinchuan, People's Republic of China, 2Medical Imaging center, Ningxia people's hospital, People's Republic of China, 3Philips HealthCare, Beijing,china, People's Republic of China, 4People's Republic of China

Summary: Exophthalmos caused by muscle thickening and fat increasing in orbit is the typical symptom in hyperthyroidism, which impairs multiple systems as the auto-immune disease. From this study, we found the increase of percentage of fat and T2* value using the fat quantification analysis package, which indicate the accumulation and differentiation of fat-oriented cells, inflammation cells infiltration and collagen mucous change. Therefore, the characteristics of fat change in orbit can be evaluated by the transverse six-echo proton density fat fraction (PDFF) sequence (mDIXON-quant) technique in early-stage hyperthyroidism without significant manifestation of eyes.

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Human brain tissue equivalent MRI phantom for well defined T1 and T2 times at 3 and 7 Tesla
Michael Woletz1, Sigrun Goluch1, Allan Hummer1, and Christian Windischberger1

1Division MR Physics, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria

Tissue-equivalent phantoms with well-defined T1- and T2-relaxation behaviour are often required for sequence optimisation and quality control purposes. Based on numerous T1 and T2 measurements at 3T and 7T with varying concentrations of Agarose and gadopentetate dimeglumine (Magnevist), we herein present a formula for creating phantoms with T1-values between 700 ms and 3000 ms and T2-values between 30 ms to 250 ms at both field strengths. 

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Qualitative and Quantitative Assessment of Arteriovenous Malformation Architecture at 7 Tesla
Bixia Chen1,2, Toshinori Matsushige2,3, Sören Johst1, Stefan Maderwald1, Lale Umutlu1,4, Ulrich Sure2, Harald H Quick1,5, Mark Edward Ladd1,6, and Karsten H Wrede1,2

1Erwin L. Hahn Institute for MRI, University of Duisburg-Essen, Essen, Germany, 2Department of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany, 3Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan, 4Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany, 5High Field and Hybrid MR Imaging, University Hospital Essen, University of Duisburg-Essen, Essen, Germany, 6Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

General advantages of ultra-high-field MRI at 7 T in cerebral arteriovenous malformations (AVM) imaging have been shown recently. This prospective clinical study (10 adult patients) aims to evaluate signal characteristics of AVM feeders, nidus and drainage using 7 T MRI (TOF, MPRAGE, SWI). AVM feeders, nidus and drainage were evaluated by 2 raters. Additionally, AVMs were segmented manually and signal intensity histograms were calculated for the extracted feeders, nidus and drainage, respectively. As previously shown, 7 T MRI has excellent imaging results regarding vessel delineation in AVMs. However, identification of the AVM architecture remains challenging due to signal heterogeneity.

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Magnetic Resonance Imaging of Collateral Networks in Moyamoya Angiopathy at 7 Tesla
Bixia Chen1,2, Toshinori Matsushige2,3, Markus Kraemer4, Philipp Dammann1,2, Sören Johst1, Stefan Maderwald1, Marc Schlamann5, Harald H Quick1,6, Mark Edward Ladd1,7, Ulrich Sure2, and Karsten H Wrede1,2

1Erwin L. Hahn Institute for MRI, University of Duisburg-Essen, Essen, Germany, 2Department of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany, 3Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan, 4Department of Neurology, Alfried Krupp Hospital, Essen, Germany, 5Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Giessen, Giessen University, Giessen, Germany, 6High Field and Hybrid MR Imaging, University Hospital Essen, University of Duisburg-Essen, Essen, Germany, 7Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

Collateral networks in Moyamoya angiopathy (MMA) have a complex angioarchitecture. Delineation of deeply seated collateral networks (DSCNs) and image quality were prospectively evaluated in 10 patients using 7 Tesla TOF MRA and MPRAGE in comparison with conventional DSA. Seventy DSCNs were detected in DSA, 79 in TOF MRA, and 54 in MPRAGE. Detection of DSCNs was significantly better in TOF MRA than in DSA and MPRAGE. TOF MRA and DSA image quality were comparable, both were better than MPRAGE. Delineation of DSCN pathways in MMA using 7 Tesla TOF MRA was excellent and comparable to DSA.

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Microstrip Resonator for High Field MRI with Capacitor-Segmented Strip and Ground Plane
Vitaliy Zhurbenko1, Vincent Boer 2, and Esben Thade Petersen 1,2

1Technical Univ. of Denmark, Kgs. Lyngby, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark

High field MRI coils are often based on transmission line resonators. Due to relatively short wavelength of RF fields, such coils produce uneven field patterns. Here we show, that it is possible to manipulate magnetic field patterns of microstrip resonators in both planes (sagittal and transverse) segmenting stripe and ground plane of the resonator with series capacitors. The design equations for capacitors providing symmetric current distribution are derived. The performance of two types of segmented resonators are investigated experimentally. To authors’ knowledge, a microstrip resonator, where both, strip and ground plane are capacitor-segmented, is shown here for the first time.

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Monopole Antenna Array for UHF Magnetic Resonance Imaging
A S M Zahid Kausar1, David Reutens1, Ewald Weber2, and Viktor Vegh1

1Center for Advanced Imaging, University of Quensland, Brisbane, Australia, 2School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia

Birdcage coils have a number of limitations, especially at ultra-high field. Monopole antenna arrays have been proposed as an alternative to birdcage coils, as the design is simpler and they do not use capacitors. We evaluated the potential of using monopole arrays for 3T and 7T MRI brain scans. To be able to benchmark performance, we compared the field produced by the monopole array with the field produced by the birdcage coil. We show that monopole arrays can potentially achieve better field homogeneity and sensitivity than the birdcage coil. We fabricated a monopole array and demonstrated decoupling between individual monopoles

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The TEM horn: A new array element for high-field imaging
Atefeh Kordzadeh1 and Nicola De Zanche2

1Biomedical Engineering, University of Alberta, Edmonton, Canada, 2Medical Physics, University of Alberta, Canada

This abstract introduces the TEM horn antenna as an efficient element for imaging the human body at high fields. The horn was designed for 200.4 MHz, simulated in HFSS adjacent to a torso-size phantom, and fabricated using 3-D printing. Transmit/receive imaging measurements were performed at 4.7T. Flip angle maps are compared to the simulation results.

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34 µm Isotropic Resolution MRI of Rat Brain using 55K cryo-probe
Kurt H Bockhorst1, Jarek Wosik2,3, and Ponnada A Narayana1

1Diagnostic and Interventional Imaging, University of Texas, Health Science Center-Houston Medical School, Houston, TX, 2Electrical and Computer Engineering, University of Houston, Houston, TX, United States, 3Texas Center for Superconductivity

We report on the performance and development of a 300-MHz (7 T) cryogenic receive- only surface coil for MRI of rat brain. Practical performance limits of the cryo-coil were tested such as SNR gains at 55 K for a 19 mm in diameter Cu coil and its frequency stability over long (up to a few days) scans. 3D-RARE isotropic images of ex-vivo rat brain up to 512 slices with outstanding isotropic resolution of 34 μm were acquired showing structural details not seen with conventional small animals coils. In addition, a comparison of such images with matching histological plates is discussed.

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A simple frequency selectable method controlled by PIN diode in the double layered multi-nuclei RF coil at 7T
Sang-Doc Han1, Hyunwoo Song1, Phil Heo1, Han-Joong Kim1, Donghyuk Kim2, Yeonjin Choi3, Yeunchul Ryu4, and Kyoung-Nam Kim3

1Department of Health Sciences and Technology, Gachon University, Incheon, Korea, Republic of, 2Neuroscience Research Institute, Gachon University, Incheon, Korea, Republic of, 3Department of Biomedical engineering, Gachon University, Incheon, Korea, Republic of, 4Department of Radiological Science, Gachon University, Incheon, Korea, Republic of

With the facilitated approach of ultra-high frequency (UHF, over 7T) magnetic resonance imaging (MRI) system, multi-nuclei (MN)-MRI can be regarded as one of critical means for diagnose due to its capability of acquiring non-invasive metabolic information1, 2. In this study, a radiofrequency (RF) coil that can selectively receive two nuclei signals, the proton (1H) and the sodium (23Na), by controlling PIN diodes is proposed. Since 1H images show clear anatomical structure where 23Na show critical in-vivo metabolisms, acquired MN magnetic resonance (MR) images using the proposed MN RF coil have capabilities to assist diagnose visually3.

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Improvement of Magnetic Field Uniformity of 19F Imaging using the Inductive Coupling at 7.0T
Bu Sik Park1, Sunder S. Rajan1, Joe Murphy-Boesch2, William Koch1, Charity Stagg1, and Brent McCright1

1FDA, Silver Spring, MD, United States, 2NIH

Numerical simulations and experimental verification of the feasibility are shown to improve B1 uniformity of a commercial 19F RF coil with addition of a secondary resonator using inductive coupling without changing the RF coil at 7.0T animal MRI. The designed resonator was placed on the opposite side of the imaging object from the 19F surface coil to improve the field uniformity. Numerical simulations and related experiments using a 19F phantom show significant improvement of |B1+| and image uniformity, i.e., about 26%. The mouse leg image of 19F/1H with the designed resonator is shown as an example of potential pre-clinical applications.

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A method to experimentally assess “coil loss” of a dipole antenna for Ultra-High-Field (UHF) MRI
Gang Chen1,2, Christopher M. Collins1,2, Daniel K. Sodickson1,2, and Graham C. Wiggins1

1Center for Advanced Imaging Innovation and Research (CAI2R), 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

At clinical field strengths, the contribution of coil noise is often characterized by the Q-ratio, the ratio of the loaded Q and unloaded Q. Because of the inconsistent contribution of radiation loss and frequency drift in unloaded and loaded cases, it is difficult to characterize the body noise dominance of a dipole antenna by conventional Q ratio at 7T. Here we propose a new approach using a measure of Q when a dipole antenna is well shielded. The shielded/loaded Q ratio estimates the relative noise contribution from coil loss, similar to unloaded/loaded Q ratio for surface coil at low frequencies.

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A new RF coil for foot and ankle imaging at 7T MRI
Tales Roberto de Souza Santini1, Junghwan Kim1, Sossena Wood1, Narayanan Krishnamurthy1, Shailesh Raval1, and Tamer Ibrahim1

1University of Pittsburgh, Pittsburgh, PA, United States

7T Foot and ankle has been previously explored1.  A four-channel Tic-Tac-Toe (TTT)  transmit-only (Tx-only) array2,3 and a four-channel receive-only array were developed and combined to demonstrate the feasiability of high signal-to-noise ratio (SNR) foot and ankle imaging at 7T MRI.  The experimental measurements of magnetic field distribution responsible for excitation (B1+) is in agreement with the finite-difference time-domain (FDTD) simulations and the SAR is within the FDA safety limits for the entire lower leg and foot (peak SAR ~ 7W/Kg/10g of tissue, average SAR ~ 1W/Kg/10g of tissue per continuous average field B1+ = 1.97uT).  In-vivo proton density TSE and T2DESS images were acquired.

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Improving Image Quality by Adjusting Relative Phases of Channels with a Two-element Rotating Coil Array at 9.4T
Mingyan Li1, Ewald Weber1, Jin Jin1, Yasvir Tesiram2, Thimo Hugger3, Simon Stark3, Feng Liu1, Sven Junge3, and Stuart Crozier1

1School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia, 2Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 3Bruker BioSpin MRI GmbH, Ettlingen, Germany

This work investigates the feasibility of incorporating an additional RF element to the rotating RF coil (RRFC) to improve imaging performance. The transmit profiles of the two-element rotating coil array were optimised by adjusting the interference patterns formed by two channels with varied relative phase. Combined with the previously developed rotating imaging scheme, an optimal relative phase was determined to produce an image uniformity of 93%. 

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A Compact Planar Triple-Nuclear Coil for Small Animal 1H, 13C, and 31P Metabolic MR Imaging at 14.1 T
Andrew Palmera Leynes1, Yiran Chen1, Subramaniam Sukumar1, Duan Xu1, and Xiaoliang Zhang1

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

The development and test of a triple-nuclear surface coil for simultaneous 1H, 13C, and 31P small animal imaging at 14.1 Tesla.


Electronic Poster

Hybrid & Novel Technology

Exhibition Hall Tuesday 17:15 - 18:15

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EKG-based detection of deep brain stimulation (DBS) for fMRI studies
Eric Fiveland1, Julia Prusik2, Renee Linton3, Jeffrey Ashe1, Julie Pilitsis2, and Ileana Hancu1

1GE Global Research Center, Niskayuna, NY, United States, 2Albany Medical College, Albany, NY, United States, 3Medtronic, Minneapolis, MN, United States

A detector for measuring and predicting the on/off state of cycling deep brain stimulation (DBS) was developed and tested in 6 patients.  3-electrode EKG measurements, amplified by a commercial bio-amplifier, were used as input for a custom electronics box (e-box). The e-box transformed the DBS waveforms into transistor-transistor logic (TTL) pulses and recorded their timing.  Following locking to each patient’s individual waveform, the e-box was shown to predict stimulation onset with an average absolute error of 112ms, 30 minutes after disconnecting from the patients.   Using this detector, stimulation can be accurately synchronized to fMRI acquisitions.

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Fast 3D Design of High-Permittivity Pads for Dielectric Shimming using Model Order Reduction and Nonlinear Optimization
Jeroen van Gemert1, Wyger Brink2, Andrew Webb2, and Rob Remis1

1Circuits and Systems, Delft University of Technology, Delft, Netherlands, 2Radiology, Leiden University Medical Center, Leiden, Netherlands

High-permittivity pads can be used to improve B1+ homogeneity and intensity in neuroimaging and body applications. Normally, finding the “optimal” pad for a specific region of interest involves evaluating many different pad designs using electromagnetic simulations, which is a very time-consuming approach taking hours to days of computation time. We propose a nonlinear optimization method based on model order reduction that allows us to design high-permittivity pads in less than 30 seconds.

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Improved local sensitivity in magnetic resonance spectroscopy at 3 T using a new flexible and compact metasurface
Rita Schmidt1, Assaf Tal2, and Andrew Webb1

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Chemical Physics, Weizmann Institute of Science, Rehovot, Israel

Magnetic resonance spectroscopy is a powerful technique for in-vivo measurement of metabolites, however its sensitivity is limited due to very low concentration of the metabolites. This is especially valid for studies of neurotransmitters such as glutamate and GABA. In this study, a new hybrid metasurface comprising of conducting strips and agar-gel was designed to improve MR sensitivity at 3T. The metasurface forms a compact and flexible pad which is placed in the vicinity of the region of interest. The measurements focused on MRS acquisitions including PRESS and MEGA-PRESS, showing an improvement in SNR of a factor of 1.75, 2 cm from the pad.  

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A Practical Imaging Scheme for a Rotating RF Coil (RRFC) at 9.4T by Applying Dynamic Sensitivity Averaging
Mingyan Li1, Jin Jin1, Ewald Weber1, Yasvir Tesiram2, Thimo Hugger3, Simon Stark3, Sven Junge3, Feng Liu1, and Stuart Crozier1

1School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia, 2Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 3Bruker BioSpin MRI GmbH, Ettlingen, Germany

Precise image recovery for the rotating coil requires sensitivity estimation and iterative algorithm to remove motion artifact, but inaccurate sensitivity estimation can affect image reconstruction accuracy. Previously we developed a radial sampling scheme for the RRFC which avoids sensitivity mapping procedures by manipulating oversampled central k-space data. However, the overall reconstruction inaccuracy results from relatively sparse sampled outer k-space still remained. As a more robust and preferred imaging scheme in routine MRI scans, the Cartesian trajectory will be employed to develop an imaging scheme for the RRFC to overcome the abovementioned limitations and further reduce motion artifact.

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Efficient Analysis of Dielectric Materials in Coupled RF Coil Configurations
Wyger M. Brink1, Jan Paska2, Jiying Dai1, Jeroen H.F. van Gemert3, Gang Chen2, Graham C. Wiggins2, Rob F. Remis3, Christopher M. Collins2, and Andrew G. Webb1

1Leiden University Medical Center, Leiden, Netherlands, 2NYU School of Medicine, 3Delft University of Technology

Dielectric materials enable additional control of the RF field in a particular RF coil. In this work we present a hybrid domain decomposition method, which allows for an efficient analysis of dielectric materials in the presence of coupled RF coil structures or coil array configurations.

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Real-time Percutaneous Transluminal Angioplasty with Traveling Wave Magnetic Particle Imaging
Patrick Vogel1,2, Stefan Herz1, Philip Dietrich1, Thomas Kampf2,3, Volker C Behr2, and Thorsten A Bley1

1Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany, 2Department of Experimental Physics 5 (Biophysics), University of Würzburg, Würzburg, Germany, 3Department of Diagnostic and Interventional Neuroradiology, University Hospital Würzburg, Würzburg, Germany

A percutaneous transluminal angioplasty (PTA) is a procedure to widen stenotic blood vessels in medical conditions such as coronary heart disease or peripheral artery disease. With the assistance of fluoroscopic guidance and radiopaque contrast agents, guidewires and balloon catheters are used to treat vascular stenoses. Magnetic Particle Imaging (MPI) is a very fast and sensitive tomographic imaging modality with the potential of real-time radiation-free 3D imaging. In this work the feasibility of performing a MPI-guided PTA in artificial stenoses with a traveling wave MPI scanner is demonstrated.

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Prescan consistency of ZTE-based attenuation map generation
Gaspar Delso1, Roie Manavaki2, Florian Wiesinger3, David Goldhaber4, and Floris Jansen4

1GE Healthcare, Cambridge, United Kingdom, 2Department of Radiology, University of Cambridge, United Kingdom, 3GE Global Research, Germany, 4GE Healthcare, United States

We present an evaluation, across multiple clinical sites, of the impact of prescan variability on head attenuation maps based on zero echo time imaging.

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WiFi-enabled RF Coil for Simultaneous MR Image Acquisition and Wireless Communication
Dean Darnell1, Jonathan Cuthbertson1, Yixin Ma1, Naomi Morales-Medina1, Sebastian Luce1, Allen W Song1, and Trong-Kha Truong1

1Brain Imaging and Analysis Center, Duke University, Durham, NC, United States

Implementation of wireless communications in an MRI scanner will reduce the complexity of the scanner by decreasing the number of wired connections and connectors. To enable wireless communication in the scanner, a new RF coil design is proposed which allows RF currents at the Larmor and wireless data frequencies to flow on the same coil element, thus enabling simultaneous MRI image acquisition and wireless data transfer with the same coil. 

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Battery-Powered Integrated Parallel Reception, Excitation, and Shimming (iPRES) Head Coil Array for Plug-and-Play Localized B0 Shimming
Dean Darnell1, Devin Willey1, Sebastian Luce1, Allen W Song1, and Trong-Kha Truong1

1Brain Imaging and Analysis Center, Duke University, Durham, NC, United States

Integrated parallel reception, excitation, and shimming (iPRES) coil arrays enable RF excitation/reception and localized B0 shimming with a single coil array, but so far use an external DC power supply and require a B0 map and a shim optimization for each subject, which takes additional time. Here, we propose a novel iPRES head coil array powered by an on-board MR-compatible battery that delivers fixed DC currents optimized in advance to shim an average subject's brain. This stand-alone, plug-and-play system does not require any subject-specific shim optimization, thus enabling a wider adoption of iPRES in clinical applications.

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An evaluation of RF coil materials for 1H/31P for use in a hybrid MR-PET scanner at 3T
Chang-Hoon Choi1, Lutz Tellmann1, Jörg Felder1, Christoph Lerche1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine-4, Forschungszentrum Juelich, Juelich, Germany, 2Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

In a simultaneous MR-PET experiment, an RF resonator for MRI is placed inside the field-of-view of the PET scanner. Attenuation caused by RF coil components can cause severe artefacts in PET images if not adequately corrected. Although it may be possible to minimise subject-specific attenuation and scatter effects, correcting those due to the RF coil is still a challenging task. In this work, we have designed and constructed a number of RF coils constructed utilising a variety of copper conductors and evaluated their characteristics from the MR and PET points of view.

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Progress in adapting SWIFT to a clinical scanner
Steen Moeller1, Naoharu Kobayashi1, Gregor Adriany1, Djaudat Idiyatullin1, Mike Garwood1, and Edward Auerbach1

1University of Minnesota, Minneapolis, MN, United States

The development of a programmable high-speed triggering to enable progress in implementation of SWIFT on a Siemens scanner. First in-vivo images, at 50khz, using a linear T/R coil.

4434
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Tunable Electropermanent System for Magnetic Resonance Imaging and Magnetic Particle Propulsion
Alek Nacev1, Ryan Hilaman1, Sahar Jafari1,2, Sagar Chowdhury1, Lamar Mair1, Pavel Stepanov1, Dhruv Patel1, and Irving Weinberg1

1Weinberg Medical Physics, Inc., North Bethesda, MD, United States, 2Biomedical Engineering, George Mason University, VA, United States

Directing magnetic nanoparticles to sites within biological tissues requires both strong magnetic field gradients and accurate images of the particles and underlying anatomy. Most modern MR imaging systems require always-on magnetic field sources such as permanent magnets or superconducting coils. These field sources limit the ability to control magnetic particles within the imaging volume. Due to these field sources having a high strength always-on magnetic field, there are additional safety concerns when attempting to integrate these sources into an intraoperative arena. We built a new magnetic field source design that is capable of adjusting its magnetic field strength while retaining a low power usage to improve portability.

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Low-attenuation RF surface coils for linac-MR hybrids: compromise between radiation dose to the skin and SNR
Radim Barta1, Andrei Ghila1, Satyapal Rathee1,2, B Gino Fallone1,2, and Nicola De Zanche1,2

1Oncology, University of Alberta, Edmonton, AB, Canada, 2Medical Physics, Cross Cancer Institute, Edmonton, AB, Canada

Aluminum and copper conductors are compared for constructing radiologically transparent MRI surface coil detectors for use in a hybrid MRI - linear accelerator. Radiation dose to skin can cause serious reactions and skin dose is enhanced when materials are placed in the radiation beam. Therefore increases in skin dose due to surface coils must be minimized by optimized construction. A copper conductor causes a three-fold increase in skin dose compared to a similar thickness aluminum conductor. An aluminium coil (20μm thick) was used to image a phantom, yielding 93% of the SNR achieved with a copper tape coil (32μm thick).

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A MRI Compatible Class-EF Power Amplifier Designed to Drive a Wireless Power Transfer System
Kelly Byron1, Fraser Robb2, Shreyas Vasanawala3, John Pauly1, and Greig Scott1

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2GE Healthcare, Aurora, OH, 3Radiology, Stanford University, Stanford, CA

A compact wireless power transfer (WPT) system being used to power wireless patient coils would require a compact power amplifier that can operate inside the MRI bore.  A Class-EF power amplifier is designed and implemented that uses air-core inductors and is capable of driving the coupled resonant coils used for WPT with similar efficiency to a system that uses a large and expensive power amplifier that is outside the scan room.  This new power amplifier is very compact and is also very cost-effective.

4437
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CANTILEVER SYSTEM TO REDUCE PHASE NOISE CAUSED BY VIBRATIONS IN 11.1T
Malathy Elumalai1, Joshua E Slade1, Huadong Zheng1, and Thomas H Mareci2

1AMRIS facility, University of Florida, Gainesville, FL, United States, 2Department of Bio-chemistry and Molecular Biology, University of Florida, Gainesville, FL, United States

Magnetic Resonance Imaging at higher field strengths has several design challenges that must be addressed for optimal performance and image resolution. We have developed a cantilever system that is suspended in the magnet to eliminate phase noise that are produced due to vibrations generated by gradient coils. The cantilever system has features such as detachable quadrature RF coils, animal cradle system with in-built water & anesthesia and tuning/matching capability outside the bore. The system is not only centered in all three axes but also has tuning capability in the z-direction from outside the bore so we could move the subject in and out to center in the bore.

4438
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Compact NMR Spectrometer for 129Xe Polarization Monitoring with Java Based Signal Processing and User Interface
Adam Maunder1, Graham Norquay1, Madhwesha Rao1, and Jim M Wild1

1Unit of Academic Radiology, University of Sheffield, Sheffield, United Kingdom

Monitoring of the 129Xe polarization by NMR during spin-exchange optical pumping (SEOP) is vital for quality control and for experimental investigations into optimizing system running parameters. In this study, we present a  compact NMR spectrometer designed to improve user flexibility and reduce cost for online polarimetry on a 129Xe SEOP system. A Java-based user interface was developed to control the system with an Arduino based hardware control. The performances of the user interface and hardware in routine 129Xe NMR spectrometer measurements are demonstrated herein.

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RF Coil Performances in Compact Hybrid MR/PET Scanner Design Using an Integrated Shielding
Arne Berneking1, Adam Mehina, and N. Jon Shah

1Institute of Neuroscience and Medicine, Forschungszentrum Juelich GmbH, Juelich, Germany

The goal of this study is to demonstrate hybrid MR/PET scanner design optimization methods from an RF coil perspective with a focus on UHF MRI. Here, coil performances are investigated depending on different shielding distances to present simulation and measurement methods to include RF coil performances into the hybrid MR/PET scanner design. Moreover, integration of PET detector shielding and RF coil shield is investigated. The results of this study clarify that a trade of between a compact design, PET and RF coil performances is necessary and that RF coil performances can be optimized by an integrated shielding with an optimized configuration.

4440
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A compact handheld MR spectrometer system for mobile MR applications
John Zhen1, Robin Dykstra1, and Sergei Obruchkov2

1School of Engineering, Victoria University of Wellington, Wellington, New Zealand, 2School of Chemical and Physical Sciences, Victoria University of Wellington, Wellington, New Zealand

Magnetic Resonance Imaging has established itself as indespensible utility in health sector for over 3 decades, yet remained inflexible in its form factor. By taking advantage of modern advances in miniturisation and improved efficiency of electronic devices along with the developments of single sided magnet probes this abstract presents a handheld, battery powered portable MR spectrometer system which can be used for tissue analysis and sample charectarisation outside of an imaging suite.

4441
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A novel method to maintain PET detector performance in the presence of MR gradient induced heating
Mohammad Mehdi Khalighi1, Tuoyu Cao2, Mark Fries3, Timothy W. Deller2, Floris Jansen2, and Gary Glover4

1Applied Science Lab, GE Healthcare, Menlo Park, CA, United States, 2PET/MR engineering, GE Healthcare, Waukesha, WI, United States, 3Imaging Subsystems, GE Healthcare, Waukesha, WI, United States, 4Radiology Department, Stanford Unviersity, Palo Alto, CA, United States

In a simultaneous ToF-enabled SiPM PET/MR scanner, eddy currents induced by the changing gradient field lead to increased temperature around the PET detectors; this can change the detector gain and shift the position of the photopeak in the spectrum, reducing accuracy of the reconstructed image. Conventionally, peak stability is achieved by thermal monitoring system and adjusting the gain based on the temperature.  A more accurate gain control algorithm is presented, which analyzes the spectrum of single events detected on each device. Reconstructed activity of a PET phantom in extreme MR gradient switching is measured to remain stable, better than 0.5%.

4442
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Virtual Reality to read MR Angiography
Xiaoqi Wang1, Hong Bai2, and Yadong Cui3

1Clinical Science, Philips Healthcare, Beijing, People's Republic of China, 2Digital Rubic, 3Department of Radiology, Beijing Hospital

A first attempt in utilizing the state of art visualizing technology - Virtual Reality to read MR angiography images. 

4443
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Ultrasound-based Cardiac Gating for MRI
Frank Preiswerk1, Cheng-Chieh Cheng1, Pei-Hsin Wu1, Lawrence P. Panych1, and Bruno Madore1

1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States

Clinical cardiac MRI typically requires the use of electrocardiogram (ECG) leads to detect R-waves and synchronize the MRI acquisition accordingly. The magnetohydrodynamic effect can corrupt the ECG signal, sometimes making R-wave detection difficult, especially at higher field strengths. We are proposing here a practical and low cost ultrasound-based solution for detecting cardiac activity in a manner immune to the presence and strength of the B0 field. Equivalence was shown in cases where ECG gating worked well. In the future, the approach should prove most helpful as an alternative to ECG when the latter proves impractical, especially at higher field strengths.

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RF-sensing for Trigger-based Synchronization of Auxiliary Devices, and Pulse-sequence Debugging
Frank Preiswerk1, Jiarui Cai2, Cheng-Chieh Cheng1, W. Scott Hoge1, Pei-Hsin Wu1, Lawrence P. Panych1, and Bruno Madore1

1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 2Beijing University of Posts and Telecommunications, Beijing, People's Republic of China

Voltage or laser-light triggers are often used to synchronize auxiliary devices to the MR acquisition process. A very simple RF antenna and associated circuit is proposed here instead. The device is used here to trigger ultrasound probe firings, as part of a hybrid ultrasound-MRI system, but could be used for other purposes as well. Compared to scanner-generated triggers, advantages include: 1) vendor- and software release-independent, 2) available in the scan room, 3) no change to product sequences needed, and 4) the little device proved handy for pulse sequence debugging as well.

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A Novel Cryogenic Radio-Frequency Probe for High Spatial Resolution Fluorine-19 MRI of Brain Inflammation
Andreas Pohlmann1, Jason M Millward1, Paula Ramos Delgado1, Daniel Marek2, Didier Wecker3, Ralph Wissmann3, Helmar Waiczies4, Thoralf Niendorf1,5, and Sonia Wacizies1

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrueck Center for Molecular Medicine, Berlin, Germany, 2Bruker BioSpin AG, Fällanden, Switzerland, 3Bruker BioSpin MRI GmbH, Ettlingen, Germany, 4MRI TOOLs GmbH, Berlin, Germany, 5Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrueck Center, Berlin, Germany

MRI using i.v. administered fluorine-19 loaded nanoparticles (NPs) allows the tracking of inflammatory cell migration. The inherently low SNR limits the precise localization of 19F-labeled inflammatory cells, because large voxel sizes are needed to collect sufficient signal. To overcome this, we show here the first use of a novel 19F cryogenic quadrature RF surface probe at ultrahigh field to substantially boost SNR beyond that of state-of-the-art room temperature RF coils, while facilitating the acquisition of better spatially-resolved images within shorter scan times.


Electronic Poster

Studying Value of MRI

Exhibition Hall Tuesday 17:15 - 18:15

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A clinically-validated, fast and semi-automated MR workflow for Liver Evaluation
Qingsong Yang1, Yukun Chen1, Caixia Fu2, Bernd Kuehn3, Berthold Kiefer3, Zhen Wang1, Xu Yan4, Chao Ma1, Dehe Weng2, Luguang Chen1, and Jianping Lu1

1Department of Radiology, Changhai Hospital of Shanghai, the Second Military Medical University, Shanghai, People's Republic of China, 2Application development, Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, People's Republic of China, 3MR Applications Predevelopment, Siemens Healthcare, Erlangen, Germany, 4MR Collaboration NE Asia, Siemens Healthcare, Shanghai, People's Republic of China

A fast and semi-automated MRI workflow for liver examinations with approximately 12mins of total examination time was proposed and evaluated with liver patients using CT or histo-pathology as reference. 28 patients suspected of liver disease were enrolled in this study. The results show a good concordance between findings on MRI and the chosen reference standard. This indicates that the proposed fast MRI workflow has the capability to be used for diagnostic purposes in clinical routine while being highly time efficient at the same time.


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Increasing value of MRI in evaluation of gynecologic malignancies by decreasing scan time and reducing artifacts through the replacement of fast spin echo (FSE) with variable refocusing flip angle single-shot FSE (vrfSSFSE)
Paul Benjamin Stoddard1, Valentina Taviani2, Daniel V. Litwiller2, Michael C. Muelly1, Shreyas S. Vasanawala1, and Andreas M. Loening1

1Radiology, Stanford University, Stanford, CA, United States, 2Global MR Applications and Workflow, GE Healthcare

Variable refocusing flip angle single-shot fast spin echo (vrfSSFSE) with outer volume suppression (OVS) improves upon standard single-shot fast spin echo (SSFSE or HASTE): 1) decreasing average flip angles thereby reducing specific absorption rate (SAR) limited acquisition times, 2) reducing blurring from T2 decay, 3) allowing full-Fourier acquisitions. Although improving upon conventional SSFSE, it remains unknown if vrfSSFSE with OVS can approach the image quality and diagnostic capability of fast spin echo (FSE). We found vrfSSFSE comparable to FSE in signal-to-noise and contrast and superior to FSE in coherent artifact reduction, depending on the plane of imaging.

4448
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Robust high‑throughput Cardiac MR featuring Compressed Sensing
Michaela SCHMIDT1, Peter WEALE2, Kavin JAYAWARDHANA3, Christoph FORMAN1, Sue J THOMAS3, Carmel HAYES1, and Russell Bull3

1Siemens Healthcare, Erlangen, Germany, 2Siemens Healthcare Ltd, Frimley, Surrey, United Kingdom, 3Department of Radiology, Royal Bournemouth Hospital, Bournemouth, United Kingdom

A standard CMR protocol for the evaluation of cardiac function and myocardial damage in patients with ischemic or non-ischemic heart-disease was compared to a new approach which drastically reduces the scan time. This was achieved by introducing a highly accelerated compressed sensing cine sequence which facilitated significant work-flow optimization. Image quality scores of both methods were equivalent and quantitative results showed good agreement. The mean examination time was reduced from 26:29 ± 5:45 min to 16:15 ± 2:47 min, which corresponds to a 38 % reduction in examination time.

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Gradient Echo vs. Spin Echo MRI to Determine Liver Iron Concentration
Arthur Peter Wunderlich1,2, Holger Cario3, Mario Teigeler1, Meinrad Beer1, and Stefan Andreas Schmidt1

1Diagnostic and Interventional Radiology, Ulm University, Medical Center, Ulm, Germany, 2Section for Experimental Radiology, Ulm University, Medical Center, Ulm, Germany, 3Department of Pediatrics and Adolescent Medicine, Ulm University, Medical Center, Ulm, Germany

To evaluate an alternative to an established method for liver iron content (LIC) determination based on spin-echo (SE) MRI, we analyzed 195 MRI scans, including both SE and gradient echo (GRE) protocols, of regularly transfused patients suspected for liver iron overload. A relationship was derived between reference LIC obtained by Ferriscan® and GRE data. From this, LIC was determined using GRE acquisitions and these values correlated to reference LIC. Considering the LIC threshold of 80 µmol/g (4.5 mg/g) relevant for therapy, diagnostic accuracy of the GRE approach was quite good, with sensitivity and specificity of 99/98 % compared to Ferriscan®.

4450
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Development of an artificial intelligence algorithm to automatically assign MR abdomen/pelvis protocols from free-text clinical indications.
Jae Ho Sohn1, Joseph Mesterhazy1, Fouad Al Adel1, Thienkhai Vu1, Alex Rybkin1, and Michael A Ohliger1

1Radiology & Biomedical Imaging, UCSF Medical Center, San Francisco, CA, United States

Timely and accurate MR protocoling is important to ensure best efficiency and diagnostic value in radiology departments. We propose and validate an artificial intelligence based natural language classifier that can assign MR abdomen/pelvis protocols based on free-text clinical indications. We achieve an overall classification accuracy rate of 93% on a test set consisting of 83 free-text clinical indications.

4451
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Mapping cell shape and cell density by diffusion variance decomposition (DIVIDE): Towards rapid non-invasive diagnostic and prognostic assessment of tumors
Danielle van Westen1, Filip Szczepankiewicz2, Karin Bryskhe3, Pia Sundgren1,4, and Markus Nilsson1

1Diagnostic Radiology, Lund University, Lund, Sweden, 2Medical Radiation Physics, Lund University, Lund, Sweden, 3CR Development, Lund, Sweden, 4Center for Imaging and function, Skane University hospital, Sweden

In this work we present a novel approach based on tensor-valued diffusion encoding to quantify tumor tissue characteristics such as cell shape and cell density variation — features considered in histopathology. This approach constitutes a promising framework for non-invasive diagnostic and prognostic assessment of tumors that may improve patient care by non-invasively capturing histopathological information on cell shape and cell density heterogenity.

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Limited MRI protocol for ischemic stroke
CC Tchoyoson Lim1,2, Wai Yung Yu1,2, Francis Hui1,2, Wing Lok Au2,3, and Yih Yian Sitoh1,2

1National Neuroscience Institute, Singapore, Singapore, 2Duke-NUS School of Medicine, Singapore, 3Neurology, National Neuroscience Institute, Singapore, Singapore

We describe adapting a Limited Stroke Protocol of unenhanced MRI pulse sequences (including diffusion-weighted images to diagnose recent cerebral infarction and TOF MR angiography  to detect large intracranial vessel stenosis/occlusion), for hospital inpatients and the Emergency Room patients with suspected recent ischemic stroke. Although this abbreviated, targeted limited MRI protocol may be challenging in subtle diagnosis, it improves patient access, enables image-guided decision-making, and results in rapid throughput.

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Diagnostic value of using SSFP and UTE subtraction MRI for the management of critical limb ischemia patients
Trisha L. Roy1,2, Howard Chen1, Andrew D. Dueck1, and Graham A. Wright1,3

1Schulich Heart Program, Sunnybrook Research Institute, Toronto, ON, Canada, 2Division of Vascular Surgery, University of Toronto, Toronto, ON, Canada, 3Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada

There are two treatment options for revascularizing patients with critical limb ischemia: bypass surgery and percutaneous vascular intervention (PVI). PVI is less invasive but has high immediate technical failure rates (20%) and high re-intervention rates (20%). The most common mode of immediate failure is the inability to enter/cross the lesion. With current imaging (X-ray angiography, CTA, Duplex ultrasound) it is difficult to predict which lesions will be soft enough to cross with a wire to make PVI possible. Physicians have responded with a “percutaneous-first” strategy where they attempt PVI in all patients and perform surgery if PVI fails. This requires more procedures per index limb at significant cost to healthcare systems and delays definitive revascularization. Additionally, there is evidence that surgical bypass after failed PVI results in worse outcomes, including higher amputation rates within 1 year.

These issues highlight the critical need for improved diagnostic accuracy to inform patient selection.   We have developed and validated MR methods to distinguish hard PAD lesions (densely calcified or collagenous) that would be at high risk of PVI failure from soft lesions that would be amenable to PVI. The impact of this work will help to reduce PVI failure rates, reduce time to definitive revascularization and reduce costs for additional procedures and investigations.


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Can replacement sagittal diffusion images increase MR value of spinal imaging in patients with suspected malignant disease?
Saurabh Singh1, Timothy James Pengilley Bray1, Alan Bainbridge1, Magdalena Sokolska1, Shonit Punwani1, and Margaret A Hall-Craggs1

1Centre of Medical Imaging, University College London, London, United Kingdom

To increase the MR value of spinal imaging in patients with suspected or known malignant disease, we propose the use of sagittal diffusion weighted imaging as replacement for traditional image types such as STIR and T2W TSE. The impact of this protocol is threefold. Scan times are reduced from potentially 50 minutes to 15 minutes for the whole spine; making scans more tolerable for patients with back pain, reducing cost and increasing scanner capacity. Reader confidence is increased in detecting malignant infiltration especially when diffuse. Finally, read times are reduced as there are fewer images to review.

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MR arthrography of the hip using 3D isotropic SPGR reconstructed with ESPIRiT compressed sensing reconstruction and two-point Dixon fat-water separation
Kathryn Jane Stevens1, Tao Zhang2, Marcus T Alley3, and Shreyas S Vasanawala 4

1Department of Radiology, Stanford University School of Medicine, Stanford, CA, United States, 2GE Healthcare, 3Department of Radiology, Stanford University School of Medicine, CA, United States, 4Stanford University School of Medicine, CA, United States

A single volumetric SPGR sequence reconstructed with ESPIRiT compressed sensing reconstruction and two-point Dixon fat-water separation was added to routine hip MR arthrogram and compared to the conventional 3-plane 2D-FSE fat-saturated T1-weighted sequences in identification of hip pathology in 25 patients. SPGR compared favorably well with T1 FS, but failed to identify 3 subtle labral tears, 1 chondral delamination and 3 low-grade ligamentum teres tears, possibly due to increased blurring associated with SPGR, decreasing overall image quality of SPGR. The relative time saving of SPGR and ability to subsequently reformat data makes this a viable technique for hip MR arthrograms. 

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USPIOs for metastatic lymph node detection in prostate cancer: back on the block
Tom W Scheenen1, Ansje Fortuin1, Janine van der Linden2, Ilia Panfilov1, Bas Israel1, Roger Brüggeman2, and Jelle Barentsz1

1Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands, 2Pharmacology, Radboud university medical center, Nijmegen, Netherlands

The presence of nodal metastases in patients with prostate cancer is a key factor determining prognosis and treatment. With the reintroduction of ferumoxtran-10-enhanced MRI in local clinical practice, small metastases in lymph nodes down to 2 mm in size can be detected non-invasively, avoiding diagnostic surgical lymph node dissections and guiding personalized treatment of patients with prostate cancer at intermediate and high risk for metastatic spread.

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Whole-body MRI for initial assessment of plasma cell disorders including multiple myeloma
Arash Latifoltojar1, Margaret Hall-Craggs1, Alan Bainbridge2, Neil Rabin2, Ali Rismani2, Rakesh Popat1, Kwee Yong3, and Shonit Punwani4

1University College London, London, United Kingdom, 2University College London Hospital, United Kingdom, 3University College London, 4University College London, United Kingdom

Whole body MRI (WB-MRI) is increasingly being used to assess plasma cell disorders (PCDs). The adoption of WB-MRI provides a niche to further incorporate novel imaging technique into assessment of PCDs, streamlining decision making progress in a cost-effective way.

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Quality Assessment in the Multicenter MR Imaging Study of the German National Cohort (NAKO)
Jochen G. Hirsch1, Alexander Köhn2, Daniel C. Hoinkiss1, Jonas Singe2, Eyyub Ebu-Bekir Öztürk1, Matthias Günther1, and the NAKO MRI Study Investigators3

1MR Physics and Imaging, Fraunhofer MEVIS, Bremen, Germany, 2Software Development, Fraunhofer MEVIS, Bremen, Germany, 3Central Executive Office of the German National Cohorte, Heidelberg, Germany

A fully automated workflow for image-based quality assessment (QA) was set up in a large, multi-center cohort whole-body MR imaging study, part of the National Cohort Study Germany NAKO. Study design, data management, workflow, and objectives have been described previously. Standardized quality assessment including technical aspects like program and protocol parameter truth, as well as image-based estimates of various quality indices demonstrate a high degree of stability and homogeneity of image quality across the 5 contributing MR centers. Furthermore, QA ensures short-term intervention procedures with respect to quality control, and offer valuable quantitative information for subsequent scientific data evaluation.


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MRI evaluation of suspected appendicitis in pediatric patients
Christina L Sammet1,2, Cindy Rigsby1,2, Barb Karl1, Laura Gruber1, and Jie Deng1,2

1Medical Imaging, Lurie Children's Hospital of Chicago, Chicago, IL, United States, 2Radiology, Northwestern University, Chicago, IL, United States

Appendicitis is prevalent in pediatric populations and currently CT imaging is used to triage children to emergency surgery. As of early 2015 we have been able to replace this CT scan with a limited abdomen/pelvis study using MRI. This limited MRI appendicitis protocol is rapid, cost-neutral (equal in cost to our previous CT study for appendicitis), and confers less potential risk to the child by eliminating radiation exposure. Using state-of-the-art rapid MRI imaging techniques, we have been successful in imaging suspected appendicitis in children as young as five years old.

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Using Hippocampus Volume to Predict Treatment Outcome in Major Depressive Disorder
Xiaoxiao Hu1, Lianqing Zhang1, Ming Zhou1, Lu Lu1, Xinyu Hu1, Qiyong Gong1, and Xiaoqi Huang1

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

The current study aimed to use structural data of hippocampus volume obtained from magnetic resonance imaging to predict treatment outcome in major depressive disorder. Our findings demonstrated that there was a relationship between left hippocampus volume and medication efficiency in major depressive disorder group. Meanwhile, our results threw light on the predictive value as a marker of treatment responsiveness in major depressive disorder.

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Voxel-wise meta-analysis of resting-state functional activity in type 2 diabetes
Taiyuan Liu1, Jia Liu2, Wenhui Wang1, Lun Ma1, Xiaoyue Ma1, Shaojie Shi1, Qiyong Gong3, and Meiyun Wang1

1Henan Provincial People’s Hospital, Zhengzhou, People's Republic of China, 2Huazhong University of Science and Technology, Wuhan, People's Republic of China, 3Department of Radiology, West China Hospital of Sichuan University, Zhengzhou, People's Republic of China

Previous studies about resting-state functional activity reported that altered brain activity was demonstrated with type 2 diabetes and their findings were inconsistent ,which have not been quantitatively reviewed. Therefore, we conducted a quantitative meta-analysis including resting-state functional activity studies of patients with type 2 diabetes. Meta-analysis of pooled and subgroup meta-analyses found that type 2 diabetes patients showed abnormal brain activity mainly in default mode network(DMN) and visual-related regions. Our finding supports that type 2 diabetes could lead to diabetic brain activity alterations, which may correlate with cognitive impairment of type 2 diabetes patients.


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Simultaneous Perfusion Imaging with Consecutive Echoes (SPICE)
Michael Schmainda1

1Imaging Biometrics, LLC, Elm Grove, WI, United States

SPICE (simultaneous perfusion imaging with consecutive echoes) is a method that permits simultaneous estimation of DSC- and DCE-MRI parameters, in one acquisition, using a single dose of contrast agent. Conventional algorithms are used to obtain the perfusion and permeability parameters corrected for confounding recirculation and leakage effects. The proposed method does not require administration of a loading dose of contrast agent (traditionally employed for DSC), and pre-contrast spin density and native T1 calibration scans (traditionally required for DCE) have been eliminated.

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Open Source Imaging Initiative (OSI²) – Update and Roadmap
Felix Arndt1, Sebastian Aussenhofer2, Eva Behrens3, Christian Blücher3, Peter Blümler4, Janko Brand5, Kate Michi Ettinger6, Ariane Fillmer7, William Grissom8, Bernhard Gruber9,10, Bastien Guerin11,12, Sergej Haas13, Haopeng Han3, Michael Hansen14, Christopher Jordan Hasselwander8, Russ Hodge3, Werner Hoffmann7, Bernd Ittermann7, Marcin Jakubowski15, Andre Kühne16, Stefan Klein17, Stefan Kroboth18, Mark Ladd19,20, Kelvin Layton21, Brian Leiva, Sebastian Littin18, Blanca López-Aranguren Blázquez, Kasper Marstal17, Ralf Mekle22, Manuel Moritz23, Raphael Moritz3, Thoralf Niendorf3,16,24, Ruben Pellicer25, Mihir Pendse26, Athanasios Polimeridis27, Tobias Redlich23, Henning Reiman3, Reiner Seemann7, Frank Seifert7, Ludger Starke3, Jason Stockmann28, Tony Stoecker29, Kazuyuki Takeda30, Lukas Thiele, Martin Uecker31, Florian von Knobelsdorff-Brenkenhoff32, Robert Wahlstedt33, Andrew Webb34, Simone Winkler35, Lukas Winter3, Huijun Yu18, and Maxim Zaitsev18

1Facility for Antiproton and Ion Research in Europe GmbH, Darmstadt, Germany, 2Noras MRI products GmbH, Höchberg, Germany, 3Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 4Institute of Physics, University of Mainz, Mainz, Germany, 5One World Doctors, Berlin, Germany, 6Mural Institute, San Francisco, CA, United States, 7Physikalisch Technische Bundesanstalt (PTB), Berlin, Germany, 8Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 9Institute of Biomedical Mechatronics, Johannes Kepler University, Linz, Austria, 10Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 11Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 12Harvard Medical School, Boston, MA, United States, 13Haasdesign, Erkrath, Germany, 14National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 15Open Source Ecology, MO, United States, 16MRI.TOOLS GmbH, Berlin, Germany, 17Biomedical Imaging Group Rotterdam, Depts. of Medical Informatics & Radiology, Erasmus MC, Rotterdam, Netherlands, 18Department of Radiology – Medical Physics, Medical Center - University of Freiburg, Freiburg, Germany, 19Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 20Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany, 21Institute for Telecommunications Research, University of South Australia, Mawson Lakes, Australia, 22Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin, Berlin, Germany, 23Institute for Production Engineering, Helmut Schmidt University, Hamburg, Germany, 24Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine, Berlin, Germany, 25Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 26Stanford University, Stanford, CA, United States, 27Skolkovo Institute of Science and Technology, Moscow Region, Russian Federation, 28A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 29German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany, 30Division of Chemistry, Graduate School of Science, Kyoto University, Kyoto, Japan, 31Institute for Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany, 32Cardiology at Agatharied Hospital, University of Munich, Hausham, Germany, 33Regenerative Science Institute Spokane, Washington, WA, United States, 34C.J. Gorter Center for High Field MRI, Dept of Radiology, Leiden University Medical Center, Leiden, Netherlands, 35Lucas Center for Imaging, Dept of Radiology, Stanford University, Stanford, CA, United States

*authors are listed in alphabetical order

The aim of the open source imaging initiative (OSI²) is to collaboratively share research in MR technology and building a quality, affordable open source MR scanner. Combining innovation and open source (OS) approaches will generate global value by reproducible science and development and will allow a major reduction of investments and operational costs with the guiding principle: From the community, for the community. OSI² (www.opensourceimaging.org) was presented for the first time at the ISMRM 2016. Here we present an update and a roadmap towards the fulfillment of our vision.


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Clinical Impact of Reduced Spectral Acquisitions in Calibrated 3D Multi-Spectral Imaging Near Metal Implants
Rajeev R Mannem1, Sujan Fernando1, Sean Lehner1, Suryanarayanan Kaushik2, and Kevin Koch1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 2Applications and Workflow, GE Healthcare

We present the clinical evaluation results of a novel approach for acquisition time reduction in 3D multispectral imaging near implants.  Two musculoskeletal radiologists compared standard MAVRIC SL sequences to spectrally calibrated MAVRIC SL sequences for exams of instrumented hips, knees, and shoulders.   Initial results demonstrated maintenance of diagnostic information in the hips when the calibration is utilized.  Rotator cuff evaluation was still limited in the shoulder using the calibrated technique but evaluation of the other structures was nearly equivalent.  Calibrated imaging of the knee showed reductions of SNR, which will inform future adjustment of targeted calibrated protocols in this joint.      


Electronic Poster

Preclinical Imaging in Cancer

Exhibition Hall Tuesday 17:15 - 18:15

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Histology-Derived pseudo-ADC correlates with measured ADC and extranuclear space in a transgenic model of prostate cancer, identifying contribution of luminal space to measured ADC.
Matthew David Blackledge1,2, Konstantinos Zormpas-Petridis1, Andreas Heindl3, Siver A. Moestue4, Yinyin Yuan3, Dow Mu Koh1,2, David J Collins1,2, Yann Jamin1, Tone F. Bathen4, Martin O Leach1,2, and Deborah K. Hill4

1Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom, 2MRI Unit, The Royal Marsden NHS Foundation Trust, Sutton, United Kingdom, 3Division of Molecular Pathology & Centre for Evolution and Cancer, The Institute of Cancer Research, London, United Kingdom, 4Institute of Circulation and Medical Imaging, NTNU - Norwegian University of Science and Technology, Trondheim, Norway

In this preclinical study we investigate the utility of in-silico simulations of the pseudo-apparent diffusion coefficient (pADC) of water within extra-nuclear regions segmented on large field-of-view haematoxylin, eosin, and saffron (HES) slides from a transgenic mouse model of prostate cancer.   We demonstrate that pADC is correlated within in-vivo measurements of the apparent diffusion coefficient (ADC) measured by diffusion-weighted magnetic resonance imaging and may thus be used as a surrogate for exploring the effect of tissue structure on measured ADC values.  Furthermore, we demonstrate that ADC is correlated with fractional space occupied by lumen, derived from semi-automatic segmentation of HES slides. 

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Tumor vasculature differs between cell and fragment derived murine orthotopic models of hepatocellular carcinoma
Sibu P Kuruvilla1, Colleen A Crouch2, and Joan M Greve2

1Materials Science and Engineering, University of Michigan at Ann Arbor, Ann Arbor, MI, United States, 2Biomedical Engineering, University of Michigan at Ann Arbor, Ann Arbor, MI, United States

We report the use of semi-quantitative dynamic contrast enhanced (DCE)-MRI to identify differences in the growth and vascular environment seen within two murine hepatocellular carcinoma (HCC) models - cellular orthotopic injection (COI) (representing a traditional tumor model) or surgical orthotopic implantation (SOI) of tumor fragments (representing a patient-derived orthotopic xenograft model, or PDOX). Uptake curves of gadolinium contrast agent indicate differences in vasculature between the two models, highlighting important considerations to be made when trying to use PDOX methods to model HCC in the clinic.

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Intrinsic susceptibility MRI predicts response to the vascular endothelial growth factor receptor inhibitor cediranib in the Th-MYCN model of neuroblastoma
Yann Jamin1, Evon Poon2, Neil P. Jerome1, Alexander Koers2, Laura S. Danielson2, Dow-Mu Koh1, Louis Chesler2, and Simon P. Robinson1

1Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, London, United Kingdom, 2Division of Cancer Therapeutics and Division of Clinical Studies, The Institute of Cancer Research, London, London, United Kingdom

In this study we demonstrate that the transverse relaxation rate R2* predicts response to the vascular endothelial growth factor receptor (VEGFR) inhibitor cediranib in the Th-MYCN  genetically-engineered murine model of neuroblastoma, a childhood cancer of the developing nervous system. 

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Papillary thyroid carcinoma with hobnail pattern: unique MRI features and correlated with the histopathologic findings
Lanyun Wang1

1Shanghai Minhang District Central Hospital, shanghai, People's Republic of China

Hobnail papillary thyroid carcinoma (HPTC) is a moderately differentiated PTC variant with aggressive clinical behavior and significant mortality.The purpose of this study was to recognize the unique MRI features of HPTC .61 patients with PTC confirmed histopathologically[19 lesions of HPTC and 42 NHPTC (PTC without hobnail features)lesions] undergoing MRI with T1W, T2W,DWI and contrast material–enhanced sequences prior to thyroidectomy were included retrospectively. there was a significant tendency toward T2WI significantly high signal 、T2WI linear low signal 、Lace levy 、Gyrus-like structure 、higher ADC values 、irregular shape present in HPTCs. HPTC lesions have unique MRI features.  

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Cell Nuclear Size and Shape are Associated with ADC, Cellularity, and Histological Class in a Transgenic Mouse Model of Prostate Cancer
Leslie R. Euceda1, Matthew D. Blackledge2, Andreas Heindl2, Yinyin Yuan2, Dow-Mu Koh2,3, David Collins2,3, Siver A. Moestue 1, Martin O. Leach2,3, Tone F. Bathen1, and Deborah K. Hill1

1Institute of Circulation and Medical Imaging, NTNU - Norwegian University of Science and Technology, Trondheim, Norway, 2Institute of Cancer Research, London, United Kingdom, 3MRI Unit, Royal Marsden Hospital, London, United Kingdom

The relationship between tissue microstructure and ADC is poorly understood in cancer. We identified quantitative nuclear characteristics from haematoxylin, eosin, and saffron stained prostatic histology samples. ADC maps were calculated for transgenic prostate cancer mice and healthy controls. Matched histology images of excised prostates were used to determine cellularity and histological class. ADC and cellularity correlated with a set of nuclear features (describing texture, lightness, radius, and shape), which exhibited mirrored trends, implying an inverse relationship between ADC and cellularity. The same nuclear features correlated with histological class. This will be useful for underpinning relationships between ADC and tissue microstructure.

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A Genetically Engineered Mouse Model Recapitulates Radiological Features of Human Adamantinomatous Craniopharyngioma
Jessica KR Boult1, Ciaran Hutchinson2, John R Apps3, Gabriela Carreno3, Laura S Danielson4, Laura M Smith4, Alex K Virasami2, Alexander Koers4, Louis Chesler4, Owen J Arthurs2, Juan Pedro Martinez-Barbera3, and Simon P Robinson1

1Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom, 2Histopathology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom, 3Birth Defects Research Centre, Institute of Child Health, University College London, London, United Kingdom, 4Division of Clinical Sciences, The Institute of Cancer Research, London, United Kingdom

Tumours in Hesx1Cre/+;Ctnnb1lox(ex3)/+ mice resemble human adamantinomatous craniopharyngioma (ACP) molecularly and histologically. MRI and ex vivo micro-CT were used to assess the radiology of this model for the first time. Early enlargement and heterogeneity of Hesx1Cre/+;Ctnnb1lox(ex3)/+ pituitaries was evident; enlargement of a solid tumour, and development of cysts and haemorrhage subsequently occurred. Solid components showed heterogeneous T1-weighted signal enhancement following Gd-DTPA administration, and in some animals cysts were hyperintense on FLAIR and T1-weighted images, both emulating clinical observations. Cyst calcification was not observed by micro-CT but we show that Hesx1Cre/+;Ctnnb1lox(ex3)/+ tumours faithfully recapitulate the MRI radiology of the human disease.

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Probing tumor metabolism using dynamic lactate chemical exchange saturation transfer MRI
Puneet Bagga1, Mohammad Haris2, Pranav Jain1, Alekya Bheemreddy1, Francesco Marincola2, Hari Hariharan1, and Ravinder Reddy1

1Department of Rediology, University of Pennsylvania, Philadelphia, PA, United States, 2Research Branch, Sidra Medical and Research Center, Doha, Qatar

Lactate CEST (LATEST) MRI method has been shown to be applicable in detecting and imaging changes in the lactate level in human subjects post heavy exercise and to measure the lactate in a mouse model of lymphoma. In this study, LATEST was implemented to probe the lactate dehydrogenase (LDH) activity in vivo in a rat glioma model. Following the administration of pyruvate, the LATEST contrast is elevated in the tumor region while it is unaltered in the unaffected region.

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Molecular effects of various chemotherapeutic agents on choline phospholipid metabolism of triple-negative breast cancer cells
Menglin Cheng 1, Zaver M. Bhujwalla1, and Kristine Glunde1

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

The MRS-detected total choline (tCho) signal is a promising non-invasive surrogate marker of chemotherapy response in breast cancer patients. The molecular mechanisms by which common chemotherapeutic drugs affect the tCho signal, consisting of glycerophosphocholine (GPC), phosphocholine (PC), and free choline (Cho), are unknown. We have employed widely used cancer chemotherapeutic drugs including doxorubicin, paclitaxel, and vinorelbine to treat triple-negative human MDA-MB-231 breast cancer cells to elucidate their molecular effects on choline phospholipid metabolism using high-resolution 1H MRS to detect changes in cellular choline metabolite profiles, and quantitative RT-PCR to assess the corresponding changes in the expression levels of choline-metabolizing enzymes.

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The Metabolic Secretome of Cachexia Inducing Pancreatic Ductal Adenocarcinoma
Santosh K Bharti1, Paul T Winnard Jr.1, Louis Dore-Savard2, Yelena Mironchik1, Marie-France Penet1,3, and Zaver M Bhujwalla1,3

1JHU ICMIC Program, Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Experimental Therapeutics and Metabolism Program, McGill University Health Center, Montreal, QC, Canada, 3Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

Tumor interstitial fluid (TIF) contains the secretome of cancers that can impact most phenotypic aspects of cancer.  One characteristic phenotype of pancreatic ductal carcinoma (PDAC) is its ability to induce profound weight loss or cachexia through a multifactorial syndrome that affects multiple organs.  To understand the interaction between cancer cells and body organs, here, for the first time, we have characterized the metabolomic profile of TIF from cachexia and non-cachexia inducing pancreatic cancer xenografts and identified clear differences in the metabolic secretome between cachexia inducing and the non-cachexia inducing tumors.  

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Metabolic reprogramming in a relevant IDH1-mutated human glioma xenograft model
Tom Peeters1, Krissie Lenting2, Jack van Asten1, William Leenders2, and Arend Heerschap1

1Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands, 2Pathology, Radboud university medical center, Nijmegen, Netherlands

Understanding metabolic aberrations in IDH-mutated gliomas requires xenograft models growing in a relevant tissue microenvironment and resembling its human genetic counterparts. We performed in vivo 1H MRSI of human-derived oligodendroglioma xenograft models to map lactate and total choline concentrations. Lactate levels were significantly lower and total choline higher in mutated tumor tissue compared to non-tumor brain in the same animal, or to its wild-type counterpart model. This outcome was correlated with expression levels of enzymes and transporters in both lactate- and phospholipid-related metabolic pathways. The findings point to a metabolic reprogramming of aerobic glycolysis and lipid synthesis by the IDH1 mutation.

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Intratumoral vessel evaluation using magnetic resonance micro-angiography with a vascular pool Gd-DOTA-dendron liposomal contrast agent
Nobuhiro Nitta1,2, Daisuke Kokuryo3, Sayaka Shibata1, Kenji Kono4, Akihiro Tomita5, Jeff Kershaw1, Ichio Aoki1, and Masafumi Harada2

1Department of Molecular Imaging and Theranostics, National Institute of Radiological Sciences, National Institutes for Quantum and Radiological, Chiba, Japan, 2Radiology and Radiation Oncology, Graduate School of Medicine, Tokushima University, Tokushima, Japan, 3Graduate School of System informatics, Kobe University, Hyogo, Japan, 4Graduate School of Engineering, Osaka Prefecture University, Osaka, Japan, 5Graduate School of Medicine, Nagoya University, Aichi, Japan

Evaluation of the intratumor environment, such as cell distribution and vessel structure, are important for understanding the characteristics of tumors. In particular, the vessel structure and its permeability is critical for the malignant potential of the tumor and drug-targeting. The purpose of this work was to non-invasively visualize intratumoral vessels using MR micro-angiography (MRmA) and a liposomal contrast agent having long blood half-life. In addition, we tried to identify differences in the vascular structures for Colon26 and SU-DHL6 cells. The proposed method visualized the intratumoral vessels clearly and revealed differences in the structure depending on the cell type.

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MR image analysis to identify habitats through comparison with histology and immunohistochemistry in breast cancer
Bruna V. Jardim-Perassi1,2, William Dominguez-Viqueira2, Mikalai Budzevich2, Epifanio Ruiz2, Suning Huang2, Jan Poleszczuk3, Alex S Lopez4, Debora APC Zuccari1, Gary Martinez2, and Robert Gillies2

1Molecular Biology, Faculdade de Medicina de Sao Jose do Rio Preto, Sao Jose do Rio Preto, Brazil, 2Cancer Imaging and Metabolism, Moffitt Cancer Center, Tampa, FL, United States, 3Nalecz Institute of Biocybernetics and Biomedical Engineering, Poland, 4Oncologic Sciences, Moffitt Cancer Center, Tampa, FL, United States

Breast cancer shows significant heterogeneity at both inter- and intratumoral levels. In this study, a distribution clustering of multiple MRI pulse sequences was used in combination with a 3D printed approach, and showed a qualitatively comparable pattern of intratumoral heterogeneity (habitats) in MRI and histological images. This approach could potentially be used as a non-invasive imaging method for the monitoring of the intratumoral heterogeneity following the therapy in breast cancer.


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Electric field and current density mapping during reversible Electroporation
Munish Chauhan1, Neeta Ashok Kumar1, Vikram D Kodibagkar1, and Rosalind J Sadleir1

1School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States

Electroporation is popular in cancer therapy and gene or drug delivery. Magnetic Resonance Electrical Impedance Tomography (MREIT) was used to monitor the applied electric field and current density during electroporation. Electroporation fields were applied by novel low-susceptibility carbon fiber electrodes in a bovine liver tissue sample. Projected current density (JP) and Electric field (E) were computed from MR data collected under electroporation fields. Susceptibility artifacts around the pair of carbon fiber electrodes were greatly reduced. In this study, we demonstrated the feasibility of MREIT technique to monitor the current density and electric field distribution during ex-vivo tissue electroporation.  

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Diffusion Kurtosis Imaging Evaluating Epithelial–mesenchymal Transition in Colorectal Carcinoma Xenografts Model: Initial Experience
Huanhuan Liu1, Caiyuan Zhang2, Jinning Li2, Weibo Chen3, and Dengbin Wang2

1Department of Radiology, Xinhua hospital, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China, 2Department of Radiology, Xinhua hospital, Shanghai Jiaotong University School of Medicine, People's Republic of China, 3Philips Healthcare, People's Republic of China

Colorectal cancer (CRC) is one of the most common malignant tumors in gastrointestinal tract. Tumor recurrence and metastasis are still a major cause of death in rectal cancer patients. Epithelial-mesenchymal transition (EMT) is reported a critical process providing tumor cells with the ability to migrate and metastasize to distant sites, leading to a poor prognosis in CRC. The diffusion kurtosis imaging (DKI) could quantify non-Gaussian behavior of water diffusion and provide more precise information of tissue characteristics. Our study demonstrated that DKI could be used to identify EMT in CRC xenograft models.

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Telomerase expression enhances pentose phosphate pathway flux resulting in an MR-detectable increase in reduced glutathione levels in mutant IDH1 glioma cells
Pavithra Viswanath1, Russell O Pieper2, and Sabrina M Ronen1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Neurological Surgery, University of California San Francisco, San Francisco, CA, United States

Telomerase is the enzyme responsible for maintenance of telomeres, which are special capped structures that protect chromosomal ends from degradation. Telomerase activation and metabolic reprogramming have both emerged as hallmarks of cancer. Here, we investigated the link between telomerase and metabolism in mutant isocitrate dehydrogenase 1 (IDH1) glioma cells with the goal of identifying MR-detectable biomarkers of telomerase expression. Using 13C- and 1H- MRS, we show that telomerase expression is associated with elevated flux through the pentose phosphate pathway resulting in increased levels of reduced glutathione (GSH). Thus, GSH is a potential biomarker of telomerase expression in mutant IDH1 gliomas. 

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Dietary Fat Results in Increased Tumor Burden in a Mouse Model of Human Triple-Negative Breast Cancer Based on Magnetic Resonance Imaging and Histology
Devkumar Mustafi1, Sully Fernandez2, Erica Markiewicz1, Xiaobing Fan1, Marta Zamora1, Jeffrey Mueller3, Matthew J Brady2, Suzanne D Conzen4, and Gregory S Karczmar1

1Radiology, The University of Chicago, Chicago, IL, United States, 2Medicine, Sections of Adults and Pediatric Endocrinology, Diabetes and Metabolism, The University of Chicago, Chicago, IL, United States, 3Pathology, The University of Chicago, Chicago, IL, United States, 4Medicine, the Section of Hematology and Oncology, The University of Chicago, Chicago, IL, United States

Breast cancer is the most commonly diagnosed malignancy among women in the United States and the second leading cause of cancer mortality worldwide. Epidemiological studies suggest an increase in the risk of triple-negative breast cancer (TNBC) in association with a high animal fat diet. Based on previous MRI studies in SV40Tag mice, we examined the effect of pre-pubertal exposure to high dietary fat in this model of TNBC. The results reported here demonstrate that a high animal fat diet significantly increased the number of aggressive cancers detected by MRI in a mouse model of human TNBC.

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Magnetic Resonance Angiography Shows Increased Arterial Blood Supply Associated with Murine Mammary Cancer
Devkumar Mustafi1, Abby Leinroth1, Xiaobing Fan1, Erica Markiewicz1, Marta Zamora1, Jeffrey Mueller2, Suzanne D Conzen3, and Gregory S Karczmar1

1Radiology, The University of Chicago, Chicago, IL, United States, 2Pathology, The University of Chicago, Chicago, IL, United States, 3Medicine, the Section of Hematology and Oncology, The University of Chicago, IL, United States

Breast cancer is a major cause of morbidity and mortality in Western women. Tumor neo-angiogenesis may be an MRI-detectable prognostic marker for cancer progression. Clinical practice uses DCE-MRI to detect cancers based on increased blood flow and capillary permeability. However, DCE-MRI requires repeated injections of contrast media; therefore we used time-of-flight MR angiography to measure the number and size of arteries feeding mammary glands with and without cancer, and demonstrated that blood vessels in and near mammary glands grew significantly as invasive cancers developed.

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In vivo hyperpolarized [1-13C]pyruvate and [18F]-FDG PET/CT studies of prostate cancer metastasis xenografts in mice
Frits H.A. van Heijster1, Sandra Heskamp1, Andor A. Veltien1, Tom H. Peeters1, Tom W.J. Scheenen1, Otto C. Boerman1, and Arend Heerschap1

1Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, Netherlands

Understanding the underlying mechanisms of aggressiveness is important for better staging and treatment of prostate cancer. In this study two murine xenograft models of early and late stage prostate cancer were investigated. [1-13C]pyruvate was hyperpolarized by Dynamic Nuclear Polarization (DNP) and pyruvate metabolism is followed by 13C-MR. This is combined with [18F]FDG-PET/CT to study glucose metabolism. We found differences in pyruvate conversion and glucose uptake in vivo in the murine models.

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Multi-agent dynamic contrast enhanced MRI to assess vascular changes induced by prolonged VEGFR2 inhibition in oesophageal cancer
Remy Klaassen1,2, Anne Steins1,2, Matthias C Schabel3,4, Igor Jacobs5, Maarten F Bijlsma2, Aart J Nederveen6, Gustav J Strijkers7, and Hanneke WM van Laarhoven1

1Medical Oncology, Academic Medical Center, Amsterdam, Netherlands, 2LEXOR, Academic Medical Center, Amsterdam, Netherlands, 3Advanced Imaging Research Center, Oregon Health & Science University, Portland, OH, United States, 4Utah Center for Advanced Imaging Research, University of Utah, Salt Lake City, UT, 5Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 6Radiology, Academic Medical Center, Amsterdam, Netherlands, 7Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands

The effective vascular changes induced by prolonged VEGFR2 inhibition and the resulting changes in vascular function are difficult to monitor in vivo and therefore largely unexplored. In this study we show a multi-agent DCE-MRI approach, using 3 different-sized contrast agents, to quantify effects on vascularization induced by prolonged VEGFR2 inhibition in an oesophageal cancer mouse model. Effects on vascularization were predominantly observed in parameters dependent on the larger-sized contrast agents, where no effects where found for the traditional low-molecular weight contrast agent.

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In-vivo targeting and imaging of super-paramagnetic iron-oxide particles to subcutaneous tumour models
Mohammad Mohseni1, John Connell1, Stephen Patrick1, May Zaw-Thin1, Tammy Kalber1, Tom Roberts1, Quentin Pankhurst2, Mark Lythgoe1, and Bernard Siow1

1CABI, UCL, london, United Kingdom, 2UCL, london, United Kingdom

Magnetic targeting of drug-conjugated iron oxide nanoparticles has the potential to increase the concentration of therapeutic agents to tumours whilst reducing off-target side effects of current chemotherapy methods. This preclinical work demonstrates that SPION accumulation can be increased in subcutaneous tumours using magnetic fields and can then be detected by MRI.  In addition, key physiological parameters can be measured before magnetic targeting for future optimisation of the strategy.

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Imaging Collagenase-Induced Changes in the Mechanical Phenotype of Orthotopic BT474 Breast Cancer Xenografts Using Magnetic Resonance Elastography
Jin Li1, Jessica K.R. Boult1, Craig Cummings1, Jeffrey C. Bamber1, Ralph Sinkus2, Yann Jamin1, and Simon P. Robinson1

1Division of Radiotherapy & Imaging, The Institute of Cancer Research, London, United Kingdom, 2Division of Imaging Sciences and Biomedical Engineering, King's College London, King's Health Partners, St. Thomas' Hospital, London, United Kingdom

We tested the hypothesis that MRE can inform on collagenase-induced matrix degradation in orthotopic BT474 breast carcinoma xenografts in vivo.  An acute reduction in  the absolute value of the complex shear modulus |G*| was detected in tumour just 5 hours after collagenase administration, mostly likely a consequence of both collagen degradation and reduction of interstitial fluid pressure.  The study highlights the utility of MRE-derived quantitation of tumour viscoelasticity for monitoring the response of stromal rich tumours to modification of the extracellular matrix. 

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Multiparametric MRI for optimal prostate cancer detection in TRAMP mice
Jana Kim1, Eugene Kim1, Deborah K. Hill1, Dan E. Meyer2, Karina Langseth3, Frits A. Thorsen4, Tone F. Bathen1, and Siver A. Moestue1

1Department of Circulation and Medical Imaging, NTNU - Norwegian University of Science and Technology, Trondheim, Norway, 2Diagnostics, Imaging and Biomedical Technologies, GE Global Research Center, Niskayuna, NY, United States, 3GE Healthcare AS, Oslo, Norway, 4Department of Biomedicine, University of Bergen, Bergen, Norway

Multiparametric MRI is the standard for the detection and characterization of prostate cancer. In this study we compared the diagnostic value of clinically used DW-MRI and DCE-MRI in a transgenic mouse model of prostate cancer (TRAMP).  Additionally, we investigated the potential utility of SSC-MRI using a USPIOs contrast agent for prostate cancer detection. The results of this study confirm the utility of DW-MRI and the potential value of DCE-MRI in early-stage detection and monitoring of prostate cancer. SSC-MRI appears to be less useful for this task in the TRAMP model, but further analysis is required to draw a clear conclusion. 

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Transport across the blood-brain-barrier may be limiting for hyperpolarized [1-13C]pyruvate neuro-oncology studies
Jack Julian James Jenkins Miller1,2,3, James Larkin4, Katherine R Fisher1, Vicky Ball1, Kevin J Ray4, Sebastien Serres5, Damian John Tyler1,2, Angus Zoen Lau1,6, and Nicola Ruth Sibson4

1Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, United Kingdom, 2Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, United Kingdom, 3Department of Physics, University of Oxford, Oxford, United Kingdom, 4Cancer Research UK and Medical Research Council Oxford Institute for Radiation Oncology, University of Oxford, Oxford, United Kingdom, 5School of Life Sciences, University of Nottingham, Nottingham, United Kingdom, 6Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada

Hyperpolarized pyruvate has previously been used to probe primary brain cancer. Through imaging the delivery and metabolism of both hyperpolarized [1-13C]pyruvate and ethyl-[1-13C]pyruvate in a rodent model of cancer metastasis to the brain, we show that the transport of [1-13C]pyruvate across the blood brain barrier may be limiting until it is compromised by metastatic cell infiltration. 

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Validation of an efficient and robust MRI-guided radiotherapy planning approach for targeting abdominal organs and tumours in the mouse.
Veerle Kersemans1, John S Beech1, Stuart Gilchrist1, Paul Kinchesh1, Philip D Allen1, James Thompson1, Ana L Gomes1, Zenobia D'Costa1, Luke Bird1, Iain DC Tullis1, Robert G Newman1, Abul Azad1, Ruth J Muschel1, Borivoj Vojnovic1, Mark A Hill1, Emmanouil Fokas1, and Sean C Smart1

1CRUK/MRC Oxford Institute for Radiation Oncology, University of Oxford, Oxford, United Kingdom

The aim was to develop and validate a robust and accurate method of MR-IGRT delivery to abdominal targets in the mouse that takes advantage of the strengths of each of its components: MRI for soft tissue contrast and target identification, CBCT for accurate dose calculation and IGRT for accurate, collimated X-ray beam delivery. A multimodality cradle was developed and evaluated to enable transfer of the mouse between MR and the IGRT platform. Additionally, each step of the MG-IGRT process was validated, both in vitro using BANG gel dosimeters and in vivo by targeting the adrenal glands in mice.


Electronic Poster

General Cancer Including Preclinical

Exhibition Hall Tuesday 17:15 - 18:15

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Diffusion kurtosis imaging can stratify differentiation of colorectal cancers: a preliminary study
Huanhuan Liu1, Caiyuan Zhang2, Jinning Li3, Weibo Chen4, and Dengbin Wang3

1Department of Radiology, Xinhua hospital, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China, 2Department of Radiology, Xinhua hospital, Shanghai Jiaotong University School of Medicine, 3Department of Radiology, Xinhua hospital, Shanghai Jiaotong University School of Medicine, People's Republic of China, 4Philips Healthcare, People's Republic of China

Colorectal cancer (CRC) is the third most common cancer in the world and its incidence is on the rise. Management is particularly challenging technically for surgeon and local recurrence is a common result of treatment failure. Tumor differentiation grade is one of the factors that influence the choice of individual management, then affecting the prognosis. Diffusion kurtosis imaging (DKI) could quantify non-Gaussian behavior of water diffusion and provide more precise information of tissue characteristics. Our study demonstrated that DKI is conducive to distinguishing the various differentiations of CRC models, and reflecting the proliferation indirectly in tumor cells.

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Multi-phase contrast-enhanced magnetic resonance imaging with respiratory gating in papillary thyroid carcinoma
Hao Wang1 and Bin Song2

1Radiology, Central Hospital of Minhang District, Fudan University, Shanghai, People's Republic of China, 2Radiology, Central Hospital of Minhang District, Fudan University, People's Republic of China

Purpose To investigate the role of multi-phase contrast-enhanced MR imaging in papillary thyroid carcinoma (PTC). Methods A consecutive series of 62 lesions with PTC were prospective evaluated by MR imaging. Lesions were evaluated for location, size, shape, margin, rim, degree and pattern of enhancement.  Results 52 (83.9%) lesions showed moderate enhancement. 45 (72.6%) lesions showed ring-enhancement and 42 (67.7%) showed central washout enhancement during the delayed phase. 36(58.1%) manifested ill-defined margin and irregular rim (49, 79.0%) after administration of the contrast medium. Nine nodules (14.5%) showed extrathyroidal extension.   Conclusion PTC commonly manifest moderate enhancement during the initial phase, with ill-defined margin and irregular rim. Central wash out enhancement and ring-enhancement occur during delayed contrast –enhanced phase.  

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Radiological comparisons of 3D and 2D-cell culture derived tumours in an orthotopic mouse xenograft model of paediatric glioblastoma
Mariama Fofana1, Jessica KR Boult1, Maria Vinci1, Valeria Molinari1, Sergey Popov1, Alan Mackay1, Angel M Carcaboso2, Chris Jones1, and Simon P Robinson1

1The Institute of Cancer Research, London, United Kingdom, 2Department of Oncology, Hospital Sant Joan de Déu, Barcelona, Spain

Primary patient-derived paediatric glioblastoma (pGBM) cells, cultured under conditions designed to maintain stem-like phenotypes, provide valuable platforms for pre-clinical research. Culturing tumour cells in suspension (3D) or adherent on laminin (2D) may influence their growth behaviour in vivo. Longitudinal, anatomical MRI showed that orthotopic HSJD-GBM-001 xenografts derived from 3D-cultured cells grew significantly faster than those from 2D-culture. Infiltrative tumour growth, maintenance of the blood brain barrier and high ADC, T1 and T2, associated with histopathologically confirmed tumour-oedema, were observed in both cohorts. The study highlights the influence of in vitro cell culture conditions on in vivo tumour growth characteristics.

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Application of Cardio-Respiratory Gated High Resolution 3D Balanced SSFP to Liver Tumour Imaging in the Mouse
Ana L Gomes1, Paul Kinchesh1, Stuart Gilchrist1, Alex Gordon-Weeks1, Ruth J Muschel1, and Sean C Smart1

1CRUK/MRC Oxford Institute for Radiation Oncology, University of Oxford, Oxford, United Kingdom

Prospective gating and automatic reacquisition of data corrupted by respiration motion were implemented in 3D balanced steady-state free precession (bSSFP) to provide contrast that enables unambiguous detection of liver tumours in the whole mouse liver with 200 µm isotropic resolution and in scan times that are routinely less than 7 minutes. The method was used for orthotopic tumour burden quantification in 8 female C57BL/6 mice at days 7, 9, and 11 post intra-hepatic injection of MC38-GFP cells, and enabled measurement of tumour volumes less than 1 mm3.

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Early Detection of Glioblastoma Multiforme by the Magnetic Susceptibility Effect from Deoxyhemoglobin
Zhao Li1, Chaohsiung Hsu1, and Yung-Ya Lin1

1Chemistry and Biochemistry, UCLA, Los Angeles, CA, United States

Early detection of high-grade malignancy, such as glioblastoma multiforme (GBM), using new contrast mechanism and enhanced MRI techniques significantly increases not only the treatment options available, but also the patients’ survival rate. For this purpose, the local magnetic-field gradient variations due to irregular water contents and deoxyhemoglobin concentration in early GBM is detected sensitively to provide the needed cancer contrast. Statistical results (N=22) for in vivo orthotopic xenografts GBM mouse models at various cancer stages validate the superior contrast and robustness of this approach (tumor time constant differs from that of the healthy brain tissue by +24%) towards early GBM detection than conventional T1-weighted (+2.6%) and T2-weighted images (-3.1%). This novel approach provides 4-8 times of improvements in early GBM tumor contrast, as measured by "tumor to normal tissue contrast", “contrast-to-noise ratio” (CNR) or “Visibility”.

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On Molecular Aspects of Ktrans and Angiogenesis: Cerebral Gliomas
Charles S. Springer, Jr.1, Xin Li1, Seymur Gahramanov2, Martin M. Pike1, William D. Rooney1, and Edward A. Neuwelt3

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Neurosurgery, University of New Mexico, Albuquerque, NM, United States, 3Blood Brain Barrier Program, Oregon Health & Science University, Portland, OR, United States

It is often thought that tumor Ktrans value differences correspond to changes in capillary contrast agent (CA) permeability.  We show this is not the case for implanted glioma in rat brain.  Over an almost eight-fold Ktrans change, the tumor CA extravasation rate constant kpe remains relatively fixed, as if regulated, but at a value greater than normal.  The Ktrans changes reflect cerebral blood volume fraction changes.  

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Intrinsic susceptibility MRI detects phenotypic alteration induced by a potent anaplastic lymphoma kinase inhibitor in a transgenic model of neuroblastoma
Yann Jamin1, Elizabeth R. Tucker2, Evon Poon2, Alexander Koers2, Laura S. Danielson2, Louis Chesler2, and Simon P. Robinson1

1Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, London, United Kingdom, 2Division of Cancer Therapeutics and Division of Clinical Studies, The Institute of Cancer Research, London, London, United Kingdom

In this study we demonstrate that the transverse relaxation rate R2* affords a biomarker of response to a potent anaplastic lymphoma kinase inhibitor in the Th-ALKF1174L/Th-MYCN genetically engineered murine model of neuroblastoma, a childhood cancer of the nervous system

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Numerical Model of Bi-Exponential T2 Decay-Based Magnetic Resonance Oximetry Imaging (MOXI).
Tatsuya J Arai1, Donghan M Yang1, James Campbell 1, and Ralph P Mason1

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States

The present work seeks to explore the accuracy and precision of proton MR oximetry imaging (MOXI) in silico. MOXI technique relies on the separation of oxygen sensitive T2Blood from the bi-exponential nature of overall T2 decay. The bi-exponential T2 decay models with Rician distribution noise were numerically generated, simulating the preclinical prostate tumor model experiments. The present in silico study showed the feasibility of the proton based MOXI technique. However, the results suggest that the MOXI technique may lack the accuracy and precision of measuring short T2Blood (< 30 ms), which is essential to measure hypoxia in a tumor. 

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Improved quantification of SPIO in peripheral tumor xenografts using QSM
Kofi Deh1, Marjan Zaman, Pascal Spincemaille, Moonsoo Jin, and Yi Wang

1Weill Cornell Medical College, New York, NY, United States

The use of MRI relaxometry for super-paramagnetic iron oxide (SPIO) quantification in a murine peripheral tumor xenograft, a frequently performed procedure in drug development research, may result in inaccurate estimates because of the dependence of relaxivity on tissue microenvironment. SPIO complexes conjugated to PET radiotracers have been proposed for more accurate SPIO quantification, but these have disadvantages of a cyclotron requirement, low spatial resolution and confounding tumoricidal effects. We demonstrate that SPIO quantification in peripheral tumor xenografts using new quantitative susceptibility mapping (QSM) algorithms has good agreement with quantification using PET suggesting that QSM may provide value for quantification in drug development research. 

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Probing Tumor Oxygenation Response to Hypoxic Gas Breathing
Donghan Mo Yang1, Tatsuya J Arai1, James Campbell1, and Ralph P Mason1

1Radiology, The University of Texas Southwestern Medical Center, Dallas, TX, United States

Tumor oxygenation response to hypoxic gas breathing is studied in rat 13762NF breast tumors using BOLD and TOLD MRI, with hyperoxic gas breathing as reference. Time course of R2* and R1-weighted signal is analyzed for 100%, 16%, and 14% O2 breathing challenges, respectively. Evidence for decreased blood oxygen saturation (sO2) and decreased tissue oxygen partial pressure (pO2) is observed, revealing different patterns depending on the tumor size.  

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Characterization of Intratumoral Heterogeneity Based on BOLD Effect: A Study in 13762NF Breast Tumor
Donghan Mo Yang1, Tatsuya J Arai1, James Campbell1, and Ralph P Mason1

1Radiology, The University of Texas Southwestern Medical Center, Dallas, TX, United States

Characterization of intratumoral heterogeneity is crucial for the accuracy and specificity of MRI evaluation of cancer. BOLD MRI, which is widely used for investigating tumor oxygenation, is sensitive to the structure and function of tumor vasculature. We present a method, based on BOLD effect (R2* dynamics), for differentiating subregions in rat 13762NF tumors that show different degrees of sensitivity with respect to hyperoxic and hypoxic gas breathing challenges. We further show the potential connection between the classified heterogeneity and tumor growth. 

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Diffusion MRI can provide non-invasive early biomarkers of the outcome of irreversible electroporation tumor treatment in a mouse model.
Matteo Figini1, Zhanliang Su1, Tianchu Lyu1, Xifu Wang1, Xiaoke Huang1, Daniel Procissi1, Andrew Christian Larson1, and Zhuoli Zhang1

1Radiology, Northwestern University, Chicago, IL, United States

This study investigates diffusion MRI changes after treatment with irreversible electroporation (IRE) in a murine cancer model. The mean and standard deviation of the ADC in regions of interest covering the whole tumors increased 1 day after treatment and then returned gradually to the pre-treatment values. A strong correlation was found between the volume increase and the maximum relative change in ADC mean and standard deviation. Therefore we propose diffusion MRI as an early tool to predict the outcome of IRE treatment in tumors.

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Extracting oxygen-enhancing components from OE-MRI using ICA
Firas Moosvi1, Jennifer H.E. Baker2, Andrew Yung3, Piotr Kozlowski3, and Stefan Reinsberg1

1Department of Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada, 2Department of Integrative Oncology, BC Cancer Research Centre, 3UBC 7T MRI Research Centre, University of British Columbia

MRI methods to assess tissue oxygenation have recently flourished. Here we explore how a common signal processing technique (independent component analysis) can be used to extract and amplify signal from oxygen stimuli in mouse tumours. With just dynamic T1-weighted images and ICA to extract the enhancing pixels, we can create rich parameter maps corresponding to a response to an oxygen challenge.

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Extracellular-extravascular accumulation of non-caloric sweetener (sucralose) provides CEST contrast for cancer detection
Puneet Bagga1, Mohammad Haris2, Kevin D'Aquilla1, Francesco Marincola2, Hari Hariharan1, and Ravinder Reddy1

1Department of Rediology, University of Pennsylvania, Philadelphia, PA, United States, 2Research Branch, Sidra Medical and Research Center, Doha, Qatar

We show the utility of a non-nutritive sweetener, sucralose, as a contrast agent in cancer MRI studies by exploiting its chemical exchange saturation transfer (sucCEST) property. The extracellular-extravascular accumulation of sucralose in a glioma model provides localized, temporal changes in the CEST contrast, corroborating the gadolinium-enhanced MRI. These findings illustrate the potential of sucCEST for diagnosis and monitoring of the therapeutic response of cancers, including gliomas in preclinical studies.

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Characterization of lymph nodes in colorectal cancer using non-exponential modeling of T2* decay
Inês Santiago1, Andrada Ianus1,2, Celso Matos1, and Noam Shemesh1

1Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal, 2Centre for Medical Image Computing, Dept. Computer Science, University College London, London, United Kingdom

Lymph node staging is determinant in the management of cancer patients. Noninvasive imaging modalities have limited accuracy to distinguish malignant form benign lymph nodes. For that purpose, we investigated putative nonexponential (multicompartmental) and potentially non-monotonic decay in simple multi-gradient-echo(MGE) MRI in colorectal cancer. We find that frequency offsets arising from multicompartment models distinguish malignancy from normal tissues (as identified from histopathology), while relaxation rates or fractions do not. Such experiments are potentially suggestive of a simple yet useful tool for nodal staging.    

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Evaluation of PET and MR datasets in integrated 18F-FDG PET/MRI: a comparison of different MR sequences for whole-body restaging of breast cancer patients.
Johannes Grueneisen1, Axel Wetter, Julian Kirchner, Sonja Kinner, Verena Ruhlmann, Michael Forsting, and Lale Umutlu

1Diagnostic and Interventional Radiology, University Hospital Essen, Essen, Germany

Simultaneous PET/MR imaging has been successfully implemented for whole-body staging of numerous tumor entities within the last four years. However, to date, the introduced study protocols were acquainted with prolonged examination times, potentially impeding patient comfort and patient compliance. The present results demonstrate the high diagnostic capability of integrated PET/MR imaging for staging patients with suspected breast cancer recurrence. Furthermore, facing the need for an optimization of dedicated MR study protocols for whole-body PET/MR imaging on oncological purposes, the present data support the application of fast, yet morphologically adequate PET/MR protocols, leaving the application of contrast-agent and DWI debatable.

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A novel DTI derived heterogeneity index discriminating liver metastasis from normal appearing liver tissue: a PET-MRI study
DAN STEIN1,2, Natalia Goldberg 1, Liran Domachevsky 1, Hanna Bernstine1, Meital Nidam 1, Dorit Stern 1, Ifat Abadi-Korek1, Jacob Sosna , and David Groshar1

1Radiology, Assuta Medical Center, Tel-Aviv, Israel, 2Anatomy & Anthropology, Tel-Aviv University

This study's purpose was to compare DTI heterogeneity index with F18 fluorodeoxyglucose (FDG) standardized uptake value (SUVpeak) in liver metastases and in normal appearing liver tissue. The newly defined diffusion coefficient index (DCV) showed a stronger correlation to SUVpeak (r=0.714, p<0.001) than any other MR metrics evaluated. A threshold of DCV >0.05 and SUVpeak>2.88, correctly classified 28/35 (80%) and 32/35 (91.43%) liver metastases with AUC of 0.939 and 0.989, respectively.  DCV, may provide quantitative data of tissue heterogeneity associated with liver metastases. In addition, DCV introduces a potential biomarker index as a quantitative discriminator of liver metastases.

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Exploring flow effects on BOLD MRI with oxygen challenge in orthotopic lung tumor model
Heling Zhou1, Zhongwei Zhang1, Zhang Zhang2, Jo Wagner1, James Campbell1, Shanrong Zhang3, Debabrata Saha2, Masaya Takahashi3, and Ralph P Mason1

1Radiology, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 2Radiation Oncology, Univ Texas Southwestern Medical Center, Dallas, TX, United States, 3Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

Blood oxygen level dependent (BOLD) is sensitive to deoxyhemoglobin providing information on tumor oxygenation. However, the measurements are affected by blood flow. This study explored the extent of flow sensitivity by comparing the BOLD signal intensity and T2* values with and without flow suppression using an orthotopic lung tumor model. T2* appeared to be insensitive to flow for the tumor regions as observed in this preliminary study, while semi-quantitative ΔSI was strongly affected by flow and is a potential caveat. For well vascularized normal tissue (such as liver), flow suppression will be necessary for accurate measurements.  

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A probabilistic approach to automated classification of distinct pathological regions in soft tissue sarcoma using diffusion and T2 relaxation
Shu Xing1,2, Carolyn Freeman3, Sungmi Jung4, and Ives Levesque1,2,5

1Physics, McGill University, Montreal, QC, Canada, 2Medical Physics Unit, McGill University, Montreal, QC, Canada, 3Radiation Oncology, McGill University Health Centre, Montreal, QC, Canada, 4Pathology, McGill University Health Centre, Montreal, QC, Canada, 5Research Institute of the McGill University Health Centre, Montreal, QC, Canada

In this work, we propose a novel probabilistic reference-region-based segmentation method to automatically distinguish various pathological tissue regions within soft tissue sarcoma, including high cellularity, high T2 and necrosis. The classification is based on a calculation of the probability that a tumour voxel belongs to a given class using the quantitative diffusion and T2 information when compared to a reference tissue. The probabilistic approach provides a more realistic classification of the complex tumour microenvironment compared to the previous proposed binary classification method.

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Microenvironmental changes in prostatic tissues in relation to tumor growth in low risk prostate cancer
Hugh Harvey1, Veronica A Morgan1, Christopher Parker2, and Nandita M deSouza1

1CRUK Imaging Centre, The Institute of Cancer Research, Surrey, United Kingdom, 2Academic Urology Unit, The Royal Marsden Hospital NHS Foundation Trust, Sutton, United Kingdom

In 50 men with prostate cancer managed by active surveillance, changes in diffusion and perfusion within normal prostate and tumor were compared between those whose tumors did (“Growers”) or did not grow. 14% had >50% increase in tumor volume on MRI at 1-year. In these men, ADC of normal PZ was lower and more homogenous and remained unchanged over time; vascular metrics also remained stable. In TZ, no changes occurred in ADC or vascular metrics. In tumor, Kep increased with time in growers and ADC histogram metrics showed a left-shift indicating changes in tumor vascular and cellular microstructure with progression.

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Optimized Fast High-Resolution Whole-Body Imaging Protocols for Clincial Oncologic PET/MRI
Simone Angela Winkler1, Anne Muehe1, Ashok Theruvath1, Maryam Aghighi1, Sandra Luna-Fineman1, Neyssa Marina1, Ranjana Advani1, Valentina Taviani2, Samantha J Holdsworth1, Praveen Gulaka1, and Heike Daldrup-Link1

1Stanford University, Stanford, CA, United States, 2GE Healthcare

We present a fast sequence with high diagnostic accuracy to move towards high-throughput clinical whole-body cancer staging using PET/MRI. Ferumoxytol-contrast enhanced T1-weighted LAVA-Flex is acquired at 16s/bed, at a voxel size of 3.4x1.5x1.9mm. This contrast-enhanced sequence offers superior vessel contrast and resolution to existing T1 co-registration modalities that are most commonly based on MR attenuation correction sequences or longer T1-weighted sequences. Integration of this sequence in a clinical protocol bears the promise of dramatically accelerated whole-body cancer staging with durations <20min, thus offering similar exam times to the more radiation-invasive alternative of PET/CT.

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Localization of Subcortical Structures with the Presence of Lesions in Clinical Brain MRI
Long Xie1,2, Yanhui Ding3, James C. Gee1,4,5, Andreas M. Rauschecker4, and Jeffrey D. Rudie4

1Penn Image Computing and Science Laboratory (PICSL), Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3School of Information Science and Engineering, Shandong Normal University, Jinan, People's Republic of China, 4Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 5School of Computer Science & Engineering, University of Electronic Science and Technology of China, Chengdu, People's Republic of China

In this study, we proposed a pipeline to locate subcortical structures in patients with deep gray matter lesions using clinical brain MRI images. Due to altered signal intensity profile caused by lesions and high slice thickness (~5mm), segmentation of clinical MRI images provide challenges for state-of-the-art algorithms. Our proposed pipeline generates better subcortical structure segmentations, including better lesion coverage and more reliable segmentations than other widely used algorithms. The proposed pipeline may have help in automating the diagnosis of subcortical lesions, potentially improving current clinical practice.

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An experimental and computational study of magnetic nanoparticle movement in response to an external magnetic force
Areej Alghamdi1, Munitta Muthana1, and Martyn Paley2

1Oncology and Metabolism, University of Sheffield, Sheffield, United Kingdom, 2Academic Radiology, University of Sheffield, Sheffield, United Kingdom

This study investigates the ability of two different magnet arrays to capture magnetic nanoparticles from a flow system located at different distances from the magnet face. The magnet fields and gradients and hence magnetic forces were simulated using FEMM software. MR Images were acquired to qualitatively assess the trapping which were compared with quantitative iron concentrations measured using inductively coupled plasma mass spectrometry. 

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Multi slice MRSI-based generation of nosological images of therapy response using a semi-supervised source extraction approach in preclinical glioblastoma.
Nuria Arias-Ramos1,2, Silvia Lope-Piedrafita2,3, Victor Mocioiu2,4, Margarida Julià-Sapé1,2,4, Carles Arús1,2,4, and Ana Paula Candiota1,2,4

1Departament de Bioquímica i Biologia Molecular, Unitat de Bioquímica de Biociències, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain, 2Networking Research Center on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Cerdanyola del Vallès, Spain, 3Servei de Ressonància Magnètica Nuclear, Universitat Autònoma Barcelona, Cerdanyola del Vallès, Spain, 4Institut de Biotecnologia i de Biomedicina, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain

Glioblastoma (GBM) is the most common aggressive primary brain tumour in adults and characterization of response to treatment turns out to be crucial for improving patient survival. In this work we obtained 3D-like information, from preclinical GBM under temozolomide (TMZ) treatment, with a multi-slice MRSI approach using source-based nosological images as response biomarker. A “Tumour Response Index” (TRI) was defined as the percentage of responding tumor pixels divided by the total tumour pixels. Heterogeneous response patterns with cyclical longitudinal variations were observed in several mice while responding pixels were mostly seen at the first 2 upper grids.


Electronic Poster

TBI: Mechanisms & Therapies

Exhibition Hall Wednesday 8:15 - 9:15

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Decreased apparent fibre density in an experimental model of traumatic brain injury
David K Wright1,2, Leigh A Johnston2,3, Jeff Kershaw4, Roger Ordidge5, Terence J O'Brien6, and Sandy R Shultz6

1Department of Anatomy and Neuroscience, The University of Melbourne, Melbourne, Australia, 2The Florey Institute of Neuroscience and Mental Health, Parkville, Australia, 3Department of Electrical & Electronic Engineering, The University of Melbourne, Australia, 4National Institute of Radiological Sciences, Japan, 5Department of Anatomy and Neuroscience, The University of Melbourne, Australia, 6Department of Medicine, The University of Melbourne, Australia

Apparent fibre density (AFD) is postulated to be a sensitive marker of white matter damage and, as it is derived from a continuous fibre orientation distribution, may identify changes along single fibre bundles in regions containing multiple fibre groups. Here, we compared AFD to traditional DTI metrics in an experimental model of traumatic brain injury (TBI). We found that rats given a TBI had widespread regions of reduced AFD when compared to sham-injured rats as well as significant, but less extensive changes in DTI metrics. These results support the use of AFD in assessing disease progression and treatment following TBI.

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Therapeutic Effect of Bone Marrow Stromal Cells on Vascular Permeability and Hemodynamic Alteration in Traumatic Injured Brain: A long-term MRI Study
Lian Li1, Michael Chopp1,2, Guangliang Ding1, Changsheng Qu3, Qingjiang Li1, Asim Mahmood3, and Quan Jiang1,2

1Neurology, Henry Ford Health System, Detroit, MI, United States, 2Physics, Oakland University, Rochester, MI, United States, 3Neurosurgery, Henry Ford Health System, Detroit, MI, United States

Cerebral vascular permeability and hemodynamic alteration in a broad normal appearing brain tissue in response to the transplantation of hMSCs after TBI were longitudinally investigated up to 3-months post-injury. Our data reveal the evidence that a quicker recovery of vascular integrity, as a result of cell transplantation, is associated with a higher level of cerebral perfusion, and acute cell administration after TBI significantly promotes these global therapeutic effects. The findings of the current study indicate that BBB reconstitution plays an essential role in CBF restoration in the injured brain, which in turn, contributes to the improvement of functional outcome.

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Automated Versus Manual Analysis of DTI and Blood Flow in Adolescents with Chronic Post-Concussive Symptoms
Samuel Barnes1, Brenda Bartnik-Olson1, Holshouser Barbara1, and Stephen Ashwal2

1Radiology, Loma Linda University, Loma Linda, CA, United States, 2Pediatrics, Loma Linda University, Loma Linda, CA, United States

Adolescents who sustained a concussion and had persistent symptoms were scanned with DSC-PWI, to assess blood flow, and DTI. Images were compared with controls using automatically defined ROIs by registration to an atlas, and manually drawing ROIs. While both techniques showed similar trends manual ROIs has less variance within groups and therefore greater sensitivity. To detect subtle imaging changes after concussion on an individual basis, manual ROIs, despite being time intensive to define, should still be considered due to their greater sensitivity.

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Reduced Brain Glutamine in Female Varsity Rugby Athletes after Concussion
Amy L Schranz1,2, Kathryn Y Manning1,2, Gregory A Dekaban3,4, Lisa Fischer5, Kevin Blackney3,4, Christy Barreira3, Tim Doherty6, Douglas Fraser7, Arthur Brown3,8, Ravi S Menon1,2, and Robert Bartha1,2

1Centre for Functional and Metabolic Mapping, Robarts Research Institute, London, ON, Canada, 2Medical Biophysics, University of Western Ontario, London, ON, Canada, 3Robarts Research Institute, London, ON, Canada, 4Microbiology and Immunology, University of Western Ontario, London, ON, Canada, 5Family Medicine and Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, ON, Canada, 6Physical Medicine and Rehabilitation, University of Western Ontario, London, ON, Canada, 7Paediatrics Critical Care Medicine, London Health Sciences Centre, London, ON, Canada, 8Anatomy and Cell Biology, University of Western Ontario, London, ON, Canada

The effect of concussion on female athletes is underreported in the literature.  This study found reduced glutamine in the prefrontal white matter of female varsity rugby athletes after concussion and in non-concussed athletes after a season of play using proton magnetic resonance spectroscopy (MRS).  Additionally, using diffusion tensor imaging, decreased fractional anisotropy and increased radial diffusivity were found within the spectroscopy voxel in athletes after a season of play.  The observed changes were uncorrelated with clinical test scores suggesting these imaging metrics may be more sensitive to brain injury and could aid in concussion diagnosis and monitoring.

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9.4 Tesla in vivo Quantitative Susceptibility Mapping (QSM) detects thalamic calcium influx associated with repeated mild traumatic brain injury (mTBI)
Ferdinand Schweser1,2, Austin Poulsen3, Dhaval Shah1, Nicola Bertolino1, Marilena Preda1,2, Jenni Kyyriäinen4, Asla Pitkänen4, Robert Zivadinov1,2, and David J Poulsen3

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 2MRI Clinical and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 3Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 4Department of Neurobiology, A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland

This work investigated if Quantitative Susceptibility Mapping (QSM) can detect thalamic Ca2+ influx associated with an alteration of the N-methyl-D-aspartate receptor in a rodent model of mild TBI (mTBI). We found significant concentrations of calcium after repeated mTBI, but not after single mTBI, suggesting that persistent calcium deposits represent a primary pathology of repeated injury.


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Evolving Functional Connectivity in Rats following Mild Traumatic Brain Injury
Yu-Chieh Jill Kao1,2, Chia-Feng Lu1,2,3, Huai-Lu Chen1,4, Ping-Huei Tsai1,2,5, Fei-Ting Hsu1,5, Hua-Shan Liu1,6, Gilbert Aaron Lee1,4, Paul Blakeley1,4, Li-Chun Hsieh1,5, Bao-Yu Hsieh7, and Cheng-Yu Chen1,2,5

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 Research, Taipei Medical University Hospital, Taipei, Taiwan, 5Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan, 6School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan, 7Department of Biomedica, China Medical University, Taichung, Taiwan

Longitudinal rsfMRI showed the hyper-connectivity in the primary somatosensory cortex and DMN in the acute phase after experimental impact acceleration injury. This is the first demonstration of functional connectivity change with the preserved brain structure after mTBI in rats.

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Longitudinal Quantitative Susceptibility Changes after Mild Traumatic Brain Injury
Kevin Koch1, Robin Karr1, Brad Swearingen2, Ashley LaRoche2, Casey Anderson1, Timothy B Meier2, Michael McCrea2, and Andrew Nencka1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 2Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States

We present findings of longitudinal quantitative susceptibility mapping measurements on a cohort of contact sport athletes that were imaged longitudinally (24 hour, 8 day, 6 month) following diagnosed sport-related concussions (N=22). A cohort (N=29) of contact sport controls was imaged longitudinally using the same protocol and allowed stability assessment stability of the measurement.  In regions of high stability, changes in susceptibility after injury were assessed in comparison to an atlas constructed from the control data.  Substantial susceptibility variations after injury were found in the deep brain nuclei, which recovered and stabilized in the following two measurement points.  

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Early NAA Reductions predict Neuropsychological Outcomes after Pediatric TBI
Barbara Holshouser1, Jamie Pivonka-Jones2, Joy Nichols2, Udo Oyoyo1, Karen Tong1, and Stephen Ashwal3

1Radiology, Loma Linda University, Loma Linda, CA, United States, 2Pediatric Psychology, Loma Linda University, Loma Linda, CA, United States, 3Pediatric Neurology, Loma Linda University, Loma Linda, CA, United States

The primary aim of this prospective study was to test the hypothesis that early 3D MR spectroscopic (MRSI) changes in discrete regions of the brain after TBI predict neuropsychologic outcomes 1 year after injury. MRSI was acquired at 3T in 68 pediatric mild to severe TBI subjects and 72 controls. Subacute NAA/Cr and NAA/Cho ratios were significantly reduced in TBI patients in all brain regions. A binary logistic regression analysis using combined subcortical NAA/Cr ratios alone predicted dichotomized neurologic outcome (93%), Full Scale IQ (78%), General Memory (82%) and General Attention (88%).  

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Detecting perfusion deficits in concussive blast subjects using arterial spin labeling
Swati Rane1, Jalal B Andre2, and Christine MacDonald3

1Radiology, University of Washington Medical Center, Seattle, WA, United States, 2Neuroradiology, University of Washington Medical Center, Seattle, WA, United States, 3Neurological Surgery, University of Washington Medical Center, Seattle, WA, United States

This work applied ASL imaging to understand perfusion abnormalities in concussive brain injury. Results show overall reduction in cerebral perfusion, with significant decreases in the frontal and temporal lobes as well as the insula.

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Mapping of endogenous glucose content on the detection of hypometabolic syndrome in experimental traumatic brain injury by glucoCEST
Tsang-Wei Tu1, Wael Ibrahim2, Neekita Jikaria3, Dima Hammoud 3, and Joseph Frank3

1Radiology and Imaging Sciences, National Institutes of Health, Bethesda, MD, United States, 2National Library of Medicine, National Institutes of Health, 3Radiology and Imaging Sciences, National Institutes of Health

The current study investigated the feasibility of using glucoCEST technique, without delivering exogenous glucose as contrast agent, to measure the endogenous glucose content in brain by optimizing the saturation power and duration. The glucoCEST data were compared to the gold-standard 14C-2-deoxyglucose autoradiography for testing the sensitivity and specificity in the detection of hypometabolic syndrome in a rat model of diffuse traumatic brain injury (TBI). The glucoCEST showed comparable results to the 2DG-autoradiography showing glucose uptake largely decreased after TBI. Our findings suggest that glucoCEST could be a robust and reliable imaging modality capable of monitoring glucose metabolism non-invasively.

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Increased cerebral level of GABA- in the acute phase of children’s mild traumatic brain injury.
Petr Menshchikov1,2, Tolibjon Akhadov2, Olga Bozhko2, and Natalia Semenova1,2

1Semenov Institute of Chemical Physics, Russian Academy of Sciences, Moscow, Russian Federation, 2Clinical and Research Institute of Urgent Pediatric Surgery and Trauma, Moscow, Russian Federation

There is not any information about [GABA] and [GABA]/[GLX] balance in human brain in acute phase of mTBI, but animal studies have shown alterations in concentrations of major inhibitory and excitatory neurotransmitters. [GABA-], [GABA+] and [GLX] were studied in vivo using MEGA-PRES pulse sequence in young patients (mean age - 16±2) with acute phase of mTBI. [GABA-]/[GLX] was significantly increased (p<0.05) in patients and [GABA-]/[tCr] had a trend for increase (p=0.09). This results correlates with animals experiments. [GABA+] didn't show any effects. Thus, [GABA-] MEGA-PRESS is more preferable for accurate [GABA] estimation. 

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Increased regional cerebral venous oxygen saturation in mild traumatic brain injury is correlated with neurophysiological function: a magnetic susceptibility mapping study
Chao Chai1, Chao Zuo2, Linlin Fan, Tianyi Qian, E Mark Haacke, Shuang Xia, and Wen Shen

1Radiology Department, Tianjin First Central Hospital, Tianjin, People's Republic of China, 2Department of Nuclear Medicine, Cangzhou Central Hospital

The aim of this study is to explore the changes of regional cerebral venous oxygen saturation (SvO2) in patients with mild traumatic brain injury (mTBI) using susceptibility mapping (SWIM). SWIM was reconstructed from magnitude and phase data of SWI to measure the susceptibility of cerebral veins in mTBI patients and healthy controls. The results suggested that overall regional cerebral SvO2 was higher in mTBI patients than controls. The regional cerebral SvO2 shows that decreased to normal levels along with an increase in elapsed time post trauma and a high-SvO2 condition is an evidence of neurophysiological deficit.

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Fronto-Parietal Brain Metabolites Changes Following Traumatic Brain Injury
Ping-Hong Yeh1, Chen-Haur Yeh1, Gerard Riedy1, Wei Liu1, Grant Bonavia1, and John Ollinger1

1National Intrepid Center of Excellence, United States, MD, United States

Changes of the fronto-parietal brain metabolites following traumatic brain injury can be reflected in cognitive performance and self-reported psychological function.  These results suggest that MRSI might be sensitive to the disturbance of brain metabolites in chronic military mTBI. 

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Symptom-related Alterations of Thalamocortical Connectivity in mild Traumatic Brain Injury: An fMRI Connectome Study
Chia-Feng Lu1,2,3, Li-Chun Hsieh1,4, Yu-Chieh Jill Kao1,2, Ho-Fang Huang1,5, Wen-Jin Hsieh1,4, Fei-Ting Hsu1,4, Ping-Huei Tsai1,2,4, Hua-Shan Liu1,6, Hui-Hsien Lin1,4, Huai-Lu Chen1,5, and Cheng-Yu Chen1,2,4

1Translational Imaging Research Center, College of Medicine, Taipei Medical University, Taipei, Taiwan, 2Department of Radiology, School of Medicine, College 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, 5Department of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan, 6School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan

Disrupted thalamocortical networks and elevated connectivity between thalamic nuclei can reveal the clinical symptoms in mild traumatic brain injury.

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High-Resolution DTI and Volumetric Analysis in a Mouse Model of Mild-to Moderate TBI
Talaignair N Venkatraman1, Chris Petty2, Haichen Wang3, John Nouls4, Allen W Song2, and Chris D Lascola1

1Radiology, Duke University Medical Center, Durham, NC, United States, 2BIAC, Duke University Medical Center, Durham, NC, 3Neurology, Duke University Medical Center, Durham, NC, 4CIVM, Duke University Medical Center, Durham

3D High-Resolution DTI and volumetric analyses in a mouse model of sub-acute injury after TBI with and without neuroprotective therapy.

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How strictly are traumatic microbleeds related to the actual diffuse axonal injury?
Arnold Toth1, Balint Kornyei, Noemi Kovacs, Andras Buki, Tamas Doczi, Peter Bogner, and Attila Schwarcz

1Department of Neurosurgery, University of Pécs, Pécs, Hungary

This study aims to reveal the relation between traumatic microbleeds (TMBs) on susceptibility weighted imaging and diffuse axonal injury (DAI). Regional TMB and diffusion tensor imaging (DTI) data were collected from 38 traumatic brain injury patients, and 20 control subjects. Analyses included multiple linear regression among TMB parameters, clinical variables and DTI data. Only basal ganglia area TMBs were found to be significantly related to DTI alteration indicating DAI. In general, TMBs might be rather due to microvascular vulnerability than actual DAI, however, specifically basal ganglia area TMBs might be still regarded as markers of DAI.  

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Quantitative Susceptibility Mapping of Hockey Players After Mild Traumatic Brain Injury
Anna Pukropski1, Alexander Weber1, Michael Jarrett1, Christian Kames2, Shiroy Dadachanji, David K. B. Li3, Jack Taunton4, and Alexander Rauscher5

1Pediatrics, University of British Columbia, Vancouver, BC, Canada, 2University of British Columbia, Vancouver, BC, Canada, 3Radiology, University of British Columbia, Vancouver, BC, Canada, 4Division of Sports Medicine, University of British Columbia, Vancouver, BC, Canada, 5Pediatrics, University of British Columbia, BC, Canada

We followed 45 varsity hockey players during one season of play, and scanned all players at the beginning of the season. 11 players received a concussion, and were scanned within 72hrs post-concussion, and then again after 2 weeks and 2 months. Quantitative Susceptibility Maps were created from the multi-echo 3D gradient-echo data, and susceptibility values were measured in deep grey matter (caudate, pallidum, putamen, and thalamus) and frontal and posterior WM in the corpus callosum (genu and splenium). A linear mixed-effect model analysis of the regions of interest revealed no significant changes over time compared to baseline.


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Characterizing White Matter Microstructural Changes After Mild Traumatic Brain Injury Based On Diffusion White Matter Tract Integrity And Shannon Entropy
Sohae Chung1,2, Els Fieremans1,2, Xiuyuan Wang1,2, Dmitry S. Novikov1,2, Farng-Yang A. Foo3, Steven R. Flanagan4, and Yvonne W. Lui1,2

1Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, 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 Neurology, New York University Langone Medical Center, New York, NY, United States, 4Department of Rehabilitation Medicine, New York University Langone Medical Center, New York, NY, United States

Mild traumatic brain injury (MTBI) is a growing public health problem and some patients may suffer from long-term symptoms. This study shows that there are both microstructural changes as well as regional textural changes after MTBI affecting the corpus callosum within 4 weeks of injury. We demonstrate the potential for compartment specific white matter tract integrity (WMTI) metrics such as tortuosity of the extra-axonal space (a marker of misalignment of fibers or demyelination), and Shannon entropy (reflecting complexity or uncertainty) to be useful as early biomarkers of MTBI-related WM injury.

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Identifying potential sites of brain injury in an individual concussed football player using a normative database based on diffusion kurtosis imaging
L. Tugan Muftuler1, Daniel V. Olson2, and Michael A. McCrea1

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

Mild traumatic brain injury (mTBI) is a prevalent health problem, especially in full-contact sports1, 6. Despite its prevalence, there is still a lack of reliable, unbiased biomarkers of brain injury and recovery following mTBI. Diffusion weighted MRI techniques have gained attention recently in studies of mTBI. Diffusion kurtosis tensor imaging (DKTI) is an extension of the conventional DTI, which estimates non-Gaussianity of bulk diffusion in each voxel. Our studies indicated that DKTI might be potential biomarker to detect subtle changes in brain tissues5. Here, we introduce a workflow to detect sites of brain injury in an individual concussed subject.

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Measurements of Microstructural Changes after Sildenafil Treatment of Experimental Traumatic Brain Injury in Rats using Diffusion Tensor Imaging
Asamoah Bosomtwi1,2, Alexandru Korotcov1,2, Angela Pronger3, Margalit Haber1, Andrew Hoy2,3, Ramon Diaz-Arrastia3,4, and Bernard J Dardzinski2,3

1Center for Neuroscience and Regenerative Medicine, Henry Jackson Foundation, Bethesda, MD, United States, 2Radiology and Radiological Sciences, Uniformed Services University of Health Sciences, Bethesda, MD, United States, 3Center for Neuroscience and Regenerative Medicine, Uniformed Services University of Health Sciences, Bethesda, MD, United States, 4Neurology, Uniformed Services University of Health Sciences, Bethesda, MD, United States

The long-term dynamic response of microstructural changes in rat brain to the administration of sildenafil after traumatic brain injury (TBI) using non-invasive MRI techniques have been investigated. Our results demonstrate that the treatment of diffuse traumatic brain injury with sildenafil reverses several changes in brain microstructure at 30 days post injury. Diffusion tensor imaging (DTI) data suggests that sildenafil treatment improves white matter reorganization after TBI in rats compared with saline treatment. 

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Improved Anaplerotic Metabolism Following Sodium Pyruvate, Ethyl Pyruvate or Glucose Supplementation after Experimental Traumatic Brain Injury
Brenda Bartnik Olson1, Katsunori Shijo2, Sima Ghavim2, Neil Harris2, and Richard Sutton2

1Radiology, Loma Linda University, Loma Linda, CA, United States, 2Neurosurgery, David Geffen School of Medicine at UCLA

Traumatic brain injury initiates a cascade of events including increased oxidative stress that contributes to the period of generalized metabolic depression. Previously, sodium and ethyl pyruvate and glucose supplementation were shown to reduce cell death and improve recovery following experimental TBI. In this study we used 13C NMR spectroscopy to determine if sodium pyruvate, ethyl pyruvate or glucose supplementation influences the activity of metabolic pathways associated with the intracellular redox state and oxidative metabolism. Our findings show improvements in astrocyte anaplerotic metabolism following all fuel treatments. Only animals treated with sodium pyruvate showed improved oxidative metabolism in neurons. None of the fuel treatments reduced the amount of glucose metabolized via the pentose phosphate pathway.  The restoration of astrocyte metabolism by these fuels may partially underlie their abilities to improve cerebral glucose utilization and to reduce neuronal loss following experimental TBI.

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TBI Patients with Cerebral Microhemorrhage Exhibit Increased Magnetic Susceptibility in the Cerebral Hemispheres, but Reduced Magnetic Susceptibility in the Basal Ganglia
Wei Liu1,2, Gerard Riedy1, Ping-Hong Yeh1,2, Dominic E. Nathan1,2, Grant H. Bonavia1, and John Ollinger1

1National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, United States, 2The NorthTide Group, LLC, Dulles, VA, United States

Magnetic susceptibilities of the basal ganglia, as well as the right and left cerebral hemispheres of TBI patients with cerebral microhemorrhage (CMH) were analyzed.  Compared to patients without CMH and controls, patients with CMH demonstrated increased magnetic susceptibility in both the left and right hemispheres but decreased magnetic susceptibility in the basal ganglia. This finding suggests disrupted brain iron hemostatsis due to CMH in the chronic phase of TBI.

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Longitudinal changes in cortical thickness in collegiate high contact sports
Maged Goubran1, Sherveen Parivash1, Paymon Rezaii1, Wei Bian1, Brian Boldt1, Huy Do1, David Douglas1, Eugene Wilson1, Lex Mitchell1, Mansi Parekh1, Scott Anderson1, Gerald Grant1, and Michael Zeineh1

1Stanford University, Stanford, CA, United States

There is emerging evidence that cumulative sports-related concussions may lead to long-term neurological abnormalities. The extent to which changes are occurring in collegiate athletes is still undetermined, and the progression of these changes is poorly understood. Cross sectional studies with small cohorts have found that concussions maybe be associated with cortical thinning in young football players (1,2). We analyze the longitudinal changes occurring in high vs. low contact sports over the course of 3-4 years. 

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Chronically elevated Taurine in the putative seizure onset zone during posttraumatic epileptogenesis identifies epilepsy-prone rats
Riikka Johanna Immonen1, Amna Yasmin1, Asla Pitkänen1, and Olli Gröhn1

1Neurobiology, A.I.Virtanen Institute, Univ. Eastern Finland, Kuopio, Finland

In lateral fluid percussion rat model for posttraumatic epilepsy 50% of animals have slowly developed epilepsy 1 year after the head injury.1 The seizures presumably originate in the perilesional cortex that appears normal in conventional MRI.2 We targeted localized magnetic resonance spectroscopy (MRS) to this cortical area 6 months post-injury, and found elevated Taurine and elevated macromolecule concentration to differentiate the subpopulation (19%) of injured animals with higher susceptibility to seizures in EEG recorded PTZ test. The preliminary immunohistochemical analysis of the underlying complex pathology revealed swollen neurons that may associate with the increase of osmoregulator taurine.


Electronic Poster

Novel Neuroimaging Techniques

Exhibition Hall Wednesday 8:15 - 9:15

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Learning how to see the invisible - using machine learning to find underlying abnormality patterns in reportedly normal MR brain images from patients with epilepsy
Oscar Bennett1, M. Jorge Cardoso1, John Duncan2,3, Gavin Winston2,3, and Sebastien Ourselin1

1Translational Imaging Group, Centre for Medical Image Computing, University College London, London, United Kingdom, 2Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, United Kingdom, 3Epilepsy Society MRI Unit, Chalfont St Peter, United Kingdom

The visual identification of subtle abnormalities in MR brain images that underlie focal epilepsies is a challenging problem. In this study, we used machine learning techniques to uncover patterns of abnormality that exist within reportedly normal brain images from individuals with epilepsy. Our results demonstrated that abnormalities exist in MR images reported to be normal by a human reader, and that these abnormalities exist in a different spatial pattern to that seen in visually apparent cases. We obtained novel insights into why visual assessment may be ineffective in these visually normal cases and provide suggestions on how to improve this situation.

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Water exchange in a white matter tissue phantom measured using clinically feasible diffusion exchange spectroscopy (DEXSY) MRI
Dan Benjamini1, Michal E Komlosh1,2, and Peter J Basser1

1Quantitative Imaging and Tissue Sciences, National Institutes of Health, Bethesda, MD, United States, 2Center for Neuroscience and Regenerative Medicine, Bethesda, MD, United States

Studying the axons’ membrane permeability at different white matter tracts could clarify the role of aquaporins. Diffusion exchange spectroscopy (DEXSY) is an assumption-free approach to measure water exchange, allowing for any number of exchange processes between any number of compartments. It has never been applied in biological MRI owing to its exceptionally long scan time requirements. Here we present a method to reduce the number of required acquisitions, making DEXSY-MRI clinically feasible for the first time. We apply this method on a nerve tissue phantom, and demonstrate that 14 acquisitions are sufficient to determine the exchange spectrum.

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The Anomalous Diffusion γ-parameter depends on local magnetic susceptibility differences when quantified in human brain tissue by MRI
Alessandra Caporale1,2, Marco Palombo3,4, Emiliano Macaluso 5, Michele Guerreri4,6, Marco Bozzali7, and Silvia Capuani8

1SAIMLAL Dept., Morpho-functional Sciences, Sapienza University of Rome, Rome, Italy, 2CNR ISC UOS Roma Sapienza, Rome, Italy, 3MIRCen, Commissariat à l'Energie Atomique, France, Italy, 4Physics Department, CNR ISC UOS Roma Sapienza, Rome, Italy, 5ImpAct Team, Lyon Neuroscience Research Center, Lyon, France, France, 6SAIMLAL Dept., Morphogenesis & Tissue Engineering, Sapienza University of Rome, Rome, Italy, 7NeuroImaging Laboratory, Santa Lucia Foundation, Rome, Italy, 8Physics Dept., CNR ISC UOS Roma Sapienza, Rome, Italy

Motivated by previous results obtained in vitro, we investigated the dependence of the anomalous diffusion γ-parameter on local magnetic susceptibility differences (Δχ) in human brain. We performed diffusion weighted experiments varying diffusion gradient strengths in eight healthy subjects at 3.0T and measured the rate of relaxation (R2*). We found significant strong linear correlations between γ and R2* both in white and gray matter selected regions. Conversely, DTI-parameters did not correlate with R2*. Consequently AD-γ depends on Δχ due to differences in myelin orientation and iron content. This makes AD-imaging even more appealing for clinical neuroimaging investigations.  

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Rapid and Quantitative Parametric Mapping for Mesial Temporal Lobe Epilepsy Using MR Fingerprinting
Congyu Liao1, Kang Wang2, Xiaozhi Cao1, Dengchang Wu2, Qiuping Ding1, Hongjian He1, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, People's Republic of China, 2Department of Neurology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China

A recently proposed MR fingerprinting (MRF) technique was used to acquire quantitative multi-parametric maps in about 3 minutes for diagnosis of mesial temporal lobe epilepsy in 20 patients. The results could improve the reliability and sensitivity of MRI evaluations in such patients compared with conventional MRI diagnosis methods.

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Single-scan, whole-brain functional network mapping using optogenetic fMRI with CBV
Andrew J Weitz1, ManKin Choy2, Ben A Duffy2, Jia Liu2, and Jin Hyung Lee1,2,3,4

1Bioengineering, Stanford University, Stanford, CA, United States, 2Neurology and Neurological Sciences, Stanford University, Stanford, CA, United States, 3Neurosurgery, Stanford University, Stanford, CA, United States, 4Electrical Engineering, Stanford University, Stanford, CA, United States

Optogenetic fMRI studies have traditionally required significant scan averaging to achieve signal-to-noise ratios sufficient for whole-brain functional network mapping. As a result, more scan time is required, and measurements may not directly translate to accompanying behavioral paradigms that employ a single stimulation. Here, we used a SPION-based MRI contrast agent to enable single-scan functional network mapping with CBV during optogenetic stimulation of the thalamic submedial nucleus. Measurement of CBV led to significant activations detected at the site of stimulation and downstream mono- and polysynaptically connected regions. In comparison, single-scan BOLD measurements led to minimal detectable responses to stimulation.

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The Relationship between Diffusivity and Electrical Conductivity: Initial Results of an In Vivo Assessment by MRI
Khin Khin Tha1, Ulrich Katscher2, Shigeru Yamaguchi3, Shunsuke Terasaka3, and Hiroki Shirato1

1Department of Radiation Medicine, Hokkaido University, Sapporo, Japan, 2Philips Research Laboratories, Hamburg, Germany, 3Department of Neurosurgery, Hokkaido University, Japan

Correlation between diffusion kurtosis imaging indices and electrical conductivity was tested in 24 patients with grade II to grade IV gliomas. The results suggest association of electrical conductivity with complexity of tissue microstructure.

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Advances in imaging the human brain with inhaled hyperpolarized xenon-129 MRI at 1.5 T
Madhwesha Rao1, Neil Stewart1, Paul Griffiths1, Graham Norquay1, and Jim Wild1

1University Of Sheffield, Sheffield, United Kingdom

The feasibility of imaging human brain tissue-perfusion using inhaled hyperpolarized 129Xe magnetic resonance imaging is demonstrated. Enhancement of 129Xe gas polarization and a custom brain RF coil array have together enabled imaging of hyperpolarized 129Xe dissolved in the human brain at 1.5 T with a quality and signal-to-noise hitherto unseen. The images clearly demonstrate the uptake and washout of 129Xe in the brain with time and could provide novel insights into cerebral perfusion and blood brain barrier permeability without the use of intravenous contrast.

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Interleaved pulse sequence for calibrated BOLD based on MRI measurement of venous oxygen saturation
Erin K Englund1, Maria A Fernandez-Seara2, Hyunyeol Lee1, Zachary B Rodgers1, John A Detre3, and Felix W Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Radiology, University of Navarra, Pamplona, Spain, 3Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States

An improved interleaved pulse sequence termed “OxBOLD” is presented for calibrated fMRI. OxBOLD measures ASL-based perfusion and BOLD signal changes with whole-brain coverage, in addition to global measures of blood flow and venous oxygen saturation by concatenating background-suppressed 3D-GRASE pCASL, phase contrast, 2D-multi-slice EPI, and dual-echo GRE sequences. The OxBOLD pulse sequence is combined with the Yv-based calibration model to derive the calibration factor, M, which relates perfusion and BOLD signal changes to the cerebral metabolic rate of oxygen (CMRO2). M-maps derived from OxBOLD have similar M values averaged over grey matter as compared to the traditional Davis calibration model. 

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Advancing Quantitative Brain Injury Lesion Imaging Using Total Field Inversion QSM
Salil Soman1, Zhe Liu2, Ursula Nemec, Samantha Holdsworth, Keith L Main, Jerome Yesavage, David Hacknkey, Ansgar J Furst, Maheen M Adamson, Yi Wang, Pascal Spincemaille, and Michael Moseley

1Radiology, Harvard Medical School / BIDMC, Boston, MA, United States, 2Cornell University

Traumatic brain injury often results in brain lesions which are subtle. Current conventional MRI techniques (GRE and SWI) are field strength and echo time dependent, causing lesions to possible be missed. QSM methods can overcome this, but with many artifacts and missed lesions due to masking artifacts. TFI QSM can overcome this issue, as we demonstrate in this study of TBI patients.

4546
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The first observation of 17O MRI in normal rats at 21.1 T
Victor D. Schepkin1, Andreas Neubauer2, Christian Schuch3, Tilo Glaeser3, Michael Kievel3, Steven L. Ranner1, William W. Brey1, Shannon Helsper1, and Lothar Schad2

1CIMAR, NHMFL/FSU, Tallahassee, FL, United States, 2University of Heidelberg, Mannheim, Germany, 3NUKEM Isotopes, Alzenau, Germany

The capability of 17O MRI in a rat head was evaluated at the high magnetic field of 21.1 T (NHMFL, Tallahassee).  The results demonstrated that 17O MR relaxation times are dependent on the magnetic field strength which correlates with experimental observations for sodium. Well separated MR peaks of 17O water and 6-17O glucose provided the time courses of water distribution and glucose consumption in vivo.  3D 17O MRI is possible with a resolution of 1 mm3 in normal rats.   17O MRI is a promising tool for future tumor detection and evaluation of tumor glucose consumption rates.

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Improvement of dynamic improved motion-sensitized driven-equilibrium steady-state free precession (dynamic iMSDE SSFP) to visualize the irregular motion of cerebrospinal fluid
Tomohiko Horie1, Nao Kajihara1, Shuhei Shibukawa1, Susumu Takano1, Toshiki Saitou1, Tetsu Niwa2, Mitsunori Matsumae3, Kagayaki Kuroda4, Makoto Obara5, Tetsuo Ogino5, and Isao Muro6

1Department of Radiology, Tokai University Hospital, Isehara, Japan, 2Department of Radiology, Tokai University School of Medicine, Isehara, Japan, 3Department of Neurosurgery, Tokai University School of Medicine, Isehara, Japan, 4Course of Electrical and Electronic Engineering, Graduate School of Engineering, Tokai University, Hiratsuka, Japan, 5Healthcare, Philips Electronics Japan Ltd, Shinagawa, Japan, 6Department of Radiology, Tokai University Hospital, Hachiouji, Hachiouji, Japan

We reported a new technique to visualize the irregular motion of cerebrospinal fluid (CSF) by using   dynamic improved motion-sensitized driven-equilibrium steady-state free precession (dynamic iMSDE SSFP). The purpose of this study was to optimize the sequence parameters of dynamic iMSDE SSFP. As a result, the slow and irregular CSF motions were sensitively detected using the following parameters: T2prepTE: 30 ms, dynamic interval: 700 ms, flow VENC: 1 cm/s and the directions of MSG: 3axes. Therefore, optimized dynamic iMSDE SSFP is suggested to contribute to the diagnosis of various diseases in the CSF space.

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Holographic visualization of brain MRI with Real-Time Alignment to a Human Subject
Christoph Leuze1, Subashini Srinivasan1, Michael Lin1, Brian A Hargreaves1, Bruce L Daniel1, and Jennifer A McNab1

1Stanford, Stanford, CA, United States

In this work we use the Microsoft Hololens for holographic visualization of brain MR imaging data aligned to the real world human body. This provides a way to directly “look inside” the subject’s head instead of treating image and subject as two separate entities.

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Validation of inhomogeneous Magnetization Transfer (ihMT) as a myelin biomarker
Valentin H Prevost1, Olivier M Girard1, Myriam Cayre2, Gopal Varma3, Samira Mchinda1, Jean-Philippe Ranjeva1, Jean Pelletier4, Pascale Durbec2, David C Alsop3, and Guillaume Duhamel1

1Aix Marseille Univ, CNRS, CRMBM, UMR 7339, Marseille, France, 2Aix Marseille Univ, CNRS, IBDM, UMR 7288, Marseille, France, 3Division of MR Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States, 4Aix Marseille Univ, APHM, Hôpital de La Timone, Pôle de Neurosciences Cliniques, Service de Neurologie, Marseille, France

The ihMT (inhomogeneous Magnetization transfer) signal qualitatively demonstrates sensitivity for myelinated structures. However, image intensity and contrast vary with the saturation parameters, further questioning the specificity of ihM for myelin. This study validated ihMT as a myelin biomarker by demonstrating for various ihMT sequences, linear relationships between ihMT signal and intensity of fluorescence microscopy (a quantitative myelin specific histology technique) collected in plp-GFP mouse brain.

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Hybrid EEG and fMRI platform for multi-modal neurofeedback
Marsel Mano1,2, Elise Bannier2,3, Lorraine Perronnet1,2, Anatole Lécuyer1, and Christian Barillot2,4,5,6

1Hybrid Team, Inria, Rennes, France, 2VisAGeS Project-Team, Inria, Rennes, France, 3Service de Radiologie, CHU Pontchaillou, Rennes, France, 4VisAGeS U746, Inserm, Rennes, France, 5UMR CNRS 6074, IRISA, Rennes, France, 6University of Rennes, Rennes, France

Neurofeedback (NFB) relies on neurosignals for the estimation of brain activity. There exist a wide variety of NFB applications that use one type of neurosignals like fMRI or electroencephalography (EEG). Recently, the combination of two or more neurosignals has been receiving a lot of attention in the research community, but still very few multi-modal NFB applications exist. This is primarily because of the lack of commercial multi-modal NFB systems and the associated technical difficulties in building them.

Here we are going to describe a bi-modal EEG and fMRI NFB platform that we have build in our lab. Our platform is designed to maximize modularity and parallel processing in order to be able to provide real-time NFB with high level of synchronization and minimal delays. We have successfully used our platform to conduct over 100 uni-modal and bi-modal NFB experiments with more than 30 healthy subjects.


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Brain parenchyma pulsatility assessed with ferumoxytol enhanced T2* MRI.
Leonardo A Rivera Rivera1, Patrick Turski1,2, Oliver Wieben1,2, Scott B Reeder2, Tilman Schubert 2, and Kevin M Johnson1

1Dept. of Medical Physics, University of Wisconsin-Madison, MADISON, WI, United States, 2Dept. of Radiology, University of Wisconsin-Madison, Madison, WI, United States

Pulsatility differences in large intracranial arteries and veins have been observed in patients with dementia using 4D flow MRI. How microvascular pulsatility is affected, however, is unclear. Non-invasive methods to monitor capillary pulsatility are still lacking. In this work, we present a method to assess brain parenchyma microvascular pulsatility using T2* signal changes over the cardiac cycle using ferumoxytol enhanced MRI. Significant differences in PI of the cortical gray matter were found when compared to white matter PI values. This method to assess microvascular blood volume pulsatility over the cardiac cycle might serve as a marker to study capillary pulsatility.

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Hippocampal stiffness in mesial temporal sclerosis epilepsy measured by MR elastography: Initial results
Daniel R Smith1, Hillary Schwarb2, Ryan Pohlig3, William C Oliviero4,5, Bradley P Sutton4, Tracey M Wszalek4,5, Graham R Huesman4,5,6, and Curtis L Johnson1

1Biomedical Engineering, University of Delaware, Newark, DE, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, 3College of Health Sciences, University of Delaware, Newark, DE, United States, 4Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 5Carle Neuroscience Institute, Carle Foundation Hospital, Urbana, IL, United States, 6Department of Molecular and Integrative Physiology, Univerity of Illinois Urbana-Champaign, Urbana, IL, United States

Mesial temporal sclerosis (MTS), or hippocampal sclerosis, is the most common form of temporal lobe epilepsy and can be effectively treated by surgery if it is able to be reliably detected. In this work we examine whether hippocampal stiffness measured by magnetic resonance elastography (MRE) is sensitive to MTS. In our preliminary sample of five patients with MTS and seven controls, we found the hippocampus to be softer bilaterally in MTS (-13.4% and -15.2% differences for affected and unaffected sides). This preliminary evidence suggests MRE may provide highly sensitive markers that could aid the diagnosis and treatment of MTS.

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N-Acetylcysteine Supplementation Elevates Human Brain Glutathione In Vivo: A Proof-of-Concept Study using J-edited 1H MRS
Nora Weiduschat1, Xiangling Mao1, Diana Vu2, Michelle Blate2, Guoxin Kang1, Halinder S. Mangat3, Amanda Artis4, Yize Zhao4, Gudrun Lange2, Claire Henchcliffe 3, Benjamin H. Natelson2, and Dikoma C. Shungu1

1Radiology, Weill Cornell Medicine, New York, NY, United States, 2Neurology, Mount Sinai Beth Israel Medical Center, New York, NY, United States, 3Neurology and Neuroscience, Weill Cornell Medicine, New York, NY, United States, 4Healthcare Policy and Research, Weill Cornell Medicine, New York, NY, United States

A prior finding of robust cortical glutathione (GSH) deficits in patients with chronic fatigue syndrome (CFS) and major depressive disorder (MDD) provided a compelling rationale for this pilot study that aimed to assess whether 4 weeks of daily supplements of 1800mg of the GSH synthetic precursor N-acetylcysteine (NAC) would normalize brain GSH in CFS patients, as measured in vivo with J-edited MRS. The study’s main finding was that NAC supplementation significantly increased cortical GSH levels in CFS patients compared to controls, while levels of the antioxidant remained statistically unchanged in controls despite a slight numerical increase.



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T1 mapping from variable flip angle SPGR and IR-SPGR data using DESPOT1-HIFI
Mohammad Kayvanrad1,2

1Amirkabir University of Technology, Tehran, Iran, 2Robarts Research Institute, London, Canada

This work aims at improving the calculation of T1 maps at high magnetic fields from a set of VFA SPGR and IR-SPGR images for direct correction of B1 inhomogeneities using DESPOT1-HIFI. In the present work we (i) call attention to an erroneous assumption regarding the IR-SPGR signal intensity equation in the original DESPOT1-HIFI method and derive an alternative equation, and (ii) propose a reduced-dimensions least-squares fitting method, which turns the complex multi-parameter fitting into a simple one-dimensional search.

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Ex-vivo Quantitative Susceptibility Mapping of Human Brain Hemispheres
Arnold M. Evia1, Aikaterini Kotrotsou1, Robert J. Dawe1,2,3, Sue E. Leurgans2,4, Julie A. Schneider2,4,5, David A. Bennett2,4, and Konstantinos Arfanakis1,2,3

1Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States, 2Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States, 3Department of Diagnostic Radiology, Rush University Medical Center, Chicago, IL, United States, 4Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, United States, 5Department of Pathology, Rush University Medical Center, Chicago, IL, United States

In order to establish the role of quantitative susceptibility mapping (QSM) as a diagnostic tool in aging, it is essential to combine QSM with direct assessments of age-related brain pathologies on the same individuals. Using ex-vivo QSM for this purpose may be more advantageous than in-vivo QSM, since ex-vivo QSM assesses the brain in the same condition as histology, and allows imaging of older adults independent of frailty level. However, being able to translate ex-vivo QSM findings to in-vivo is crucial. Therefore, our goal was to investigate the effects of death and fixation on brain QSM data collected ex-vivo.  

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Investigation of machine learning techniques in preoperative glioma grading based on multi-parametric MRI data
Xin Zhang1, Linfeng Yan1, Yang Yang1, Haiyan Nan1, Yu Han1, Yuchuan Hu1, Jin Zhang1, Ying Yu1, Yingzhi Sun1, Qian Sun1, Zhicheng Liu1, Wen Wang1, and Guangbin Cui1

1Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, People's Republic of China

This study demonstrates the significance of integrating multi-parametric MRI attributes and effective machine learning techniques in preoperative glioma grading. A comprehensive scheme combining tumor attribute extraction, attribute selection and classification model was proposed and tested. The tumor attributes were collected from histogram and texture analysis of multi-parameter MRI maps within the whole tumor. The classification performances of 25 commonly used classifiers combined with 8 kinds of attribute selection strategies in differentiating low grade gliomas from high grade gliomas were investigated. Support vector machine (SVM) combined with SVM-RFE attribute selection method were found to exhibit superior performance to others.

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Quantitative and qualitative evaluation of "Flexible PET/MRI" images in brain
Mizue Suzuki1, Yasutaka Fushimi1, Tomohisa Okada2, Takuya Hinoda1, Ryusuke Nakamoto1, Yuji Nakamoto1, and Kaori Togashi1

1Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Human Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan

A newly developed " Flexible PET (fxPET)" is a prototype of MR-compatible mobile PET system. We tried to investigate the clinical feasibility of the fxPET with a 1.5T MRI compared with PET/CT for brain imaging. Twenty-one patients ( including 12 patients with known intracranial masses) were enrolled in this study. We compared misregistration between fxPET/MRI and PET/CT, and compared the image quality of fxPET and PET in both qualitative (visual rating) and quantitative (standardized uptake value (SUV)-based analysis ) manner. Consequently, fxPET/MRI showed acceptable misregistration and enough image quality, revealing clinical feasibility comparable to that of PET/CT.  

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MR Fingerprinting in paediatric neuroradiology: our initial experience
Graziella Donatelli1, Guido Buonicontri2, Rosa Pasquariello3, Mauro Costagli2, Raffaello Canapicchi3, and Michela Tosetti2,3

1Università di Pisa, Pisa, Italy, 2IMAGO7 Research Institute, 3IRCCS Stella Maris, Pisa Italy

In paediatric neuroimaging, young children have often to be sedated in order to obtain diagnostic MRI images. Magnetic Resonance Fingerprinting (MRF) is a potential alternative to sedation in children, as it achieves a fast exam with reduced sensitivity to patient motion. MRF acquisitions can be used to acquire a fully-quantitative anatomical exam in less than five minutes at a standard resolution. We performed a preliminary evaluation of MRF in 15 paediatric patients, acquiring both the standard protocol and MRF at 1.5T.  Detection of brain alterations was possible, if present, in all patients.  Only a few small lesions were unrevealed. MRF could be a promising tool for a fast and diagnostic exam in children, and due to its low sensitivity to motion it has the potential to allow exams without sedation.

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Contrast Agent-Induced High Signal Intensity in Dentate Nucleus on Unenhanced T1-Weighted Images: Comparison of Gadodiamide and Gadoxetic Acid
Shintaro Ichikawa1, Utaroh Motosugi1, Yoshie Omiya1, and Hiroshi Onishi1

1Department of Radiology, University of Yamanashi, Chuo-shi, Japan

Hyperintensity in the dentate nucleus (DN) on unenhanced T1-weighted images was associated with previous administration of gadodiamide but not gadoxetic acid. There were no significant differences in DN-to-pons ratio between patients who received five or more administrations of gadoxetic acid and those without gadolinium-based contrast agent administration or chronic liver disease. Hyperintensity in the dentate nucleus on unenhanced T1-weighted images is not associated with up to fifteen previous administrations of gadoxetic acid. Therefore, gadolinium deposition in the brain might be difficult despite a history of repeated gadoxetic acid administration.

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In vivo measurement of water exchange at the human blood-cerebrospinal fluid barrier
Valerie C Anderson1, Xin Li1, Aaron Doud1, Ian J Tagge1, Eric M Baker1, Joseph F Quinn2, Jeffrey A Kaye2, and William D Rooney1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Dept. of Neurology, Oregon Health & Science University, Portland, OR, United States

Epithelial cells of the choroid plexus contain the blood-CSF barrier and play a pivotal role in brain water homeostasis. Here, DCE-MRI was used to investigate choroid plexus water exchange in 25 older individuals. A marked non-linearity of blood and tissue R1 values was observed, indicating that water exchange departs the fast exchange limit at clinical blood contrast agent levels. Using a two-site model that explicitly incorporates water exchange between intra- and extraventricular compartments, a mean rate constant for ventricular water efflux, kio, of 0.26 ± 0.13 s-1 was obtained. Significant associations of kio with age and cognitive status were found.  


Electronic Poster

Cerebrovascular Disease

Exhibition Hall Wednesday 8:15 - 9:15

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Evaluating brain tissue oxygen extraction fraction changes following transfusion therapy using TRUST MRI in adults with sickle cell anemia
Meher R Juttukonda1, Manus J Donahue1, Melissa C Gindville2, and Lori C 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

Brain tissue oxygen extraction fraction (OEF) and cerebral blood flow (CBF) have been identified as potential imaging biomarkers for triaging adults with sickle cell anemia (SCA) for aggressive blood transfusion therapy for stroke prevention; however, little is known regarding how tissue-level hemodynamics are affected by transfusions. We utilized noninvasive MRI methods to assess OEF and CBF before and after transfusions in adults with SCA. Our results showed that OEF significantly reduces after transfusion and that this reduction parallels increases in blood oxygen content, while CBF is unchanged.

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Evaluation of hemodynamic impairments in healthy elderly participants and patients with high-grade unilateral carotid artery stenosis
Stephan Kaczmarz1, Jens Göttler1, Vanessa Griese1, Jan Petr2, Kim van de Ven3, Michael Helle4, Hendrick Kooijman5, Anne Kluge6, Dimitrios C. Karampinos7, Claus Zimmer1, Christian Sorg1,8, and Christine Preibisch1,8,9

1Department of Neuroradiology, Technical University of Munich, Munich, Germany, 2PET center, Institute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany, 3Philips Healthcare, Best, Netherlands, 4Philips Research, Hamburg, Germany, 5Philips Healthcare, Hamburg, Germany, 6Department of Radiation Oncology and Radiotherapy, Charité Berlin, Berlin, Germany, 7Department of Radiology, Technical University of Munich, Munich, Germany, 8TUM Neuroimaging Center, Technical University of Munich, Munich, Germany, 9Clinic for Neurology, Technical University of Munich, Munich, Germany

Internal carotid-artery stenosis (ICAS) causes complex and not yet well understood physiological impairments. We present preliminary data from an ongoing clinical study in ICAS patients and healthy, age-matched participants. The major aims were to evaluate the reliability of a multimodal MRI-protocol and investigate physiological changes. For ICAS patients, regionally impaired vascular-reactivity as well as hypo-perfusion were found. In accordance with literature, we did not find ICAS-induced changes in oxygen extraction on group level. The presented preliminary results thus imply successful application of multimodal MRI methods and are highly promising with respect to gaining a deeper insight into ICAS-related physiological changes.

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The brain metabolite change of magnetic resonance spectroscopy for evaluating he Rehabilitation therapy effect of intra-cerebral hemorrhage rat animal model
Sang-Hun Jang1 and Seung-Man Yu2

1Gimcheon University, Gimcheon, Korea, Republic of, 2Gimcheon University, Gimcheon, Korea, Korea, Republic of

The objective of this study were to examine the brain metabolite concentration quantification change by in-vivo 1H-MRS analysis in animal hemorrhage model, and we determined the bio-marker that was shown the effect of exercise treatment in hemorrhage disease. No significant difference in the concentration levels of experimental and control group were observed (p=0.839). There was great significance in revealing that (Glu+Gln)/tCr value was increased, and tCho/tCr concentration level was decrease applying exercise treatment methods on hemorrhage animal model. Therefore, the metabolite concentration change of (Glu+Gln)/tCr and tCho/tCr can be used as a powerful bio-marker that represented an exercise treatment in hemorrhage patients.

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Longitudinal metabolic evolution of rat cortex upon global ischemia: an ultra-short echo time 1H MRS study
Mario G Lepore1 and Hongxia Lei1,2

1Biomedical Imaging Research Center, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2University of Geneva, Geneva, Switzerland

Stroke is a leading cause for disability. Metabolic evolution of transient ischemia attack might shed insights for diagnosis and prognosis. We aimed to 1H MRS study metabolic evolution of cortex before, during and immediately after 15-min complete global ischemia. Combination of MR angiography (MRA) and 1H MRS allows execution of vascular occlusion models directly in the magnet as well as proper identification and characterization of complete stroke.

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Associations between white matter lesions, age, and 4D flow MRI hemodynamics in 69 patients with Sickle Cell Disease
Lena Vaclavu1, Zelonna Baldew1, Sanna Gevers1, Veronica van der Land2, Henri JMM Mutsaerts3, Karin Fijnvandraat2, John C Wood4, Charles BLM Majoie1, Ed T vanBavel5, Bart J Biemond6, Aart J Nederveen1, and Pim van Ooij1

1Radiology, Academic Medical Center, Amsterdam, Netherlands, 2Pediatric Hematology, Emma Children's Hospital, Academic Medical Center, Amsterdam, Netherlands, 3Sunnybrook Research Institute, Toronto, Canada, 4Cardiology, Children's Hospital Los Angeles, Los Angeles, CA, United States, 5Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands, 6Internal Medicine, Hematology, Academic Medical Center, Amsterdam, Netherlands

Hemodynamic parameters such as wall shear stress(WSS) may be adversely affected in Sickle Cell Disease(SCD). Vaso-occlusion is a common complication leading to ischemic organ damage. We investigated how impaired hemodynamics (velocity, WSS, flow and lumen area) relate to ischemic white matter lesions(WMLs). Our aim was to quantify age-related changes in hemodynamics and to investigate their relationship with WMLs. 14 controls and 69 patients underwent 4D-flow MRI. We assessed intracranial velocity, WSS, flow and lumen area in the circle of Willis. We show that 4D-flow parameters are decreased in patients with WMLs, but age is an important factor in this relationship.

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Fractional anisotropy values of pyramidal tract and motor functional recovery: intracerebral hemorrhage patients study
Takashi Inoue1, Yasutaka Kuzu2, Yoshiyuki Kanbara2, Shunro Fujiwara2, Kuniaki Ogasawara2, and Teiji Tominaga3

1Neurosurgery, Sendai Medical Center, Sendai, Japan, 2Neurosurgery, Iwate Meical University, Morioka, Japan, 3Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan

Patients with ICH are sometimes treated with surgical evacuation. However, the efficacy of surgery remains unclear for recovery of motor function. We assessed the relationship between motor function outcome and sequential change of FA in patients, to explore whether motor function outcome can be predicted in the early phase. The FA values of the cerebral peduncle on day 3 could predict the motor function outcome on day 90. Patients with severe motor paresis and FA value of greater than 0.7 should be considered for surgical evacuation.

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Comparison of the Arterial transit artifact of pcASL between stroke patients with cerebral artery stenosis and normal controls
Le He1, Shuo Chen1, Zhensen Chen1, Lixia Yang2, Xihai Zhao1, Chun Yuan1,3, and Huijun Chen1

1Center for BioMedical Imaging Research,Tsinghua, Beijing, People's Republic of China, 2Department of Image Center, Shanghai Xuhui Center Hospital, Shanghai, People's Republic of China, 3Department of radiology, University of Washington, Seattle, WA, United States

Cerebral blood flow (CBF) reduction below a certain threshold is a main cause leading to cerebral ischemia . Arterial Spin Labeling (ASL) is a noncontrast MRI perfusion technique that can quantify CBF. Although ATA may be problematic for CBF quantification, there are evidences suggest that ATA may be a useful imaging biomarker to represent collateral flow and indicate better outcomes , this study aims to investigate the difference of ATA prevalence between stroke patients with cerebral artery stenosis and healthy volunteers. It was found that the stroke patients have more brain regions with long arterial transit time compared with healthy volunteers using a manual review method to estimate the overall CBF of subject while allowing ATA detection, suggesting ATA could be a potential imaging biomarker.

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Association between Occluded Extra-cranial Carotid Artery Disease and Arterial Wall Edema in Ipsilateral Petrous Internal Carotid Artery: A 3D MR Vessel Wall Imaging Study
Xiaoyi Chen1,2, Huilin Zhao3, Zechen Zhou4, Le He2, Rui Li2, Chun Yuan2,5, and Xihai Zhao2

1Beijing Institute for Brain Disorders, Capital Medical University, Beijing, People's Republic of China, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, People's Republic of China, 3Department of Radiology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China, 4Philips Research China, Philips Healthcare, Beijing, People's Republic of China, 5Department of Radiology, University of Washington, Seattle, United States

Carotid artery severe stenosis or occlusion will lead to decreases in blood flow and ischemia in downstream arterial segments. It has been shown that ischemia within vessel wall may lead to wall edema which will affect the vascular revascularization after interventional treatment for the severe stenotic or occluded diseases. This study investigated the correlation between extra-cranial carotid artery stenotic diseases and arterial wall edema in ipsilateral petrous internal carotid artery (ICA) using 3D MR vessel wall imaging. We found that proximal ICA severe stenosis was independently associated with wall edema in ispilateral petrous ICA (OR=2.45, 95% CI 1.65-3.63, P<0.001).

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Prevalence and Clinical Relevance of Intraplaque Haemorrhage in Stenotic and Non-stenotic Basilar Artery Intracranial Atherosclerotic Plaque
Chengcheng Zhu1, Xia Tian2, Andrew Degnan3, Zhongzhao Teng4, Jianping Lu2, David Saloner1, and Qi Liu2

1Radiology, University of California, San Francisco, San Francisco, CA, United States, 2Radiology, Changhai Hospital, Shanghai, People's Republic of China, 3Radiology, University of Pittsburgh, PA, United States, 4Radiology, University of Cambridge, Cambridge, United Kingdom

Intraplaque hemorrhage (IPH) in intracranial arteries is a possible marker of increased stroke risk.  While previous studies focused on stenotic arteries, non-stenotic arteries also cause fatal stroke. We studied 100 patients using high-resolution MRI and found IPH was prevalent (>20%) in both stenotic and non-stenotic basilar arteries, and was a strong predictor of symptoms with an odd ratios of 15.4. IPH has a very high specificity (97.1%) to predict symptoms. Specifically, IPH may be useful in selecting high risk stroke patients with clinically non-significant stenosis, who may benefit from more aggressive treatment.

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Cerebral perfusion characteristics show differences in younger vs. older children with sickle cell anaemia: results from a multiple inflow-time arterial spin labelling study
Jamie M Kawadler1, Patrick W Hales1, Fenella J Kirkham1, and Chris A Clark1

1Developmental Neurosciences, UCL Great Ormond Street Institute of Child Health, London, United Kingdom

Sickle cell disease (SCD) is associated with chronic anaemia and oxygen desaturation, which elevates cerebral blood flow (CBF) and increases risk of stroke. Cerebral haemodynamics are abnormal and techniques for assessing CBF using a single inflow-time may not be sufficient. This study investigated haemodynamic parameters from a multi-inflow-time acquisition in younger and older children with SCD and healthy controls. CBF was elevated globally in both groups of patients, but in older children, patients had significantly shorter bolus arrival time. This may indicate increasing disparity between patients and controls with age and may be related to longer standing burden of disease.

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4D Flow assessment of ophthalmic artery flow in patients with atherosclerotic internal carotid artery stenotic disease
Tetsuro Sekine1, Ryo Takagi1, Yasuo Amano1,2, Yasuo Murai3, Yoshimitsu Fukushima1, Erika Orita1, Takahiro Andoh1, Yoshio Matsumura3, and Shin-ichiro Kumita1

1Radiology, Nippon Medical School, Tokyo, Japan, 2Radiology, Nihon University School of Medicine, Tokyo, Japan, 3Neurosurgery, Nippon Medical School, Tokyo, Japan

We performed 4D Flow MRI assessment of the ophthalmic artery (OphA) flow in patients with internal carotid artery stenosis (ICS). Twenty-one consecutive patients with unilateral ICS were recruited. 4D Flow MRI and acetazolamide-stress brain perfusion SPECT were performed. The flow direction on the affected-side OphA was categorized into native flow and non-native flow based on 4D Flow MRI. In the affected-side MCA territory, the ratio of rest cerebral blood flow to normal control (RCBFMCA) and cerebral vascular reserve (CVRMCA) were calculated from SPECT dataset. Eleven patients had native OphA flow and the remaining 10 had non-native OphA flow. RCBFMCA and CVRMCA were significantly lower in non-native flow group (84.9±18.9% vs. 69.8±7.3%, p<0.05; 36.4±20.6% vs. 17.0±15.0%, p<0.05). Four patients in the non-native flow group and none in the native flow group were confirmed as high-risk (Sensitivity/Specificity, 1.00/0.65). The 6 min-standard 4D Flow MRI assessment of OphA in patients with ICS can predict intracranial hemodynamic impairment.

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Slower Information Processing Speed is related to White-Matter Integrity in Sickle Cell Disease
Hanne Stotesbury1, Fenella J Kirkham1, Chris A Clark1, and Jamie M Kawadler 1

1Developmental Neurosciences, UCL Great Ormond Street Institute of Child Health, London, United Kingdom

Sickle cell disease (SCD) is associated with stroke1 and slower processing2. Slower processing in the absence of stroke may be related to hypoxic-ischaemic white-matter (WM) injury3. Cognitive assessments and tract-based spatial statistics analyses using diffusion tensor imaging (DTI), were conducted in 84 patients with SCD, stratified by degree of hypoxic-anaemic exposure. Processing speed indices (PSI) were related to WM integrity, and there were differences in PSI and WM integrity as a function of daytime oxygen-desaturation, but not SCI. The results provide links between oxygen desaturation, PSI, and WM integrity, and may indicate amelioration of function by interventions that reduce hypoxic exposure. 

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Cerebral perfusion and reactivity in Impaired Glucose Tolerance and Type-2 Diabetes using arterial spin labeling
Maria-Eleni Dounavi1,2, Aneurin J. Kennerley2,3, Solomon Tesfaye4, Christopher Martin2,3, Dinesh Selvarajah4, Elaine Boland1, and Iain D. Wilkinson1,2

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 2Neuroimaging in Cardiovascular Disease (NICAD) Network, University of Sheffield, Sheffield, United Kingdom, 3Department of Psychology, University of Sheffield, Sheffield, United Kingdom, 4Academic Unit of Diabetes, University of Sheffield, Sheffield, United Kingdom

This study evaluates cerebral perfusion and cerebrovascular reserve (CVR) in impaired glucose tolerance and patients with type-2 diabetes using QUASAR Arterial Spin Labeling. CVR was evaluated as the change in gray matter CBF in response to a pharmacological stimulus. The developed processing pipeline was based on published QUASAR theory, modified to account for excessive motion and partial volume effects. Results show that baseline CBF is within the expected range. In patients with T2DM and IGT there is a significantly lower value of Cerebrovascular Reserve compared to healthy, normoglycaemic individuals.

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The use of Arterial Spin Labeling to Evaluate Posterior Circulation Ischemia in the elderly group (>80 years)
Rui Jia1, Ningyu An2, Xian Xu, and Bing Wu3

1Department of Radiology, General Hospital of the People’s Liberation Army, Beijing, People's Republic of China, 2General Hospital of the People’s Liberation Army, 3GE Healthcare company

Contrast free arterial spin labeling approach is used to assess the perfusion changes in PCI in the elderly group (>80yrs)compared with normal control elderly group. Lower perfusion level was seen in PCI group, also a long PLD time is more effective in detecting the PCI group in case of slower perfusion rate. The lower level of increment with a long PLD in PCI group also indicates the weakened perfusion ability in the posterior circulation. 

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Serial MRI of Lateral Ventricular Enlargement to Measure Rate of Brain Atrophy in Patients with Ischemic Stroke
Muhammad E. Haque1, Refaat E. Gabr1, Khader M Hasan1, Jerome Jeevarajan1, Jonathan Izygon1, Duyen M Nghiem1, Clark W Sitton1, Ponnada A Narayana1, and Sean I Savitz1

1UTHealth Science Center of Houston, Houston, TX, United States

The primary objective of this longitudinal study is to determine the rate of ipsilesional and contralesional lateral ventricular volume (LVv) enlargement in six mild chronic ischemic stroke patients who underwent serial brain MRI at four time points over one year. Infarct volumes, National Institutes of Health Stroke Scale (NIHSS), LVv, gray matter volume (GMv) and white matter volume (WMv) were also measured. Our results show the ipsilesional increase in LVv and the decrease in WMv suggests post-stroke progression of unilateral atrophy.  These changes appear to be independent of the decrease in NIHSS during this same period. This study suggests that MRI can detect pathology that is not reflected by NIHSS.

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Study on the correlation between carotid bifurcation anatomy and atherosclerotic plaque by high resolution MR
Xiao Gao1, Shengzhang Ji1, Yulong Gao1, Jinyu Song1, Ran Du1, Zhizheng Zhuo2, and Shengli Chen1

1Tianjin 4th Center Hospital, Tianjin, People's Republic of China, 2Philips Healthcare, Beijing, People's Republic of China

Based on carotid MR imagings performed on a 3.0T MR scanner with an eight-channel phased-array carotid coil, including 3D TOF, BB-T1WI, BB-T2WI, 3D MP-RAGE, 3D MERGE, We investigated the characteristics of the internal carotid artery angle and common carotid artery bifurcation angle, and compare different forms of carotid bifurcation, analyzed the occurrence of the vulnerable plaques and plaque components, found that bifurcation angles of the internal carotid artery and the common carotid artery have a close relationship with the occurrence of atherosclerosis. Vulnerable plaque with LRNC is more likely to occur at the large angle of the internal carotid artery.

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The Sensorimotor Network Dysfunction in Migraineurs WithoutAura: A Resting-state fMRI study
Jilei Zhang1, Jingjing Su2, Mengxing Wang1, Qian Yao2, Haifeng Lu1, Hui Zhang1, Jianqi Li1, Jian-Ren Liu2, and Xiaoxia Du*1

1Shanghai Key Laboratory of Magnetic Resonance and Department of Physics, School of Physics and Materials Science, East China Normal University, Shanghai, People's Republic of China, 2Department of Neurology and Jiuyuan Municipal Stroke Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China

In current study, we analyzed resting-state fMRI data for the first time to evaluate the dysfunction of the sensorimotor network in migraineurs without aura by applying regional homogeneity (ReHo), amplitudes of low-frequency fluctuation (ALFF) and degree centrality (DC) analysis methods. The ReHo, DC and ALFF values were decreased in the S1 and PMC indicating the sensorimotor network dysfunction in migraineurs without aura. These changes may result in disruption of discrimination of sensory features of pain, thereby affecting nociception pathways. Non-invasive brain stimulation could be applied to sensorimotor network to modulate headache pain in future therapies.

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Ischemic brain lesions and cognition in patients with aneurysmal subarachnoid hemorrhage.
Mariska E Hendriks1, Irene MC Huenges-Wajer2, Theo D Witkamp3, Jeroen Hendrikse4, Gabriel JE Rinkel4, Johanne MA Visser-Meily4, Mervyn DI Vergouwen4, and Jill B De Vis5

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Rehabilitation, University Medical Center Utrecht, 3University Medical Center Utrecht, Netherlands, 4University Medical Center Utrecht, 5Radiology, University Medical Center Utrecht, Washington, DC, United States

A significant amount of patients with aneurysmal subarachnoid hemorrhage suffer from cognitive impairment. The exact origin of this cognitive impairment is unclear. Lesions developing in relation to the event have been hypothesized as the mechanism of action. However, literature on this topic is inconclusive. We aimed to scrutinize this by analyzing our cohort of patients. Lesions were found in  60% of patients,  no relation was found with cognitive outcome, This could be due to selection bias as most of the included patients had a good or mild impaired clinical status at admission and demonstrated ‘no cognitive impairment’ at follow-up.  

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Water Diffusion Heterogeneity in Cytoxic Edema
Kevin Midlash1, Yong Jeong2, Charles Cantrell2, Keigo Kawaji1, Greg Christoforidis1, and Timothy J. Carroll1

1University of Chicago, Chicago, IL, United States, 2Northwestern, Evanston, IL, United States

Modern stroke research and treatment depend on the ability to accurately characterize and quantify diffusion volume. Current methods for segmentation and quantification of diffusion volumes are largely manual and time intensive. In this paper, we explored and validated a method of automatic segmentation of diffusion volumes. This algorithm was validated against known values from previous studies. We then studied the number of angles required to accurately predict diffusion volumes. We determined accurate volumes can be determined with as few as 3 directional vectors while accurate infarct mapping requires only 7 allowing for reduced scan time.

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Sickle hemoglobin vs. normal hemoglobin: Any changes in susceptibility?
Cihat Eldeniz1, Michael Binkley2, Dustin K. Ragan3, Melanie Fields3, Kristin Guilliams3, Liam Comiskey3, Yasheng Chen3, Andria L Ford3, Jin-Moo Lee3, and Hongyu An1

1Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, United States, 2Washington University in St. Louis, St. Louis, MO, United States, 3Washington University in St. Louis

Alterations in cerebral oxygenation may be helpful as an imaging biomarker to predict stroke risk in sickle cell disease (SCD). Such measurement requires the knowledge of susceptibility properties of sickle hemoglobin, HbS. In this study, we aimed at measuring volume susceptibility difference between fully-oxygenated and full-deoxygenated blood, Δχo, of HbS and HbA. The measured Δχo of HbA is consistent with literature reported range, and Δχo of HbS is greater than that of HbA.  However, this difference does not reach statistical significance. 

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How does acute hypertensive crisis affect brain volume? A structural MRI study
Arzu Ceylan Has1, Mehmet Yasir Pektezel2, Mehmet Akif Topcuoglu2, Rahsan Gocmen3, Bulent Erbil4, Nalan Metin Aksu4, Ethem Murat Arsava2, and Kader K. Oguz3

1National Magnetic Resonance Research Center (UMRAM), Ankara, Turkey, 2Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey, 3Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey, 4Department of Emergency Room, Faculty of Medicine, Hacettepe University, Ankara, Turkey

Acute elevations in systemic blood pressure can lead to a wide spectrum of central nervous system manifestations, including catastrophic scenarios like intracerebral hemorrhage. We hypothesized that brain swelling occurs in hypertensive crisis patients, assessed by structural MRI. We prospectively collected MRI data from a consecutive series of patients admitted to the emergency department with a diagnosis of hypertensive urgency but no neurologic symptoms. A second MRI was obtained at 3-months follow-up of blood pressure normalization. MRI analysis revealed reductions in cortical and sub-cortical gray matter after normalization of blood pressure.

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Visualization of Post Stroke Revascularization on a Rat Model Using Dual R1- and Compressed Sensing Assisted R2*-MRAs
MungSoo Kang1 and HyungJoon Cho1

1Department of Biomedical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of

 The visualization of post stroke revascularization is of particular importance for the prognosis and therapeutic measures. In this work, using dual contrast R1-R2*-MRAs, visualization of post stroke revascularization on a rat model was performed. R1-R2*-MRAs were used to visualize surface and inner regions of rat brain, respectively. As a result of post stroke revascularization, all MRAs clearly showed thickened vessel structures in ipsilateral hemisphere.

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The Value of High-resolution MRI and Perfusion Weighted Imaging in the Middle Cerebral Artery Atherosclerotic Stenosis
Shanshan Xie1, Jingliang Cheng, Yong Zhang, and Chengru Song

1The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China

This study aimed to explore the assessment value of HRMRI and PWI in patients of TIA with unilateral MCA atherosclerotic stenosis. 43 patients with MCA territory symptoms underwent preliminary DWI and MRA to exclude acute cerebral infarction and ascertain unilateral stenosis of MCA M1 segment. Thereafter, all the patients underwent HRMRI and PWI. HRMRI gets 155 positive slices,type Ⅲ of plaque 49 (31.6%), IV~Ⅴa 41 (26.5%),Ⅴb 4 (2.5%), Ⅵ 13 (8.4%),Ⅴc 48 (31.0%). The soft plaques(type Ⅳ~Ⅴa and VI) adds up to 54 (34.8%), hard plaques (type III,Ⅴb andⅤc) 101 (65.2%). HRMRI diagnosed four cases of mild stenosis, 11 moderate, 22 severe and 6 occlusion. 42 patients has hemisphere perfusion difference between the affected and normal MCA perfusion districts, with lower rCBF , longer rMTT and TTP (P <0.05) in the affected side.  HRMRI can assess AHA sub-type and stability of atherosclerotic plaque, and stenosis rate of MCA, MTT, TTP can be found changes in early ischemic events, which are sensitive parameters to diagnose TIA.

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NODDI revealed the brain microstructural damage in patients with moyamoya disease
Shoko Hara1,2, Masaaki Hori1, Syo Murata1, Ryo Ueda1, Misaki Nakazawa1, Yoji Tanaka2, Taketoshi Maehara2, Shigeki Aoki1, and Tadashi Nariai2

1Department of Radiology, Juntendo University, Tokyo, Japan, 2Department of Neurosurgery, Tokyo Medical and Dental University, Tokyo, Japan

We applied Neurite Orientation Dispersion and Density Imaging (NODDI) and neurophysiological batteries to 13 patients with moyamoya disease (10 females, age 16-61 yo). We found that intracellular volume fraction (Vic) and orientation dispersion index (OD) decreased as the stages of vascular lesion progressed, and many neurocognitive tasks correlated with the decrease in Vic and OD among different parts of brain. Interestingly, some tasks were much more correlated with the Vic and OD among posterior part of brain than among frontal part. This finding may suggest the importance of PCA lesions in  neurocognitive disturbance in patients with moyamoya disease.


Electronic Poster

Functional MRI: Miscellaneous

Exhibition Hall Wednesday 8:15 - 9:15

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In vivo evidence of negative fMRI response without decrease in neuronal activity: a combined optogenetic fMRI and electrophysiology study
Brittany Katz1,2,3, Daniel Albaugh2,3,4, Chunxiu Yu5, Martin J MacKinnon1,2, Warren Grill 5, and Yen Yu Ian Shih 2,6

1Biomedical Research Imaging Center, University of North Carolina Chapel Hill, Chapel Hill, NC, United States, 2Neurology, University of North Carolina Chapel Hill, Chapel Hill, NC, United States, 3Neurobiology, University of North Carolina Chapel Hill, Chapel Hill, NC, United States, 4Biomedical Research Imaging Core, University of North Carolina Chapel Hill, Chapel Hill, NC, United States, 5Biomedical Engineering, Duke University, Durham, NC, United States, 6Biomedical Research Imaging Center, Unveristy of North Carolina Chapel Hill, Chapel Hill, NC, United States

Neurovascular coupling is the central principle of functional magnetic resonance imaging (fMRI), and thus critical for the interpretation of most fMRI data. While the strong majority of studies support such a tight coupling between neuronal and vascular activity changes in the cortex, the case may not be so straightforward in brain areas containing different cell types such as the striatum, wherein negative fMRI response has been observed to be positively correlated with1, 2, or uncorrelated with electrophysiologically-measured neuronal activity3, 4. Thus, the rodent striatum is an attractive platform to mechanistically dissect the rules governing neurovascular coupling, providing a novel case in which known coupling rules are violated. Taking this path, we began by asking a simple yet critical question: are neuronal activity increases in striatum causal in striatal negative fMRI response? Our results, employing an optogenetic-fMRI approach coupled with correlative in vivo electrophysiology, reveal that, indeed, selective excitation of striatal neurons drives large-scale local negative fMRI response. However, complementary electrophysiological data also described here suggests that the link between striatal neuronal activity and hemodynamics is more complicated than straightforward negative coupling

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Abnormal resting-sate functional connectivity of thalamus in patients with paroxysmal kinesigenic dyskinesia
Guangxiang Chen1, Du Lei1, Jiechuan Ren2, Xiaoqi Huang1, Dong Zhou2, and Qiyong Gong1

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

The underlying pathophysiological mechanisms of paroxysmal kinesigenic dyskinesia are still not fully understood. The aim of this study was to investigate the patterns of resting-sate functional connectivity of thalamus in patients with paroxysmal kinesigenic dyskinesia. Our novel findings of abnormal resting-sate functional connectivity from thalamus to precentral gyrus and medial frontal gyrus provided direct evidence that the basal ganglia-thalamo-cortical circuit may play an important role in the pathogenesis of paroxysmal kinesigenic dyskinesia.

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Associative areas and cerebellum show non-linear modulation of fMRI signal when using the non-dominant hand
Adnan A.S. Alahmadi1,2, Rebecca S. Samson1, Matteo Pardini1,3, Egidio D'Angelo4,5, Karl J. Friston6, Ahmed T. Toosy1, and Claudia AM Gandini Wheeler-Kingshott1,4,7

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

We investigated linear and non-linear BOLD-grip force (GF) relationships in the brain using dominant (DH) and non-dominant hands (NDH). The NDH revealed widespread brain activations compared to DH, irrespective of GF. Looking at the BOLD-GF effects, both hands showed increased activations with increased GF within the contralateral M1 and ipsilateral anterior cerebellum. Non-linear BOLD-GF relationships (up to 4th order) were found, typically in posterior M1, premotor, sensory, parietal, and cerebellar areas. Finally, the consistent bilateral involvement of the cerebral and cerebellar areas suggests their involvement in error tracking or in synkinetic processes between DH and NDH.

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Neural correlates of cognitive load on working memory in organic-solvent exposed brain using fMRI
Kyung Eun Jang1, Jeehye Seo2, Hyejeong Choi1, Hyunsil Cha1, Eunji Kim1, Moojin Yang1, Jiung Yang1,3, Huijin Song2, and Yongmin Chang1,4

1Medical & Biological Engineering, Kyungpook National University, Daegu, Korea, Republic of, 2Institute of Biomedical Engineering Research, Kyungpook National University, Daegu, Korea, Republic of, 3Daegu Kyungpook Medical Innovation Foundation, Daegu, Korea, Republic of, 4Radiology and Molecular Medicine, College of Medicine, Kyungpook National University, Daegu, Korea, Republic of

Several neuroimaging studies demonstrated that solvent-exposed subjects showed significantly poor performance on the working memory task than did controls [1,2]. However, no investigations have examined how solvent-exposed subjects are influenced by the cognitive load of a working memory task. Therefore, we performed N-back tasks with different cognitive demands using fMRI to investigate the neural basis for possible association between working memory load and memory deficit in the subjects with neurotoxicant solvent exposure. We found a positive correlation between response time of the 1-back task and percent BOLD signal changes in the left inferior parietal cortex, but a positive correlation was not founded of the 2-back task.

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Altered structure and functional connectivity of the post-insular in uremic restless legs syndrome patients
DUN DING1, XueYing Ma1, WangHuan Dun1, Peng Li1, ZhuoNan Wang1, and ZHANG MING1

1Radiology Department, First Affiliated Hospital of Xi’an Jiaotong University, XI'AN, People's Republic of China

To investigate the structure and functional changes in the insulars in uremic RLS patients using a resting-state function magnetic resonance imaging (fMRI )paradigm,We examined cortical thickness,and investigage the abnormal functional connectivity in maintenance dialysis patients. The clinical parameters and RLS severity were correlated analyzed. The characteristics of uremic RLS patients were compared to those of the controls.

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Vascular-metabolic and GABAergic inhibitory modulation of neural variability. A combined fMRI and PET study
Pengmin Qin1,2, Niall W Duncan2, David Yen-Ting Chen3, Zirui Huang4, Chien-Yuan Eddy Lin5,6, Christine Wiebking7, Chien-Mu Lin8, Che-Ming Yang8, Ying-Chi Tseng3, Georg Northoff9, and Timothy Lane2

1Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, People's Republic of China, 2Brain and Consciousness Research Centre, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan, 3Department of Radiology, Taipei Medical University - Shuang Ho Hospital, New Taipei City, Taiwan, 4Mind, Brain Imaging and Neuroethics Research Unit, Institute of Mental Health Research, University of Ottawa, Ottawa, Canada, 5GE Healthcare, Taipei, Taiwan, 6GE Healthcare MR Research China, Beijing, People's Republic of China, 7Applied Emotion and Motivation Research, Institute for Psychology and Education, Universität Ulm, Ulm, Germany, 8Department of Nuclear Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, 9Brain and Mind Research Institute, Centre for Neural Dynamics, Faculty of Medicine, University of Ottawa, Ottawa, Canada

We sought to investigate the mechanism involved in temporal variability (TV) changes between two basic behavioral states, namely having the eyes open (EO) or eyes closed (EC). The aim of this study was to use the change between the EC and EO states to identify the potential mechanisms involved in TV modulation.

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Differentiation of Functional Activity within the Thalamus during Rest and Visual Task
Wolfgang Grodd1, Philip Ehses1, Klaus Scheffler1, and Vinod Kumar1

1Dep. of Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany

The presented study explores the capability of high resolution functional MRI (fMRI) at 9.4 Tesla to study functional changes in the primary visual cortex and the human thalamus during rest and natural picture viewing. We found increased intrinsic thalamic connectivity during both eyes open (EO) and eyes closed (EC) condition in the viewing task compared to rest.

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Analysis of the network properties of structural brain network of elderly people with obstructive sleep apnea
Min-Hee Lee1, Areum Min1, Yoon Ho Hwang1, Dong Youn Kim1, Bong Soo Han2, Seung Ku Lee3, Chang-Ho Yun4, and Chol Shin3

1Department of Biomedical Engineering, Yonsei University, Wonju, Korea, Republic of, 2Department of Radiological Science, Yonsei University, Wonju, Korea, Republic of, 3Institute of Human Genomic Study, College of Medicine, Korea University Ansan Hospital, Ansan, Korea, Republic of, 4Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of

Obstructive sleep apnea (OSA) is a common and progressive condition that is accompanied by affective, cognitive and autonomic nervous system changes. Recent studies have demonstrated abnormalities in the brains of OSA subjects. However, no study has illustrated alterations in brain structural connectivity caused by OSA. To assess alterations of brain structural connectivity, we constructed a structural brain network from diffusion tensor imaging (DTI) and examined global network properties for control and OSA subjects. OSA subjects showed lower global efficiency, local efficiency and strength. Brain network analysis may improve understanding of global architecture of anatomical connection patterns in OSA.

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Abnormally functional connectivity density and network pattern in lifelong premature ejaculation patient: A resting-state fMRI study
Jiaming Lu1, Xin Zhang1, Yun Chen2, Jiadong Xia2,3, Zhao Qing1, Fei Chen4, Huiting Wang1, Weibo Chen5, Queenie Chan6, Yutian Dai2, Bing Zhang7, and Bin Zhu8

1Department of Radiology, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China, NanJing, People's Republic of China, 2Department of Andrology, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China, NanJing, People's Republic of China, 3Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China., 4Department of Radiology, The Affiliated Yancheng Hospital of Southeast University Medical College, Yancheng, Jiangsu, China, NanJing, People's Republic of China, 5Philips Healthcare, Shanghai, People's Republic of China, People's Republic of China, 6Philips Healthcare, HongKong, People's Republic of China, People's Republic of China, 7Department of Radiology, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, NanJing, People's Republic of China, 8Department of Radiology, ffiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China., NanJing, People's Republic of China

Premature ejaculation (PE) is considered the alteration in dopaminergic reward system. Functional connectivity density along with network pattern methodology provides an opportunity to assess the functional integrity of brain activity in implicated circuits and it was applied to analysis the inter-group difference in SFCD and LFCD. Network constructing and graph theoretical were used to compare the network property. In conclusion, this study demonstrated the weaken connection inner brain areas and strengthened connection inter brain areas in dopaminergic reward system along with the functional network pattern has changed in the lifelong PE patient for the first time.

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An fMRI investigation of the neural efficiency of abstract reasoning as a function of trait anxiety
Shilpi Modi1, Mukesh Kumar1, Sanjeev Nara1, and Subash Khushu1

1NMR Research Centre, INMAS, Delhi, India

According to the Attentional Control Theory, trait anxiety has a greater adverse effect on processing efficiency (i.e. performance effectiveness/ effort) than on accuracy.  Functional magnetic resonance imaging (fMRI) provides a measure of task-related effort in the form of neural activity elicited during cognitive processing. fMRI was used to assess the neural activation (Blood Oxygen Level Dependent (BOLD) contrast estimates) in a priori regions of interest for a reasoning task. Our results indicate that a compensatory increased neural effort is required by high trait anxious individuals to maintain an equivalent task performance as that of low anxiety individuals.

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Altered resting state functional connectivity by autogenic training
Takashi Shizukuishi1, Osamu Abe, Takahiro Shinozaki, Haruyasu Yamada, Akihiko Wada, Ryutaro Kohashi, and Yoshiki Imamura

1Radiology, Nihon University School of Medicine, Tokyo, Japan

Objective: We investigated whether autogenic training (AT) altered resting state functional connectivity. Methods: 7 volunteers familiar with AT participated in this study. Rs-fMRI was performed pre and post AT, and 3D-T1WI was acquired. Group analysis was performed to explore the alteration of resting functional connectivity after autogenic training by using CONN functional connectivity toolbox. Results: Greater connectivity between 1. right amygdala and right caudate, 2. precuneus and left pallidum, and 3. right supratemporal gyrus and left pallidum, were demonstrated. Conclusion: AT could have positive effects not only to restore the automatic nervous system but also to alter RS functional connectivity.

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Evidence of a link between brain structure and function and gut permeability: a combined RS-fMRI and DTI investigation of the brain-gut axis in healthy women
Suzanne T Witt1, Olga Bednarska2, Adriane Icenhour1,2, Sigrid Elsenbruch3, Johan D Söderholm2, Maria Engström1,4, Emeran A Mayer5, Åsa Keita2, and Susanna Walter1,2

1CMIV, Linöping University, Linköping, Sweden, 2Dept. of Clinical and Experimental Medicine, Linköping University, 3Institute of Medical Psychology & Behavioral Immunobiology, University of Duisburg-Essen, Essen, Germany, 4Dept. of Medical and Health Sciences, Linköping University, 5Dept. of Medicine, UCLA, Los Angeles, CA, United States

The brain-gut axis is thought to play a key role in the regulation of the gastrointestinal system with overall physical and emotional health.  In diseases, such as irritable bowel syndrome, dysfunction within brain-gut interactions have been proposed to underlie symptoms of chronic abdominal pain.  This study demonstrated that variations in gut mucosal permeability affected both resting-state functional connectivity in the DMN and white matter microstructure properties in healthy adult women.  Variations within brain function and structure were apparent even when variations in gut permeability were small and remained within the normal range, indicating that brain-gut interactions may be quite sensitive.

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Chronic exposure to air pollutants alters the functional network and spatiotemporal dynamics of the resting brain: Graph theory and dynamic functional connectivity analysis.
Suhnyoung Jun1,2, Sanghoon Han1,2,3, Chang Soo Kim2,4, and Seung-Koo Lee2,5

1Psychology, Yonsei University, Seoul, Korea, Republic of, 2Integrative Neurocognitive Functional Imaging Center, Yonsei University, Seoul, Korea, Republic of, 3Cognitive Science Interdisciplinary Program, Yonsei University, Seoul, Korea, Republic of, 4Department of Preventive Medicine, Yonsei University, Seoul, Korea, Republic of, 5Radiology, Yonsei University, Seoul, Korea, Republic of

Detrimental effects of air pollutants on cognitive function are gaining considerable concern. The present study compared high-risk and low-risk group, defined based on the level of exposure to air pollutants, using graph theory-based approach and sliding window correlation analysis. Despite the undifferentiated cognitive functions between the groups, our study demonstrated the changes of the large-scale functional networks and dynamic brain activity of the high-risk group. Thus, our findings provide strong evidence of the influence of chronic high-dose exposure to air pollutants on the neural correlates, and offer new ways to understand the functional neural networks and dynamics.

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Hope and the brain: trait hope mediates the protective role of the medial orbitofrontal cortex spontaneous activity against anxiety
Xin Xu1,2, Song Wang1, and Qiyong Gong1

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

As a personality trait, hope refers to the motivational tendency for initiating actions and generating routes to achieving goals and plays a protective role in anxiety. Here, we investigated the neural basis of hope in 231 adolescents using resting-state functional magnetic resonance imaging (RS-fMRI). We found that trait hope was negatively associated with the spontaneous activity in the bilateral medial orbitofrontal cortex (mOFC). Further mediation analyses revealed that trait hope mediated the relationship between the mOFC activity and trait anxiety. Taken Together, our findings might provide the initial evidence for the brain-personality mechanisms protecting against anxiety.

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Improving attention through network-based neurofeedback training
Gustavo Pamplona1, Frank Scharnowski2, Yury Koush3, and Carlos Salmon1

1InBrain Lab, Department of Physics, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil, 2Swiss Institute of Technology, University of Zürich, Zurich, Switzerland, 3Department of Radiology and Medical Imaging, Yale University, New Haven, CT, United States

Being able to sustain attention for longer without mind-wandering would improve our performance. The brain correlates underlying both sustained attention and mind-wandering – the so-called sustained attention and default mode networks, respectively – have been well identified. Nevertheless, this knowledge has not yet been translated in advanced brain-based attention training protocols. Here we propose to use a novel brain imaging technique based on real-time fMRI to provide participants with information about ongoing levels of activity. We thus purpose a neurofeedback training of this difference between brain networks, what could lead to a boost in sustained attention ability, which is not reported yet.

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Traffic-Related Air Pollution Associated with Activation in a Functional MRI Verb Generation Task of a Longitudinally Studied, Pediatric Cohort
Kim M Cecil1, Thomas Maloney1, Mekibib Altaye2, Rachel Severs2, Christopher Wolfe2, Zana Percy3, Travis Beckwith1, Kimberly Yolton2, Grace LeMasters3, and Patrick Ryan2

1Radiology/Imaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 3University of Cincinnati College of Medicine, Cincinnati, OH, United States

Traffic-related air pollution (TRAP) is strongly associated with adverse cardiopulmonary health effects. Evidence suggests the developing brain may also be a target organ for particulate matter due to translocation either from the respiratory system or through the olfactory nerve. Using a pediatric cohort, we tested the hypothesis that exposure to TRAP during critical windows of brain development is significantly associated with changes in brain functioning during a language task. Children with high exposure levels were associated with reduced activation within the frontal lobe compared with children at low exposure.

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Associations between clinical risk factors, neurocognitive performance and brain activity in survivors of childhood Acute Lymphoblastic Leukemia treated on a chemotherapy-only protocol
Slim Fellah1, Matthew A. Scoggins1, Ping Zou1, Lisa M. Jacola2, Ching-Hon Pui3, Robert J. Ogg1, and Wilburn E. Reddick1

1Diagnostic Imaging, St Jude Children's Research Hospital, Memphis, TN, United States, 2Psychology, St Jude Children's Research Hospital, Memphis, TN, United States, 3Oncology, St Jude Children's Research Hospital, Memphis, TN, United States

ALL survivors treated with chemotherapy alone remain at elevated risk for neurocognitive impairment. We used fMRI to investigate associations between clinical risk factors, neurocognitive performance and brain activity in survivors of ALL. Ninety-two survivors completed Verbal and Object N-back tasks during fMRI at end of therapy. Measures of working memory were completed as part of a neurocognitive evaluation. Working memory-related brain activation was associated with important clinical risk factors and neurocognitive performance. The pattern of behavioral and imaging responses provides evidence for both compromised and compensatory changes in regional brain function. fMRI may help in selecting patients for remedial intervention.

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Low-frequency Visual Entrainment Enhances Bilateral Resting-state fMRI Connectivity in Primary Sensory Cortices
Eddie Wong1,2, Celia M. Dong1,2, Russell W. Chan1,2, Leon C. Ho1,2, Alex T. L. Leong1,2, Condon Lau3, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Physics and Materials Science, City University of Hong Kong, Hong Kong, Hong Kong

Entrainment is known to alter or synchronize brain rhythm and may enhance task performance. However, whether and how sensory entrainment may modulate the long-range brain functional networks are unknown. We investigated the effects of frequency-dependent visual entrainment on resting state functional connectivity in distinct sensory cortical networks. Our findings provide the first and direct evidence that only low frequency visual entrainment can modulate the long-range non-visual sensory networks. They suggest that the entrained neural oscillation at low frequency can actively contribute to the long-range interactions between primary sensory cortical functional networks that underlie the brainwide connectivity measured by resting-state fMRI.

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Disrupted Brain Connectivity Patterns in patients with Attention-deficit/hyperactivity disorder
Ming Zhou1, Chuang Yang2, Xuan Bu1, Haixi Lin2, Yan Liang2, Lu Lu1, Lianqing Zhang1, Xinyu Hu1, and Xiaoqi Huang1

1Department of Radiology, Huaxi MR Research Center, Chengdu, People's Republic of China, 2Department of Psychiatry, The First Affiliated Hospital of Wenzhou Medical University, People's Republic of China

In the current study, we used a graph theory-based network measurements named degree centrality (DC) to identify main cortical hubs in the brain network architecture at voxel level affected in ADHD. Then, functional connectivity maps were generated with seeded at altered DC to detect the brain changes at large-scale level. Finally, we found the disconnection within cortico-thalamus and cortico-striatal loops in ADHD patients, which may associated with inattention and cognitive function deficits.

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Neural mechanism of acupoint specificity underlying the antiemetic efficacy: an fMRI study.
Tong Yang1 and Xuan Niu1

1The First Affiliated Hospital of Xi’An Jiaotong University, Xi’an, People's Republic of China

This paper presents an original research to investigate the underlying neural mechanism on acupoint specificity underlying the antiemetic efficacy. Our findings further suggested that acupuncture at different acupoints may exert distinct modulation effects on the brain activity patterns. Notably, we also may provide preliminary evidence for understanding the gut–brain communication.

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Changes in fMRI activation pattern during different levels of sacral nerve stimulation for overactive bladder
Pallab Bhattacharyya1, Bradley Gill2, Javier Pizarro-Berdichevsky2,3,4, Howard Goldman2, Mark Lowe1, and Stephen Jones1

1Imaging Institute, Cleveland Clinic, Cleveland, OH, United States, 2Glickman Urology & Kidney Institute, Cleveland Clinic, Cleveland, OH, United States, 3Urogynecology Unit, H. Dr. Sotero del Rio, Santiago, Chile, 4Division Obstetricia y Ginecologia, Pontificia Universidad Católica de Chile

Sacral nerve stimulation (SNS) is an effective treatment for refractory overactive bladder(OAB). For patient-specific and therapeutic efficacy, stimulus at levels below or above the sensory level are sometimes applied on OAB patients. Previous functional brain studies suggested that few forebrain circuits acting primarily on midbrain periacqueductal grey is responsible for facilitating voiding reflex and a sensation of voiding. The neural circuits underlying the action of SNS, and its response to different levels of stimulus is studied by functional MRI (fMRI). Differences in activation patterns resulting from subsensoy, sensory and supresensory stimulation are reported.


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Abnormal Brain Functional connectivity strength in the Absence of the Corpus Callosum: A Resting-State fMRI Study
Long Zuo1, Shuangkun Wang, Hua Gu2, Junliang Yuan2, and Yang Zhou2

1Beijing Chao-Yang hospital, Beijing, People's Republic of China, 2Beijing Chao-Yang hospital

The problem

The whole-brain functional connectivity strength on long-range and short-range in the AgCC is still unknown.

Methods

A novel voxel-based FCS analysis were performed on the whole-brain resting-state functional images.

Results

Compared with the healthy control subjects, the AgCC groups exhibits statistical differences of FCS on long-range and short-range connecvity respectively.

Conclusions

Anatomical distance affects functional connectivity strength in AgCC individuals.


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Abnormal Local Functional Connectivity Density in Major Depressive Disorder Patients with Suicidal Behavior
Ziqi Chen1, Mingrui Xia2, Weihong Kuang3, Zhiyun Jia1,4, Yong He5, and Qiyong Gong1,6

1Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, People's Republic of China, 2State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, People's Republic of China, 3Department of Psychiatry, West China Hospital of Sichuan University, Chengdu, People's Republic of China, 4Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, People's Republic of China, 5State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, 6Department of Psychology, Sichuan University, Chengdu, People's Republic of China

Previous studies suggested abnormal functional connectivity related to suicide behavior, which however relied on priori selection of seed regions. We applied functional connectivity density (FCD) to investigate the short-range and long-range functional connectivity patterns in major depressive disorder (MDD) patients with suicidal behavior. Relative to healthy controls, MDD patients with suicidal behavior showed reduced short-range FCD in bilateral thalamus, left hippocampus and increased short-range FCD in left precuneus. This study demonstrated altered local connectivity density at voxel level in MDD patients with suicidal behavior and highlighted that the thalamus, hippocampus and precuneus were important brain network hubs for these patients.

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Resting Functional Connectivity and Anatomical Basis in Patients with Hepatic Myelopathy After Transjugular Intrahepatic Portosystemic Shunt
Long-Biao Cui1, Yi-Bin Xi1, Ling-Li Zeng2, Guo-Hong Han3, and Hong Yin1

1Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China, 2National University of Defense Technology College of Mechatronic Engineering and Automation, Changsha, People's Republic of China, 3Xijing Hospital of Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China

We investigated whether motor system in the brain shows altered functional connectivity and what the anatomical basis behind it is in patients with hepatic myelopathy (HM) after transjugular intrahepatic portosystemic shunt (TIPS), a rare and likely overlooked complication in chronic liver disease patients with portosystemic shunts characterized by severe and mostly irreversible neurologic symptoms. HM patients exhibited hypoconnectivity between the right SMA and right insula, which revealed decreased gray matter volume. The positive correlation was observed between the strength of this connectivity and folic acid level in HM patients, which could discriminate HM from Non-HM with a high level of accuracy.


Electronic Poster

Cerebrovascular Disease

Exhibition Hall Wednesday 8:15 - 9:15

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Correlation of cerebrovascular reserve assessed by acetazolamide-stress SPECT with collaterals on arterial spin-labeling MRI in patients with carotid occlusive disease
Hyunkoo Kang1 and Keuntak Roh1

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

We evaluated the correlation between cerebrovascular reserve (CVR) on acetazolamide-stress single photon emission computed tomography (SPECT) brain scans and collaterals on arterial spin-labeling (ASL) magnetic resonance imaging (MRI) in internal carotid artery (ICA) stenosis.With acetazolamide stress SPECT, the 21/74 (28%) patients showed evidence of decreased CVR. In 7/53 (13%) of the normal CVR group and 10/21 (48%) of the reduced CVR from the SPECT results, ASL showed ATA in ipsilateral to the stenosis. Significant relationship was observed between reduced CVR group and ATA showing group in ICA stenosis patients on ASL brain perfusion (p=0.004).

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Differentiation of Intracerebral Hemorrhage from Ischemic Stroke at Early Stage Using a Novel Scheme of Length and Offset VARied Saturation (LOVARS) MRI
Yan Bai1,2, Meiyun Wang1, Yue Li3, Xiaowei He4, Xiaoyue Ma1, Panli Zuo5, Yucheng Li1, and Xiaolei Song2

1Henan Provincial People’s Hospital, Zhengzhou, People's Republic of China, 2The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3AnatomyWorks LLC, Baltimore, MD, United States, 4Northwest University, Xi'an, People's Republic of China, 5Siemens Healthcare China, Beijing, People's Republic of China

This study investigated the diagnostic capability of a novel scheme of Length and Offset VARied Saturation (LOVARS) CEST method, for detecting and differentiating intracerebral hemorrhage from ischemic stroke at early stage. With the saturation offsets of 2 ppm and -3.5 ppm, the new LOVARS real image is able to separate ischemic lesion from hemorrhagic lesion by the opposite signal appearances for all patients enrolled. i.e. the former is hypointensity while the latter is hyperintensity. Our results revealed that the LOVARS real signals are significantly higher in hemorrhage than in ischemic stroke, which may serve as an imaging marker.

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Measurement of mean transit time changes in response to Acetozalomide challenge in patients with cerebral steno-occlusive disease: a study using dynamic susceptibility contrast MR perfusion imaging.
Kyle Pate1, Junjie Wu1, Seena Dehkharghani2, Fadi Nahab1, Jason Allen, and Deqiang Qiu1

1Emory University, Atlanta, GA, United States, 2New York University

In this paper, 9 patients with chronic cerebrovascular disease underwent a two day MR perfusion study with a Diamox challenge in order to quantify cerebrovascular reserve with a focus on MTT and Tmax parameters. Parametric maps were generated and used to compare regional differences in four perfusion parameters between the left and right hemispheres, MCA and ACA vascular territories, and the cerebellum. This approach demonstrated an unexpected increase in MTT and Tmax augmentation in the anterior circulation over augmentation in the cerebellum.

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Preliminary Study of High b-value Diffusion MRI for Characterizing White Matter Damage in A Mouse Model of Amyotrophic Lateral Sclerosis
Jin Gao1, Rodolfo G Gatto2, Richard Magin1, Andrew C Larson3, and Weiguo Li1,3,4

1Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 2Anatomy and Cell Biology, University of Illinois at Chicago, Chicago, IL, United States, 3Radiology, Northwestern University, Chicago, IL, United States, 4Research Resource Center, University of Illinois at Chicago, Chicago, IL, United States

Amyotrophic lateral sclerosis (ALS), a progressive motor neuron disease, is characterized by severe cervical spinal cord damage caused by degeneration of the corticospinal tracts and loss of lower motor neurons. Although MR imaging of spinal cord is challenging, the ubiquity and non-invasive nature of MRI has supported its continued development and a leading role in ALS biomarker discovery. In this study, we investigated the feasibility of exploiting high b-value diffusion MRI to evaluate alterations of the spinal cord in a mouse model of ALS.

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Quantitative Brain Oxygenation Measurements Made using Streamlined-qBOLD in Acute Stroke Patients: Further Investigation using a Detailed Voxel-Wise Analysis of Tissue Outcome
Alan J Stone1, George WJ Harston2, Davide Carone2, Radim Licenik2, James Kennedy2, and Nicholas P Blockley1

1FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2Acute Vascular Imaging Centre and Acute Stroke Programme, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom

Streamlined-qBOLD is a baseline brain oxygenation measurement technique that has qualitatively shown promising results for the early identification of the ischaemic penumbra. Here regional definitions of tissue outcome are used to further investigate the application of this technique in acute stroke. Quantitative brain oxygenation parameters are demonstrated to vary between regions with different tissue outcomes.

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A quantitative analysis using susceptibility mapping of unilateral middle cerebral artery thrombosis in patients with acute cerebral infarction
Shuang Xia1, Chao Chai2, Qingyuan Yang, Tianyi Qian, E Mark Haacke, and Wen Shen

1Tianjin First Central Hospital, Tianjin, People's Republic of China, 2Radiology Department, Tianjin First Central Hospital, Tianjin, People's Republic of China

The aim of this study was to explore the correlation between thrombus length, thrombus susceptibility, CBS, DWI-ASPECTS, and admission and discharge NIHSS scores between patients with single-segment and multiple-segment thrombi using susceptibility mapping (SWIM). SWIM, reconstructed from magnitude and phase images acquired by an SWI sequence, was used to measure thrombus susceptibility in patients with acute infarction. A higher susceptibility of thrombus was correlated with lower DWI-ASPECTS and increased NIHSS scores. The patients with multiple-segment thrombi had a larger area of cerebral infarction, more severe symptoms, and worse clinical outcomes.

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The potential of MRI as a biomarker in elderly patients with asymptomatic unilateral internal carotid artery stenosis
Pedro Henrique Rodrigues Silva1, Ana Paula Afonso Camargo2, André Monteiro Paschoal1, Octavio M Pontes-Neto2, and Renata Ferranti Leoni1

1Department of Physics, FFCLRP, University of Sao Paulo, Ribeirao Preto, Brazil, Ribeirão Preto, Brazil, 2Department of Neurosciences and Behavioral Science, FMRP, University of Sao Paulo, Ribeirao Preto, Brazil, Brazil

Asymptomatic unilateral internal carotid stenosis is associated with brain hemodynamic changes and cognitive impairment. However, the effects on Gray Matter (GM) volume, Cerebral Blood Flow (CBF) and Functional Connectivity (FC) are not clear. Therefore, the present study aims to assess changes in brain volume, CBF, resting-state FC and their relation to cognitive decline in a group of patients at presymptomatic stage using MRI. This study confirmed abnormalities in GM volume, CBF, RSBNs and RS-FC in patients, showing that MRI have great potential as biomarker of the disease and may provide additional information to predict cases at risk of brain ischemia.

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Identifying Perfusion Deficit Patterns in Unilateral Middle Cerebral Artery Stenosis Patients using Multi-Inversion Time Arterial Spin Labeling
Shuang Yan1, Tianyi Qian2, Li Zhang3, Josef Pfeuffer4, Mingli Li1, Bin Peng3, and Zhengyu Jin1

1Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China, Beijing, People's Republic of China, 2Siemens Healthcare, MR Collaborations NE Asia, Beijing, China, 3Department of Neurology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China, Beijing, People's Republic of China, 4Siemens Healthcare, ApplicationDevelopment, Erlangen, Germany

To investigate the perfusion pattern in patients with unilateral middle cerebral artery stenosis, a multi-inversion time pulsed arterial spin labeling technique was used to measure the cerebral blood flow and bolus arrival time (BAT). The preliminary results indicatethat patients with cerebral infarction (CI) had longer BAT than patients with transient ischemic attack (TIA). Assuming CBF valuesare corrected in the areas with BAT longer than 1300ms and combine the corrected CBF with the BAT, we can distinguish TIA and CI cases from their perfusion deficits patterns.

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Stable CBF fluctuation in 4-day follow up after carotid artery stenting compared with carotid endarterectomy revealed by 3D pCASL
Wang Ting 1, Xing Xinbo1, Wu Bing 2, Ma Lin 1, and Lou Xin 1

1Radiology, Chinese PLA General Hospital, Beijing, People's Republic of China, 2GE healthcare China

Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are two commonly used surgical treatment methods for severe internal carotid artery (ICA) stenosis, hence, our objective was to investigate the CBF difference before and in 4-day follow up after CEA and CAS using 3D pCASL technique. As it demonstrated, the CBF values showed no significant (P>0.05) differences in various time points prior to the operations between CAS and CEA, whereas compared to the patients after CEA, the CBF values were stable fluctuated in various time points (P<0.05). This proves that 3D pCASL is useful for quantifying CBF changes after CAS or CEA; moreover, the stable fluctuation CBF may indicate that CAS has a lower hyperperfusion syndrome and death rate compared to CEA in the future.

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Evaluation of water permeability for ischemic lesion in the brain using DW-ASL
Noriyuki Fujima1, Tomoyuki Okuaki, Takuya Aoike, Suzuko Aoike, and Kohsuke Kudo

1Hokkaido University Hospital, Sapporo, Japan

Diffusion-weighted arterial spin labeling technique was described to depict the tissue water permeability in the brain non-invasively; this information was also described to reflect the degree of blood-brain barrier damage. This study revealed that tissue water permeability can be useful for the evaluation of ischemic lesion more in detail than conventional technique such as T2WI or FLAIR for the determination of severity of ischemia and the prediction how fast the ischemia will progress.

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Correlation of microstructure differences in diffusion MRI scans with Fugl-Meyer assessment scores in stroke subjects
Kyler Hodgson1, Ganesh Adluru2, Lorie Richards3, Jennifer Majersik4, and Edward DiBella5

1Biomedical Engineering, University of Utah, Salt Lake City, UT, United States, 2Radiology and Imaging Sciences, University of Utah, 3Occupational Therapy, University of Utah, Salt Lake City, UT, United States, 4Neurology, University of Utah, 5Radiology and Imaging Sciences, Biomedical Engineering, University of Utah, Salt Lake City, UT, United States

Improved characterization of brain microstructure is important for image-based methods for diagnosing stroke. We explored the extent to which microstructural maps including Fractional Anisotropy (FA), Generalized Fractional Anisotropy (GFA), and Neurite Orientation Dispersion Density Index (NODDI) detect ipsilateral and contralateral differences in stroke patients as a measure of stroke severity. The difference between hemispheres was correlated with Fugl-Meyer Assessment motor function scores and the results of 16 patient scans reported. Results suggest that the Orientation Dispersion Index (ODI) contains information that could be clinically useful in understanding stroke recovery. 

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Clinical application of Half Fourier Acquisition Single Shot Turbo Spin Echo (HASTE) imaging with multiband (MB) excitation and PINS refocusing pulses
Jenni Schulz1, José P. Marques1, Annemieke ter Telgte1, Frank-Erik de Leeuw1,2, Frederick J.A. Meijer3, and David G. Norris1,4

1Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 2Department of Neurology, Radboud University Medical Centre, Nijmegen, Netherlands, 3Department of Radiology and Nuclear Medicine, Radboud University Medical Centre Nijmegen, Nijmegen, Netherlands, 4Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Essen, Germany

In this abstract, we demonstrate a clinical application of a MB-PINS-HASTE sequence with TRAPS and compare it to a standard HASTE protocol which is used in daily clinical practice. The modified MB-PINS-HASTE sequence offers the possibility to overcome limitations related to its typically high energy deposition and can accelerate the acquisition by acquiring several slices simultaneously. The reconstructed images show good diagnostic quality for the evaluation of the overall brain and CSF spaces in patients with small vessel disease. MB-PINS HASTE therefore offers the possibility of using ultrafast spin-echo imaging to acquire anatomical T2-weighted images and follow dynamic signal changes.

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Voxel-based Lesion Mapping of Cardiogenic Cerebral Embolism
Masatoshi Takagaki1, Yuki Togami1, Akira Murasawa1, Kazutami Nakao1, and Manabu Kinoshita2

1Neurosurgery, Kawachi general hospital, Higashi Osaka, Japan, 2Neurosurgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

Although outcome of acute cardiogenic cerebral embolism patients improved dramatically due to development of interventional devices, sub-acute cases over the golden period still follow miserable clinical courses requiring to elucidate the pathology of cerebral ischemia. The authors attempted to unveil the correlation of clinical features following cardiogenic cerebral embolism and the locations or sizes of the infarction using voxel-based lesion mapping (VBLM). Our result revealed a correlation between spatial characteristics of infarction and clinical features. Larger ischemic volume at the left hemisphere is correlated with patient’s outcome and cerebral herniation was strongly influenced by ischemic volume after standardization.

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Correlating clinical outcome with voxel-based quantitative multiparametric MRI analysis in chronic ischemic stroke
Rui He1,2, Olivier Detante2,3, Alexandre Krainik2,3, Assia Jaillard2,3, Emmanuel Luc Barbier1,2, and Benjamin Lemasson1,2

1U836, Inserm, Grenoble, France, 2Université Grenoble Alpes, Grenoble Institut des Neurosciences, Grenoble, France, 3Grenoble University Hospital, Grenoble, France

Predicting clinical outcome following stroke remains a challenge for magnetic resonance imaging (MRI). In this study, we acquired longitudinally (3 sessions) multiparametric MRI data sets including diffusion-weighted and perfusion-weighted images of 30 patients with chronic ischemic stroke. All of the diffusion and perfusion MRI parameters were analyzed by the classic whole-lesion approach and the parametric response map (PRM), a voxel-based post-processing approach at each time point. The results emphasized the superiority of the PRM over the whole-lesion approach for the prediction of long-term outcome based on early MRI data.

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Magnetic particle imaging - The future of acute stroke imaging and treatment?
Peter Ludewig1, Nadine Gdaniec2, Jan Sedlacik3, Kannan M. Krishnan4, Christian Gerloff1, Tobias Knopp2, and Tim Magnus1

1Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 2Institute of Biomedical Imaging, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 3Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 4Materials Science and Engineering Department, University of Washington, Seattle, United States

Magnetic particle imaging (MPI) is a new tomographic imaging modality with superior temporal and spatial resolution compared to other imaging techniques, allowing 3D real-time assessment of vasculature and perfusion without X-rays or nephrotoxic contrast agents. For the first time we show that MPI can used for the diagnosis of acute pathologies like ischemic stroke by showing the first MPI stroke images in a murine stroke model. Additionally, we give an outlook how MPI may revolutionize not only stroke imaging but also stroke treatment, as the magnetic fields of the MPI can be used for catheter guidance and targeted drug delivery.

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Decreased borderzone perfusion is related to brain parenchymal volume loss after subarachnoid hemorrhage
Lisa A. van der Kleij1, Carlo Lucci1, Esben T. Petersen2, Mervyn D.I. Vergouwen3, Gabriel J.E. Rinkel3, Jeroen Hendrikse1, and Jill B. De Vis1

1Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Denmark, 3Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus, University Medical Center Utrecht, Netherlands

Brain injury after aneurysmal subarachnoid hemorrhage (aSAH) has been linked to cerebral hypoperfusion in the acute and subacute disease stage. The areas most prone to hypoperfusion are the borderzone regions. In this study we obtained cerebral blood flow measurements in the subacute stage after aSAH, and longitudinal volumetric data. We found a moderate correlation between the ratio of borderzone/whole-brain perfusion and percentage brain volume loss. Thereby, perfusion in the watershed areas in the subacute stage could identify patients at a higher risk for future brain parenchymal volume loss. Consequently, increasing perfusion in these regions could be a future therapeutic target. 

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Assessment of cerebral perfusion changes in asymptomatic internal carotid artery stenosis using multi-parametric arterial spin-labeling MRI
Ya-Fang Chen1, Sung-Chun Tang2, Yen-Shu Kuo3,4, and Wen-Chau Wu5,6

1Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan, 2Neurology, National Taiwan University Hospital, Taipei, Taiwan, 3Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 4Radiology, Cathay General Hospital, Taipei, Taiwan, 5Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan, 6Graduate Institute of Clinical Medicine, National Taiwan University, Taipei, Taiwan

Internal carotid artery stenosis (ICAS) has been identified as a risk factor of ischemic stroke, with altered flow velocity and narrowed lumen commonly assessed by ultrasonography and angiography. However, hemodynamic change/compensation in microvasculature cannot be ruled out before symptoms. In this study, we investigated cerebral perfusion changes in asymptomatic ICAS by simultaneously assessing cerebral blood flow (CBF), arterial transit time (ATT), and flow territory, derived from arterial spin-labeling (ASL) MRI. Our data suggest that ATT and flow territory may be better predictors of high-grade unilateral ICA stenosis (≥70 %) than CBF in asymptomatic patients.

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FEAST based Arterial Transit Time Measurement using Pseudo Continuous Arterial Spin Labeling in Patients with Sickle Cell Disease
Yihao Xia1, Yaqiong Chai2,3, Adam M Bush2, Natasha Lepore3, Thomas Coates4, and John Wood3,5

1Department of Electrical Engineering, University of Southern California, Los Angeles, CA, United States, 2Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, United States, 3Radiology, Children's Hospital of Los Angeles, Los Angels, CA, United States, 4Section of Hematology, Children's Hospital of Los Angeles, Los Angels, CA, United States, 5Division of Cardiology, Children's Hospital of Los Angeles, Los Angels, CA, United States

Sickle cell disease (SCD) is a genetic blood disorder with a high prevalence of cerebral vasculopathy and stroke. Arterial Transit Time (ATT) refers to the time it takes blood to flow from the labeling plane, to the vascular imaging compartment and reflects cerebrovascular impairment in SCD. We used pseudo continuous arterial spin labeling to measure ATT with flow encoding arterial spin tagging technique in patients with SCD and ethnicity matched, healthy controls. Our findings demonstrated sensitivity of ATT to vasculopathy. 

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Electric properties tomography in a rodent model of ischemic stroke: Results of a combined ex-vivo and in-vivo pilot study.
Ulf Jensen-Kondering1, Ruwen Böhm2, Liang Shu1, Olav Jansen1, and Ulrich Katscher3

1Department of Radiology and Neuroradiology, UKSH, Kiel, Germany, 2Department of Experimental and Clinical Pharmacology, UKSH, Kiel, Germany, 3Research Laboratories, Philips GmbH Innovative Technologies, Hamburg, Germany

Electric properties tomography (EPT) is a new contrast in MRI which delivers information on tissue electrical conductivity. Up to now, it has been mostly used for tumor mapping. Ischemic cerebral stroke is another promising application. Seven male Wistar rats were used in this study. Five culled animals from another stroke study, three of which were subjected to MCAO and two live animals which were also subjected to MCAO were examined. Healthy cortical grey matter, white matter and  cerebrospinal fluid could be well differentiated Conductivity was altered within the infarct. EPT is feasible in a rodent model of stroke.

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Measure Cerebral Microstructure Changes in Brain Small Vessel Disease Using Diffusion Kurtosis Imaging
Wenjing Lan1, Shuang Xu1, Yang Liu1, Kaining Shi2, and Lizhi Xie3

1The First Hospital of Jilin University, Changchun, People's Republic of China, 2Philips Healthcare (China), Beijing, People's Republic of China, 3GE Healthcare, MR Research China, Beijing, People's Republic of China

Diffusion tensor imaging (DTI) has been the most commonly used modality among diffusion MRI methods in the studies of ageing and development in the current study, we investigated diffusional modifications arising from brain small vessel disease, as compared with age and educational level matched healthy controls.  Diffusion kurtosis imaging (DKI) was applied throughout the study, which is a recent novel extension of DTI to provide additional metrics quantifying non-Gaussianity of water diffusion in brain tissues.

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Quantitative Susceptibility Mapping of Intracranial Hemorrhage: Time Evolution and Comparison to CT
Hongfu Sun1,2, Derek J. Emery3, Kenneth Butcher4, and Alan H. Wilman2

1Radiology, University of Calgary, Calgary, AB, Canada, 2Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 3Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada, 4Division of Neurology, Department of Medicine, University of Alberta, Edmonton, AB, Canada

To follow the time evolution of intracranial hemorrhage (ICH) using quantitative susceptibility mapping (QSM) and compare to CT. Twenty ICH patients were followed using a clinical MRI protocol typically performed on day 2, 7 and 30. The ICH areas and mean values were compared between the CT and QSM on 18 patients (average 1.7 days apart). Time evolution of ICH was also investigated by QSM. In conclusion, QSM can be used to measure the size of ICH and track susceptibility evolution of the blood degradation products, providing a means to track iron evolution.

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Feasibility of 1H-MRS brain temperature map to detect hemodynamic abnormality in patients with unilateral chronic major cerebral artery steno-occlusive disease
Takamasa Namba1, Kuniaki Ogasawara1, Hideaki Nishimoto1, Daiya Ishigaki1, Yoshichika Yoshioka2,3, Toshiyuki Murakami1, Makoto Sasaki4, Masakazu Kobayashi1, Kenji Yoshida1, Ikuko Uwano4, Shunrou Fujiwara1, Kazunori Terasaki5, and Akira Ogawa1

1Department of Neurosurgery, School of Medicine, Iwate Medical University, Morioka, Japan, 2Center for Information and Neural Networks (CiNet), NICT and Osaka University, Suita, Japan, 3Biofunctional Imaging, Immunology Frontier Reseach Center, Osaka University, Suita, Japan, 4Division of Ultra-High Field MRI, School of Medicine,Iwate Medical University, Morioka, Japan, 5Cyclotoron Reseach Center, School of Medicine, Iwate Medical University

Deep cerebral white matter (CWM) like the centrum semiovale is vulnerable to ischemic injury. Brain temperature (BT) was associated with cerebral hemodynamic abnormalities in patients with chronic ischemia. We investigated whether the BT distribution map by multi-voxel 1H-MRS were associated with the cerebral hemodynamic abnormalities assessed by positron emission tomography (PET) in the CWM region of patients with unilateral chronic major cerebral artery steno-occlusive disease. The BT map quantitatively and qualitatively correlated with PET images, especially oxygen extraction fraction. This may help to identify the patients at high risk for the stroke recurrence.  

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BRAIN PARENCHYMAL VOLUME CHANGES AFTER ANEURYSMAL SUBARACHNOID HEMORRHAGE
Carlo Lucci1, Lisa A. van der Kleij1, Mervyn D.I. Vergouwen2, Gabriël J.E. Rinkel2, Jeroen Hendrikse1, and Jill B. De Vis1

1Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus, University Medical Center Utrecht, Netherlands

Aneurysmal Subarachnoid Hemorrhage (aSAH) accounts for only 5% of all strokes, but it is a disabling disease because of the cognitive deficits that occur in many survivors. We hypothesize these deficits to be caused by an accelerated brain atrophy process that develops after the event. To investigate this hypothesis, we evaluated brain volume changes in aSAH patients over time.

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Measurement of Blood-Brain Barrier Permeability using Dynamic Contrast-Enhanced Magnetic Resonance Imaging with Reduced Scan Time
Jonghyun Bae1, Jin Zhang1, Orlando Aristizabal1, Willis Chen1, Youssef Zaim Wadghiri1, Yulin Ge1, and Sungheon Gene Kim1

1Center for Advanced Imaging Innovation and Research, Radiology, New York University School of Medicine, New York, NY, United States

The purpose of this study is to investigate the feasibility of reducing the scan time while maintaining the sensitivity to BBB permeability changes. We propose a new model, extended Patlak model (EPL), where plasma flow is added to the Patlak model. The numerical simulation and in vivo mouse data in this study suggest that the proposed EPL model can be used to measure BBB permeability change with DCE-MRI scan time of 10 min or less.


Electronic Poster

Metabolic Neuroimaging

Exhibition Hall Wednesday 9:15 - 10:15

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2-deoxy-D-glucose-conjugated magnetonanoparticles (2DG-MNP) uptake as a measure of metabolic activity in glioblastoma murine model
Jelena Lazovic1, Whitney Pope2, and Massoud Akhtari

1preclinical imaging, Vienna Biocenter Core Facilities, Vienna, Austria, 2Radiology, University of California, Los Angeles, CA, United States

In the current study we tested if accumulation of non-radioactive 2-deoxy-D-glucose (2DG)-conjugated magnetonanoparticles (2DG-MNP) can be used as a measure of metabolic activity in glioblastoma. To quantify 2DG-MNP uptake across brain ΔR2 maps are proposed. The difference in R2 relaxation rates prior to and at different times following 2DG- or unlabeled (plain) MNP administration represents ΔR2. Significant changes in ΔR2 between brain and glioblastoma, reflecting increased metabolic rate of glioblastoma were found for glucose labeled MNP and not for plain-MNP.  Our results suggest that 2DG-MNP have potential to be utilized in metabolic imaging as non-radioactive 2-18[F]-fluoro-deoxy-D-glucose analogue.

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Regional GABA concentrations modulate inter-network resting-state functional connectivity
Xi Chen1, Xiaoying Fan1, Yuzheng Hu2, Chun Zuo1, Dost Ongur1, and Fei Du1

1McLean Hospital, Belmont, MA, United States, 2National Institute on Drug Abuse, Baltimore, MD, United States

The resting-state functional connectivity (rsFC) and task evoked fMRI, involving the default mode network (DMN) and control network (CN) was performed, with GABA, glutamate and glutamine measured at MPFC and DLPFC, in order to explore the underlying molecular mechanism of the DMN-CN interaction. We found that MPFC GABA concentrations significantly modulate DMN deactivation during a working memory task, and resting state anti-correlation between DMN and CN, while DLPFC GABA correlations modulate DMN-CN anti-correlation in the opposite direction. These findings suggest that MPFC and DLPFC GABA make a major but differential impact on task related activation and inter-network rsFC. The neurochemical characteristics of DMN and CN may provide novel insights into abnormal network activity in neuropsychiatric diseases and provide opportunities for novel interventions.

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Sleep-Disordered Breathing Severity in Elderly is Associated with Decreased GABA in the Dorsolateral Prefrontal Cortex: A J-edited 1H MRS and Polysomnography Study
Ana C Pereira1, Xiangling Mao2, Caroline S Jiang3, Guoxin Kang2, SAra Milrad4, Bruce S McEwen3, Ana C Krieger4, and Dikoma C. Shungu5

1Laboratory of Neuroendocrinology, The Rockefeller University, New York, NY, United States, 2Radiology, Weill Cornell Medicine, 3Laboratory of Neuroendocrinology, The Rockefeller University, 4Medicine, Neurology and Neuroscience, Weill Cornell Medicine, 5Radiology, Weill Cornell Medicine, New York, NY, United States

Sleep-disordered breathing (SDB) is a disorder characterized by repeated episodes of hypopnea and apnea during sleep that lead to sleep fragmentation and intermittent hypoxia. A leading model of model of SDB that posits GABAergic and glutamatergic dysregulations that lead to hyperexcitability and neuronal damage, which this study aimed to investigate using J-edited MRS and polysomnography. The main results were a robust DLPFC GABA decrease and associations between GABA and hypoxia as well as disease severity. The state of hyperexcitability observed in SDB is interpreted as likely the result of disinhibition (GABA) that might lead to excitotoxicity and neuronal damage.


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MR Imaging & Spectroscopy in a Non-Human Primate Model of Ebola Makona Aerosol Exposure
Margaret R Lentz1, Anna N Honko1, Jordan K Bohannon1, Matthew G Lackemeyer1, Jeffrey M Solomon2, Louis M Huzella1, Gene G Olinger1, Lisa E Hensley1, and Peter B Jahrling1,3

1NIAID/Integrated Research Facility, National Institutes of Health, Frederick, MD, United States, 2Clinical Research Directorate & Clinical Monitoring Research Program, Leidos Biomedical Research, Inc., Frederick, MD, United States, 3NIAID, Emerging Viral Pathogens Section, National Institutes of Health, Frederick, MD, United States

The purpose of this study was to use MRI and magnetic resonance spectroscopy (MRS) to determine if structural or metabolic alterations occur in the brain of rhesus macaques exposed to Ebola virus via inhalation of aerosolized small particles. Unlike intramuscular inoculation with Ebola virus, small-particle aerosol exposure of macaques did not result in uniform changes in brain volume or vascular alterations 8-9 days after exposure.  However, most animals had reductions in N-acetyl aspartate and increases in choline levels, indicating spectroscopy may be useful in identifying early alterations in brain metabolism due to Ebola virus disease.

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The impact of inflammation on grey matter metabolism, quantified using a novel NIRS/MRI system
Thomas Wade Johnson1, James A Rogers2, and Jeff F Dunn1

1Radiology, University of Calgary, Cumming School of Medicine, Calgary, AB, Canada, 2Clinical Neurosciences, Unversity of Calgary, Cumming School of Medicine, Calgary, AB, Canada

Cerebral metabolic rate for oxygen (CMRO2) in gray matter (GM) is a sensitive marker for abnormalities in oxidative metabolism. We combined a near-infrared spectroscopy (NIRS) system with 9.4.T MRI to quantify regional CMRO2 in the experimental autoimmune encephalomyelitis (EAE) mouse model of multiple sclerosis. Increases in CMRO2 were seen in EAE mice and positive inflammation (CFA) controls at day 35 post-induction when compared to naïve controls. In addition, EAE and CFA mice showed increased CMRO2 from day 14 to 35. These data indicate that inflammation alone, not necessarily linked to a white matter autoimmune disease, could cause abnormal CMRO2 in GM.

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Individual mapping of neuronal damage in early relapsing-remitting MS using [11C]Flumazenil PET
Emilie Poirion1,2, Benedetta Bodini1, Marco Battaglini3, Theodore Soulier1, Léorah Freeman1, Daniel Lorenzo-Garcia1, Géraldine Bera1, Michel Bottlaender4, and Bruno Stankoff1

1Institut du Cerveau et de la Moelle Epinière/CNRS UMR 7225/INSERM 1127/UPMC UM75, Paris, France, Paris, France, 2CEA, DRF, I2BM, Neurospin, UNIRS, Paris, France, 3rtement of medecine, Surgery and Neuroscience, University of Siena, Siena, Italy, Italy, 4CEA, DRF, I2BM, Neurospin, UNIACT, Paris, France

We explored the neuronal component of grey matter damage in the earliest phase of multiple sclerosis (MS) with [11C]Flumazenil positron emission tomography (PET). Using a novel post-processing approach based on the generation of individual maps of neuronal pathology, we found a significant neuronal damage in the cortical lesions of patients with MS which preceded the occurrence of cortical atrophy, and correlated with white matter lesion load. These results suggest that cortical demyelination, together with retrograde degeneration of transected axons within white matter lesions, are among the key pathogenic contributors to neuronal cortical damage at the earliest stage of the disease.

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Proton Spectroscopic Imaging of Secondary Progressive Multiple Sclerosis in the MS-SMART trial
Ian Marshall1, Michael J Thrippleton1, Mark E Bastin1, Daisy Mollison1, David A Dickie1, Francesca Chappell1, Scott IK Semple2, Annette Cooper3, David Miller4, Sue Pavitt5, Gavin Giovannoni6, Claudia AM Gandini Wheeler-Kingshott7,8,9, Bhavana S Solanky7, Christopher Weir10, Nigel Stallard11, Clive Hawkins12, Basil Sharrack13, Moira Ross10, Jeremy Chataway4, Peter Connick1, Siddharthan Chandran1, and the MS-SMART trialists

1Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom, 2Centre for Cardiovascular Sciences, University of Edinburgh, Edinburgh, United Kingdom, 3Clinical Research Imaging Centre, University of Edinburgh, Edinburgh, United Kingdom, 4Queen Square Multiple Sclerosis Centre, Department of Neuroinflammation, UCL Institute of Neurology, University College London, London, United Kingdom, 5Dental Translational and Clinical Research Unit, School of Dentistry, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom, 6Department of Neurology, Barts and the London NHS Trust, London, United Kingdom, 7UCL Institute of Neurology, Queen Square MS Centre, University College London, London, United Kingdom, 8Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy, 9Brain MRI 3T Mondino Research Center, C. Mondino National Neurological Institute, Pavia, Italy, 10Edinburgh Clinical Trials Unit, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom, 11Division of Health Sciences, University of Warwick, United Kingdom, 12Institute for Science and Technology in Medicine, Keele University, United Kingdom, 13Academic Department of Neuroscience, Royal Hallamshire Hospital, Sheffield, United Kingdom

1H MR Spectroscopy yields metabolic information and has proved to be a useful addition to structural imaging in neurological diseases. We applied short-TE Spectroscopic Imaging combined with linear modelling with respect to brain tissue type in a homogeneous cohort of 42 patients with Secondary Progressive Multiple Sclerosis. Metabolite levels were significantly different in lesions compared with normal appearing tissues, suggesting axonal damage (reduced NAA) and increased glial activity (increased myo-inositol) yet relatively stable lesions (reduced Glx).

 



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MRS-based classification of Spinocerebellar Ataxias 1, 2, 3, and 6 at 7T: A distance-weighted discrimination approach
James Joers1, Dinesh Deelchand1, Tianmeng Lyu2, Uzay Emir1,3, Diane Hutter1, Christopher M Gomez4, Khalaf O Bushara5, Lynn E. Eberly2, and Gulin Oz1

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Division of Biostatistics, University of Minnesota, Minneapolis, MN, United States, 3University of Oxford, Oxford, United Kingdom, 4Department of Neurology, University of Chicago, Chicago, IL, 5Department of Neurology, University of Minnesota, Minneapolis, MN

We investigated the sensitivity of ultra-high field MRS to distinguish 4 hereditary neurodegenerative diseases with substantial overlap in clinical presentation and conventional MRI. We carried out pairwise classifications of spinocerebellar ataxias (SCAs) 1,2,3 and 6 using distance weighted discrimination (DWD) on 7T MRS from 3 brain regions of 68 SCA patients. Each subject contributed to the DWD model a 50-dimensional vector of concentrations. SCA6 was classified from SCAs 1-3 with high reliability (90%) and SCA2 was classified from SCA3 with moderate success (84%), while SCA1 could not reliably be classified from SCA2 (62%) or SCA3 (48%) with the current model.

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Abnormal Thalamic Metabolism in End-Stage Renal Disease Patients with Restless Legs Syndrome
Xueying Ma1, Dun Ding1, Peng Li2, Fengli Liang1, Zhuonan Wang1, Yingxiang Sun1, Haining Li1, and Ming Zhang1

1Medical Imaging, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China, 2Imaging Department, NO.215 Hospital of Shaanxi Nuclear Industry, Xianyang, People's Republic of China

Restless legs syndrome (RLS) was very common among ESRD patients. However, the physiopathologic mechanisms of RLS in ESRD patients were largely unclear. Here we analyzed the thalamic metabolites using 1H MRS and the correlation between sleep/RLS score and metabolites, compared with corresponding normal controls. The results showed that the Cho/Cr ratio increased and NAA/Cr ratio decreased in thalamus of ESRD patients. The correlation between Cho/Cr ratio and RLS score was significant. It indicated that the sleep disturbance in ESRD patients with RLS might be associated with the abnormal thalamocortical activation of human sleep regulation system.

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The influence of mild hypercapnia on brain intracellular pH, phosphate metabolites and cerebral blood flow a multinuclear (1H/31P) MR study at 7T.
Devashish Das1, Aneurin James Kennerley1, Samuel Harris1, and Jason Berwick1

1University of Sheffield, Sheffield, United Kingdom

Permissive hypercapnia is commonly used as vasodilatory challenge in clinical applications and basic research. During fMRI experiments continuous exposure to mild (3-10%) CO2 can be applied to derive stimulus induced changes in the cerebral rate of oxygen consumption (CMRO2) by measuring cerebral blood flow and blood oxygenation dependent (BOLD) signal. Previous data from anesthetized primate during hypercapnia suggested increase in CBF are accompanied by decreases in neuronal activity. In this context, using multinuclear (31P/1H) and multi-parametric MR  we show that mild exposure to hypercapnia elevates regional CBF, and can cause marginal but consistent drop in intracellular pH of rat  brain, despite constant [ADP ~25-35µM] and [ATP ~3-2.4mM]  to that of resting  brain. Our findings support the view that unspecific drop in brain pH may likely elevate regional CBF, thereby sustain oxygen supply-to-demand ratio in rat brain.

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The influence of mild hypercapnia on brain intracellular pH, phosphate metabolites and cerebral blood flow a multinuclear (1H/31P) MR study at 7T
Devashish Das1, Aneurin James Kennerley1, Samuel Harris1, Jason Berwick1, and Devashish Das1

1University of Sheffield, Sheffield, United Kingdom

Permissive hypercapnia is commonly used as vasodilatory challenge in clinical applications and basic research. During fMRI experiments continuous exposure to mild (3-10%) CO2 can be applied to derive stimulus induced changes in the cerebral rate of oxygen consumption (CMRO2) by measuring cerebral blood flow and blood oxygenation dependent (BOLD) signal. Previous data from anesthetized primate during hypercapnia suggested increase in CBF are accompanied by decreases in neuronal activity. In this context, using multinuclear (31P/1H) and multi-parametric MR  we show that mild exposure to hypercapnia elevates regional CBF, and can cause marginal but consistent drop in intracellular pH of rat  brain, despite constant [ADP ~25-35µM] and [ATP ~3-2.4mM]  to that of resting  brain. Our findings support the view that unspecific drop in brain pH may likely elevate regional CBF, thereby sustain oxygen supply-to-demand ratio in rat brain.

4644
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Longitudinal 7T MRI and MRS in a sheep model of Tay-Sachs disease and the effect of AAV gene therapy.
Heather Gray-Edwards1, Elise Diffie1, Ashley Randle1, Amanda Gross1, Nouha Salibi2, Lauren Ellis 1, Ronald Beyers1, Miguel Sena-Esteves3, Thomas Denney1, and Douglas Martin1

1Auburn University, Auburn, AL, United States, 2MR R&D, Seimens Healthcare, Malvern, PA, United States, 3University of Massachusetts, Worcester, MA, United States

Tay-Sachs Disease (TSD) is a fatal neurodegenerative disorder of children and the sheep model of TSD is a powerful tool to study the disease and evaluate novel therapies.  One such therapy, adeno associated viral (AAV) gene therapy has resulted in a 2-fold increase in lifespan and biomarkers are needed for clinical trials.  7T MRI shows white and gray matter alterations and MR spectroscopic abnormalities that worsen with TSD disease progression.  At humane endpoint the AAV treated sheep has normalization of gray and white matter intensities, but cortical atrophy and MRS alterations persist.   7T MRI and MRS reflect TSD disease severity.  

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Dependence of degree of motor impairment on the association between motor performance and sensorimotor GABA level in relapsing remitting multiple sclerosis
Pallab Bhattacharyya1, Micheal Phillips1, Lael Stone2, and Mark Lowe1

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

Gamma aminobutyric acid (GABA), a major inhibitory neurotransmitter, has been implicated as a metabolic marker of multiple sclerosis (MS). Previously it has been shown that sensorimotor cortex GABA level is higher in relapsing remitting MS (RRMS) patients with poorer motor performance. In this study, the association between cortical GABA level and motor performance, as measured by 9-hole peg test score, has been studied for groups of patients with RRMS with different degrees of motor impairment. The results suggest that cortical GABA has more involvement in motor performance in early stage of RRMS or in less impaired patients.

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Baseline of Chemical Exchange Saturation Transfer Imaging for Brain
Yuki Kanazawa1, Masafumi Harada1, Mitsuharu Miyoshi2, Yuki Matsumoto3, Hiroaki Hayashi1, Toshiaki Sasaki4, and Natsuki Ikemitsu5

1Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan, 2Global MR Applications and Workflow, GE Healthcare, 3Graduate school of Health Science, Tokushima University, 4School of Health Sciences, Tokushiama University, 5School of Health Sciences, Tokushima University

The purpose of this study is to assess the CEST effect and contrast of various brain regions in normal for phase cycle-CEST MR imaging. Subjects were five healthy volunteers. All slice positions were set on the nucleus basalis level. ROIs were set as thalamus, frontal, occipital, putamen, and gray matter on right and left brain hemispheres of each subject There was no significant difference in mean MTRasym values among each brain region (P > 0.01 for all). CEST effects for normal brain tissue had no dependency on region and/or left-right hemispheres.

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31P MR Spectroscopic Imaging of the Human Brain at 7T
Jimin Ren1, Ty Shang2, A. Dean Sherry1,3, and Craig R. Malloy1,4

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Department of Chemistry, Unversity of Texas at Dallas, Richardson, TX, 4VA North Texas Health Care System, Dallas, TX, United States

31P MRS is capable of probing cerebral metabolism in vivo, but clinical applications are limited by poor spatial resolution. This study demonstrates that 31P MRS imaging (MRSI) at 7T can offer high quality spectral data that enables cross-sectional mapping of various phosphorus-bearing metabolites in normal human brain. In a patient with prior ischemic stroke,  high-energy phosphates were depleted and extracellular inorganic phosphate was increased in the stroke lesion. 

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Striatal 7T 1H-MRS in two Huntington's Disease Mouse Models (zQ175 and YAC128)
Bretta Russell-Schulz1, Andrew Yung1, Austin Hill2, Alex L MacKay1,3, Piotr Kozlowski1, and Blair R Leavitt2

1Radiology, University of British Columbia, Vancouver, BC, Canada, 2Centre for Molecular Medicine and Therapeutics, University of British Columbia, Vancouver, BC, Canada, 3Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada

Two Huntington’s disease (HD) mouse models with difference rates of disease progression, zQ175 and YAC128, were examined using 7T proton magnetic resonance spectroscopy of mice aged 6-7 months. zQ175 heterozygous and homozygous genotypes showed significantly decreased [tNAA] and increased [mI] compared to wild type. No differences in metabolite concentrations were found between YAC128- (wild type) and YAC128+ mice. A slow HD disease course in YAC128+ genotype may be the reason for lack of measured metabolite concentration differences.

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QSM meets MRS: The influence of subcortical iron on glutamatergic neurotransmission in a movement disorder population
Ahmad Seif Kanaan1,2, Alfred Anwander1, Andreas Schäfer3, Berkin Bilgic4, Torsten Schlumm1, Jamie Near5, Kirsten Müller-Vahl2, and Harald E. Möller1

1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 2Department of Psychiatry, Social Psychiatry and Psychotherpay, Hannover Medical School, Hannover, Germany, 3Diagnostic Imaging, Magnetic Resonance, Research & Development, Siemens Healthcare GmbH, Erlangen, Germany, 4Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 5Douglas Mental Health University Institute and Department of Psychiatry, McGill University, Montreal, QC, Canada

We use a combination of Quantitative Susceptibility Mapping and 1H-MRS to examine the role of iron and its association with glutamatergic signalling in Gilles de la Tourette syndrome (GTS). GTS is a neurodevelopmental movement disorder with abnormalities in the neurotransmission of dopamine and GABA and, as shown more recently, also in subcortical glutamate (Glu) and glutamine (Gln). In this work, we observed that GTS patients exhibit reductions in cerebral iron levels and report a general association between iron and the Gln:Glu ratio. This work provides a good example of utilizing multi-modal neuroimaging methods to interrogate pathophyiology at multiple scales.

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Effects of astrocytic Nrf2 activation on recently-identified 13C and 1H MRS flux-based biomarkers of mitochondrial energetics and neurotransmitter cycling in Huntington's Disease
Golam M. I. Chowdhury1, Peter Dixon2, Robin de Graaf3, Xiaoxian Ma4, Johnson A Johnson5, Jeffrey A Johnson5, Larry Park6, Gerard Sanacora1, Douglas L Rothman4, and Kevin L Behar1

1Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States, 2Department of Psychiatry, Yale University School of Medicine, 3Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, United States, 4Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, United States, 5School of Pharmacy, School of Pharmacy, University of Wisconsin, Madison, WI, United States, 6CHDI Management, CHDI Management/CHDI Foundation, Los Angeles, United States

Alterations in brain glucose and energy metabolism is observed in Huntington’s Disease (HD) and HD animal models. 1H-[13C]-MRS can be readily adapted to measure metabolic pathway flux by use of 13C-labeled substrates. In this study we assessed whether activation of the astroglial Nrf2-ARE pathway in the R6/2 mouse model of HD, which has shown therapeutic potential in HD animal models, can reverse the reduction in 13C labeling seen previously in R6/2 mice. In cortex and striatum, astroglial Nrf2 activation led to increased amino acid 13C labeling, suggesting a degree of improvement in mitochondrial and neurotransmitter fluxes in the R6/2 mice.

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Longitudinal Changes of Metabolites Measured by Proton Magnetic Resonance Spectroscopy and Their Correlations with Behavioral Outcomes in a Rat Model of Kainic Acid Induced Spinal Cord Injury
Mingming Zhu1, Alice Shum-Siu2, Emily Martin2, Abby Wade2, Darlene Burke2, David S Magnuson2, and Chin K Ng1

1Diagnostic Radiology, University of Louisville School of Medicine, Louisville, KY, United States, 2Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, United States

We measured the profile of major metabolites longitudinally using MRS in spinal cord gray matter of  kainic acid (KA) injured rats at both 7 and 14 days post KA administration and correlated their concentrations with functional outcomes assessed by the Basso, Bresnahan, and Beattie (BBB) Open Field Locomotor scores. Our preliminary findings indicate that metabolite concentrations in the lower lumbar spinal cord gray matter, caudal to the injury epicenter, as detected by in vivo 1H-MRS, could be used as injury and recovery biomarkers in SCI animal models.

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A metabolic study of hypoxic ischemia during mouse brain development using hyperpolarized 13C
Yiran Chen1,2, Byongsop Lee3,4, Robert Bok1, Ilwoo Park1, Subramaniam Sukumar1, R Ann Sheldon3,4, A James Barkovich1,4, Donna M Ferriero3,4, and Duan Xu1,2

1Department of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2Joint UCSF/UC Berkeley Graduate Group in Bioengineering, UCSF, San Francisco, CA, United States, 3Department of Neurology, UCSF, San Francisco, CA, United States, 4Department of Pediatrics, UCSF, San Francisco, CA, United States

In this study, we applied dynamic nuclear polarization (DNP) technique to investigate C1 labeled 13C pyruvate to lactate conversion on hypoxic ischemia (HI) injured neonatal mouse brains during development. Our results showed that lower pyruvate level and higher lactate to pyruvate ratio on the injured hemisphere in comparison to the non-injured hemisphere at the day of injury (P10). This difference narrows as the brain matures. With this technique, we are able to examine individuals’ response to HI in vivo during brain development.

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Correlation between dynamic changes of glutamate metabolism and microcirculatory perfusion in basal ganglia after hypoxic–ischemic brain damage
Yuxue Dang1, Xiaoming Wang2, and Kaining Shi3

1Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China, 2Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China, People's Republic of China, 3Department of Imaging Systems Clinical Science, Philips Healthcare (China), Beijing, People's Republic of China

The excitotoxicity of glutamate metabolism as well as hemodynamic disorders of the brain are both risk factors for neonatal hypoxic–ischemic brain damage (HIBD). To investigate the combined application of intravoxel incoherent motion (IVIM) and 1H-magnetic resonance spectroscopy (MRS) in exploring the possible mechanisms. This study was undertaken to examine basal ganglia metabolites (by means of 1H MRS) and microcirculation (by means of IVIM) in a piglet model of hypoxic-ischemia (HI). It is concluded that elevation of glutamate occurs in parallel to perfusion disruption reflected by changes in perfusion fraction f after HI.  

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Implications of Obstructive Sleep Apnea on Global Cerebral Metabolic Rate of Oxygen
Ana E Rodríguez-Soto1, Yulin Chang1, Wen Cao1, Zachary B Rodgers1, John A Detre2, Erin K Englund1, Sarah Leinwand3, Richard Schwab3, Michael C Langham1, and Felix W Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, United States, 3Division of Sleep Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, United States

Obstructive sleep apnea (OSA) is a chronic disorder caused by intermittent obstruction of the upper airways during sleep. Neurocognitive deficits in this population have previously been associated with altered brain metabolism. In fact, a recent pilot study suggests that global cerebral metabolic rate of oxygen (CMRO2) may be a potential marker of oxygen metabolic dysfunction in this population. Here, we present preliminary results from an ongoing study designed to quantify CMRO2 in subjects with OSA and matched controls. Initial results suggest that apneics have overall lower baseline CMRO2 and increased response to volitional apnea, a paradigm to mimic spontaneous apneas. 

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Mutant huntingtin dosage effect on incidence of high striatal Glutamine in a mouse model of Huntington’s disease – a symptom of liver pathophysiology?
Thomas Mueggler1, Andreas Bruns1, Laurence Ozmen1, Herve Schaffhauser1, Basil Künnecke1, and Markus von Kienlin1

1Roche Pharma Research and Early Development, Hoffmann-La Roche Pharmaceuticals Ltd, Basel, Switzerland

In contrast to transgenic models of Huntington’s disease (HD) newly available knock-in models, such as the HttQ175, recapitulate the heterozygosity present in the clinically observed pathophysiology. Here we report a longitudinal assessment of striatal metabolites using 1H-MRS and volumetry in 30+ brain regions in both male and female HttQ175 mice. Apart from a genotype-specific, progressive neurodegenerative phenotype present in both genders, we discovered an entirely novel feature in mouse models of HD, namely individuals with abnormally high glutamine (Gln) levels, whose incidence increased with mutant Htt gene dosage. In line with emerging data on a widespread peripheral metabolic perturbation in HD, we hypothesize that this excessive Gln is a consequence of disordered hepatic metabolism.

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Inhibitory Motor Dysfunction in Parkinson’s Disease Subtypes
Tao Gong1,2, Guangbin Wang3, Richard Edden4, Fei Gao3, Yuanyuan Xiang5, and Weibo Chen6

1MRI, Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China, 2Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins university, Baltimore, MD, United States, 3MRI, Shandong Medical Imaging Research Institute, 4Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins university, Baltimore, MD, 5Shandong University, 6MRI, Philips Healthcare, Shanhai, People's Republic of China

This study was aimed to evaluate the differences between PD motor subtypes of GABA+ levels using MEGA-PRESS. PD patients were classified into PIGD and TD groups; sixteen healthy controls were recruited. All subjects underwent 3T MR examination including MEGA-PRESS. We found that GABA+ concentration was lower in PD compared with controls; furthermore, the TD group was lower than PIGD. In PD patients, the GABA+ levels were correlated with UPDRS scores. The results suggest that GABAergic dysfunction may play an important role in the pathogenesis of Parkinson’s disease. MEGA-PRESS provides a valuable examination method to discriminate between PD motor subtypes. 


Electronic Poster

Head, Neck, Spine

Exhibition Hall Wednesday 9:15 - 10:15

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In Vivo Study of the Human Ear Canal Using Contrast-Enhanced MRI
Sune Darkner1, Søren Jønsson2, and Stefan Sommer1

1Computer Science, University of Copenhagen, Copenhagen, Denmark, 2Brüel & Kjaer, Denmark

We present the first MRI-based study of the anatomy of the human outer ear. We show that on 45 subjects we can accurately retrieve the anatomy of this outer cavity using a focussing coil, a T2-weighted sequence and vegetable oil. As validation, we show that from the retrieved anatomies of the population we can, using standard methodology, compute an average ear canal that has distinct anatomical landmarks as well as the acoustical properties, which are almost identical to that of a real ear-canal anatomy.

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Does MR of the neck improve the credibility of victims after manual strangulation?
Isabella Klasinc1,2, Kathrin Ogris2, Thomas Ehammer1, Thomas Widek1, Thorsten Schwark1,2, and Eva Scheurer3

1Ludwig Boltzmann Institute Clinical Forensic Imaging, Graz, Austria, 2Institute of Forensic Medicine, Medical University of Graz, Graz, Austria, 3Institute of Forensic Medicine, University of Basel - Health Department Basel, Switzerland

Former studies have already shown, that MRI findings in victims after survived strangulation allow the diagnosis of strangulation. Native 3T MR scans of the neck were performed in strangulation victims without external findings. All subjects showed strangulation specific MRI findings. Therefore, MRI of the neck is indicated in cases of reported manual strangulation.

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Investigating the use of arterial spin labeling perfusion as a substitute to DCE-MRI in primary tumor perfusion of nasopharyngeal carcinoma
Meng Lin1, Xiaoduo Yu1, Bing Wu2, Dehong Luo1, Han Ouyang1, and Chunwu Zhou1

1Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, People's Republic of China, 2GE Healthcare MR research China, Beijing

Assessment of perfusion is important in tumor diagnosis, stage and therapeutic effect evaluation. This study aimed to investigate the relationship between arterial spin labeling (ASL) (with PLD=1.0, 1.5 and 2.0s) and DCE-MRI parameters of nasopharyngeal carcinoma (NPC). Two observers measured the tumor blood flow (TBF) by ASL and DCE derived parameters including MaxSlop, CER, IAUGC, Ktrans, Kep and Ve. TBF showed moderate to strong correlations between all three TBF and DCE-MRI parameters except between all TBF with Ve and between TBF of PLD1.5s and CER. ASL is a feasible non-invasive tool in NPC to quantitatively assess the perfusion.

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Detectability and anatomical location identification of cholesteatoma with thin-slice non-echo planar imaging diffusion-weighted image (nEPID) using fused nEPID and CT(nEPID-CT)
Toshitada Hiraka1, Masafumi Kanoto1, Yuuki Toyoguti1, Yoshihiro Konno1, Yasuhiro Sugai1, and Takaaki Hosoya1

1Diagnostic Radiology, Yamagata University Faculty of Medicine, Yamagata, Japan

Non-echo planar imaging diffusion-weighted imaging (nEPID) is a useful tool for diagnosing middle ear cholesteatoma. The cut-off value of nEPID has not yet been determined, however, as fused thin-slice nEPID and computed tomography (nEPID-CT) color imaging cannot correctly distinguish cholesteatoma from other soft tissue. We examined the detectability of cholesteatoma with nEPID using nEPID-CT color images obtained as preoperative studies. The appropriate cut-off value of the signal intensity ratio on nEPID is 0.925 on the receiver operating characteristic (ROC) curve with Youden’s index. Here, we evaluate the efficacy of nEPID-CT color images based on this nEPID cut-off value.

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B0 and B1 Field Inhomogeneity Consideration in Pseudo-continuous ASL Due to the Presence of Carotid Artery Stenting
Chien-Yuan Eddy Lin1,2, Jianxun Qu2, Ai-Chi Chen1, Yen-Chien Wu3, David Yen-Ting Chen3, Ying-Chi Tseng3, and Chi-Jen Chen3

1GE Healthcare, Taipei, Taiwan, 2GE Healthcare MR Research China, Beijing, People's Republic of China, 3Department of Radiology, Taipei Medical University - Shuang Ho Hospital, New Taipei City, Taiwan

Pseudo-continuous arterial spin labeling (pCASL) has been recently used for investigating cerebral hemodynamic change on the patient receiving carotid artery stenting (CAS) because it permits repeated measurement of absolute cerebral blood flow in a short interval without MR contrast agent or radioactive material. However, labeling efficiency of pCASL has been proved to be dependent on B0 and B1 inhomogeneity. The aim of this study was to understand how inhomogeneous of the B0 and B1 at labeling position of pCASL and find the remedies of the pCASL measurement for the CAS patient.

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Modified 3D T2W DRIVE sequence for high resolution inner ear imaging at 7T
Kingkarn Aphiwatthanasumet1, Gerry O'Donoghue2, Paul Glover1, Xiao Liang1,3, and Penny Gowland1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Ear Nose and Throat, University of Nottingham, Nottingham, United Kingdom, 3Beijing University of Chemical Technology, People's Republic of China

Despite the promise of increased sensitivity, non-contrast-enhanced imaging of inner ear at 7T is challenging due to local variations in B1 and B0. Here we optimize T2-weighted scanning to improve image quality in the inner ear and evaluate the normal variation in the geometry of the cochlea using 3D T2W DRIVE sequence with dielectric pads and RF shimming. The resulting images show well-defined internal structure of the cochlea and the branches of cranial nerve. 

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Dynamic Contrast-Enhanced MRI Predicts Short-Term Control of Nasopharyngeal Carcinoma within 5 fractions Intensity-Modulated Radiotherapy
Dechun Zheng1, Yunbin Chen1, Meng Liu1, Hao Lin1, Xiaoxiao Zhang1, Qiuyuan Yue1, Wang Ren1, Weibo Chen2, and Queenie Chan3

1Radiology, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, Fuzhou, People's Republic of China, 2MR Clinical Science, Philips Healthcare, 3Philips Healthcare

Many quantitative DCE-MRI based studies suggested it had utility in early monitoring radiotherapy and chemotherapy sensitivity in anti-tumor treatment. However, there are a few studies investigated whether it could been used for predicting IMRT effect and to what extend of its performance would be. This study enrolled 87 patients who received DCE-MRI one week before NAC and one week after IMRT treatment and suggested there were collaboration the kinetic parameters of quantitative DCE-MRI in early assessing IMRT treatments in NPC.

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The application of enhanced MRI  with 3D-STIR-SPACE for Brachial Plexus lesions
Lan Zhang1 and Wen Chang Chen2

1MRI, The 1st affiliated hospital of Henan university of TCM, Zhengzhou, People's Republic of China, 2Chang Gung Memorial Hospital, Chiayi Branch, Taiwan

Imaging the brachial plexus is a challenge due to its complicated structure. The purpose of this study is to improve the diagnosis ability for brachial plexus 3D-STIR-SPACE technique with contrast agent administration. After contrast agent administration, signals of adjacent vessels were suppressed due to reduction in its T1 relaxation time which became similar to that of fat. The outlines of nerves would be clearer with respect to surrounding tissues.The image of 3D-STIR-SPACE technique with contrast agent was superior to that without contrast agent. It might be a better way to evaluate anatomies and pathologies of the brachial plexus.  

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One shot 3D flow sensitive cine MR imaging using improved motion sensitized driven equilibrium(iMSDE)
Nao Kajihara1, Tomohiko Horie1, Syuhei Shibukawa1,2, Susumu Takano1, Toshiki Saito1, Makoto Obara3, Tetsuo Ogino3, Tetsu Niwa4, and Yutaka Imai4

1Department of Radiology, Tokai University Hospital, Kanagawa, Japan, 2Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan, 3Healthcare department, Philips Electronics Japan, Tokyo, Japan, 4Department of Radiology, Tokai University School of Medicine, Kanagawa, Japan

Dynamic improved motion-sensitized driven-equilibrium steady-state free precession (dynamic iMSDE SSFP) has been introduced to visualize the irregular flow of cerebrospinal fluid (CSF), which obtains this data in 2D. To improve visibility of CSF space at a wide range, we here proposed a new technique using 3D-free factor. The results showed that fluid motions were sensitively suppressed by iMSDE, similar to 2D acquisition. Thus, this technique may detect irregular CSF motion at the wide range.

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Positional variation of parotid glands in the treatment position of head and neck radiotherapy with immobilization: a pilot study on healthy volunteers using high spatial resolution 3D MRI at 1.5T
Jing Yuan1, Yihang Zhou1, Oilei Wong1, Winky Wing Ki Fong2, George Chiu2, Kin Yin Cheung1, and Siu Ki Yu1

1Medical physics and research department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong, 2Department of Radiotherapy, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong

Investigation of positional and geometric variations of organ-at-risk (OAR) in head-and-neck (HN) radiotherapy (RT) is greatly limited by the poor soft tissue contrast of X-ray-based imaging. We investigated the positional variation of parotid glands (PG) in the immobilized HN-RT treatment position on healthy volunteers using high-spatial-resolution 3D-MRI at 1.5T. The results showed that PGs generally had sub-millimeter and sub-degree group mean error, systematic error and random error under immobilization. Although PGs generally showed insignificant positional variations from global HN, individual left and right PG might move independently and resulted in insignificant positional correlations with each other and global HN.

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Measurement of blood flow in normal parotid glands using pseudo-continuous arterial spin labeling: comparison between 2D echo-planar and 3D turbo spin-echo sequences.
Katsuhiro Inoue1, Maki Umino2, Ryohei Nakayama3, Shinichi Takase1, Tsunehiro Yamahata1, Makoto Obara4, Masayuki Maeda5, and Hajime Sakuma6

1Department of Radiology, Mie University Hospital, Mie, Japan, 2Department of Radiology, Mie University School of Medicine, Mie, Japan, 3Department of electronic and Computer Engineering, Ritsumeikan University, Shiga, 4Philips Electronics Japan, Tokyo, Japan, 5Department of Advanced Diagnostic Imaging, Mie University School of Medicine, Mie, Japan, 6Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan

Evaluation of parotid blood flow (PBF) may provide an insight into the pathophysiology of parotid diseases. We evaluated and compared the blood flow of normal parotid glands in six volunteers using 2D-echo-planar (EP) and 3D-turbo-spin-echo (TSE) pseudo-continuous ASL (pCASL) sequences. Visual assessment indicated that 3D-TSE pCASL maps were significantly better for delineating normal parotid glands. 3D-TSE pCASL showed larger PBF values than 2D-EP pCASL. Fewer measurement errors were observed in 3D-TSE pCASL data. We concluded that 3D-TSE pCASL is more suitable for the evaluation of PBF than 2D-EP pCASL.

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Semi-quantitative Parametric Evaluation of Parotid Gland Function Using Proton Density Magnetic Resonance Imaging
Yu-Chia Cheng1, Yi-Jui Liu2, Yi-Hsiung Lee3,4, Hing-Chiu Chang5, Hui-Chu Chiu6, Ta-Wei Chiu7, Kang Hsu8, Hsian-He Hsu4,9, and Chun-Jung Juan4,9

1Master 's Program of Biomedical Informatics and Biomedical Engineering of Feng Chia University, Taichung, Taiwan, Taichung, Taiwan, 2Department of Automatic Control Engineering, Feng Chia University, Taichung, Taiwan, Republic of China, 3Ph.D. program in Electrical and Communication Engineering in Feng Chia University, Taichung, Taiwan, Republic of China, 4Department of Radiology, Tri-Service General Hospital, Taipei, Taiwan, Republic of China, 5Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, 6Ph.D. program of Technology Management, Chung Hua University, Hsinchu, Taiwan, Republic of China, 7Department of Medicine, Taipei Medical University, Taipei, Taiwan, Republic of China, 8Department of Dentistry, National Defense Medical Center, Taipei, Taiwan, Republic of China, 9Department of Radiology, National Defense Medical Center, Taipei, Taiwan, Republic of China

The parotid gland function is evaluated by gustatory stimulation using scintigraphy in clinic. It is supposed to measure the water component of parotid gland using PD MRI instead of scintigraphy. In this study, we initially developed the evaluation of parotid gland function by PD MRI, and 10 healthy volunteers underwent double echo EPI with gustatory stimulation. Maximal drop ratio (MDR), time to peak (TTP), drop slope (DS), recovery slope (RS) and recovery ratio (RR) were calculated. The signal intensity dropped significantly after gustatory stimulation on PD image (P<0.01). MRI allows quantification of parotid gland function using semi-quantitative functional parameters.

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3D pituitary dynamic MR imaging using the TWIST and Iterative reconstruction TWIST
Yusuke Yokota1, Yasutaka Fushimi1, Tomohisa Okada2, Akira Yamamoto1, Tsutomu Okada1, Aurelien Stalder3, Christoph Forman3, Michaela Schmidt3, and Kaori Togashi1

1Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Human Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 3Siemens Healthcare GmbH, Erlangen, Germany

The aim of this study is to perform a comparison between 3D pituitary dynamic study using time-resolved angiography with interleaved stochastic trajectories (TWIST) and TWIST with iterative reconstruction (IT-TWIST). IT-TWIST was retrospectively reconstructed from the raw data of TWIST by using L1 wavelet regularization in space and time. One neuroradiologist put regions of interest in pituitary stalk and anterior lobe and made time intensity curve. The slope of enhancement in the early phase was evaluated. In addition, image quality was visually evaluated. IT-TWIST yielded higher slope of enhancement in the early phase in anterior lobe and better image quality.

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Correlation of humanpapilloma virus status with quantitative perfusion/diffusion MRI parameters and metabolic 18F-FDG-PET parameters  in oral cavity and oropharyngeal squamous cell carcinoma : Comparison between primary tumor lesions and metastatic lymph nodes
Miran HAN1, Jin Wook Choi1, and Su Jin Lee2

1Radiology, Ajou University Medical Center, Suwon, Korea, Republic of, 2Nuclear medicine, Ajou University Medical Center, Suwon, Korea, Republic of

We evaluated association between perfusion/diffusion MRI parameters, metabolic 18F-FDG PET parameters and HPV status in not only primary oral cavity-oropharyngeal squamous cell carcinoma but also its metastatic lymph nodes. Any significant difference was not found in quantitative perfusion, diffusion, metabolic parameters of primary tumor between HPV-positive and HPV-negative groups. In case of metastatic lymph node, only metabolic parameters were significantly higher in HPV-positive group. In our study population, HPV status of primary OC-OPSCC and metastatic lymph nodes did not translate into different perfusion/diffusion parameters. Larger study population is needed to establish whether imaging parameters can represent the HPV status.

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Reduced FOV with Multi-shot IRIS Provides Improved Diffusion Tensor Imaging in the Cervical Spinal Cord
Samantha By1,2, Ed Mojahed2,3, Saikat Sengupta2, and Seth A. Smith1,2,4

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

Spinal cord DTI is technically challenging, primarily due to the small size of the cord and physiological motion. We compare three different sequences to address these challenges: 1) single-shot EPI (ss-EPI), 2) multi-shot EPI with 2D navigation (IRIS), and 3) multi-shot EPI with reduced FOV (IRIS+iZOOM). Results indicate that IRIS alleviates geometric distortion present in ss-EPI. The combination of IRIS and iZOOM, however, provides the most consistent and least distorted diffusion-weighted images.  These effects are clearly seen in the fractional anisotropy, axial diffusivity, and radial diffusivity maps, where exceptional contrast between gray and white matter are observed with IRIS+iZOOM.

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Suppression of CSF-flow-artifacts for T1-w Spin-echo Spine Imaging
Ola Norbeck1,2, Enrico Avventi1,2, Henric Rydén 1, and Stefan Skare1,2

1Neuroradiology, Karolinska University Hospital, Stockholm, Sweden, 2Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

We propose a simple method to suppress cerebrospinal fluid pulsatile-flow-artifacts in axial 2D T1-weighted spin-echo images of the spine. Widening the spatial width of the excitation pulse is shown to remove artifacts that otherwise could obscure or mimic tumors in the spinal canal.

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Simple Modification of Arms Position Improves B1+ and Signal Homogeneity in the Thoracolumbar Spine at 3T
Kinya Ishizaka1, Kohsuke Kudo2, Kuniaki Harada3, Toru Shirai4, and Taro Fujiwara1

1Department of Radiological Technology, Hokkaido University Hospital, Sapporo, Japan, 2Division of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Japan, 3Hitachi, Ltd., Healthcare Company, 4Hitachi, Ltd., Research and Development Group

To evaluate the homogeneity of B1+ and signal intensity of the thoracolumbar spine with different arm positions. Twenty volunteers were scanned with 4-channel RF transmit coil at 3T. Three arm positions were used; arms on the bed, arm lift, and arm up position. Axial B1+ maps and sagittal T1WI were obtained individually with each arm position. Mean and SD values of FA, and CNR with arm lift and arm up position were significantly superior with arms on the bed position. Inhomogeneities of B1+ and signal intensities were improved by simply changing the arm position at 3T thoracolumbar spine imaging.

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Motor-task based fMRI of the spinal cord reveals neural activity in gray matter horns
Satoshi Maki1, Benjamin N. Conrad1, Robert L. Barry2,3, Lydia J. McKeithan1, John C. Gore1,4, and Seth A. Smith1,4

1Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 3Department of Radiology, Harvard Medical School, Boston, United States, 4Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States

 In spinal cord functional magnetic resonance imaging (fMRI) studies, localization of functional activation is still limited due to low signal to noise ratio and low spatial resolution. We studied blood oxygen level dependent signal changes in individual gray matter horns of the cervical spinal cord using a 3D gradient-echo sequence for fMRI during an upper extremity motor task. Visualization and delineation of neural activity in gray matter of cervical spinal cord elicited by the motor task was successfully demonstrated at fine spatial scales suggesting the potential for noninvasive monitoring of spinal cord function.

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Feasibility of Grey Matter and White Matter Segmentation of the Conus Medullaris: A Pilot In Vivo Investigation in the Neurologically Intact Spinal Cord
Martina D Liechti1,2, Nuttakarn Budtarad1, Daniel R Altmann1,3, Xixi Yang1,2, Ahmed T Toosy1, Jalesh N Panicker2, Claudia AM Gandini Wheeler-Kingshott1, and Marios Yiannakas1

1UCL Institute of Neurology, Queen Square MS Centre, University College London, London, United Kingdom, 2UCL Institute of Neurology, Uro-Neurology, Department of Brain Repair & Rehabilitation, University College London, London, United Kingdom, 3Translational Imaging Group, Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom

Spinal cord (SC) atrophy as a consequence of neurodegeneration, and its association with clinical scores of disability, may be assessed indirectly by means of cord, grey matter (GM) and white matter (WM) segmentation from magnetic resonance images. Neuropathological evidence suggests that in certain neurological conditions, early degeneration may occur as low as the sacral SC, potentially implicating neural pathways that are essential for the functioning of the lower urinary tract. In this work, the feasibility of GM/WM segmentation of the conus medullaris is assessed in vivo using a clinical 3T system.

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Free Water Estimation Improves in vivo Diffusion MRI Remote from the Lesion Site in Rat Spinal Cord Injury
Matthew Budde1, Nathan Skinner2, Brian Schmit3, and Shekar Kurpad1

1Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 2Medical College of Wisconsin, Milwaukee, WI, United States, 3Biomedical Engineering, Marquette University, Milwaukee, WI, United States

Diffusion tensor imaging (DTI) of the spinal cord remote from the site of injury has been shown to be a surrogate marker of spinal cord injury (SCI) severity.  In this work, detection of injury severity with in vivo diffusion MRI of the rat cervical cord following a thoracic SCI was improved with advanced diffusion MRI signal modelling compared to DTI.

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Investigating trauma-induced microstructural changes at the lumbosacral enlargement after spinal cord injury
Gergely David1, Eveline Huber1, Nikolaus Weiskopf2,3, Siawoosh Mohammadi3,4, and Patrick Freund1,2,3

1Spinal Cord Injury Center, Balgrist University Hospital, 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, 4Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Neuroimaging of the cervical cord has demonstrated above-level neurodegeneration after traumatic spinal cord injury. In this study, we investigated below-level neurodegeneration with optimized high-resolution MRI sequences, including diffusion tensor imaging and structural imaging, applied to the lumbar cord in patients with cervical injury. Our results demonstrate that atrophy and axonal degeneration are prominent in the lumbar cord reflected by structural and diffusivity changes. Furthermore, the extent of these changes is related to clinical impairment. This study shows neurodegeneration below the level of injury and demonstrates the clinical feasibility of acquiring readouts of tissue-specific changes in the lumbar cord.

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Voxel-based analysis of grey and white matter degeneration above the level of injury in cervical spinal cord injury
Eveline Huber1, Gergely David1, Niklaus Weiskopf2,3, Siawoosh Mohammadi3,4, and Patrick Freund1,2,3,5

1University Hospital Balgrist, 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, University College London, London, United Kingdom, 4of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 5Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, University College London, London, United Kingdom

We studied the extent of cervical grey and white matter neurodegeneration above the level of injury after traumatic spinal cord injury (SCI) using high-resolution structural and diffusion MRI data. We found marked atrophy of both white and grey matter alongside diffusivity changes associated with axonal degeneration within the major spinal tracts. The extent of structural decline related to clinical impairment. These tract specific changes and clinicopathological relationships shed light into underlying neurodegenerative disease mechanisms, and therefore these measureable changes hold potential to serve as neuroimaging biomarkers of cord pathology.

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The Utility of DTI and NODDI for Assessment of Disease Severity and in Predicting Postoperative Neuronal Recovery: An Atlas-based Tract Specific Study
Tomohiro Takamura1, Ryo Ueda2, Masaaki Hori 1, Ryusuke Irie1, Koji Kamagata1, Michimasa Suzuki1, and Shigeki Aoki1

1Juntendo University, Tokyo, Japan, 2Tokyo Metropolitan University

Quantification of disease severity and prediction of postoperative outcome were essential in management of cervical spondylotic myelopathy (CSM). The purpose of this study was to investigate correlation between diffusion metrics, including DTI or NODDI in spinal cord pathways, and the severity of CSM, as well as their predictive ability for postoperative recovery. We elucidated that the disease severity was significantly correlated with FA and ODI, and postoperative recovery correlated with RD and MD. The lateral funiculi and lateral corticospinal tract seemed to be the predominant spinal cord pathway that correlated with disease severity and postoperative recovery.

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Microstructural assessment of the cervical spinal cord using high-resolution, 1 dimensional MRI
Rexford Newbould1 and Paul M Matthews2

1Imanova, London, United Kingdom, 2Division of Brain Sciences, Imperial College London, London, United Kingdom

A 1-dimensional MR sequence termed Fine Structural Analysis (fineSA) was applied to the human cervical spinal cord in order to determine if spinal tracts and nerve fibres of the dorsal horn could be identified from the spectral regularity of their myeloarchitecture.   Repeatable 60 μm peaks could be attributed to the dorsal horn as opposed to projective nerve tracts of the cord.  This analysis might be able to identify the loss of neurons via changes in packing density that would be proximal to macrostructural atrophy detectable on more classical MR sequences.


Electronic Poster

Brain Anatomy: Techniques & Applications

Exhibition Hall Wednesday 9:15 - 10:15

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(free)Surfing ANTs: a comparative study
Santi Puch1, Paulo Rodrigues1, David Moreno-Dominguez1, Marc Ramos1, and Vesna Prčkovska1

1Mint Labs, Barcelona, Spain

Robust and automated tools such as FreeSurfer or ANTs for brain segmentation and quantification have been of utmost importance in the recent advancements in the Neuroimaging field. However, the reproducibility and variability of their results are often uncertain. In this study, we analyzed their reproducibility and compared their outputs for different brain structures. We observe that both tools give high reproducibility for volumetric studies and give similar results in most of the examined cases. However, in some structures (pallidum, rostral-anterior cingulate) there are more pronounced and significant differences. Our results also indicate slightly better reproducibility of ANTs over FreeSurfer.

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Dura Mater imaging with UTE T2* Mapping
Yuki Kanazawa1, Masafumi Harada1, Mitsuharu Miyoshi2, Yuki Matsumoto3, Hiroaki Hayashi1, Toshiaki Sasaki4, Natsuki Ikemitsu4, and Michael Carl2

1Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan, 2Global MR Applications and Workflow, GE Healthcare, 3Graduate school of Health Science, Tokushima University, 4School of Health Sciences, Tokushima University

To assess signal of dura mater acquired from UTE imaging, we evaluated this component with T2* mapping derived from a multi-echo UTE sequence of healthy volunteers. We then compared measured T2* values of cranium and dura mater. The mean T2* value of dura mater in five healthy volunteers was significantly higher than that of cranium (P < .05). It is found that the T2* decay of dura mater was faster than the cranium components. UTE T2* mapping makes it possible to obtain detailed information for meningeal abnormalities.

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Reproducibility of human habenula characterization with high-resolution quantitative susceptibility mapping at 3T
Seung-Kyun Lee1,2, Seulki Yoo1,2, and Anup S Bidesi1,2

1Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 2Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of

We investigated scan-rescan reproducibility of human habenula susceptibility measurement using quantitative susceptibility mapping (QSM) at a 0.5x0.5x0.8 mm3 resolution. Although previously reported paramagnetic enhancement in the habenula (Schenck et al., ISMRM 2015) was confirmed, the paramagnetic center was highly localized within the habenula mass to make the susceptibility quantification vulnerable to partial volume effects. This appeared to limit the reproducibility of peak susceptibility measurements in the habenula to 10~40%, with significant variation among subjects. High resolution scans and reliable coil combination of phase data would be needed to make QSM a more reliable tool for human habenula characterization.

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Characterization Of Registration Errors To Screen Aberrant Subject Results Prior To Voxel-Wise Whole Brain Analysis
Roman Fleysher1,2, Namhee Kim1,2, Asif Suri1,2, Michael L Lipton1,2, and Craig A Branch1,2

1Gruss Magnetic Resonance Research Center, Albert Einstein College of Medicine, Bronx, NY, United States, 2Radiology, Albert Einstein College of Medicine, Bronx, NY, United States

Voxel-wise analyses of DTI, fMRI or any other MRI-derived metric, be it for comparing groups or one patient to a control group, require quality registration of images to a template. One or several poorly registered images may skew the distributions of the metric in several voxels leading to incorrect inferences. We propose an approach to screen poorly registered images prior to voxel-wise analysis by comparing subject-wise mean displacements of anatomical landmarks between morphed images and the template estimated using FreeSurfer. We apply this proposed algorithm to demonstrate morph accuracy characterization using two age extreme (18 and 86 year old) templates. 

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Automatic Segmentation of Human Brain MRI using Sliding Window and Random Forests
Ahmed Serag1, Emma J Telford1, Scott Semple1, and James P Boardman1

1University of Edinburgh, Edinburgh, United Kingdom

Volumetric analysis of brain MRI acquired across the life course may be useful for investigating long-term effects of risk and resilience factors for brain development and healthy ageing, and for understanding early life determinants of adult brain structure. We developed an automatic segmentation method for human brain MRI, where a sliding window approach and a multi-class random forest classifier were applied to high-dimensional feature vectors for accurate segmentation. The method performed well on brain MRI data acquired from 179 individuals, analysed in three age groups: newborns (38-42 weeks gestational age), children and adolescents (4-17 years) and adults (35-71 years).

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Post-mortem and In Vivo Thalamic Nuclei Identification at 7T with Comparison to Histology
Mobeen Ali1, Ian Scott2, Alain Pitiot3, Karen Mullinger1,4, Andy Bagshaw4, Penny Gowland1, and Richard Bowtell1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Department of Cellular Pathology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom, 3School of Psychology, University of Nottingham, Nottingham, United Kingdom, 4Centre for Human Brain Health (CHBH), University of Birmingham, Birmingham, United Kingdom

The thalamus plays a major role in regulating the transfer of information through the brain and is also implicated in many neurodegenerative diseases. It is therefore crucial to improve our understanding of this key brain structure. Structural differentiation of thalamic nuclei in post-mortem 7T MRI was investigated. Thalamic sub-regions were identified in magnitude, R2*, R1 and magnetisation transfer ratio maps from six post-mortem brains. Edge detection, k-means clustering algorithms and thin-plate spline warping to the Morel atlas were used to systematically identify thalamic nuclei. These data showed good correlation with stained histological sections and in vivo MRI data. 

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Strategies for Building a Morphologically Faithful Average Brain Template from Population Diffusion MRI Data
Mustafa Okan Irfanoglu1,2,3, Neda Sadeghi2, Amritha Nayak1,2,3, and Carlo Pierpaoli1,2

1Quantitative Medical Imaging Section, NIBIB/NIH, Bethesda, MD, United States, 2SQUITS/NICHD/NIH, Bethesda, MD, United States, 3Henry Jackson Foundation, Bethesda, MD, United States

The availability of anatomically accurate MRI atlases, which can be used as target templates for registration, is essential for quantitative analysis of MRI data. Ideally the computed atlas should be representative of the average features of the population at each voxel location. In this work, we investigate the ability of the most common atlasing approach (i.e. iterative registration followed by averaging) of assuring morphological accuracy. We also evaluate whether constraining the individual deformation fields with deformation-based information helps achieving this goal. We perform our atlas creation tests from full DTI data, using a novel diffusion tensor based diffeomorphic registration technique. We conclude that current atlasing techniques lead to templates that do not faithfully represent the average morphology of the population but that by applying appropriate constraints significant improvements toward this goal can be achieved.

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IIT Human Brain Atlas: Enhancement of T1-weighted Template, Tissue Probability Maps and Gray Matter Atlas
Xiaoxiao Qi1, Shengwei Zhang1, and Konstantinos Arfanakis1

1Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States

The IIT Human Brain Atlas contains anatomical, DTI, HARDI templates, probabilistic gray matter (GM) labels, probabilistic connectivity-based white matter labels, and major fiber-bundles of the young adult brain. During development of the atlas, spatial normalization was accomplished based on diffusion data. Consequently, matching of the anatomical information of T1-weighted images was not maximized, blurring the T1-weighted template and tissue probability maps, increasing the noise of the T1-weighted template, and lowering confidence of GM labeling and GM label precision. The present work enhanced the quality of the T1-weighted template, tissue probability maps, and GM labels of the IIT Human Brain Atlas.

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Multi-modal characterization of white matter for studying language and hand motor function
Yuichi Suzuki1, Kouhei Kamiya1, Minoru Mitsuda1, Akira Kunimatsu1, Masaaki Hori2, Harushi Mori1, Katusya Maruyama3, Kenji Ino1, Yasushi Watanabe1, Jiro Sato1, Shigeki Aoki2, Keiichi Yano1, and Osamu Abe1

1Department of Radiology, The University of Tokyo Hospital, Tokyo, Japan, 2Radiology, Juntendo University School of Medicine, Tokyo, Japan, 3Siemens Japan K.K., Tokyo, Japan

We present a preliminary experience of a fiber g-ratio technique using a combination (MT_sat and NODDI) in multi-modal characterization of the white matter bundles relevant to language and hand motor function. Tract-specific analyses of the pyramidal tract, accurate fasciculus, and frontal aslant tract were performed using the tractography as volume of interest.  The fiber g-ratio, MVF, AVF, and FA were measured, and differences between the the hemispheres and among the bundles were tested. This study suggested we can be more sensitive to the lateralities of these bundles by combining myelin imaging and diffusion.

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Gender Dimorphism in Cerebral White Matter Architecture: Insights from Diffusion Spectrum Imaging and Whole Brain Echo-Planar Spectroscopic Imaging
Khin Khin Tha1,2, Kagari Abiko3, Yuta Urushibata4, Sinyeob Ahn5, Osamu Manabe6, Naoya Hattori6, Kohsuke Kudo1, and Hiroki Shirato1

1Department of Radiation Medicine, Hokkaido University, Sapporo, Japan, 2Global Station for Quantum Medical Science and Engineering, Sapporo, Japan, 3Department of Rehabilitation, Hokkaido University, Sapporo, Japan, 4Siemens Health Care, Japan, 5Siemens Health Care, San Francisco, CA, United States, 6Department of Nuclear Medicine, Hokkaido University, Japan

Gender dimorphism in white matter architecture was evaluated by using DSI and whole brain EPSI. Several white matter areas revealed gender differences in the major DSI indices, of which some area had gender difference in NAA/Cr.


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Measuring Transcortical Vasculature with Ultra-high Field (7T) MRI
Allen Timothy Newton1, Isabel Gauthier2, and Rankin W McGugin2

1Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Psychology, Vanderbilt University, Nashville, TN, United States

Direct visualization of intracortical vascular structure holds promise for detection of pathologic conditions currently invisible with conventional clinical MRI. However, imaging of these structures with MRI has been rare, and no validation of the technique has been performed.  Here, we use 7T SWI to directly image intracortical vasculature on the microscopic scale with the goal of understanding the within and between subject variance. We found intracortical vascular measurements were reproducible within subjects and were sensitive to between subject variability, indicating that the measurements may be useful as a biomarker of disease processes affecting vasculature within the cortex.

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MRI to monitor the impact of positional changes in the airway of sleep apnea patients – A Phase I methodology demonstration at 3T
Huyen Thanh Nguyen1, Ulysses Magalang2, Amir Abdujiliah1, Saba Elias1, Petra Schmalbrock1, Preethi Subramanian1, Shivangi Vora1, Wenbo Wei1, Samantha Rojas2, Kirsten Emmons3, David Ribble3, and Michael V Knopp1

1Wright Center of Innovation in Biomedical Imaging, Department of Radiology, The Ohio State University, Columbus, OH, United States, 2Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, The Ohio State University, Columbus, OH, United States, 3Hill-Rom

We aimed to develop a non-invasive quantitative MRI methodology to assess positional and rotational impact on the airway opening in subjects with history of sleep apnea for a proposed clinical trial. An equipment and software analysis approach was implemented to perform a feasibility demonstration using 9 volunteers. All data analysis was performed on IntelliSpace Portal (ISP) (Philips Healthcare) to validate the angles and perform the assessment of the airway opening in the RP and RG regions. We have established a prototype table setup that enables us to image 7 positions of various head and chest support angles to investigate the best positional changes to improve the airway opening of sleep apnea subjects. The results showed that the actual angles were within 0.10-0.30 from the targeted angles. In conclusion, the developed 3T MRI methodology appears robust to assess the impact of head and chest positional changes on the airway in sleep apnea patients. 

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Inter-individual variability in rapid eye movement sleep is associated with brain white matter structure
Shuqin Zhou1, Qihong Zou2, Jing Xu2, Jiahui Deng3, Zihui Su2, Tianyi Qian4, Thomas Beck5, Changwei Wu6, Hongqiang Sun3, and Jia-Hong Gao2

1Department of Biomedical Engineering, Peking University, Beijing, People's Republic of China, 2Center for MRI Research and Beijing City Key Lab for Medical Physics and Engineering, Peking University, Beijing, People's Republic of China, 3Sixth Hospital, Peking University, Beijing, People's Republic of China, 4MR Collaborations NE Asia, Siemens Healthcare, Beijing, People's Republic of China, 5Application Development, Siemens Healthcare, Erlangen, Germany, 6Graduate Institute of Humanities in Medicine, Taipei Medical University, Taipei, Taiwan

Previous animal studies indicated that sleep is important for cell membrane and myelin maintenance in the brain. Research further suggests that variability in sleep structure may be associated with brain white matter microstructure. In this study, we investigate the relationship between sleep structure parameters evaluated with polysomnography and brain white matter characteristics, as measured by MR diffusion tensor imaging. We find that inter-subject variability of regional white matter characteristics may explain the differences in sleep structure across participants.

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Relationship between cortical Grey Matter quantitative Magnetization Transfer and corresponding sub-cortical White Matter in healthy adults
Olivier E. Mougin1, Prejaas K. Tewarie1, Benjamin A.E. Hunt1, Nicolas Geades1, Peter G. Morris1, Matthew J. Brookes1, and Penny A. Gowland1

1Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom

The aim of this study is to estimate the correlation between myelination in the cortical ribbon and the underlying subcortical WM fibres in healthy adults, using quantitative Magnetization Transfer to assess myelination. The results shows that GM myeloarchitectonic is reflected in the underlying WM in healthy adults. 

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Relationship between nicotine dependence and the structural changes in the brain of young and middle-aged male smokers: a voxel-based morphometry study
Peng Peng1, Min Li1, Ya-Ru Tian1, Yang Yu1, Bin Jing2, Qing-Lei Shi3, and Tao Jiang1

1Radiology, Beijing Chao-Yang Hospital, Beijing, People's Republic of China, 2School of Biomedical Engineering, Capital Medical University, Beijing, People's Republic of China, 3MR Scientific Marketing, Siemens Healthcare Ltd. Diagnostic Imaging

This study aimed to research the relationship between the volume changes of brain and smoking extent/nicotine dependence. A voxel-based morphometry study between smokers grouped by smoking amount and dependence level was conducted. This study demonstrated the volume of many brain areas decreased with the increase in smoking extent and an opposite correlation between some brain areas and smoking dependence was observed. This study indicated that dependence had limited ability to predict smoking-related brain structure changes. A comprehensive assessment of the situation should be consulted, when clinicians make treatments options.

4696
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Exploring Subvoxel Structures in Brain Tumors using Magnetic Resonance Fingerprinting
Debra McGivney1, Anagha Deshmane2, Chaitra Badve3, Dan Ma1, Vikas Gulani1,3, and Mark Griswold1,2

1Radiology, Case Western Reserve University, Cleveland, OH, United States, 2Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 3Radiology, University Hospitals, Cleveland, OH, United States

We apply a partial volume analysis to MR fingerprinting brain tumor data. In the analysis, the number and types of tissues that make up a given voxel are not assumed to be known a priori, which is particularly important in the case of abnormal tissues, such as tumors or edema. We examine the partial volume results in a patient with a glioblastoma multiforme (GBM) and another with a metastasis to look for patterns in healthy tissues, tumor, and the peritumoral region.

4697
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Prenatal exposure to phthalate esters and later brain structure change revealed by generalized q-sampling MRI
Yen-Ning Hsu1, Jun-Cheng Weng1,2, Jeng-Dau Tasi3, Chao-Yu Shen1,2,4, and Shu-Li Wang5

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, 3School of Medicine and Department of Pediatrics, Chung Shan Medical University and Hospital, Taichung, Taiwan, 4Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan, 5National Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan

Phthalate esters are a group of chemicals that are widely used everywhere. There is an emerging public health issue that the prevalent use of phthalates may affect children’s brain development. Therefore, we tried to use generalized q-sampling imaging (GQI) to identify the neurological structure changes of white matter of children’s brain induced by prenatal phthalate exposure. The altered GQI indices in the corpus callosum, corona radiata, superior longitudinal fasciculus (SLF), internal capsule, and superior frontal gyrus were found in the children’s brain who were prenatal exposure to phthalate esters.

4698
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Measuring white matter structure in solid tumor survivors: a fixel-based versus voxel-based approach
Charlotte Sleurs1,2, Jurgen Lemiere1, Daan Christiaens3, Thibo Billiet4, Marjolein Verly2, Ronald Peeters2, Stefan Sunaert2, Anne Uyttebroeck1, and Sabine Deprez2

1Department of Pediatric Hematology and Oncology, University Hospitals Leuven, Leuven, Belgium, 2Department of Radiology, University Hospitals Leuven, Leuven, Belgium, 3Centre for the Developing Brain, King’s College London, 4Imaging Biomarker Experts, Icometrix

Neurotoxicity of multi-agent chemotherapy in survivors of solid non-CNS tumors during childhood, has limitedly been investigated. Nowadays, diffusion-weighted imaging (DWI) is implemented in clinical studies to examine potential white matter changes. However, standard voxel-based analyses of diffusion measures such as fractional anisotropy (FA), only provide information about local white matter structure on a voxel-level, but lack specific information about fiber populations within a voxel. Therefore, we compared a fixel-based versus voxel-based group comparison analysis of DWI images in survivors of pediatric solid tumor versus healthy age-matched controls. 

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High resolution volumetric 3D-SoS MPRAGE detection of carotid intraplaque hemorrhage
J. Scott McNally1, Laura Eisenmenger1, Seong-Eun Kim1, Rock Hadley1, Adam De Havenon2, Jason Mendes1, Gerald Treiman3, and Dennis Parker1

1Radiology, University of Utah, Salt Lake City, UT, United States, 2Neurology, University of Utah, Salt Lake City, UT, United States, 3Surgery, Salt Lake City VA Medical Center

To provide a better method of detection and quantification of carotid intraplaque hemorrhage (IPH), we developed a motion-robust 3D radial stack of stars (SoS) MPRAGE sequence. 3D SoS MPRAGE outperformed 3D TOF in the detection and quantification of carotid IPH when compared with histology. The sequence was robust to motion and flow related artifacts. This sequence, when combined with high-SNR neck shape specific coils, can help identify stroke etiology, determine future stroke risk, and evaluate treatment response by quantifying IPH volume in future clinical trials aimed at decreasing carotid IPH.

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Extraction of Dentatorubrothalamic Fiber Tracts in Human Brain Using Probabilistic Fiber Tracking and Unsupervised Clustering Algorithm
Qing Ji1, Angela Edward1, John O. Glass1, Zoltan Patay1, and Wilburn E. Reddick1

1Diagnostic Imaging, St.Jude Children's Research Hospital, Memphis, TN, United States

We proposed a novel robust method to extract the dentatorubrothalamic tract (DRTT) in the human brain from DTI images. First, the method was tested on healthy control subjects, then on 30 medulloblastoma patients who had undergone resection of their posterior fossa tumors. Patterns of bilateral, left only, right only and even no DRTT were observed. Validation with multiple manual ROIs along the known pathway confirmed the extracted DRTTs. This suggests that the proposed method may provide an object way to access the DRTTs in medulloblastoma patients post-surgery.

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Grey matter atrophy measured in-vivo with 9.4T MRI in the experimental autoimmune encephalomyelitis mouse model of multiple sclerosis
A. Max Hamilton1,2,3,4, Nils D. Forkert1,2, Runze Yang1,2,3,4, Ying Wu1,2,3,4, James A. Rogers2,3, V. Wee Yong2,3, and Jeff F. Dunn1,2,3,4

1Department of Radiology, University of Calgary, Calgary, AB, Canada, 2Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 3Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada, 4Experimental Imaging Center, University of Calgary, Calgary, AB, Canada

Grey matter atrophy has become a clinically relevant marker of progressive disability in multiple sclerosis (MS). To better study atrophy in MS, mouse models that have grey matter loss are needed. A possible candidate is the experimental autoimmune encephalomyelitis (EAE) mouse model. We used high-resolution magnetic resonance imaging (MRI) and atlas-based regional volumetrics to measure the volumes of 62 structures in the brains of EAE mice, 66 days post-induction. We identified atrophy in 19 structures including the cortex, cerebellum, striatum, thalamus, hippocampus, and corpus callosum. Using MRI we can study atrophy in this inflammatory model of MS.

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Mapping veins on the surface of the human cerebral cortex
Günther Grabner1,2, Thomas Haider3, Alexander Rauscher4, Hannes Traxler5, Siegfried Trattnig1, and Simon Daniel Robinson1

1High Field Magnetic Resonance Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Department of Radiologic Technology, Carinthia University of Applied Sciences, Klagenfurt, Austria, 3University Clinic for Trauma Surgery, Medical University Vienna, Austria, 4UBC MRI Research Centre, University of British Columbia, Canada, 5Center of Anatomy and Cell Biology, University of Vienna, Austria

Image-guided neurosurgery uses information from a wide spectrum of imaging methods which are registered to the patient's skull so that they correspond to the intraoperative macro- and microscopic view at the start of the operation. During neurosurgical intervention the correspondence between imaging and optical systems breaks because of brain shift down. In this study we demonstrate that Susceptibility-Weighted Imaging and automatic vessel segmentation can be used for visualization and segmentation of superficial cortical veins which can be used as additional reference system during operation.

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Cortical thickness and morphometric volumes derived from Multi-Echo MPRAGE scans acquired with different head coils
Ross William Mair1,2 and Andre J. van der Kouwe2

1Center for Brain Science, Harvard University, Cambridge, MA, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States

Variations in modern head-coil design lead to sensitivity differences, changes in intensity profiles, and image SNR. As morphometric analysis is based on automated analysis of image intensity and contrast variations, such variation of head coil may be expected to provide variation in morphometric results. We investigated the morphometric results from MEMPRAGE scans on subjects scanned in pairs of different head coils. We saw very limited variation in basic morphometric results from subjects scanned on the same day in different head coils. Cortical thickness variations are generally less than 50 µm, although some larger values were observed in portions of the temporal lobe. Larger differences were observed in volumes of small sub-cortical structures. These structures often have high variability in repeat measurements. However, intensity and SNR variations between coils are often most felt in the deeper regions of the brain, perhaps contributing to wider variation for these structures.

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Is the length of the white matter fiber bundles underlying the thalamo-cortical loop associated with sleep spindles? – a preliminary study
Pierre-Olivier Gaudreault1,2, Julie Carrier1,2,3, Maxime Descoteaux4, and Samuel Deslauriers-Gauthier4

1Center for advanced research in sleep medicine, Hôpital du Sacré-Coeur de Montréal, Montreal, QC, Canada, 2Department of Psychology, University of Montreal, Montreal, QC, Canada, 3Research Center, Institut universitaire de gériatrie de Montréal, Montreal, QC, Canada, 4Sherbrooke connectivity imaging lab, Computer science Department, University of Sherbrooke, Sherbrooke, QC, Canada

Sleep spindles, an EEG manifestation generated by the thalamo-cortical loop and implicated in sleep-dependent learning were recently associated to voxel-based metrics of brain white matter. Thus, we aimed to investigate if specific bundles of streamlines underlying the thalamo-cortical loop will be associated to sleep spindles variables in twenty-five young subjects. Our study showed that the median fiber length of streamlines connecting the thalamus to the anterior and middle part of the superior frontal gyrus significantly predicted sleep spindles amplitude and frequency measured on frontal and central electrodes.


Electronic Poster

Neurovascular Methods

Exhibition Hall Wednesday 9:15 - 10:15

4705
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Evaluation of collaterals: comparison between cerebral perfusion using 3D TASL and FVH in unilateral internal carotid artery stenosis
Xinbo Xing1,2, Ting Wang1, Jinhao Lv1, Xiaoxiao Ma1, Jiafei Yang2, Lin Ma1, and Xin Lou1

1Radiology, Chinese PLA general hospital, Beijing, People's Republic of China, 2Radiology, First affiliated hospital of Chinese PLA general hospital, Beijing, People's Republic of China

As a critical result in different researches the sign of FHV refers to the hemodynamic impairment and slow retrograde flow in leptomeningeal collaterals with or without good clinical outcome. We collected MR imaging data of 32 patients with unilateral ICA stenosis-occlusion who all underwent MR examinations by using 3D tASL perfusion imaging and T2-FLAIR. The tASL perfusion scores were compared between in FVH(-) group (14 patients) and FVH(+) group (18 patients), and there was no difference in the 2 groups. The result showed that 3D tASL perfusion MRI may be a useful non-invasive tool to identify the collateral flow.

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Intracranial Vessel Analysis (IVA): A Toolkit for Semi-Automatic Morphological Quantification of Intracranial Atherosclerotic Plaque
Feng Shi1, Zhangbin Yi2, Qi Yang1,3, Debiao Li1, and Zhaoyang Fan1

1Biomedical Imaging Research Institute, Cedars Sinai Medical Center, Los Angeles, CA, United States, 2Electrical and Computer Engineering, University of Michigan, MI, United States, 3Department of Radiology, Xuanwu Hospital, Beijing, People's Republic of China

Intracranial atherosclerosis is a disease in which a sticky substance called plaque builds up inside the arteries. In practice, plaque analysis based on high resolution MRI is largely conducted manually by neuroradiologists with qualitative results. In this study, we propose a framework for intracranial vessel analysis (IVA), for semi-automatic morphological quantification of intracranial atherosclerotic plaque. Briefly, the framework includes functions of vessel path tracking, 3D MPR, vessel wall segmentation, measurement calculation, and report generation, with minimal user intervention required. Experiments show that plaque existence and location could be easily determined from the resulting vessel wall measures.

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ICA-based overt speech artifact removal leads to improved estimation of deconvolution-based hemodynamic response function in aphasics
Venkatagiri Krishnamurthy1,2, Lisa C. Krishnamurthy2,3, Michelle L. Benjamin4, Kaundinya Gopinath5, and Bruce A. Crosson1,2,6

1Dept. of Neurology, Emory University, Atlanta, GA, United States, 2Center for Visual and Neurocognitive Rehabilitation, Atlanta VAMC, Decatur, GA, United States, 3Dept. of Physics & Astronomy, Georgia State University, Atlanta, GA, United States, 4University of Florida, Gainesville, FL, United States, 5Dept. of Radiology & Imaging Sciences, Emory University, Atlanta, GA, United States, 6Dept. of Psychology, Georgia State University, Atlanta, United States

Overt speech task functional Magnetic Resonance Imaging (fMRI) paradigms are very attractive to study aphasic patients, but are also plagued by task-correlated motion (TCM). Speech involves movements of the mouth and soft palate, and causes a change in air volume around these areas leading to localized motion and susceptibility artifacts. These artifacts become more severe in patients with Aphasia. The goal of this study is to utilize existing FSL-based semi-automated ICA tools, and optimize them to go beyond removing standard fMRI artifacts by also mitigating TCM artifacts to obtain meaningful hemodynamic response function (HRF) in aphasic patients. Our preliminary results to utilize ICA for TCM-based artifact removal is promising as evidenced by the improved sensitivity and specificity, but needs further optimization. Optimal denoising of overt speech task fMRI in aphasic patients will also help us to delineate their task-based networks in an effort to monitor plastic changes due to language behavior interventions.

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Improved Visualization and Measurement of Intracranial Aneurysmal Walls: Comparison between 7T and 3T Black-blood MRI.
Zihao Zhang1, Zhaoyang Fan2, Chengcheng Zhu3, Xinke Liu4, Qi Yang2,5, Xianchang Zhang1,6, Qingle Kong1,6, Jing An7, and Lin Chen1,6

1State Key Laboratory of Brain and Cognitive Science, Beijing MR Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, People's Republic of China, 2Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 3Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 4Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Beijing, People's Republic of China, 5Xuanwu Hospital, Beijing, People's Republic of China, 6University of Chinese Academy of Sciences, Beijing, People's Republic of China, 7Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, People's Republic of China

Black-blood MRI (BB-MRI) has been used to evaluate the walls of intracranial aneurysms at both 3T and 7T. However, there is no quantitative comparison between the two field strengths in terms of delineation quality of aneurysmal wall by using BB-MRI. In this study, we analyzed black-blood images acquired from the same group of patients at both 7T and 3T. Higher wall-to-lumen signal ratio (WLSR) and lower inside wall thickness (IWT) were obtained from 7T black-blood images. Our results suggest that 7T BB-MRI can provide improved visualization and measurement of intracranial aneurysmal walls.

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Comparative study of zero TE ASL MRA and 3D-TOF MRA in diagnostic value of cerebral arteriovenous malformations at 1.5T
Juan Huang1, Yan Song, Peng Qi, Sheng Jiao, Hong Wang, Min Chen, and Bing Wu

1Beijing Hospital, Beijing, People's Republic of China

3D TOF MRA is susceptible to hemodynamic artifacts and is not sensitive to the slow blood flow, which results in the unsatisfied image quality for the diagnosis of AVMs. So we compared the use of zero TE ASL MRA (zTE MRA) and traditional 3D-TOF MRA in assessment of AVMs at 1.5T, taking DSA as standard. It was demonstrated that ASL MRA features significantly better consistency with DSA for AVMs as compared to TOF. In detail, zTE MRA can demonstrate the size, internal details, the feeding arteries and draining veins more clearly and accurately compared with TOF MRA.

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Intramural Hematoma Detection by Susceptibility-weighted Angiography (SWAN) in Intracranial Vertebral Artery Dissection
Hideki Ishimaru1, Minoru Morikawa1, Reiko Ideguchi1, Yohei Ikebe1, and Masataka Uetani1

1Radiology, Nagasaki University Hospital, Nagasaki, Japan

 Vessel wall susceptibility on SWAN with no calcification on CT indicates intramural hematoma (IMH) associated with vertebral artery dissection (VAD).  The early detection of IMH in VAD can be enhanced with the use of SWAN.

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A preliminary study on the amplitude of low frequency fluctuations in CADASIL
Mengxing Wang1, Jingjing Su2, Jilei Zhang1, Hui Zhang1, Jian-ren Liu2, and Xiaoxia Du*1

1Shanghai Key Laboratory of Magnetic Resonance and Department of Physics, School of Physics and Materials Science, East China Normal University, Shanghai, People's Republic of China, 2Department of Neurology and Jiuyuan Municipal Stroke Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China

The purpose of this study was to investigate spontaneous low-frequency fluctuations in CADASIL patients during resting-state fMRI scans. Eleven patients (aged, 33-66 years, 6 female) and 11 age- and gender-matched healthy controls were recruited. Amplitude of low-frequency fluctuation (ALFF) was calculated to measure spontaneous brain activity. The results showed that CADASIL patients exhibited significantly decreased ALFF in the bilateral precuneus, and increased ALFF in the midbrain/ pons, the insula/ temporal pole, and the anterior cingulate gyrus/ corpus callosum. Our study first provides empirical evidence for altered spontaneous neuronal activity in CADASIL patients.

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T2*-weighted imaging of the mouse neurovasculature without contrast agent
Jérémie P. Fouquet1, Luc Tremblay1, and Martin Lepage1

1Centre d'imagerie moléculaire de Sherbrooke, department of Médecine nucléaire et radiobiologie, Université de Sherbrooke, Sherbrooke, QC, Canada

While standard isoflurane anesthesia does not easily allow visualization of small vessels in mice using T2*-weighted imaging, ketamine/xylazine anesthesia enables the visualization of an impressive fraction of the vasculature, without the need of an external contrast agent. Visualization can be further modulated by modifying the breathing gas.

4713
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Analysis of capillary permeability index and stiffness variation during Ischemic Stroke: A first step towards evaluation of compressibility and neurodegenerative changes in Brain MRE
Raghu Prasad1, Jaganathan Vellagoundar2, and Kathryn M McMillan3

1GE Healthcare, Bangalore, India, 2GE Healthcare, India, 3GE Healthcare, Milwaukee, WI, United States

Evaluation of compressibility and neurodegenerative changes is critical for planning the therapy for ischemic stroke disorders. A key factor that was not analyzed till date is the capillary permeability of blood-brain-barrier (BBB) perturbations and localized mechanical degenerative changes inside the infarct region during ischemic stroke. Our results clearly indicate a decrease in stiffness of stroke-affected infarct tissue. CPI was observed to be less in the weak BBB regions.The results demonstrate through CP and stiffness maps that extent of tissue integrity that is degraded inside the infarcted region can be assessed efficiently

4714
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Accelerated Time Resolved Phase Contrast Cerebral MRA to Evaluate Pulse Wave Velocity
Tzu Cheng Chao1,2, Yu-Chia Cheng3, Wen-Chau Wu4,5, Hsu-Hsia Peng6, Tzu-Chao Chuang7, Hsiao-Wen Chung5,8, Teng-Yi Huang9, and Yi-Jui Liu3

1Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan, Taiwan, 2Institute of Medical Informatics, National Cheng Kung University, Tainan, Taiwan, 3Department of Automatic Control Engineering, Feng-Chia University, Taichung, Taiwan, 4Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan, 5Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 6Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 7Department of Electrical Engineering, National Sun Yat Sen University, Kaohsiung, Taiwan, 8Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, 9Department of Electrical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan

Time-resolved PCMRI has been applied to measure pulse wave velocity (PWV) for the assessment of aortic stiffness. However, longer scan time hinders its practice to achieve a high spatial and temporal resolution scan, especially required for the arteries inside of the head and neck. In the present work, an accelerated Time-resolved PCMRA was implemented to shorten scan time. The reconstruction combines temporal strategy and self-reference information to retain reasonable imaging quality. The results suggest that the proposed method differentiate PWV delay time from Common-Carotid artery to Middle-Cerebral arteries via Internal-Carotid artery with good quality within a 10-minute scan.

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Development of a clinically useful cerebrovascular stress test using CO2 and BOLD-MRI
Olivia Sobczyk1, James Duffin2,3, Adrian P Crawley4, Kevin Sam4, Julien Poublanc4, Lashmi Venkatraghavan3, Daniel M Mandell4, David J Mikulis1,4, and Joseph A Fisher1,2,3

1Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada, 2Department of Physiology, University of Toronto, Toronto, ON, Canada, 3Department of Anaesthesia and Pain Management, University Health Network, Toronto, ON, Canada, 4Joint Department of Medical Imaging and the Functional Neuroimaging Laboratory, University Health Network, Toronto, ON, Canada

Current methods of measuring cerebrovascular reactivity (CVR) have shown promise for aiding in clinical diagnosis and management of patients with various neurovascular diseases.  However, CVR measurement is currently limited to a research setting and transition to clinical utility requires a universal standardized measurement method.  Using BOLD-MRI CO2 measured CVR, we present experimentally developed concepts for standardization and post processing, which have the potential to provide a clinically useful brain stress test. 

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Accelerated Intracranial Vessel Wall Imaging using Compressed Sensing
Chengcheng Zhu1, Bing Tian2, Sinyeob Ahn3, Esther Raithel4, Gerhard Laub3, and David Saloner1

1Radiology, University of California, San Francisco, San Francisco, CA, United States, 2Radiology, Changhai Hospital, Shanghai, People's Republic of China, 3Siemens Healthcare, CA, United States, 4Siemens Healthcare, Erlangen, Germany

Current 3D black-blood high-resolution MRI (0.4-0.6mm isotropic) of intracranial vessel wall is limited by long scan times (~10 minutes). This study implemented a compressed sensing SPACE (CS-SPACE) sequence to reduce the scan time. The scan and reconstruction parameters were optimized in volunteers and then validated in patients. The optimized CS-SPACE protocol achieved good image quality and reliable vessel area measurements compared with SPACE, with a 37% time reduction. 0.5mm isotropic resolution can be achieved in <7 minutes, and 0.6mm3 is possible in 4 minutes. This fast intracranial vessel wall technique has potential for use in a clinical setting.

4717
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Determinants of the Presence and Intensity of Hyperintense Vessels on Fluid-Attenuated Inversion Recovery Imaging in Intracranial Atherosclerotic Stenosis or Occlusion
Jinhao Lyu1, Ning Ma2, Xiaoxiao Ma3, Bing Wu4, Lin Ma3, and Xin Lou3

1Radiology, Chinese PLA General Hospital, Beijing, People's Republic of China, 2Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China, 3Radiology, Chinese PLA General Hospital, People's Republic of China, 4GE healthcare China, People's Republic of China

The correlation of fluid-attenuated inversion recovery imaging (FLAIR) vascular hyperintensity (FVH) and collateral are still in discrepancy in intracranial atherosclerotic stenosis or occlusion. In the present study, we used territorial arterial spin labeling (ASL) and two post labeling delay (1.5s and 2.5s) ASL to study the leptomeningeal collateral and hemodynamic status in patients with different intensity of FVH, and concluded that FVH may be related to poor collateralization and hemodynamic impairments.

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A time efficient, high resolution 3D vessel wall MRI (vwMRI) of the head and neck vessels in a single scan
Seong-Eun Kim1, J Rock Hadley1, Michael J Beck1, J Scott McNally1, Adam DeHavenon2, Bradley D Bolster, Jr. 3, Gerald S Treiman4, and Dennis L Parker1

1UCAIR, Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States, 2Department of Neurology, University of Utah, 3Siemens Healthcare, 4Department of Veterans Affairs, VASLCHCS

Vessel wall MRI(vwMRI) increases diagnostic accuracy for stroke etiologies without overt luminal irregularities, such as mild atherosclerosis, subtle dissection, or vasculitis. Prior vwMRI research has focused on the head or neck in isolation. We developed a set of two neck-shape-specific(NSS) coil that fit two different neck sizes and configured them to integrate with the existing commercial head coils. The purpose of this work was to develop a 3D vwMRI protocol, leveraging the NSS coil array, which permits simultaneous imaging of the head and neck vessels in a single scan. By allowing an efficient examination and identifying patients at high risk of future recurrent stroke, this technique will enable detection of cryptogenic stroke sources and optimal personalized management of vascular disease.

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Non-invasive MR Thermometry in a Non-human Primate Model of Acute Ischemic Stroke
Seena Dehkharghani1, Candace Fleischer2, Deqiang Qiu3, and Frank Tong4

1Radiology, New York University, New York, NY, United States, 2Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States, 3Radiology, Emory University, Atlanta, GA, United States, 4Radiology, Emory University

Temperature dysregulation is deeply implicated in potentiation of cerebrovascular ischemia. We present a multi-phasic, MR thermographic study in a non-human primate (NHP) model of MCA infarction, hypothesizing detectable brain temperature disturbances and brain-systemic temperature decoupling. Successful physiologic and continuous post-ischemic cerebral MR thermography was conducted, and prescribed in an NHP infarction model to facilitate translatability. The results confirm hypothesized temperature disturbance and decoupling of physiologic brain-systemic temperature gradients. These findings inform a developing paradigm of brain thermoregulation, and the applicability of brain temperature as a neuroimaging biomarker in CNS injury.

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Scheme optimization for inflow and outflow visualization in non-contrast enhanced dynamic MRA based on pseudo-continuous arterial spin labeling
Makoto Obara1, Osamu Togao2, Noriyuki Fujima3, Shuhei Shibukawa4, Masami Yoneyama1, Tomoyuki Okuaki5, Msanobu Nakamura1, and Marc Van Cauteren5

1Philips Electronics Japan, Tokyo, Japan, 2Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 3Department of Radiology, Hokkaido University Hospital, Hokkaido, Japan, 4Department of Radiology, Tokai University Hospital, Kanagawa, Japan, 5Asia Pacific, Philips Healthcare, Tokyo, Japan

A new scheme for non-contrast enhanced intracranial three-dimensional dynamic magnetic resonance angiography (4D-MRA) using pseudo-continuous arterial spin labeling (4D-PCASL) is proposed for visualizing inflow and outflow dynamics. The 4D-PCASL procedure was accelerated with contrast-enhanced timing-robust angiography (CENTRA)-Keyhole and the view-sharing techniques (4D-PACK). Images acquired from four volunteers were compared between the 4D-PCASL and 4D-PACK approaches. We show that this new scheme accelerates data acquisition and provides dynamic inflow and outflow information.

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Spectral Diffusion IVIM Analysis of Enlarged Perivascular Spaces in Cerebral Small Vessel Disease
Sau May Wong1, Jacobus F.A. Jansen1, C. Eleana Zhang2, Julie Staals2, Paul A.M. Hofman1, Robert J. van Oostenbrugge2, and Walter H. Backes1

1Radiology and Nuclear Medicine, Maastricht University Medical Centre, Maastricht, Netherlands, 2Neurology, Maastricht University Medical Centre, Maastricht, Netherlands

The conventional IVIM model assumes a two-compartment model; this might not apply for regions with enlarged perivascular spaces (PVS) in cerebral small vessel disease (cSVD). Regularized non-negative least squared was used to deconvolve the IVIM signal in multiple diffusion components. Sixty-three cSVD patients and thirty-five controls received IVIM imaging and visual scoring of enlarged PVS. An additional component to the assumed parenchymal and perfusion components was revealed. We show that the fraction of this component is related to the amount of scored enlarged PVS. Quantifying PVS is a time-consuming process and this method might aid the development of automatic quantification.

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Triple Magnetic Resonance Angiography (triple-MRA) for planning of Gamma Knife Radiosurgery of brain arteriovenous malformations
Alvaro Rojas Villabona1,2, Magdalena Sokolska3,4, Enrico De Vita4, Mary Murphy2, Thomas Solbach5, Joan Grieve2, Prem Rangi5, Yuriko Suzuki6, Matthias JP Van Osch6, David Atkinson7, Emma Biondetti3, Karin Shmueli3, Xavier Golay4, Ian Paddick1, Neil Kitchen2, and Hans Rolf Jäger4,5

1The Gamma Knife Centre at Queen Square, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 2Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 3Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 4Academic Neuroradiological Unit, Department of Brain Repair and Rehabilitation, Institute of Neurology, University College London, London, United Kingdom, 5The Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 6C. J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 7Centre for Medical Imaging, University College London, London, United Kingdom

This study investigates whether a combination of three MRA techniques, referred to as triple-MRA, could be used as an alternative to DSA for visualisation and delineation of brain AVMs for GKR targeting. The AVMs of 13 patients undergoing GKR were delineated using triple-MRA and the resultant target volumes were compared to the radiosurgical targets generated by the neurosurgical team using DSA and volumetric contrast T1/T2 imaging. Target volumes obtained using triple-MRA are comparable to target volumes obtained with DSA and used for delivery of GKR. In conclusion, triple-MRA is a robust method for non-invasive identification and delineation of brain AVMs. 

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Susceptibility based characterization of brain arteriovenous malformations
Till M. Schneider1,2, Markus Möhlenbruch1, Sebastian Schmitter3,4, Mark Ladd3, Heinz-Peter Schlemmer2, Martin Bendszus1, and Sina Straub3

1Department of Neuroradiology, Universityhospital Heidelberg, Heidelberg, Germany, 2Department of Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 3Department of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 4Physikalisch-Technische Bundesanstalt (PTB), Braunschweig und Berlin, Germany

Brain arteriovenous malformations (bAVM) are congenital lesions detected incidentally or following symptomatic events like hemorrhage, seizure or headache. In bAVM patients, the most feared complication is intracranial hemorrhage with a general risk ranging between 2-4%1 and further functional and hemodynamic characterization of bAVMs may improve risk assessment and ultimately aid in patient management2, 3. In this study, bAVMs have been investigated using quantitative susceptibility mapping and phase contrast based flow measurements. Susceptibility across the bAVM nidus is studied in relation to flow characteristics.  

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Semi-automatic Analysis of Carotid Plaque Composition from Multicontrast Magnetic Resonance Imaging
Chien-Yuan Eddy Lin1,2, Ai-Chi Chen1, Liang-Yu Shyu3, Yen-Chien Wu4, David Yen-Ting Chen4, Ying-Chi Tseng4, and Chi-Jen Chen4

1GE Healthcare, Taipei, Taiwan, 2GE Healthcare MR Research China, Beijing, People's Republic of China, 3Biomedical Engineering Department, Chung Yuan Christian University, Chungli, Taiwan, 4Department of Radiology, Taipei Medical University - Shuang Ho Hospital, New Taipei City, Taiwan

Accurate tracking of plaque composition would be very useful clinically to determine the status of atherosclerosis and to understand the potential risk under myocardial infraction, stroke, and peripheral vascular disease. We developed a semi-automatic software to evaluate the carotid plaque types using four contrast-weighted MRI (pre- and post-contrast T1-weighted, time-of-flight, T2-weighted). Working with the proposed software with the minimal operator input reduces the process time of plaque component identification and minimizes the possibility of random and systematic errors. As a result, proposed software is capable of assisting the radiologist/clinician in imaging interpretation and decision-making in managing carotid artery atherosclerosis. 

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Automatic Quantification of Haematoma and Surrounding Oedema in MRI of Acute Spontaneous Intracerebral Haemorrhage: Preliminary Results for the TICH-2 MRI Sub-study
Stefan Pszczolkowski1, Rebecca G. Gallagher2,3, Zhe K. Law1,4, Dewen Meng1, David J. Swienton2,5, Paul S. Morgan6, Philip M. Bath1, Nikola Sprigg1, and Robert A. Dineen1

1Division of Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom, 2Department of Neuroradiology, Nottingham University Hospitals, United Kingdom, 3Department of Radiology, Royal Derby Hospital, United Kingdom, 4Department of Medicine, National University of Malaysia, Malaysia, 5Imaging Department, Leicester Royal Infirmary, United Kingdom, 6Department of Medical Physics and Clinical Engineering, Nottingham University Hospitals, United Kingdom

In this work, we propose to take advantage of improved contrast seen on magnetic resonance (MR) images of patients with acute spontaneous intracerebral haemorrhage (SICH), and introduce an automated algorithm for haematoma and oedema segmentation from these images. To our knowledge, there is no previously proposed segmentation technique for SICH that utilises MR images directly. The method is based on k-means clustering of image intensities for haematoma segmentation and voxel-wise dynamic thresholding of hyper-intensities for oedema segmentation. Preliminary results using the Dice score metric to measure segmentation overlaps between labellings yielded by the proposed algorithm and five different expert raters show that our technique has the potential to be an effective way to automatically delineate haematoma and perihaematoma oedema extent directly from MR images.

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A Retrospective Study of Amide Proton Transfer Imaging in Acute Ischemic Stroke
Guodong Song1, Min Chen1, Chunmei Li1, and Jinyuan Zhou2

1Department of Radiology, Beijing Hospital, Beijing, People's Republic of China, 2Department of Radiology, Johns Hopkins University, BALTIMORE, MD

This study was performed to investigate the imaging features of Amide Proton Transfer (APT) MR imaging in different subtypes of acute ischemic stroke (AIS) . By figuring out the detailed APTw features in AIS patients, it would be helpful for further clinical applications of APT MRI technique.  

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Arterial transit time measured by multi-delay ASL perfusion for evaluating major cerebral artery stenosis/occlusive disease: correlation with 15O-H2O  and 15O2 gas PET-CBF and OEF
Kayo Takeuchi1, Makoto Isozaki2, Masayuki Kanamoto1, Yoshifumi Higashino2, Hidehiko Okazawa3, Kenichiro Kikuta2, R Marc Lebel4, and Hirohiko Kimura1

1Department of Radiology, University of Fukui, Fukui, Japan, 2Department of Neurosurgery, University of Fukui, Fukui, Japan, 3Biomedical Imaging Center, University of Fukui, Fukui, Japan, 4GE Healthcare, Calgary, Canada

Positron emission computed tomography (PET) is used for evaluating cerebral hemodynamic ischemic stages in patients with major cerebrovascular stenosis/occlusion for treatment indication. Using a rapid, low-resolution pre-scan method, arterial transit time (ATT) and corrected cerebral blood flow (CBF) could be obtained, even in the immediate clinical setting. This study aimed to clarify whether ATT is hemodynamically related to misery perfusion stratified with 15O-H2O/15O2-gas PET data. There was a significant correlation between ASL and PET CBF before and after ATT correction (r2=0.27, 0.55). ATT also significantly correlated with PET-OEF (r2=0.11) and is a useful parameter to classify cerebral ischemia.



Electronic Poster

Advanced Neuroimaging Methods

Exhibition Hall Wednesday 9:15 - 10:15

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Imaging changes in cardiorespiratory pulsation amplitude of the brain during breathold - an MREG-study.
Lauri Raitamaa1, Vesa Korhonen1, and Vesa Kiviniemi1

1OFNI/Radiology, Oulu University Hospital, Oulu, Finland

Glymphatic pulsation mechanisms clear the brain by using physiological pulsations to drive CSF through the brain tissue. Magnetic resonance encephalography (MREG), an ultra-fast inverse imaging technique, was recently able to map three basic mechanisms driving the glymphatic  brain clearance; arterial pulsations, respiratory venous pulses and slow vasomotor waves. In this study we demostrate that the MREG can also detect changes in the amplitudes of the pulsations driving the clearance. The mapping of the physiological pulsation amplitude changes can be used to quantify changes in glymphatic clearing mechanims that precede neurodegeneration.


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Cardiac-induced pulsatility of blood flow resolved in sub-millimeter cerebral veins using phase contrast MRI at 7 Tesla
Ian D Driver1, Fabrizio Fasano2, and Richard G Wise1

1CUBRIC, School of Psychology, Cardiff University, Cardiff, United Kingdom, 2Siemens Healthcare Ltd, Frimley, Caberley, United Kingdom

We report the first measurement of venous flow pulsatility in cerebral veins with sub-millimeter diameters using phase contrast MRI. This work exploits the increased signal and finer spatial resolution available at 7 Tesla, over lower field strengths. We suggest that the observed venous pulsatility is a passive response to intracranial pressure changes caused by arterial pulsatility. These measurements may be applied to pathology in which there is compromised venous flow, extending such investigations to the smaller cerebral veins and offering a better understanding of the temporal dynamics of cerebral venous flow.

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Cross-validation of $$$T_2$$$-prepared bSSFP blood oximetry $$$in$$$ $$$vivo$$$
Ana E Rodríguez-Soto1, Michael C Langham1, and Felix W Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States

Susceptometry-based oximetry is a well-established, robust method for quantifying hemoglobin oxygen saturation (HbO2) in vivo; but the method is somewhat limited by the orientation of the vessel of interest relative to Bo. T2-based oximetry, based on the dependence of blood water T2 on HbO2, provides greater flexibility with respect to vessel geometry. However, the measured T2 critically depends on Bo and sequence-specific imaging parameters. Here, a T2-prepared bSSFP sequence and appropriate calibration curve were used to extract HbO2 at the superior sagittal sinus and the results were compared to susceptometry-based oximetry. The agreement between both methods was excellent with 2% bias. 

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Visualization of CSF flow using multi spin echo acquisition cine imaging (MUSACI)
Tatsuhiro Wada1, Chiaki Tokunaga1, Osamu Togao2, Yasuo Yamashita1, Kouji Kobayashi1, Masami Yoneyama3, and Yasuhiko Nakamura1

1Division of Radiology, Department of Medical Technology, Kyushu university hospital, Fukuoka, Japan, 2Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3Philips Electronics Japan

This study demonstrates a new CSF flow imaging using multi spin echo acquisition cine imaging (MUSACI). MUSACI can obtain the high resolution CSF flow images more than the conventional phase contrast technique, moreover it is simple method because need not use a labeling pulse such as the time-SLIP technique. MUSACI can provide both morphological and physiologic information regarding CSF flow in a single scan.

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Improving Multiband EPI pCASL Imaging with Dynamic Frequency Feedback
Dingxin Wang1,2, Gregory Metzger2, Kamil Ugurbil2, and Xiufeng Li2

1Siemems Healthcare, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research-Radiology, University of Minnesota, Minneapolis, MN, United States

Dynamic frequency feedback to multiband (MB) EPI PCASL excitation, fat saturation, and labeling RF pulse frequency can improve spatial and temporal perfusion signal-to-noise ratio (sSNR and tSNR) and cerebral blood flow (CBF) measurement reproducibility of MB-EPI PCASL. Dynamic frequency feedback helps maintain optimal labeling efficiency, achieve stable fat saturation, and correct scanner drift during MB-EPI PCASL measurements. 

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Inversion Recovery Ultrashort Echo Time Imaging of Short T2 Tissue Components in Ovine Brain: A Sequential D2O Exchange Study
Shu-Juan Fan1, Yajun Ma1, Graeme M. Bydder1, and Jiang Du1

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

Myelin produces ultrashort-lived MRI signals, and cannot be directly imaged using conventional MRI sequences that typically have TEs of several milliseconds or longer. This study explored the potential of inversion recovery ultrashort echo time (IR-UTE) sequences in direct myelin imaging in an ovine brain D2O exchange model. The IR-UTE signals survived D2O exchange. Myelin T2* was measured to be 200-300 µs both before and after exchange. These results support myelin to be the major source of the ultrashort T2* signals seen on IR-UTE images, and IR-UTE sequence as a tool for assessing myelin loss in multiple sclerosis and other diseases.

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Superior sagittal sinus venous oxygen saturation based on fully automated MR susceptometry : effects of slice dependent even-odd echo discrepancy and vascular angle correction
Chou-Ming Cheng1,2, Tzu-Chen Yeh3,4, Jen-Chuen Hsieh2,4, and Hsiao-Wen Chung1

1Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 2Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan, 3Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, 4Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan

Venous oxygen saturation (SvO2) for estimation of global cerebral metabolic rate of oxygen is measured using MR susceptometry from the phase information obtained with multi-echo gradient-echo imaging. Automatic selection and segmentation of the superior sagittal sinus is performed with slice dependent even-odd discrepancy to avoid operator dependency. Results from 12 healthy subjects suggested that phase values of the vessel showing minimal even-odd echo discrepancy could be used as a useful information guiding selection of the appropriate vessel segment for SvO2 estimations by taking into consideration the three dimensional vasculature. 

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MRI submerging into The Big Blue: A comparative 3D-pCASL and IVIM-MRI brain perfusion study to elucidate circulatory adaptation during prolonged freediving
Vera Catharina Keil1, Lars Eichhorn2, Burkhard Mädler3, Jürgen Gieseke3, Frank Träber1, Wolfgang Block1, Martin Alois Sprinkart1, Andreas Müller1, Christine Schneider4, Lukas Scheef1, Hans Heinz Schild1, Dariusch Reza Hadizadeh1, and Elke Hattingen1

1Department of Radiology, University Hospital Bonn, Bonn, Germany, 2Department of Anesthesiology, University Hospital Bonn, Bonn, Germany, 3Clinical Science Department, Philips Healthcare, Germany, 4Department of Neurology, University Hospital Bonn, Bonn, Germany

Freedivers can endure severe hypoxemia during breathhold without any apparent neurological deficit. Little is known on how brain circulation adapts to deliberate breathhold. We examined 14 experienced freedivers during breathholds of 5 to 7.5 minutes at a 3T MRI applying 3D-pCASL and IVIM-MRI sequences to reveal dynamic alterations of cerebral blood flow (rCBF) and in order to elucidate the relationship of rCBF and perfusion fraction (PF) of IVIM-MRI. rCBF increased to 3.2-fold the baseline levels and negatively correlated to blood oxygen levels, but not to PF, which initially dropped during breathhold and therefore appears to represent another underlying physiological mechanism.

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A method for near-realtime automated segmentation of thalamic nuclei
Francis Tyson Thomas1, Jason Su2, Brian K Rutt2, and Manojkumar Saranathan3

1Electrical and Computer Engineering, Univ. of Arizona, Tucson, AZ, United States, 2Radiology, Stanford University, Stanford, CA, United States, 3Medical Imaging, Univ. of Arizona, Tucson, AZ, United States

Thalamic nuclei are often hard to visualize on most anatomical sequences. White-matter-nulled MPRAGE imaging provides sufficient intra-nuclear contrast to enable manual segmentation, which is very tedious. We have developed fast multi-atlas based segmentation schemes that can provide accurate segmentation of all the major thalamic nuclei in under 15 minutes.

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Small vessel specific cerebrovascular reactivity with 7 tesla 2D Qflow MRI.
Lennart J. Geurts1, Alex Bhogal1, Jeroen C. W. Siero1,2, Geert Jan Biessels3, and Jaco J. M. Zwanenburg1

1Radiology, UMC Utrecht, Utrecht, Netherlands, 2Spinoza Center for Neuroimaging, Amsterdam, Netherlands, 3Brain Center Rudolf Magnus, UMC Utrecht, Utrecht, Netherlands

We aimed to measure cerebrovascular reactivity (CVR) specifically at the level of the superficial perforating arteries with 7T 2D Qflow, to develop a method to assess small vessel function for cerebral small vessel disease research. 7T 2D Qflow acquisitions through the semi oval center (CSO) and through the medial cerebral artery (M1) were acquired at baseline and during hypercapnia. CVRM1 corresponded to CVR values from Qflow literature and, while an order of magnitude smaller, CVRCSO corresponded to CVR values from ASL literature. This shows proof of concept that CVR of perforating arteries can be measured using 7T 2D Qflow.

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Segmented EPI readout Variable Flip-angle Magnetization Transfer (EP-vfMT) imaging for 7 T quantitative MT (qMT) Imaging
Se-Hong Oh1,2 and Mark J. Lowe1

1Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH, United States, 2Department of Biomedical Engineering, Hankuk University of Foreign Studies, Yongin, Korea, Republic of

Because of the much higher SAR and longer acquisition time, patient studies using qMT at UHF have not been clinically feasible. In this work, we demonstrated a new approach (EP-vfMT) for whole brain 7T qMT data in a clinically reasonable time. EP-vfMT provides similar image quality to that obtained with conventional MT imaging, and shortens the scan time by utilizing segmented EPI readout and avoiding from SAR limitation. EP-vfMT generates qMT map in reasonable scan time and it exhibits similar myelin density distribution with qMT result from vdMT and aMWF map from ViSTa. Moreover, it maintains sensitivity to MS lesions.

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Parallel transmission (pTx) on an in-vivo human brain at 7T: a new approach using global B1 coefficient template
Se-Hong Oh1,2, Tiejun Zhao3, Ken Sakie1, Stephen E. Jones1, and Mark J. Lowe1

1Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH, United States, 2Department of Biomedical Engineering, Hankuk University of Foreign Studies, Yongin, Korea, Republic of, 3Siemens Healthcare, New York, NY, United States

Improving B1-uniformity by calibration procedure is crucial for the pTx imaging and commonly individual B1 coefficient estimation is conducted in the beginning of each patient scan protocol. However, B1 calibration procedure increase the scan time by approximately 10~15 mins increasing discomfort to the patient.   Here we propose using global B1 coefficient template to reduce scan time while maintaining acceptable B1 profile. The approach using global B1 coefficient template is assumed to have limited inter-individual variation of B1 coefficient between subjects. We demonstrate the feasibility of scan with global B1 coefficient template and provide a perception of in-vivo scan with pTx.

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Toward Real Time Estimation and Quality Assurance for Myelin Water Mapping in the Human CNS
Khader M Hasan1, Refaat E Gabr1, John A Lincoln2, and Ponnada A Narayana1

1Diagnostic and Interventional Radiology, University of Texas Health Science Center at Houston, Houston, TX, United States, 2Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States

Reliable in vivo quantification and visualization of myelin spatio-temporal changes in the developing and aging human central nervous system (CNS) would help provide important surrogate markers of white matter integrity. However,  high resolution whole brain myelin water fraction (MWF) mapping methods remain challenging and are not well-standardized and are not widely adopted due to ill-posed solutions of the sum-of-exponents problem in the presence of noisy measurements and excessive computation time due to iterative solutions. In this work, we report a rapid method to initialize the solution of the bi-exponential multi-compartment fit which was used along with a host of quality assurance measures to speed up the estimation of the MWF and corresponding compartmental T2 relaxation times using an improved and regularized non-negative least-squares (rNNLS). The sensitivity of the method to signal-to-noise ratio (SNR) and different values of MWF was investigated using a digital phantom. This method was applied to healthy and multiple sclerosis (MS) patients. Our analysis strategy accelerated the accurate mapping of high resolution MWF in the entire human brain in seconds and provided the spatial variability MWF across the corticospinal tract (CST) and callosal pathways.

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ΔR1ρ, a potential indication for myelin concentration in white matter?
Ping Wang1, Richard Dortch1, and John C. Gore1

1Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, TN, United States

Previous studies have demonstrated that at high fields (3T and beyond), the difference of R between low and high spin-locking fields (ΔR) may reflect chemical exchange processes in biological tissues.  This study aimed to investigate the possibility of using ΔR to assess the content of exchangeable protons in myelin in white matter by comparing ΔR with PSR (macromolecular to free pool size ratio from magnetization transfer imaging).  The results show that ΔR and PSR have a much stronger correlation in white matter than in gray matter, inferring that ΔR might have a potential to evaluate myelin integrity.

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Comparison of R1ρ dispersion in human brain between 3T and 7T
Ping Wang1, Henry Zhu1, and John C. Gore1

1Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, TN, United States

Previous studies have indicated that R (= 1/T) dispersion may be dominated by chemical exchange processes at higher fields, and the dispersion may be used to quantify exchange processes between water and labile protons, mainly amides and hydroxyls.  At 3T some biological tissues with high macromolecular protein content may demonstrate a considerable dispersion, but fat and water rich tissues typically have a negligible R dispersion.  In this study, we observed that the degree of R dispersion in white matter at 7T was more than three times the dispersion at 3T, confirming that chemical exchange is a major contribution to R and suggesting R dispersion at higher fields may help to characterize tissue physicochemical properties.  

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COnstrained Data Extrapolation (CODE): A New Approach for High Resolution MR Angiographic Image Reconstruction.
Yang Song1, Ehsan Hamtaei2, Guang Yang1, Haibin Xie1, and Mark Haacke1,2,3

1Shanghai Key Laboratory of Magnetic Resonance, East China Normal University, Shanghai, People's Republic of China, 2Magnetic Resonance Innovations, Inc., Detroit, MI, United States, 3Radiology, Wayne State University, Detroit, MI, United States

We propose a “COnstrained Data Extrapolation” (CODE) algorithm to reconstruct high-resolution MRA images from k-space with a lower resolution thereby accelerating acquisition of the data. We found that CODE can estimate a 50% (70%) stenosis of a vessel with a diameter equal to 7 (10) pixels in the high-resolution image to within 5% of the correct result when the SNR=4:1 or better. Both phantom simulations and in-vivo 3D contrast enhanced MRA data demonstrate that CODE is robust to noise and can be used to speed up conventional data acquisition by a factor of four.

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Non-Invasive Cerebrovascular Pulsatility Measurement via Cardiac Sorting of BOLD Data: An Investigative Study Using Exercise-Induced Hypotension in Adolescents
Athena Theyers1,2,3, Benjamin Goldstein2,3, Arron Metcalfe2,3, Andrew Robertson2,3, and Bradley MacIntosh1,2,3

1University of Toronto, Toronto, ON, Canada, 2Sunnybrook Research Institute, Toronto, ON, Canada, 3Heart & Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, ON, Canada

Arterial pulsatility increases with age and is linked to small vessel damage and neurodegeneration. Our group has developed a method that fits a pulsatility model to BOLD temporal volumes based on their cardiac cycle position. We test this method in a healthy adolescent group before and after a physiological stressor, i.e. 20 minutes of moderate intensity exercise. Brain pulsatility was significantly lower in BOLD scans taken 20 minutes after exercise cessation, supporting the viability of this method to track brain arterial stiffness non-invasively.

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Using Hyperpolarized 129Xe in Human Participants to Perform Functional Magnetic Resonance Imaging (fMRI)
Francis Hane1, Tao Li1, Jane M Lawrence-Dewar2, Ayman Hassan3, Karl Granberg3, Raiili Pellizzari1, Jennifer Anne Plata4, and Mitchell Albert1,5

1Lakehead University, Thunder Bay, ON, Canada, 2Thunder Bay Regional Research Institute, Thunder Bay, ON, Canada, 3Thunder Bay Regional Health Sciences Centre, 4Lakehead University, 5Northern Ontario School of Medicine, ON, Canada

We demonstrate the use of hyperpolarized (HP) 129Xe MRI as a novel fMRI modality. We successfully obtained axial HP Xe fMRI maps from healthy humans throughout the conduct of a 1-back memory task. Our preliminary results suggest that HP 129Xe fMRI may have a sensitivity of up to an order of magnitude more than BOLD fMRI.  

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Mechanical stiffness of human brain tissue is inversely correlated with FA and MTR
Christoph Birkl1, Silvia Budday2, Gerhard Sommer3, Melanie Bauer2, Paul Steinmann2, Johannes Haybaeck4,5, Ellen Kuhl6, Gerhard A. Holzapfel3,7, Franz Fazekas1, Stefan Ropele1, and Christian Langkammer1

1Department of Neurology, Medical University of Graz, Graz, Austria, 2Department of Mechanical Engineering, University of Erlangen-Nuermberg, Erlangen, Germany, 3Institute of Biomechanics, Graz University of Technology, Graz, Austria, 4Department of Neuropathology, Institute of Pathology, Medical University of Graz, Graz, Austria, 5Department of Pathology, Medical Faculty, Otto-von-Guericke-University, Magdeburg, Germany, 6Departments of Mechanical Engineering and Bioengineering, Stanford University, CA, United States, 7Faculty of Engineering Science and Technology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

In this study, we investigated the mechanical stiffness of human brain tissue assessed by triaxial testing of post-mortem tissue specimens in relation to magnetization transfer ratio (MTR) and diffusion tensor MRI. Our results showed a strong inverse correlation of MTR and FA with the tissue stiffness. Anisotropy of the stiffness was not observed, which indicates that the neuronal fiber orientation does not mechanically support the tissue.

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Improved T2-weighted 3D FLAIR from a compact, lightweight 3T scanner with high-performance gradients
Paul T Weavers1, Norbert Campeau1, Yunhong Shu1, Shengzhen Tao1, Joshua D Trzasko1, Erin M Gray1, Thomas K.F. Foo2, Matt A Bernstein1, and John Huston III1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2MRI, GE Global Research, Niskayuna, NY, United States

A compact, low-cryogen 3T MRI scanner has been developed employing high-performance gradients capable of simultaneously achieving 80 mT/m and 700 T/m/s.  A comparison study of T2-weighted 3D FLAIR in 16 clinical patients graded by two neuroradiologists has been performed.  The compact 3T system performed equally well to a standard whole-body system in terms of motion artifacts and cerebellar folia conspicuity, and performed better in terms of signal-to-noise ratio, lesion conspicuity, gray/white contrast, and overall exam quality.

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T1 Shortening in the Globus Pallidus after Macrocyclic Gadolinium Contrast Agent Administration assessed with Multi-Dynamic, Multi-Echo (MDME) Sequence
Koung Mi Kang1, Seung Hong Choi, Moonjung Hwang, Ji-hoon Kim, Chul-Ho Sohn, and Tae Jin Yun

1Seoul National University Hospital, Seoul, Korea, Republic of

Although a few studies reported the possibility of Gd deposition in the brain by macrocyclic GBCAs, the final determination of deposition with macrocyclic GBCAs has not been performed. Because Synthetic MRI with MDME sequence enables quantitative measurements with relatively short time, our study aimed to investigate whether T1 relaxation time in globus pallidus was influenced by gadobutrol administrations by using the quantitative MR imaging. This study revealed that T1 shortening in globus pallidus occurs by gadobutrol administrations. Additional studies are needed to investigate the clinical significance of these findings.

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Glucose Tolerance Test in the Human Brain: 1H MRS study at 7 Tesla
Lana Galina Kaiser1, Ben Inglis2, Hirokazu Kawaguchi1, Masaki Fukunaga3, Norihiro Sadato3, and Tomohisa Okada4

1Diagnostics, Siemens Healthcare Japan, Tokyo, Japan, 2Psychology, UC Berkeley, Berkeley, CA, United States, 3NIPS, Okazaki, Japan, 4Department of Diagnostic Radiology, Kyoto University, Japan

The goal of this study is to perform an oral glucose tolerance test (GTT) in the healthy human brain tissue in vivo and to evaluate the performance of the recently developed 1H MRS technique. The observed glucose level curve shape showing increase and washout during the 1H MRS GTT test is consistent with the medical GTT blood measurements obtained in healthy subjects. This study demonstrates the initial steps towards better understanding of potential utility of 1H MRS in experiments on glucose metabolism in vivo in the context of nutrition, brain function, and various neurological disorders with impaired glucose utilization.

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Quantitative T1 mapping and somatotopic organization of the cerebellum at 7T : is there a link?
Yohan Boillat1, Pierre-Louis Bazin2, Rolf Gruetter1,3,4, and Wietske Van der Zwaag5,6

1Laboratory of Functional and Metabolic Imaging, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Department of Radiology, University of Lausanne, Lausanne, Switzerland, 4Department of Radiology, University of Geneva, Geneva, Switzerland, 5Biomedical Imaging Research Center, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 6Spinoza Centre for Neuroimaging, Amsterdam, Netherlands

In this study, the spatial relationship between the somatotopy and the pattern of myelination (as measured by quantitative T1-maps) in the cerebellum was investigated. Subject-specific surfaces were generated on which were mapped T1 values and somatotopic maps. Consistent somatotopic gradients organized through several lobules were present in the anterior and posterior lobes. Despite being more complex, changes of T1 values across the cerebellar surface were also observed and showed a similar orientation as the somatotopic organization. This study showed the potential structure-function relationship of the cerebellum observed at macroscale level.

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Accelerated Multi-UTE MRI for Direct Myelin Measurements at 7T
Peng Cao1, Tanguy Boucneau2, and Peder Larson1

1Department of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2Université Paris-Sud, France

Recent study demonstrated a multiple and ultrashort echo time (multi-UTE) MRI method for direct detection of methylene protons in myelin membranes on normal brains. However, such multi-UTE MRI requires prohibitively long scan time; therefore, acceleration method is needed. The objective of this study was to accelerate the multi-UTE imaging in order to reduce the scan time and enable such measurements routinely on our 7T human MRI.  


Electronic Poster

Image Processing

Exhibition Hall Wednesday 13:45 - 14:45

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Optimized PC-MRA using a New Processing Workflow for 4D Flow MRI Data
Lingzi Tashakkor1, Susanne Schnell1, Alex J Barker1, Kelly Jarvis1, Emilie Bollache1, and Michael Markl1

1Northwestern University, Chicago, IL, United States

A new workflow was developed based on the information from 4D flow MRI to optimize the phase contrast MR angiogram. Five new PC-MRA algorithms were tested on 15 patients, and compared with and without the proposed pre-processing. Histogram equalization/remapping was applied to improve the dynamic signal range for easier segmentation and reduced user interaction. Results showed higher-quality PC-MRAs when the proposed pre-processing was applied.

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Slice Realignment for Motion-Corrupted Stacks of Short-Axis Cine Cardiac MR Images based on 3D Probabilistic Edge Maps
Giacomo Tarroni1, Ozan Oktay1, Andreas Schuh1, Wenjia Bai1, Antonio de Marvao1, Declan O'Regan1, Stuart Cook1, and Daniel Rueckert1

1Imperial College London, London, United Kingdom

Short-axis cine cardiac MR image stacks are acquired during multiple breath-holds, which often causes a misalignment of several slices. We propose a technique for in-plane spatial realignment of motion-corrupted short-axis slices which uses probabilistic edge maps of the myocardium (generated with decision forests) as input to image registration. The proposed technique was quantitatively tested on a dataset of motion-free stacks artificially corrupted by in-plane motion. Overlap measures such as the Dice coefficient - computed on myocardial masks segmented respectively on motion-free, motion-corrupted and motion-corrected stacks - suggest that the proposed technique is able to correctly compensate for slice misalignment.

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Semi-Automatic Ejection Fraction Calculation from Cardiac Low-Rank Tensor Images Based on Unsupervised Machine Learning
Zihao He1,2, Anthony G. Christodoulou1,3, Hua Guo2, and Debiao Li1,4

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, People's Republic of China, 3Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Department of Bioengineering, University of California Los Angeles, Los Angeles, CA, United States

Calculation of the ejection fraction from cardiac cine MR images requires segmenting multiple images of the left ventricle. This process, which is often performed manually, is time-consuming and observer-dependent. In this work, an unsupervised machine learning algorithm, combining hidden Markov random field and optical flow, has been proposed to perform semi-automatic tissue segmentation on T1/T2-weighted low-rank tensor images that have a built-in feature space due to low-rank factorization performed during image reconstruction. The segmentation results then allow automatic EF calculation. Demonstrated results have higher efficiency and similar accuracy compared with manual segmentation, and were stable with respect to different initializations.

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Non-rigid Groupwise Image Registration for Myocardial Strain Quantification from High-Resolution 3D Tagging
Valery Vishnevskiy1, Christian Stoeck1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH Zurich, Zurich, Switzerland

Cardiac motion can be efficiently assessed using 3D-tagged MR sequences for diagnostic purposes. However, there is a lack of robust post-processing tools to derive regional motion and strain data. Current registration methods tend to underestimate radial strain in the left ventricle. In order to provide accurate strain estimates we leverage temporal smoothness of displacements and low-rank structure of aligned images. The herein proposed method is 38% more accurate for radial strain, 27% for circumferential strain and 25% for longitudinal strain estimation than state-of-the-art registration implemented in Elastix while increasing computational speed by a factor of six.

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Cardiac image acquisition by SENSE combined compressed sensing with three dimensional quantification
Jong-Hyun Yoon1, Pan-ki Kim2, Young-Joong Yang1, Jinho Park3, Jin-Soo Kim1, Byoung Wook Choi2, and Chang-Beom Ahn1

1Department of Electrical Engineering, Kwangwoon University, Seoul, Korea, Republic of, 2Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea, Republic of, 3Brain Research Laboratory, Children’s National Health System, Washington, DC, United States

SENSE combined compressed sensing technique is applied to multi-slice cardiac CINE imaging with breath holds. As to the compressed sensing, ITSC is used, which truncates small transformed coefficients in r-f domain to make data sparse, and it restores the measured data in k-t domain iteratively until the reconstructed images converge. Variation of ejection fraction (EF) is measured for two set of experiments, one from regenerated data set by resampling the original data set, and the other from real measurements.  Using the variation of EF and normalized mean square error clinical usefulness of the technique is demonstrated.

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Motion tracking in cardiac MRI: Cine Watermark tracking of myocardial strain
Davis Marc Vigneault1,2,3, Ronald J Beyers4, Chia Ying Liu2, Alison J Noble1, Thomas Denney4, and David A Bluemke2

1Department of Engineering Science, University of Oxford, Oxford, United Kingdom, 2Radiology and Imaging Sciences, National Institutes of Health, Bethesda, MD, United States, 3Sackler School of Graduate Biomedical Sciences, Tufts University School of Medicine, Boston, MA, United States, 4Auburn University MRI Research Center, Auburn University, Auburn, AL, United States

Quantification of regional cardiac function is of central importance in cardiology, but has yet to be adopted into clinical practice due to limitations of the current techniques.  Here we present a method requiring minimal human intervention for tracking “cine watermark” images, in which features have been encoded into the phase image of a cardiac cine series.  The method employs nonlinear least squares optimization, which allows the sum of squared wrapped phase differences between patches in successive frames to be minimized globally across all frames, while regularizing over physically-motivated metrics.  Preliminary results in healthy human volunteers show robust tracking.

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Automated 4D Flow Conservation Utilizing Adjacency Matrices
Carson Anthony Hoffman1, Gabe Shaughnessy1, and Oliver Wieben1

1Medical Physics, University of Wisconsin Madison, Madison, WI, United States

4D flow magnetic resonance imaging (MRI) can provide comprehensive information on vessel anatomy and hemodynamics for complex vessel system. Adjacency matrices are often used in computer science to help simplify complex graphs into a binary encoded matrix. The adaptation of adjacency matrices to 4D flow MRI can help reduce the complexity for analysis by structuring the data into an efficient binary matrix. One application of this new analysis method allows for flow conservation to be completed for complex volumes at all junctions. The conservation of flow at every junction can then be used to find segments of potential erroneous measurements.   

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MRI vessel slice tool visualization with an interactive 3-D display
Carson Anthony Hoffman1, Eric Schrauben1, and Oliver Wieben1,2

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

The comprehensive information on vessel anatomy and hemodynamics presented by 4D Flow MRI can be difficult to visualize. We introduce a new viewing mode using a ‘slice tool’. The use of this display algorithm can provide benefits for scalar visualization by preserving spatial location and avoiding ambiguities in cases of overlapping vessels. This novel approach can thus offer an improved understanding of complex hemodynamics within the body when used in conjunction with previously existing visualization methods eg. MIP images, pathline, and streamline visualizations.

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SUPER-RESOLUTION RECONSTRUCTION OF LATE GADOLINIUM ENHANCEMENT CARDIOVASCULAR MAGNETIC RESONANCE IMAGES USING A RESIDUAL CONVOLUTIONAL NEURAL NETWORK
Archontis Giannakidis1,2, Ozan Oktay3, Jennifer Keegan1,2, Veronica Spadotto1,4, Inga Voges1, Gillian Smith1, Iain Pierce1, Wenjia Bai3, Daniel Rueckert3, Sabine Ernst1, Michael A Gatzoulis1, Dudley J Pennell1,2, Sonya Babu-Narayan1, and David N Firmin1,2

1NIHR Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, United Kingdom, 2National Heart & Lung Institute, Imperial College London, London, United Kingdom, 3Biomedical Image Analysis Group, Imperial College London, London, United Kingdom, 4Department of Cardiac, Thoracic and Vascular Sciences, University of Padua

Late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) has enabled the accurate myocardial tissue characterization. Due to practical considerations, the acquisition of anisotropic two-dimensional (2D) stack volumes, with low through-plane resolution, still prevails in the clinical routine. We propose a deep learning-based method for reconstructing a super-resolved three-dimensional LGE-CMR data-set from a low resolution 2D short-axis stack volume. The method directly learns the residuals between the high and low resolution images. Results on clinical data-sets show that the proposed technique outperforms the state-of-the-art with regard to image quality. The fast speed of our model furthers facilitates its adoption for practical usage.

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Fully automatic bullseye analysis on short-axis MOLLI mapping: LV segmentation and AHA 17 parcellation
Yun-Wen Wang1, Chun-Yu Huang1, Hsiao-Hui Huang1, and Teng-Yi Huang1

1Department of Electrical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan

The free-breathing MOLLI (FB-MOLLI) presented in our previous study allowed T1 mapping in vivo without breath-hold. In this study, we attempted to implement unsupervised reconstruction for FB-MOLLI data sets and used a deformable method for image registration to improve the reliability of free-breathing T1 mapping. The results supported that the method improved the image alignments of the FB-MOLLI data sets and thus increased the quality of the T1 map. The variations of the repeated T1 measurements were significantly reduced in the anterolateral of the LV walls.

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Fully automatic myocardial ECV mapping: deformable image registration, LV segmentation and a cloud computing pipeline
Yun-Wen Wang1, Chiao-Ning Chen1, Teng-Yi Huang1, and Ming-Ting Wu2

1Department of Electrical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan, 2Deptartment of Radiology, Kao-Hsiung Veterans General Hospital, Kao-Hsiung, Taiwan

In this study, we developed an automatic pipeline and segmentations of left ventricle walls for mapping myocardial extracellular volume fraction (ECV) and calculating global ECV values. The system combined with user-friendly web-based user interface was packaged into a software container. We used this system to analyze myocardial T1 images obtained from subjects with tetralogy of Fallot (TOF). The ECV values of the TOF data sets were significantly higher than those of the normal subjects. This automatic pipeline could be a practical tool for clinical evaluations of myocardial fibrosis with MR MOLLI T1 images.

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Automatic detection of corrupted frames in cardiac DTI with machine learning
Francesca Cavallo1, Pedro Ferreira1, Zohya Khalique1, Andrew Scott1, Sonia Nielles-Vallespin2, and David Firmin1

1Cardiovascular BRU, Royal Brompton Hospital, London, United Kingdom, 2NHLBI, National Institutes of Health, MD, United States

In vivo cardiac DTI is capable of probing the microstructure of the myocardium and its dynamics throughout the cardiac cycle. The typical cardiac DTI scan data will contain corrupted frames due to cardiac and respiratory motion. Currently an experienced observer identifies corrupted frames by means of a visual assessment and manually removes them. In this work we show that machine learning can be used to accurately assess DTI corrupted frames, reducing the user input, accelerating analysis and removing human subjectivity.

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A Novel 4D Semi-automatic Segmentation Algorithm for Whole-heart 3D Cine Magnetic Resonance Imaging
Ruizhi Liao1, Danielle F. Pace1, Andrew J. Powell2, Polina Golland1, and Mehdi Hedjazi Moghari2

1Massachusetts Institute of Technology, Cambridge, MA, United States, 2Boston Children's Hospital, Boston, MA, United States

Three-dimensional (3D) time-resolved (cine) whole-heart magnetic resonance imaging promises to greatly facilitate comprehensive and evaluation of cardiac function and morphology. We present here a robust semi-automatic 4D segmentation algorithm, using patch-based volumetric segmentation and a temporal image registration method, to reduce the segmentation time of 3D cine datasets to less than 30 minutes and to enable wide clinical use. Resulting volumetric measurements of the left ventricle and right ventricle are aligned with measurements from the current clinical routine. By visualizing the anatomy and dynamics of the heart, we show that 3D cine datasets promise to enhance surgical planning for patients with complex congenital heart disease.

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Non-iterative model for synthetic image-based registration of MOLLI cardiac T1 mapping images
Laura Claire Saunders1, Neil Stewart1, David Kiely2, Martin Graves3, Andy Swift1, and Jim Wild1

1Academic Radiology, University of Sheffield, Sheffield, United Kingdom, 2Pulmonary Vascular Disease Unit, Sheffield Teaching Hospitals NHS Trust, 3University of Cambridge

Cardiac T1 maps rely upon the acquisition of spatially aligned images. When patients fail to maintain breath hold, respiratory motion can cause T1 map inaccuracies due to poor image alignment. In the method demonstrated here, images are registered by co-registration to synthetic images, which are created via a non-iterative, automatic, model-based method. This method is compared to an iterative registration method using an energy minimisation process for quantitative registration accuracy and speed. Both methods were found to significantly improve image registration. The resultant registrations from both methods did not significantly differ, however the non-iterative model-based method reduced processing time by 1/5th. 

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An MRI based High-Resolution Geometrical Framework to Quantify Left Ventricular Remodeling in Murine Model of Myocardial Infarction
Siamak Ardekani1, Geoffrey Gunter1, Jiadi Xu1, Robert G Weiss2, and Laurent Younes1

1Johns Hopkins University, Baltimore, MD, United States, 2Johns Hopkins Medical Institutions, Baltimore, MD, United States

Computational models of left ventricular (LV) geometry and function that characterize regional cardiac response to injury can provide valuable diagnostic and predictive information. We have developed a mathematical tool to non-rigidly match a high-resolution surface mesh of the LV geometry to a set of LV epi and endocardial contours that are extracted from cardiac MR. We have applied our algorithm on murine model of myocardial infarction to quantify cardiac remodeling process. This approach enables us to perform statistical analysis of LV 3D geometry and function using only sparse sets of 2D plane contours, therefore facilitating cross-subject examination of shape variation.

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Texture analysis of native T1 mapping in dilated cardiomyopathy
Xiaoning Shao1, Yingjie Sun1, Yong Zhang1, Jingliang Cheng1, and Shaoyu Wang2

1MRI, The first affiliated hospital of Zhengzhou University, Zhengzhou, People's Republic of China, 2MR, Siemens Healthcare Ltd, Shanghai, People's Republic of China

MR native T1 mapping technique was found have the ability of detecting diffuse myocardial fibrosis which was found in histological examination of dilated cardiomypathy (DCM). Texture analysis of T1 mapping had been proved to be able to provide more information besides T1 value. We found several histogram parameters (statistical class of texture analysis) were significantly higher in DCM than that of healthy volunteers. The areas under the receiver operating characteristic curve of histogram parameters were calculated. The results indicate that texture analysis of T1 mapping may be helpful for the diagnosis of DCM.

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Improving Precision of Arrhythmia-Insensitive Rapid Cardiac T1 Maps using a Non-Local Means Filter
Suvai Gunasekaran1, KyungPyo Hong2, Jeremy Collins2, James Carr2, and Daniel Kim1,2

1Biomedical Engineering, Northwestern University, Chicago, IL, United States, 2Radiology Department, Feinberg School of Medicine, Chicago, IL, United States

Compared with other investigations, images produced from arrhythmia-insensitive rapid (AIR) cardiac T1 mapping pulse sequences contain significant random noise which limits the accuracy of quantitative measurements. Therefore, denoising filters were used to reduce noise present in the images. From our analysis, the non-local means filter was best able to reduce the amount of noise while still maintaining accurate T1 measurement data. 

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Validation of dMRI-Derived Fiber Orientations Using PLI in Human Fetal Hearts
Feng Yang1,2, YueMin Zhu2, Gabrielle Michalowicz3, Yves Usson3, Laurent Fanton2, Magalie Viallon2,4, Patrick Clarysse2, Pierre-Simon Jouk3, and Pierre Croisille2,4

1Department of Computer Science, School of Computer and Information Technology, Beijing Jiaotong University, Beijing, People's Republic of China, 2Univ.Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, F-69621, LYON, France, Villeurbanne, France, 3Equipe DYCTIM, Laboratoire TIMC-IMAG, UMR5525 CNRS, Université Grenoble Alpes, La Tronche, France, France, 4Jean-Monnet University, Saint-Etienne, France, Saint-Etienne, France

To validate to what extent the fiber orientations derived from diffusion MRI (dMRI) reveal anatomical reality, polarized light imaging (PLI) allowing the fiber orientations of the human heart to be physically measured with high spatial resolution was used. The dMRI and PLI orientation measurements of the same hearts are then compared using a multimodal registration-based framework. Experimental results show that dMRI and PLI have similar variation patterns of elevation or azimuth angles, except that dMRI introduced a decrease of about 24º in transmural elevation angle range. No significant differences were observed on azimuth angle in both modalities.

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Regularized Curve Fitting Improves T1 Bias in Cardiac T2 Mapping
Galen D Reed1, Kenneth O Johnson1, Michelle M Nystrom1, Okai Addy1, Reeve Ingle1, Bob Hu1, Juan Santos1, and William Overall1

1HeartVista, Los Altos, CA, United States

Bias error is studied in T2-prepared single shot SSFP cardiac T2 mapping. Phantom experiments showed that although centric phase encode ordering reduces bias from T1 relaxation during single shot readouts, a residual bias of approximately 20% remains in the 1000 ms T1 regime. A regularized, three parameter exponential fitting model reduces this bias and generates T2 maps with low variance using 4 echo times. 

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The Myocardial Feature Tracking of LA, LV and RV: Age-related in Normal Chinese
Junping Peng1, Mingwu Lou2, Lei Zhao3, Zhanming Fan3, Xiaohai Ma3, Liang Zhong4, Xiaodan Zhao4, Hui Chen3, Zheng Wang3, and Shuang Leng4

1Department of Radiology, Shenzhen Longgang District Center Hospital, Shenzhen, People's Republic of China, 2Department of Radiology, 3Department of Radiology, Beijing Anzhen Hospital,Capital Medical University, 4National Heart Centre Singapore

To quantify the age-related global cardiac deformation, GLS and GCS derived from feature-tracking cardiovascular magnetic resonance were measured using post-processing software in 81 healthy Chinese volunteers. It was found that age significantly influenced GLS of LV and LA. This is an important indicator for further research of quantitation MR Myocardial Feature Tracking.

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Workflow Improvement with a Cardiac MRI Positioning Assist Function
Kensuke Shinoda1, Shuhei Takemoto1, and Shuhei Nitta2

1MRI Systems Division, Toshiba Medical Systems Corporation, Tochigi, Japan, 2Corporate Research & Development Center, Toshiba Corporation

In this study, we evaluated how the Cardiac MRI positioning assist function can reduce the operation steps and times in CMRI. When using the assist function, the total number of the operation steps was reduced to about 25% for both the experts and the beginners. The operation time was also reduced to about 25%. The mean and SD of the elapsed time for the CMRI procedure performed by experts were reduced from 42m17s±10m53s to 32m46s±3m29s, and those for coronary angiography were reduced from 20m42s±8m5s to 15m22s±2m49s.

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4D Flow MRI based aortic wall shear stress analysis using two different software tools and datasets from MRI scanners of two different appliance brands
Michael Peter Beldoch1, Thekla Helene Oechtering1, Victoria Schultz1, Peter Hunold1, Joerg Barkhausen1, and Alex Frydrychowicz1

1Clinic for Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany

Wall shear stress (WSS) is an increasingly used vessel wall parameter derived from 4D Flow-MRI data. There is no reference standard for evaluating WSS and different software approaches are available. However, their comparability is not known. Hence, it was the aim of this study to compare two available software tools (GTFlow and FlowTool). To achieve this goal, data from 21 healthy volunteers scanned on MRI scanners of different vendors were analyzed with respect to average and segmental WSS. Results showed good agreement between tools.

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Free-Breathing cardiovascular imaging: comparing central k-space amplitude vs. phase based self-gating approaches
Feifei Qu1, Uday Krishnamurthy1,2, Brijesh Kumar Yadav1,2, Ewart Mark Haacke1,2, and Jaladhar Neelavalli1,2

1Department of Radiology, Wayne State University, Detroit, MI, United States, 2Department of Biomedical Engineering, Wayne State University, Detroit, MI, United States

Two self-gating approaches to reconstruct free-breathing cardiovascular image generated by Golden Angle radial trajectory MRI were compared. The results show that both central k-space magnitude and phase self-gated image have comparable quality with breathhold Cartesian CINE image, and the phase self-gating signal is less sensitive to the coil sensitivity compared to the magnitude based self-gating signal.

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Evaluation of three-dimensional magnetic resonance imaging of autopsied human heart specimens for computational modeling of congenital heart diseases
Yoshiaki Morita1, Wataru Ueki1, Ryo Haraguchi2, Takaaki Matsuayama3, Yoshiaki Watanabe1, Tatsuya Nishii1, Atsushi Kono1, Naoaki Yamada1, and Tetsuya Fukuda1

1Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan, 2Division of Medical informatics, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan, 3Department of Pathology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan

This study aimed to compare the visibility of a formalin-fixed heart using various 3D MRI sequences as well as to determine the optimal sequence for computational modeling of congenital heart diseases. Our results demonstrated that MPRAGE showed the best contrast with good image quality for imaging of the myocardium and the vascular structure when surrounded by normal saline in a plastic container. We believe that computational cardiac modeling of human autopsied heart specimens using MPRAGE plays a critical role in education and/or research.


Electronic Poster

Prostate Cancer

Exhibition Hall Wednesday 13:45 - 14:45

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FOCUS diffusion-weighted imaging for prostate cancer at high b-values: An analysis of image quality, diagnostic accuracy and observer agreement.
Tom Syer1, Keith Godley2, Donnie Cameron1, and Paul Malcolm2

1Norwich Medical School, University of East Anglia, Norwich, United Kingdom, 2Radiology, Norfolk and Norwich University Hospital

To assess FOCUS diffusion-weighted imaging (DWI) for prostate cancer assessment, 30 consecutive biopsy-proven patients underwent both FOCUS and conventional DWI. Sensitivity and specificity was not significantly different between sequences but inter-observer agreement improved from moderate to substantial when using FOCUS. There was significantly lower SNR and CNR for FOCUS on b-value images, but similar CNR on ADC maps. Mean ADC values were significantly lower using FOCUS and both sequences showed excellent discrimination between malignant and benign prostate with no statistical difference. FOCUS DWI improves agreement between observers of varying experience while maintaining diagnostic accuracy despite lower SNR and CNR. 

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Target performance of MRI-ultrasound fusion guided prostate biopsy in a cohort of patients suspicious for prostate cancer
Matthias Gergely Zadory1, Jean-Luc Fehr2, Claudius Moeckel2, Seife Hailemariam3, Johannes Malte Froehlich1, and Michael Patak4

1Pharmaceutical sciences institute, ETHZ, Zurich, Switzerland, 2Zentrum für Urologie, Hirslanden Klinik, Zurich, Zurich, Switzerland, 3Institut für histologische und zytologische Diagnostik, Aarau, Switzerland, 4Radiologie, Hirslanden Klinik, Zurich, Zurich, Switzerland

Conventional systematic core biopsies might fail to detect clinical significant prostate cancer. ARTEMIS MRI-ultrasound fusion guided prostate biopsy (ART-PBx) might overcome this issue by improving the targeting of suspicious lesions. In a retrospective clinical study including 194 patients (243 lesions) we determined a target performance of 56.3 % positive biopsies related to histopathology. The detection rate rises up to 71.4% for high score lesions (PIRADS 5) but did not show any correlation with lesion’s size. This target methodology based on MRI achieves greater detection rate of clinical significant prostate cancer, improving the ability to appropriately counsel patients regarding therapy.

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Role of DWI in guiding MRI-TRUS fusion biopsy in patients with prostate cancer: a prospective cohort study
Chandan J Das1, Rohit Kaushal2, Sanjay Sharma1, Rajeev Kumar3, P N Dogra3, and S DattaGupta4

1Radiology, All India Institute of Medical Sciences, New Delhi, India, NewDelhi, India, 2Uology, All India Institute of Medical Sciences, New Delhi, India, NewDelhi, India, 3Urology, All India Institute of Medical Sciences, New Delhi, India, NewDelhi, India, 4Pathology, All India Institute of Medical Sciences, New Delhi, India, NewDelhi, India

Transrectal ultrasound (TRUS) guided 12 core biopsy of prostate has a sensitivity of 39-52%. We prospectively evaluated the role of DWI in guiding MRI-TRUS fusion biopsy. MRI was performed on a 3 Tesla system.  PIRAD score was assigned and PIRAD 3-5 score were subjected to targeted fusion biopsy using the Artemis device along with standard 12 core biopsies. Targeted biopsy detected a higher number (93%) of clinically significant cancers and 71% cancers were upgraded to significant cancer on targeted biopsy. Fusion biopsies guided by DWI thus provide incremental information over standard TRUS biopsies in the diagnosis of significant prostate cancer.

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MR-based machine learning analysis can help to predict pathological outcome of biopsy-proven Gleason score 3+3 prostate cancer
Chen-Jiang Wu1, Yu-Dong Zhang1, and Hai-Bin Shi1

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

Machine learning-based analysis of multi-parametric was used to predict pathological outcome of biopsy-proven Gleason score 3+3 prostate cancer and proven to be better compared with single any MR or clinical paremeter  in predicting pathological outcome.

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Diffusion-Kurtosis imaging predicts tumor upgrading in biopsy-proven Gleason score = 6 prostate cancers
Chen-Jiang Wu1, Yu-Dong Zhang1, and Hai-Bin Shi1

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

The study investigated the feasibility of Diffusion Kurtosis Imaging (DKI) in predicting surgical result upgrading of biopsy-proven Gleason Score (GS) = 6 prostate cancer.  The predicting efficiency of clinical variables (tumor volume, PSA level) and MRI variables (ADC, Dapp, Kapp) were compared by ROC analysis. DKI was found feasible to predict surgical result upgrading of biopsy-proven GS = 6 prostate cancer and Dapp-minimun had the highest Az value.

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DWI of prostate cancer beyond ADC: correlation with histopathology
Stefanie Hectors1, Sahar Semaan1, Christopher Song1, Ashutosh Tewari2, George K Haines3, and Bachir Taouli1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, United States

In this study, we correlated advanced DWI [diffusion kurtosis imaging (DKI), stretched-exponential (SE) DWI and diffusion tensor imaging DTI)] parameters with fractional tissue fractions of nuclei, cytoplasm, cells, stroma and lumen and the nuclear-cytoplasmic ratio in prostate cancer (PCa) lesions. We found that all assessed diffusion methods showed significant correlations with cytoplasmic, cellular and/or stromal tissue fractions. Specifically, DKI seems promising for characterization of PCa tissue composition, since multiple significant correlations between histology parameters and both ADCDKI and kurtosis parameter K were observed.

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Mixed performance of PIRADS v2: a validation study
James Walton1, Sajal Pokharel1, E. David Crawford2, Kavita Garg1, Kimberly E. Lind1, Emma Murugaverl3, and Nayana U. Patel1

1Radiology, University of Colorado School of Medicine, Aurora, CO, United States, 2Urology, University of Colorado School of Medicine, Aurora, CO, United States, 3Lake Erie College of Osteopathic Medicine

The second version of the Prostate Imaging Reporting and Data System (PIRADSv2) is the new standard for interpreting prostate MRI.  Validation studies have been performed of this scheme, but many have used targeted biopsies as the reference standard.  Our validation study is unique in utilizing 3D trans-perineal mapping biopsy (3DTMB) as the reference standard.  With a total of 41 MRI lesions, PI-RADSv2 score = 5 lesions had a PPV for cancer of 1.0.  However, when all significant lesions (PI-RADSv2 score ≥3) were included, the PPV is 0.29, with equal PPV of PI-RADS 3 and 4 lesions.



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Single Slice vs. Volumetric Analysis of Multiparametric Prostate MRI Metrics
Edward William Johnston1, Clare Allen2, Michela Antonelli3, Nikolaos Dikaios1, Sebastien Ourselin3, and Shonit Punwani1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Radiology, University College London Hospitals, London, United Kingdom, 3Centre for Medical Image Computing, University College London, London, United Kingdom

Despite consensus guidelines advising volumetric analysis of tumours over single slice region-of-interest analysis, there is little data in the literature to support this recommendation. In this study we compare the reproducibility between each of these two methods in 20 patients with prostate cancer and also determine the intraobserver repeatability of each method. We show high levels of agreement and intraobserver repeatability in both of these methods. This study suggests that region-of-interest analysis is a perfectly acceptable analytical method and may have higher intraoberver repeatability than volumetric analysis, and could expedite the analysis of multiparametric prostate MRI datasets in clinical trials. 

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Improving the Reproducibility of Quantitative Imaging Metrics for Multicentre Multiparametric Prostate MRI Trials
Edward William Johnston1, Michela Antonelli2, Nikolaos Dikaios1, Sebastien Ourselin2, David Atkinson1, and Shonit Punwani1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Centre for Medical Image Computing, University College London, London, United Kingdom

Whilst multi-scanner studies provide the most robust evidence for quantitative imaging trials, they tend to be limited by poor reproducibility of scans performed on different scanners. In this study, 14 patients underwent paired multiparametric prostate MRI within 3 months of each other. We found that normalisation of T2 signal to the bladder improved the reproducibility of both peripheral zone and transition zone metrics considerably when compared with the current convention of using obturator internus. Whilst ADC also met sufficient levels of reproducibility, semiquantiative and quantitative DCE analysis and histographic features failed to do so.

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Lower Normalised T2 Signal Intensity is Associated with Higher Intratumoural Heterogeneity: A Radiogenomic Study in High-Risk Prostate Cancer
Edward William Johnston1, Mark Linch2, Gerald Goh2, Crispin Hiley3, Yaalini Shanmugabavan4, Michela Antonelli5, Marco Gerlinger6, Andrew Rowan2, Yien Ning Sophia Wong2, Helen King 2, Andrew Furness7, Alexander Freeman8, Linares Linares7, Ayse Akarca7, Javier Herrero7, Stephan Dentro9, Nathalie Harder10, Guenter Schmidt10, Gareth A Gareth3, Nicholas McGranahan3, Nicolai Birkbak3, Richard Mitter3, Paul Cathcart11, Rebecca Scott4, Michelle Hung4, Mark Emberton4, Gert Attard12, Zoltan Szallasi13, Sergio Quezada7, Teresa Marafioti8, Sebastien Ourselin5, Hashim Ahmed4, Charles Swanton3, and Shonit Punwani1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Translational Cancer Therapeutics Laboratory, University College London, London, United Kingdom, 3Translational Cancer Therapeutics Laboratory, Francis Crick Institute, London, United Kingdom, 4Division of Surgery and Interventional Science, University College London, London, United Kingdom, 5Centre for Medical Image Computing, University College London, London, United Kingdom, 6Centre for Evolution and Cancer, The Institute of Cancer Research, 7Cancer Immunology Unit, University College London, 8Department of Pathology, University College London Hospital, University Street, United Kingdom, 9Department of Bioinformatics and Biostatistics, University College London, 10Definiens AG, 11Urology, Guy's and St. Thomas' NHS Trust, 12Treatment Resistance Laboratory, The Institute of Cancer Research, 13Centre for Biological Sequence 47 Analysis, Technical University of Denmark

Intratumoural heterogeneity (ITH) has been shown to predict overall survival in prostate cancer, and non-invasive biomarkers that can measure this genetic diversity would be welcome. In this study, we correlated imaging metrics derived from multiparametric prostate MRI with genomic heterogeneity indices and showed that low values of normalised T2 signal intensity within tumours are associated with a higher degree of mutational ITH. Our study shows the potential to use diagnostic imaging as a surrogate for genomic ITH in order to risk stratify patient for guiding management decisions.

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Preliminary application of magnetization transfer imaging and amide proton transfer imaging of prostate cancer at 3.0 tesla
Xiangde Min1, Zhaoyan Feng1, Liang Wang1, and Zhongping Zhang2

1Tongji Medical College, Huazhong University of Science & Technology, Wuhan, People's Republic of China, 2GE Healthcare, Guangzhou, People's Republic of China

Magnetization transfer (MT) imaging and amide proton transfer (APT) imaging have reported many promising results. However, little is known about their usefulness for prostate cancer (PCa). In this study, MT-APT imaging were performed for 39 patients with pathological proven PCa. The feasibility of MT imaging and APT imaging for PCa detection was assessed, and their differential diagnostic values for PCa were compared. The results revealed that MTR(16.5 ppm) increased in cancerous tissues compared with normal PZs, and MT imaging outperformed APT imaging for PCa diagnosis. MT imaging showed promising role in the diagnosis of PCa.

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Evaluation of prostate cancer on diffusion weighted imaging; Can FOCUS and synthetic diffusion weighted imaging with FOCUS contribute to the Prostate Imaging Reporting and Data System (PI-RADS) version 2.0?
Motoyuki Katayama1, Takayuki Masui1, Kei Tsukamoto1, Mitsuteru Tsuchiya1, Masako Sasaki1, Yuki Hayashi1, Takahiro Yamada1, Mitsuharu Miyoshi2, Tetsuya Wakayama2, and Harumi Sakahara3

1Radiology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan, 2GE Healthcare Japan, Japan, 3Radiology, Hamamatsu University School of Medicine, Hamamatsu, Japan

We evaluated 47 patients suspected of having prostate cancers on synthetic DWI calculated from FOCUS DWI with PI-RADS version 2.0. Compared with conventional FOV DWI, FOCUS DWI is more useful for evaluation of prostate cancer with high spatial resolution and less distortion. S-DWI is able to enhance diagnostic ability of FOCUS without image degradation, which might be one of the best combinations, and contribute to the Prostate Imaging Reporting and Data System (PI-RADS) version 2.0.

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Prostate Cancer Diffusion Signal Analysis: Combination of Multiple Fit Parameters Improves Tissue Discrimination
Stephan E. Maier1,2, Thiele Kobus3, Andriy Fedorov1, Fredrik Langkilde2, Ruth Dunne1, Robert V. Mulkern4, and Clare M. Tempany1

1Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 2Radiology, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden, 3Department of Radiology and Nuclear Medcine, Radbound University Medical Center, Netherlands, 4Radiology, Children's Hospital, Harvard Medical School, Boston, MA, United States

Diffusion signals over an extended b-factor range 0-3500 s/mm2 were measured with an endorectal coil at 3 Tesla in 56 prostate cancer patients. For each pixel, signal decay fits were computed assuming biexponential, kurtosis, stretched exponential and gamma distribution diffusion signal models. The potential of individual parameters and linear parameter combinations to differentiate normal from cancerous tissue was evaluated with ROC analysis. For the kurtosis and stretched exponential models, single parameters yield the highest AUCs, whereas for the biexponential and gamma distribution models, only combinations of parameters produce the comparably high AUCs.

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3T DCE-MRI Performance in Prostate Cancer Detection: Correlation of Different Kinetic Parameters in the Transition and Peripheral Zone Stratified by Gleason Score and Scanner B1+ field Heterogeneity
Nazanin H Asvadi1, Kyung Hyun Sung2, Pooria Khoshnoodi3, Pornphan Wibulpolprasert4, Tristan Grogan5, Anthony Sisk6, Robert Reiter7, and Steven Raman8

1Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Department of Radiological Sciences, Bioengineering, and Biomedical Physics IDP, UCLA, Los Angeles, CA, United States, 3David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 4Radiology, Ramathibodi Hospital, Bangkok, Thailand, 5Division of General Internal Medicine and Health Services Research, UCLA, Los Angeles, CA, United States, 6Pathology, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 7Urology, David Geffen School of Medicine, Los Angeles, CA, United States, 8Radiology, David Geffen School of Medicine, Los Angeles, CA, United States

To correlate 3T dynamic contrast-enhanced MRI (DCE-MRI) kinetic parameters in prostate cancer (PCa) in the transition zone (TZ) and peripheral zone (PZ) confirmed by whole mount histopathology (WMHP) stratified by Gleason Scores (GS) and inter-scanner B1+ field variation. This study demonstrates that clinically relevant heterogeneity between kinetic parameters in low and high grade PCa in the TZ & PZ exists. 

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Using Natural Language Processing to explore the correlation of prostate MR findings and prostate biopsy
Yi Liu1, Shuai Ma1, Rui Wang2, Ge Gao3, En Ouyang4, Zuofeng Li4, Juan Wei4, and Xiaoying Wang3

1Peking University First Hospital, Beijing, People's Republic of China, 2Peking University First Hospital, 3Peking University First Hospital, People's Republic of China, 4Philips Research China, People's Republic of China

Natural language processing (NLP) provides techniques that aid the conversion of text into a structured representation, which is potentially a valuable source of information for improving clinical care and supporting research in medical domain.1,2 Used on radiology reports and biopsy results, NLP techniques enable automatic identification and extraction of information. For most patients suffer from prostate diseases, they always conduct tests including radiology and biopsy. And it is an interesting task to explore the prostate MR findings and prostate biopsy, which have not been studied in other research center.

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Ex vivo MRI evaluation of prostate cancer: localization and margin status prediction of prostate cancer in fresh radical prostatectomy specimens
Jan Heidkamp1, Martijn Hoogenboom1, Iringo Kovacs2, Andor Veltien1, Arie Maat2, Michiel Sedelaar3, Christina Hulsbergen-van de Kaa2, and Jurgen Fütterer1

1Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands, 2Pathology, Radboud university medical center, Nijmegen, Netherlands, 3Urology, Radboud university medical center, Nijmegen, Netherlands

This study investigated the ability of high field ex vivo MRI to localize prostate cancer (PCa) and to predict the margin status in fresh radical prostatectomy (RP) specimens using histology as gold standard. In twelve specimens, ex vivo MRI localized 17 (47%) of 36 PCa lesions confirmed by histological examination. Ex vivo MRI identified none of the 4 histological positive surgical margins (sensitivity 0%) and 9 of the 13 negative margins (specificity 69%). Our results indicate accurate localization of PCa in fresh RP specimens by ex vivo MRI, yet the technique did not perform well in predicting the margin status.

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Clinical Evaluation of a Simple Approach for Improving Shear Wave Illumination in Magnetic Resonance Elastography of the Prostate
Jin Wang1, Tianhui Zhang1, Kevin J. Glaser2, Jingbiao Chen1, Jun Chen2, Phillip J. Rossman2, Bingjun He1, Arvin Arani2, Ziying Yin2, Zhuang Kang1, Qungang Shan1, Jun Pang3, and Richard L. Ehman2

1Department of Radiology, the Third Affiliated Hospital, Sun Yat-sen University (SYSU), Guangzhou, People's Republic of China, 2Department of Radiology, Mayo Clinic, Rochester, United States, 3Department of Urology, the Third Affiliated Hospital, Sun Yat-sen University (SYSU), Guangzhou, People's Republic of China

Conventional prostate magnetic resonance elastography (MRE) is performed using an external driver to transmit shear waves into the prostate. It is a challenge to produce shear waves in the prostate with adequate amplitude at a suitably high frequency because the prostate is a deep-seated organ. We evaluated the hypothesis that the placement of a urinary catheter would improve the shear wave illumination of the prostate when waves are emitted from an external driver. Our results in 30 BPH patients show that the commercially available liver MRE driver used in combination with a catheter can improve MRE image quality at higher frequencies.

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Linking a multi-compartment T2 model to diffusion microstructure in prostate cancer
William Devine1, Edward Johnston1, Elisenda Bonet-Carne2, Shonit Punwani1, Daniel Alexander2, and David Atkinson1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Centre for Medical Image Computing, University College London, London, United Kingdom

This work develops a multi-compartment T2 model for prostate imaging.  We investigate whether this model can provide information about differences in tissue microstructure, such as those between normal prostate tissue and tumour, by comparing it to the VERDICT diffusion model6. The high correlations found between a number of the parameters suggest that the proposed model is capable of detecting some microstructural differences. In the future this method may be able to provide different and complementary microstructural information to current diffusion models.

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Magnetic Resonance Elastography of the Prostate: Impact of Driver Size on Image Quality
Tianhui Zhang1, Jin Wang1, Kevin J. Glaser2, Phillip J. Rossman2, Jun Chen2, Bingjun He1, Jun Pang3, Ziying Yin2, Zhuang Kang1, Qungang Shan1, Jingbiao Chen1, Arvin Arani2, and Richard L. Ehman2

1Department of Radiology, the Third Affiliated Hospital, Sun Yat-sen University (SYSU), Guangzhou, People's Republic of China, 2Department of Radiology, Mayo Clinic, Rochester, United States, 3Department of Urology, the Third Affiliated Hospital, Sun Yat-sen University (SYSU), Guangzhou, People's Republic of China

Conventional prostate MRE uses an external driver located on the surface of the body to transmit shear waves into the prostate. However, the conventional large-diameter driver produces poorer image quality at higher frequencies. In this study we compared the performance of a large- and small-diameter Pelvic Wall driver at multiple frequencies using 2D and 3D MRE. Our results show that the smaller Pelvic Wall driver performs better than the larger driver in terms of image quality and success rate.

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TRUS Biopsy Has a Lower Cancer Detection Rate in Large Prostate Volumes: Can In-Bore MRI-Guided Biopsy Do Better?
Kareem K Elfatairy1, Christopher P Filson2, Adeboye O Osunkoya3, Rachel G Geller3, and Sherif G Nour1

1Radiology, Emory University-School of Medicine, Atlanta, GA, United States, 2Urology, Emory University-School of Medicine, GA, United States, 3Pathology, Emory University-School of Medicine, Atlanta, GA, United States

TRUS biopsy known to have low cancer detection rates in patients with large prostate volumes. With the proved advantages of MRI guided biopsy (MRGB), it may offer a better alternative to those patients. We compared between cancer detection rates of TRUS biopsy and MRGB in 49 patients as related to their prostate volumes. MRGB showed better detection of clinically significant cancers in prostate volumes between 30-59 mL . Adopting MRGB in patients with gland volumes ≥ 30 mL may save patients the need for repeated TRUS biopsies, provide better disease risk stratification, and reduce the healthcare costs associated with unnecessary biopsies.

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Quantitatively Differentiating Prostate Cancer, Prostatitis and Benign Prostatic Hyperplasia (BPH) by Diffusion MRI Histology (D-Histo)
Ze-Zhong Ye1, Qingsong Yang 2, Peng Sun 3, Yasheng Zhu4, Chunyu Song5, Joshua Lin6, Jianping Lu2, Yinghao Sun4, and Sheng-Kwei Song3,5,7

1Chemistry, Washington University, St. Louis, MO, United States, 2Radiology, Changhai Hospital, Shanghai, People's Republic of China, 3Radiology, Washington University, St. Louis, MO, United States, 4Urology, Changhai Hospital, Shanghai, People's Republic of China, 5Biomedical Engineering, Washington University, St. Louis, MO, United States, 6Biology, Washington University, St. Louis, MO, United States, 7Hope Center for Neurological Disorder, Washington University, St. Louis, MO, United States

A recent consensus established mpMRI for PCa detection has not had the needed sensitivity or specificity to distinguish prostatitis from PCa. Thus, PCa diagnosis by MRI remains uncertain, resulting in over-diagnosis and over-treatment.  For the first time, we demonstrate that the new method, diffusion MRI histology (D-Histo), accurately localizes and quantifies PCa, prostatitis, and BPH. With improved diagnosis accuracy, D-Histo affords effective guidance of treatment planning, and assessment of treatment efficacy. 

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Modified Dispersion Model in Prostate Dynamic Contrast-Enhanced MRI
Kyunghyun Sung1, Xinran Zhong2, and Holden Wu2

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Radiology, University of California, Los Angeles, Los Angeles, CA, United States

The dispersion imaging has shown great promise in prostate DCE-MRI, but there still exist practical limitations due to the complex model fitting. We describe a modified dispersion model to overcome these limitations by adapting a simple dispersion factor into the existing population-averaged arterial input function. We use the regions of interest, derived from the histological analysis, to evaluate both the quality of the model fitting and the ability of DCE-MRI parameters to delineate between cancerous and normal prostate tissues using 25 prostate patient cases available with the whole-mount histopathology. 

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A Transverse External RF Surface Coil for Prostate MR Imaging at 3T
Keith Hulsey1, Alexander Ivanishev1, Ivan Dimitrov2,3, and Robert E. Lenkinski1,2

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

MRI is playing an increasingly important role in the work up of prostate cancer. This increased demand for prostate imaging has caused a debate in the field regarding the necessity of an endo-rectal coil for these studies. While the endo-rectal coil has distinct advantages it also has some drawbacks in both work-flow and cost. Current external coils do not provide images at comparable SNR to endo-rectal coil images (at the same field strength). Here we describe our initial experience with a transverse external RF coil designed to be placed on the perineum for high quality images.

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3T Restriction Spectrum Imaging Association with Prostate Cancer Gleason Score, PI-RADS v2 Score and Tumor Diameter on Whole Mount 3D-Mold-Sectioned Histopathology
Pooria Khoshnoodi1, Sepideh Shakeri1, Ashkan Shademan1, Naznin Asvadi1, Leila Mostafavi1, Nathan White2, David S. Karow2, Daniel Margolis3, Anthony Sisk4, Robert Reiter5, and Steven Raman1

1Radiological Sciences, UCLA, Los Angeles, CA, United States, 2Radiological Sciences, UCSD, La Jolla, CA, United States, 3Radiology, Cornell University, New York, NY, United States, 4Pathology, UCLA, Los Angeles, CA, United States, 5Urology, UCLA, Los Angeles, CA, United States

Multiparametric MRI is becoming a crucial imaging for prostate cancers. A novel advanced, diffusion-based technique, restriction spectrum imaging (RSI) has been applied for prostate cancer imaging recently. In this work we will investigate the RSI performance in prostate cancer evaluation verified by post-surgery whole mount histopathology slides. 


Electronic Poster

Female Pelvis, Fetal & Placenta

Exhibition Hall Wednesday 13:45 - 14:45

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DECIDE: Diffusion-rElaxation Combined Imaging for Detailed Placental Evaluation
Andrew Melbourne1, Rosalind Pratt1,2, David Owen1, Magdalena Sokolska3, Alan Bainbridge3, David Atkinson4, Giles Kendall2, Jan Deprest5, Tom Vercauteren1, Anna David2, and Sebastien Ourselin1

1University College London, London, United Kingdom, 2Institute for Women's Health, University College Hospital, London, United Kingdom, 3Medical Physics, University College Hospital, London, United Kingdom, 4Centre for Medical Imaging, University College Hospital, London, United Kingdom, 5UZ Leuven

We propose a new multi-compartment model for the tissue signal in MRI and apply this to images of liver and placenta. Motivated by different flow characteristics in these organs, a three compartment model comprising fast and slowly circulating fluid pools and a tissue pool is fitted to overlapping multi-echo T2 relaxometry and an intra-voxel incoherent motion diffusion acquisition with low b-values. We compare and contrast parametric maps for regions of interest in liver and placenta.

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Perfusion MRI of the Placenta: Preliminary Results using ASL FAIR and Ferumoxytol DCE MRI in the Rhesus Macaque
Kai D. Ludwig1, Sean B. Fain1,2,3, Sydney Nguyen4, Thaddeus G. Golos4,5, Scott B. Reeder1,2,3,6,7, Ian M. Bird5, Oliver E. Wieben1,2, Dinesh M. Shah5, and Kevin M. Johnson1

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, Madison, WI, United States, 3Biomedical Engineering, University of Wisconsin - Madison, Madison, WI, United States, 4Comparative Biosciences, University of Wisconsin - Madison, Madison, WI, United States, 5Obstetrics and Gynecology, University of Wisconsin - Madison, Madison, WI, United States, 6Medicine, University of Wisconsin - Madison, Madison, WI, United States, 7Emergency Medicine, University of Wisconsin - Madison, Madison, WI, United States

Non-contrast enhanced methods are needed to quantify placental perfusion to detect and monitor pathophysiological changes during pregnancy. We evaluate the potential of an endogenous perfusion labeling perfusion technique, Arterial Spin Labeled Flow-sensitive Alternating Inversion Recovery (ASL FAIR), and compare with ferumoxytol dynamic contrast enhanced (DCE) MRI. Three pregnant rhesus macaque were imaged with both FAIR and ferumoxytol DCE. Localized regions of ASL perfusion were observed that coincided with regions of early contrast enhancement seen in DCE. Ferumoxytol DCE measured perfusion with extended transit times across the placenta beyond those typically used for ASL labeling.

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Evaluation of Placenta Motion throughout Gestation
Thomas Martin1,2, Dapeng Liu2, Teresa Chanlaw3, Sherin U. Devaskar3, Carla Janzen4, Tess Armstrong1,2, Yutaka Natsuaki5, Daniel Margolis2, Rinat Masamed2, Holden Wu1,2, and Kyunghyun Sung1,2

1Biomedical Physics, University of California, Los Angeles, Los Angeles, CA, United States, 2Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 3Department of Pediatrics, University of California, Los Angeles, Los Angeles, CA, United States, 4Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, CA, United States, 5Siemens Healthcare, Los Angeles, CA, United States

Proper placental function is essential for normal fetal development.  MRI can easily assess the growth and development of the placenta throughout gestation due to its capabilities in functional imaging.  However, uterine contractions, and fetal and maternal motion can lead to inaccuracies in the quantitative assessments. In this we assessed the impact of extraneous motion on placental imaging by using a 3D multi-echo golden angle radial sequence to generated dynamic images of the placenta.

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Differentiating metastatic from nonmetastatic lymph nodes by using monoexponential, biexponential, and stretched exponential diffusion-weighted imaging in cervical cancer patients
Qingxia Wu1, Dandan Zheng2, Ligang Shi3, Mingbo Liu4, Meiyun Wang1, and Dapeng Shi1

1Radiological Department, Henan Provincial People’s Hospital ( Zhengzhou University People’s Hospital ), Zhengzhou, People's Republic of China, 2MR Research China, GE Healthcare, Beijing, People's Republic of China, 3Pathological Department, Henan Provincial People’s Hospital ( Zhengzhou University People’s Hospital), Zhengzhou, People's Republic of China, 4Radiotherapeutical Department, Henan Provincial People’s Hospital ( Zhengzhou University People’s Hospital ), Zhengzhou, People's Republic of China

The aim of our study was to judge whether diffusion parameters derived from different models of multi-b value DWI could be used to discriminate metastatic from nonmetastatic pelvic lymph node (LN) status in patients with cervical cancer. A statistical significant difference in the mean D, f and α values between metastatic and nonmetastatic LNs, with metastatic LNs presenting with higher D values, lower f values and higher α values than nonmetastatic ones. This study revealed that metastatic LNs had their respective diffusion parameters compared with nonmetastatic LNs.

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Comparison of 18F-FDG PET/MRI and MRI alone for pretherapeutic tumor staging of patients with primary cancer of the uterine cervix.
Johannes Grueneisen1, Lino Morris Sawicki, Axel Wetter, Julian Kirchner, Michael Forsting, Verena Ruhlmann, and Lale Umutlu

1Diagnostic and Interventional Radiology, University Hospital Essen, Essen, Germany

This study demonstrates a successful attempt to utilize and evaluate the diagnostic potential of integrated PET/MRI for staging patients with primary cervical cancer. According to the results, 18F-FDG PET data do not seem to provide useful additional information to MRI for the determination of the local extent of the primary tumors. However, the present results show a better performance of simultaneously acquired 18F-FDG PET and MR datasets for the detection of nodal and distant metastases if compared to MRI alone. Therefore, integrated PET/MR imaging may provide valuable information for treatment planning and to predict prognosis.

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Full 3D high-resolution BOLD imaging of the human placenta with prospective navigation and 2D spatially selective excitation
Glen R. Morrell1, Matthias C. Schabel2, Robert M. Silver3, Christopher D. Kroenke2, and Antonio E. Frias2

1Radiology and Imaging Sciences, University of Utah, Cottonwood Heights, UT, United States, 2Oregon Health & Science University, 3Department of Obstetrics and Gynecology, University of Utah

Full 3D high-resolution human placenta BOLD imaging at 3T was performed with a free-breathing prospectively navigated sequence using 2D spatially selective excitation.  Advantages of this sequence over conventional multi-slice breath hold BOLD include increased SNR, no breath hold recovery periods leading to better time efficiency, and elimination of artifacts from respiratory and fetal motion.  T2* maps clearly show the cotyledon architecture of the human placenta.


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Non-invasive placental perfusion imaging in pregnancies complicated by fetal heart disease using velocity-selective arterial spin labeling
Zungho Zun1,2,3, Greg Zaharchuk4, Nickie Niforatos-Andescavage1,2, Samantha Bauer1, Mary T Donofrio2,3,5, and Catherine Limperopoulos1,2,3

1Division of Diagnostic Imaging and Radiology, Children’s National Medical Center, Washington, DC, United States, 2Division of Fetal and Transitional Medicine, Children’s National Medical Center, Washington, DC, United States, 3Departments of Radiology and Pediatrics, George Washington University, Washington, DC, United States, 4Department of Radiology, Stanford University, Stanford, CA, United States, 5Division of Cardiology, Children’s National Medical Center, Washington, DC, United States

Recent data have reported that placental dysfunction may be present in the setting of complex fetal congenital heart disease (CHD). We performed placental perfusion imaging using velocity-selective arterial spin labeling in pregnancies complicated by fetal CHD and healthy pregnancies. We demonstrated that global placental perfusion and regional variation of perfusion were significantly correlated with GA in pregnancies complicated by fetal CHD, but not in healthy controls. Our findings suggest that placental ASL may have the potential to serve as an early biomarker of placental dysfunction in fetal CHD.

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Measuring human placental blood flow with multi-delay 3D GRASE pseudo-continuous arterial spin labeling at 3 Tesla
Xingfeng Shao1, Dapeng Liu2, Thomas Martin2, Teresa Chanlaw3, Sherin U. Devaskar3, Carla Janzen4, Daniel Margolis2, Kyunghyun Sung2, and Danny JJ Wang1

1Laboratory of FMRI Technology (LOFT), Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, 2Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 3Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 4Department of Obstetrics and Gynecology, Division of Perinatology, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States

We presented a multi-delay pCASL combined with inner-volume GRASE imaging technique to measure placental blood flow (PBF) and arterial transit time (ATT) simultaneously, and report PBF and ATT evolution along different gestational ages during the second trimester. More blood flew through placenta with a slightly shorter transit time was seen with fetal development. Overall, PBF and ATT for the second trimester were 129.8±44.7 ml/min/100g and 786.8±174.1 ms respectively. 

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Pelvic Floor Structural Alterations of Primipara with Stress Urinary Incontinence After Vaginal Delivery:A MRI Study
yujiao zhao1, zhizheng zhuo2, and wen shen1

1Department of Radiology, Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Philips Healthcare, Beijing, China, beijing, People's Republic of China

Vaginal childbirth women have an increasing incidence of stress urinary incontinence(SUI). There are few studies on pathogenesis of SUI and the relationship between the SUI and pelvic floor structure changes. In this study, static and dynamic MRI imaging are performed to describe and assess pelvic floor structure changes in patients with stress urinary incontinence. The results showed that pelvic floor structures changed significantly in the primipara suffering from SUI after vaginal delivery, which suggest a series of pathological state.

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Characterization of the placental vascular tree using MRI: an ex-vivo study
Daphna Link1,2, Ariel Many3, Liat Ben Sira4, Shaul Harel1,5, and Dafna Ben Bashat1,2,6

1Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 2Functional Brain Center, The Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 3Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 4Division of Pediatric Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 5Pediatric Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 6Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel

Placental vascular dysfunction is a major cause of pregnancy complications, such as intrauterine growth restriction (IUGR). However, current knowledge on human placental vascular architecture is limited. In this study, for the first time, we characterized the structure of the placental vascular system ex-vivo, using MRI. Fifteen normal placentas and one with IUGR were studied using a novel method, and the vascular structure was analyzed with an automatic algorithm. Results provided information regarding: cord insertion location; branching pattern; branching generation; and daughter to mother diameters of normal placentas. Preliminary results from one IUGR placenta suggest significant differences from normal placentas.

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Safety of 3T MRI Scan for pregnant women: Effect of Maternal Size, Maternal Position and Twin Pregnancy
Esra Abaci Turk1, Filiz Yetisir2, Borjan Gagoski1, Bastien Guerin3,4, Natalie Copeland1, Lawrence Wald3,4,5, Elfar Adalsteinsson2,5, and P. Ellen Grant1

1Fetal-Neonatal Neuroimaging & Developmental Science Center, Boston Children's Hospital, Boston, MA, United States, 2Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 3Harvard Medical School, Boston, MA, United States, 4A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 5Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States

Possible temperature increase due to RF exposure during MRI scan of pregnant women can be critical for the fetus. In this study, we perform electromagnetic and temperature simulations using different pregnant women models with different postures. We assess the variability of in-utero RF induced heating in a 3T birdcage coil for different models generated by segmenting structural MR images. 

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4D Flow MRI in the Rhesus Macaque Fetus
Jacob Macdonald1, Philip Corrado1, Sydney Nguyen2, Kevin M Johnson1,3, Christopher J Francois3, Ian Bird2, Dinesh Shah4, Thaddeus G Golos2,4,5, and Oliver Wieben1,3

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Comparative Biosciences, University of Wisconsin - Madison, Madison, WI, United States, 3Radiology, University of Wisconsin - Madison, Madison, WI, United States, 4Obstetrics and Gynecology, University of Wisconsin - Madison, Madison, WI, United States, 5Wisconsin National Primate Research Center, University of Wisconsin - Madison, Madison, WI, United States

4D flow measurements were performed with PC-VIPR in rhesus macaque monkeys undergoing healthy pregnancies to determine the feasibility of flow measurements in the fetal vasculature and umbilical cord. Flow measures appeared to be viable for the larger fetal vessels (aorta and IVC), but more variable in smaller vessels with slower flow (umbilical vessels). Image quality improved for later gestational ages as a result of increased vessel area. 

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Ferumoxytol MRA in the Pregnant Rhesus Macaque
Jacob Macdonald1, Philip Corrado1, Sydney Nguyen2, Christopher J Francois3, Scott Reeder1,3,4,5,6, Ian Bird2, Dinesh Shah7, Thaddeus G Golos2,7,8, Oliver Wieben1,3, and Kevin M Johnson1,3

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Comparative Biosciences, University of Wisconsin - Madison, Madison, WI, United States, 3Radiology, University of Wisconsin - Madison, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin - Madison, Madison, WI, United States, 5Medicine, University of Wisconsin - Madison, Madison, WI, United States, 6Emergency Medicine, University of Wisconsin - Madison, Madison, WI, United States, 7Obstetrics and Gynecology, University of Wisconsin - Madison, Madison, WI, United States, 8Wisconsin National Primate Research Center, University of Wisconsin - Madison, Madison, WI, United States

Both maternal and fetal complications arise from poor vascular adaptation to pregnancy. Assessing utero-placental vessels with contrast-enhanced MR Angiography may be valuable, but Gadolinium based contrast agents commonly used for MR angiography are contraindicated during pregnancy. In this work, we tested the feasibility of ultrashort echo time contrast-enhanced angiography with Ferumoxytol in a small cohort of pregnant rhesus macaques. Ferumoxytol allowed for detailed visualization of utero-placental vessels without detectable uptake in fetal tissues. 

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Myometrial invasion in endometrial cancer: Comparison of reduced field-of-view diffusion-weighted imaging and dynamic contrast-enhanced magnetic resonance imaging
Mayumi Takeuchi1, Kenji Matsuzaki2, and Masafumi Harada1

1Department of Radiology, Tokushima University, Tokushima, Japan, 2Department of Radiological Technology, Tokushima Bunri University, Sanuki-city, Japan

The depth of myometrial invasion was evaluated in 25 patients with surgically proven endometrial cancer by T2WI, reduced field-of-view DWI (rFOV-DWI) and 3D dynamic contrast-enhanced MRI (DCE-MRI). The depth of myometrial invasion (stage S: <50% vs stage D: ≥50%) on MRI was correlated with surgical pathology results. The staging accuracy was 68% for T2WI, 92% for DCE-MRI, and 96% for rFOV-DWI. Combination of rFOV-DWI reading together with T2WI improved the assessment of myometrial invasion with a diagnostic accuracy of up to 100%. Especially, rFOV-DWI has an advantage in assessing the depth of myometrial invasion in cases with coexisting adenomyosis.

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Red degeneration of uterine leiomyoma: Clinical utility of susceptibility-weighted MR imaging
Mayumi Takeuchi1, Kenji Matsuzaki2, and Masafumi Harada1

1Department of Radiology, Tokushima University, Tokushima, Japan, 2Department of Radiological Technology, Tokushima Bunri University, Sanuki-city, Japan

Red degeneration of uterine leiomyoma (RDL) is hemorrhagic infarction caused by peripheral venous thrombosis. Peripheral high intensity rim on T1WI due to methemoglobin of blood products confined to thrombosed vessels is characteristic, however, it may not be observed at acute phase. We evaluated MR images including SWI of 17 RDL and 12 usual leiomyomas (UL). High intensity rim on T1WI, low intensity rim on T2WI and on SWI were observed in 47%, 47%, and 100% of RDL, whereas 0%, 8%, and 0% of UL, respectively. SWI may be helpful for the diagnosis of RDL in distinguishing from UL or sarcomas.

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Preliminary Experience Using Motion-Robust Dynamic MRI to Visualize Fetal Congenital Heart Disease: Comparison to Static MRI
Christopher W. Roy1,2, Mike Seed3,4, and Christopher K. Macgowan1,2

1Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Physiology and Experimental Medicine, Hospital for Sick Children, Toronto, ON, Canada, 3Pediatric Cardiology, Hospital for Sick Children, ON, Canada, 4Pediatric and Diagnostic Imaging, University of Toronto, Toronto, ON, Canada

Recent advances in cardiac MRI have enabled powerful new methods for assessing the fetal heart in utero. Using a novel reconstruction framework, combining methods for motion correction, retrospective gating, and accelerated imaging, motion-robust CINE images are reconstructed and compared to conventional static MRI of the fetal heart. Preliminary evaluation of fetal congenital heart disease with this technique is demonstrated in multi-slice axial acquisitions of four subjects.

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MR non-Gaussian diffusion model of female cervix: a diffusion kurtosis imaging study
Wenhui Guo1, Kuang Fu1, and Lizhi Xie2

1Department of MR, The Second Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China, 2GE Healthcare, MR Research China, BeiJing, People's Republic of China

To assess the fitted parameters of DKI in female cervix and to investigate their potential in distinguishing tumors from diverse healthy tissues. The presence of rich collagen and fibers in healthy cervix helps to differentiate itself from the heterogeneious and cell-rich malignancies. It is concluded that DKI can be performed as a feasible technique to depict the real phenomenon of non-Gaussian water diffusion behavior in female cervix.

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Histogram analysis of intravoxel incoherent motion parameters in assessing tumour diffusion and perfusion heterogeneity in cervical cancer before and after chemoradiotherapy
Jose Angelo Udal Perucho1, Elaine Yuen Phin Lee1, Wing Chi Lawrence Chan2, Nanjie Gong3, and Queenie Chan4

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Department  of  Health  Technology  and  Informatics, The Hong Kong Polytechnic University, Hong Kong, 3University of California, Berkeley, CA, United States, 4Philips 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 twenty-five patients with cervical cancer who had paired IVIM MRI examinations before and at week-4 of chemoradiotherapy treatment (CRT). We observed histogram skewness and kurtosis significantly decreased while mean and all percentiles significantly increased in apparent diffusion coefficient (ADC), true diffusion coefficient (D) and perfusion fraction (f) following treatment. Furthermore, these significant differences were not correlated with a change in primary tumour volume (PTV) following treatment.

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Radial segmented echo-planar readout for fast fetal angiography – feasibility test
Brijesh Kumar Yadav1,2, Uday Krishnamurthy1,2, Pavan Kumar Jella2, Edgar Hernandez-Andrade3,4, Swati Mody2, Feifei Qu2, Anabela Trifan2, Sonia S Hassan3,4, Roberto Romero4, Ewart Mark Haacke1,2, and Jaladhar Neelavalli2

1Department of Biomedical Engineering, Wayne State University, Detroit, MI, United States, 2Department of Radiology, Wayne State University, Detroit, MI, United States, 3Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, United States, 4Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, United States

A simulation study showing the potential benefit of a radial-trajectory based data acquisition technique named as "radial segmented echo-planar readout (radialSEPI)" for faster fetal angiography is presented. The results indicate that at echo train length of 2 and echo-spacing of 6.1 ms can provide good quality fetal/adult MRA reconstructions providing a potential factor 2 improvement in time. 

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Radial-SWI in Human Fetal Imaging
Brijesh Kumar Yadav1,2, Uday Krishnamurthy1,2, Pavan Kumar Jella2, Edgar Hernandez-Andrade3,4, Swati Mody2, Feifei Qu2, Anabela Trifan2, Sonia S Hassan3,4, Roberto Romero4, Ewart Mark Haacke1,2, and Jaladhar Neelavalli2

1Department of Biomedical Engineering, Wayne State University, Detroit, MI, United States, 2Department of Radiology, Wayne State University, Detroit, MI, United States, 3Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, United States, 4Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, United States

Radial-SWI in human fetal imaging is presented which includes: (a) determining the minimum number of radial projections necessary for fast measurement of intravascular phase in the blood vessels in human adult and fetus, without loss of accuracy; and (b) exploring the feasibility of fetal venography using radial-SWI. Results of this study illustrate that (a) in both fetal and adult imaging, accurate quantification of intravascular phase from the superior-sagittal-sinus is possible from radial SWI with just 161 projections, and (b) venograms in fetal brain were presented using radial-SWI.

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Accelerated HASTE-Based Fetal MRI with Low-Rank Modeling
Bo Zhao1,2, Borjan Gagoski2,3, Elfar Adalsteinsson 4, P. Ellen Grant2,3, and Lawrence L. Wald1,2

1Martinos Center for Biomedical Imaging, Chalestown, MA, United States, 2Department of Radiology, Harvard Medical School, Boston, MA, United States, 3Boston Children's Hospital, Boston, MA, United States, 4Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States

HAlf-fourier Single-shot Turbo spin Echo (HASTE) sequence is one of the most common acquisitions in fetal MRI due to its T2 contrast and relative robustness to fetal motion. In this work, we present a low-rank model-based imaging method to accelerate HASTE acquisitions. The proposed method is fully compatible with the k-space sampling strategy implemented by vendor-provided pulse sequences, and provides improved image quality and/or noise robustness compared to the conventional half-Fourier and GRAPPA reconstruction, and compressive sensing reconstruction.    

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Pseudo-fat in the fetal liver with two-point Dixon water-fat separation
Stephanie A Giza1, Barbra de Vrijer2,3, and Charles A McKenzie1,3

1Medical Biophysics, The University of Western Ontario, London, ON, Canada, 2Obstetrics and Gynaecology, The University of Western Ontario, London, ON, Canada, 3Division of Maternal, Fetal and Newborn Health, Children's Health Research Institute, London, ON, Canada

2-point Dixon water-fat imaging is a widely available sequence that can be used to generate fat images.  Increased fat was seen in the livers of a 35+4 week anencephalic fetus and a 37 week normal fetus on 2-point Dixon images, but not with IDEAL water-fat imaging. When applied to the fetus late in gestation, caution should be taken as a shortened fetal liver T2* may appear as false liver fat. IDEAL water-fat imaging corrects for changes in T2* and is a more appropriate sequence for fetal water-fat separated imaging in the third trimester.

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Application of Texture Analysis to Apparent Diffusion Coefficient Images of the Normal Human Placenta
Quyen N. Do1, Matthew A. Lewis1, Ananth J. Madhuranthakam1,2, Yin Xi1,3, April Bailey1,4, and Diane Twickler1,4

1Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Department of Clinical Science, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Obstetrics & Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, United States

The human placenta is a complex structure with unique capabilities. It has a 40-week average life span, during which it facilitates the exchange between the maternal and fetal cardiovascular systems. There is little known about the development and maturation of the placenta throughout the gestational period during normal pregnancy.   It is however recognized that the placenta appears more heterogeneous on various imaging modalities as the pregnancy progresses. In this work, we propose to characterize the placenta heterogeneity as a function of gestational age through the application of grey-scale texture analysis to ADC maps using a large retrospective MRI database.

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Potential of parallel transmission for fetal imaging in reducing SAR and mitigating flip angle inhomogeneities: a simulation study at 3T
Filiz Yetisir1, Esra Abaci Turk2, Bastien Guerin3,4, Ellen Patricia Grant2, Lawrence L. Wald3,4,5, and Elfar Adalsteinsson1,5,6

1Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Fetal-Neonatal Neuroimaging & Developmental Science Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States, 3Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 4Department of Radiology, Harvard Medical School, Boston, MA, United States, 5Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 6Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, United States

In this work we evaluate the potential benefits of parallel transmission for fetal imaging in reducing local SAR and mitigating flip angle inhomogeneities. Our results show that compared to single channel transmission, using 2 channel parallel transmission with a 2 port birdcage coil, local SAR can be reduced by a factor of up to 5 and flip angle inhomogeneity can be mitigated by up to 66% for realistically long RF pulses. 


Electronic Poster

Body: Emerging Techniques

Exhibition Hall Wednesday 13:45 - 14:45

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Comparing the invasive depth of esophageal carcinoma in 3.0 T ex vivo T2-mapping MR imaging with histopathological findings
Dandan Zheng1, Yi Wei2, and Shaocheng Zhu2

1MR Research China, GE Healthcare, Beijing, People's Republic of China, 2Radiology, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China

Esophageal carcinoma is the eighth most common cancer worldwide with a rising incidence.  It has been demonstrated that the normal esophageal wall can be depicted as eight layers in T2 weighted MRI , however only qualitative assessment has been made so far. In this work, an ex vivo experiment was conducted on 3.0T clinical scanner to prospectively establish the quantitative T2 value as a means of depicting the normal esophageal wall by T2-mapping and evaluate the depth of the carcinoma invasion using histopathological as a reference. 

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Whole body functional and anatomical MRI: Accuracy in staging of Childhood and Adolescent Hodgkin’s Lymphoma compared to conventional multimodality imaging
Arash Latifoltojar1, Shonit Punwani1, Paul Humphries1, Leon Menezes2, Deena Neriman2, Stephen Daw2, Ananth Shankar2, Bilyana Popova1, Paul Smith1, Ka Man Condne1, Andre Lopes1, and Stuart Taylor1

1University College London, London, United Kingdom, 2University College London Hospital, London, United Kingdom

Current gold standard imaging for assessment of paediatric Hodgkin's lymphoma is PET-CT. Anatomical and functional whole-body MRI (WB-MRI) provides an alternative/adjunct radiation free imaging technique.

The aim of this prospective single centre study is to investigate the diagnostic accuracy of WB-MRI against reference standard imaging for staging of paediatric Hodgkin's lymphoma.


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A Novel Retrospective Sorting Strategy Utilizing both Respiratory Profile and Internal Surrogate Position for Generating Free-Breathing Abdominal 4D-MRI
Yihang Zhou1, Oi Lei Wong1, Jing Yuan1, George Chiu2, Kin Yin Cheung1, and Siu Ki Yu1

1Medical Physics and Research Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong, 2Department of Radiotherapy, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong

Four-dimensional (4D) image are widely used to capture the respiration-induced motion of the abdominal organs in free-breathing radiotherapy. However, due to the breathing variability, appropriate assignment of images to each phase is critical in revealing the motion of anatomy structures. In this study, we proposed a novel approach to develop high-quality retrospective 4D-MRI. Instead of sorting images only based on their respiratory phases, the proposed strategy sorted the images using both the respiratory phases and the internal surrogate positions. The proposed strategy was tested using in-vivo human abdominal images.

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Complex Chemical Shift-Encoded MRI to Estimate Fat in Livers with Elevated Iron Content
Sarah Eskreis-Winkler1,2, Simone Krebs1, Alessandra Borgheresi1, Davinia Ryan1, Scott Reeder3, and Lorenzo Mannelli1

1Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2New York Presbyterian Hospital/Weill Cornell Medicine, New York, NY, United States, 3University of Wisconsin

In patients with elevated liver iron, in-and-out-of-phase and IDEAL-IQ methods yield very different proton density fat fractions. In these patients, IDEAL-IQ could potentially serve as a more sensitive marker of hepatic steatosis than in-and-out-of-phase imaging, although larger studies are needed to confirm these findings. Irrespective of liver fat and liver iron content, conventional and IDEAL-IQ R2* values are highly correlated.  


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Amplitude-probability sorting for single-pass, retrospective 4D-MRI using 2D bSSFP MRI with interleaved cylindrical navigators
Erik Tryggestad1, Ersin Bayram2, Yanle Hu3, Daniel Litwiller4, Dan Rettmann2, Matthew Walb1, Darin White5, and Kiaran McGee5

1Radiation Oncology, Mayo Clinic, Rochester, MN, United States, 2GE Healthcare, Waukesha, WI, United States, 3Radiation Oncology, Mayo Clinic, Phoenix, AZ, United States, 4GE Healthcare, New York, NY, United States, 5Radiology, Mayo Clinic, Rochester, MN, United States

With MRI being increasingly incorporated in the radiotherapy workflow, the multidisciplinary community has a strong interest in developing “4D-MRI” techniques for both offline (tumor motion characterization for treatment planning) and online (tumor motion tracking) applications. In a cohort of 10 volunteers, the present study applied 2D (coronal) bSSFP with interleaved cylindrical navigators monitoring the liver dome to retrospectively derive 4D-MRI comparing two sorting methods, namely phase and amplitude-probability. Amplitude-probability binning was shown, both qualitatively and quantitatively, to reduce “volume inconsistencies” caused by variable breathing.

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3D MSVAT-SPACE-STIR or 2D SEMAC-STIR for high resolution dental MRI?
Tim Hilgenfeld1, Marcel Prager2, Alexander Heil2, Daniel Gareis3, Mathias Nittka4, David Grodzki4, Martin Bendszus2, and Sabine Heiland2

1Heidelberg University, Heidelberg, Germany, 2Heidelberg University, 3NORAS MRI products GmbH, 4Siemens Healthcare GmbH

Dental MRI is a new and promising diagnostic tool. Unfortunately, in presence of implants image quality is impaired by failure of fat suppression and susceptibility artifacts. Here, we for the first time systematically evaluated fat saturated MR sequences for artifact reduction for dental MRI. Smallest artifact volume was noted for SEMAC-STIR and TSE-STIR sequences. But, higher and isotropic resolution was only achieved with MSVAT-SPACE-STIR sequence. No artifact reduction was measured for SEMAC-STIR compared to standard TSE-STIR. In contrast, MSVAT-SPACE-STIR reduced artifacts up to 70% compared to standard SPACE-STIR. Since imaging of dental structures benefit from isotropic high resolution MSVAT-SPACE-STIR is advantageous.

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SAR-Constrained kT-Points Pulse Design Applied to B1 Inhomogeneity Mitigation in the Human Abdomen at 3T
Raphaël Tomi-Tricot1, Vincent Gras1, Franck Mauconduit2, Nicolas Boulant1, Pierre Zerbib3, Alain Rahmouni3, Alexandre Vignaud1, Alain Luciani3, and Alexis Amadon1

1CEA-DRF-I2BM-NeuroSpin-UNIRS, Gif-sur-Yvette, France, 2Siemens Healthineers France, Saint-Denis, France, 3Department of Radiology, AP-HP, CHU Henri Mondor, Créteil, France

High field MRI systems offer better performance in terms of signal-to-noise ratio but are burdened with dielectric resonance artefacts inducing zones of weak excitation with major consequences on Signal and Contrast to Noise Ratios. In this work, the interest of subject-tailored kT-points pulse design with joint SAR control over current patient-specific RF-shimming technique is investigated, in the context of human liver imaging at 3T. T1w acquisitions are performed in-vivo to compare quadrature, tailored RF-shimming, and kT-points pulses. The interest of kT-points is clearly demonstrated in terms of signal, contrast and diagnostic power. 

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Compressed Sensing Black Blood SPACE for Abdominal Aortic Aneurysmal Vessel Wall Imaging
Sinyeob Ahn1, Chengcheng Zhu2, Esther Raithel3, Christoph Forman3, Gerhard Laub1, and David Saloner4

1Siemens Healthcare, San Francisco, CA, United States, 2Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 3Siemens Healthcare, Erlangen, Germany, 4UCSF, San Francisco, CA, United States

Abdominal aortic vessel wall imaging has been interested and used for studying pathological vasculature. In this study, compressed sensing (CS) 3D SPACE DANTE technique is proposed for imaging abdominal aortic aneurysm (AAA) vessel wall to accelerate imaging acquisition. Its scan/reconstruction parameters were optimized on normal volunteers then, used for patient scan. DANTE provided sufficiently dark blood signal at a large vessel like the aorta, which is essential to delineate the vessel wall. CS SPACE DANTE provided comparable image quality and vessel wall-lumen signal contrast as compared to non-accelerated SPACE DANTE technique.

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Quantitative comparison of time-SLIP and Triple Inversion Recovery (TIR) non-contrast enhanced MRI for renal angiography
Suzanne Franklin1, Torben Schneider2, Marcelo E Andia3, Markus Henningsson4, and Rene M Botnar4

1Eindhoven University of Technology, Eindhoven, Netherlands, 2Philips Healthcare, Guildford, United Kingdom, 3Pontificia Universidad Católica de Chile, Escuela de Ingeniería, Santiago, Chile, 4King’s College London, Division of Imaging Sciences, and Biomedical Engineering, St. Thomas' Hospital, London, United Kingdom

Renal artery stenosis (RAS) has been associated  with hypertension, chronic kidney disease and an increased  risk of vascular events. This study quantitatively  compares two non-contrast enhanced magnetic resonance angiography (NC-MRA) techniques for renal angiography, based on SNR, CNR, vessel sharpness and number of renal branches. TIR has shown promising results in suppressing background signal and provided overall better image quality than outflow time-SLIP. TIR has the advantage over time-SLIP that tissues can be nulled over a wide range of T1 -values. To further shorten scan time the TIR technique could be combined with more advanced image based motion correction techniques.

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Comparison of diffusion imaging microstructure models of the human placenta at 3T
Paddy J. Slator1, Jana Hutter2,3, Laura McCabe2, Ana Dos Santos Gomes2, Anthony N. Price2,3, Mary A. Rutherford2, Joseph V. Hajnal2,3, and Daniel C. Alexander1

1Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom, 2Centre for the Developing Brain, King's College London, London, United Kingdom, 3Biomedical Engineering Department, Division of Imaging Sciences, King's College London, London, United Kingdom

Developmental abnormalities in placental vascular formation are associated with major complications of pregnancy, such as fetal growth restriction and early onset pre-eclampsia. Multi-shell diffusion MRI at 3T has been shown to be capable of capturing fine microstructural information in a wide variety of organs and disease states, and could prove valuable for studying the human placenta in-vivo. We develop a rich scanning protocol, and use the data to investigate the complexity of models supported­­ by the placental diffusion MRI signal. We demonstrate the feasibility of using this non-invasive approach to quantify microstructure in the human placenta and surrounding tissue.

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Quantitative Assessment of Markers of Oxidative Stress in Mice Model of Renal Artery Stenosis
Behzad Ebrahimi1,2, Alvin Ihsani2, Arkadiusz Sitek2, Slobodan I Macura3, and Lilach O Lerman1

1Nephrology, Mayo Clinic, Rochester, MN, United States, 2Radiology, Harvard/MGH, Boston, MA, United States, 3Biochemistry and Molecular Biology, Mayo Clinic

Inability of cells to detoxify reactive oxidative species (ROS) is responsible for numerous degenerative pathological conditions. Currently there is no clinical method to assess reduction-oxidation (redox) state in vivo. In this study, using a cyclic nitroxide T1 MR probe with unique characteristics, we propose a two-tissue compartment model which provides quantitative information of markers of oxidative stress. Results demonstrated the feasibility of redox status assessment in vitro and in vivo in the stenotic mouse kidney. In the stenotic kidney, our method indicated increased renal ROS production, accompanied by preserved ability to detoxify ROS compared to the contralateral kidney.

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Quantitative BOLD MRI and T1 Mapping in Acute Kidney Injury Patients: A preliminary study
Yingjie Mei1,2, Xiang Xiao3, Zihan Lei4, Jie Feng3, Yuankui Wu3, Ruiying Chen3, Qiangqiang Gang3, Min Liang4, Yikai Xu3, and Yanqiu Feng1

1School of Biomedical Engineering, Guangdong Provincial Key Laborary of Medical Image Processing, Southern Medical University, Guangzhou, People's Republic of China, 2Philips Healthcare, Guangzhou, People's Republic of China, 3Medical Imaging Center, Nanfang Hospital of Southern Medical University, Guangzhou, People's Republic of China, 4Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China

Hypoperfusion and hypoxia are thought to be important factors in the pathogenesis of AKI and in the progression from AKI to chronic kidney disease. Previous studies have demonstrated the correlation between MR relaxation time (T1 and T2*) and tissue oxygenation. The result of this preliminary study suggests BOLD and T1 mapping are potential to diagnose AKI at early stage and predict the progression of AKI non-invasively.

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Fast, Motion-Robust T1-weighted Body Imaging with Single-Shot Fast Spin Echo via Centric Partial Fourier Encoding and Variable Refocusing Flip Angle
Daniel V Litwiller1, Valentina Taviani2, Lloyd Estkowski2, and Ersin Bayram3

1Global MR Applications & Workflow, GE Healthcare, New York, NY, United States, 2Global MR Applications & Workflow, GE Healthcare, Menlo Park, CA, United States, 3Global MR Applications & Workflow, GE Healthcare, Houston, TX, United States

Here we present a single-shot fast spin echo sequence optimized for fast, motion-robust T1-weighted body imaging through the use of inversion recovery preparation, and the introduction of variable refocusing flip angle configured for centric, partial Fourier encoding.

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Automated scan prescription for an oblique plane through the aortic arch for bolus tracking in DCE-MRI
Takao Goto1, Miki Araki1, and Kenji Asano1

1MR Engineering, GE Healthcare, Hino-shi, Japan

Accurate placement of a 2D plane across the aorta arch while examining scout images is a complex task that makes the operator’s workflow difficult when bolus tracking in DCE-MRI. We present a novel method for automated scan prescription for an oblique plane delineating the entire aortic arch used to monitor bolus arrival. The oblique plane was prescribed automatically by selecting the optimal oblique angle using regression forests. A dataset with 31 volunteers was tested, and all cases depicted the cross section of the aortic arch clearly. This automation will assist the operator and decrease the total examination time.

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The direct and indirect findings of pulmonary embolism found on contrast enhanced pulmonary Magnetic Resonance Angiography exams: A   pictorial essay approach for the imager based on the real world findings found in over 600 patients
Mark Schiebler1, Donald Benson1, Christopher Francois1, and Scott Nagle1

1Radiology, UW Madison School of Medicine and Public Health, Madison, WI, United States

           The use of contrast enhanced pulmonary magnetic resonance angiography (CE-MRA) is being used as a primary modality for the diagnosis of pulmonary embolism (PE) at our institution. We have found both direct and indirect findings of PE on CE-MRA images. It is of critical importance to have a thorough understanding of the pitfalls in the diagnosis of PE using this modality. This pictorial essay will help to educate imaging physicians about these pitfalls and the associated indirect findings that can point to the presence of this important disease.

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The role of Multiparametric prostate MRI in the detection, biopsy, and staging of prostate cancer.
Mathew Cherny1 and Robert Villani1

1Radiology, Northwell Health, Manhasset, NY, United States

Prostate cancer is the second cause of cancer related death in men. Historically, screening has consisted of serum PSA, digital rectal exams, and random US guided transrectal biopsy. Compared to older methods, mp-MRI is superior for the detection and staging of prostate cancer due to its improved visualization and lesion characterization. The PI-RADS classification system is a schema developed concordantly with mp-MRI in order to better characterize the clinical significance of imaging findings. Increasingly, mp-MRI is taking a central role in detection, staging and biopsy of prostate neoplasm. In the future it may emerge as a primary screening tool.

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Can Thoracic MRI Add Value to Your Practice?
Chi Wan Koo1, Darin B White1, and Geoffrey B Johnson1

1Radiology, Mayo Clinic, Rochester, MN, United States

After reviewing state-of-the art clinical applications of thoracic MRI, reader will become cognizant of potentials and limitations of thoracic MRI and be the judge of whether thoracic MRI can add value to clinical practice. 

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Magnetic Resonance Imaging Features of Immunoglobulin G4 Related Kidney Disease
Qiang Huang1, Jinpeng Liu1, Feng Chen1, Wenjie Liang1, and Wenbo Xiao1

1Radiology, The Fisrt Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China

Immunoglobulin G4 related disease (IgG4-RD) is a recently recognized distinct disease entity that can affect many organs/tissues. The kidney is a frequently involved organ with tubulointerstitial nephritis (TIN), and the renal lesions are collectively referred to as IgG4-related kidney disease (IgG4-RKD). Although definitive diagnosis requires histopathologic analysis, imaging plays a crucial role in demonstrating the involved organs/tissues. We retrospectively reviewed the magnetic resonance (MR) imaging findings of 13 patients diagnosed as IgG4-RKD. Various features were assessed, including renal size, margin between cortex and medulla, signal intensity on T1, T2 and diffusion weighted MR images, contrast enhancement, collecting system and/or renal fascia changes. MR imaging features, such as morphology changes, signal intensity abnormality especially on DWI, collecting system and/or renal fascia involvement enables the diagnosis of IgG4-RKD.

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A Review of the Magnetic Resonance Findings in Abnormal Placental Implantation.
Caron Parsons1,2 and Charles Hutchinson1

1Population, Evidence & Technologies, University of Warwick, Coventry, United Kingdom, 2Department of Radiology, University Hospital Coventry Warwickshire, Coventry, United Kingdom

This presentation will cover the normal anatomy, variants and physiology of the human placenta, as well as magnetic resonance imaging techniques for the evaluation of the placenta, and the spectrum of magnetic resonance findings in abnormal placental implantation. The implications for the mother and foetus will be discussed.

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MRI of Non-obstetric Acute Pelvic Pain in Pregnant Patients
Francisco Lazaga1, Laura Miller2, and Yogesh kumar1

1Radiology, Yale New Haven Health Bridgeport Hospital, Bridgeport, CT, United States, 2Yale New Haven Health Bridgeport Hosptial, Bridgeport, CT, United States

Acute abdominopelvic pain is a common concern during pregnancy. The differential diagnosis for pelvic pain is extensive and includes multiple non-obstetric etiologies. MRI is effective in evaluating pregnant patients with acute abdominopelvic pain.  

MRI provides a complete cross-sectional evaluation of the abdomen and pelvis without radiation exposure or the need for intravenous contrast.  MRI can help with the diagnosis in pregnant women with acute pelvic pain expediting treatment, especially when ultrasound results are indeterminate.  MRI can also prevent unnecessary surgical exploration which carries a high risk to the pregnancy secondary to preterm uterine contractions.       

We provide a list and MR imaging examples of differential diagnoses of acute non-obstetric pelvic pain in pregnancy.


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Quantitative Susceptibility Mapping to Characterise Hepatic Hyperoxia in Mice
Eoin Finnerty1, Rajiv Ramasawmy1, James O'Callaghan1, John Connell1, Karin Shmueli2, David L Thomas3, and Simon Walker-Samuel1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 2Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 3Institute of Neurology, University College London, United Kingdom

Information gleaned from Hepatic Venous Oxygen Saturation (ShvO2) can be beneficial in the post-operative care of those who have undergone a partial hepatectomy. Previously this has been performed invasively. We hypothesise that Quantitative Susceptibility Mapping (QSM) can do so non-invasively. The ShvO2 of a healthy cohort of mice was manipulated with a hyperoxic gas challenge. Susceptibility was measured under normoxic and hyperoxic conditions, and ShvO2 was calculated from the measurements. Significant differences were measured in susceptibility and ShvO2 in response to the gas challenge. We conclude that QSM can non-invasively measure changes in ShvO2 in the pre-clinical liver in-vivo.

4845
Computer 94
A novel portable perfusion phantom for quantitative DCE-MRI of the abdomen
Harrison Kim1, Mina Mousa, Patrick Schexnailder, Mark Bolding, Robert Hergenrother, Vinoy Thomas, and Desiree Morgan

1University of Alabama at Birmingham, Birmingham, AL, United States

We developed a perfusion phantom that reduced variability in quantifying perfusion parameters of human abdominal tissues across different MR units.  The phantom is compact enough to be imaged with the human subject and large enough to not suffer from partial volume effect, thus MR system calibration can be implemented simultaneously with patient imaging.  Since it is composed of inexpensive materials, the phantom can be constructed as a disposable device.  It is simple to use, so clinical MRI technologists should be able to operate it routinely.  This phantom has the potential to facilitate multi-institutional clinical trials employing quantitative DCE-MRI to evaluate various abdominal malignancies. 

4846
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Semiautomatic determination of arterial input function in breath-hold DCE-MRI of the abdomen
Harrison Kim1 and Desiree Morgan2

1University of Alabama at Birmingham, Birmingham, AL, United States, 2University of Alabama at Birmingham

We developed a semiautomatic technique to determine the arterial input function (AIF) in breath-hold DCE-MRI of the abdomen.  The error in AIF was significantly reduced by tracking the motion of aorta.  Also, we confirmed that the semiautomatic segmentation of the aortic region can reduce error in AIF induced by manual segmentation up to 15%. 

4847
Computer 96
Hepatocellular carcinoma (HCC) screening with contrast-enhanced liver MRI: View-sharing artifact reduction with retrospective compressed sensing reconstruction
Paul Benjamin Stoddard1, Evan Levine2, Stephanie T. Chang3, Qiong Song1, Michael C. Muelly1, Brian A. Hargreaves2, Shreyas S. Vasanawala1, and Andreas M. Loening1

1Radiology, Stanford University, Stanford, CA, United States, 2Electrical Engineering and Radiology, Stanford University, Stanford, CA, United States, 3Radiology, Veteran Affairs Palo Alto Health Care System

Hepatocellular carcinoma (HCC) screening is a common indication for contrast-enhanced liver MRI. Dynamic contrast-enhanced (DCE) acquisitions often utilize view-sharing (VS) to optimize spatiotemporal resolution, but MRI can often be degraded by respiratory motion. VS introduces temporal blurring of high spatial frequencies that propagate coherent motion artifacts across phases. Compressed sensing (CS) can reduce the need for VS by recovering missing k-space data from pseudo-random undersampling, thus potentially reducing temporal blurring while maintaining spatial resolution. CS results in greatly reduced ghosting artifacts despite a more synthetic appearance.


Electronic Poster

Body: Animal Studies

Exhibition Hall Wednesday 13:45 - 14:45

4848
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Assessing placenta injury with anatomical and IVIM-diffusion MRI in a mouse model of intrauterine inflammation
Dan Wu1, Jun Lei2, Solange Eloundou2, and Irina Burd2

1Radiology, Johns Hopkins University School of Medicine, BALTIMORE, MD, United States, 2Gynecology and Obstetrics, Johns Hopkins University School of Medicine, BALTIMORE, MD, United States

In this study, we investigated the placenta anatomy and function in a mouse model of intrauterine inflammation, using T2-weighted MRI and introvoxel incoherent motion (IVIM) MRI to measure placental perfusion. The high-resolution T2-weighted images demonstrated altered placenta anatomy in response to the acute inflammatory injury, which agreed with the histological measurements. IVIM of the mouse placenta was acquired with diffusion-weighted echo-planar imaging in a reduced field-of-view. The pseudo-diffusion fraction (f) and coefficient (D*) fitted from IVIM model indicated reduced perfusion volume (f) and velocity (f·D*) in the injured placentas compared to the shams.

4849
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Water diffusion MRI as a biomarker of fetal lung development
Xuefeng Cao1,2, Xiaojie Wang3, Jinbang Guo1,4, Nara S. Higano1,4, Susan E. Wert5, Christopher D. Kroenke3, and Jason C. Woods1,2,4,6

1Center for Pulmonary Imaging Research, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States, 2Department of Physics, University of Cincinnati, Cincinnati, OH, United States, 3Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 4Department of Physics, Washington University in St. Louis, St. Louis, MO, United States, 5Pulmonary Biology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States, 6Department of Radiology, CCHMC, Cincinnati, OH, United States

In the developing fetal lung of both humans and rhesus macaques, the amount of interstitial tissue decreases during the transition from the canalicular to saccular stage. We hypothesize that this change corresponds to a decrease in restricted 1H diffusion in fetal lungs. 17 rhesus fetal lungs (in-vivo and ex-vivo) were imaged at gestation days 83-85, 110, and 133-135 with diffusion-weighted MRI. The apparent diffusion coefficients (ADCs, normalized by free-diffusion) significantly increased with gestational age for both in-vivo and ex-vivo experiments. These results demonstrate that ADC in the fetal lung can be used as a biomarker for the degree of alveolarization.

4850
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Magnetic Resonance Spectroscopy of the Testis under Ischemic Condition
Masayuki Yamaguchi1, Hidehiro Watanabe2, Nobuhiro Takaya2, Fumiyuki Mitsumori2, and Hirofumi Fujii1

1Division of Functional Imaging, National Cancer Center, Kashiwa, Japan, 2National Institute for Environmental Studies, Tsukuba, Japan

Testicular ischemia is an acute disorder, which requires an accurate diagnosis whether the testis function is reversible or irreversible at the time of presentation; however, diagnostic test that predicts the functional reversibility of the ischemic testis has yet been established. This paper reports temporal metabolite changes for up to 24 hours after the onset of experimental testicular ischemia by using a 9.4-tesla magnetic resonance spectroscopy. We found the reduction in creatine levels in the testis under prolonged ischemic condition; hence, the alteration in creatine levels could be a possible metabolite marker that indicates the functional reversibility of the ischemic testis.

4851
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Imaging Seminiferous Tubules in a Mouse Model at 9.4 T – Feasibility for In Vivo Fertility Research
Mari Herigstad1, Sofia Granados Aparici2, Rachel Rodham3, Allan Pacey2, Martyn Paley1, and Steven Reynolds1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 2Department of Oncology and Metabolism, University of Sheffield, Sheffield, United Kingdom, 3Biological Services Unit, University of Sheffield, Sheffield, United Kingdom

Damage to gonads, including the seminiferous tubules or epididymis, can diminish male fertility. Fertility research often employs mouse models, yet biopsy procedures may sometimes be incompatible with longitudinal studies. A viable non-invasive alternative may be MR. We scanned 8 mice at 9.4T, showing that internal testicular structure can be clearly observed, accurate measurements of seminiferous tubules (volume, diameter) obtained, extra-testicular tissues (e.g. epididymis) identified and spectroscopy peaks spatially localized across different tissues. This indicates that MRI/MRS could be useful in mouse models of fertility and possibly extended to human fertility studies in the future. 

4852
Computer 101
MR- and optical-based multimodal and multiscale protocol for mice colorectal diseases diagnosis
Hugo Dorez1, Raphaël Sablong1, Hélène Ratiney1, Laurence Canaple2, Hervé Saint-Jalmes3, Sophie Gaillard1, Driffa Moussata1,4, and Olivier Beuf1

1Univ Lyon, INSA‐Lyon, Université Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, Lyon, France, 2Institut de Génomique Fonctionnelle de Lyon, Université de Lyon 1, UMR 5242 CNRS, Ecole Normale Supérieure de Lyon, Lyon, France, 3LTSI; INSERM U642; Université Rennes 1, Rennes, France, 4Hôpital Régional Universitaire de Tours - Service hépato-gastroentérologie, Tours, France

A multimodal and multiscale protocol was defined for the diagnosis of mice colorectal diseases. Based on endoluminal MRI, using dedicated endorectal coils, and optical modalities the protocol was assessed on a mouse model of colorectal cancer for a six-month period. Optical modalities were used for microscopic characterization of the surface of the colon wall where endoluminal MRI was used for in-depth macroscopic characterization and staging of lesions from inflammation to cancer. The protocol was then used to support in vivo MRS signal analysis that was used to assess the biochemical content of various anatomical structures (colon wall, visceral fat…).

4853
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Arterial Spin Labeling imaging of kidney after administration of 2 types of iodinated contrast medium: a time course study in CIN animal models
Kai Zhao1, Xueqing Sui1, Rui Wang1, Zhiyong Lin1, Xiaodong Zhang1, Jian Luo1, and Xiaoying Wang1

1Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

ASL imaging is a preeminent noninvasive method to quantify renal blood flow, which may be helpful to understand the pathogenesis of CIN. Our time course study indicates that the iodinated contrast medium can reduce the blood flow in the different zones of kidney. And some differences do exist on the renal blood flow after the two kinds of iodinated CM administration.

4854
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BOLD imaging of kidney after administration of 2 types of iodinated contrast medium: a time course study in CIN animal models
Kai Zhao1, Xueqing Sui1, Rui Wang1, Zhiyong Lin1, Xiaodong Zhang1, Jian Luo1, and Xiaoying Wang1

1Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

BOLD is a preeminent noninvasive method to quantify renal function, which may be helpful to understand the pathogenesis of CIN. Our time course study indicates that the iodinated contrast medium can induce some affect to the different zone of kidneys. And some differences do exist on the renal oxygen consumption after the two kinds of iodinated CM administration.

4855
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Oxygen Extraction Fraction imaging of kidney after administration of 2 types of iodinated contrast medium: a time course study in CIN animal models
Kai Zhao1, Xueqing Sui1, Rui Wang1, Zhiyong Lin1, Xiaodong Zhang1, Jian Luo1, and Xiaoying Wang1

1Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

MEGSE imaging is a preeminent noninvasive method to quantify renal oxygen extraction fraction, which may be helpful to understand the pathogenesis of CIN. Our time course study indicates that the iodinated contrast medium can inrease the OEF in different zones of kidney. And some differences do exist on the renal Oxygen Extraction Fraction (OEF) after the two kinds of iodinated CM administration.

4856
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Comparison of Renal Blood Flow Measurements obtained using ASL-MRI and CT Perfusion
Vanessa L. Landes1, Christopher M. Ferguson2, Hung P. Do1, John R. Woollard2, James D. Krier2, Lilach O. Lerman2, and Krishna S. Nayak1

1University of Southern California, Los Angeles, CA, United States, 2Mayo Clinic, Rochester, MN, United States

Computed tomography perfusion (CTP) is a validated method for assessment of single-kidney renal blood flow (RBF), but is limited by the use of exogenous contrast (i.e. iodine) injection and ionizing radiation. Arterial Spin Labeling (ASL)-MRI is an emerging technique that quantitatively measures RBF without any contrast agents or ionizing radiation. We compared renal perfusion (RBF/gram tissue) obtained using CTP and ASL-MRI in the left and right cortex and medulla of the same pigs (n=6), and observed a linear fit of ASL-MRI = 0.24*CTP+0.42 ml/ml/min with correlation r2=0.71. 

4857
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Intravoxel Incoherent Motion MR Study of Rabbit Liver Fibrosis Model
Lisui Zhou1, Guangnan Quan2, and Xiaocheng Wei2

1Department of Radiology, Affiliated hospital of Chengdu University, Chengdu, People's Republic of China, 2GE Research China, GE Healthcare, Beijing, People's Republic of China

Staging of liver fibrosis is of great clinical value, because early stage fibrosis is reversible under proper treatment. Liver biopsy, which is currently the golden standard for fibrosis staging, has many limitations. In this study, we evaluated non-invasive IVIM diffusion imaging technique on rabbit liver fibrosis models. As a result, IVIM parameters show significant difference between normal, early and advanced fibrosis liver models. Our study suggests that IVIM parameters have potential to become the biomarker for liver fibrosis staging.

4858
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Assessment of unilateral renal infarction with VTE-ASL in comparison with DCE-MRI
Hanjing Kong1, Chengyan Wang1, Fei Gao2, Bihui Zhang3, Haochen Wang3, Xiaodong Zhang4, Min Yang3, Jue Zhang1,2, Xiaoying Wang1,4, and Jing Fang1,2

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2College of Engineering, Peking University, Beijing, People's Republic of China, 3Interventional radiology and vascular surgery, Peking University First Hospital, Beijing, People's Republic of China, 4Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

DCE-MRI and ASL are promising method in evaluating renal disease. However, their application on renal infarction is lagging behind. In this study, we aim to investigate the value of VTE-ASL and DCE-MRI in renal infarction assessment and further compare the results with  histological findings. 

4859
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Whole body, high throughput mouse embryo 3D phenotyping using multi gradient echo and ultra short echo time with computed tomography validation.
Orlando Aristizabal1, Dung Minh Hoang2, Sebastian Mendoza3, Daniel H. Turnbull2, and Youssef Zaim Wadghiri2

1Structural Biology, Skirball Institute of Biomolecular Medicine, New York, NY, United States, 2Radiology, NYU School of Medicine, 3NYU School of Medicine

In this study a combination of 3D  multi gradient echo (MGE) and ultrashort echo time (UTE)  100 micron isotropic resolution where acquired from 6 fixed mouse embryos at embryonic day 16.  The embryos where littermates from an engrailed knockout mouse whose mutant embryos die at birth.  The data from the UTE was validated with a high resolution CT scan.  Results verify the utility of this approach to image both soft tissue and the skeletal system in a high throughput manner.   The expected phenotype was easily identifiable and the 3D reconstruction of the skeletal system was equivalent to CT.

4860
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Evaluation of unilateral obstructive uropathy using co-polarized 13C-pyruvate and 13C-urea
Per Mose Nielsen1, Rikke Nørregaard2, and Christoffer Laustsen1

1MR Research Centre, Skejby University hospital, Aarhus N, Denmark, 2Clinical institute, Skejby University hospital, Aarhus N, Denmark

Unilateral obstructive uropathy (UUO) is a cause of acute kidney injury and can also lead to chronic kidney diseases. A common cause for UUO is kidney stones and is also often the cause of end-stage renal diseases in children because of congenital development defects. Here we used a unilateral obstruction model with obstruction release after 5 days, and injection of co-polarized 13C-pyruvate and 13C-urea 2 days after release. We saw a marked elevation in lactate/pyruvate ration in the UUO kidney of the animals and also a reduction of approx. 50% in kidney blodflow measured by 13C-urea. The mechanisms involved must be investigated further. We believe that injection of co-polarized 13C-pyruvate and 13C-urea can be used as a clinical tool to follow kidney metabolic status and blodflow after surgical release of ureter obstruction.

4861
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Evaluation of renal oxygenation change by functional MRI with administration of furosemide in diabetic nephropathy model
Rui Wang1, Zhiyong Lin1, and Xueqing Sui1

1Radiology, Peking University First Hospital, Beijing, People's Republic of China

Our study was to assess renal hemodynamics and oxygenation using blood oxygen level dependent (BOLD) and oxygen extraction fraction (OEF) imaging in diabetic nephropathy (DN) rabbits following administration of furosemide.

4862
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A multicenter in vivo study to evaluate gadoxetate DCE-MRI as a preclinical biomarker of liver function
Paul Hockings1,2, Anastassia Karageorgis3, Stephen Lenhard4, Brittany Yerby5, Mikael Forsgren6,7, Serguei Liachenko8, Edvin Johansson3, Richard Peterson9, Xi Yang8, Dominic Williams10, Sharon Ungersma5, Ryan Morgan5, Kim Brouwer11, and Beat Jucker4

1Antaros Medical, Molndal, Sweden, 2MedTech West, Chalmers University of Technology, Gothenburg, Sweden, 3AstraZeneca, Molndal, Sweden, 4GlaxoSmithKline, King of Prussia, PA, United States, 5Amgen Inc., Thousand Oaks, CA, United States, 6Linköping University, Linköping, Sweden, 7Wolfram MathCore, Linköping, Sweden, 8National Center for Toxicological Research, U.S. Food and Drug Administration, Jefferson, AR, United States, 9AbbVie, North Chicago, IL, United States, 10AstraZeneca, Cambridge, United Kingdom, 11University of North Carolina, Chapel Hill, NC, United States

Gadoxetate dynamic contrast-enhanced MRI (DCE-MRI) seems promising for non-invasive quantification of liver function. Here we tested the reproducibility of gadoxetate DCE-MRI at four MRI sites using an acute clinical dose of the antibiotic rifampicin. We found significant differences between sites in maximum relative enhancement (RE) in vehicle treated rats. However, highly significant differences in maximum RE between vehicle and rifampicin treated rats was detected at all sites. To our knowledge this is the first multicenter preclinical reproducibility study of an imaging biomarker.


4863
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Characterization of renal parenchyma impairment in partial unilateral ureteral obstruction in mice with Intravoxel Incoherent Motion MR imaging
Maguelonne Pons1, Benjamin Leporq2, Liza Ali3, Marianne Alison3, Miguel Albuquerque1, Michel Peuchmaur4, Marie-Laurence Poli Mérol5, Ulrich Blank1, Simon Auguste Lambert2, and Alaa El Ghoneimi4

1INSERM UMR 1149, Paris, France, 2Univ Lyon, INSA‐Lyon, Université Claude Bernard Lyon 1, 3Hôpital Robert Debré, APHP, Université Paris Diderot, Sorbonne Paris Cité, 4Pediatric Surgery and Urology, Hôpital Robert Debré, APHP, Université Paris Diderot, Sorbonne Paris Cité, 5Université Reims Champagne Ardennes,American Memorial Hospital

Ureteropelvic junction obstruction constitutes a major cause of progressive pediatric renal disease. To date the follow-up of patients is difficult because there is a lack of non-invasive biomarkers. Here we propose to quantitatively characterize impairment of the kidney parenchyma after partial unilateral ureteral obstruction (pUUO) on mice using an intravoxel incoherent motion diffusion sequence. The results suggest that an f reduction is associated with a decrease in the volume of the renal parenchyma, which could be related to decreased renal vascularization. The later may occur before impairment by fibrosis and the findings are in accordance with the literature on pUUO.

4864
Computer 113
Evaluation of compressed sensing for 3D T1-weighted fat-suppressed breast MRI
Courtney K. Morrison1, Jacob M. Johnson2, Yuji Iwadate3, Kevin King4, James H. Holmes2, Frank R. Korosec1,2, Roberta M. Strigel1,2,5, and Kang Wang6

1Department of Medical Physics, University of Wisconsin, Madison, WI, United States, 2Department of Radiology, University of Wisconsin, Madison, WI, United States, 3Global MR Applications and Workflow, GE Healthcare, Hino, Japan, 4Global MR Applications and Workflow, GE Healthcare, Waukesha, WI, United States, 5Carbone Cancer Center, University of Wisconsin, Madison, WI, United States, 6Global MR Applications and Workflow, GE Healthcare, Madison, WI, United States

Spatial resolution has typically been prioritized at the expense of temporal resolution in the setting of dynamic contrast-enhanced breast MRI. In this work, we evaluated the use of compressed sensing (CS) with intermittent fat suppression for improved temporal resolution by comparing quality of fat suppression and overall image quality between a sequence accelerated using CS to one without CS.

4865
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Correlations between R2* value and liver fibrosis in radiation-treated rats at early stage
Rong Ma1, Dong Zhang1, Changzheng Shi1, Zhongping Zhang2, and Liangping Luo1

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

At the early stage of liver fibrosis in radiation-treated rats, R2* value increased significantly. This suggests that R2* value could be a feasible biomarker to early evaluate liver fibrosis in vivo.

4866
Computer 115
Quantifying tidal volume and pulmonary fibrosis in a TGF-α transgenic mouse model with retrospective self-gating UTE MRI
Jinbang Guo1,2, Zackary I. Cleveland1, William D. Hardie3, Cynthia Davidson3, Xuefeng Xu3, 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, 3Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States

Pulmonary fibrosis has high morbidity and mortality, but remains poorly understood. Many experimental and clinical studies have implied or demonstrated the role for transforming growth factor (TGF)-α in the pathogenesis of pulmonary fibrosis. We demonstrate the utilization of retrospective self-gating UTE MRI with ellipsoidal k-space coverage to measure the burden of pulmonary fibrosis in a TGF-α transgenic mouse model, with the dynamic progression of fibrotic burden well quantified longitudinally by both high-density lung volume percentage and tidal volume.

4867
Computer 116
Ferumoxytol-Enhanced Quantitative Susceptibility Mapping of the Rhesus Placenta
Ante Zhu1,2, Samir D. Sharma2, Sydney Nguyen3, Kevin M. Johnson2,4, Ian M. Bird3, Ted Golos3,5,6, Sean B. Fain1,2,4, Dinesh M. Shah5, Oliver Wieben2,4, Scott B. Reeder1,2,4,7,8, and Diego Hernando2,4

1Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 2Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Comparative Biosciences, University of Wisconsin-Madison, Madison, WI, United States, 4Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 5Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, WI, United States, 6Wisconsin National Primate Research Center, 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

Ferumoxytol-enhanced MRI may enable the assessment of altered immune cell activation and distribution in placental inflammation. In this work, quantitative susceptibility mapping (QSM) is proposed to assess the temporal variation of ferumoxytol concentration in the placenta. Three healthy pregnant rhesus monkeys were imaged at six time points relative to ferumoxytol injection. Longitudinal quantification of placental magnetic susceptibility and R1/R2/R2* relaxometry were performed to provide a preliminary assessment of the ferumoxytol variation in healthy rhesus placenta. This study demonstrated the feasibility of ferumoxytol-enhanced QSM and relaxometry in the rhesus placenta and may provide a method for the evaluation of placental inflammation.

4868
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Fatty acid composition with metabolic changes of livers from high fat diet-fed mice using in vivo and in vitro proton magnetic resonance spectroscopy
Kyu-Ho Song1, Min-Young Lee1, Chi-Hyeon Yoo1, Song-I Lim1, and Bo-Young Choe1

1Department of Biomedical Engineering, and Research Institute of Biomedical Engineering, The Catholic University of Korea College of Medicine, Seoul, Korea, Republic of

Our animal studies suggest that unsaturated fatty acids may be upregulated or downregulated in a chronic model of non-alcoholic fatty liver disease (NAFLD). Further assessment of the strengths of our analytical parameters, which is essential for research and clinical evaluation of disease, should account for signal decay and bias in sequence selection. This will provide an effective means to quantify lipid content and to characterize NAFLD.

4869
Computer 118
Self resonated clip for in-utero mouse embryonic MRI
Dung Minh Hoang1, Orlando Aristizabal1, Daniel Turnbull1, and Youssef Zaim Wadghiri1

1Radiology, NYU - School of Medicine, New York, NY, United States

 In this study, we introduce a newly designed technique called clipping to help stabilize the imaged embryos. Furthermore, this setup has potential for high-throughput imaging of live embryos using large volume coils in combination with individual inductive coupling loops for each embryo. Our results showed that the clipping technique secure the embryo for an extended imaging time of more than 90 minutes. The combination of volume coil and inductive coupling loop [ref] helps increasing the signal to noise ratio (SNR) for more than 3 folds compare to the volume coil alone and closely reach the level of commercial 4 channel received only surface coil.

4870
Computer 119
Multi-parametric MRI of Murine Unilateral Ureter Obstruction
Feng Wang1,2, Keiko Takahashi3, Hua Li1, Zhongliang Zu1,2, Junzhong Xu1,2, Raymond C. Harris3, Takamune Takahashi3, and John C. Gore1,2

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 3Division of Nephrology and Hypertension, Vanderbilt University, Nashville, TN, United States

Multi-parametric MRI techniques may allow the assessment of renal injury and function in a sensitive and objective manner. This study aimed to evaluate an array of MRI methods that exploit endogenous contrasts for their sensitivity in detecting abnormal features associated with kidney disease in a murine model of unilateral ureter obstruction (UUO). Diffusion weighted imaging (DWI), quantitative magnetization transfer (qMT), chemical exchange saturation transfer (CEST), and nuclear Overhauser enhancement (NOE) provide specific information about the cellular and molecular changes produced by UUO.

4871
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Assessment of Renal Fibrosis in Murine Diabetic Nephropathy Using Quantitative Magnetization Transfer MRI
Feng Wang1,2, Daisuke Katagiri3, Ke Li1, Shinya Nagasaka3, Hua Li1, Keiko Takahashi3, Suwan Wang3, C. Chad Quarles1,2, Ming-Zhi Zhang3, Raymond C. Harris3, John C. Gore1,2, and Takamune Takahashi3

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 3Division of Nephrology and Hypertension, Vanderbilt University, Nashville, TN, United States

Current clinical tests are insufficient for non-invasively assessing renal fibrosis. Here we evaluated the utility of high-resolution quantitative magnetization transfer (qMT) MRI to detect renal fibrosis using a murine model of progressive DN and compared the results with histological analyses. Our results show that high-resolution qMT could provide an index to reveal renal cortical fibrosis.


Electronic Poster

Preclinical CV Imaging

Exhibition Hall Wednesday 14:45 - 15:45

4872
Computer 1
Reversible Changes in Cardiac Function and Metabolism in an Inducible Mouse Model of Type 1 Diabetes
Dragana Savic1, Maria Rohm, Vicky Ball, Mary Kate Curtis, Lisa Heather, Frances M Ashcroft, and Damian J. Tyler

1University of Oxford, Oxford, United Kingdom

Heart disease is the leading cause of death in Type 1 diabetic patients, however the mechanistic link has not been fully established. In this study an inducible and reversible mouse model of Type 1 diabetes was used. Depression of cardiac function and the increase in blood glucose occur in combination with suppression of pyruvate to bicarbonate conversion. By reversing diabetes with Glibenclamide, cardiac function and blood glucose concentration was restored. This study demonstrated changes that occur alongside the development of a reversible model of Type 1 diabetes and how the action of Glibenclamide can affect metabolism and function of the heart. 

4873
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Type 1 Diabetic Hearts show Unexpected Biphasic Metabolic and Functional Progression as Evaluated with Hyperpolarised [1-13C]Pyruvate and CINE MR.
Dragana Savic1, Vicky Ball, Carolyn Carr, Lisa Heather, and Damian J. Tyler

1Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, United Kingdom

Type 1 diabetes patients are insulin deficient resulting in hyperglycaemia. Diabetic patients have a higher risk of cardiovascular diseases. In this study the progression of cardiac metabolic and functional decline was followed in a streptozotocin (STZ) induced Type 1 diabetic model.  Flux through pyruvate dehydrogenase was significantly decreased at 2 and 6 weeks post STZ injection. Interestingly, the incorporation of the 13C-label from pyruvate into lactate and alanine was decreased at 2 weeks, but significantly increased at 6 weeks. Cardiac output was normalized after 6 weeks. Such studies will allow a better understanding of the interactions between metabolism and function in the diabetic heart.

4874
Computer 3
Repeatability and User Variability of Myocardial Tissue Phase Mapping in Mice
Nivedita K. Naresh1, Cynthia Yang1, Sol Misener1, Bradley D. Allen1, Michael Markl1,2, James C. Carr1,3,4, and Daniele Procissi1

1Radiology, Northwestern University, Chicago, IL, United States, 2Biomedical Engineering, Northwestern University, Chicago, IL, United States, 3Medicine, Northwestern University, Chicago, IL, United States, 4McCormick School of Engineering, Northwestern University, Chicago, IL, United States

Mouse models can help investigate the molecular mechanisms underlying complex cardiovascular diseases. Assessment of myocardial regional wall motion plays a very important role in the diagnosis and management of several cardiovascular diseases and can be linked to many underlying biological processes. In this study, we evaluated the repeatability and inter-user variability of the myocardial tissue phase mapping method in mice. We found that myocardial tissue phase mapping can be performed with good repeatability and little user variability in mice to reliably quantify both global and regional myocardial velocities.

4875
Computer 4
MRI/PET of Myocardial Extracellular Volume in a Canine model of Chemotherapy
Chia-Ying Liu1, Cynthia Davies-Venn1, Comfort Elumogo1, Rolf Symons1, Victoria Hoffmann2, Kelly Rice2, Roberto Maass-Moreno1, Veit Sandfort1, Stefan Zimmermann3, Amir Pourmorteza1, Mark Ahlman1, and David Bluemke1

1Radiology and Imaging Sciences, National Institutes of Health, Bethesda, MD, United States, 2Division of Veterinary Resources, National Institutes of Health, 3Department of Radiology, Johns Hopkins Hospital, MD, United States

We used simultaneous MR/FDG PET to measure the myocardial extracellular volume (ECV) and glucose metabolism (estimated by standard uptake value, SUV) in a canine model of chemotherapy (ChT); comparison was made to ECV in relationship to a myocardial infarct (MI) models.  MRI ECV in the ChT group was elevated by 16% and 23% compared to the MI group in the remote and adjacent myocardial segments, respectively. PET SUV in the ChT group was reduced by 49% and 41% compared to the MI group in the remote and adjacent myocardial segments, respectively. Difference was also observed in the MRI partition coefficient but not in the native T1.

4876
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Evaluation of the impact of strain correction on the secondary eigenvector of diffusion with in vivo and ex vivo porcine hearts
Pedro Ferreira1, Sonia Nielles-Vallespin2, Ranil de Silva1, Andrew Scott1, Daniel Ennis3, Daniel Auger4, Jonathan Suever5, Xiaodong Zhong6, Bruce Spottiswoode7, Dudley Pennell1, Andrew Arai2, and David Firmin1

1Cardiovascular BRU, Royal Brompton Hospital, London, United Kingdom, 2NHLBI, National Institutes of Health, MD, United States, 3Department of Radiological Sciences, UCLA, CA, United States, 4Biomedical Engineering, University of Virginia, VA, United States, 5Geisinger Medical Center, PA, United States, 6Siemens Healthcare, GA, United States, 7Siemens Healthcare, TN, United States

Myocytes have a laminar organization, where sheets of myocytes interleave with collagen-lined shear layers. Cardiac diffusion tensor imaging is capable of probing sheet dynamics with secondary diffusion directions, although questions remain about cardiac strain being a possible confounder. Here we study the validity of strain-correcting cardiac diffusion tensor data by directly comparing in vivo DTI data without and with strain correction, to ex vivo DTI data of the same porcine hearts arrested in a diastolic or systolic conformation. Results show that the current strain correction model exaggerates the contribution of microscopic strain to diffusion resulting in an over-correction. 

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Simultaneous Cardiac and Renal oblique-slice T1-Mapping Differentiates Contrast Agent Activity in Normal and Doxorubicin-treated Rats
Ronald J Beyers1, Dean Schwartz2, Tessa Hutchinson3, Meghan Ward3, Nouha Salibi1,4, Christian Goldsmith3, and Thomas Denney1

1MRI Research Center, Auburn University, Auburn, AL, United States, 2Department of Anatomy, Physiology and Pharmacology, Auburn University, Auburn, AL, United States, 3Department of Chemistry and Biochemistry, Auburn University, Auburn, AL, United States, 4MR R&D, Siemens Healthcare, Malvern, PA, United States

We developed a cardiac multi-oblique-slice T1-mapping sequence, called Tmax, for simultaneous in vivo cardiac and multi-region T1-mapping in rats.  We validated Tmax with gadolinium contrast agent (CA) scans then applied it to support our concurrent development of a reactive oxygen species activated T1-shortening agent, called H4qtp2, in doxorubicin-treated (Dox) rats.  The new Tmax sequence performed excellent at simultaneously quantifying gadolinium T1 effects in cardiac and renal regions.  However, application of Tmax with low dose levels of H4qtp2 CA in Dox rats gave marginal results from too low dose of H4qtp2 to sufficiently affect the T1 and quantify Dox-induced pathology

4878
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TWO-DIMENSIONAL PHASE-CONRAST MAGNETIC RESONANCE IMAGING AS TOOL TO DETERMINE HEPATIC HEMODYNAMICS IN RATS WITH  A HEALTHY, FIBROTIC OR CIRRHOTIC LIVER
Denise Schaffner1,2,3, Dominik von Elverfeldt4, Peter Deibert1,2, Irmgard Merfort3, Adhara Lazaro1,2, Lisa Lutz2,5, Manfred W. Baumstark1,2, Wolfgang Kreisel2, and Wilfried Reichardt4,6,7

1Institute for Exercise- und Occupational Medicine, Center for Medicine, Medical Center - University of Freiburg, Freiburg, Germany, 2Faculty of Medicine, University of Freiburg, Freiburg, Germany, 3Department of Pharmaceutical Biology and Biotechnology, University of Freiburg, Freiburg, Germany, 4Department of Radiology Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany, 5Institute of Clinical Pathology, Medical Center – University of Freiburg, Freiburg, Germany, 6German Cancer Consortium (DKTK), Heidelberg, Germany, 7German Cancer Research Centre (DKFZ), Heidelberg

In this work we wanted to test a Magnetic Resonance (MR) scanning protocol as a non-invasive tool to determine hepatic hemodynamics and to assess the liver fibrosis degree in an animal model of liver fibrosis and cirrhosis. MR rat liver images provided a good discrimination of healthy from diseased liver, but for the assessment of liver fibrosis degree histology is indispensable. The results show that portal and aortal flow patterns for a cardiac cycle could be measured with high reliability in Conclusion, this MR scanning protocol presents a reliable non-invasive tool to determine hepatic hemodynamics in healthy and diseased rats

4879
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Feasibility of 4D-Flow Imaging of Uterine Blood Flow in the Pregnant Rhesus Macaque
Philip Corrado1, Jacob Macdonald1, Sydney Nguyen2, Kevin Johnson1, Chris Francois3, Ronald R. Magness4, Scott B. Reeder1,3,5,6,7, Ian Bird8, Dinesh Shah8, Thaddeus G. Golos8,9, and Oliver Wieben1,3

1Medical Physics, University of Wisconsin Madison, Madison, WI, United States, 2Endocrinology & Reproductive Physiology, University of Wisconsin Madison, Madison, WI, United States, 3Radiology, University of Wisconsin Madison, Madison, WI, United States, 4Obstetrics & Gynecology, University of South Florida, Tampa, FL, United States, 5Biomedical Engineering, University of Wisconsin Madison, 6Medicine, University of Wisconsin Madison, 7Emergency Medicine, University of Wisconsin Madison, 8Obstetrics & Gynecology, University of Wisconsin Madison, Madison, WI, United States, 9Comparative Biosciences, University of Wisconsin Madison, Madison, WI, United States

4D-Flow MRI is introduced as an alternative to Doppler velocimetry in monitoring blood flow to the placenta in pregnancy. Our 3D radially undersampled PC-VIPR technique provided volumetric coverage of uterus and relevant vasculature with a 10-minute scan. Uterine arteries and ovarian veins were visualized in a 0.83mm isotropic resolution angiogram and flow rates and vessel sizes were measured retrospectively. Repeated scans of four rhesus macaques on subsequent days showed reproducibility of flow rate and cross sectional area measurements in vessels of interest, demonstrating the potential for 4D-Flow MRI for assessing utero-placental vascular health.

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4D flow MRI measurements in ex vivo beating pig hearts as a testing platform for transcathether aortic valve implantation
Eva S Peper1, Alberto Leopaldi2, Sjoerd van Tuijl2, Nicky de Jonge2, Gustav J Strijkers3, Arend de Weger4, Aart J Nederveen1, Henk A Marquering3, and Pim van Ooij1

1Department of Radiology, Academic Medical Center, Amsterdam, Netherlands, 2LifeTec Group, Eindhoven, the Netherlands, Netherlands, 3Department of Biomedical Engineering & Physics, Academic Medical Center, Amsterdam, Netherlands, 4Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands

In this 4D flow MRI study, ex vivo beating pig heart models in an MR-compatible setup mimicking human physiological conditions were used to investigate flow alterations after implantation of artificial valves designed for transcathether aortic valve implantations (TAVI). Two pig hearts had implanted TAVI valves (one with and one without attachment to the aortic sinuses) and were compared to five pig hearts without valve implantation. For both pig hearts with implanted valves, substantial aortic backflow, and thus paravalvular leakage, was observed. The ex vivo set-up presented is thus suitable for cardiac flow experiments.

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Evaluation of accelerated preclinical 4D-flow imaging with UNFOLD
Moritz Braig1, Axel J. Krafft1, Jochen Leupold1, Juergen Hennig1, Marius Menza1, and Dominik von Elverfeldt1

1Medical Physics, University Medical Center Freiburg, 79106, Germany

There is growing interest in preclinical imaging and analysis of complex flow patterns. For example, 4D flow imaging of mouse models with vascular plaques or aortic constriction could provide insights into the development and pathogenesis of cardiovascular diseases. Unfortunately, 4D-flow MRI is often compromised by a trade-off of reasonable acquisition durations and achievable spatial resolution. Our work evaluates an undersampling strategy, namely UNFOLD, for preclinical 4D flow MRI, which has the potential to decrease measurement time by 50%. Artifacts emerging from the undersampling are removed by unaliasing in the temporal domain using a lowpass filter after fourier transformation.

4882
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Quantitative gated and non-gated rat phase contrast MRI: optimized analysis of blood flow and wall shear stress.
Chen-You Huang1, Chiun-Wei Huang2, Shao-Chieh Chiu2, Wu-Chung Shen1, and Shin-Lei Peng1

1Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan, 2Center for Advanced Molecular Imaging and Translation, Chang Gung Memorial Hospital

Goals of this study are to test effects of gated/non-gated, velocity encoding (VENC) and spatial resolution on blood flow, wall shear stress (WSS) and artery area when performing phase-contrast (PC) MRI for rat common carotid artery (CCA). Results show the usage of gated instrument can provide more reproducible results. VENC has insignificant influences on flow, WSS and artery area. To compromise the trade-off between accuracy and time-consuming, the resolution of 0.21 mm is suggested for extracting hemodynamic information about rat CCA.  

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Right ventricular myocardial strain in rats
Emil Espe1, Jan Magnus Aronsen1,2, Lili Zhang1, and Ivar Sjaastad1

1Institute for Experimental Medical Research, University of Oslo, OSLO, Norway, 2Bjørknes College, Oslo, Norway

The function of the right ventricle (RV) is closely linked to clinical outcome in many cardiovascular diseases. Experimental heart disease in rodents play an irreplaceable role in modern cardiovascular research, but no in vivo method exists offering robust measurements of RV myocardial function in small animals.

We used phase-contrast MRI to measure RV strain in rats. We found that RV strain and ejection fraction were closely related, and confirmed that high RV afterload is linked to reduced RV strain.

We show, for the first time, that it is possible to accurately measure myocardial function in the RV in rodents.


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Cardiac MRI measurement of right ventricular strain using feature tracking in a model of embolic pulmonary hypertension.
Zachary Borden1, Donald Benson1, Alejandro Roldan2, Heidi Kellihan3, Ashley Mulchrone4, Naomi Chesler4, and Christopher Francois1

1Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Radiology and Medical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 3Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

Right ventricular strain was assessed using an MRI tissue tracking algorithm on bSSFP axial sequences in both acute and chronic embolic pulmonary hypertension canine models.  Strain values were heterogeneous in the acute population with statistically significant decreases in acute radial and longitudinal strain rate and chronic radial and longitudinal strain and strain rate values.  Findings suggest MRI cardiac strain measurement is a promising technique in the clinical evaluation of post embolic pulmonary hypertension patients. 

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Cardiac Magnetic Resonance for Characterizing a Spontaneous Hypertrophic Cardiomyopathy Mouse Model
Min-Chi Ku1, Till Huelnhagen1, Andreas Pohlmann1, and Thoralf Niendorf1,2,3

1Berlin Ultrahigh Field Facility, Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2Experimental and Clinical Research Center, Charite Medical Faculty and the Max Delbrueck Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 3DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany

HCM is the most common inherited heart disease. The two most frequently seen mutated genes are MYH7 and MYBPC3 which account for nearly 80% of familiar HCM. In this study we hypothesized that these gene variants will affect both LV and RV function. By in-vivo CMR we detected LV hypertrophy in a mouse strain DBA/2J bearing the two gene variants. Interestingly there is no defected LV function found but changes in RV function as both male and female DBA/2J mice had declined RVEF. Our results provide new insights into the correlation of genetic alteration and HCM phenotype.

4886
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4D Cine Strategy for Assessment of Mouse Cardiac Function and Infarct Size in a Single Acquisition Optimized for a Clinical 3T MR System
Lindsey A Crowe1, Fabrizo Montecucco2, Federico Carbone2, Iris Friedli1, Anne-Lise Hachulla1, Vincent Braunersreuther3, Francois Mach3, and Jean-Paul Vallée1

1Department of Radiology, Geneva University Hospitals, Geneva, Switzerland, 2Department of Internal Medicine, University of Genoa, Italy, 3Department of Cardiology, Geneva University Hospitals, Geneva, Switzerland

Small cardiac imaging on clinical 3T machines is an important, cost effective translational step for new contrast media and sequence validation. We developed for the first time a new 4D strategy tailored for 3T to simultaneously assess function and infarct in mice, validated against 2D cine, post mortem and histology. Isotropic 3D cardiac cine of mice on a clinical 3T system improved coverage and reduced flow artifacts with higher spatial and temporal resolution for more accurate quantification of cardiac function. Infarct volume enhancement was quantifiable from the same 3D cine acquisition.

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Gadobutrol- vs. gadoterate meglumine-enhanced multi-phase 3D-MRA and 4D-MRA at 1.5T and 3T: an intra-individual quantitative and qualitative comparison of macrocyclic contrast agents in minipigs
Dariusch Reza Hadizadeh1, Gregor Jost2, Vera Catharina Keil1, Christian Marx1, Maximilian Rauch1, Frederic Carsten Schmeel1, Hubertus Pietsch2, Hans Heinz Schild1, and Winfried Albert Willinek3

1Radiology, University of Bonn, Bonn, Germany, 2MR and CT Contrast Media Research, Bayer Pharma AG, Berlin, Germany, 3Zentrum für Radiologie, Neuroradiologie, Sonographie und Nuklearmedizin, Krankenhaus der barmherzigen Brüder, Trier, Germany

In an animal model bolus kinetics and image quality of the macrocyclic contrast agents (CA) gadobutrol (standard and half-dose) and gadoterate meglumine (standard-dose) were investigated intra-individually in multi-phase 3D- (MP3D) MRA and in 4D-MRA at 1.5T and 3T. Standard dose gadobutrol provided significantly higher signals in both MP3D- and 4D-MRA at both field strengths. Differences were most prominent in venous imaging phases. At 3T, arterial first pass peaks were truncated in 7/8 minipigs using standard dose CA. Image quality analysis of MP3D confirmed higher image quality in venous phases with standard-dose gadobutrol compared to gadoterate meglumine at both field strengths.

4888
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Histological validation of loading lag of heart iron with respect to liver iron in a rabbit model
xiaodong chen1,2,3, Zipan Chen4, Heng Lv5, Ziliang Cheng6, Qihua Yang6, Zuoquan Zhang7, Zebin Luo1, Jiaji Mao6, Queenie Chan8, Yingjie Mei9, Jingwen Huang6, Wubiao Chen1, Biling Liang6, and Hua Guo10

1Affiliated hospital of Guangdong Medical College, Zhanjiang, People's Republic of China, 2Sun Yat-Sen Memorial Hospital, Guangzhou, People's Republic of China, 3Tsinghua University, Beijing, People's Republic of China, 4Shiyan People’s Hospital, 5Peking University Shenzhen Hospital, 6Sun Yat-Sen Memorial Hospital, 7The Fifth Affiliated Hospital of Sun Yat-Sen University, 8Philips Healthcare, Hong Kong, 9Philips Healthcare, Guangzhou, 10Tsinghua University

Whether there exists a lag in the iron loading between liver and heart in transfusion dependent patients has clinical significance in prevention and treatment of heart iron overload. We performed this study to verify this time lag on a rabbit model. The result shows that the iron loading, measured with pathology, MRI and atomic absorption spectrophotometer, was much faster and heavier in the liver than that in the heart. Therefore, there existed a time lag between heart and liver iron overload on the rabbit model. This may lead to improved clinical guidelines for cardioprotection.

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Multiparametric CMR protocol and analysis methods for the detection of early cardiotoxicity remodelling in the mini-swine.
Delphine Perie1, Clémence Balosetti1, Hélène Héon2, Nagib Dahdah3, Farida Cheriet1, Matthias Friedrich4, and Daniel Curnier5

1Mechanical Engineering, Polytechnique Montreal, Montreal, QC, Canada, 2Research Center, CHUM, Montreal, QC, Canada, 3Pediatric cardiology, CHU Sainte-Justine, Montreal, QC, Canada, 4Health Center, McGill University, Montreal, QC, Canada, 5Kinesiology, Université de Montréal, Montreal, QC, Canada

Some Cardiovascular magnetic resonance (CMR) studies investigated the long term effects of cancer treatments, but were never applied to the detection of early changes during cardiotoxicity remodelling. The CMR parameters we investigated in the miniature swine therapeutic model with doxorobucin was able discriminate treated animals from controls. Differences were detectible earlier than onset of classical echocardiographic changes. Translating these observations to personalized medicine approach could be the premise for the oncologist to know accurately when the treatment just starts to have deleterious effect on myocardium instead of just observing that the heart was damaged by doxorubicin.

4890
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A spontaneous type 2 diabetic rhesus monkey model for cardiac MR study
Yu Zhang1, Jie Zheng2, and Fabao Gao3

1West China Hospital, Sichuan University, Chengdu, People's Republic of China, 2Mallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, 3West China HospitaL, Sichuan University, Chengdu

The aim of this study was to provide a human-like diabetic monkey model for cardiovascular research. Myocardial function and tissue characterizations were measured by CMR in 14 diabetic and 5 control monkeys. In addition to diastolic dysfunction, minor and moderate diffuse fibrosis was shown in cardiac T1, T1r, ECV, and non-contrast fibrosis index images in all the hearts of all diabetic monkeys, confirmed by histopathology finding in one diabetic monkey.  

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Early Prediction of Chronic Infarct Size by Acute Strain: A Cardiac MRI Study of Myocardial Infarction in Pigs
Sarayu Parimal1, Smita Sampath1, Ibrahim Mazlan2,3, Grace Croft2,3, Teresa Totman2,3, Yvonne Tay Wei Zheng4, Elaine Manigbas4, Michael Klimas5, Jeffrey L. Evelhoch5, Dominique P.V. Kleijn2,3, and Chih-Liang Chin1

1Translational Biomarkers, Merck Sharp & Dohme, Singapore, Singapore, 2Cardiovascular Research Institute, National University Heart Centre, Singapore, 3Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 4Comparative Medicine Imaging Facility, Center for Life Sciences, National University of Singapore, Singapore, 5Translational Biomarkers, Merck & Co., Inc., West Point, PA, United States

We characterized cardiac structure and function longitudinally in myocardial infarcted pigs, induced by permanent ligation of left circumflex artery of left ventricle (LV), to identify early strain biomarkers that are predictive of late stage remodeling. Pigs were imaged pre- and post-surgery at 1-wk and 4-wk. Reduction of percentage of infarct was observed at basal antero-lateral and mid infero-lateral regions at 4-wk post-surgery. Decreased peak circumferential strain was observed at infarcted areas showing compromised contractility. In addition, ROC analyses revealed that acute strain at 1-wk and early strain change from baseline can predict chronic infarct size suggesting that LV strain could potentially serve as early biomarker for novel therapies.

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Aortic Wall MR Imaging for Assessing Rosuvastatin Therapy in Atherosclerotic Animal Model
Juan Huang1, Yan Song , Mingmei Li, Xiaotao Deng, Sheng Jiao, Jingying Yu, Min Chen, and Xiaoqi Wang

1Beijing Hospital, Beijing, People's Republic of China

Here we present the high-resolution MRI imaging for assessing therapy of titrated rosuvastatin for atherosclerosis in rabbit models. This study shows that abdominal aorta wall in both control and treated rabbits get thicker with prolonged continuous feeding of cholesterol, aortic plaques grows bigger with this progression. The MRI vascular wall imaging measured atherosclerotic plaques with well correlation of histological classifications. Statical regression showed that the group with rosuvastatin treatment reduced the aortic plaques comparing to the control rabbits.

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T1 Mapping with Nitric Oxide Synthase (NOS) Inhibition Detects Impaired Coronary Endothelial Function in Mice Fed a High Fat Diet
Sophia Xinyuan Cui1 and Frederick H. Epstein1,2

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Radiology, University of Virginia, Charlottesville, VA, United States

Endothelial nitric oxide synthase (eNOS)-mediated production of NO regulates the microvasculature, controlling both vessel diameter and permeability.  We hypothesized that T1 mapping of the healthy heart during NOS inhibition would detect increased water content resulting from increased coronary microvascular permeability, while a blunted change in T1 between baseline and NOS inhibition would indicate coronary eNOS dysfunction. Using these methods, we detected an increase in myocardial T1 of 113±15 ms due to NOS inhibition in control mice, but no change in eNOS-/- or HFD mice, demonstrating the eNOS mechanism and detection of coronary endothelial dysfunction in a model of heart disease. 


Electronic Poster

Thoracic MRI

Exhibition Hall Wednesday 14:45 - 15:45

4894
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Comparison of Differentiation Capability among CEST Imaging, DWI and FDG-PET/CT in Patients with Pulmonary Lesions
Yoshiharu Ohno1,2, Masao Yui3, Mitsue Miyazaki4, Yuji Kishida5, Sinichiro Seki1,2, Katsusuke Kyotani6, and Takeshi Yoshikawa1,2

1Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 2Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 3Center for Medical Research and Development, Toshiba Medical Systems Corporation, Otawara, Japan, 4MR Research, Toshiba Medical Research Institute USA, Vernon Hills, IL, United States, 5Division of Radiology, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 6Center for Radiology and Radiation Oncology, Kobe University Hospital, Kobe, Japan

Chemical exchange saturation transfer (CEST) imaging is suggested as a new technique for MR-based molecular imaging techniques in vivo and in vitro studies.  We hypothesized that newly developed CEST imaging may have a similar potential for differentiating malignant from benign pulmonary nodules and masses, when compared with DWI and FDG-PET/CT.  The purpose of this study was to directly and prospectively compare the differentiation capability among CEST imaging, DWI and FDG-PET/CT in patients with pulmonary lesions. 

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Comparison of the Capability for Quantitative Distinguishing Malignant from Benign Pulmonary Nodules among Dynamic First-Pass CE-Perfusion ADCT and MRI and FDG-PET/CT
Yoshiharu Ohno1,2, Yuji Kishida3, Sinichiro Seki1,2, Shigeharu Ohyu4, Masao Yui4, Wakiko Tani5, Noriyuki Negi5, Katsusuke Kyotani5, and Takeshi Yoshikawa1,2

1Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 2Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 3Division of Radiology, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 4Center for Medical Research and Development, Toshiba Medical Systems Corporation, Otawara, Japan, 5Center 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.

4896
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Asthma Ventilation Abnormalities Measured using Fourier-Decomposition Free-breathing Pulmonary 1H MRI
Dante PI Capaldi1, Khadija Sheikh1, Rachel L Eddy1, Sarah Svenningsen1, Miranda Kirby2, David G McCormack3, Grace Parraga1, and Canadian Respiratory Research Network

1Robarts Research Institute, London, ON, Canada, 2Centre for Heart Lung Innovation, Vancouver, ON, Canada, 3Division of Respirology, University of Western Ontario, London, ON, Canada

Hyperpolarized noble-gas-MRI provides a way to visualize and regionally measure ventilation-heterogeneity in asthma, which has been shown to be sensitive to treatment response.  Fourier-decomposition of free-breathing 1H MRI (FDMRI) has been proposed as an alternative way to evaluate regional-ventilation without the need for exogenous contrast.  We hypothesized that ventilation-abnormalities would be qualitatively and quantitatively similar between the two imaging methods, and hence our objective was to measure ventilation-defects using FDMRI in asthma patients for comparison with inhaled-gas-MRI.  Preliminary results in asthma showed that FDMRI ventilation-abnormalities were related to hyperpolarized noble-gas-MRI and clinical measurements of ventilation-heterogeneity in severe-asthmatics.

4897
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Multicentre repeatability of ADC estimates from diffusion weighted (DW) MRI in lung cancer: influence of segmentation methodology and statistical descriptor
Alexander Weller1, M-V Papoutsaki1, JC Waterton2, Arturo Chiti3, Matthew Blackledge1, Matthew Orton1, David Collins1, and Nandita de-Souza1

1Radiotherapy and Imaging, The Institute of Cancer Research, Surrey, United Kingdom, 2Centre for Imaging Sciences, Division of Informatics Imaging & Data Sciences, University of Manchester, MANCHESTER, United Kingdom, 3Department of Biomedical Sciences, Humanitas University, Rozzano (Milano), Italy

Using a multi-platform diffusion weighted MRI protocol in lung tumors, apparent diffusion coefficient (ADC) repeatability was well below the change expected for treatment response. ADC coefficients of variation (CoV) varied depending on lesion size and segmentation methodology (range 2.6-10.8%; three times greater for lesions >3cm than lesions<3cm). Performing tumor segmentation on high-b-value images produced lower, more repeatable ADC estimates than if segmenting on low-b-value images. Using median versus mean statistical descriptors for signal averaging prior to ADC calculation did not affect ADC quantitation or repeatability.

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Retrospective Image Sorting for Phase REsolved Lung Perfusion Imaging (PRELP)
Andreas Voskrebenzev1,2, Marcel Gutberlet1,2, Filip Klimes1,2, Till Kaireit1,2, Alexander Rotärmel1,2, Christian Schönfeld1,2, Frank Wacker1,2, and Jens Vogel-Claussen1,2

1Diagnostic and Interventional Radiology, Medical School Hannover, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), German Center for Lung Research (DZL), Hannover, Germany

Currently, only self-gated or ultra-fast sequences allow an adequate temporal resolution to resolve different cardiac phases during lung perfusion. First studies show the benefit of this additional information. Nevertheless such techniques are not widely available. Therefore, in this study a post processing method is assessed, which can increase the temporal resolution by sorting images according to their cardiac phase using a piecewise cosine fit. The feasibility is demonstrated in 6 healthy volunteers and two patients with chronic thromboembolic hypertension (CTEPH). The easy implementation and possibility of retrospective evaluation of existing Fourier Decomposition acquisitions are the advantages of this method.

4899
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Free Breathing Regional Alveolar Ventilation Quantification - comparison to Fractional Ventilation derived by Fourier Decomposition Lung MRI
Filip Klimeš1,2, Andreas Voskrebenzev1,2, Marcel Gutberlet1,2, Agilo Kern1,2, Till Kaireit1,2, Alexander Rotärmel1,2, Frank Wacker1,2, and Jens Vogel-Claussen1,2

1Institute of Radiology, Hannover Medical School, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Hannover, Germany

Fourier Decomposition (FD) is able to assess lung ventilation and perfusion in one free breathing measurement without any contrast agent. To establish a ventilation-perfusion (VQ) scan robust measurements and absolute quantification is required. Unlike for absolute perfusion quantification, there has been only little success regarding absolute ventilation quantification using FD MRI. Borrowing concepts from oxygen enhanced imaging a regional alveolar ventilation measurement in free breathing is introduced. This method is compared with Fractional Ventilation (FV) and tested for physiological plausibility by assessment of volunteers in supine and prone position. The results show good agreement with available literature and show a similar gravitational behaviour as FV.

4900
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Impact of Helium-Oxygen Inhalation on Aerosol Deposition in Asthmatic Rats using UTE-MRI
Hongchen Wang1, Felicia Julea1, Georges Willoquet1, Catherine Sebrié1, Sébastien Judé2, Anne Maurin2, Stéphanie Rétif3, Sharuja Natkunarajah3, Stéphanie Lerondel3, 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, Université Paris-Saclay, Orsay, France, 2Centre de Recherches Biologiques, CERB, Baugy, France, 3Centre d'Imagerie du Petit Animal CIPA, PHENOMIN-TAAM UPS44, CNRS, Orléans, France

Asthma is a worldwide chronic respiratory disease. The common treatment by inhaled therapy needs quantitative imaging approaches to understand the impact of carrier gas on aerosol deposition. 3D UTE-MRI combined with aerosolized Gd-DOTA was applied onto spontaneous breathing and mechanically ventilated asthmatic animals. Here, administration and imaging protocols were developed to ventilate and nebulize control and asthmatic rats in order to compare the resulting aerosol distribution with two carrier gas mixtures: air and helium-oxygen.

4901
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Evaluation of Regional Lung Function in Interstitial Lung Disease with Hyperpolarized Xenon-129 Lung 3D SB-CSI
Jaime Mata1, Kun Qing1, Nicholas Tustison1, Tallisa Altes1,2, John Mugler1, Michael Shim1, Lucia Flors1, Grady Miller1, and Borna Mehrad1

1University of Virginia, Charlottesville, VA, United States, 2University of Missouri, MO, 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 10 seconds. From this study, we present preliminary clinical results of 3D SB-CSI from healthy and interstitial lungdisease (ILD) subjects. 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.

4902
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Differentiation of thymic hyperplasia from thymic tumors with MR quantitative fat fraction technique in adulthood
Xiu-Long Feng1, Yu-Chuan Hu1, Lin-Feng Yan1, Shi-jun Duan1, Gang-Feng Li1, Xiao-Cheng Wei2, Guang-Bin Cui1, and Wen Wang1

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

MRI estimated proton density fat fraction (MRI-PDFF) gives quantitative information of fat deposition in soft tissue. This study retrospectively evaluate the effectiveness of MRI-PDFF for distinguishing thymic hyperplasia from thymic tumors. As a conclusion, a significant higher mean fat fraction values were found in thymic hyperplasia compared to thymic tumors. MRI-PDFF technique could be used to differentiate thymic hyperplasia from thymic tumors before treatment.

4903
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Hyperpolarised 3He Diffusion-Weighted MRI in Mild Cystic Fibrosis Children and Age-matched Healthy Controls
Ho-Fung Chan1, Guilhem J Collier1, Laurie Smith1,2, Helen Marshall1, Juan Parra-Robles1, Felix C Horn1, Graham Norquay1, Neil J Stewart1, Chris J Taylor2, Ina Aldag2, Alex Horsley3, and Jim M Wild1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 2Sheffield Children's Hospital, Sheffield, United Kingdom, 3Manchester Adult CF Centre, Manchester, United Kingdom

Hyperpolarised gas MRI is sensitive to lung ventilation heterogeneity in early cystic fibrosis (CF) disease. However, lung microstructural changes that might accompany early lung disease in CF is less well explored. DW-MRI measurements were compared in mild CF children and age-matched healthy controls, and reassessed after a 2-year interval in the CF group. No significant difference in DW-MRI metrics (in contrast to changes in lung ventilation, VD%) was observed between healthy controls and CF children, and between baseline and 2-year follow-up visits. These results suggest that no acinar microstructural changes occur in early stage CF despite increases in ventilation heterogeneity.

4904
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Accelerated Stack-of-Spirals Breath-hold UTE Lung Imaging
John P. Mugler, III1, Craig H Meyer2, Josef Pfeuffer3, Alto Stemmer3, and Berthold Kiefer3

1Radiology & Medical Imaging, University of Virginia, Charlottesville, VA, United States, 2Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 3Application Development, Siemens Healthcare, Erlangen, Germany

Stack-of-spirals and cones trajectories have been proposed to permit breath-hold ultrashort-echo-time (UTE) acquisitions of the human lung, although further acceleration would be valuable to permit improvements such as shorter breath-holds for respiratory comprised patients or higher spatial resolution.  In this work, an accelerated UTE 3D stack-of-spirals pulse sequence was implemented using undersampled, dual-density spiral waveforms for acquisition and a SPIRiT-based algorithm for image reconstruction.  Preliminary testing in healthy volunteers using 2-fold acceleration provided image quality comparable to that achieved with the original, unaccelerated pulse sequence.

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4D and 2D phase-contrast MRI for the evaluation of pulmonary artery hemodynamics in patients with pulmonary hypertension and healthy volunteers
Malte Sieren1, Clara Berlin1, Thekla Helene Oechtering1, Peter Hunold1, Daniel Droemann2, Joerg Barkhausen1, and Alex Frydrychowicz1

1Clinic for Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany, 2Medical Clinic III, Pulmonology, University Hospital Schleswig-Holstein, Lübeck, Germany

2D and 4D phase-contrast MRI (PC MRI) has been subject of recent studies to noninvasively diagnose pulmonary hypertension. The aim of this study was to compare values derived from both imaging techniques in a study collective consisting of healthy volunteers and patients with PH. Although 4D PC MRI generates higher quantitative values in comparison to 2D PC MRI, both sequences were able to distinguish volunteers from patients. In addition, 4D PC MRI visualized blood flow, underlining its additional value to detect secondary flow patterns in patients.

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Ultra-fast balanced SSFP signal enhancement ratio mapping of the human lung parenchyma at 1.5T
Orso Pusterla1,2, Gregor Sommer3, Mark Wiese4, Didier Lardinois4, Michael Tamm5, Jens Bremerich3, Francesco Santini1,2, Grzegorz Bauman1,2, and Oliver Bieri1,2

1Department of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 3Clinic of Radiology and Nuclear Medicine, Cardiac and Thoracic Imaging, University of Basel Hospital, Basel, Switzerland, 4Clinic of Thoracic Surgery, University of Basel Hospital, Basel, Switzerland, 5Clinic of Pneumology, University of Basel Hospital, Basel, Switzerland

In this work, we propose a new conceptual framework for functional pulmonary parenchyma imaging in the clinical setup from two volumetric ultra-fast balanced steady-state free precession (ufSSFP) breath-hold acquisitions before and after contrast agent administration. The resulting signal enhancement ratio (SER) maps of the parenchyma in patients shows similarity to SPECT/CT fusion images. The method requiring only two breath-hold acquisitions is rapid and amenable for clinical use.

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Free-breathing multi-slice ultra-fast SSFP acquisitions for multi-volumetric morphological and functional lung imaging
Orso Pusterla1,2, Grzegorz Bauman1,2, and Oliver Bieri1,2

1Department of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland

Multi-volumetric breath-hold imaging was recently proposed for respiratory $$$\alpha$$$-mapping, a novel quantitative measure of pulmonary ventilation. In this work, we evaluate the feasibility to derive 3D pulmonary functional maps from morphological lung data which are reconstructed from a time-series of multi-slice 2D ultra-fast SSFP scans acquired in free-breathing (4D-MRI).

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High Spatiotemporal Resolution 4D-MRI for Evaluation of Spatially Resolved Pulmonary Function
Hersh Chandarana1,2, Li Feng1,2, David Smith2, Jean Delacoste3, David Stoffel2, Priya Bhattacharji2, Hoi Cheung Zhang2, Thomas Benkert1,2, Daniel K Sodickson1,2, Matthias Stuber3, Kai Tobias Block1,2, and Ricardo Otazo1,2

1Center of Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, 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 Radiology, University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.

Spirometry provides global measures of lung function, whereas CT provides morphologic information but limited functional information. Current tests are limited in providing spatially resolved function of each lung separately. To address this need, we have developed a 4D ultra-short echo time MRI method where respiratory motion information is extracted directly from the acquired k-space data during normal and deep breathing maneuvers, and motion-resolved reconstruction is performed to extract spatially resolved functional information of each lung. Such a method will improve the ability to diagnose and manage Chronic Obstructive Pulmonary Disease, which is a major cause of death worldwide.

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Spatial Tagging to Assess Regional Ventilation of Lung Parenchyma with Endogenous Contrast
Eamon Doyle1,2, Roberta Kato3, Jonathan M Chia4, and John C Wood1,2

1Biomedical Engineering, University of Southern California, Los Angeles, CA, United States, 2Cardiology, Children's Hospital of Los Angeles, Los Angeles, CA, United States, 3Pediatrics, Children's Hospital of Los Angeles, Los Angeles, CA, United States, 4Philips Healthcare, Gainesville, FL, United States

Tagging techniques such as SPAMM and CSPAMM have been useful for assessment of dynamic cardiac tissue deformation.  Recent advances in ultra-short echo time (UTE) imaging have enable imaging of lung parenchyma.  In this work, we evaluate the possibility of using spatial tags in conjunction with UTE imaging to assess regional ventilation and tissue stiffness with non-enhanced, endogenous contrast.

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Detection of pulmonary perfusion deficits in patients with cystic fibrosis by means of Self-gated Non–Contrast-Enhanced Functional Lung (SENCEFUL) MRI
Andreas Steven Kunz1, Andreas Weng1, Tobias Wech1, Clemes Wirth1, Christian Kestler1, Helge Hebestreit2, Florian Segerer2, Thorsten Bley1, Herbert Köstler1, and Simon Veldhoen1

1Institute for Diagnostic and Interventional Radiologiy, University Hospital Wuerzburg, Wuerzburg, Germany, 2Department of Pediatrics, University Hospital Wuerzburg, Wuerzburg, Germany

The study’s purpose was to assess the performance of Self-gated Non–Contrast-Enhanced Functional Lung (SENCEFUL)-MRI in detecting pulmonary perfusion deficits in patients with cystic fibrosis (CF). Nineteen patients with cystic fibrosis and 19 matched healthy controls underwent SENCEFUL-MRI at 1.5T. Four blinded readers rated perfusion and phase (i.e. temporal distribution of pulmonary blood flow) maps separately regarding local deficits followed by simultaneous assessment of both maps. Furthermore, phase data was plotted in histograms for objective comparison to the reader’s results. SENCEFUL-MRI revealed statistically significant differences between CF-patients and controls. Furthermore, it demonstrated its potential in detection of pulmonary perfusion deficits.

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Detecting Differences in Parenchymal and Vascular Oxygenation in the Lungs with Quantitative Susceptibility Mapping
Teckla G Akinyi1,2, Jinbang Guo1,3, Jason C Woods1,3, Chunlei Liu4, Luke Xie, and Zackary I Cleveland1,2

1Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Biomedical Engineering, University of Cincinnati, Cincinnati, OH, United States, 3Department of Physics, Washington University, Saint Louis, MO, United States, 4Electrical Engineering and Computer Sciences, University of California -Berkeley, Berkeley, CA, United States

Quantitative susceptibility (QSM) mapping measures the spatial distribution of magnetic susceptibility, and is thus sensitive to the chemical and microstructure properties of tissues. Here we have combined QSM with multi-echo, radial ultra-short echo-time (UTE) MRI to assess regional variations in lung susceptibility in mice. We demonstrate QSM can differentiate between lung parenchyma, which is paramagnetic due to the presence of molecular O2 and pulmonary vasculature which is diamagnetic. Moreover, we demonstrated that the susceptibility differences between these two lung regions increases with increased oxygen partial pressure, demonstrating the approach’s sensitivity to regional pulmonary function.

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Quantification of regional lung ventilation in COPD patients: Validation of ventilation-weighted Fourier decomposition-MRI with dynamic fluorinated gas MRI and lung function testing.
Till Frederik Kaireit1,2, Marcel Gutberlet1,2, Andreas Voskrebenzev1,2, Julia Freise3, Tobias Welte3, Frank Wacker1,2, and Jens Vogel-Claussen1,2

1Institute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), German Center for Lung Research (DZL), Hannover, Germany, 3Clinic of Pneumology, Hannover Medical School, Hannover, Germany

Quantification of regional lung ventilation is of high relevance for lung diseases like chronic obstructive lung disease (COPD) or asthma. Regional ventilation of the lungs in COPD patients was assessed using ventilation-weighted Fourier decomposition-MRI and validated with real-time dynamic fluorinated MRI and lung function test. Strong correlations were found comparing both techniques with each other and with lung function testing which is used for COPD classification.

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Development and comparison of 19F and hyperpolarized 129Xe lung MRI for preclinical application in mice
Alexandre A Khrapitchev1, Rohan S Virgincar1,2, James R Larkin1, Niloufar Zarghami1, Sheena Wallington1, Ana L Gomes1, Stuart Gilchrist1, Paul Kinchesh1, Sean Smart1, and Nicola R Sibson1

1CR-UK/MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 2Biomedical Engineering, Duke University, Durham, NC, United States

The 19F approach is easier and cheaper to implement than the hyperpolarized gas setup and is immediately applicable to a range of pre-clinical work. However, 129Xe MRI provides a unique dynamic tool that may have important applications warranting the additional effort and cost involved. We have compared lung 19F MRI with hyperpolarized 129Xe MRI, in both cases using an Ultra Short Echo (UTE) sequence on a 7.0T preclinical spectrometer.

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Localized spectroscopy of hyperpolarized xenon-129 dissolved in the human head with a dedicated receiver array
Madhwesha Rao1, Neil Stewart1, Graham Norquay1, Fraser Robb1,2, and Jim Wild1

1University Of Sheffield, Sheffield, United Kingdom, 2GE Healthcare Inc, Aurora, OH, United States

This study investigates the spectral signal of hyperpolarized 129Xe dissolved in the human head in vivo using a dedicated radiofrequency receiver coil array. With a 2.5-fold higher signal to noise ratio of the array compared to a conventional transmit-receive radiofrequency coil, we detected 8 spectral peaks compared to 5 peaks reported in an earlier study. From this, we postulate an individual assignment of spectral peaks for hyperpolarized 129Xe dissolved in white matter and soft cartilaginous tissue, which were previously undistinguishable.

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3D mapping of alveolar oxygen partial pressure with hyperpolarized 129Xe.
Iga Muradyan1, Alan Hrovat2, Mikayel Dabaghyan2, and Samuel Patz1

1Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 2Mirtech, Inc., Brockton, MA, United States

Obtaining regional alveolar pO2 is a coveted goal in pulmonary medicine, as it reflects both ventilation and perfusion. Hyperpolarized gases, mostly 3He were used to map pAO2. For 3He this is straightforward as helium is virtually insoluble in tissue. Xe, however, dissolves into tissue and blood and is carried away from the alveolar space, thus contributes to the loss of the 129Xe MRI signal. To date no attempt has been made to address this issue. Here we report a novel use of SB-XTC to measure pAO2  in vivo while simultaneously measuring and taking into account xenon gas exchange on the signal decay.

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A Pipeline for Quantifying 129Xe Gas Exchange MRI across Pulmonary Disorders
Ziyi Wang1, Scott Haile Robertson2, Jennifer Min Wang3, 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

With its solubility and abundant chemical shift in different tissues, hyperpolarized 129Xe is uniquely suited to imaging pulmonary function. Previous efforts have demonstrated the ability to map gas transfer to interstitial barrier tissues and red blood cells (RBCs) using the gas-phase signal as a reference. Here, we extend this analysis by using a healthy reference cohort to establish relevant thresholds for quantitative display. With this methodology we now produce maps of ventilation, barrier uptake, and RBC transfer that demonstrate readily distinguishable patterns in a variety of obstructive, restrictive and vascular disorders.

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Regional analysis of gas-uptake parameters in the lung using hyperpolarized 129Xe chemical shift saturation recovery spectroscopy and dissolved-phase imaging: a reproducibility study
Agilo Luitger Kern1,2, Marcel Gutberlet1,2, Kun Qing3, Andreas Voskrebenzev1,2, Filip Klimeš1,2, Till Kaireit1,2, Christoph Czerner1,2, Heike Biller2,4, Frank Wacker1,2, Kai Ruppert5, Jens Hohlfeld2,4, and Jens Vogel-Claussen1,2

1Institute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), German Center for Lung Research (DZL), Hannover, Germany, 3Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States, 4Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany, 5Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States

We performed a regional analysis of hyperpolarized 129Xe gas-uptake parameters in the lung using localized chemical shift saturation recovery spectroscopy and dissolved-phase imaging with a three-point Dixon method for comparison. Localization of spectroscopic data acquired without spatial encoding was achieved using a 16-channel receive coil and Spectral Localization Achieved by Sensitivity Heterogeneity (SPLASH). The reproducibility of all parameters was studied and coefficients of variation are reported. Localized CSSR data exhibit evidence of gravitational effects in consistency with dissolved-phase imaging. The septal wall thickness derived from evaluation of CSSR data using the Patz model can be determined regionally with high reproducibility.


Electronic Poster

Breast Imaging

Exhibition Hall Wednesday 14:45 - 15:45

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Correlation of dedicated breast PET and dynamic contrast MRI: Appearance of breast background parenchyma and breast cancers
Kanae K. Miyake1,2,3, Debra M. Ikeda2, Andrei H. Iagaru2, Andrew Quon2, Bruce L. Daniel2, Jafi A. Lipson2, Sunita Pal2, Erik Mittra2, Haiwei Henry Guo2, Yuji Nakamoto3, Shotaro Kanao3, Masako Kataoka3, and Kaori Togashi3

1Radiology, Rakuwakai Otowa Hospital, Kyoto, Japan, 2Radiology, Stanford University School of Medicine, Stanford, CA, United States, 3Diagnostic Imaging and Nuclear Medicine, Kyoto University Hospital, Kyoto, Japan

A recently developed ring-shaped PET scanner dedicated for breast (dbPET) provides high-resolution 3D images of a breast. We investigated the correlation between dbPET with 18F-fluorodeoxyglucose and dynamic contrast MRI (DCE-MRI) findings in respect to breast background parenchyma and mass-forming breast cancers. Background parenchymal uptake on dbPET was not associated with background parenchymal enhancement on DCE-MRI. Tumor appearance on dbPET was similar to that on DCE-MRI in majority of cases, suggesting improved spatial resolution of dbPET as well as its feasibility for the use of the combined image analysis with DCE-MRI aiming at functional and structural assessment of primary breast tumors.

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Correlation of Pharmacokinetic Parameters with Prognostic factors of Breast Cancers: a Retrospective Study in Dynamic Contrast-Enhanced MRI with CAIPIRINHA-Dixon-TWIST-VIBE Technique
Yiqi Hu1, Tao Ai1, Xu Yan2, Dominik Nickel3, and Liming Xia1

1Radiology, Tongji Hospital, Wuhan, People's Republic of China, 2Siemens Healthcare, MR Collaboration NE Asia, People's Republic of China, 3Siemens Healthcare, MR Collaboration

As the use of neoadjuvant chemotherapy is gradually increased in the treatment of breast cancer, evaluating its therapeutic effect is gaining importance. This study investigated the correlation between pharmacokinetic parameters using high spatial and temporal resolution dynamic contrast-enhanced MR imaging (DCE-MRI) and the prognostic factors for breast cancers. The results showed quantitative parameters (Ktrans, kep) were significantly correlated to the prognostic factors (PR, Ki-67) of breast cancers. Quantitative parameters (Ktrans, kep) of high spatial and temporal resolution DCE-MRI may be good indicators of therapeutic effect of patients undergoing neoadjuvant treatment. 

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Breast Cancer and Body Adiposity by Breast MRI
Wenlian Zhu1 and Dmitri Artemov1,2

1Division of Cancer Imaging Research, Department of Radiology, The Johns Hopkins University School of Medicine, BALTIMORE, MD, United States, 2Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine

Using the thickness of the upper abdominal adipose layer measured from breast MRI as a surrogate body adiposity marker, this retrospective investigation validated a positive correlation between breast cancer and body adiposity in a cohort of 1616 breast MRI patients.  Additionally, triple negative breast cancer was significantly associated with a younger age and higher body adiposity with respect to the hormone receptor positive breast cancer, while the hormone and HER-2 receptor positive (triple positive) type is only associated with a younger age.  A trend of low body adiposity was observed in DCIS patients in the 30 – 49 age range.

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Effect of menstrual cycle on background parenchymal enhancement and the detectability of breast cancer by contrast-enhanced breast MRI: a multicenter study of an Asian population
Takeshi Kamitani1, Hidetake Yabuuchi2, Mitsuhiro Tozaki3, Yoshihide Kanemaki4, Satoshi Kawanami5, Koji Sagiyama1, Yuzo Yamasaki1, Seitaro Shin1, and Hiroshi Honda1

1Department of Clinical Radiology, Kyushu University, Fukuoka, Japan, 2Department of Health Sciences, Kyushu University, Fukuoka, Japan, 3Department of Radiology, Sagara Hospital Affiliated Breast Center, Kagoshima, Japan, 4Breast and Imaging Center, St. Marianna University School of Medicine, Kawasaki, Japan, 5Department of Molecular Imaging & Diagnosis, Kyushu Universtiy, Fukuoka, Japan

Background parenchymal enhancement (BPE) on breast contrast MRI is known to be associated with the menstrual cycle. We conducted a multicenter study to evaluate the effect of the menstrual cycle on BPE and cancer detectability by contrast-enhanced breast MRI in an Asian population. The Degrees of BPE and cancer detectability were assessed quantitatively and qualitatively. BPE were strongest in the proliferative phase. The detectability of breast cancer was better at the menstrual and proliferative phases than at secretary phase. Not only the proliferative phase but also the menstrual phase is suitable for breast MRI examinations of premenopausal Asian women.

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Early enhancement heterogeneity and density on ultrafast bilateral DCE-MRI may differentiate benign and malignant breast lesions
Federico Pineda1, Naoko Mori2, Hiroyuki Abe1, David Schacht1, and Gregory Karczmar1

1Radiology, University of Chicago, Chicago, IL, United States, 2Tohoku University

Heterogeneity of enhancement has been shown to be a marker for malignancy in breast DCE-MRI, however standard dynamic protocols typically have low temporal resolution (60 to 90 seconds). Fast protocols have the advantage of accurately measuring early lesion kinetics. Heterogeneity of lesion enhancement in the first time-point (6 to 9 seconds) after arterial enhancement in the breast differed significantly between malignant and benign lesions; differences were not significant at later time-points.

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High Resolution Breast Diffusion Weighted Imaging Using 2-D Navigated Multishot SENSE EPI with Image Reconstruction using Image-Space Sampling Function (IRIS) at 3 T
Habib Rahbar1, Averi E Kitsch1, Hans Peeters2, Adrienne Kim1, Tyson Nunn3, and Savannah C Partridge1

1Radiology, University of Washington, Seattle, WA, United States, 2Body/Oncology, Philips Healthcare, Best, Netherlands, 3Radiology, Seattle Cancer Care Alliance, Seattle, WA, United States

Conventional diffusion weighted (DW) MRI relies on a single-shot (SS) echo planar imaging (EPI) acquisition, which suffers from limited spatial resolution and detrimental geometric distortions. Multishot (MS) EPI techniques hold potential to improve the image quality and spatial resolution of DW MRI. We tested the feasibility and performance for breast imaging of a recently developed DW MS-EPI sequence incorporating a novel IRIS image reconstruction approach. Our initial results demonstrate this DW MS-EPI technique to provide robust high resolution breast DW images, with good image quality and reduced geometric distortion compared to conventional DW SS-EPI. 

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Intravoxel motion diffusion-weighted imaging and dynamic contrast-enhanced MRI of breast: comparison of perfusion-related parameters
Lei Jiang1, Jiayin Gao2, Zhujin Xu2, Xu Lu2, Dandan Zheng3, Yiming Zhou4, and Min Chen2

1Beijing Hospital, Beijing, People's Republic of China, 2Beijing Hospital, 3GE Healthcare, 4Chaoyang Hospital

 IVIM is a research and clinical focus in recent years. Whether its perfusion-related parameters are correlated with those obtained from DCE is still under debate. So the purpose is to investigate their correlation by performing both IVIM and DCE on 31 malignant and 35 benign lesions from 59 patients. Their diagnostic performance and correlation were investigated. No strong correlation was found between them, although their diagnostic performance is similar in terms of perfusion parameters. So IVIM is useful in lesion differentiation and potentially comparable with DCE-derived perfusion-related parameters. IVIM-derived perfusion-related parameters are probably a new entity of microcirculation parameters.

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The Clinical Significance of Accompanying NME on Preoperative MR Imaging  in Breast Cancer Patients
Hye Mi Gweon1 and Eun Ju Son2

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

Our study evaluated the significance of accompanying NME in invasive breast cancer on preoperative MR imaging and assess the factors affecting the significance. We found that 24.5 % IDC with mass feature was accompanied by NME on preoperative MR imaging. Among them, 55 % accompanying NME had malignant pathologic results. Especially, HER2 positivity was significantly associated with malignant pathologic results of NME. Our results suggest that the accompanying NME should be carefully investigated on preoperative MR images and individually determined according to molecular subtypes.

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Effect of Compressed Sensing Reconstruction Parameter on Ultrafast Dynamic Contrast Enhanced Breast MRI
Hajime Sagawa1, Masako Kataoka1, Shotaro Kanao2, Natsuko Onishi2, Maika Urago3, Marcel Dominik Nickel4, Masakazu Toi5, Kyoji Higashimura1, and Kaori Togashi2

1Department of Radiology, Kyoto University Hospital, Kyoto, Japan, 2Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan, 3Kyoto University Hospital, Kyoto, Japan, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Department of Breast Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

The aim of this study is to assess the impact of the number of iterations of CS reconstruction on kinetic parameters and the image similarity in DCE-MRI of the breast. Breast examinations include ultrafast DCE-MRI using CS were conducted for 21 patients. The images were reconstructed with different numbers of iterations, and the semi-quantitative and quantitative kinetics parameters were compared. The reconstructed images were evaluated by root mean square error (RMSE) and structural similarity (SSIM) as the quantitative image evaluation. In small number of iteration, the all kinetics parameters were underestimated especially in malignant lesion with hypervascularity. 

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Uniform flip angle 3D tailored excitation for MR breast imaging at 3T
Yi-Cheng Hsu1,2, Sebastian Littin2, Ying-Hua Chu1,2, Fa-Hsuan Lin1,3, and Maxim Zaitsev2

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Medical Physics, Department of Radiology, University Medical Center Freiburg, Freiburg, Germany, 3Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We proposed a two pulses excitation method using the linear gradients to achieve uniform 3D breast excitation. Different to previous studies, we don't need extra hardware and this method is applicable to all MRI systems. Compared to conventional excitation method, our method was able to achieve a more uniform flip angle (8.24% to 5.6%) and the mean flip angle difference between the left and the right breast was improved from 10.2% to 1.5%.

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3T full breast diffusion imaging at sub-millimeter resolution with high immunity to artifacts
Eddy Solomon1, Gilad Liberman1, Noam Nissan2, Edna Furman-Haran3, Miri Sklair-Levy4, and Lucio Frydman1

1chemical Physics, Weizmann Institute of Science, Rehovot, Israel, 2Radiology, Sheba-Medical-Center, 3Life Sciences Core Facilities, Weizmann Institute of Science, Rehovot, Israel, 4Sackler School of Medicine,Tel Aviv University

SPatio-temporal ENcoding (SPEN) MRI has been recenlty employed to quantify apparent diffusion coefficients in breast and in other challenging organs, thanks to its high immunity to B0-inhomogeneities and to chemical shift heterogeneities. In this study a new SPEN protocol is proposed combing multi-band pulses providing full coverage of both breasts with improved signal-noise-ratio, and multi-shot interleaved acquisitions achieving sub-millimeter spatial resolution. This provides a representation of the anatomical features that is similar to TSE, plus diffusion information containing insight into a lesion’s nature. Validations and examples are shown at 3T, including healthy female volunteers and patients with breast malignancies.

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Comparison of Radial and Cartesian Acquisitions in Breast MRI for Improved Visualization of the Axilla
Ping Ni Wang1, Roberta M Strigel1,2,3, Andre Fischer4,5, Kang Wang6, Julia V Velikina1, Frank Korosec2, Ty A Cashen6, Kevin M Johnson1, and James H Holmes2

1Department of Medical Physics, University of Wisconsin Madison, Madison, WI, United States, 2Department of Radiology, University of Wisconsin Madison, Madison, WI, United States, 3Carbone Cancer Center, University of Wisconsin Madison, Madison, WI, United States, 4Cardiac Center of Excellence, GE Healthcare, Garching bei München, Germany, 5GE Global Research Europe, Garching bei München, Germany, 6Global MR Applications & Workflow, GE Healthcare, Madison, WI, United States

Dynamic contrast-enhanced (DCE) MRI is being increasingly used in the detection and diagnosis of breast cancer. Cartesian sampling is routinely used however ghosting artifacts caused by cardiac motion are a well known challenge that in some instances can severely obscure the gland tissue, axilla and even known cancer. Radial sampling has an intrinsic advantage for diminishing motion artifacts by averaging low special frequency signals through oversampling of central k-space data. In this study, we demonstrated the feasibility of using a 3D stack-of-stars radial acquisition to provide motion free images of the entire breast region including the axilla.

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Diffusion Kurtosis as an in vivo Imaging Marker for Characterizing Breast Carcinoma: Correlation with Cellular Proliferation
Yao Huang1, Yan Lin1, Zhening Wang1, Jiahao Liang1, Renhua Wu1, Weixun Lin2, and Wei Hu3

1Department of Radiology, 2nd Affiliated Hospital of Shantou University Medical College, China, Shantou, People's Republic of China, 2Department of General Surgery, 2nd Affiliated Hospital of Shantou University Medical College, China, Shantou, People's Republic of China, 3Department of Radiology,1st Affiliated Hospital of Hubei Science and Technology College,Xianning Central Hospital,China, Xianning, People's Republic of China

This study aimed to assess the diagnostic accuracy of DKI technique in breast cancer patients, and to evaluate the potential associations between DKI-derived parameters and cellular proliferation of breast cancer. Mean kurtosis (MK) derived from DKI exhibited the maximal AUCs (0.972) and corresponding optimal sensitivity (90.2%) and specificity (95.2%) for distinguishing malignancy from benign lesions. Furthermore, positive correlation between MK and pathological prognostic factors (Ki-67 expression and histological grade) were found. Preliminary findings highlighted the potential utility of DKI as a sensitive MR sequence for imaging studies and diagnostic improvement of breast masses.

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Serial Quantitative BPE measures on MRI: Correlation with 18F-FDG PET SUV measures in Normal Breast Tissue of Patients Undergoing Breast Cancer Therapy
Averi Kitsch1,2, Habib Rahbar1,2, Lanell Peterson3,4, Jennifer Specht3,4, and Savannah Partridge1,2

1Radiology, University of Washington, Seattle, WA, United States, 2Breast Imaging, Seattle Cancer Care Alliance, Seattle, WA, United States, 3University of Washington, Seattle, WA, United States, 4Seattle Cancer Care Alliance, Seattle, WA, United States

There is emerging data on the association of background parenchymal enhancement (BPE) on breast MRI with breast cancer risk. However, the underlying mechanism of BPE and its biologic relationship with cancer development remain unknown. Our study investigated the correlation of BPE with FDG PET standardized uptake values (SUV) in normal contralateral breast tissue of 35 women undergoing neoadjuvant chemotherapy. We found quantitative BPE area measures correlated with SUV metrics, and each decreased with therapy. Our findings suggest BPE reflects increased metabolic activity in normal breast tissue, which may provide valuable information for predicting cancer risk and response to therapy.

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Restriction Spectrum Imaging in Breast Cancer: Improved Evaluation of Response to Neoadjuvant Chemotherapy
Rebecca Rakow-Penner1, Nicholas Albino-Kroesing2, Boya Abudu2, Nathan White1, David Karow1, Hauke Bartsch1, Joshua Kuperman1, Dennis Adams3, Natalie Schenker-Ahmed1, Anne Wallace4, Sarah Blair4, Haydee Ojeda-Fournier1, and Anders Dale1

1Radiology, University of California San Diego, La Jolla, CA, United States, 2University of California San Diego, La Jolla, CA, United States, 3Pathology, University of California San Diego, La Jolla, CA, United States, 4Surgery, University of California San Diego, La Jolla, CA, United States

Restriction spectrum imaging (RSI) is an advanced diffusion imaging technique based on a model with increased sensitivity to cancer cells with high nuclear to cytoplasm ratio.  This abstract is the initial evaluation comparing RSI to standard diffusion imaging in breast cancer in assessing response to chemotherapy. RSI Z-scores, in comparison to the ADC, demonstrated increased conspicuity and significance in evaluating response to chemotherapy.  RSI may be a more reliable diffusion imaging technique in evaluating response to treatment.  

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Comparison of Breast Pharmacokinetic Parameters in Fat-Water and Water Only Images
Philip K. Lee1, Brian A. Hargreaves2, Bruce L. Daniel2, and Subashini Srinivasan2

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, CA, United States

Pharmacokinetic parameters such as Ktrans, kep and ve can be estimated from contrast enhanced breast MRI using Tofts model. Previous simulation has shown that Ktrans has a maximum bias of 82% at 5s temporal resolutions in the presence of fat. In this work, we have compared the PK parameters estimated from in-phase fat-water, and water-only images in 7 malignant and 4 benign lesions. The presence of fat introduced biases in Ktrans and kep respectively of –0.02 min-1 and 0.01 min-1 in malignant lesions and –0.001 min-1 and –0.003 min-1 in benign lesions, but did not affect the classification of lesions.

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Ultrafast Dynamic Contrast Enhanced MRI of the Breast Using Compressed Sensing: A Novel Technique for Separate Visualization of Breast Arteries and Veins in Very Early Phase
Natsuko Onishi1, Masako Kataoka1, Shotaro Kanao1, Hajime Sagawa2, Mami Iima1, Rena Sakaguchi1, Akane Ohashi1, Ayami Ohno Kishimoto1, Marcel Dominik Nickel3, Masakazu Toi4, and Kaori Togashi1

1Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Division of Clinical Radiology Service, Kyoto University Hospital, Kyoto, Japan, 3MR Application Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany, 4Department of Breast Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

Ultrafast dynamic contrast enhanced (UF-DCE) MRI using compressed sensing enabled very fast scanning of the breast (every 3.7 sec/frame), and separately visualized breast arteries and veins. Breasts with cancers showed significantly shorter time intervals between arterial and venous visualization than the contralateral breasts without cancers. The time intervals in the breast with cancers tended to be shorter than those in the breasts with benign lesions. Shorter time intervals in breasts with cancers may reflect higher vascularity in malignancy. UF-DCE MRI has a potential to enable the differentiation of breast cancers in very early phase (0-60sec after contrast injection).

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Automatic Breast Tumor Segmentation Methods for Mass and Non-mass Lesions for Quantitative Morphology and Texture Analysis
Xinxin Wang1, Yang Zhang1, Jeon-Hor Chen1,2, Siwa Chan3, and Min-Ying Su1

1University of California, Irvine, Irvine, CA, United States, 2E-Da Hospital and I-Shou University, Kaohsiung, Taiwan, 3Tzu-Chi General Hospital, Taichung, Taiwan

A breast tumor segmentation platform for mass and non-mass tumors on 3D MRI was developed. The segmentation of non-mass lesions is challenging. We developed a new method based on region-growing with the threshold determined by comparison of the intensity histograms in an ROI containing suspicious tumor region vs. outside ROI containing normal fibroglandular tissues. Breast MRI of 122 patients with pathologically-confirmed breast cancer were studied. Of them, 14 had triple negative, 29 had HER2-positive, and 51 had Hormonal-positive, HER2-negative breast cancers. The segmented tumor ROI was analyzed to obtain morphology and texture parameters for differentiation of these 3 molecular subtypes.

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Correction of image distortion and gradient nonlinearity in DTI of breast cancer
Lisa J Wilmes1, Ek T Tan2, Evelyn Proctor1, Jessica Gibbs1, Nola M Hylton1, and David C Newitt1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2GE Global Research, Niskayuna, NY

The individual and combined effects of correction for susceptibility-induced distortion, distortion due to eddy currents, and bias from gradient non-linearity on breast DTI metrics were evaluated. Using an ice-water phantom we found that the correction of gradient nonlinearity resulted in strong bias reduction, while the distortion correction provided further reduction of bias and variance. The effects of these corrections were quantified in 12 subjects with malignant breast tumors and found to parallel the effects measured in the phantom.

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Locally altered lipid profiles: a hallmark of breast cancer metabolism?
Ileana Hancu1, Christopher Sevinsky1, Beatrice Andre2, Fiona Ginty1, Elizabeth Morris2, and Sunitha Thakur2

1GE Global Research Center, Niskayuna, NY, United States, 2Memorial Sloan Kettering Cancer Center, New York City, NY, United States

Cancer cells are known to produce their own fatty acids (FA’s) and co-opt local fat reserves for energy/cell division needs. In this study, single-voxel MRS data were used to assess the spatial/spectral lipid profiles of normal volunteers and subjects with suspicious lesions. Statistically different lipid profiles were found in tumors than in the contralateral breast of cancer patients; the latter were similar to lipid profiles of normal volunteers. Fibrocystic epithelial/breast cancer cell NMR experiments confirmed differential FA composition/uptake for the two cell types. MRI/MRS-based profiling of lipid metabolism may provide a unique tool for better breast cancer tumor detection/characterization. 

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Enabling high resolution MRE images of the breast
Stefan Heinz Hoelzl1, Sweta Sethi2, Jelizaveta Sudakova1, Ayse Sila Dokumaci1, Jurgen Henk Runge1, Tony Ng3, Arnie Purushotham4, and Ralph Sinkus1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Department of Research Oncology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom, 3Division of Cancer Studies, King's College London, London, United Kingdom, 4Department of Imaging Chemistry and Biology, King's College London, London, United Kingdom

Achieving high-resolution MR-Elastography images of the breast is a challenge due to shear wave attenuation and shadowing effects in breast tissue resulting in loss of wave energy and hence poor signal to noise ratio. We present a novel breast transducer set-up to ensure complete wave penetration throughout the entire breast. Waves reach even far upwards to enable quantification of axillary lymph nodes. Mechanical vibrations are generated via a novel concept utilizing an eccentric rotor that yields inherently constant amplitude with driving frequency. Volunteer results of wave speed and attenuation at 2mm isotropic resolution are presented including the axilla region.

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The detectability of mammary lesions dependent on the patients’ arm position and breathing style during a liver study
Yasuo Takasu1,2, Yuko Shimada1, Tosiaki Miyati2, and Toshiki Shiozaki1

1Osaka Red Cross Hospital, Osaka, Japan, 2Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University., Kanazawa, Japan

This study aimed to evaluate whether the incidental finding of the mammary lesions was influenced by the patient’s arm position and respiration style during liver magnetic resonance imaging (MRI). If the mammary lesion was detected earlier, treatment could be performed earlier. Therefore, the finding of mammary lesion during liver studies was useful information. The incidental detection of mammary lesions was influenced by the patient’s arm position and breathing style. Unexpected mammary lesions could be detected when the arms were positioned at the sides of the body and the exhalation style was used during liver MRI.

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Co-registration of Breast MRI and CT Using Gravity Unloading
Yang Zhang1, Jeon-Hor Chen1,2, Siwa Chan3, and Min-Ying Su1

1Tu & Yuen Center for Functional Onco-Imaging, University of California, Irvine, Irvine, CA, United States, 2E-Da Hospital and I-Shou University, Kaohsiung, Taiwan, 3Tzu-Chi General Hospital, Taichung, Taiwan

A biomechanical simulation method for co-registration of breast MRI and low-dose chest computed tomography (LDCT) images is presented, by aligning the images in a virtually unloaded configuration. The breast tissue was considered as neo-Hookean material, and the finite element method was applied to simulate the deformation from gravity-unloading. The Demon’s non-rigid registration algorithm was applied to co-register the gravity-unloaded MRI and LDCT models. Fourteen normal subjects who received both breast MRI and LDCT for breast and lung cancer screening were analyzed. The results show that the pre-processing using gravity unloading can facilitate the co-registration of LDCT and MRI.

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Development of Robust Texture Parameters for Characterizing Normal Breast Parenchymal Patterns
Yang Zhang1, Jeon-Hor Chen1,2, Siwa Chan3, Dah-Cherng Yeh4, and Min-Ying Su1

1Tu & Yuen Center for Functional Onco-Imaging, University of California, Irvine, Irvine, CA, United States, 2E-Da Hospital and I-Shou University, 3Tzu-Chi General Hospital, Taichung, Taiwan, 4Taichung Veterans General Hospital, Taichung, Taiwan

The non-fat-sat T1-weighted breast MRI of 57 normal healthy women were analyzed. In order to test the robustness of parameters we compared the texture analyzed from the ROI’s of different sizes as the largest cuboid that can fit within the breast and cover 30%, 40%, and 50% of fibroglandular tissue slices. 21 texture features were selected as robust features that were not greatly affected by the cuboid ROI size. The concordance correlation coefficient of the percent density between bilateral breasts was very high, 0.98. Of all texture parameters, “Information Measure for Correlation (IMC)” and “Contrast” show the highest ccc, 0.90-0.98.


Electronic Poster

Body: Cancer

Exhibition Hall Wednesday 14:45 - 15:45

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Investigating the role of DCE-MRI, over T2 and DWI, in accurate PIRADS-v2 assessment of clinically significant peripheral zone prostate lesions, as defined at radical prostatectomy
Mehdi Taghipour1, Elmira Hassanzadeh1, Francesco Alessandrino2, Mukesh Harisinghani3, Clare M.C Tempany1, and Fiona M Fennessy1,2

1Radiology, Harvard Medical School, Brigham and Women's Hospital, BOSTON, MA, United States, 2Imaging, Dana-Farber Cancer Institute, Boston, MA, United States, 3Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, United States

DCE has a secondary role in detecting peripheral zone lesions using PIRADS v2 and is limited to PZ lesion with DWI score of 3. The goals of this study are to determine the frequency with which DCE plays a role changing the final PI-RADS assessment score for PZ lesions, and 2) determine the accuracy of DCE-MRI in upgrading the assessment score . 271 patients with biopsy proven prostate cancer diagnosis, a mp-MRI, and who underwent curative radical prostatectomy were included in the study. DCE played a role only in 16.6% (45/271) of patients and showed sensitivity of 63.8% in upgrading lesions. In conclusion, the added value of DCE to T2-WI and DWI is very limited in diagnosis of csPC.

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Fine-tuned Deep Convolutional Neural Network for Automatic Detection of Clinically Significant Prostate Cancer with Multi-parametric MRI
Xinran Zhong1,2, Hung Le Minh3, Holden Wu1,2, Michael Kuo1, Steven Raman1, William Hsu1, Xin Yang3, and Kyunghyun Sung1,2

1Department of Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Physics and Biology in Medicine IDP, University of California, Los Angeles, Los Angeles, CA, United States, 3School of Electronics Information and Communications, Huazhong University of Science and Technology, Wuhan, People's Republic of China

A deep convolutional neural network (CNN) based automatic classification system to distinguish between indolent and clinically significant prostate carcinoma using multi-parametric MRI (mp-MRI) is proposed. By applying data augmentation, 138 lesions were used to fine-tune the pre-trained CNN model called Overfeat. Those fine-tuned models were then shown to provide better performance than existing pre-trained CNN method, texture features based system as well as PI-RADS standards on a separate 40 testing cases.

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Low-To-High b-Value DWI Ratio Image in Multiparametric MRI of the Prostate: Feasibility, Optimal Combination of b-Values, and Comparison with ADC Maps for the Detection of Prostate Cancer
Franklin Olumba1, Parker Lawson1, Alexander Liu1, Robert E. Lenkinski1, Qing Yuan1, Ivan Pedrosa1, Gaurav Khatri1, Takeshi Yokoo1, Daniel Costa1, and Yin Xi1

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States

This study demonstrated the feasibility of generating a DWI-based image that compares the signal intensity on low versus high b-values (DWIratio image) and compared this model-independent approach to the conventional ADC map in terms of quantitative relative contrast (RC) in signal intensity between lesion and normal tissues and subjective assessment of artifacts, lesion conspicuity, and overall image quality by blinded radiologists. The DWIratio images showed significantly higher RD and lower artifacts and non-inferiority in lesion conspicuity and overall image quality. The model-independent nature of this approach has the potential to improve inter-subject and inter-vendor reproducibility of DWI data for the detection of prostate cancer when compared to ADC maps.

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Mapping prostatic microscopic anisotropy using linear and spherical b-tensor encoding: A preliminary study
Markus Nilsson1, Filip Szczepankiewicz2, Mikael Skorpil3,4, Carl-Fredrik Westin5, Lennart Blomqvist3,4,6,7, and Fredrik Jäderling6,7

1Clinical Science, Radiology, Lund University, Lund, Sweden, 2Clinical Sciences Lund, Medical Radiation Physics, Lund University, Lund, Sweden, 3Department of Radiology, Uppsala University, Uppsala, Sweden, 4Department of Radiation Sciences, Umeå University, Umeå, Sweden, 5Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 6Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden, 7Department of Diagnostic Radiology, Karolinska University Hospital, Solna, Sweden

Diffusion tensor imaging (DTI) has the potential to improve prostate cancer detection, since anisotropy is expected to correlate with tumor aggressiveness and differentiation. Differences in fractional anisotropy between cancer and normal tissue have been observed, although data is somewhat contradictory. A problem with DTI is its inability to distinguish low anisotropy from high orientation dispersion. In this study, we map the anisotropy independent of orientation in the prostate, by the use of a novel diffusion-encoding technique that permits encodings with variable b-tensor shapes. The microscopic anisotropy was found to be generally higher in cancer than in normal prostatic tissue. 

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Preoperative breast MR Imaging in patients with primary breast cancer has the potential to decrease the rate of repeated surgeries
Heike Preibsch1, Benjamin Wiesinger1, Claus Claussen1, Konstantin Nikolaou1, and Katja C Siegmann-luz2

1Diagnostic and Interventional Radiology, University Hospital Tuebingen, Tuebingen, Germany, 2Diagnostic Breast Center and Mammography Screening Brandenburg Ost

In our  study cohort the mastectomy rate did not differ (39 % vs. 39 %) between patients with and without preoperative breast MRI, although tumor stages and focality were higher in the group of patients undergoing MRI. Breast MRI was beneficial for 20.3 % (127/626) of the patients as additional foci of cancer in the same or contralateral breast were diagnosed (n=122) or MRI could prove a lesser extent of carcinoma (n=5). Patients receiving preoperative MRI had a lower chance of repeated surgery (p=0.007). Preoperative breast MRI did not delay surgery (20.3 days vs. 19.8 days, p=0.7).

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Inverse Laplace transform analysis using a fast multi-echo TSE sequence for prostate cancer diagnosis
Shiyang Wang1, Harsh Agrawal2, Milica Medved1, Tatjana Antic3, Ambereen Yousuf1, Gregory Karczmar1, Roger Bourne4, and Aytek Oto1

1Radiology, University of Chicago, Chicago, IL, United States, 2R&D Institute, Samsung R&D Institute, Bangalore, India, 3Pathology, University of Chicago, Chicago, IL, United States, 4Health Science, University of Sydney, Sydney, Australia

To evaluate the inverse Laplace model fitting to multiple TE TSE data for prostate cancer diagnosis. Prostate tissue has glandular structure with luminal volume and epithelial cells forming the walls of gland. The underlying physical phenomenon in prostate cancer can be accurately captured using two-compartment T2 decay modeling. It is impossible to acquire MR images to perform accurate multi-compartment T2 decay model in clinically feasible scan times since multiple T2W MRI images over a wide range of echo times are required. Recently a fast multi-echo TSE (ME-TSE) T2 mapping technique, k-t-T2 MRI was developed to obtain high resolution T2 maps in clinically feasible scan time. In this study, a new implementation of the inverse Laplace transform was applied to the multi-echo TSE T2WI data. We present evidence that multiple slow components can be present in the decaying T2WI signal in the normal tissue in the prostate but were absent in pathology confirmed cancers on k-t-T2 data.

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3D Virtual Reality Models Created from MRI data for Pre-operative Evaluation of Renal Cancer
Nicole Wake1, William C. Huang2, James F. Borin2, Daniel K. Sodickson1, and Hersh Chandarana1

1Bernard and Irene Schwartz Center for Biomedical Imaging, Center for Advanced Imaging Innovation and Research, Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Department of Urology, New York University School of Medicine, New York, NY, United States

The objective of this study was to create patient-specific 3D virtual reality kidney cancer models and to evaluate pre-operative planning decisions made using these models.  Virtual 3D models were compared to 3D printed models. These models may alter the surgical plan, and could promote both nephron-sparing surgery and preservation of healthy parenchyma, as surgeons gain a better visualization of the size and location of a tumor in relation to normal tissue and vital structures.

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Diagnostic Performance in MR-visible Prostate Cancer: Can a Quantitative Computer-aided Diagnosis System Be Superior to the Qualitative PI-RADS v2 Guideline?
Jing Wang1, Yang Fan2, and Yudong Zhang3

1Center for Medical Device Evaluation, CFDA, Beijing, People's Republic of China, 2MR Research China, GE Healthcare, Beijing, People's Republic of China, 3Department of Radiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, People's Republic of China

A novel CAD system was developed for prostate cancer detection based on multi-parametric MRI, including textured T2w, DKI and Tofts-Ktrans. MR features were evaluated by using machine-assisted classification methods such as PCA and SVM analysis. The validation performed in 54 patients confirmed as PCa, to determine whether the CAD has the ability to correct diagnosis in MR-visible prostate cancer, as comparison with a proposed structured PI-RADS v2. Our results showed that the automatic PCa detection using CAD had significantly higher AUC than PI-RADS v2 in distinguishing cancer from normal prostate tissue.

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Developing pre-biopsy multiparameteric MRI based risk calculator for predicting prostate cancer in men with PSA 4-10 ng/ml
Durgesh Kumar Dwivedi1,2, Rajeev Kumar3, Alok Kumar Dwivedi4, Girdhar S. Bora3, Sanjay Thulkar5, Sanjay Sharma5, Siddhartha Datta Gupta6, and Naranamangalam R. Jagannathan1

1Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, Delhi, India, 2Department of Radiodiagnosis, King George's Medical University, Lucknow, India, 3Department of Urology, All India Institute of Medical Sciences, New Delhi, Delhi, India, 4Division of Biostatistics and Epidemiology, Department of Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, Texas, TX, United States, 5Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, New Delhi, India, 6Department of Pathology, All India Institute of Medical Sciences, New Delhi, New Delhi, India

Risk calculators have traditionally utilized PSA values in addition to the clinical variables to predict risk assessment of prostate cancer (PCa). For the first time, we aimed to develop pre-biopsy mpMRI based simple risk score (RS) and a predictive model in predicting the risk of PCa in men with clinically challenging value of PSA (4-10 ng/ml) if a TRUS-guided biopsy is performed. The predictive model and developed simplistic 6-point mpMRI score based risk calculator in this study could be routinely used in predicting PCa in clinical management for men with PSA 4-10 ng/ml.

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Impact of Temporal Resolution on Quantitative DCE-DISCO Measurements in Prostate Cancer
James A Rioux1,2,3, Peter M Lakner1,4, Steve Patterson1, Mark Parker1,5, Jennifer Merrimen6, Cheng Wang6, Chris V Bowen1,2,3, and Sharon Clarke1,2,3

1Biomedical Translational Imaging Centre (BIOTIC), Nova Scotia Health Authority, Halifax, NS, Canada, 2Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada, 3Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada, 4Computer Science, Dalhousie University, Halifax, NS, Canada, 5School of Health Sciences, Dalhousie University, Halifax, NS, Canada, 6Pathology, Dalhousie University, Halifax, NS, Canada

Depending on the particular application, the temporal resolution of dynamic contrast-enhanced MRI may have an impact on measurements of quantitative parameters related to contrast agent kinetics. In this study we retrospectively altered the temporal resolution of DCE-DISCO acquisitions in patients with prostate cancer, and examined the effect on the rate constant Ktrans in both normal tissue and cancer (as confirmed by histopathology).  The difference in mean Ktrans values between tissue types was found to vary significantly with temporal resolution between 4 and 10s, suggesting that the uptake dynamics in cancer are more accurately sampled at higher temporal resolution.

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Automatic Segmentation and Tracking of Tumor Associated Vasculature Using High-temporal Resolution Dynamic Contrast Enhanced MRI of the Breast: Preliminary Results
Chengyue Wu1, Federico D. Pineda2, Gregory S. Karczmar2, and Thomas E. Yankeelov1

1Department of Biomedical Engineering, The University of Texas at Austin, Austin, TX, United States, 2Department of Radiology, The University of Chicago

We present a post-processing analysis of high-temporal resolution dynamic contrast enhanced MRI (DCE-MRI) data to automatically detect, segment, and track tumor associated vasculature within the breast. We hypothesize that such an analysis will be useful in both the diagnostic and prognostic settings.

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A New Multi-Atlas Selection Strategy for Zone Segmentation of the Prostate
Michela Antonelli1, Edward W Johnston 2, Manuel Jorge Cardoso1, Benoit Presles1, Shonit Punwani*2, and Sebastien Ourselin*1,3

1Translational Imaging Group, CMIC, University College London, London, United Kingdom, 2Academic Radiology, University College London Centre for Medical Imaging, London, UK, 3Dementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, London, UK

Automatic segmentation of the prostate into peripheral and transition zones is paramount in developing computer aided diagnosis systems for prostate cancer diagnosis, as cancer behaves differently in each zone. We propose a multi-atlas based segmentation (MAS) algorithm characterized by a new atlas selection strategy: the performance of a subset of atlases is evaluated considering how well that subset segments the image that is most similar to the target image. Comparison of our method with three other MAS algorithms on fifty-five patients shows a statistically significant improvement on the segmentation accuracy.

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Contribution of Radiomics Features from DCE-MRI and DWI in Differentiating Benign from Malignant Lesions in Suspicious Breast (MRI BI-RADS Category 4) Findings
Bin Hu1, Lina Zhang2, Ke Xv2, Shu Li2, Songbai Li2, Ning Huang3, and Yan Guo3

1First Affiliated hospital of China Medical University, Shenyang, People's Republic of China, 2First Affiliated hospital of China Medical University, 3GE Healthcare, Lifescience, China

We aimed to find a promising tool to improve the diagnostic efficiency of suspious breast lesions classified in BI-RADS Category 4 from malignant lesions in order to avoid unnecessary biopsy,surgery,even psychological pressure. 33 patients (all female, 27y-82y) were included in our retrospective study and all underwent pre-operative breast DCE-MRI and DWI using a 3.0T MRI (SIEMENS Magntom Verio 3.0T).The radiomics features were acquired by Omni-Kinetics software (GE Healthcare).Non-parametric test and ROC curve were used in statistical analysis.The results implied that the radiomics parameters,especially skewness, kurtosis,IDM and inertia in Ktrans and ADC had great potential.

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Prostate cancer detection with multiparametric MRI based computer-aided diagnosis: which sequence is the dominant technique
Ge Gao1, Xiaoying Wang, Chengyan Wang, and Jue Zhang

1Radiology, Peking University First Hospital, Beijing, People's Republic of China

Differ from PI-RADS v1, the updated PI-RADS v2 offers a decision process that puts the sequences as different role in scoring process and results in a final five-point score. However, the efficiency of each sequence in prostate cancer (PCa) detection in peripheral zone (PZ) and transition zone (TZ) is investigated by radiologists reading test preliminarily, which is highly depends on reader’s expertise and experience. This work applied a previous published machined learning model to investigate the weight of different sequences, including T2WI, DWI/ADC and DCE, in clinical significant PCa detection, and found that DWI/ADC performed the best both in PZ and TZ clinical significant PCa detection among these basic sequences which is recommended by PI-RADS v2

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Prostate shapes between prostate cancer patients with and without biochemical recurrence post-treatment are different : Preliminary study
Soumya Ghose1, Rakesh Shiradkar1, Jhimli Mitra1, Rajat Thawani1, Mirabela Rusu2, Michael Feldman3, Amar Gupta4, Andrei Purysko5, Lee Ponsky6, and Anant Madabhushi1

1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2GE Global Research, 3Perelman School of Medicine, University of Pennsylvania, 4Diagnostic Radiology, Cleveland Clinic Foundation, Cleveland, OH, 5Diagnostic Radiology, Cleveland Clinic Foundation, Cleveland, OH, United States, 6Urology, Case Western Reserve University School of Medicine

In a single center IRB approved retrospective study, statistically significant differences in the shape of the prostate gland were observed between BCR+ and BCR- populations.

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Poor enhancement of colorectal liver metastases on delayed phase gadobutrol enhanced MRI may be related to increased number of APC mutations
Helen Cheung1, Arun Seth2, Yutaka Amemiya2, Eugene Hsieh3, Paul Karanicolas3, Natalie Coburn3, Xiaoyang Liu3, Vikrum Seth2, Calvin Law3, and Laurent Milot1

1Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada, 2Sunnybrook Research Institute, 3Sunnybrook Health Sciences Centre

We recently demonstrated that delayed enhancement of colorectal liver metastases (CRLM) on gadobutrol-enhanced MRI is associated with long-term survival. We performed a hypothesis-generating pilot study to determine whether delayed enhancement on MRI is related to the number and types of genetic mutations.  There were a greater number of somatic APC mutations in hypoenhancing tumors compared to isoenhancing tumors or hyperenhancing tumors (N=15, p=0.013).  There was no difference in the number of germline mutations or number of overall somatic mutations among MRI groups.  Poor enhancement of CRLM on delayed phase gadobutrol-enhanced MRI may correlate with increasing number of somatic APC mutations.  

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Rectal perfusion parameters normalized to tumour free rectal wall can predict complete pathological response to neoadjuvant chemoradiotherapy.
Sonal Krishan1 and Anirudh Kohli2

1Radiology, Medanta Hospital Gurgaon, Gurgaon, India, 2Radiology, Medanta Hospital, India

The aim of  this study was to evaluate absolute and normalized change in qualitative and semi quantitative perfusion parameters in predicting complete pathological response to CRT. Perfusion parameters of Pre and post treatment imaging of histopathologically proven 10 patients with rectal cancer who had complete response and complete absence of tumour on histopathology following complete treatment ( Group 1) were compared with 10 patients with residual tumour on histopathology following treatment (Group 2). The two groups were matched for T stage of tumour. Semiquantittaive perfusion MRI parameters (Ktrans, Kep, Ve, IAUC; Toft model) were quantified by manually delineating a region of interest in the upper, mid and lower third of tumour at least 1cm square, in addition similar parameters were obtained from the normal rectal wall atleast 1cm away from the potential resection margin, absolute as well as values normalized values to the perfusion in the normal rectal wall were evaluated. Qualitative perfusion parameters were also assessed (wash in, wash out, TTP, AT, PEI, iAUC). After CRT, all patients underwent complete surgical resection and the surgical specimen served as the gold standard. Difference in absolute and normalized qualitative parameters were compared within each group using paired t-test and between each group using ANOVA. Washin, Washout, PEI, Ktrans, IAUC in the complete pathological responders when normalized to the adjacent normal rectal wall showed ratio’s approaching near 1 suggesting that rectal perfusion returns similar to the adjacent normal rectal wall in complete pathological responders. The difference in the normalized values in the responders and non responders was statistically significant. Within group change in absolute mean values in the responders and non responders was not statistically significant. Perfusion parameters can be used in predicting response to treatment, when normalised to the adjacent normal rectal wall.  

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Differentiation of low- and high- grade hepatocellular carcinomas with texture features and a machine learning model in arterial phase of contrast-enhanced MR
Wu Zhou1, Qiyao Wang1, Guangyi Wang2, Zaiyi Liu2, Changhong Liang2, and Lijuan Zhang1

1Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2Department of Radiology, Guangdong General Hospital, Guangdong Academy of Medical Sciences

Texture has been a recognized feature for biological aggressiveness of hepatocellular carcinomas (HCCs). However, texture feature alone may not be optimal to characterize malignancy of HCC. Computer-aided techniques combined with multi-feature fusion may be a method of choice for the preoperative assessment of the aggressiveness of HCC. To this end, a computer-aided method in the combination with machine learning technique based on texture analysis for malignancy differentiation of HCCs was desmonrated and high classification performance(AUC>0.9) of the classifier was achieved to differentiate low- and high- grade of HCCs.

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Quantitative dynamic contrast enhanced magnetic resonance imaging of hepatocellular carcinoma: A prospective self-control study between single and dual input arterial function
Meiling Li1, Jian Lu1, Hongwei Liang1, Jifeng Jiang1, and Peng Cao2

1Department of Radiology, Nantong Third People’s Hospital, Nantong University, Nantong, People's Republic of China, 2GE healthcare, Shanghai, People's Republic of China

This prospective self-control study was designed to explore if there is difference between single and dual arterial input function (AIF) for analyzing quantitative dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) of hepatocellular carcinoma (HCC). Our result showed that there is no statistical difference of quantitative parameters Ktrans, Ve, Vp between single and dual AIF groups. The parameter Kep was different between two groups, but it had a parallel relationship with CD34-MVD of HCC, for that, dual AIF didn’t have advantage over single AIF.

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A New System to Spatially Align In Vivo MRI, Ex Vivo MRI, and Whole-Mount Histopathology Slides for Integrated Prostate Cancer Research
Holden H Wu1,2, Steven Raman1, Pooria Khoshnoodi1, Alan Priester2, Kyunghyun Sung1,2, Daniel Margolis1,3, Preeti Ahuja1, Anthony Sisk4, Jiaoti Huang4,5, Robert Reiter6, and Dieter Enzmann1

1Radiological Sciences, UCLA, Los Angeles, CA, United States, 2Bioengineering, UCLA, Los Angeles, CA, United States, 3Radiology, Cornell University, New York, NY, United States, 4Pathology, UCLA, Los Angeles, CA, United States, 5Pathology, Duke University, Durham, NC, United States, 6Urology, UCLA, Los Angeles, CA, United States

Multi-parametric MRI is an indispensable tool for prostate cancer (CaP) management and spatial alignment of in vivo MRI to histopathology is critical for its development. In addition, ex vivo MRI has distinct advantages for investigating ultrahigh-resolution MRI and quantitative MRI of CaP. In this work, we propose a new system for spatial alignment of in vivo MRI, ex vivo MRI, and whole-mount histopathology slides. Results from a pilot study of CaP patients demonstrate successful integration with the clinical workflow and good spatial alignment of the image sets. This new system may enable novel research of CaP biomarkers and predictive models.

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Comparison of Radiologist Perception of Image Quality of Advanced Diffusion vs. RESOLVE Diffusion
Bonnie N. Joe1, Kimberly Ray1, Amie Lee1, Vignesh Arasu1, Lisa Wilmes1, Vibhas Deshpande2, Sinyeob Ahn2, and Nola Hylton1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2Siemens Medical Solutions

In order to gain acceptance of DWI in the clinical setting, consistent high image quality with minimal breast distortion is required.  Although time of acquisition is slightly longer for the RESOLVE compared with the advanced diffusion sequence, the benefits of improved image quality, particularly with respect to image distortion and phase ghosting are preferred by clinical breast imaging radiologists based on this reader study.  The theoretical benefits of using readout-segmented diffusion imaging technique in RESOLVE to improve image quality can be realized in a routine clinical practice.

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Spatially-sensitive model for detection of prostate cancer on multiparametric MRI
Ethan Leng1, Jin Jin2, Lin Zhang2, Christopher A. Warlick3, Benjamin Spilseth4, Joseph S. Koopmeiners2, and Gregory J. Metzger1

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, 3Department of Urologic Surgery, Institute of Prostate and Urologic Cancers, University of Minnesota, Minneapolis, MN, United States, 4Department of Radiology, University of Minnesota, Minneapolis, MN, United States

A novel predictive model of prostate cancer (PCa) on multiparametric MRI was developed that takes into account the spatial distribution of PCa within the prostate and the spatially-autocorrelated nature of mpMRI data. The performance of the proposed model was compared to the LASSO-based model we previously described on 34 PCa cases using both voxel-wise metrics (AUC) and slice-wise metrics ($$$s_s$$$) we recently developed. The proposed model achieved superior predictive performance both in terms of AUC (0.81 vs 0.77) and $$$s_s$$$ (0.45 vs. 0.35) over the 34 cases, with significant improvements for the majority of cases.

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Texture analysis of prostate MRI by using the Gray-Level Co-Occurrence Matrix (GLCM) for the characterization of prostate cancer, normal prostatic peripheral zone, and transition zone
Sung Kyoung Moon1, Hyug-Gi Kim2, Kyung Mi Lee1, and Joo Won Lim1

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

GLCM is a mathematical method that extracts the various quantitative parameters representing texture features of the images. Our hypothesis is that the texture analysis of prostate MRI can be an additional problem-solving tool in differentiating cancer and normal prostate tissue. The texture parameters of ROIs in prostate cancer, normal peripheral zone, and normal transitional zone in T2WI were extracted and compared statistically in 20 prostate cancer patients. The correlation, energy, and maximum probability in prostate cancer and peripheral zone are significantly different. The texture analysis can be used for the characterization and differentiation of prostate cancer and normal prostate tissue.

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To quantitatively investigate the contrast ratio of prostate cancer of computed high diffusion-weighted imaging (DWI) from DWIs acquired from lower b-values and correlation to tumour aggressiveness
RAYMOND LEE1, Gladys Lo1, and Ka Fat John Chan1

1DEPARTMENT OF DIAGNOSTIC & INTERVENTIONAL RADIOLOGY, HONG KONG SANATORIUM & HOSPITAL, HONG KONG, Hong Kong

Apparent Diffusion Coefficient (ADC) maps obtained diffusion weighted imaging (DWI) have been shown to detect prostate cancer (PCa) and also correlate with tumor aggressiveness. Recent studies showed that improve detection of prostate cancer by high b-value DWI. However, high b-value images have an inherently low signal-to-noise ratio (SNR) and are prone to increased susceptibility artefact. Computed DWI (cDWI) is a method capable of obtaining high b-value images, which avoids the technical challenges of actually measuring them. Previous studies with limited sample size have evaluated the cDWI with high b-value but results were not conclusive. Current study may give an insight whether high b-value cDWI is valuable for differentiation of high risk versus low risk PCa.


Electronic Poster

Gastrointestinal MRI

Exhibition Hall Wednesday 14:45 - 15:45

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Metabolic Imaging of β3-adrenoreceptor Activated BAT and its Systemic Effect on Abdominal Fat in Diet Induced Obese Model
Jadegoud Yaligar1, Sanjay Kumar Verma 1, Venkatesh Gopalan 1, Anantharaj Rengaraj1, Tian Xianfeng1, Anna Ulyanova1, Bhanu Prakash K.N1, Suresh Anand Sadananthan2, Navin Michael2, and S. Sendhil Velan 1

1Laboratory of Metabolic Imaging, Singapore Bioimaging Consortium, A*STAR, Singapore, 2Singapore Institute for Clinical Sciences, A*STAR, Singapore

Imbalance in dietary intake and energy expenditure are associated with obesity, diabetes and metabolic disorders. Adipocyte size and expansion of adipose tissue plays a critical role towards the progression of diet induced obesity. Brown adipose tissue (BAT) plays a critical role in modulating different fat depots in the body. BAT can be functionally activated by administering the β3-adrenergic agonist. Understanding the mechanisms associated with BAT activation and the possibility of reversing insulin resistance and its impact on whole body metabolism is of current clinical interest for combating diabetes. In the current study, we investigated the fat partitioning in high fat diet induced obese rodent model by β-adrenergic-mediated BAT activation.

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Analysis of motility in apparently normal small bowel – relationship to Crohn’s symptoms
Ruaridh M Gollifer1, Alex Menys1, Jesica Makanyanga1, Carl A, J Puylaert2, Frans M Vos2,3, Jaap Stoker2, David Atkinson1, and Stuart A Taylor1

1Centre for Medical Imaging, University College London (UCL), London, United Kingdom, 2Department of Radiology, Academic Medical Center (AMC), Amsterdam, Netherlands, 3Quantitative Imaging Group, Delft University of Technology, Delft, Netherlands

Crohn’s disease (CD) patients often suffer abdominal symptoms even when their disease is apparently in remission with no identifiable active inflammation.1 Ongoing aberrant gut motility has been postulated as a cause, and this can now be quantified using MRI.2 This study tested the association between abdominal symptoms based on the Harvey-Bradshaw Index (HBI) and MRI derived motility metrics in morphologically healthy small bowel in CD patients.  An inverse association was found between reduced motility spatial variation across the small bowel and symptoms, particularly diarrhoea.  This association was strongest when HBI scores were higher.

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Feasibility of Performing Dynamic and Delayed Enhancement and Magnetization Transfer Ratios in pediatric patients undergoing clinically-indicated MRE: pilot study to assess image quality for quantitative evaluation
Mary-Louise Catherine Greer1,2, Susan Shelmerdine3, Kedar Patil1,2, Claire Cuscaden4, Debra Drossman1, and Logi Vidarsson1

1Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada, 2Department of Medical Imaging, University of Toronto, Toronto, ON, Canada, 3Department of Radiology, Great Ormond Street Hospital, London, United Kingdom, 4Department of Radiology, The Royal Brisbane and Women's Hospital, Brisbane, Australia

Purpose: Assess feasibility of applying magnetization transfer (MT) and dynamic and delayed enhancement (DCE) sequences during MR Enterography(MRE) in children. 

Methods: REB approved, in this prospective study, patients  =/< 18 years undergoing MRE for suspected or proven inflammatory bowel disease were consented for application of MT and DCE sequenced in addition to standard clinical sequences. These were assessed and  prospectively recruited and imaging sequences applied. Imaging was subjectively analysed by two radiologists or a radiologists and physicist in the first arm by consensus for sequence modification.

Results: Inter and intra-reader analysis was undertaken.

Conclusion: DCE is robust, MTR requires further modification.


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Magnetization transfer MRI for evaluating bowel fibrosis and inflammation in patients with stricturing Crohn’s disease
Xuehua Li1, Zhuangnian Fang1, Siyun Huang1, Li Huang1, Zhongwei Zhang2, Xu Yan3, Xiaolei Zhu4, Jinjiang Lin1, Mengchen Zhang1, Mengjie Jiang1, Shiting Feng1, Canhui Sun1, and Ziping Li1

1Department of Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China, 2Department of Biomedical Engineering, Cancer Biology and Radiology, Wake Forest School of Medicine, NC, United States, 3MR Collaboration NE Asia, Siemens Healthcare, Shanghai, People's Republic of China, 4MR Scientific Marketing NE Asia, Siemens Healthcare, Guangzhou, People's Republic of China

This study aimed to assess the efficacy of Magnetization Transfer MRI (MTI) for evaluating bowel fibrosis and inflammation in patients with stricturing Crohn’s Disease (CD). Bowel wall MTR with normalization to skeletal muscle was calculated and correlated to histologic fibrosis and inflammation as well as amount of type I collagen and vessel density. The results showed that normalized MTRs correlated with histologic fibrosis and type I collagen scores, but did not correlate with inflammation scores or vessel densities. Thus, MTI can accurately detect and distinguish varying degrees of bowel fibrosis with or without coexisting inflammation in human CD. 

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Comparison of Measurement of Abdominal Visceral Adipose Tissue in Men and Women by MRI vs. DXA
Cherie R Shook1, Bret H Goodpaster1, and Heather H Cornnell1

1Translational Research Institute for Metabolism and Diabetes, Florida Hospital, Orlando, FL, United States

Visceral adipose tissue (VAT) has been identified as a significant contributing factor to the metabolic complications of obesity and cardio-metabolic disease, thus its precise measurement is becoming more clinically relevant. Both MRI and DXA were used to measure different components of body composition including VAT, and these results were compared by gender. Both scan acquisitions took similar amounts of time, but DXA results were calculated automatically while MR data processing was completed offline, thus took more time. The results from this study indicate that DXA is a precise measure of only a portion of VAT while MRI can give a more accurate measurement of total VAT across the entire abdomen, potentially avoiding gender bias.

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Clinical application of 3D VIBECAIPI-DIXON for enhanced imaging of the small intestine
Yang Yu1, Lu Liang1, and Tao Jiang

1Beijing Chaoyang Hospital, Beijing,China, People's Republic of China

The abstract discussed the clinical application of a fast 3D VIBE sequence with Dixon fat saturation and CAIPIRINHA acceleration techniques (3D VIBECAIPI-DIXON) by compare to a standard 2D FLASH sequence with spectral fat saturation and conventional GRAPPA acceleration technique (2D FlashGRAPPA-fs) for enhanced imaging of the small intestine

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Phase Contrast Magnetic Resonance Imaging using Non-contrast-enhanced Magnetic Resonance Angiography using Balanced Steady-State Free-Precession Sequence and Time-Spatial Labeling Inversion Pulse: Measuring Left Gastric Vein Flow Velocity to Predict Esophageal Varices Development and Rupture
Akihiro Furuta1, Hiroyoshi Isoda, Shigeshi Kohno, Koji Tokunaga, Ayako Ono, Rinpei Imamine, Rikiya Yamashita, Shigeki Arizono, Aki Kido, Naotaka Sakashita, and Kaori Togashi

1Kyoto University, Kyoto, Japan

LGV flow velocity is clinically important to foresee esophageal varices development and rupture. But it is difficult to measure it's velocity exactly by echo or only phase contrast MRI (PC-MRI). To measure LGV flow velocity, 2D PC-MRI were set perpendicularly across vessel segments in the cross-sectional slice position determined from 3D selective visualized LGV using non-contrast-enhanced MRA with balanced steady-state free-precession sequence and time-spatial labeling inversion pulse. LGV flow velocity of all subjects could be measured exactly. This method is useful to measure LGV flow velocity.

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Assessment of Histological Differentiation in Gastric Cancers Using Whole-Volume Histogram Analysis of Apparent Diffusion Coefficient Maps
Zhengyang Zhou1, Song Liu2, Jian He2, and Weibo Chen3

1Department of Radiology, Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, People's Republic of China, 2Department of Radiology, Drum Tower Hospital, School of Medicine, Nanjing University, 3Philips Healthcare, Shanghai, People's Republic of China

Seventy-eight patients with gastric cancer were underwent MRI to investigate whether the histogram analysis of the entire tumor volume in ADC maps could differentiate between histological grades. A series of histogram parameters were calculated and correlated with the histological grade of the surgical specimen. There were significant differences in the 5th, 10th, 25th, and 50th percentiles, skew, and kurtosis between poorly and well-differentiated gastric cancers. There were correlations between the degrees of differentiation and histogram parameters, including the 10th percentile, skew, kurtosis, and max frequency. Histogram analysis of the ADC maps can be useful in differentiating between histological grades.

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Diffusion-weighted MR Enterography imaging of the ileocecal segment: optimizing b-value for visually differentiating inflammatory and neoplastic lesions
Hao Yu1, Daoyu Hu1, Yaqi Shen1, Zhen Li1, Jianjun Li1, Zi Wang1, and Yanchun Wang1

1Department of Radiology, Tongji Hospital Tongji Medical College Huazhong University of Science and Technology, Wuhan, People's Republic of China

To evaluate the ability of conventional MR Enterography (MRE) including coronal and axial T1/T2 weighted imaging and Diffusion-weighted imaging with different b-values(b=400,600,800,1000,1200,1500,3000 sec/mm2)to visually illustrate inflammatory lesions and neoplastic lesions in the ileocecal region comparing with colonoscopy or surgical results.As a result,MRE and DWI were capable of revealing the lesions in the ileocecal segment. DWI was superior to detect lesions especially inflammations comparing with conventional MRE, and the optimal b value of DWI for MRE was 800 sec/mm2 at 3T. Hyperintensity of ileocecal lesion on DWI with high b(﹥1000 sec/mm2) value wes more favor for tumor-like lesion.

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Ultra-fast abdominal imaging with high parallel-imaging factors:  Comparative study of a 60-channel receiver coil with the standard coil set-up
Ahmed E Othman1, Petros Martirosian2, Wilhelm Horger3, Jakob Weiss2, Jana Taron2, Karsten Jahns3, Konstantin Nikolaou2, and Mike Notohamiprodjo2

1Radiology, University Hospital Tübingen, Tübingen, Germany, 2Radiology, University Hospital Tübingen, 3Siemens Healthineers

In this study, we evaluated a novel 60-channel coil setup for ultra-fast abdominal imaging using high PAT factors in a phantom, in healthy volunteers and in patients. We found that the 60-channel coil-setup is superior to a conventional 30-channel coil-setup yielding higher SNR and superior image quality and enabling ultra-fast image acquisition with diagnostic image quality.

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Radiomics Model for Preoperative Prediction of Lymph Node Metastasis in Rectal Cancer after Neoadjuvant Chemoradiatherapy Therapy
Haitao Zhu1, Xiaoyan Zhang1, Xiaoting Li1, Yanjie Shi1, Huici Zhu1, and Yingshi Sun1

1Peking University Cancer Hospital and Institute, Beijing, People's Republic of China

Preoperative evaluation of lymph node metastasis in locally advanced rectal cancer remains a problem especially after neoadjuvant chemoradiatherapy treatment (NCT). This study proposed a MRI-based radiomics method to predict lymph node involvement in rectal after NCT. Beside the features from the tumor, features from the lymph nodes were also included for the construction of the radiomics model to increase the accuracy of prediction. 10-fold cross-validation among 300 patients produced ROC with average AUC=0.78. Independent validation with 118 patients produced ROC with AUC=0.81.

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Pretreatment diffusion kurtosis imaging for predicting the response of locally advanced rectal cancer to neoadjuvant chemoradiation therapy
Hongliang Sun1, Yanyan Xu1, Kaining Shi2, and Wu Wang1

1Radiology, China-Japan Friendship Hospital, Beijing, People's Republic of China, 2Philips Healthcare China, Beijing, People's Republic of China

Diffusion kurtosis imaging (DKI) is an emerging technique, which could reflect restricted water diffusion within the complex microstructure of most tissues based on non-Gaussian diffusion model. It has been reported that DKI was used in central system diseases, tumor grade, even assessment of treatment response. However, there is limited research reported about the clinical application of DKI in rectal cancer, and the value of DKI in monitoring rectal cancer treatment was still unclear.

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Dynamic Contrast-Enhanced Imaging of the Rectum Using Golden-Angle Radial Sparse Parallel MRI (GRASP): Initial Experience and Comparison to a Conventional Approach Using Time-resolved Angiography With Interleaved Stochastic Trajectories (TWIST).
Daniel Hausmann1, Jing Liu2, Philipp Riffel1, Johannes Budjan1, Robert Grimm 3, Tobias Block4, Stefan O Schoenberg1, and Ulrike I Attenberger1

1Institute of Clinical Radiology and Nuclear Medicine, University Medicine Mannheim, Mannheim, Germany, 2Department of Radiology, Peking Universtiy First Hospital, Beijing, China, 3Siemens Healthcare, Erlangen, Germany, 4Department of Radiology, New York University, New York City, NY, USA

MR perfusion images to discriminate between normal rectal wall and rectal cancers with less variance of perfusion values and superior image quality compared to conventional TWIST-Angiography can be generated using time-resolved free-breathing MRI with continuous golden-angle radial sampling and iterative reconstruction (GRASP). Additional morphologic assessment (“one-stop-shop”) with high spatial resolution, artifact-insensitive, multiphase, contrast-enhanced imaging may increase accuracy and diagnostic confidence of the examination.

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The Limitation in Predicting Lymph Nodes Stage by Using Magnetic Resonance Imaging on the Criterion of Size with Histopathological Analysis as Reference
Caizhen Feng1, Jin Cheng1, Jing Wu1, Gongwei Wang2, Yingjiang Ye2, and Yi Wang1

1Radiology, People’s Hospital, Peking University, Beijing, People's Republic of China, 2People’s Hospital, Peking University, Beijing, People's Republic of China

In spite of LN status is critical to the prognosis of patients with gastric cancer, MDCT and MRI cannot accurately assess metastatic LNs prior to surgery.In our study, 802 LNs of 30 patients with gastric carcinoma were harvested.during D2 lymphadenectomy. Only 36.7% (295/802) LNs were detected on preoperative MRI.. 31.5% (217/688) LNs (<8mm) were identified as malignant by pathology, whereas, 44.7% (51/114) LNs (≥8mm) were defined as metastatic. Forty-one metastatic LNs (19%, 41/215) with(≦3mm) were found in 7 patients (23.3%, 7/30) and caused N stage upstaging in 3 patients, which could not be detected by MRI.

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Dynamic contrast enhanced MR imaging for therapeutic response assessment after neoadjuvant Chemoradiotherapy in patient with local advanced rectal cancer
Yanfen Cui1, Xiaotang Yang 1, and Ning Huang2

1Shanxi Province Tumor Hospital, Taiyuan, People's Republic of China, 2GE Healthcare China

The pre-CRT Ktrans value and the percentage decrease in the Ktrans after CRT could be helpful to predict good therapeutic response to CRT for LARC. This may allow for personalized treatment-options in rectal cancer patients.  

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PET/MRI for rectal cancer staging: Longer PET acquisition times result in increased identification of nodal metastatic disease.
Colin Burke1, Thomas Hope1, Michael Ohliger1, Zhen Wang1, Katherine Van Loon2, and Madhulika G. Varma3

1Department of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Gastrointestinal Oncology, The UCSF Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, 3Colorectal Surgery, University of California, San Francisco, San Francisco

Rectal cancer nodal staging guides the decision to whether neo-adjuvant chemoradiation is needed prior to surgical resection and is a predictor of survival and recurrence. However, staging based on size and morphologic criteria alone is limited.  Our data suggests that increased PET acquisition times with PET/MRI increases the identification of nodal metastatic disease in rectal cancer, particularly in small nodes sized 5 mm or less.

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Dynamic MRI For Bowel Motility Imaging – How Fast And How Long?
C.S. de Jonge1, R.M. Gollifer2, A.J. Nederveen1, D. Atkinson2, S.A. Taylor2, J. Stoker1, and A. Menys2

1Department of Radiology, Academic Medical Center (AMC), Amsterdam, Netherlands, 2Centre for Medical Imaging, University College London (UCL), London, United Kingdom

Dynamic (cine) MRI of bowel motility is now routinely performed in clinical practice and advances in post-processing have enabled robust quantitation of this data facilitating numerous research applications. Generally, motility sequences are acquired in a 20 second breath hold at a temporal resolution of 1 fps.   In this study, we investigate these core assumptions and provide guidance information for future studies.  In summary, we show that a temporal resolution of at least 1 fps is necessary for a scan duration of at least 10 seconds. This is consistent with the majority of small bowel motility studies to date.

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Optimization of high b values for intravoxel incoherent motion imaging of rectal cancer : a pilot study
Yankai Meng1, Chongda Zhang 1, Hongmei Zhang1, and Chunwu Zhou 1

1Department of Radiology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China

To optimize the high b values (>200s/mm2) for intravoxel incoherent motion imaging of rectal cancer and to observe the effect of high b values variation on IVIM parameters. Three groups (A group with all 16 b values: 0,10,20,30,40,60,80,100,150,200,400,800,1000,1200,1500,2000, B group with 14 b values: 0,10,20,30,40,60,80,100,150,200,400,800,1000,1200 and C group with 12 b values: 0,10,20,30,40,60,80,100,150,200,400,800) were selected respectively for measurement by a radiologist. The average values of each measurement were used for statistical analysis. One-way analysis of variance (ANOVA) and post-hoc test were performed on the mean values of IVIM parameters in groups A, B, and C, with a significance level of P<0.05. The p values of ANVOA results in ADC、D、D* values were less than 0.05, the differences were statistically significant. The p values of Bonferroni post-hoc test in D、D*、f values were not statistically significant differences in group A and B. With the number of high b values decrease, the values of ADC、D、D* values and standard error were increased, while of f values was not changed significantly. In our study, the reproducibility of the IVIM parameters caused by high b value variation was not significant. The value of selected b > 1500 need to be further studied.

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Optimized ROI size on ADC measurements of normal pancreas, pancreatic cancer and mass-forming chronic pancreatitis
Chao Ma1, Jing Li1, Mbaiaourer Barak Bouka1, Panpan Yang1, Li Wang1, Luguang Chen1, Li Su2, Yong Zhang3, Jianxun Qu3, Shiyue Chen1, Qiang Hao1, and Jianping Lu1

1Radiology, Changhai Hospital of Shanghai, Shanghai, People's Republic of China, 2School of Pharmacy, Second Military Medical University, Shanghai, People's Republic of China, 3MR Research China, GE Healthcare, Shanghai, People's Republic of China

The effect of ROI size on ADC measurements in normal pancreatic tissue or pancreatic lesions have rarely been studied. This study investigated the influences of ROI size in ADC measurements for the differentiation between normal pancreas (NP), mass-forming chronic pancreatitis (MFCP) and pancreatic ductal adenocarcinoma (PDAC).

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Diffusion kurtosis imaging for differentiating tumor KRAS mutation status in rectal cancer
Yanyan Xu1, Hongliang Sun1, Kaining Shi2, and Wu Wang1

1Radiology, China-Japan Friendship Hospital, Beijing, People's Republic of China, 2Philips Healthcare, China, Beijing, People's Republic of China

Diffusion kurtosis imaging (DKI), which is a non-Gaussian diffusion-weighted model proposed by Jensen et al 1, has the potential to characterize both normal and pathologic tissue 1-3, meanwhile, providing a new option for tumor garde 4 and assessment of treatment response 5-7. Previous studies 1-3, 8 found that DKI could better account for restricted water diffusion within the complex microstructure of most tissues. To our knowledge, however, no study has included evaluation of DKI characteristic in rectal cancer, especially in the aspect of KRAS mutant, which associated with clinical treatment and prognosis of colorectal cancers 9.

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The utilization of DDC value in detecting the status of LVI in rectal cancer patients at 3.0T MRI
Guangwen Zhang1 and Jinsong Zhang2

1Xijing Hospital, xi'an, People's Republic of China, 2Xijing Hospital, People's Republic of China

In this study, we aimed to investigate the value of DDC in assessing the status of lymphovascular invasion in patients with rectal cancer. Ninety-eight patients with rectal adenocarcinoma underwent DWI with 16 b-values at 3.0T MR system. We found there was an significant difference in DDC value between the LVI presence group (DDC=0. 893±0.151×10-3mm2/s, n=46) and the LVI absent group (DDC=0. 825±0.127×10-3mm2/s, n=52), (P=0.018). We speculate that DDC value derived from multi-b value DWI could be a useful functional parameter in detecting the status of LVI in rectal cancer patients. 

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Measuring T1 and T2 of the small bowel wall at 3T
Hannah Grace Williams1,2, Penny A Gowland1, Luca Marciani2, Robert Scott3, Guruprasad Aithal2,3, and Caroline L Hoad1,3

1Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom, 2Nottingham Digestive Diseases Centre, School of Medicine, University of Nottingham, Nottingham, United Kingdom, 3NIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospital, Nottingham, United Kingdom

Available techniques to measure in-vivo bowel permeability are inadequate for stratifying patients to identify those at risk of complications from increased bowel permeability. T1 and T2 measurements could potentially be indicators of changes in bowel wall structure and thus permeability. We have measured the T1 and T2 of the bowel wall to be 1.68±0.57 s and 0.08 ±0.02 s respectively. We found significant variations between and within subjects. However it is currently unknown whether some of these variations are real and some due to errors in the measurement process. 

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MR versus CT Imaging for Identifying the Etiology of Abdominal Pain in Emergency Department Patients
Michael Dean Repplinger1, Perry J Pickhardt2, Rebecca L Bracken1, Douglas R Kitchin3, Jessica B Robbins2, Timothy J Ziemlewicz2, and Scott B Reeder2

1Emergency Medicine, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, Madison, WI, United States, 3Radiology, St. Mary's Hospital, Madison, WI, United States

Our study aimed to evaluate the diagnostic accuracy of MR versus CT for identifying the etiology of abdominal pain in emergency department patients. This is a prospective study that included patients ≥12-years-old who were being evaluated for possible appendicitis. All patients underwent both MR and CT; images were interpreted by three radiologists who were blind to the patient’s outcome. There were 113 instances of acute abdominal processes (15 different diagnoses). The overall accuracy of NC-MR, CE-MR, and CT was 77%, 83%, and 90% for individual reads and 82%, 84%, and 94% for consensus reads.

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Chemical Shift Effect Predicting Lymph Node Status in Rectal Cancer using High-Resolution MR Imaging with Node-for-node Matched Histopathological Validation
chongda zhang1, hongmei zhang1, feng ye1, yuan liu1, and chunwu zhou1

1Department of Diagnostic Radiology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China

To evaluate the value of chemical shift effect (CSE), as well as other criteria for the prediction of lymph node status. Lymph nodes harvested from transversely whole-mount specimens were compared with in vivo and ex vivo images to obtain MR characteristics including CSE, as well as other predictors of 255 benign and 35 metastatic nodes. Our results revealed that CSE is a reliable predictor for differentiating benign from metastatic lymph nodes. Other predictors of nodal location, border, signal intensity and minimum distance to rectal wall were also proved to be useful for the diagnosis.


Electronic Poster

Muscle

Exhibition Hall Wednesday 16:15 - 17:15

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A quantitative relationship between R2* and deoxyhemoglobin levels in calf muscle
Kexin Hao1, Gwenael Layec2, Corey R. Hart3, Christopher C. Conlin4, Kristi Carlston4, Vivian S. Lee4, and Jeff L. Zhang4

1Department of Electrical and Computer Engineering, University of Utah, Salt Lake City, UT, United States, 2Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States, 3Department of Exercise and Sports Science, University of Utah, UT, United States, 4Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States

This study examined the relationship between R2* measurements from BOLD MRI and deoxyhemoglobin (HHb) measurements from near-infrared spectroscopy (NIRS) in calf muscle of subjects with varying degrees of peripheral artery disease (PAD). Following plantar-flexion exercise, the time required for R2* and HHb to recover to resting-state values was recorded. Linear regression was used to relate recovery time between R2* and HHb. This quantitative relationship enables estimation of HHb from MRI-measured R2*, which can help to improve the assessment of PAD since MRI can easily be performed for muscle tissue that is too deep for NIRS evaluation.

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Noninvasive Measurement of Calf Muscle Perfusion Immediately after Plantar Flexion Exercise in Elderly Patients with Heart Failure and Preserved Ejection Fraction
Robert A. Kraft1, Craig A. Hamilton1, Peter H. Brubaker2, W. Scott Hoge3, M. Constance Linville4, J. Thomas Becton5, Richard J. Thompson6, Mark J. Haykowsky7, and Dalane W. Kitzman5

1Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, NC, United States, 2Health and Exercise Science, Wake Forest University, Winston-Salem, NC, United States, 3Radiology, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 4Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, NC, United States, 5Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, United States, 6Bioengineering, University of Alberta, Edmonton, Canada, 7College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX

The pathophysiology of Heart Failure Patients with Preserved Ejection Fraction is poorly understood but there is increasing evidence that skeletal muscle blood flow and metabolism play important roles in this disease. Accurately and non-invasively measuring skeletal muscle blood flow with sufficient temporal resolution to measure skeletal muscle blood flow dynamics in individual muscles is challenging.  We present a optimized version of pseudo-Continuous ASL capable of measuring blood flow map of the calf every 16 seconds.  Data from two healthy adults is presented.

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Stimulated Echo DTI in skeletal muscle of patients with Becker Muscular Dystrophy
Celine Baligand1, Jedrzej Burakiewicz1, Melissa T. Hooijmans1, Olivier Scheidegger2, Matt G. Hall3, Paola Porcari4, Erik H. Niks5, Pierre G. Carlier2, Christopher Clark3, Andrew Blamire4, Jan J.G.M. Verschuuren5, and Hermien E. Kan1

1Department of Radiology, Leiden University Medical Center, C.J. Gorter Center for High-field MRI, Leiden, Netherlands, 2NMR laboratory, Institute of Myology, Paris, France, 3Institute of Child Health, University College of London, London, United Kingdom, 4Institute of Cellular Medicine and Newcastle Magnetic Resonance Centre, Newcastle University, Newcastle upon Tyne, United Kingdom, 5Department of Neurology, Leiden University Medical Center, Leiden, Netherlands

Cellular sizes in skeletal muscle are significantly larger than in the brain. Therefore standard spin-echo (SE)-DTI with inherently short diffusion times may lack sensitivity for the study skeletal muscle of neuromuscular disorders (NMDs). Alternatively, stimulated-echo (STE-)DTI allows for much longer diffusion times, increasing sensitivity to cell size. Due to the challenges presented by fat replacement STE-DTI has not been previously applied in NMDs. Here, we show that STE-DTI is feasible in Becker Muscular Dystrophy patients, and can detect FA differences compared to healthy controls in mildly affected muscles.

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T1ρ and Dynamic BOLD MR imaging to evaluate the change of skeletal muscles of lower extremity in diabetes patients
Xingui Peng1 and Shenghong Ju2

1Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, People's Republic of China, 2Department of Radiology, Zhongda Hospital, Medical School, Southeast University

This study aimed to measure the BOLD response in the calf muscle in T2DM patients during post-occlusive reactive hyperemia and to study whether T1ρ MR Imaging of calf muscle could differentiate T2DM patients from normal subjects.  Twenty-two T2DM patients and twenty age-matched healthy volunteers were performed MR scanning. T1ρ relaxation time and maximal ΔT2* change (ΔT2*max) and time to peak (TTP) were measured. Our results showed that the lower degree of the increase (ΔT2*max and TTP) in calf muscles of DM patients. In addition, T1ρ relaxation time in TA muscle was significant higher in DM patient than in healthy subjects. 

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Automated assessment of paraspinal muscles fat composition based on the segmentation of chemical shift encoding-based water/fat-separated images
Friedemann Freitag1, Thomas Baum1, Michael Dieckmeyer1, Jan S. Kirschke2, Holger Eggers3, Christian Buerger3, Cristian Lorenz3, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany, 2Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany, 3Philips Research Laboratories, Hamburg, Germany

Chemical shift encoding-based water-fat MRI derived proton density fat fraction (PDFF) of the paraspinal muscles has been emerging as important surrogate marker in subjects with intervertebral disc disease, osteoporosis, sarcopenia, and neuromuscular disorders. However, measurements of paraspinal muscle PDFF are currently limited in clinical routine due to the required time-consuming manual segmentation procedure. The present study aimed to develop an automatic segmentation algorithm of the paraspinal muscles at the lumbar spine based on water-fat MRI and compared the performance of this algorithm to ground truth data based on manual segmentation.

4995
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Diurnal changes of Acetylcarnitine in human vastus lateralis muscle and response to exercise: a 7T 1H MRS study
Radka Klepochová1,2,3, Ladislav Valkovič3,4,5, Martin Gajdošík1,3,6, Thomas Hochwartner7, Norbert Bachl 7, Harald Tschan7, Michael Krebs6, Siegfried Trattnig1,3, and Martin Krššák1,3,6

1High-Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 2Department of NMR Spectroscopy and Mass Spectrometry, Faculty of Chemical and Food Technology, Slovak University of Technology, Bratislava, Slovakia, 3Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 4University of Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom, 5Department of Imaging Methods, Institute of Measurements Science, Slovak Academy of Sciences, Bratislava, Slovakia, 6Division of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, Vienna, Austria, 7Center of Sport Science and University Sport, University of Vienna, Vienna, Austria

Carnitine plays an important role in fat metabolism. A long-echo time proton magnetic resonance spectroscopy protocol was implemented for detection of skeletal muscle acetylcarnitine during the day and after exercise on a clinical 7T scanner in the thigh (vastus lateralis) muscle. Our observation point towards diurnal changes of acetylcarnitine concentration which tended to be higher in the morning than after lunch. Moreover, following 10 minutes of high-intensity exercise the concentration significantly increased and again significantly decreased 15 minutes after cessation of the exercise. Our data emphasize the need for strict standardization,physical activity and dietary conditions for the measurement of the acetylcarnitine/carnitine.

4996
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Normalized STEAM-based DTI parameters allow robust assessment of muscle tears in football players.
Chiara Giraudo1, Stanislav Motyka1, Michael Weber2, Manuela Karner1, Christoph Resinger3, Siegfried Trattnig1, and Wolfgang Bogner1

1Department of Biomedical Imaging and Image-guided Therapy-MR Centre of Excellence, Medical University of Vienna, Vienna, Austria, 2Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 3Orthopedic Department, Evangelisches Krankenhaus Wien, Vienna, Austria

STEAM-based DTI was applied to investigate lower limbs’ muscle tears in athletes using the contralateral muscles as reference.To account for possible physiological differences in DTI metrics between right and left limb, a ratio between two ROIs on the injured side (i.e.,one on the tear and one on a healthy area) and two ROIs on the contralateral limb (i.e.,both on healthy areas) was used. The ratio showed that structural changes, expressed by modifications in MD, FA, RD, fibers’ number and length, occur in muscle tears and are quantifiable by DTI.These findings are expected to improve the therapeutic management of muscle injuries.

4997
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Paraspinal Muscle Changes with Chronic Low Back Pain by Using 3.0T MR Diffusion Tensor Imaging Technology
Li Yiwen1, Yuan Huishu1, and Xie Lizhi2

1Radiology, Peking University Third Hospital, Beijing, People's Republic of China, 2GE Healthcare, MR Research China, Beijing, People's Republic of China

The purpose of the current study is to assess the potential difference of multifidus muscle between non-specific chronic low back pain patients and the healthy individuals using DTI and to compare the sensitivity of DTI to conventional lumbar MRI in detecting muscle pathological changes. DTI and conventional MRI parameters were obtained including FA, ADC, MD and tCSA, fCSA, fCSA/tCSA ratio. Compared to the healthy individuals, NCLBP patients demonstrated differences in DTI parameters of bilateral multifidus muscles. We conclude that DTI is more sensitive in detecting paraspinal muscle pathological changes in the early stage of lumbar degeneration than conventional lumbar MRI.

4998
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Validity of skeletal muscle fiber type distinguished using q-space imaging
Junichi Hata1,2,3, Kanehiro Fujiyoshi2, Osahiko Tsuji2, Yuji Komaki2,3, Keigo Hikishima4, Masaya Nakamura2, and Hideyuki Okano1,2

1RIKEN Brain Science Institute, Saitama, Japan, 2Department of Physiology, Keio University School of Medicine, Tokyo, Japan, 3Central Institute for Experimental Animals, Kanagawa, Japan, 4Okinawa Institute of Science and Technology, Okinawa, Japan

We developed a technology that the muscle composition ratio can be non-invasively visualize at q-space imaging. And, these MR image confirmed validation by comparison to the skeletal muscle histology. We scanned diffusion data using 7T MRI scanner and performed analysis to calculate QSI index. The mice lower leg was stained by several solutions to enable muscle typing. As a result, the cell size by sections showing the correlation between the QSI indices. Moreover, the visualization in a staining compared, it is possible to obtain the same image. We confirmed validation by comparing the stained image to QSI.

4999
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ROI-based Evaluation of Diffusion Tensor Metric of Skeleton Muscles
Sarah Keller1, Jin Yamamura2, Shaheen Ahmed3, Gerhard Adam2, Nancy Rollins3, and Zhiyue J. Wang3

1Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg Eppendorf, Hamburg, Germany, 2Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg Eppendorf, Hamburg, 3Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States

This study evaluates and compares a pixel-based and ROI-based quantification of DTI-metrics for skeleton muscles in healthy subjects. Besides SNR, an “intra-ROI diffusion direction dispersion angle" is evaluated as a quantitative metric to assess reliability of ROI-based DTI-metrics

5000
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MRI/S Assessment of Skeletal Muscle Morphology and Energetics in Mdx Muscle Injured Mouse as a Model for Duchenne Muscular Dystrophy
HASAN ALSAID1, Mary Rambo1, Tinamarie Skedzielewski1, Alan McDougal2, Fritz Kramer2, and Beat Jucker1

1Bioimaging, IV/IVT, PTS, GlaxoSmithKline, King of Prussia, PA, United States, 2Muscle Metabolism DPU, MPC TAU, GlaxoSmithKline, King of Prussia, PA, United States

The purpose of this study was to longitudinally and non-invasively assess the effect of eccentric contraction induced muscle damage in the Mdx mouse as a model for Duchenne Muscular Dystrophy using non invasive MRI and MRS. Mdx mice showed a significant increase in absolute T2 value at baseline and a severe increase in the exercised leg at Day 2 following injury compared to the Wild type group.  PCr/Pi ratios decreased in the Mdx group acutely upon exercise induced damage and resolved by day 7. The fraction of Undamaged Limb Force is correlated negatively with T2 and positevely with the PCr/Pi ratios.

5001
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Development of an MR-Compatible Ergometer for Use in Quantifying Human Skeletal Muscle Bioenergetics During Supine Dynamic Contractions of the Knee Extensors
Rajakumar Nagarajan1, Youssef Jaber2, Miles Bartlett3, Liam F Fitzgerald3, Julia Miehm3, Frank C Sup IV2, and Jane A Kent1,3

1Human Magnetic Resonance Center, Institute for Applied Life Sciences (IALS), University of Massachusetts, Amherst, MA, United States, 2Department of Mechanical & Industrial Engineering, University of Massachusetts, Amherst, MA, United States, 3Kinesiology, University of Massachusetts, Amherst, MA, United States

The goal of this project was to develop an MR-compatible, multi-modal ergometer for the reliable measurement of human skeletal muscle torque, velocity, power and joint angle during 31P MRS studies of knee extensor muscle energetics.  Intracellular [PCr], [Pi] and pH were determined in the vastus lateralis with 4-s time resolution during 4 min of maximal voluntary isokinetic contractions at 240 degrees per second, with a 30 degree range of motion.  High S/N for both the MRS and power data indicate that this tool will be useful in future studies of in vivo muscle bioenergetics.  

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Study of correlation between multifidus muscles atrophy and degenerative diseases of lumbar spine in patients with low back pain using MRI
Jiufa Cui1, Mingqian Huang2, and Mark Schweitzer2

1Affiliated hospital of Qingdao University, Qingdao, People's Republic of China, 2Department of Radiology, stony brook university hospital, Stony brook, NY, United States

Multifidus muscles (MF) atrophy are common in patients with Low back pain (LBP). Degenerative diseases of the lumbar spine, such as disc herniation, disc degeneration and facet joint osteoarthritis, are leading cause of LBP. Various studies have previously focused on the relationship between MF atrophy and disc degeneration, disc herniation. However, the results are inconsistent. Besides, no study for the correlation between MF atrophy and facet joint osteoarthritis has previously been conducted. This study will investigate the correlation between MF atrophy and disc degeneration, disc herniation, facet joint osteoarthritis using MRI.

5003
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Repeatability of quantitative muscle strain and strain rate measurements by means of synchronous dynamic muscle MRI during electrical muscle stimulation
Xeni Deligianni1,2, Michele Pansini3, Meritxell Garcia4, Anna Hirschmann4, Arno Schmidt-Trucksäss5, Oliver Bieri1,2, and Francesco Santini1,2

1Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 2Biomedical Engineering, University of Basel, Basel, Switzerland, 3Ricerche Diagnostiche Srl, Bari, Italy, 4Musculoskeletal Radiology, Clinic of Radiology and Nuclear Medicine, University of Basel Hospital, Basel, Switzerland, 5Sports Medicine, University of Basel, Switzerland

Stimulation of the quadriceps muscle group of the thigh and synchronous phase contrast imaging at a 3T MRI scanner were applied to six healthy volunteers, to assess repeatability of the dynamic strain and strain rate maps. The repeatability was higher for strain (ICC=0.665-0.751) than for strain rate (ICC=0.242-0.571) and the correlation of the results increased with longer intra-scan rest periods. In conclusion, strain and strain rate measured with synchronous MRI of EMS-controlled muscle contraction are repeatable, though attention should be paid to intra-stimulation rest periods. 

5004
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Assessment of Spontaneous Mechanical Activities in Musculature by Simultaneous Multi-Slice Diffusion-Weighted Imaging and Fiber-Tractography Data Validation
Martin Schwartz1,2, Petros Martirosian1, Guenter Steidle1, Michael Erb3, Bin Yang2, and Fritz Schick1

1Section on Experimental Radiology, University of Tuebingen, Tuebingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany, 3Biomedical Magnetic Resonance, University of Tuebingen, Tuebingen, Germany

Simultaneous multi-slice diffusion-weighted imaging (DWI) was applied on human right calf for imaging Spontaneous Mechanical Activity in Musculature (SMAM) in multiple slices in order to improve assessment of the spatial extension of these spontaneous activities. For data validation, diffusion-tensor images (DTI) were acquired with subsequent fiber tractography to fuse anatomical fiber orientation to spontaneous events in DWI. High accordance between both modalities and reliable application of simultaneous multi-slice diffusion-weighted imaging is demonstrated.

5005
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Estimation of the Sensitivity Characteristics and Detection Capability of Diffusion-Weighted MR Sequences in Imaging Spontaneous Mechanical Activity in Musculature
Martin Schwartz1,2, Guenter Steidle1, Petros Martirosian1, Ander Ramos-Murguialday3,4, Alto Stemmer5, Bin Yang2, and Fritz Schick1

1Section on Experimental 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, 4Neurotechnology Laboratory, TECNALIA Health Department, San Sebastian, Spain, 5Siemens Healthcare GmbH, Erlangen, Germany

Spontaneous mechanical activity in musculature (SMAM) can be observed from time to time in diffusion-weighted images (DWI) of the human lower leg. In DWI, motion sensitivity is usually restricted to a time window between diffusion-sensitizing dephasing and rephrasing gradients. Capabilities to detect SMAM occurring outside this time window by DWI are expected to be clearly reduced. The temporal sensitivity of diffusion-weighted sequences to SMAM is evaluated by varying diffusion-sensitizing time. In addition, concurrent surface electromyography (sEMG) measurements were performed in order to reveal the temporal correlation of the events in both modalities.

5006
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Crossing muscle fibres in the tongue resolved using constrained spherical deconvolution
Luuk Voskuilen1,2,3, Valentina Mazzoli2,4,5, Jos Oudeman2, Ludi E. Smeele1,6, Alfons J.M. Balm1,6, Ferdi van der Heijden1,7, Martijn Froeling8, Gustav J. Strijkers9, and Aart J. Nederveen2

1Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands, 2Department of Radiology, Academic Medical Center, Amsterdam, Netherlands, 3Department of Oral and Maxillofacial Surgery, Academic Centre for Dentistry Amsterdam and Academic Medical Center, University of Amsterdam and VU University Amsterdam, Amsterdam, Netherlands, 4Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 5Orthopaedic Research Lab, Radboud UMCN, Nijmegen, Netherlands, 6Department of Oral and Maxillofacial Surgery, Academic Medical Center, Amsterdam, Netherlands, 7Department of Robotics and Mechatronics, MIRA Institute, University of Twente, Enschede, Netherlands, 8Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 9Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands

Tongue muscle architecture is suspected to be important in the prediction of speech and swallowing complications after surgery. The tongue contains areas of crossing muscle fibres unable to be resolved by diffusion tensor imaging (DTI). We show that constrained spherical deconvolution (CSD) is able to distinguish these crossing fibres ex vivo and in vivo using a clinically acceptable scan time of 10 min. Also, we show improved tractography in CSD compared to DTI, allowing segmentation of different tongue muscles which conforms to known anatomy.

5007
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Magnetic Resonance Methods for Quantitative Evaluation of Intramuscular Adipose Tissue
Alexandra Grimm1,2, Heiko Meyer2, Mathias Nittka2, Esther Raithel2, Oliver Chaudry1, Andreas Friedberger1, Michael Uder3, Wolfgang Kemmler1, Klaus Engelke1, and Harald H. Quick1,4,5

1Institute of Medical Physics, University Erlangen-Nuremberg, Erlangen, Germany, 2Product Definition & Innovation, Siemens Healthcare GmbH, Diagnostic Imaging, Magnetic Resonance, Erlangen, Germany, 3Institute of Radiology, University Hospital Erlangen, Erlangen, Germany, 4Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Essen, Germany, 5High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

Intramuscular adipose tissue directly affects physical performance. 56 subjects (80 ± 5 yrs) with sarcopenia and 23 physically well-trained subjects (28 ± 4 yrs), all male, were examined at the thigh on a 3T MR system using quantitative MRI and MRS sequences. The results show that the use of spectroscopy involves challenges with regard to representative assessment of the entire muscle and might overestimate fat in low-fat tissues as muscle tissue. Furthermore, 2pt in comparison to 6pt Dixon sequences should be used with caution for quantitative evaluation, while multi-echo Dixon sequences are capable of quantifying intramuscular adipose tissue.

5008
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Heterogeneity of Quadriceps Muscle Activation during Isometric Contractions as revealed by Velocity Encoded Phase Contrast (VE-PC) Imaging.
Toshiaki Oda1, Vadim Malis2, Taija Juutinen Finni3, and Shantanu Sinha4

1Hyogo University of Teacher Education, Katō, Hyōgo, Japan, 2Physics, UC San Diego, San Diego, CA, United States, 3The University of Jyväskylä, Jyväskylä, Finland, 4Radiology, UC San Diego, San Diego, CA, United States

The relative contributions of the four compartments of the quadriceps to force production are clinically very important information. The spatial and temporal heterogeneity of velocity and strain, (surrogate biomarkers of neural activation) was determined, within and between different compartments of normal quadriceps and along the proximo-distal (Z) axis, during isometric contraction using gated VE-PC imaging. Statistically significant differences were determined, within the same muscle compartment, across compartments and between different Z axis positions. Determining how these change in the diseased state e.g. post-ACL tear will be important in tailoring rehabilitative strategies, with particular relevance to preventing early onset of osteoarthritis.

5009
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MUSCLE: MUlti SliCe Localized Excitation 31P-MRS
Alexander Gussew1, Martin Krämer1, Kevin Moll1, and Jürgen R. Reichenbach1

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany

We present a new 31P-MR spectroscopy pulse sequence, the so called Multi-SliCe-Localized-Excitation approach (MUSCLE), which enables time resolved, interleaved non-spin-echo acquisitions of spectra in multiple muscle slabs. The accuracy of slab selection was successfully verified at 3 T by in vitro measurements in a multiple compartment phantom as well as by in vivo measurements of moderately loaded human calf muscles.

5010
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Quantitative NMR imaging of short and long T2 components in the SKM tissue by 1H T2- relaxometry study
Teresa Gerhalter1,2, Pierre-Yves Baudin3, Noura Azzabou1,2, Eriky Caldas1,2, Harmen Reyngoudt1,2, Pierre Carlier1,2, and Benjamin Marty1,2

1Institute of Myology, NMR Laboratory, Paris, France, 2CEA, DRF, I²BM, MIRCen, Paris, France, 3CRIS, Tournai, Belgium

Muscle water T2 is currently being used to assess and monitor the pathology of neuromuscular disorders. The vascular signal of water T2 is close to the one of fat, which might have an impact on the fat fraction quantification using a 2-component fitting approach on MSME data. Here, we examined the impact of long water T2 variations during exercise on fat quantification using the 2-component extended phase graph (EPG) model. Exercise increased the short T2 and the ratio between the amplitudes of short and long T2 signals suggesting an impact of the vascular space on the fat fraction quantification.

5011
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T2-weighted Dixon TSE for accelerated simultaneous grading of whole body skeletal muscle fat infiltration and edema in patients with neuromuscular diseases
Sarah Schlaeger1, Elisabeth Klupp1, Dominik Weidlich2, Barbara Cervantes2, Marcus Deschauer3, Benedikt Schoser4, Sarah Bublitz3, Federica Montagnese4, Christoph Katemann5, Hendrik Kooijman5, Ernst J. Rummeny2, Claus Zimmer1, Jan S. Kirschke1, and Dimitrios C. Karampinos2

1Department of Diagnostic and Interventional Neuroradiology, Technical University of Munich, Munich, Germany, 2Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 3Department of Neurology, Technical University of Munich, Munich, Germany, 4Friedrich-Baur-Institut, Ludwig-Maximilians-University, Munich, Germany, 5Philips Healthcare, Hamburg, Germany

The assessment of fatty infiltration and edema in the whole body musculature of patients with neuromuscular diseases typically requires the separate performance of a T1-weighted sequence and a fat suppressed T2-weighted sequence. T2-weighted Dixon TSE enables the generation of T2-weighted fat-separated and water-separated images, which could be used to simultaneously assess fatty infiltration and edema and to reduce total scan time. The present study examines the diagnostic performance of whole body T2-weigthed Dixon TSE imaging in 10 patients with neuromuscular diseases.

5012
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Magnetic resonance imaging estimates of intermuscular fat density in the thigh in sarcopenia population: correlation with physical performances
Yu Xin Yang1, Wee Shiong Lim1,2, Mei Sian Chong1, Laura Tay1,2, Suzanne Yew1, Audrey Yeo1, and Cher Heng Tan3

1Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore, Singapore, 2Geriatric Medicine, Tan Tock Seng Hospital, Singapore, Singapore, 3Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, Singapore

Emerging evidence suggests that intermuscular fat (IMF) accumulation is associated with reduced muscle quality and increased risk of physical limitation. However, the impact and mechanism of IMF in sarcopenia or sarcopenic obesity (SO) are still unclear. MRI is a promising tool for early detection of sarcopenia and SO. This may translate to use in clinical trials and in future clinical practice, where quantitative assessment may become standard of care.  . This study aims to study a new index that we term “IMF density”, shows promise as an important quantitative variable that reflects patients’ physical performances.


Electronic Poster

Emerging Technologies & Other Tissues

Exhibition Hall Wednesday 16:15 - 17:15

5013
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Highly Efficient Bi-Component T2* Mapping of the Knee using Ultra-short Echo Ramped Hybrid Encoding
Hyungseok Jang1, Fang Liu1, Richard Kijowski1, and Alan B McMillan1

1Department of Radiology, University of Wisconsin, Madison, WI, United States

T2* analysis is used in musculoskeletal imaging to characterize tendon, meniscus, and cartilage in human joints. With the development of high performance gradient systems, ultrashort time echo (UTE) imaging has become more feasible, allowing robust bi-component of short and long T2* tissue components. Many studies have been performed to realize robust and clinically feasible bi-component T2* imaging, but the long acquisition time required to obtain multiple echo images remains challenging. In this study, we propose a novel, rapid imaging scheme for bi-component T2* analysis, based on ramped hybrid encoding (RHE) that allows robust bi-component T2* estimation within a single scan.

5014
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Bi-exponential  T2* mapping of peripheral nerve from in-vivo human scans with a 3D UTE cones sequence.
Daehyun Yoon1 and Brian Hargreaves1

1Department of Radiology, Stanford university, Palo Alto, CA, United States

Previous studies with nerve samples have demonstrated the existence of multiple signal components with different T2 or T2* relaxation times in peripheral nerves. The short- T2* signal component has received significant research attention, based on its correlation with myelin health of nerve fiber in many neurological diseases. However, little research has been conducted with in vivo human scans to separate the short-T2* component and the long-T2* component in peripheral nerves. Using a 3D ultra-short echo time (UTE) cones sequence, we demonstrate the feasibility of capturing and separating both bi-exponential T2* signal components from in vivo human nerve scans

5015
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Type 2 diabetes alters bone marrow fat content and marrow blood flow as seen by IDEAL-IQ and DCE MRI
Lin Yuan1, Zha Yunfei1, Lin Hui2, and Wu Bing2

1Renmin Hospital of Wuhan University, wuhan, People's Republic of China, 2GE healthcare, wuhan, China

    To explore the effect of type 2 diabetes on bone marrow fat contnent(BMF) and marrow blood flow, as well as the association of the bone marrow fat contnent and marrow perfusion in type 2 diabetes mellitus (T2DM) patients. 26 healthy nondiabetic subjects and 24 T2DM patients underwent lumbar IDEAL-IQ and DCE-MRI. The marrow fat content(BMF) and the marrow perfusion parameters (Ktrans, Kep, Ve) of lumbar vertebra all showed significant difference between T2DM patients and the healthy individuals. In addition, transfer constant (Ktrans) was negatively correlated with BMF in T2DM patients. 

5016
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Knee-to-coil automatic distance detection for misalignment alert system during MRI acquisition
Takamasa Sugiura1, Toshimitsu Kaneko1, Tomoyuki Takeguchi1, Kensuke Shinoda2, Takuya Fujimaki2, and Hiroshi Takai2

1Toshiba Corporation, Kawasaki, Japan, 2Toshiba Medical Systems Corporation, Otawara, Japan

For high quality knee MRI image acquisition, the coil must be centrally aligned with the knee. However, precise alignment can suffer from patient motion and is currently performed by eye. We propose a method to automatically measure the misalignment between coil and knee to alert the clinical operator. This is done by calculating the distance between the coil and the knee joint gap by processing the localizer image with a machine learning technique, which was achieved with a mean accuracy of 3.3 mm. Our experiments further indicated a safe margin for knee-to-coil misalignment within a threshold of 20 mm.

5017
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Metal Artifact Reduction MRI around Cobalt-Chromium Arthroplasty Implants: The Negative Effect of Long Echo Trains on Implant-related Artifact
Neil Mithilesh Kumar1, Cesar Netto, Lew Schon, and Jan Fritz2

1Radiology, Johns Hopkins Hospital, Baltimore, MD, United States, 2Radiology, Johns Hopkins Hospital

We demonstrate the negative effects of increasing echo train lengths on total implant-related artifact in a setting of controlled bandwidth, echo spacing and effective echo time. For the practical purpose of metal artifact reduction sequence MR imaging with use of turbo spin echo pulse sequences, high receiver bandwidth can be recommended as the first line means, whereas long echo train length may not be recommended and used cautiously due to the potential of substantial degradation of image quality.

5018
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Compressed Sensing SEMAC MRI of Total Knee Arthroplasty Implants: Intra-subject Comparison at 1.5 and 3 Tesla
Jan Fritz1, Benjamin Fritz2, Gaurav K Thawait1, Wesley D Gilson3, Christoph Forman4, Esther Raithel4, Mathias Nittka4, Robert Sterling1, and Paul Khanuja1

1The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Orthopaedic University Hospital Balgrist, 3Siemens Healthcare USA, 4Siemens Healthcare GmbH

Because susceptibility artifacts increase with field strength, MRI of knee arthroplasty implants is commonly performed at 1.5T. However, 3T MRI offers substantially higher SNR and may be the only available option. SEMAC can achieve substantial metal artifact reduction at 3T, but requires prolongs scan times. Capitalizing on the inherent sparsity of SEMAC data, compressed sensing-based pseudo-randomized undersampling and iterative reconstruction can substantially accelerate data acquisition. We show the clinical feasibility of highly accelerated 3T MRI of CoCr knee arthroplasty implants using a compressed sensing SEMAC TSE sequence with metal artifact reduction capabilities and acquisition times similar to 1.5T.

5019
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3D IR-UTE-Cones for High Contrast MR Imaging of Lamellar Bone
Anthony S. Tadros1, Justin W. West2, Amin Nazaran1, Ya-Jun Ma1, Heinz R. Hoenecke2, Jiang Du1, and Eric Y. Chang1,3

1Department of Radiology, University of California, San Diego Medical Center, La Jolla, CA, United States, 2Orthopedic Surgery, Scripps Clinic, La Jolla, CA, United States, 3Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

Lamellar bone is poorly evaluated using conventional magnetic resonance (MR) imaging secondary to its inherently short T2 relaxation time. Rather, the contours of lamellar bone are often inferred based on marrow signal. In the setting of shoulder instability or pre-operative planning for arthroplasty, rotator cuff integrity and glenoid bone defects are frequently assessed using both MRI and computed tomography (CT), respectively. An MR imaging technique to directly image lamellar bone could potentially eliminate the need for a CT scan and be particularly useful for young patients with acute shoulder instability.

5020
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Compressed Sensing 3D GRASE for Faster PD-weighted Knee Imaging
Alexandra Cristobal-Huerta1, Dirk Poot1, Mika Vogel2, and Juan Antonio Hernandez-Tamames1

1Department of Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, Netherlands, 2GE Healthcare B.V., Hoevelaken, Netherlands

Accelerated 3D-FSE using Compressed Sensing (CS) with a 30% scanning time reduction has been recently introduced and evaluated for knee MR images. 3D-GRASE is a hybrid FSE-EPI sequence that can achieve higher time-efficiency scans, since it acquires more k-space data per refocusing pulse. The purpose of this work is to present CS 3D-GRASE to achieve even faster musculoskeletal MRI acquisitions.


5021
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Feasibility of synthetic MRI in knee in routine practice: image quality and diagnostic accuracy
Bénédicte MA Delattre1, Maria Isabel Vargas1, and Sana Boudabbous1

1Geneva University Hospitals, Geneva, Switzerland

Synthetic MRI is a very promising method to generate different contrasts used in clinical practice from quantitative T1, T2 and PD measurements. In this study we confirmed the feasibility of Synthetic MR in knee examinations, allowing generation of T1, PD and STIR images in faster time than conventional imaging with appropriate quality and good diagnosis confidence.

5022
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Application of Simultaneous Multi-Slice TSE in High-Resolution Hand and Foot Imaging
Feifei Gao1, Yinghui Ge1, Yi Wei1, Shufang Wei1, Xiaojing Kan1, Panli Zuo2, Dingxin Wang3, and Tianyi Qian2

1Radiology, Zhengzhou University People’s Hospital, Zhengzhou, People's Republic of China, 2Siemens Healthcare, MR Collaborations NE Asia, Beijing, People's Republic of China, 3Siemens Medical Solutions USA, Inc., MN, United States

The turbo spin echo sequence is one of the most frequently used MR sequences in routine musculoskeletal exams. Its short scan time has allowed it to become a popular clinical choice because it reduces the possibility of motion artifact especially in patients with low tolerance for MR exams. In order to further shorten the scan time and increase temporal and/or spatial resolution, simultaneous multi-slice technique has been widely applied during brain image acquisition. In this study we tried to apply a prototypical SMS-TSE sequence to hand and foot imaging. Compared to the standard TSE sequence, the SMS-TSE had the same image quality and a shorter acquisition time.

5023
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Model-enhanced ZTE rendering of musculoskeletal structures
Gaspar Delso1, Michael Carl2, and Graeme McKinnon2

1GE Healthcare, Cambridge, United Kingdom, 2GE Healthcare, United States

The objective of the present study was to improve three-dimensional visualisation of ZTE-based bone images by incorporating a-priori anatomical information in the rendering process. 

5024
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Simultaneous multi-slice TSE imaging of the hip joint: Acquisition time reduction and imaging quality.
Mayuko Haraikawa1, Masashi Suzuki1, Yuki Hara1, Kayu Takezawa1, Nanami Okano1, Iichiro Osawa1, Kaiji Inoue1, Eito Kozawa1, Junji Tanaka1, Keisuke Watarai2, Taishi Unezawa1, Atsushi Kondo1, Hiroshi Imai3, Thomas Beck4, Dingxin Wang5, and Mamoru Niitsu1

1radiology, Saitama Medical University Hospital, Saitama, Japan, 2orthopedics, Saitama Medical University Hospital, Saitama, Japan, 3Siemens Healthcare K.K, Tokyo, Japan, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Siemens Healthcare, Minneapolis, United States

Simultaneous-Multi-Slice Turbo-Spin-Echo (SMS TSE) protocols were added to our conventional (CNV) hip joint MR examination in 21 patients. Image quality of acetabular labrum, articular cartilage, round ligament and bony trabeculae were evaluated by three reviewers and showed comparable image quality, whereas SMS was slightly better for bony trabeculae. If CNV is substituted by SMS, total scan time can be reduced by approximately 40%. Although SMS protocols showed higher specific absorption rate (SAR), it only accounted for 20% of scans which exceeded the first level of SAR limit. SMS could be applied to clinical examination with advantage of acquisition time reduction.


5025
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Age-related differences in quantitative muscular contraction parameters measured by synchronous dynamic MRI of electrical muscle stimulation
Xeni Deligianni1,2, Christopher Klenk3, Meritxell Garcia4, Michele Pansini5, Anna Hirschmann4, Arno Schmidt-Trucksäss3, Oliver Bieri1,2, and Francesco Santini1,2

1Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 2Biomedical Engineering, University of Basel, Basel, Switzerland, 3Sports Medicine, University of Basel, Basel, Switzerland, 4Musculoskeletal Radiology, Clinic of Radiology and Nuclear Medicine, University of Basel Hospital, Basel, Switzerland, 5Ricerche Diagnostiche Srl, Bari, Italy

Stimulation of the quadriceps muscle group of the thigh and synchronous phase contrast imaging at a 3T MRI scanner were applied to six young and 13 elderly volunteers, to assess age-related differences. Dynamic strain and strain rate maps were reconstructed. Age-related differences both for strain and strain rate were observed and the significance of the difference increased when the vastus intermedius muscle was included. 

5026
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Utilization of phase data to improve image contrast in UTE MRI at 3T
Aiming Lu1, Joel P Felmlee1, and Krzysztof R Gorny1

1Mayo Clinical, Rochester, MN, United States

MR imaging with UTE/ZTE sequences has attracted significant clinical interest in recent years due to their many inherent merits, such as resilience to motion and flow artifacts, capability to achieve high acceleration factors and minimize acoustic noise, as well as capability to capture signal from tissues with ultra-short T2s/T2*s. However, ZTE acquisitions and many UTE acquisitions require the use of low flip angles and, as a consequence, deliver mostly proton density weighted contrast. Magnetization preparation such as fat suppression with UTE/ZTE is time consuming as k-space center data needs to be acquired every TR. Therefore, exploiting the other inherent information such as signal phase is important. In this work, we demonstrate that phase images obtained with UTE can be exploited to enhance the tissue contrast such as fat/water differentiation and enable improved cortical bone visualization, and generate susceptibility map in the volunteer knee on a clinical scanner at 3T. 

5027
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Improvement of 3D diffusion-prepared MR neurography in the extremities using improved diffusion-sensitized driven-equilibrium (iDSDE) with phase-cycling turbo field echo sequence
Takayuki Sakai1, Masami Yoneyama2, Atsuya Watanabe1, Iain Ball3, Toshiaki Miyati4, and Noriyuki Yanagawa1

1Eastern Chiba Medical Center, Chiba, Japan, 2Philips Electronics Japan, Tokyo, Japan, 3Philips Electronics Australia, North Ryde, Australia, 4Kanazawa University, Ishikawa, Japan

Diffusion-sensitized driven-equilibrium with phase-cycling T1-turbo field-echo (pc-DSDE) enables the visualization of peripheral nerves. However, pc-DSDE has several problems, such as low image stability, poor reproducibility, and partially remaining venous signals.  To solve these problems, we improved DSDE pre-pulse module (iDSDE) including B1-insensitive RF pulse and orthogonally combined motion- and diffusion-sensitized gradient scheme.  iDSDE showed better visualization of peripheral nerves without contamination of veins.

5028
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Lipid Suppression Around Metal Implants Using a B1-Optimized Adiabatic Inversion Pulse
S Sivaram Kaushik1, Andrew Huettner2, Peter LaViolette3, Andrew Nencka3, and Kevin Koch3

1MR Applications and Workflow, GE Healthcare, Waukesha, WI, United States, 2MR Systems Engineering, GE Healthcare, Waukesha, WI, United States, 3Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

A nonlinear iterative optimization algorithm was used to design an adiabatic inversion pulse with a bandwidth of 3.2 kHz. With a larger bandwidth, the new pulse maintains the same SAR as the original inversion pulse and also has an improved spectral profile. Images obtained on a phantom, and in-vivo, show improved fat suppression, and reduced ripple artifacts in the slice domain. In addition to improving image quality, the optimized RF pulse may improve the diagnostic ability of STIR with 3D multi spectral imaging.  

5029
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Musculoskeletal imaging of the extremities with a compact 3T MRI with high-performance gradients
Paul T Weavers1, Matt Frick1, Erin M Gray1, David Stanley2, Joshua D Trzasko1, Shengzhen Tao1, Yunhong Shu1, Derrick Doolittle1, John Huston III1, Thomas K.F. Foo3, and Matt A Bernstein1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2GE Healthcare, 3MRI, GE Global Research, Niskayuna, NY, United States

A compact, low-cryogen 3T MRI system with high-performance gradients has been developed and tested on healthy volunteers. This compact 3T MRI unit has the potential to dramatically impact MRI by offering simplified siting and strong gradient performance at lower cost. In addition to brain and pediatric imaging, the scanner offers an ideal platform for musculoskeletal (MSK) imaging of the extremities. 

5030
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Initial Experience of MAGiC of the knee at 3T MRI: comparison with conventional T1-weighted image and T2 mapping
Sunghoon Park1, Young Ju Lee2, Sung-Min Gho2, Seungnam Back3, and Kyu-Sung Kwack1

1Radiology, Ajou University School of Medicine, Suwon, Korea, Republic of, 2MR Applications and Workflow, GE healthcare, Korea, Republic of, 3MR, GE healthcare, Korea, Republic of

Synthetic MR is able to acquire T1-, T2-, proton density-weighted image and quantitative map simultaneously and has the potential to reduce the overall examination time. Synthetic MR image have comparable image qualities with that of conventional MR images for the knee joint.


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Imaging and Quantification of Grafted Mesenchymal Stem Cells in Rat Knee Joint
Sergey Magnitsky1, Jaskanwaljeet Kaur1, Yu-An Evan Lay2, Geetha Mohan2, Jinjin Zhang3, Djaudat Idiyatullin3, Michael Garwood3, and Nancy Lane2

1Radiology, UCSF, San Francisco, CA, United States, 2Center for Musculoskeletal Health, UC Davis, 3Radiology, University of Minnesota

Mesenchymal Stem Cells (MSCs) have high potentials for a treatment of bone diseases. T2*w-MRI in combination with iron labeling of MSCs has shown promising results for the detection of therapeutic cells. However, this method is not applicable for the detection of MSCs in knee joints because both the iron labeled cells and bones produce a hypointense signal. We have shown that the SWIFT sequence overcomes this limitation and generates a distinct and quantifiable signal from iron labeled cells in a knee joint in vivo. Proposed protocol opens new opportunities for in vivo monitoring of cell therapy of bone disorders.

5032
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Chemical Shift Displacement and Recovery-based Simultaneous Water and Lipid Imaging for Quantitative Multiparametric MRI
Naoki Ohno1, Tosiaki Miyati1, Shuto Suzuki1, Hirohito Kan2, Toshitaka Aoki2, Yoshitaka Nakamura1, Yuki Hiramatsu1, and Toshifumi Gabata3

1Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan, 2Department of Central Radiology, Nagoya City University Hospital, Nagoya, Japan, 3Department of Radiology, Kanazawa University Hospital, Kanazawa, Japan

In general, it is difficult to obtain functional information about water and lipid in tissues at the same time. We, therefore, developed a novel method using chemical shift displacement and recovery-based separation of lipid tissue (SPLIT) with different inversion times, echo times, and b-values to simultaneously acquire diffusion, perfusion, T1, T2, and lipid fraction in the calf. All parameters obtained with the SPLIT were consistent with previously reported values. This method enables simultaneous acquisition of functional information without special pulse sequence.

5033
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Clinical interpretation of asymptomatic medial collateral ligament injury observed on magnetic resonance imaging in adolescent baseball players
Yoshikazu Okamoto1, Kiyoshi Maehara1, Kenta Tanaka1, and Tetsuya Kanahori1

1University of Tsukuba, Tsukuba, Japan

This presentation clarified the clinical interpretation of 'asymptomatic MCL injury of the elbow observed on MRI among adolescent baseball players' by comparing the findings of MRI with those of standard clinical orthopedic examinations including palpation and US. Our results suggested the finding  includes a broad spectrum of injuries; namely, a group of injuries that are characterized by changes associated with 'adaptation' and group of a 'pre-injury' characterized by changes to symptomatic MCL injury.

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Utility of Radial Reformation of Three-dimensional Fat-suppressed Multi-echo Gradient-recalled-echo Imaging in the Evaluation of Acetabular Labral Injuries and Femoroacetabular Impingement
Keizo Tanitame1, Takahiro Sueoka2, Yukiko Honda3, Yuji Takahashi3, Akira Naito1, and Kazuo Awai3

1Chugoku Rosai Hospital, Kure, Japan, 2Hiroshima Prefectural Hospital, Hiroshima, Japan, 3Hiroshima University Hospital, Hiroshima, Japan

Radial images through the center of the acetabulum in the plane including the entire acetabular rim are useful for evaluating acetabular labral injuries, and those perpendicular to the center of the femoral head through the central axis of the femoral neck enable evaluation of the morphological findings of femoroacetabular impingement. Continuous thin-slice images from optimized 3D fat-suppressed multi-echo gradient-recalled-echo allow 360° radial reformation of hip joints, offering precise evaluation of the range of acetabular labral injury and femoroacetabular impingement morphology.

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A feasibility study of MR T2-mapping for evaluating birth-related levator ani muscle injury
yujiao zhao1, zhizheng zhuo2, and wen shen1

1Department of Radiology, Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Philips Healthcare, Beijing, China, beijing

Currently, the abnormal morphology of LAM is assessed with an unaided subjective diagnosis. But T2 mapping can quantitatively evaluate the injury muscle and indicate the injured degree and region of the LAM. In this study, we investigate whether the quantitative MR T2-mapping can evaluate birth-related levator ani muscle injury. The results showed that T2-mapping can quantitatively assess birth-related levator ani muscle injury and T2-mapping color-coded images show the range and degree of LAM injury visually. Moreover, it is helpful for detecting micro lesions which is difficult for just using PDWI images.

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Value of quantitative T2 mapping in detecting early joint changes in children with haemophilia
Shufang Wei1, yinghui Ge1,2,3, Xiaojing Kan1, and Feifei Gao1

1henan province people hosptial, zhengzhou, People's Republic of China, 2henan provice people hospital, 3henan provice people hospital, zhengzhou, People's Republic of China

T2 mapping imaging, as one of the MRI functional imaging, is sensitive to the changes of early cartilage components in the early stage of HA, hinting that T2 mapping imaging may be used as a tool to diagnose the cartilage disease in the early stage of HA.


Electronic Poster

Topics in Acquisition

Exhibition Hall Wednesday 16:15 - 17:15

5037
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Echo-planar imaging with the Dynamic Multi-Coil Technique (DYNAMITE-EPI)
Umesh Suryanarayana Rudrapatna1, Fabian Fluerenbrock2, Terence W Nixon1, Robin A de Graaf1, and Christoph Juchem1

1Yale School of Medicine, New Haven, CT, United States, 2RWTH Aachen University, Aachen, Germany

Despite numerous improvements in MRI technology, the fundamental gradient hardware has always been designed to generate linear and orthogonal fields. This mould was broken with the advent of DYNAmic Multi-coiIl TEchnique (DYNAMITE), which uses non-linear and non-orthogonal B$$$_{0}$$$ fields for shimming and imaging. Besides vastly expanding the field shaping possibilities, this new technology also promises faster switching and lower eddy currents. For widespread uptake of this technology, proving its suitability for performing widely used contemporary scans like EPI is a must. In this work we share our results from the first successful implementation of DYNAMITE-EPI.

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DTI measurements with exceptional resilience to field heterogeneities in challenging brain regions
Eddy Solomon1, Gilad Liberman1, Zhiyong Zhang 1, and Lucio Frydman1

1chemical Physics, Weizmann Institute of Science, Rehovot, Israel

This study presents a new diffusion tool based on a novel single-shot 2D MRI method called xSPEN. xSPEN is characterized with unusual resilience to field heterogeneities, but extending it to DTI requires to overcome the strong intrinsic diffusion weighting of this technique. To achieve this we formulated xSPEN’s diffusion weighting using a novel, spatially localized b- matrix analysis, and devised a novel diffusion-weighting scheme that overcomes xSPEN’s original limitations. These methods were numerically validated and applied to new DTI xSPEN sequences with which we mapped diffusion in often unreachable human head regions, including optic nerve and olfactory bulb regions. 

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How to spend your time? Using multi-echo acquisition versus increasing sampling rate in resting-state fMRI
Daniele Mascali1, Keith Jamison2, Emily Kittelson2, Kâmil Uğurbil2, Essa Yacoub2, Shalom Michaeli2, Melissa Terpstra2, Federico Giove1, and Silvia Mangia2

1Museo Storico della Fisica e Centro Studi e Ricerche “Enrico Fermi”, Rome, Italy, 2Center for Magnetic Resonance Research, Dept. of Radiology, University of Minnesota, Minneapolis, MN, United States

High sampling rate is pivotal for differentiating neuronal-related from spurious correlations in resting-state-fMRI (rsfMRI). Acquiring multi-echoes (ME) during an EPI readout increases contrast-to-noise, but it can compromise temporal resolution even when combined with multiband (MB). Therefore, whether MBME-EPI is ultimately beneficial for rsfMRI remains unclear. To address this, we collected data at 3T with 2-mm resolution using MBME-EPI and the human-connectome-project MB-single-echo-EPI. Data were evaluated for spectral amplitude, consistency and specificity. MBME-EPI showed significant gains in all quantities when physiological noise and sampling rate were matched between time-series. However, there was no clear gain when different sampling rates were considered.  

5040
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Insights from a combined study: Linking two modalities – total water content distribution and isotropic water fraction.
Zaheer Abbas1,2, Farida Grinberg1,2, Ezequiel Farrher1, Krzysztof Dzieciol1, Elene Iordanishvili1, and Nadim Jon Shah1,2

1Medical Imaging Physics, Institute of Neuroscience and Medicine, Juelich, Germany, 2Faculty of Medicine, RWTH Aachen, JARA, Aachen, Germany

Two methods – distributions of total free water (FW) content and unrestricted, isotropic water fraction (IWF) were studied in order to establish a possible link between them. MRI protocols were set in order to obtain quantitative FW maps as well as IWF distributions, based on a free water elimination DTI method. Joint histograms reveal strong correlation and suggest the way FW can complement the information obtained from IWF. Combining both modalities (FW and IWF distributions) in presence of pathologies may help to define the pathophysiological basis of different disorders and identify predictors of clinical symptoms.

5041
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Omitting the control condition using self-control super-selective Arterial Spin Labeling to reduce total scan time for flow territory mapping
Thomas Lindner1, Naomi Larsen1, Olav Jansen1, and Michael Helle2

1Clinic for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany, 2Tomographic Imaging Department, Philips Research, Hamburg, Germany

Selective Arterial Spin Labeling (ASL) is established to perform non-contrast enhanced flow territory mapping. In super-selective pCASL only one artery of interest is labeled while the efficiency in contralateral arteries is near zero.  To obtain a holistic picture of all brain perfusion territories, the label and control experiments have to be repeated for each artery, prolonging scan time. In this study, it is hypothesized that due to the (almost) negligible signal contribution of non-tagged arteries, selective perfusion images can be calculated from a single scan that is performed without the acquisition of control images.

5042
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Imaging inferior alveolar neurovascular bundle using zero echo time magnetic resonance imaging
Chuanchen Zhang1, Changhu Liang2, Chuanying Shi3, Mingzhen Wu3, and Bin Zhang4

1Department of Radiology, Liaocheng People’s Hospital, Shandong University, Liaocheng, People's Republic of China, 2Department of Radiology, Shandong Medical imaging research institute, 3Liaocheng People’s Hospital, Shandong University, 4Liaocheng People's Hospital, Shandong University

The goal of the present study was to evaluate ZTE acquisitions for the inferior alveolar neurovascular bundle (IANB) identification. For this purpose, 15 volunteers were scanned using a standard 3D ZTE sequence with a voxel size of 0.8×0.8×0.8 mm on a 3 Tesla MR unit. Both subjective and objective analyses were performed on all acquired IANB images. The results indicate that ZTE-MRI is feasible for the IANB imaging without the use of contrast material.

5043
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Quantitative Measures of Arteriole Flow in Human Perivascular Spaces
Xiaopeng Zong1 and Weili Lin1

1Department of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States

Pulsatility of blood flow in human perivascular spaces may play an important role in clearing metabolic waste from the brain.  However, flow measurement within small arterioles using MRI are hampered by the limited spatial resolutions of MRI.  We report an approach that can accurately measure flow in sub-voxel tubular structures such as arterioles by combining time of flight and phase contrast MRI.  The accuracy of our method were first demonstrated in a flow phantom study.  Then, flows of penetrating arterioles were obtained in human subjects.  Our results demonstrate the importance of correction of partial volume effects in measuring arteriole flow.

5044
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Quantitative MRI method, a multi-pathway multi-echo approach
Cheng-Chieh Cheng1, William Scott Hoge1, Tai-Hsin Kuo2, and Bruno Madore1

1Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 2Department of Imaging system, Philips Healthcare, Taipei, Taiwan

A novel quantitative imaging method based on steady-state signals was proposed to simultaneously resolve MR-related parameters.  A special, two-flip angle acquisition was implemented to account for the fluctuations in B1+ field. Furthermore, we developed a motion-resistant sampling scheme to lessen the impact of motion on steady-state signal for in vivo brain scans. A 3D brain imaging that extracts main MR-related parameters such as T1, T2, T2*, M0, B0, and B1+ was performed here in less than 12 minutes.

5045
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Dynamic Monitoring of Brown Adipose Tissue Activation and White Adipose Tissue Beiging
Gregory Simchick1,2, Amelia Yin3, Hang Yin3, and Qun Zhao1,2

1Physics and Astronomy, University of Georgia, Athens, GA, United States, 2Bio-Imaging Research Center, University of Georgia, Athens, GA, United States, 3Biochemistry and Molecular Biology, University of Georgia, Athens, GA, United States

The treatment of obesity is clinically significant as it is related to many serious heart diseases and diabetes. Therefore, it is very advantageous to be able to non-invasively monitor whether or not a treatment is effective. Presented here is a method using magnetic resonance imaging (MRI) based water-fat separation, quantitative susceptibility mapping (QSM), and transverse relaxation rate ($$$R_{2}^{*}$$$) to dynamically monitor brown adipose tissue (BAT) activation and the white adipose tissue (WAT) beiging process. In a mouse model, increases in susceptibility between 40-164% and increases in $$$R_{2}^{*}$$$ between 32-71% were observed in intracapsular BAT and inguinal WAT indicating metabolic changes related to BAT activation and WAT beiging.

5046
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Optimal Control Pulse Design for Contrast in MRI: in vivo applications
Eric Van Reeth1, Hélène Ratiney1, Sophie Gaillard1, Michael Tesch2, Olivier Beuf1, Steffen Glaser2, and Dominique Sugny3,4

1CREATIS - CNRS UMR 5220 - INSERM U1206 - Université Lyon 1 - INSA Lyon - Université Jean Monnet Saint-Etienne, Villeurbanne, France, 2Department of Chemistry, Technische Universität München, Munich, Germany, 3Laboratoire Interdisciplinaire Carnot de Bourgogne, Dijon, France, 4Technische Universität München Institute for Advanced Study, Munich, Germany

Optimal control RF pulse design has recently been proposed to address the optimization of image contrast in MRI - in order to explore the theoretical contrast bound of a given imaged system. Their use has recently been validated on a real MRI scanner to contrast various in vitro samples. This abstract extends these results to in vivo applications, and shows that contrasts obtained with standard weighting strategies on rat and mouse brains can be improved or inverted. This demonstrates both the interest and flexibility that one can get when using optimal contrast pulses for in vitro and in vivo applications.

5047
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Bloch-Siegert Phase-Encoded MRI with a Single RF Coil and Frequency-Swept Pulses
Christopher J Hasselwander1 and William A Grissom1

1Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

RF encoding using the Bloch-Siegert shift has the potential to replace conventional gradient encoding with cheaper RF gradients, and can directly replace gradient pulsing in common MRI sequences. However, current implementations require large frequency offsets to prevent on-resonance excitation, which subsequently requires high RF power for encoding as well as separate imaging and encoding RF coils. Here we show that frequency-swept encoding RF pulses enable the use of a single RF coil for imaging and encoding since the frequency offset can be brought much closer to resonance. 

5048
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Optimal MRI pulse sequence to quantify iron-oxide nanoparticles at high concentration
Jinjin Zhang1, Michael Garwood1, and Djaudat Idiyatullin1

1Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, MN, United States

Recent advances in nanotechnology have allowed for the effective use of iron oxide nanoparticles (IONP) in magnetic nanoparticle hyperthermia for cancer therapy and in cell tracking for immunotherapy. Noninvasive imaging techniques for tracking and quantifying IONPs in-vivo will be necessary for accurate assessment. In this study, we have tested four representative ultra-short T2 sensitive MRI pulse sequences, UTE, ZTE, SWIFT and MB-SWIFT, to compare their performance for measuring IONPs at clinically relevant high concentration range. Multiple performance metrics were evaluated, compared, and summarized. 

5049
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A simple optimization approach to making time efficient VERSE-multiband pulses feasible on non-ideal gradients
Samy Abo Seada1, Jo Hajnal1, and Shaihan Malik1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

Multiband pulses can have long durations, which can be reduced by applying the VERSE approach to optimize the combination of gradient and RF pulse to make full use of available hardware performance. The resulting time-varying gradients are demanding and can lead to excitation errors on non-ideal gradient systems. In this work we incorporated the measured gradient impulse response function (GIRF) into an iterative VERSE design method and validated the result using simulation and experiments.

5050
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Simultaneous interleaved blip up/down readout for dynamic off-resonance correction in functional EPI
Benjamin Zahneisen1, Murat Aksoy1, and Julian Maclaren1

1Stanford University, Stanford, CA, United States

Motion and geometric distortions of EPI acquisitions remain challenging as motion during an fMRI scan affects the stability of the time series in two ways: Rigid motion displaces voxels by “moving” the spins. A change in head orientation and the complex interplay of external and internal susceptibility differences lead to a change in the off-resonance field. In combination with an EPI readout this change in off-resonance field leads to an “apparent” voxel displacement. Here, we propose the simultaneous acquisition of a blip-down navigator with the original blip-up host-EPI sequence which is used to derive a snapshot of dynamic off-resonance changes.

5051
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Using the inflow effect to determine velocity in the carotid artery: comparison with phase contrast velocity mapping
Neville D Gai1 and John A Butman1

1Radiology & Imaging Sciences, NIH Clinical Center, Bethesda, MD, United States

Phase contrast (PC) imaging is commonly employed for mapping velocities in cerebral arteries. This requires a dedicated sequence along with acquisition of two sets of image data. In addition, PC imaging can be compromised by residual eddy currents, motion, selection of velocity encoding value (VENC) and imaging plane in relation to the vessel. In this work, a magnitude based method exploiting the inflow effect was employed to determine velocity in the carotid arteries. A standard 3D T1w SPGR sequence was used eschewing the need for a dedicated sequence. By measuring signal in ROIs at two locations of the artery and jugular vein, velocity independent of B1 inhomogeneity can be derived. The effect of B1+ field was also taken into account. It was shown that the velocity estimated with this technique shows significant correlation with PC based velocity while showing no significant differences in the right and left CAs in 12 volunteers.

5052
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Magnetic Resonance Imaging under Highly Inhomogeneous B0 Fields using Missing-Pulse Steady-State Free Precession (MP-SSFP)
Naoharu Kobayashi1, Djaudat Idiyatullin1, Gregor Adriany1, and Michael Garwood1

1Center for Magnetic Resonance Research,Department of Radiology, University of Minnesota, Minneapolis, MN, United States

In vivo human brain imaging under highly inhomogeneous B0 field of 250 kHz off-resonance variation over 20 cm is demonstrated. The B0 field inhomogeneity was generated by mounting a head gradient coil at 36 cm off the isocenter of a 90-cm 4T magnet. Brain imaging was performed with 3D missing-pulse steady-state free precession using the inhomogeneous field gradient for spatial (readout) encoding. Frequency-modulated pulses were employed to excite the widely distributed spin frequencies in the inhomogeneous field with easily achievable RF peak power (~1 kW). By providing combined T1, T2, and high diffusion weighting, images with clear delineation of brain anatomy were produced.

5053
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A Rapid Hybrid Spiral Spin-Echo Technique for Simultaneous Multi-Contrast Fat-Water Imaging
Zhiqiang Li1, Dinghui Wang1, and James G Pipe1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States

In the conventional MR setting, each contrast is typically acquired with a different scan/sequence, often resulting in long scan time and inter-scan misregistration. Simultaneous multi-contrast imaging has advantages such as good registration, reduced scan time, etc. In this project we propose a hybrid spiral SE technique for simultaneous T1, T2, and PD imaging, with fast scan speed and improved image quality.

5054
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Improved image-based navigators (iNAVs) for free-breathing cine DENSE using principle component analysis to separate the stimulated echo and T1 relaxation signals
Xiaoying Cai1, Yang Yang1, Xiaodong Zhong2,3, Daniel S Weller4, Michael Salerno1,5,6, and Frederick H Epstein1,5

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2MR R&D Collaborations, Siemens Healthcare, Atlanta, GA, United States, 3Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 4Electrical and Computer Engineering, University of Virginia, Charlottesville, VA, United States, 5Radiology, University of Virginia, 6Medicine, University of Virginia

Cine displacement encoding with stimulated echoes (DENSE) is an accurate strain imaging technique that generally requires breath-holding. We have recently developed a free-breathing method with image-based navigators (iNAVs) that makes use of the localized signal generation property of stimulated echoes (STE) to facilitate the estimation of heart motion due to respiration. However the non-localized echo due to T1 relaxation presents challenges. We propose to use principle component analysis (PCA) to separate the STE and T1-relaxation echo signals and improve the accuracy of motion estimation with iNAVs for free-breathing cine DENSE.

5055
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A Method of Fat Saturation with Better Transmit Field Inhomogeneity Immunity
Xiaocheng Wei1 and Yongchuan Lai2

1MR Research China, GE Healthcare, Beijing, People's Republic of China, 2MR Engineering, GE Healthcare, Beijing, People's Republic of China

Discrimination between signals from fat and water is of great importance in clinical practice. Chemical saturation, the most widely used fat suppression method, has degraded performance in an in-homogeneity transmit field, and may jeopardize the diagnosis effectiveness. In this abstract, we proposed an improved fat saturation method employing multiple chemical saturation segments. Phantom and volunteer evaluation results show that new method has much less residual lipid signal and can achieve more uniform lipid saturation over big field of view under inhomogeneity condition. Which support the conclusion that proposed method has superior transmit field inhomogeneity immunity.

5056
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SUPER: a novel acquisition and reconstruction strategy for improved efficiency and resolution in parameter mapping
Chenxi Hu1 and Dana Peters1

1Yale University, New Haven, CT, United States

Standard parameter mapping methods such as T1 and T2 mapping suffer from long scan time and low resolution due to the need to sample multiple images along the relaxation curve. Here we propose a novel acquisition and reconstruction strategy to improve efficiency by undersampling each k-space frame in the phase-encoding direction. By shifting the undersampling pattern circularly in each time frame, the relaxation signal at spatially distinct voxels is modulated and combined into a single signal, which can be used to reconstruct the parameters by solving a small-size nonlinear equation. This technique is especially suitable for applications where multiple TIs or TEs are needed, and can improve either resolution or acquisition time.

5057
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2D acquisition mode for T1 and T2 estimation using an ellipse-fitting approach on phase cycled bSSFP data
Yulia Shcherbakova1, Cornelis A.T. van den Berg2, Pim T.S. Borman1, Chrit T.W. Moonen1, and Lambertus W. Bartels3

1Center for Imaging Sciences/Imaging Division, University Medical Center Utrecht, Utrecht, Netherlands, 2Dept. of Radiotherapy/Imaging Division, University Medical Center Utrecht, Utrecht, Netherlands, 3Image Sciences Institute/dept. of Radiology, University Medical Center Utrecht, Utrecht, Netherlands

The ellipse fitting approach for simultaneous estimation of the relaxation times T1 and T2 from phase-cycled balanced steady-state free precession (PC-bSSFP) has been so far limited to the 3D acquisition mode due to sensitivity to slice profile imperfections. In this work we present the results of a 2D approach which is based on a RF excitation pulse optimization. This minimally affects the ellipse fitting leading to minimal corruption of  T1 and T2 quantification from 2D PC-bSSFP data.

5058
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Fast and robust magnetic resonance fingerprinting with Cartesian sampling using random RF and gradient spoilers to reset the longitudinal and transverse magnetization
Daiki Tamada1, Takashi Watanabe1, Tomoyuki Takeguchi1, and Hitoshi Kanazawa2

1Toshiba Corporation, Kawasaki, Japan, 2Toshiba Medical Systems Corporation, Otawara, Japan

A prepulse for resetting longitudinal and transverse magnetization is proposed in order to accelerate magnetic resonance fingerprinting (MRF) with Cartesian sampling. A pulse sequence was developed based on a steady-state free precession sequence in which the prepulse consists of a set of radio frequency (RF) pulses and gradient spoilers. Simulation and experimental results demonstrated that the prepulse enables fast MRF in the presence of additional sequence modules, such as respiration triggering.

5059
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Relaxometry via steady-state ring-locked trajectories
James C Korte1, Bahman Tahayori2, Peter M Farrell1, Stephen M Moore3, and Leigh A Johnston1

1Dept. Electrical & Electronic Engineering, University of Melbourne, Melbourne, Australia, 2Dept. Electrical and Computer Systems Engineering, Monash University, Melbourne, Australia, 3IBM Research, Melbourne, Australia

It is known that steady-state ring-locked trajectories are formed on an elliptical manifold under a constant amplitude and constant frequency excitation envelope. Here we demonstrate that the excitation envelope can be expressed in terms of the spin-system parameters and a target steady-state trajectory, providing control of the magnetisation on the steady-state ellipsoid when spin-system parameters, such as the relaxation constants, are known. Conversely, we exploit this relationship between excitation parameters and unknown relaxation constants to develop a volume relaxometry technique, which can potentially be extended to relaxation mapping due to the elliptical nature of balanced SSFP.

5060
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Magnetic Resonance Fingerprinting using phase cycling bSSFP (phc-MRF) in presence of B0 inhomogeneity.
Simone Coppo1, Bhairav Bipin Mehta1, Dan Ma1, Yun Jiang1, and Mark Alan Griswold1

1Radiology Departiment, Case Western Reserve University, Cleveland, OH, United States

Magnetic Resonance Fingerprinting (MRF) is a newly developed approach for accurate and efficient multi parameter mapping. This work proposes a balanced steady state free precession (bSSFP) based MRF framework which introduces different phase cycling (phc-MRF) to compensate for banding artifact induced by B0 inhomogeneity. The phc-MRF was tested in both phantoms and in vivo. The preliminary results show the robustness of the phc-MRF to banding artifacts while maintaining the precision of parameter estimation and B0 sensitivity.


Electronic Poster

Reconstruction & Post-Processing

Exhibition Hall Wednesday 16:15 - 17:15

5061
Computer 97
Semi-automated identification of Substantia Nigra in healthy controls and patients with Parkinson's Disease: a feasibility study using MP2RAGE
Maria Eugenia Caligiuri1, Gaetano Barbagallo2, Tobias Kober3, Umberto Sabatini4, Aldo Quattrone1,2, and Andrea Cherubini1

1Neuroimaging Unit, Institute of Bioimaging and Molecular Physiology (IBFM-CNR), Catanzaro, Italy, 2Institute of Neurology, University Magna Graecia, Catanzaro, Italy, 3Healthcare Sector IM&WS S, Siemens Schweiz AG, Renens, Switzerland, 4Institute of Neuroradiology, University Magna Graecia, Catanzaro, Italy

Reliable in vivo assessment of human substantia nigra (SN) requires highly trained operators and different MRI sequences. Advanced techniques have recently facilitated SN identification, but their acquisition in routine clinical practice may not be feasible. MP2RAGE allows for quantitative T1 mapping with an acceptable acquisition time (< 10 minutes). Moreover, SN can be seen on T1 maps, but not on standard MPRAGE. In this study, we tested the feasibility of semi-automated SN identification on MP2RAGE-derived T1 maps by using a thresholding approach, and compared SN volume and T1 values between healthy controls and patients with Parkinson's disease.

5062
Computer 98
Myelin water atlas for cervical spinal cord: A template for spinal cord pathway myelin microstructure
Hanwen Liu1,2, Emil Ljungberg3, Erin MacMillan3, Laura Barlow4, Shannon Kolind3, John Kramer2,5, and Cornelia Laule2,6,7

1Physics, University of British Columbia, Vancouver, BC, Canada, 2International Collaboration on Repair Discoveries, Vancouver, BC, Canada, 3Medicine, University of British Columbia, Vancouver, BC, Canada, 4UBC Hospital, University of British Columbia, Vancouver, BC, Canada, 5Kinesiology, University of British Columbia, Vancouver, BC, Canada, 6Radiology, University of British Columbia, Vancouver, BC, Canada, 7Pathology and Laboratory Medicine, University of British Columbia, BC, Canada

In-vivo microstructural information of myelin in the spinal cord is desirable for studying spinal cord injury and neurodegenerative diseases. We used myelin water imaging combine with Spinal Cord Toolbox to create a standard microstructure template specific to myelin content, so-called myelin water atlas, for healthy cervical spinal cord. The resulting atlas is able to distinguish myelin content in 7 different spinal cord pathways and agrees with well-known anatomical characteristics. Our work shows the potential of using a myelin water atlas as a microstructure reference to visualize demyelination in spinal cord injuries or diseases.

5063
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Visualization of Cardiac and Respiratory Pressure Gradient of Cerebrospinal Fluid Based on Asynchronous Two-Dimensional Phase Contrast Imaging
Saeko Sunohara1, Satoshi Yatsushiro2, Mitsunori Matsumae3, and Kagayaki Kuroda1,2

1Graduate School of Engineering, Tokai University, Hiratshuka, Kanagawa, Japan, 2Graduate School of Science and Technology, Tokai University, Hiratsuka, Kanagawa, Japan, 3Department of Neurosurgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan

To visualize the distribution of the pressure gradients of the cardiac- and respiratory-driven cerebrospinal fluid (CSF), asynchronous two-dimensional phase-contrast velocity imaging was performed in 9 healthy subjects. The pressure gradients were calculated by the Navier–Stokes equations after the total CSF motion was classified into either cardiac or the respiratory components in the frequency domain. In the prepontine, the pressure gradients in the caudal-to-cranial direction were 14.9 ± 3.17 Pa/m for cardiac components and 1.28 ± 0.46 Pa/m for respiratory components; the cardiac pressure gradient was also significantly larger than the respiratory pressure gradient in other regions.

5064
Computer 100
On the profile ordering of Golden Angle radial Simultaneous Multi-Slice imaging
Pim Borman1, Rob H.N. Tijssen1, Bas Raaymakers1, Chrit Moonen2, and Clemens Bos2

1Radiotherapy, UMC Utrecht, Utrecht, Netherlands, 2Imaging Division, UMC Utrecht, Utrecht, Netherlands

Golden angle radial sampling allows for flexible sliding window reconstructions while minimizing motion sensitivity and undersampling artifacts. Simultaneous MultiSlice (SMS) can be used to increase the spatial coverage without decreasing the framerate. Here we show that the golden angle profile ordering is in principle not compatible with the in-plane phase cycling scheme required by SMS. It follows that these are only compatible for a certain number of spokes, namely when the number of spokes is part of the Fibonacci sequence and the SMS factor is a divisor of this number.

5065
Computer 101
Non-rigid Groupwise Registration for Intravoxel Incoherent Motion Imaging of the Heart
Valery Vishnevskiy1, Georg Spinner1, Christian Stoeck1, Constantin von Deuster1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, ETH Zurich, Zurich, Switzerland

Intravoxel Incoherent Motion (IVIM) imaging is an attractive approach for contrast-agent free in vivo perfusion measurement in the heart. Since the data is acquired during free breathing, nonrigid respiratory motion is considerable and needs to be corrected before estimation of IVIM parameters. In order to provide accurate image registration, an approach with parametric total variation regularization of displacements and low-rank structure of aligned images stack is presented. The proposed method allows for robust IVIM parameter estimation and improves mean squared residuals of the IVIM model by 24% on average compared to state-of-the-art non-rigid registration methods.

5066
Computer 102
A supervised automated segmentation strategy for renal DCE-MR images
Wenjian Huang1, Hao Li1,2, Jue Zhang1,3, Xiaoying Wang1,4, and Jing Fang1,3

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2Department of Radiology, University of Cambridge, United Kingdom, 3College of Engineering, Peking University, Beijing, People's Republic of China, 4Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

A supervised DCE-MR images classification strategy is proposed in this study. First, the training set was obtained by an automated seeds extraction procedure. Subsequently, support vector machine (SVM) and random walk algorithms were employed as two separate classification approaches to achieve image segmentations, respectively. The automated segmentations and a repeated manual segmentation were compared quantitatively with a reference manual segmentation. The average similarity indexes for SVM, random walker and repeated manual segmentation were 0.78, 0.76 and 0.72, respectively. The results indicate that the proposed strategy yield a satisfied similarity with manual segmentation and is more stable than the manual segmentation. 

5067
Computer 103
Improving Accuracy in MR Fingerprinting by Off-Resonance Deblurring
Peter Koken1, Thomas Amthor1, Mariya Doneva1, Holger Eggers1, Karsten Sommer1, Jakob Meineke1, and Peter Börnert1,2

1Philips Research Europe, Hamburg, Germany, 2Dept. Radiology, LUMC, Leiden, Netherlands

Efficient, highly under-sampled spiral acquisition is preferred in magnetic resonance fingerprinting (MRF). However, although the spiral is very efficient in terms of sampling, it is sensitive to all kinds of off-resonance effects resulting in signal blurring. This effect leads to geometric distortion and matching errors, reducing accuracy significantly. To overcome these limitations, the present work proposes to combine spiral-based MRF with field map-based deblurring, e.g. by conjugate phase reconstruction (CPR). The basic feasibility of this approach for under-sampled MRF is shown in phantom and in-vivo experiments, underlining the effectiveness of this simple correction approach paving the way for even more efficient MRF sampling.

5068
Computer 104
Partial volume effect correction for surface-based cortical mapping
Camille Van Assel1, Gabriel Mangeat1,2, Benjamin De Leener1, Nikola Stikov1,3, Caterina Mainero2,4, and Julien Cohen-Adad1,5

1NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, QC, Canada, 2Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Montreal Health Institute, Montreal, QC, Canada, 4Harvard Medical School, Boston, MA, United States, 5Functional Neuroimaging Unit, CRIUGM, Université de Montréal, Montreal, QC, Canada

Partial Volume Effect (PVE) hampers the accuracy of studies aiming at mapping MRI signal in the cortex due to the close proximity of adjacent white matter (WM) and cerebrospinal fluid (CSF). The proposed framework addresses this issue by disentangling the various sources of MRI signal within each voxel, assuming three classes (WM, gray matter, CSF) within a small neighbourhood. MRI scans of 17 healthy subjects suggest robust estimations of PVE, allowing accurate extraction of MRI metrics using surface-based analysis. This method can be particularly useful for probing pathology  in outer or inner cortical layers, which are subject to strong PVE with adjacent CSF or WM.

5069
Computer 105
Muscle Change Associated with Time in Intensive Care Unit (ICU)
Michael Perrins1,2, Lucy V Hiscox1, Calum Gray1, Scott Semple1, Lucy Barclay3, Rachael Kirkbride3, Lisa Salisbury3, Colin Brown4, Timothy Walsh3, Edwin J.R van Beek1, Neil Roberts1, and David Griffith3

1Clinical Research Imaging Centre, The University of Edinburgh, Edinburgh, United Kingdom, 2MRC Centre for Inflammation Research, The University of Edinburgh, Edinburgh, United Kingdom, 3Anaesthesia, Critical Care and Pain Medicine, The University of Edinburgh, Edinburgh, United Kingdom, 4The Mentholatum Company Ltd., East Kilbride, United Kingdom

Muscle wasting is common during critical illness.  In this study, thigh muscles of previously mobile patients surviving an episode of severe critical illness were imaged by Magnetic Resonance Imaging (MRI) during convalescence and compared to healthy controls. We present preliminary findings of the first clinical study using Magnetic Resonance Elastography (MRE) to measure muscle stiffness (kPa) and muscle cross-sectional area (mm2) for Intensive Care Unit (ICU) patients. A statistically significant reduction in muscle area and muscle stiffness in patients was found when compared to the healthy control group. There was a significant cross-sectional muscle area increase following ICU patient discharge.

5070
Computer 106
Improved Denoising of Dynamic Arterial Spin Labeling with Infimal Convolution of Total Generalized Variation Functionals (ICTGV)
Matthias Schloegl1, Stefan Spann1, Christoph Aigner1, Martin Holler2, Kristian Bredies2, and Rudolf Stollberger1

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute of Mathematics and Scientific Computing, University of Graz, Austria

Dynamic arterial spin labeling MRI provides important quantitative information about blood arrival time and perfusion. However, the inherently low signal-to-noise ratio requires repeated measurements to achieve a reasonable image quality. This leads to long acquisition times and hence increases the risk of motion artifacts, which impedes clinical applicability. To overcome this limitation we propose to reconstruct the dynamic ASL data employing ICTGV regularization from a reduced number of averages. The performance of the method is evaluated on synthetic and in-vivo ASL data.

5071
Computer 107
Fast Non-iterative Image Reconstruction for O-space Imaging
Maolin Qiu1, Yuqing Wan1, and R. Todd Constable1

1Yale School of Medicine, New Haven, CT, United States

MRI with non-linear spatial encoding magnetic fields (SEM) can provide high quality MR images, but there images are usually calculated using iterative optimization procedures. Such reconstruction methods can take a long time to converge, and the results may depend on the initial iteration parameters. We propose a fast, non-iterative image reconstruction method for O-space imaging based on the local K-space and local SEMs and demonstrate its effectiveness for image reconstruction of nonlinear O-space imaging data.

5072
Computer 108
Wavelet based Texture Analysis of Liver Fibrosis in Delayed Phase Gadolinium-Enhanced T1-weighted in vivo Images
Lavanya Umapathy1, Jonathan Brand2, Jean-Philippe Galons3, Lars Furenlid2,3, Diego Martin3, Maria Altbach3, and Ali Bilgin1,4

1Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 2College of Optical Sciences, University of Arizona, Tucson, AZ, United States, 3Medical Imaging, University of Arizona, Tucson, AZ, United States, 4Biomedical Engineering, University of Arizona, Tucson, AZ, United States

Non-invasive imaging techniques that can identify early structural changes due to fibrosis in vivo are of high clinical importance. In this work, a five-level wavelet decomposition of biopsy confirmed normal and fibrotic ex vivo liver tissues is performed and histogram-based features are extracted from the wavelet subbands. A linear classifier is trained using the top 10 features and applied to classify liver fibrosis in Gadolinium-enhanced delayed phase T1-weighted in vivo images. The results show that normal samples yield low posterior probabilities for fibrosis whereas these values are very high for fibrotic samples. 

5073
Computer 109
An alternative to phase image-based Magnetic Resonance Elastography (MRE) using k-space data processing
Nadège Corbin1,2, Elodie breton1, Michel de Mathelin1, and Jonathan Vappou1

1ICube, University of Strasbourg, CNRS, IHU Strasbourg, Strasbourg, France, 2Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom

MR Elastography (MRE) requires substantial data processing involving phase image reconstruction, wave enhancement and inverse problem solving. The objective of this study is to propose an alternative reconstruction method based on direct k-space data processing, particularly adapted to applications requiring fast MRE measurements such as the monitoring of elasticity changes. Elastograms are directly reconstructed from raw MR data without prior phase image reconstruction, circumventing thereby the delicate step of phase unwrapping. The k-space MRE method shows promising results by providing elasticity values similar to the ones obtained with conventional MRE in phantoms and in vivo in porcine liver. 

5074
Computer 110
Texture Analysis for Evaluating Image Registration
Vikas Kotari1 and Vasiliki N Ikonomidou2

1Electrical Engineering, Geroge Mason University, Fairfax, VA, United States, 2Bioengineering, George Mason University

Accurate image registration is essential for both cross-sectional and longitudinal MR studies. In longitudinal studies aligning same contrast intra-subject images, which are the focus of our work, registration is assumed to be a rigid body problem. This assumption is questionable due to global and local changes in brain volume either due to hydration or atrophy. Consequently, misregistration at the voxel level may occur in these studies, which might lead to subject data being discarded. This misregistration is evident particularly around the cortex. Visual inspection of images is used to determine registration accuracy. While this approach is suitable for assessing alignment of landmark structures, it fails to capture the millimteric or sub-millimetric misregistrations. Automatic metrics can precisely estimate the overall performance of a given registration algorithm by employing an evaluation database. However, to estimate the registration accuracy of a given pair of images, such metrics are unsuitable. In this work we propose texture analysis of a subtraction image to evaluate the registration accuracy of a given pair of same contrast, intra-subject images. Once registered, images are intensity normalized, blurred and subtracted. In the event of registration errors, or violation of the rigid body assumption, the subtraction images have artifacts. The texture features of these artifacts are different from the artifact-free (clean) areas of the subtraction images. Using a texture-based classifier, artifact areas in the subtraction images that indicate failed registration are identified. In addition to determining if the registration has failed, our approach can identify the specific locations of misregistration, which can be corrected, leading to a more inclusive subject data.

5075
Computer 111
Dynamically Phase-Cycled bSSFP Cardiac Cine in a Single Breathhold with Phase-Cycle Consistency Regularization
Corey Allan Baron1, Anjali Datta1, and Dwight G Nishimura1

1Stanford University, Stanford, CA, United States

At high field strengths, cardiac cine acquisitions acquired with balanced SSFP can suffer from banding artifacts. To mitigate this issue, dynamically phase-cycled cardiac cine was acquired in a single breathhold with undersampling rates of 4 and 6, and images were reconstructed with a phase-cycle banding profile regularization that exploits redundancy between phase-cycles.

5076
Computer 112
Myelin Water Fraction Estimation from Optimized Steady-State Sequences using Kernel Ridge Regression
Gopal Nataraj1, Jon-Fredrik Nielsen2, and Jeffrey A. Fessler1

1Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI, United States, 2Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States

This work introduces a new framework for myelin water fraction (MWF) estimation. We use a novel scan design approach to construct a sequence a fast steady-state sequences and optimize corresponding flip angles and repetition times for precise MWF estimation. We quantify MWF and five other parameters per voxel using a novel method based on kernel ridge regression. We obtain MWF maps in vivo that are comparable to those reported in literature, with possibly shorter overall scan time.

5077
Computer 113
A T2 Template Map from a Healthy Cohort to Identify Localized Anomalies in Single Subjects
Tom Hilbert1,2,3, Alexis Roche1,2,3, Cristina Granziera4,5, Guillaume Bonnier5, Kieran O’Brien6,7, Tony Stöcker8, Pavel Falkovskiy1,2,3, Reto Meuli2, Jean-Philippe Thiran2,3, Gunnar Krueger2,3,9, and Tobias Kober1,2,3

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Neuroimmunology Unit, Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 5Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States, 6Center for Advanced Imaging, the University of Queensland, Brisbane, Australia, 7Siemens Healthcare Pty Ltd, Brisbane, Australia, 8German Center for Neurodegenerative Diseases, Bonn, Germany, 9Siemens Medical Solutions USA, Inc., Boston, MA, United States

We construct a database of normal T2 values by spatially normalizing quantitative maps from healthy subjects into a common space. A low standard deviation across all subjects demonstrates good reproducibility of the T2 values in white matter and deep grey matter. Additionally we adopt a standard voxel-based procedure that compares the quantitative T2 map of a patient to the database and test it on three multiple sclerosis datasets. The obtained z-score maps show that white matter lesions can be detected in the limits of the available resolution and the applied smoothing.

5078
Computer 114
Temperature Mapping of Fluorinated (19F) Gas in a Cool Down Experiment
Tobias J. Hoh1,2, Eduardo Coello1,2, Jorge Carretero Benignos2, Axel Haase1, and Rolf F. Schulte2

1Technische Universität München, Munich, Germany, 2GE Global Research, Munich, Germany

Magnetic resonance imaging (MRI) temperature mapping of gases is challenging due to limited sensitivity. In this proof of concept study, proton thermometry methods from tissue temperature monitoring were transferred to 19F gas MRI.

A phase-dependent 19F resonance frequency shift temperature mapping is proposed for fluorinated gas at 3T based on a spiral readout to overcome limitations of ultra-short relaxation times.

This work demonstrates the feasibility of 2D thermometry in a canonical setup with inert fluorinated gases.


5079
Computer 115
Improved 23Na MRI Quantification of the Human Brain at 3T Using Partial Volume Correction Techniques
Tie-Qiang Li1, Elaine Lui2, and Patricia Desmond2

1Department of Radiology, University of Melbourne, Melbourne, Australia, 2Department of Radiology, University of Melbourne

In this study we have focused on the development and application of PVC techniques for improving the quantification accuracy of STC with 23Na MRI at 3T. Although PVEs are known to induce errors in quantification, it has not been widely used in 23Na MRI. While different PVC algorithms have been proposed in the PET literature, each method has its limitations and relies on simplified assumptions. The proposed hybrid methods, such as GTM+RBV, aimed to overcome such limitations are most robust.

5080
Computer 116
Optimization of brain extraction increases global cortical thickness accuracy
Antonio Carlos da Silva Senra Filho1, Gareth J. Barker2, Luiz Otávio Murta Junior1, and Flavio Dell'Acqua3

1Department of Computing and Mathematics, University of Sao Paulo, Ribeirao Preto, Brazil, 2Department of Neuroimaging, King's College London, London, United Kingdom, 3Department of Forensic & Neurodevelopmental Sciences, King's College London, London, United Kingdom

Reconstruction of the cortical surface is of great importance as a biomarker for many brain diseases, and in recent years a number of advances in image processing and analysis have been made in the cortical reconstruction process. However, despite the scientific community employing a range of advanced surface reconstruction algorithms in order to improve quantitative accuracy, cortical thickness measurement is still a challenge. Here, we address the question of whether a better brain extraction procedure can improve the cortical surface reconstruction. Our analyses suggest that a more accurate brain mask directly affects the global cortical thickness estimate, reducing its quantitative uncertainty.

5081
Computer 117
ADRIMO: Anatomy-DRIven MOdelling of spatial correlation to improve analysis of arterial spin labelling data
David Owen1, Andrew Melbourne2, David L Thomas2,3, Joanne Beckmann4, Jonathan Rohrer3, Neil Marlow4, and Sebastien Ourselin2

1Translational Imaging Group, University College London, London, United Kingdom, 2Translational Imaging Group, University College London, 3Dementia Research Centre, University College London, 4Institute for Women's Health, University College London

Arterial spin labelling (ASL) offers valuable measurements of perfusion in the brain and other organs. However, ASL data have low SNR and are prone to partial volume effects. We present a Bayesian model of anatomically-derived spatial correlation in ASL data (ADRIMO), which improves the accuracy of perfusion estimates and hence improves the analysis of ASL data. The method is assessed experimentally by examining ASL images from a cohort of 130 preterm-born adolescents.

5082
Computer 118
Reduction of ringing artifacts for high resolution 3D RARE imaging at high magnetic field strengths
Martin Krämer1, Karl-Heinz Herrmann1, Silvio Schmidt2, Otto W Witte2, and Jürgen R Reichenbach1,3,4,5

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Hans Berger Department for Neurology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 3Michael Stifel Center for Data-driven and Simulation Science Jena, Friedrich Schiller University Jena, Jena, Germany, 4Abbe School of Photonics, Friedrich Schiller University Jena, Jena, Germany, 5Center of Medical Optics and Photonics, Friedrich Schiller University Jena, Jena, Germany

High resolution 3D-RARE imaging at 9.4T can be very challenging due to increased artifacts caused by strong T2- and Gibbs ringing. In this work, we present the combination of two correction algorithms, local subvoxel-shift unringing and T2-compensation, to reduce effectively both types of artifacts. For this purpose, the local subvoxel-shift algorithm has been extended to the third spatial dimension and evaluated in healthy mice. 

5083
Computer 119
Personalized map to assess diffuse and focal brain damage
Guillaume Bonnier1, Alexis Roche2,3, Tom Hilbert3,4,5, Gunnar Krueger6, Cristina Granziera1,7, and Tobias Kober4

1MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 3Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 4Siemens Healthcare AG, Advanced Clinical Imaging Technology, Lausanne, Switzerland, 5LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 6Siemens Medical Solutions USA, Inc., Malvern, MA, United States, 7Neuroimmunology Unit, Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland

We propose a new methodology, which is based on the quantification of region-specific brain tissue-properties to provide personalize maps of brain damage in a single patient. To achieve this aim, we used T1, T2, T2* and MTI maps and applied the method to detect brain abnormalities in multiple sclerosis patients.

5084
Computer 120
Test-retest repeatability of human speech biomarkers from static and real-time dynamic magnetic resonance imaging
Johannes Toger1, Tanner Sorensen1, Krishna Somandepalli1, Asterios Toutios1, Sajan Goud Lingala1, Shrikanth Narayanan1, and Krishna S Nayak1

1Ming Hsieh Department of Electrical Engineering, University of Southern California, Los Angeles, CA, United States

This study presents a test-retest repeatability framework for quantitative speech biomarkers from static MRI and real-time MRI (RT-MRI), and applies the framework to healthy volunteers (n=8). Repeatability was quantified using intraclass correlation coefficient (ICC) and mean within-subject standard deviation (σe). Inter-study agreement was strong to very strong for static anatomical biomarkers, (ICC: min/median/max 0.71/0.89/0.98, σe: min/median/max 0.90/2.20/6.72 mm), poor to very strong for dynamic RT-MRI biomarkers of articulator motion range (ICC: 0.26/0.75/0.90, σe: 1.6/2.5/3.6 mm) and poor to very strong for velocity (ICC: 0.26/0.56/0.93, σe: 2.2/4.4/16.7 cm/s). The introduced framework can be used to guide future development of speech biomarkers.


Electronic Poster

Cartilage

Exhibition Hall Wednesday 16:15 - 17:15

5085
Computer 1
Slipped Capital Femoral Epiphysis Causes Early Cartilage Degeneration in Young Adults – an 11 year follow-up study with dGEMRIC
Jakob Örtegren1, Pernilla Peterson2, Jonas Svensson3, and Carl Johan Tiderius1

1Dept of Orthopedics, Skane University Hospital, Lund, Sweden, 2Dept. of Translational Medicine, Lund University, Malmö, Sweden, 3Dept. of Medical Imaging and Physiology, Skane University Hospital, Lund, Sweden

The longitudinal effects of Slipped Capital Femoral Epiphysis (SCFE) on hip cartilage integrity and hip function are poorly understood. In this study, 44 hips were evaluated with delayed Gadolinium-enhanced MRI of cartilage (dGEMRIC) in average 11 years after SCFE. A low dGEMRIC index was detected in SCFE hips compared to unaffected hips, with gradually lower dGEMRIC index anteriorly in the hip joint. Furthermore, a low dGEMRIC index correlated both with impaired hip function and femuroacetabular impingement (FAI), which further strengthens the theory of FAI as a mediator of osteoarthritis after SCFE.

5086
Computer 2
Revisiting the experimental base of compositional biomarkers: A meta-analysis study
Jose G Raya1, Amparo Ruiz1, and Uran Ferizi1

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

We aim to perform a meta-analysis of the corpus of experimental results accumulated for compositional MRI biomarkers of articular cartilage used in clinical studies. We summarized the data according to the statistical evidence that is reported. We report the correlation of MRI parameters with composition, the ability of MRI parameters to detect group differences between healthy and degraded cartilage, and the ability of MRI to detect cartilage damage.

5087
Computer 3
Changes in collagen and proteoglycan in cartilage with OA severity
Jose G Raya1, Uran Ferizi1, Amparo Ruiz1, Steven B Abramson2, Jenny Bencardino1, and Svetlana Krasnokutsky Samuels2

1Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Department of Medicine, New York University School of Medicine, New York, NY, United States

The objective of this work was to investigate differences in cartilage matrix composition and structure across subjects with different stages of OA severity and test if the changes in the collagen network are concomitant or subsequent to the changes in proteoglycan.

5088
Computer 4
Magnetic resonance imaging of the zone of calcified cartilage (ZCC) in the knee joint using 3D UTE Cones sequences
Yinghua Zhao1,2, Yajun Ma1, Michael Carl3, Xing Lu1, Yanchun zhu1, Eric Y Chang1,4, and Jiang Du1

1University of California, San Diego, San Diego, CA, United States, 2Radiology, Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics · Guangdong Province), Guangzhou, People's Republic of China, 3GE Healthcare, San Diego, CA, United States, 4Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States

The zone of calcified cartilage (ZCC) is a thin layer between articular cartilage and bone. The ZCC plays an important role in the pathogenesis of osteoarthritis (OA) but has never been imaged in vivo with magnetic resonance (MR) imaging techniques. In this study we aimed to investigate the feasibility of direct imaging of the ZCC in healthy volunteers using a three dimensional (3D) ultrashort echo time (UTE) Cones sequence on a clinical whole body 3T scanner.

5089
Computer 5
Knee cartilage T2 mapping with T2-prepared isotropic 3D GRE has equivalent precision and higher accuracy compared to multi-slice TSE in volunteers and patients at 3T
Roberto Colotti1, Patrick Omoumi1, Gabriele Bonanno1,2,3, Jean-Baptiste Ledoux1, and Ruud B. van Heeswijk1

1Department of Radiology, University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, United States, 3Division of MR Research, Department of Radiology, Johns Hopkins University, Baltimore, United States

The goal of this study was to compare the precision and accuracy of a novel isotropic 3D T2-prepared gradient-echo T2 mapping technique (Iso3DGRE) with the clinical standard 2D multi-slice turbo spin-echo (MS-TSE) for T2 mapping of knee cartilage at 3T. A phantom study was performed to determine the accuracy of both techniques against the reference standard spin echo (SE). T2 mapping of knee cartilage was then performed in 13 healthy volunteers and 5 patients with late-stage osteoarthritis. Compared to MS-TSE, Iso3DGRE T2 mapping resulted in T2 values with equivalent precision and slightly higher accuracy at a higher spatial resolution.  

5090
Computer 6
GRAPPATINI put to use: How MSK applications benefit from highly undersampled T2 mapping and synthetic contrasts
Marcus Raudner1, Tom Hilbert2,3,4, Tobias Kober2,3,4, Vladimir Juras1, Ewald Moser5, Claudia Kronnerwetter1, David Stelzeneder6, and Siegfried Trattnig1

1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 3Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 4LTS5, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 6Department of Orthopaedics, Medical University of Vienna, Vienna, Austria

The quantitative measurement of the T2 relaxation time has been shown to be a useful tool for radiological diagnosis. However, the use of quantitative MRI (qMRI) in clinical routine is often hindered due to long acquisition times. Here, we assess T2 parameters in the lumbar and cervical spine as well as the knee using GRAPPATINI, a model-based accelerated T2 mapping sequence. Additionally, synthetic T2-weighted (T2w) images are derived from the quantitative maps. The T2 maps and synthetic T2w images are compared to conventional T2w and T2 mapping sequences, yielding an overall 5.8-fold time-saving.

5091
Computer 7
High-resolution In-vivo Mapping of the Proteoglycan-bound Water Fraction in Articular Cartilage of the Human Knee Joint
Mustapha Bouhrara1, David A. Reiter1, Kyle W. Sexton1, Christopher M. Bergeron1, Linda M. Zukley1, and Richard G. Spencer1

1National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, United States

We demonstrate the clinical feasibility of high-resolution (HR) in-vivo mapping of proteoglycan water fraction (PgWF) in human knee cartilage by combining the mcDESPOT protocol for data acquisition and Bayesian Monte Carlo (BMC) analysis for data analysis. For all subjects, PgWF maps derived from low resolution datasets exhibited partial volume and magnetic susceptibility effects leading, respectively, to an overestimation and an underestimation of PgWF values in several cartilage regions. These issues were absent in HR PgWF maps. Further, BMC-mcDESPOT demonstrates high reproducibility and stability in the estimation of PgWF as compared to the conventional stochastic region contraction (SRC) algorithm.

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Effects of Fat Saturation on T2* Quantification
Michael Carl1, Amin Nazaran2, Jiang Du2, and Graeme M Bydder2

1GE Healthcare, San Diego, CA, United States, 2UCSD, CA, United States

The T2 relaxation of MRI signals is an important parameter in assessment of pathology. Here we analyze the effects that Fat Saturation pulses of various bandwidths have on the values of T2 quantification. We found that Fat Saturation can have a notable effect on the measured T2 values of multi-component tissues. Since the dispersion is less for smaller FS bandwidths, longer FS pulses can help to minimize the effects.

5093
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UTE-MT Imaging Can Reliably Evaluate Macromolecules in MSK Tissues: A Sequential Collagenase Enzymatic Treatment Study
Xin Cheng1,2, Yajun Ma1, Eric Y Chang1,3, and Jiang Du1

1Department of Radiology, University of California San Diego, San Diego, CA, United States, 2Department of Histology & Embryology, Jinan University, Guangzhou, People's Republic of China, 3Radiology Service, VA San Diego Healthcare System, CA, United States

In this study, we aimed to evaluate UTE-MT derived macromolecule fractions in articular cartilage subject to sequential collagenase enzymatic treatment. The preliminary result suggests that UTE-MT imaging and signal modeling allows for quantitative evaluation of macromolecular fractions in articular cartilage. Furthermore, results from UTE-MT imaging and signal modeling are insensitive to the magic angle effect, which is a huge advantage over the conventional T2 and T1rho measures. The water and macromolecular changes in both short and long T2 tissues in the knee joint using UTE-MT provides a “whole-organ” approach, and may be useful in the diagnosis and treatment of OA.

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UTE-T2* Profile Analyses Correlate with Walking Mechanics 2 Years After ACL Reconstruction
Ashley A Williams1, Matthew R Titchenal1, and Constance R Chu1

1Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States

This work examines the use of UTE-T2* profile analysis to assess sub-surface knee cartilage structural changes in 26 ACL-reconstructed subjects and compares UTE-T2* metrics to kinetic and kinematic measures of walking. UTE-T2* profile characteristics detect differences between ACL-reconstructed and uninjured knees. Side-to-side differences in an individual’s UTE-T2* profile metrics correlate with side-to-side differences in their gait metrics. The results suggest that UTE-T2* profile characteristics of cartilage are a useful metric for identifying cartilage subsurface changes early after ACLR and may reflect matrix changes resulting from altered loading.

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UTE-T2* Profile Analyses Correlate to Patient Reported Outcomes 2 Years After ACL Reconstruction
Ashley A Williams1, Matthew R Titchenal1, and Constance R Chu1

1Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States

Identification of patients with early cartilage degeneration who are at greater risk for poor clinical outcomes is critical for development of interventions to reduce osteoarthritis risk after ACL injury. This study tested the hypothesis that UTE-T2* profile analysis of knee cartilage correlates with patient reported outcomes (PRO) in ACL-reconstructed subjects 2 years after surgery. UTE-T2* mean values and profile characteristics in 27 ACL-reconstructed subjects correlated with patient reported pain and symptoms. Side-to-side differences in UTE-T2* profiles of some high functioning individuals suggest that this UTE metric may provide earlier warning of cartilage at risk for progressive degeneration than PRO.  

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Predictive value of T2 Mapping for untreated patellar cartilage defects
Markus Schreiner1,2, Sebastian Apprich1, Vladimir Mlynarik2, Pavol Szomolanyi2, Martin Zalaudek2, Benedikt Hager2, Vladimir Juras2, Michael Weber3, Reinhard Windhager1, and Siegfried Trattnig2,4

1Department of Orthopaedics, Medical University of Vienna, Vienna, Austria, 2High Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 3Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 4CD Laboratory for Clinical Molecular MR Imaging, Medical University of Vienna, Vienna, Austria

Assessment and adequate treatment of articular cartilage lesions are a common challenge in clinical orthopaedic routine. To allow for better disease prediction and thus evidence-based treatment selection, there is a strong need for objective predictive markers. In this study we demonstrate the predictive potential of T2 mapping in the assessment of untreated patellar cartilage lesions over an average follow up time of four years.

5097
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Efficacy of GelrinC in the treatment of chondral and osteochondral lesions: MRI results based on semi-quantitative MOCART scoring and T2 mapping
Markus Schreiner1,2, Kitty Ohel3, Livnat Ben-Zur3, Sebastian Röhrich2, Martin Zalaudek2, Pavol Szomolanyi2, Vladimir Juras2, Vladimir Mlynarik2, Reinhard Windhager1, and Siegfried Trattnig2,4

1Department of Orthopaedics, Medical University of Vienna, Vienna, Austria, 2High Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 3Regentis Biomaterials Ltd, Or Akiva, Israel, 4CD Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

The treatment of femoral cartilage lesions still remains a challenge. Established cartilage repair techniques include microfracture (MFX), acellular scaffolds and cell based therapies such as ACI and MACI, which differ in associated morbidity and outcome. Therefore, there have been strong research efforts to develop novel treatment alternatives. In this study, we demonstrate that GelrinC, a novel acellular biodegradable implant, allows a successful treatment of both chondral and osteochondral femoral lesions in a minimal invasive one-step procedure. For both lesion types a substantial improvement of MOCART scores as well as T2 values has been demonstrated over a 24-month period.

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Feasibility of GRASP DCE-MRI in children with Juvenile Idiopathic Arthritis (JIA)
Paul de Heer1, Robert Hemke1, Cristina Lavini1, Jasper Schoormans2, Bram F. Coolen2, Anouk M. Barendregt1, Gustav J. Strijkers2, Mario Maas1, Jaap Stoker1, Aart J. Nederveen1, and Jurgen H. Runge1,3

1Radiology, AMC, Amsterdam, Netherlands, 2Biomedical Engineering & Physics, AMC, Amsterdam, Netherlands, 3Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom

Juvenile Idiopathic Arthritis (JIA) is the most common rheumatic disease in childhood and represents one of the leading causes of pediatric acquired disability. The aim of our study was to evaluate feasibility of high spatiotemporal resolution GRASP DCE-MRI in children with JIA and secondly to compare image quality between GRASP and conventional DCE-MRI in evaluating synovitis. In this pilot study, GRASP DCE-MRI proved to be feasible in a child with JIA. Moreover, for the evaluation of synovitis significantly higher spatial resolution and much cleaner signal-enhancement plots could be obtained using GRASP compared to conventional DCE-MRI.

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Cartilage mapping in asymptomatic hips with cam-type FAI: Does the MRI T1ρ profile change over time?
Gerd Melkus1,2, George Grammatopoulos3, Kawan S Rakhra1,2, and Paul E Beaulé3,4

1Medical Imaging, The Ottawa Hospital, Ottawa, ON, Canada, 2Radiology, University of Ottawa, Ottawa, ON, Canada, 3Orthopaedic Surgery, The Ottawa Hospital, Ottawa, ON, Canada, 4Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

In this study, we investigated whether the T1ρ profile of the hip cartilage changes over time in a subject group with asymptomatic cam-type femoroacetabular impingement (FAI). After the initial T1ρ data acquisitions, the scans were repeated on the same group in a mean time interval of 3.3 years. For the majority of the subject group there were no significant T1ρ changes in the whole joint and in different hip cartilage regions. However, 1 patient (out of 12) showed significant (>20%) increased T1ρ values (i.e. proteoglycan reduction).

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High resolution MRF-FISP with radial acquisition for MSK imaging
Dongyeob Han1, Taehwa Hong1, and Dong-Hyun Kim1

1School of Electrical & Electronic Engineering, Yonsei University, Seoul, Korea, Republic of

Magnetic resonance fingerprinting (MRF) provides rapid quantification of proton density, T1 and T2 mapping using spiral acquisition. However, for high resolution imaging, spiral imaging can be limiting due to its relatively long readout time. In this study, we implemented high resolution (0.5x0.5mm2) MRF-FISP using golden angle random rotating radial acquisition.

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Texture characteristics of articular cartilage of patients with articular cartilage osteoarthritis based on MR T2 mapping images
Shan Wang1, Cui-Ping Ren1, Jing-Liang Cheng1, and Zhi-zheng Zhuo2

1The First Affiliated Hospital of Zhengzhou University, ZhengZhou, People's Republic of China, 2Clinical Science, Philips Healthcare, Beijing, People's Republic of China

We tried to evaluat  OA by using the T2 mapping and the texture characteristics. Thirty-seven patients and sixteen healthy volunteers were recruited in this study. The results showed that the T2 value is higher in patients than in controls and some texture characteristics in two groups are different. It can be concluded that texture analysis combined with T2 maping are an useful tool for diagnosis of OA patients.

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Orientation anisotropy of quantitative MRI relaxation parameters in articular cartilage
Nina Hänninen1, Jari Rautiainen1, Lassi Rieppo2,3, Simo Saarakkala2,3,4, and Mikko Johannes Nissi1,5

1Department of Applied Physics, University of Eastern Finland, Kuopio, Finland, 2Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 3Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland, 4Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland, 5Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland

Classical and several rotating frame quantitative MR relaxation parameters have been used for evaluation of composition and structure of articular cartilage, and demonstrated to have variable sensitivity to orientation of the tissue in magnetic field. The orientation dependence of several relaxation parameters in articular cartilage have been previously investigated and were now further analyzed and compared to polarized light microscopy results. T1, adiabatic T with HS1 pulse and CW-T at 2 kHz spin-lock demonstrated the least orientation dependence. Usefulness of the parameters for osteoarthritis diagnostics, as reported in the literature, was evaluated together with the orientation sensitivity.

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Feasibility of Simultaneous Bilateral Knee Imaging with a Dual-Coil Setup
Feliks Kogan1, Evan Levine1, Uchechukwuka Monu1, Akshay Chaudhari1, Garry Gold1, and Brian Hargreaves1

1Radiology, Stanford University, Stanford, CA, United States

Osteoarthritis (OA) is commonly a bilateral disease. While long scan time and costs have precluded separate scanning of both knees in clinical MRI, there is evidence that bilateral examinations are beneficial for evaluation of OA changes, especially for longitudinal studies. In this study, we demonstrate the feasibility of simultaneously imaging both knees with similar scan time, SNR, and quantitative accuracy compared to single knee acquisitions.

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bSSFP Elliptical Signal Model With GRAPPA Parallel Imaging for Musculoskeletal Applications
Grayson Tarbox1, Joseph Valentine2, Meredith Taylor2, and Neal Bangerter2,3

1Brigham Young University, Provo, UT, United States, 2Electrical Engineering, Brigham Young University, 3Radiology, University of Utah

Balanced steady-state free precession imaging using the elliptical signal model geometrical solution can be combined with a GRAPPA parallel imaging reconstruction that preserves phase information to shorten scan times.

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Semi-automated Segmentation of Hip Cartilage in Physiological Magnetic Resonance Imaging: A Fast, Accurate, and Clinically Viable Methodology
Daniel J Park1, Scott Fernquest1, Antony Palmer1, Marija Marcan2, Irina Voiculescu2, and Siôn Glyn-Jones1

1Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2Department of Computer Science, University of Oxford, Oxford, United Kingdom

Physiological Magnetic Resonance imaging (pMRI) offers the potential of diagnosing osteoarthritis at a stage where patients may benefit from intervention, and acting as an assay of disease to test the efficacy of novel early intervention treatments. pMRI data, however, requires segmentation to allow morphological and biochemical quantitative analysis. Manual segmentation is time consuming and a viable automated segmentation method in the hip remains elusive. We have produced a fast, accurate, and reproducible semi-automated method of segmentation to allow wider implementation of pMRI for use in quantitative analysis of early OA in the hip in both research and clinical settings.

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Comparison of T2 and T1rho mapping of ankle cartilage between young healthy females and dancers
Hon J. Yu1, Alex Luk1, Jimmy Ton1, Edward Kuoy1, Jeff Russell2, Kelli Sharp3, and Hiroshi Yoshioka1

1Radiological Sciences, University of California, Irvine, CA, United States, 2Science and Health in Artistic Performance, Ohio University, Athens, OH, 3Arts-Dance, University of California, Irvine, CA, United States

This study demonstrates an angular-dependent T2 and T1ρ profile of talar dome cartilage at 3T using novel angular-segmentation methodology for the potential of quantitative functional assessment of cartilage in vivo. The results in this study indicate T2 values over the posterior weight-bearing portion were higher in young dancers than age-matched healthy volunteers even though cartilage thickness and volumes were not significantly different between two cohorts.

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Validation study T2 and T1rho mapping of the ankle cartilage using healthy volunteers
Hon J. Yu1, Alex Luk1, Jimmy Ton1, Edward Kuoy1, Jeff Russell2, Kelli Sharp3, and Hiroshi Yoshioka1

1Radiological Sciences, University of California, Irvine, CA, United States, 2Science and Health in Artistic Performance, Ohio University, Athens, OH, 3Arts-Dance, University of California, Irvine, CA, United States

This study demonstrates feasibility in manual segmentation of talar dome using MRI of the ankle and provides a systematic approach in assessment of image-based segmentation utilizing purely geometrical attributes and subsequent validation of angle-dependent analysis of T2 and T1ρ mapping of the cartilage. The results clearly demonstrates the magic angle effect of the talar dome cartilage on T2 mapping and also the important fact that repeatability assessment of segmentation should be made using the geometrical attributes rather than the underlying segmentation-based quantity.

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Assessing reliability of 3D Cones UTE-T2* sequence for detecting subsurface changes in cartilage and meniscus
Aditi Guha1, Ashley A Williams1, and Constance R Chu1

1Department of Orthopedic Surgery, Stanford University, Stanford, CA, United States

The purpose of this study is to establish the reliability of the UTE-T2* mapping method using 3DCones sequence shown to detect subsurface changes in knee cartilage and meniscus. Scans were performed on cadaver knee specimen using 3DCones acquisition at 3T with 8 and 12 TEs. Reliability was assessed by the intraclass correlation coefficient (ICC) calculated as 0.77 and 0.91 for the 8 and 12 point techniques. The method is good to excellently reproducible for both techniques. Hence, the 3DCones UTE-T2* mapping technique can reliably evaluate subsurface changes in meniscus and cartilage and help identify at-risk OA patients.


Electronic Poster

Bone & Muscle

Exhibition Hall Wednesday 17:15 - 18:15

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Improved delineation of air-bone interface in in-vivo high-resolution bright bone ZTE MRI at 3T
Aiming Lu1, Krzysztof R Gorny2, Mai Lan Ho2, John III Huston2, Robert J Witte2, John I Lane2, Dan Rettmann3, Michael Carl3, and Gaspar Delso3

1Mayo Clinic, Rochester, MN, United States, 2Mayo Clinical, Rochester, MN, United States, 3GE Healthcare

Using MRI for depicting solid cortical bone structures is of increasing clinical interest. Due to its low water content and short transverse relaxation time, cortical bone appears as signal void in conventional gradient echo or spin echo pulse sequences. This allows “black bone” techniques to be used when air does not confuse the visualization of cortical bone. In cases differentiation between bone tissues and ai are desired “bright bone” techniques  utilizing Ultrashort echo time (UTE) or Zero TE (ZTE) MRI-have been proposed. Long T2-suppression methods (e.g., echo subtraction, long T2 saturation) are often applied to generate positive cortical bone contrast.  However, clinical applications of these methods are still limited due to significant increase in acquisition time and reduced SNR efficiency.  Recently a prototype proton density (PD)-weighted, zero TE (ZT) sequence has been demonstrated clinically. This work aims to improve the bright bone MRI using the ZTE sequence by optimizing the bone signal during data acquisition, minimizing partial volume effect with ultra high resolution data acquisition and optimizing the image processing for better bone/air differentiation.

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Three-Dimensional Adiabatic Inversion Recovery Prepared Ultrashort Echo Time Cones (3D IR-UTE-Cones) Imaging of Cortical Bone in the Hip
Amin Nazaran1, Michael Carl2, Yajun Ma1, Saeed Jerban1, Yanchun Zhu1, Eric Y. Chang1,3, and Jiang Du1

1The University California, San Diego, San Diego, CA, United States, 2GE Healthcare, San Diego, CA, United States, 3Radiology Service, VA San Diego Healthcare System

Ultra short echo time (UTE) techniques have been used to image cortical bone. However, imaging cortical bone in hip has been challenging due to limited signal-to-noise ratio (SNR), robust long T2 suppression, and long scan time. UTE sequences with TEs down to 32μs are able to acquire signal from both short and long T2* tissue. To suppress long T2* tissue, the combination of inversion recovery (IR) and UTE imaging can be used. In this report, we applied three-dimensional adiabatic inversion recovery prepared UTE with Cones trajectories (3D IR-UTE-Cones) to suppress long T2 tissue and to directly quantify cortical bone in the hip in vivo at 3T.

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Does Free Water T1 Differ in Different Regions of Human Cortical Bone? A Clinical Quantification Approach
Atena Akbari1,2, Shahrokh Abbasi-rad1,2, Amirali Kazeminejad1,3, and Hamidreza Saligheh Rad1,2

1Quantitative Medical Imaging Systems Group, Research Center for Cellular and Molecular Imaging, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran, 2Medical Physics and Biomedical Engineering Department, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran, 3School of Electrical and Computer Engineering, University of Tehran, Tehran, Iran, Tehran, Iran

MR structural imaging is proved to be able of featuring cortical bone hierarchical structure by obtaining enough signal from hydrogen protons of short T2* components of bone. Extreme variability of free water quantities found in cortical bone pores during aging or bone disease, furnishes researchers with a great source of information to inspect bone health. In this study, we employed short time of echo MR imaging approach to quantify cortical bone free water T1 in different regions of tibia to extract the porosity distribution pattern of cortical bone and its alteration with age in eight healthy volunteers.

5112
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MRI study of the changes of perfusion and fat content in radiation-induced bone marrow injury in rats
kejun wang1, Yunfei Zha1, and Xiao Xu2

1Department Of Radiology, Renmin Hospital Of Wuhan University, wuhan, People's Republic of China, 2GE Healthcare, Shanghai, People's Republic of China

This study is to investigate whether adipocytes influence bone marrow microcirculation based on DCE-MRI and ex vivo high-resolution MAS 1H NMR spectroscopy. In this animal review committee-approved study, Rat Femurs were evaluated through DCE-MRI, 1H HRMAS NMRS, and histopathologic analysis before irradiation and on days 4 and 7 after irradiation. The results showed Ktrans and adipocytes gradually increased a peak on the 7th day after irradiation. In conclusion, bone marrow microcirculation permeability correlation with fat content after irradiation suggested for the first time that a pathophysiology mechanism based on fat- vascular permeability in the injury of bone marrow microcirculation.

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Long-term prognostic value of whole-body MRI fat fraction signal changes following initial Bortezomib treatment of patients with multiple myeloma
Arash Latifoltojar1, Margaret Hall-Craggs1, Alan Bainbridge2, Neil Rabin2, Rakesh Popat1, Ali Rismani2, Kwee Yong1, and Shonit Punwani1

1University College London, London, United Kingdom, 2University College London Hospital, United Kingdom

Quantitative MRI assessment of treatment response using advanced novel imaging techniques have shown promises for monitoring outcome in patients with symptomatic multiple myeloma (MM), undergoing intensive chemotherapy.

In this work we are investiagting the potential of whole-body mDixon MRI's signal fat fraction early changes  as a prognostic imaging biomarker for long-term follow-up of MM patients. 


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Subregional variation in proximal femoral bone marrow fat composition assessed at 3T
Dimitri MARTEL1, Benjamin LEPORQ2, Mary BRUNO1, Sean BOONE1, and Gregory CHANG1

1Department of Radiology, New York University School of Medicine, Bernard and Irene Schwartz Center for Biomedical Imaging, New York City, NY, United States, 2Université de Lyon; CREATIS CNRS UMR 5220, Inserm U1206, INSA-Lyon, UCBL Lyon 1, Villeurbanne, France

Recent studies have shown skeletal variation of bone marrow adipose tissue (bMAT) and its role in bone remodeling. Our aim was to assess the variation in bMAT composition in five regions within the proximal femur in both controls and OP patients using a chemical shift encoded (CSE) imaging technique.

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Measuring fat unsaturation and polyunsaturation in vertebral bone marrow using dynamic inversion-recovery single-voxel spectroscopy
Stefan Ruschke1, Andreas Hock2, Dominik Weidlich1, Ernst J. Rummeny1, Jan S. Kirschke3, Thomas Baum1, Roland Krug4, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany, 2Philips Healthcare, Hamburg, Germany, 3Department of Neuroradiology, Technical University of Munich, Klinikum rechts der Isar, Munich, Germany, 4Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

The assessment of vertebral bone marrow fat unsaturation is attracting growing interest for applications in bone metabolism and osteoporosis. Especially in younger subjects, the presence of a strong and broad water peak confounds the extraction of surrounding peaks (olefinic and glycerol peaks), which are used for the determination of fat unsaturation. Inversion-recovery spectroscopy allows the extraction of these peaks by differentiating the signals based on different T1 relaxation times between water and fat. The feasibility of using inversion-recovery spectroscopy was evaluated in a phantom experiment in comparison with gas chromatography and in vivo in four young and healthy volunteers. 

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Quantitative Analysis of Avascular Necrosis of the Femoral Head Using the Multi-Echo 3D Dixon MR Sequence
bing xie1, jingjing li1, jie wang1, mingshan du1, wei chen1, Xiaoyue zhou2, Panli zuo3, and Xiaodong zhong

1radiology, Southwest Hospital, Third Military Medical University, chongqing, People's Republic of China, 2MR Collaboration, Siemens Healthcare Ltd, shanghai, People's Republic of China, 3MR Collaboration, Siemens Healthcare Ltd, beijing, People's Republic of China

 Avascular necrosis of thefemoral head (ANFH) is a pathological process that results from interrupted or impaired blood supply to bone. The multi-echo 3D Dixon technique provides the water/fat ratio quantification for evaluation of the bone marrow edema and the stage of ANFH. Our study demonstrated that femoral head water/fat permillage in ANFH was significantly higher than that of the healthy hips.

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SEMAC-VAT MR Imaging Increases Clinical Detection Rates of Local Lesions in Patients with Titanium Screws at 3T
Xiaona Li1, Zhigang Peng1, Panli Zuo2, Yi Sun2, Nittka Mathias3, and Jianling Cui1

1Radiology, the Third Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China, 2MR Collaboration NE Asia, Siemens Healthcare, Shanghai, People's Republic of China, 3Siemens Healthcare, Erlangen, Germany

To compare the clinical detection rates in local lesions using the slice-encoding for metal artifact correction (SEMAC) & view angle tilting (VAT) Turbo Spin Echo (TSE) with the standard TSE sequence in patients with titanium screws. Following surgery, patients with reported discomfort at the operation site were examined with both TSE and SEMAC-VAT TSE imaging. They were also examined by digital radiography (DR) and computed tomography (CT). All images were assessed and scored. Despite the long scan time, SEMAC-VAT TSE reduced metal-induced artifacts and may improve the diagnostic sensitivity compared to standard TSE, DR and CT.

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Clinical evaluation of the fat deposition of patients with sacroiliitis by using mDIXON Quant technique
Ying Zhan1, Xinwei Lei1, Yingying An1, Jin Qu1, and Zhizheng Zhuo2

1Tian Jin First Central Hospital, Tianjin, People's Republic of China, 2Philips Healthcare, Beijing, People's Republic of China

The study was using fat fraction (FF) to investigate the fat deposition of sacroiliitis. 3T MRI with mDIXON Quant technique was performed. All patients were divided into three groups: simple edema group, edema-fat deposition group and simple fat deposition group. The FF of both edema and fat deposition areas were obtained on FF image. The FF of edema areas was higher in edema-fat deposition group than simple edema group. The FF of fat deposition areas was higher in simple fat deposition group than edema-fat deposition group. mDIXON Quant technique could be used for assessing the situation of the disease.

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Bone Imaging Using MR: Inversion Recovery Vs Tissue Segmentation
Michael Carl1, Graeme McKinnon2, and Gaspar Delso3

1GE Healthcare, San Diego, CA, United States, 2GE Healthcare, WI, United States, 3GE Healthcare, United Kingdom

Many musculoskeletal tissues such as cortical bone have very short transverse relaxation times and require specialized pulse sequences such as UTE or ZTE for optimal signal acquisition. Recently, these sequences have been used to directly visualize cortical bone by suppressing surrounding long T2 tissues such as fat or muscle by either magnetization preparation using inversion recovery, or logarithmic tissue segmentation. In this work, we compare these techniques on a cadaveric bovine knee specimen. Both inversion recovery UTE as well as tissue segmented ZTE imaging proved promising method for direct bone imaging with CT-like image appearance.

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Accuracy of Age Estimation based on Undersampled MR Images of the Hand
Bernhard Neumayer1,2, Matthias Schloegl3, Christian Payer4, Thomas Widek1,2, Thomas Ehammer1, Rudolf Stollberger2,3, and Martin Urschler1,2,4

1Ludwig Boltzmann Institute for Clinical Forensic Imaging, Graz, Austria, 2BioTechMed-Graz, Graz, Austria, 3Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 4Institute for Computer Graphics and Vision, Graz University of Technology, Graz, Austria

The topic of age estimation in living persons is important for sports competitions as well as unaccompanied minors without valid documents and has recently gained interest. Recommended imaging protocols are based on modalities using ionizing radiation and therefore MRI is currently investigated for its eligibility to replace these measurements. This study investigates the accuracy of MRI-based age estimation for retrospectively undersampled data to determine the degree of inaccuracies introduced by an acceleration of the acquisition technique using commercially available undersampling strategies. For this purpose the data is analyzed by a radiologist and using an automatic method.

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MRE derived stiffness of the gluteus maximus muscle: reproducibility and correlation to T2 and fat-fraction
Jules L. Nelissen1,2, Dorien Verschuren1, Larry de Graaf1, Cees W. J. Oomens3, Klaas Nicolay1, Ralph Sinkus4, Jurgen H. Runge4,5, Aart J. Nederveen5, and Gustav J. Strijkers2

1Biomedical NMR, Eindhoven University of Technology, Eindhoven, Netherlands, 2Preclinical and Translational MRI, Academic Medical Center, Amsterdam, Netherlands, 3Biomechanics of Soft Tissues, Eindhoven University of Technology, Eindhoven, Netherlands, 4Division of Imaging Sciences & Biomedical Engineering, King's College London, London, United Kingdom, 5Radiology, Academic Medical Center, Amsterdam, Netherlands

Skeletal muscle pathology is often accompanied by abnormal fat deposition, fibrosis, and edema. Altered muscle biomechanical properties associated with these compositional changes can be quantitatively assessed with MRE. We present MRE measurements of the gluteus maximus muscle. In healthy volunteers, we have tested reproducibility and correlated the shear modulus Gd to T2 and fat-fraction FFdix measured using Dixon. Acceptable intra and inter reproducibility was found. Expected difference in Gd between gluteus maximus and subcutaneous fat was confirmed. Correlation plots of T2 and FFdix with Gd showed that MRE can derive biomechanical properties that potentially can provide additional information to characterize skeletal muscle pathology.

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Mapping of Intramyocellular Lipid Content in Foot Muscle
Kenneth Wengler1,2, Chien-Hung Lin2, Mingqian Huang2, Elaine Gould2, Mark Schweitzer2, and Xiang He2

1Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 2Radiology, Stony Brook University, Stony Brook, NY, United States

Diabetic neuropathy is a leading cause of diabetic foot ulcer and has been shown to be induced by insulin resistance. Itramyocellular lipid (IMCL) measured by MRS in large skeletal muscles has been shown to correlate with insulin resistance. In this study a generalized Lorentzian approximation is used to estimate the IMCL and EMCL frequency shift as a function of muscle fiber bundle orientation. DTI is used to measure the fiber bundle orientation and provide prior information for IMCL/EMCL peak fitting. 2D-CSI is used to quantify IMCL contents in foot muscle groups of healthy subjects and diabetic patients. 

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Effects of Load Induced Metabolic Changes of a Single Muscle on Whole Body Physiology
Kevin Moll1, Alexander Gussew1, Maria Nisser2, Steffen Derlien2, and Jürgen R. Reichenbach1

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Institute of Physiotherapy, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany

31P MR spectroscopy enables a non-invasive evaluation of a metabolic response to a given exercise. A combination of this technique with other methods like 1H MRS, spirometry and blood lactate diagnostics improves the application field. Therefore, a broad range of metabolic parameters were acquired during an exercise of a single calf muscle to evaluate the effects of local energy demands on global parameters. We observed high adaptations resulting in good correlations between peripheral and locally measured values.

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Evaluating the Extraocular Muscle Changes in Thyroid Associated Ophthalmopathy using T1ρ―A Preliminary Study
Tan Guo1, Bing Wu2, Dandan Zheng2, Xiaoxiong Wang3, Xiaoxia Wang4, Yan Song1, and Min Chen1

1Radiology, Beijing Hospital, Beijing, People's Republic of China, 2MR Research China, GE Healthcare, Beijing, People's Republic of China, 3Ophthalmology, Beijing Hospital, 4Endocrinology, Beijing Hospital

This study is to investigate and compare the changes of extraocular muscles in patients with active thyroid associated ophthalmopathy shown by T1ρ and T2 maps. The superior differential ability of T1ρ comparing to the currently used T2 mapping is encouraging and the flexibility in exploring the different in spin lock frequencies would be promising tool in evaluating the extraocular muscle changes with thyroid associated ophthalmopathy.

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Age-related changes in healthy thigh musculature: Multi-parametric MR imaging analysis
Min A Yoon1, Suk-Joo Hong1, Chang Ho Kang2, Kyung-Sik Ahn2, Baek Hyun Kim3, and In Seong Kim4

1Department of Radiology, Korea University Guro Hospital, Seoul, Korea, Republic of, 2Department of Radiology, Korea University Anam Hospital, Seoul, Korea, Republic of, 3Korea University Ansan Hospital, Gyeonggi-do, Korea, Republic of, 4Siemens Healthcare Korea, Seoul, Korea, Republic of

Purpose: To identify MR parameters that are significantly associated with aging in healthy thigh muscles and investigate age-related characteristics.

Methods: Thirty healthy subjects underwent multi-parametric MRI of the right thigh, including IVIM-DWI, DTI, multi-echo Dixon imaging, DCE-MRI. Parametric maps of the thigh muscles (divided into three compartments) were analyzed. Relationships between parameters and age were assessed with simple and multiple linear regression analyses.

Results: Fractional anisotropy (slope=1.018) and Ve (slope=2.151) in anterior compartment and fat percentage in posterior compartment (slope=2.031) showed significant relationships to age (p<0.05).

Conclusion: Several MRI parameters of the thigh muscles were associated with normal aging.


5126
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Quantitative Lower Limb Perfusion Territory Imaging with Vessel Encoded Arterial Spin Labeling
Lian Ding1, Fei Gao2, Chengyan Wang1, Wenjian Huang1, Jue Zhang1,2, Xiaoying Wang1,3, and Jing Fang1,2

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 2College of Engineering, Peking University, Beijing, People's Republic of China, 3Department of Radiology, Peking University First Hospital, Beijing, People's Republic of China

Critical limb ischemia (CLI) represents the most severe clinical manifestation of peripheral arterial disease (PAD). It has been proved that l lower extremity arterial stenosis and collateral circulation compensatory ability after occlusion play an important role on CLI. This study proposed a strategy for assessment of lower extremity arterial stenosis and collateral circulation compensatory ability by the noninvasive vessel-encoded arterial spin labeling (VEASL) to quantitatively assess perfusion territory of lower extremity arterial. The lower limb perfusion territory image and the angiosome map were obtained in this study, indicating the potential of VEASL for CLI assessment.

5127
Computer 19
Evaluation of T1p time in the quadriceps muscle after an Anterior Cruciate Ligament Reconstruction: Relationship to muscle strength and injury recovery
Brian Noehren1,2, Richard Lawless3, Peter Hardy4, Anders Andersen3, and Moriel Vandsburger5,6

1Rehabilitation Sciences, University of Kentucky, Lexington, KY, United States, 2Orthopaedic Surgery, University of Kentucky, Lexington, KY, United States, 3University of Kentucky, Lexington, KY, United States, 4Radiology, University of Kentucky, Lexington, KY, United States, 5Department of Physiology, University of Kentucky, Lexington, KY, United States, 6Department of Bioengineering, University of California Berkeley, CA, United States

Anterior Cruciate Ligament Injuries are associated with long term loss of quadriceps muscle strength. Accumulation of greater collagen in the extracellular matrix around muscle fibers could limit recovery. T1p applied to the quadriceps muscle could identify patients at risk for not having a good recovery because of collagen deposition. T1p imagining of the injured and non injured quadriceps of 6 subjects was performed. We found significantly higher T1p times in the injured limb as well as a significant association to greater muscle weakness. These results show the potential application of T1p to identify individuals with muscle dysfunction.

5128
Computer 20
Evaluation of fast radial T1 mapping for skeletal muscle tissue characterization
Benjamin Marty1,2, Bertrand Coppa1,2, Pierre-Yves Baudin3, and Pierre G. Carlier1,2

1NMR Laboratory, Institute of Myology, Paris, France, 2NMR Laboratory, CEA, DRF, I²BM, MIRCen, Paris, France, 3Consultants for Research in Imaging and Spectroscopy, Tournai, Belgium

The development of quantitative NMR outcome measures in order to monitor natural history of neuromuscular disorders or therapeutic interventions is crucial. Global muscle T1 values is strongly affected in chronic disease when healthy muscle is replaced by fat and this parameter can be used for diagnostic purposes. Nevertheless, very little is known about the effects of tissue water compartmentation and distribution on muscle T1 values. Here, we investigated the variations of skeletal muscle T1 values under various physiological conditions using a fast T1 mapping sequence and evaluated the potential of this biomarker in the context of disease monitoring.

5129
Computer 21
Quantitative evaluation of supraspinatus fatty infiltration and its relationship with tendon tear severity by using mDIXON-Quant technique
Jin Qu1, Xinwei Lei1, Ying Zhan1, Huixia Li1, Yingying An1, and Zhizheng Zhuo2

1Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Philips Healthcare, Beijin, People's Republic of China

The purpose of this study was to evaluate fatty infiltration of supraspinatus quantitatively using fat fraction measurements and investigate the relationship between fatty infiltration, muscle atrophy and tendon tear severity. Quantitative assessment of fatty infiltration was performed using 3T MRI with a mDIXON-Quant technique in 85 patients. The degree of fatty infiltration and muscle atrophy significantly increase with the extent of rotator cuff tear. The tendon tear severity correlated with fatty infiltration and muscle atrophy, and muscle atrophy correlated with fatty infiltration. mDIXON-Quant can be a reliable and accurate tool to quantify fatty degeneration of the rotator cuff muscles.

5130
Computer 22
Phosphodiester-levels in Muscle Assessed using 31P MRS are an Early Marker for Disease Activity in DMD
Melissa T. Hooijmans1, Nathalie Doorenweerd1,2, Jedrzej Burakiewicz1, Celine A. Baligand1, Jan J.G.M. Verschuuren2, Andrew G. Webb1, Erik H. Niks2, and Hermien E. Kan1

1C.J.Gorter Center for High-field MRI, Dept. of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Dept. of Neurology, Leiden University Medical Center, Leiden, Netherlands

Quantitative MR of muscle is increasingly important as potential outcome measure for therapy development in DMD. Since therapy is aimed at preserving or improving muscle tissue, an early marker that reflects muscle state with a suitable dynamic range is essential. Unfortunately, water T2 and %fat do not meet this criteria. Therefore, we aimed to assess whether phosphodiester (PDE)-levels detected by 31P MRS could fill this gap. We have shown a two-fold increase in PDE-levels compared to controls and its detection prior to structural changes which confirm the potential of PDE as an early marker for disease activity in DMD patients.

5131
Computer 23
Non-Gaussian diffusion of human skeletal muscle water and metabolites observed using proton diffusion-weighted spectroscopy
David A. Reiter1, Christopher Bergeron1, Richard G. Spencer1, Luigi Ferrucci1, and Itamar Ronen2

1National Institute on Aging, NIH, Baltimore, MD, United States, 2C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands

Micro- and ultrastructural properties of skeletal muscle have a direct impact on function and modulate the diffusion of both water and metabolites.  Anomalous diffusion models can be used to characterize non-Gaussian diffusion and specifically subdiffusive dynamics, which are expected to reflect ultra-structural tissue properties.  Here, we present fits of the single-parameter Mittag-Leffler diffusion model to diffusion weighted spectroscopy data, showing subdiffusive motions of skeletal muscle water and metabolites.

5132
Computer 24
Measurement and Correction for the Magnetic Susceptibility Effects of Fat in Venous Oximetry: Application in the Quantification of Muscle Oxygen Consumption (VO2) with Plantar Flexion Exercise
Esther H Yang1, Amy A Kirkham1, and Richard B. Thompson1

1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada

The magnetic field shift within cylindrical blood vessels can be used to estimate venous oxygen saturation, based on the magnetic susceptibility of deoxyhemoglobin. However, conduit veins in the periphery are often surrounded by fat, which has a larger magnetic susceptibility than water and the venous blood pool. It is shown that the magnetic susceptibility effects of fat can confound estimation of venous oxygen saturation. A new method to correct for these effects is described with application for plantar flexion exercise, for the measurement of muscle oxygen extraction, blood flow and calculation of oxygen consumption (VO2).


Electronic Poster

Spine, Tumors & Miscellaneous

Exhibition Hall Wednesday 17:15 - 18:15

5133
Computer 25
Correlation Between Bone Marrow Fatty Deposition Under Vertebral Endplates with Lumbar Intervertebral Disc Degeneration
Xiaodong Zhang1, Yinxia Zhao1, Yingjie Mei2, and Shaoyong Hu1

1Department of medical radiology, The Third Affiliated Hospital of Southern Medical University(Academy of orthopedics •Guangdong Province), Guangzhou, People's Republic of China, 2Philips Healthcare, Guangzhou, People's Republic of China

The intervertebral disc without blood supply obtained nutrient substance diffusing from the microcirculation under vertebral endplates. Some studies showed the fat deposition of bone marrow may pressure vessels and blood sinus, which could affect the microcirculation. So the fatty content of bone marrow under vertebral endplates can reflect the degeneration of the vertebral. However, the correlation of fatty content of bone marrow with lumbar intervertebral disc degeneration is not clear. The purpose of our study was to analyze the correlation between bone marrow fatty fraction under vertebral endplates with Pfirrmann Grades and T2* value of lumbar intervertebral disc.

5134
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Dynamic Morphometric Changes in Degenerative Lumbar Spondylolisthesis: A Pilot Study of Standing Magnetic Resonance Imaging
Raphaële charest-morin1, Honglin Zhang2, Michael Bond3, Amy Phillips4, Shannon Patterson5, David Wilson3, and John Street3

1Department of Orthopaedics, Centre Hospitalier Universitaire de Québec, Quebec, QC, Canada, 2Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada, 3Department of Orthopaedics, University of British Columbia, 4Center for Hip Health and Mobility, University of British Columbia, 5Department of Radiology, Vancouver General Hospital

The planning of spine surgery for degenerative lumbar spondylolisthesis (DLS) is currently based on supine MR images while patients experience symptoms in the upright posture.  This study employed an upright Open MRI to determine whether the MRI-based measurements of the spinal and neural elements used in planning surgery are different in the symptomatic, upright posture than in the supine posture.  We found upright MRI scanning detected dynamic morphometric differences in a number of clinically important radiographic parameters in patients with DLS.  Upright MRI may help in planning minimally invasive surgeries for DLS.

5135
Computer 27
Changes in tracer kinetics in the endplates of degenerating intervertebral discs
L. Tugan Muftuler1, Volkan Emre Arpinar2, and Ali Ersoz3

1Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 2Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Department of Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States

This study investigated changes in perfusion and diffusion in the cartilaginous endplates and subchondral bones around the degenerating discs. It has been suggested that such abnormalities might indicate inflammatory changes that might lead to chronic low back pain. A high spatial and temporal resolution DCE-MRI technique was implemented and tested on a group of volunteers. Pharmacokinetic model was used to quantify the changes in the regions of interest. Results demonstrated significant changes in contrast agent uptake and washout in the cartilaginous and bony endplate regions as the adjacent disc degenerated.

5136
Computer 28
Whole body FDG PET/MRI for assessment of facet joint osteoarthritis: Direct comparison of FDG uptake with MRI and CT features
Munenobu Nogami1,2, Shinsuke Shimoyama2, Yuichi Wakabayashi2, Utaru Tanaka2, Yoshiaki Watanabe3, Akihito Ohnishi2, Tatsuya Nishii2, Yoshiko Ueno2, Atsushi K Kono3, Kazuhiro Kubo2, Satoru Takahashi2, and Kazuro Sugimura2

1Department of Radiology, Hyogo Cancer Center, Akashi, Japan, 2Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 3Department of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan

Hybrid PET/MRI scanner is an emerging modality and utilized not only for oncological or neurological purposes but also for assessment of musculoskeletal disease.  Simultaneous acquisition of PET and MRI enables precise anatomical localization of PET tracers and further understanding of mechanism of the tracer uptake by using MRI information.  Our hypothesis was that PET/MRI can reveal the pathophysiological mechanism of facet joint osteoarthritis by the simultaneous whole body imaging.  The results showed MRI features on PET/MR significantly correlated with FDG uptake in the facet joint osteoarthritis and may be superior to CT based evaluation.

5137
Computer 29
Vertebral strength prediction in diabetic patients: quantification of bone marrow fat content obtained by IDEAL-IQ
Shinpei Yamaguchi1, Takatoshi Aoki1, Koichi Nakagami1, Masami Fujii1, Yoshiko Hayashida1, Yosuke Okada2, Yoshiya Tanaka2, and Yukunori Korogi1

1Radiology, University of Occupational and Environmental Health, Kitakyushu, Japan, 2First department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan

Although bone mineral density (BMD) by dual X-ray absorptiometry (DXA) has been used to predict bone strength, diabetes mellitus (DM) patients have an elevated fracture risk despite normal BMD. We evaluated the availability of the fat fraction (FF) using IDEAL-IQ for vertebral strength prediction in DM patients. The correlation between the failure load by CT-based finite-element method and the BMD with age and the FF using IDEAL-IQ was significantly higher than that between the failure load and the BMD alone (p<.001). FF using IDEAL-IQ in combination with BMD measurements can potentially be used in predicting bone strength in DM patients.

5138
Computer 30
3D variable flip angle fast spin echo imaging of the cervical spine : Improved image quality and decreased scan time with outer volume suppression
Ho-Joon Lee1, Suchandrima Banerjee2, Dong Eun Kim3, Sung-Min Gho3, and Seung-Koo Lee1

1Radiology, Yonsei University College of Medicine, Seoul, Korea, Republic of, 2Global MR Applications & Workflow, GE Healthcare, Menlo Park, CA, 3GE Healthcare, Seoul, Korea, Republic of

Application of the volumetric fast spin echo (FSE) imaging in MRI is increasing, due to innate capability for multi-planar reconstruction, and potentials for a simplified workflow.  However application to the cervical and thoracic area may be challenging because ghosting/phase encoded motion artifacts from swallowing, respiration and pulsations are frequent and severe in these regions, leading to image degradation. 3D FSE with outer volume suppression is a robust method for imaging the cervical spine, which provides improved image quality at a decreased scan time.

5139
Computer 31
Preliminary investigation: Gaussian and non-Gaussian measurements of water diffusion in diagnostic differentiation of focal lesions of malignant spinal bone tumors
Miyuki Takasu1, Yuji Akiyama1, Kazushi Yokomachi1, Yoko Kaichi1, Chihiro Tani1, Koichi Oshio2, and Kazuo Awai1

1Diagnostic Radiology, Hiroshima University Hospital, Hiroshima, Japan, 2Diagnostic Radiology, Keio University School of Medicine, Japan

We compared the potential of various diffusion parameters obtained from Gaussian and non-Gaussian diffusion models in differentiating focal lesions of malignant spinal tumors. Mean signal intensity was calculated by placing ROIs within focal lesions for 9 b-values in each subject. ADC, frac<1, frac>3, and PG(D) differed significantly between focal lesions of myeloma and LCA. Frac>3 and PG(D) was significantly different between focal lesions of myeloma and MMK. Non-Gaussian diffusion parameters may provide additional information and improve the differentiation of malignant focal lesions compared with conventional diffusion parameters, which would be helpful in improving therapy strategies.

5140
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Q-space imaging is a novel technique to evaluate intervertebral disc degeneration.
Daisuke Nakashima1, Nobuyuki Fujita1, Junichi Hata2,3, Takeo Nagura1, Kanehiro Fujiyoshi4, Hideyuki Okano2,3, Masahiro Jinzaki5, Morio Matsumoto1, and Masaya Nakamura1

1Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan, 2Department of Physiology, Keio University School of Medicine, Tokyo, Japan, 3Central Institute for Experimental Animals, Kawasaki, Japan, 4Department of Orthopaedic Surgery, Murayama Medical Center, Japan, 5Department of Radiology, Keio University School of Medicine, Tokyo, Japan

 Pfirrmann classification on T2WI has been the qualitative grading of intervertebral disc (IVD) degeneration which is difficult to classify subtle changes of degeneration. A quantitative and more sensitive classification system has been sought.  

 In this research, probability at zero displacement obtained from Q-space imaging (QSI) which is a quantitative diffusion-weighted MRI procedure made it possible to observe the effect of the regenerative antioxidant drug: N-Acetyl Cystaine on IVD degeneration which could not be observed by using T2 mapping.

 Probability at zero displacement obtained from QSI has the possibility to be a novel biomarker of IVD degeneration.


5141
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T1rho Imaging Quantification of Early Intervertebral Disc Degeneration in Pilots on 3.0T Magnetic Resonance
Xiulan Zhang1, Yongmin Bi2, Wanshi Zhang2, and Lizhi Xie3

1Radiology Department, The First People’s Hospital of Jingzhou,Jingzhou, China,People’s Republic of, Jingzhou, People's Republic of China, 2Department of CT&MRI, Air Force General Hospital, Beijing, China, People’s Republic of, 3GE Healthcare, MR Research China, Beijing, China, People’s Republic of

Degenerative disc disease is an occupational disease of the military pilots, which seriously influcenes  their health and normal training. Early disc degeneration begins with changes in biochemical compositions which is mainly characterized by proteoglycan lose and cannot be detected on conventional MRI imaging[1-2]. T1rho is a quantitative imaging technique to reflect changes in the extracellular matrix, such as modifications in the intervertebral disc PG content[3]. In this study,Bivariate correlation analysis was performed to compare T1rho values to the degenerative grade, disc space level, age and flight time of the pilots. T1rho values of Lumbar intervertebral discs in pilots demonstrated significantly negative correlations with degenerative grade, age and flight time, except for disk space levels. T1rho can be potentially used as a valid clinical method in the quantitative diagnosis of early intervertebral disc degeneration in asymptomatic Pilots.

5142
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The comparison of full FOV and reduced-FOV IVIM Diffusion-weighted imaging of Spinal bone marrow
Dong Xing1, Yunfei Zha1, Fang Liu1, Liang Li1, Feifei Zeng1, Yuan Lin1, Wei Gong1, Lei Hu1, Jiao Wang1, Bing Wu2, and Hui Lin2

1Department of Radiology, Renmin Hospital of Wuhan University, Wuhan, People's Republic of China, 2GE healthcare China

IVIM (Intravoxel incoherent motion) provides perfusion quantification without the need for intravenous contrast injection, and has been used to the spinal bone marrow lesions1,2. However, diffusion weighted imaging is prone to image deformation, especially with a large FOV. Hence the quantitative measurement of IVIM in spinal bone morrow may be affected. Reduced FOV DWI is known to reduce the level of image distortion, and the purpose of this study is to compare the IVIM parameters obtained using full FOV or reduced FOV imaging.

5143
Computer 35
Improved visualization of diffusion-prepared MR neurography (SHINKEI) in the pelvis using high-intensity reduction (HIRE) technique
Hitoshi Tadenuma1, Kayoko Abe2, Masami Yoneyama3, Yasuhiro Goto1, Makoto Suzuki1, Mamoru Takeyama1, and Shuji Sakai2

1Department of Radiological Service, Tokyo Women’s Medical University, Tokyo, Japan, 2Department of Diagnostic Imaging and Nuclear Medicine, Tokyo Women’s Medical University, Tokyo, Japan, 3Philips Electronics Japan, Ltd, Tokyo, Japan

The role of MRI in the diagnosis of Lumbrosacral plexopathy is in depiction of the anatomical detail of pelvic nerves. This study attempted the improvement of the pelvic nervous depiction using HIRE-SHINKEI. This applies HIRE technique, and requires both SHINKEI and additional 3D heavily T2W scan to subtract the data. HIRE-SHINKEI can improve the depiction of nerves by subtracting signals of the background. This new technique has great potential to help the diagnosis for the peripheral nerve disorders of the lumbosacral region. 

5144
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Differential Diagnosis of Myeloma, Lymphoma, and Metastatic Cancer in the Spine Using DCE-MRI Kinetic Parameters
Ning Lang1, Huishu Yuan1, and Min-Ying Su2

1Department of Radiology, Peking University Third Hospital, Beijing, People's Republic of China, 2Tu and Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, CA, United States

A retrospective DCE-MRI of 23 patients with confirmed myeloma and 13 patients with spinal lymphoma were found. A group of 76 patients with different metastatic cancers in the spine was used as a comparison group. Three heuristic parameters: the steepest wash-in enhancement ratio, the initial area under the curve (IUAC) enhancement ratio, and the wash-out slope were measured. In the ROC analysis based on the wash-out slope, myeloma can be differentiated from lymphoma with AUC=0.913, and from mets with AUC=0.828. The wash-out slope can also differentiate lung mets from breast mets with AUC=0.812, and from thyroid mets with AUC=0.891.

5145
Computer 37
Radiomics of Musculoskeletal Masses Using T2-Weighted Magnetic Resonance Images
Stephen M Fisher1, Alfonso Rodriguez2, Jing Wang2, Michael Folkert2, and Avneesh Chhabra1

1Radiology, UT Southwestern, Dallas, TX, United States, 2Radiation Oncology, UT Southwestern, Dallas, TX, United States

Texture analysis has yet to be exploited in musculoskeletal tumors. In this study we aimed to create a novel predictive model based on features of benign and malignant musculoskeletal masses and test this model against existing methods used in other parts of the body. Our workflow shows promise for creating accurate classifiers of benign and aggressive tumors based on T2-weighted MRI images.

5146
Computer 38
Comparison of whole-body morphologic and functional MRI with automated "bone subtraction" CT-image analysis for monitoring of longitudinal spine involvement in patients with multiple myeloma
Marius Stefan Horger1, Sebastian Werner1, Wolfgang Thaiss2, and Christopher Kloth1

1Radiology, Eberhard-Karls-University Tuebingen, Tuebingen, Germany, 2Radiology, Eberhard-Karls-Univesity Tuebingen, Tuebingen, Germany

Imaging diagnosis and therapy monitoring of multiple myeloma (MM) is challenging due to the combined bone and bone marrow involvement and at the same time often imperative due to possible failure of hematological markers (e.g. non-secretory myeloma). MRI is the most powerful MM-imaging technique for visualization of medullar involvement whereas CT optimally detects myeloma bone-disease (BMD). A new CT post-processing software (bone subtraction-BS) is generating subtraction (difference) maps of baseline and follow-up non-enhanced CT exams highlighting the course of BMD. Hence, the purpose of this study was to assess strengths and limitations of these two imaging modalities for longitudinal disease monitoring.  

5147
Computer 39
Dynamic susceptibility contrast perfusion MR imaging in distinguishing malignant from benign soft tissue tumors in limbs: A pilot study
Yitong Bian1, Guohong Jin2, Yanliang Wang3, Gang Niu1, and Jian Yang1

1Fisrt Affiliated Hospital of Xi'an Jiaotong University, Xian, People's Republic of China, 2General Affiliated Hospital of Ningxia Medical University, Yinchuan, People's Republic of China, 3Luoyang Central Hospital Affiliated to Zhengzhou University

Precise differential and qualitative diagnoses for extremities soft tissue tumors(STTs) are of vital importance. Dynamic susceptibility contrast perfusion MRI(DSC-MRI) enables assessment of overall tumor vascularity, allowing indirect evaluation of the biological aggressiveness of tumors. Therefore, this study aims to discuss the feasibility of DSC-MRI to preliminarily assess in the differentiation between benign and malignant extremities STTs. Our results showed that DSC-MRI might be a non-invasive imaging technique that can play a role in identifying malignant and benign STTs in limbs and provide reliably pathological or physiological information for clinic.

5148
Computer 40
Texture analysis based on intra-voxel incoherent motion MR imaging for the differentiation of benign and malignant bone tumors
Ying Li1, Cuiping Ren1, Jingliang Cheng1, and Zhizheng Zhuo2

1Zhengzhou University First Affiliated Hospital, Zhengzhou,Henan, People's Republic of China, 2Clinical Science, Philips Healthcare, People's Republic of China

This work investigated and evaluated the role of texture analysis based on intra-voxel incoherent motion(IVIM) MR imaging to characterize the bone tumors,and furtherly evaluate the ability of the texture parameters to differentiate benign and malignant bone tumors by using a couple of classifiers, which might be helpful for clinical diagnosis and studies. The texture parameters have the ability to character the bone tumor and the naïvebayes classifier showed the best performance in the differentiation of benign and malignant bone tumors.

5149
Computer 41
Characterization of benign and malignant soft tissue tumors using dynamic contrast enhanced magnetic resonance imaging
Ying Li1, Cuiping Ren1, Jingliang Cheng1, and Zhizheng Zhuo2

1Zhengzhou University First Affiliated Hospital, Zhengzhou,Henan, People's Republic of China, 2Clinical Science, Philips Healthcare, People's Republic of China

This work investigated and evaluated the role of dynamic contrast enhanced magnetic resonance imaging(DCE-MRI) in characterizing the soft tissue tumors, and furtherly evaluate the ability of permeability parameters to differentiate benign and malignant tumors by using random tree and artificial neural network classifiers, which might be helpful for clinical diagnosis and studies.

5150
Computer 42
Feasibility study of diffusional kurtosis imaging for the differentiation of musculoskeletal benign and malignant tumors
Ying Li1, Cuiping Ren1, Jingliang Cheng1, and Zhizheng Zhuo2

1Zhengzhou University First Affiliated Hospital, Zhengzhou,Henan, People's Republic of China, 2Clinical Science, Philips Healthcare, People's Republic of China

This work investigated and evaluated the role of magnetic resonance (MR) diffusion kurtosis imaging(DKI) in characterizing the musculoskeletal tumors, and furtherly evaluate the ability of DKI parameters to differentiate benign and malignant tumors by using a classifier based on random forest method, which might be helpful for clinical diagnosis and studies.

5151
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Feasibility study of intra-voxel incoherent motion MR imaging for the differentiation of benign and malignant bone tumors
Ying Li1, Cuiping Ren1, Jingliang Cheng1, and Zhizheng Zhuo2

1Zhengzhou University First Affiliated Hospital, Zhengzhou,Henan, People's Republic of China, 2Clinical Science, Philips Healthcare, People's Republic of China

This work investigated and evaluated the role of intra-voxel incoherent motion(IVIM) MR imaging in characterizing the bone tumors, and furtherly evaluate the ability of IVIM parameters to differentiate benign and malignant tumors by using a support vector machine (SVM) classifier, which might be helpful for clinical diagnosis and studies.

5152
Computer 44
Dynamic Contrast-Enhanced Magnetic Resonance Imaging Parameters in Metastatic Bone Lesions of Non-small Cell Lung Cancer: Comparison between Lesions with and without Epidermal Growth Factor Receptor (EGFR) Mutation in Primary Cancer
Hyun Su Kim1 and Young Cheol Yoon1

1Radiology, Samsung medical center, Seoul, Korea, Republic of

The presence of the epidermal growth factor receptor (EGFR) gene mutation is associated with a high rate of distant metastasis and poor prognosis in patients with non-small cell lung cancer (NSCLC). EGFR signaling acts as mediator of bone metastasis by increasing tumor cell proliferation and promotes synthesis and secretion of numerous angiogenic growth factors. We propose that metastatic bone lesions with and without the EGFR mutation in primary NSCLC have different perfusion profiles and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) parameters can reveal the differences. 

5153
Computer 45
Meniscus T2 Relaxation Time in Patients with Varying Degrees of Knee Joint Degeneration
Richard Kijowski1, Benjamin Beduhn1, Michael G Fazio1, and Fang Liu1

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

This study was performed to investigate changes in meniscus T2 relaxation time at various stages of knee joint degeneration. T2 mapping was performed on the knees of 121 patients with meniscus tears.  T2 of the torn and untorn portions of the medial and lateral meniscus were measured.  The severity of radiographic osteoarthritis was assessed using the Kellgren-Lawrence (KL) grading scale.  There was a significant difference (p<0.001) in meniscus T2 between KL0, KL1, and KL2 subjects in both the torn and untorn portions of the meniscus with KL2 subjects having the highest T2 and KL0 subjects having the lowest T2.  

5154
Computer 46
Circumferential and Radial Variations in T2, T2* and T1rho in the Osteoarthritic Meniscus
Marianne Susan Black1, Garry Evan Gold2, Marc Elliot Levenston1, and Brian Andrew Hargreaves2

1Mechanical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Palo Alto, CA, United States

The menisci of the knee are important for distributing load at the knee joint, and meniscal damage has been shown to precede cartilage degeneration in the knee. We examined radial and circumferential meniscal variation in T2, T2* and T1rho relaxation times in osteoarthritic menisci. Menisci were divided into 3 circumferential regions (anterior, body, and posterior) and then further into 3 radial regions (inner, middle, and outer). Significant differences were found between circumferential and radial regions for T2, but only between circumferential regions for T2* and T1rho. Changes in meniscal regional variations could be important in tracking osteoarthritis disease progress.

5155
Computer 47
T2-Mapping Relaxation Time Correlates with Histopathological Degree of Degeneration in Meniscal Tissue
Susanne Eijgenraam1, Frans Bovendeert 1, Yvonne Bastiaansen 2, Duncan Meuffels2, Jamal Guenoun 1, Stefan Klein3, Max Reijman2, and Edwin Oei1

1Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, Netherlands, 2Orthopedic Surgery, Erasmus MC, Rotterdam, Netherlands, 3Medical Informatics, Erasmus MC, Rotterdam, Netherlands

To validate meniscal T2-mapping, which is suggested to detect early meniscal degeneration, T2 relaxation times of ten menisci (five traumatically torn and five degenerative menisci from 10 patients) were compared to histopathology as the gold standard to assess meniscal degeneration. T2  relaxation times were found to correlate well with histopathological degree of degeneration in meniscal tissue (rs = 0.64, P = 0.001). Degenerative meniscal tissue was found to exhibit significantly higher T2 relaxation times compared to non-degenerated meniscal tissue (22.7±3.0 ms and 18.2 ±5.1 ms (P = 0.02) respectively). Therefore, T2-mapping is a promising quantitative imaging biomarker for meniscal degeneration.


Electronic Poster

Parallel Imaging

Exhibition Hall Wednesday 17:15 - 18:15

5156
Computer 49
Parallel Imaging Reconstruction from Randomly Undersampled Data with k-space Variant Sparsity Constraints
Yu Y. Li1,2

1Cardiac Diagnostic Imaging, St. Francis Hospital, Roslyn, NY, United States, 2Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States

A new parallel imaging reconstruction framework is proposed to accelerate MRI using both coil sensitivity and data sparsity. This framework uses random undersampling and performs parallel imaging reconstruction with a k-space variant constraint. No calibration data are needed. It is demonstrated that this new approach offers a gain over conventional parallel imaging in imaging acceleration.

5157
Computer 50
Iterative SENSE with Integrated EPI Nyquist Ghost and Distortion Corrections
Uten Yarach1,2, Hendrik Mattern1, and Oliver Speck1

1Department of Biomedical Magnetic Resonance, Otto-von-Guericke University Magdeburg, Magdeburg, Germany, 2Department of Radiological Technology, Chiang Mai University, Chaigmai, Thailand

The quality of EPI image is intrinsically hindered by Nyquist ghost and geometric distortion which are commonly handled by a 1D non-phase encoded reference and a field map based corrections, respectively. In some cases, a 2D phase reference is required, but scan time is increased. The geometric-mismatch between EPI and coil sensitivities is another concern. Here, the 2D phase correction (without prolonging scan time) and the distortion correction are integrated into a single forward operator rather than considering them consecutively. The results show that the stable reduction in Nyquist ghosting and distortion can improve the tSNR of EPI time series.

5158
Computer 51
Fast 3D Variable-FOV Reconstruction for Parallel Imaging with Localized Sensitivities
Yigit Baran Can1, Efe Ilicak1,2, and Tolga Çukur1,2,3

1Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 3Neuroscience Program, Bilkent University, Ankara, Turkey

Several successful iterative approaches have recently been proposed for parallel-imaging reconstructions of variable-density (VD) acquisitions, but they often induce substantial computational burden for non-Cartesian data. Here we propose a generalized variable-FOV PILS reconstruction 3D VD Cartesian and non-Cartesian data. The proposed method separates k-space into non-intersecting annuli based on sampling density, and sets the 3D reconstruction FOV for each annulus based on the respective sampling density. The variable-FOV method is compared against conventional gridding, PILS, and ESPIRiT reconstructions. Results indicate that the proposed method yields better artifact suppression compared to gridding and PILS, and improves noise conditioning relative to ESPIRiT, enabling fast and high-quality reconstructions of 3D datasets. 

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Analytical G-factor Calculation for Slice-GRAPPA with Dual “Even-Odd” Kernels (SG-DK)
Haifeng Wang1,2, Jonathan R. Polimeni1,2,3, Berkin Bilgic1,2, Lawrence L. Wald 1,2,3, and Kawin Setsompop1,2

1Massachusetts General Hospital, Boston, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States

Slice-GRAPPA (SG) is often used to reconstruct blipped-CAIPI simultaneous multi-slice EPI data, in particular in conjunction with the dual even-odd kernel approach (SG-DK) to mitigate ghosting related reconstruction artifacts. To achieve good performance in blipped-CAIPI acquisition, the CAIPI shift factor should be optimized in a case by case manner to minimize g-factor penalty. The g-factor is influenced by the reconstruction approach and so far a fast analytical g-factor calculation has been developed only for standard SG reconstruction but not SG-DK, where time-consuming Monte Carlo simulation is still needed. Here we propose an analytical g-factor calculation for SG-DK and demonstrate that the proposed method is fast and accurate. Our simulation and experimental results also highlight the superior performance of SG-DK over SG reconstruction, both in mitigating image artifacts and noise penalty.

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ENLIVE: A Non-Linear Calibrationless Method for Parallel Imaging using a Low-Rank Constraint
H. Christian M. Holme1,2, Frank Ong3, Sebastian Rosenzweig1,2, Robin N. Wilke1,2, Michael Lustig3, and Martin Uecker1,2

1Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany, 2partner site Göttingen, DZHK (German Center for Cardiovascular Research), Göttingen, Germany, 3Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States

We propose an extension to Regularized Non-Linear Inversion (NLINV), which simultaneously  reconstructs multiple images and sets of coil sensitivity profiles. This method, termed ENLIVE (Extended Non-Linear InVersion inspired by ESPIRiT), can be related to a convex relaxation of  the NLINV problem subject to a low-rank constraint. From NLINV, it inherits its suitability for calibrationless and non-Cartesian imaging; from ESPIRiT it inherits robustness to data inconsistencies.


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Feature Refinement Scheme for Improved STEP Parallel Imaging Reconstruction
Zechen Zhou1 and Chun Yuan2,3

1Philips Research China, Shanghai, People's Republic of China, 2Vascular Imaging Lab, Department of Radiology, University of Washington, WA, United States, 3Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, People's Republic of China

In this work, we incorporated the Feature Refinement (FR) scheme into the Self-supporting Tailored k-space Estimation for Parallel imaging reconstruction (STEP) image reconstruction framework to enhance its capability for structural representation in image domain, and developed a novel Weber Local Descriptor (WLD) method to improve the extraction of local image boundaries. With the preliminary experiments, it has been demonstrated that the improved STEP with WLD FR scheme can provide more accurate estimation of image details in comparison to original STEP and existing classic method.

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A new pattern for Autocalibrated Parallel Imaging Reconstruction for GRASE: APIR4GRASE
Chaoping Zhang1, Alexandra Cristobal-Huerta2, Juan Antonio Hernández-Tamames2, Stefan Klein1, and Dirk H.J. Poot1,2,3

1Departments of Medical Informatics and Radiology, Erasmus MC, Rotterdam, Netherlands, 2Departments of Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, Netherlands, 3Imaging Science and Technology, Delft University of Technology, Delft, Netherlands

We propose a subsampled interleaved parallel acquisition pattern for Autocalibrated Parallel Imaging Reconstruction for GRASE (APIR4GRASE) which considers different echoes during each refocusing of the GRASE as if they originated from different coil channels. APIR4GRASE eliminates ghosting artifacts caused by the phase and amplitude modulations in traditional GRASE split sampling pattern and achieves an additional acceleration factor of 1.3 compared to a fully sampled GRASE k-space. In addition, multiple contrast (spin echo and gradient echo) images are reconstructed. Experiments on a phantom demonstrate the effectiveness of our method.

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Improved Parallel Imaging with Resilience to Gradient Errors
Gigi Galiana1 and Nadine Luedicke2

1Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States, 2Biomedical Engineering, Yale University, New Haven, CT, United States

FRONSAC encoding, which adds a rapidly oscillating low-amplitude nonlinear gradient to a standard undersampled trajectory based on linear gradients, has been shown to significantly improve k-space coverage and parallel imaging reconstructions.  This abstract further shows that a fixed FRONSAC waveform improves image quality for Cartesian trajectories of various FOV and resolution, while avoiding many of the pitfalls of other highly efficient gradient trajectories.  Results show that FRONSAC provides better reconstruction than Cartesian encoding alone, while offering better resilience to delays and off-resonance effects than non-Cartesian trajectories, such as spiral.  

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Accelerated MR cardiac cine using TSPIRiT with generalized data fidelity
Yilong Liu1,2, Mengye Lyu1,2, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, People's Republic of China, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, People's Republic of China

MR cardiac cine plays a key role in quantifying the cardiac function. The measurement accuracy is highly dependent of both spatial and temporal resolution, which can be improved substantially by acceleration with parallel imaging. SPIRiT, a GRAPPA-like parallel imaging reconstruction, can be applied to cardiac cine by incorporating temporal sensitivity estimation (TSPIRiT). In this study, we propose to enhance MR cardiac cine using TSPIRiT with generalized data fidelity (GDF) based on the assumption that k-space signal in cardiac cine changes smoothly. Results show that the proposed method can provide better tradeoff between SNR and temporal resolution when compared with TSPIRiT and k-t SPIRiT.

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Improved SPIRiT Operator for Joint Reconstruction of Multiple T2-weighted Images
Toygan Kilic1,2, Efe Ilicak1,2, Tolga Çukur1,2, and Emine Ulku Saritas1,2

1Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center, Bilkent University, Ankara, Turkey

Recently, compressed-sensing (CS) was proposed to jointly reconstruct undersampled multi-contrast datasets to exploit the common structural features therein. Here, we propose a method to improve joint reconstruction of multi-contrast acquisitions. Inspired by the SPIRiT framework for parallel imaging, our method linearly synthesizes missing data for each contrast from neighboring k-space data for all contrasts. To improve reconstruction quality, the proposed method high-pass filters calibration data to emphasize the weight of intermediate spatial frequencies in the interpolation operator. Phantom and in vivo results at 3T indicate that the proposed method outperforms reconstructions with conventionally estimated interpolators. 

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Nonlinear SPIRiT using a second order virtual coil for improved parallel imaging reconstruction
Sen Jia1, Yanjie Zhu1, Lei Zhang1, Yiu-cho Chung1, Jing Cheng1, Leslie Ying2, Xin Liu1, Hairong Zheng1, and Dong Liang1

1Shenzhen Institutes of Advanced Technology, Shenzhen, People's Republic of China, 2The state University of New York (SUNY) at Buffalo, United States

The nonlinear relationship between missing and acquired data in k-space has been proved in nonlinear GRAPPA. In this work, we propose nonlinear SPIRiT which integrates the polynomial kernel method into SPIRiT via a simple second-order virtual coil approach. The proposed method represents the relationship between missing and acquired data in k-space of SPIRiT using a more accurate nonlinear model. In vivo results demonstrated that nonlinear SPIRiT could suppress aliasing artifact or noise better than SPIRiT, and was applicable to more acceleration scenarios than nonlinear GRAPPA.

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Impact of FLASH based autocalibration scans on high-resolution GRAPPA accelerated EPI at 7T
Joelle E Sarlls1 and S. Lalith Talagala1

1NINDS/NMRF, National Institutes of Health, Bethesda, MD, United States

It has been shown that the temporal SNR (tSNR) of GRAPPA EPI can be improved by using different autocalibration scan (ACS) acquisitions. We evaluated the impact of using FLASH-ACS for high resolution, GRAPPA accelerated EPI at 7T.  We compared the tSNR, ghost levels and distortions characteristics of EPI data reconstructed using SSEPI, MSEPI and FLASH based ACS at different acceleration factors and resolutions. Results showed that the tSNR of GRAPPA accelerated EPI improved by 60-100% when using FLASH-ACS data during image reconstruction.  FLASH-ACS reconstructions also had less residual EPI ghost and identical image distortions compared to SSEPI-ACS and MSEPI-ACS.

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Accelerating T2* Mapping with Maximum Likelihood Estimation (MLE) and Parallel Imaging (PI)
Wajiha Bano1,2, Arnold Julian Vinoj Benjamin1,2, Ian Marshall2, and Mike Davies1

1Institute for Digital Communication, University of Edinburgh, Edinburgh, United Kingdom, 2Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom

The utility of MR parametric mapping is limited due to the lengthy acquisition time. A Maximum Likelihood Estimation (MLE) and Parallel Imaging (PI) method is presented for MR parameteric mapping. The approach is based on a high Signal to Noise ratio (SNR) assumption such that the noise can be modelled as Gaussian and estimates the parameters that maximizes the signal from a multichannel coil. The method was tested on a multi-echo gradient-echo T2* mapping experiment in a phantom and a human brain. Accurate T2* maps were reconstructed up to an acceleration factor of 6 with a small error for phantom and human brain.

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A Novel Method to Increase SNR of GRAPPA Reconstruction
Yu Ding1, Renjie He1, Qi Liu1, Renkuan Zhai2, Guobin Li2, Jian Xu1, and Weiguo Zhang2

1UIH America, Inc., Houston, TX, United States, 2Shanghai United Imaging Healthcare Co., Ltd, Shanghai, People's Republic of China

We propose a novel method to improve GRAPPA reconstruction when blood vessel pulsation artifacts appear. It removes the artifacts in the ACS lines, and boosts the SNR of GRAPPA reconstruction. Volunteer study confirmed that the proposed method improved image quality of GRAPPA reconstruction in 3T FSE knee scan.

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SPID Compressed Sensing for Parallel MRI: Flexible Sampling and Rapid Reconstruction
Efrat Shimron1, Andrew G. Webb2, and Haim Azhari1

1Biomedical Engineering Department, Technion - Israel Institute of Technology, Haifa, Israel, 2C.J. Gorter Center for High Field MRI Research, Department of Radiology, Leiden University, Leiden, TN, Netherlands

We introduce a new method combining Compressed Sensing (CS) and parallel MRI (pMRI) for fast MRI acquisition. The method, termed SPID-CS, is advantageous over existing methods since it (1) produces a high-quality initial reconstruction, (2) avoids aliasing related to sub-Nyquist sampling by joining information from different coils, (3) enables flexible k-space sampling, (4) converges much faster than conventional CS and (5) enables clinical real-time reconstruction due to its extremely short runtime. 

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Alias-reduced multicoil single-shot spatial temporally encoded MRI with referenceless sensitivity encoding
Ying Chen1, Lisha Yuan1, Yi Sun2, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Zhejiang University, Hangzhou, People's Republic of China, 2MR Collaboration Northeast Asia, Siemens Healthcare, Shanghai, People's Republic of China

Single-shot spatiotemporally encoded (SPEN) MRI is a novel fast imaging scheme with remarkably reduced geometric distortions at high field compared to conventional single-shot EPI. The k-space along SPEN dimension is undersampled, resulting in aliases at regions of rapid profile variation. The feasibility of utilizing sensitivity profiles of array receiver coils to unravel the undersampling aliases is investigated. High resolution relative sensitivity profiles can be obtained from multicoil 2D polynomial fitting of the SPEN reconstructed images without additional reference scans. The effectiveness of the SPEN SENSE strategy is validated by healthy human brain scans at 3T.

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Enhancing resolution in single-shot MRI by SUper-resolved SPEN with SENSE (SUSPENSE)
Gilad Liberman1, Eddy Solomon1, Michael Lustig2, and Lucio Frydman1

1Chemical Physics, Weizmann Institute of Science, Rehovot, Israel, 2Department of Electrical Engineering and Computer Sciences, Berkeley, CA

Spatio-temporal encoding (SPEN) delivers single-scan images with increased robustness to shift and susceptibility artifacts. These acquisitions are usually carried out in a “hybrid” mode that prevents a sufficiently dense sampling along the SPEN domain. Alleviating this resolution loss had so far demanded the acquisition of multiple interleaved scans. The present study demonstrates that by relying on multiple sensors, a similar resolution enhancement can be achieved in a single shot. The principles and potential of the ensuing Super-resolved SPEN with SENSE (SUSPENSE) is demonstrated, with sub-mm single-shot 3T image acquisitions on phantoms and humans.

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Spiral SENSE MP-RAGE using long readouts and an expanded signal model
Franciszek Hennel1, Maria Engel1, Lars Kasper1, Bertram Wilm1, and Klaas P Pruessmann1

1Institute for Biomedical Engineering, ETH and University of Zurich, Zurich, Switzerland

Spiral readout was used to accelerate the standard T1-weighted 3D head scan based on MPRAGE at 3 Tesla without any compromise on images quality. The encoding model used by the reconstruction included the static magnetic field map as well as the k-space trajectory and a dynamic field correction provided by a field camera. The study demonstrates the utility of state-of-the-art spiral scanning for routine MRI applications.

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GRAPPA Reconstructed Wave-CAIPI MPRAGE at 7 Tesla
Jolanda Melissa Schwarz1, Daniel Brenner1, Eberhard Daniel Pracht1, and Tony Stoecker1

1German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany

In this work, a GRAPPA-based reconstruction for wave-CAIPI acquisitions is presented. 16-fold accelerated full brain MPRAGE images with 1 mm isotropic resolution and high image quality are measured in 45 seconds and a clear improvement compared to Cartesian CAIPIRINHA sampling can be observed. It is demonstrated that optimization of the gradient waveforms further improves image quality.

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Combined Application of GRAPPA and POCS for Fast MR Image Reconstruction
Hassan Shahzad1,2 and Hammad Omer3

1Electrical Engineering, COMSATS Institute Of IT, Rawalpindi, Pakistan, 2National Center for Physics, Islamabad, Pakistan, 3COMSATS Institute Of IT, Islamabad, Pakistan

The proposed work presents a combination of GRAPPA and Compressed sensing (POCS) to reconstruct MR images from the highly under-sampled data. Firstly, GRAPPA is applied to the acquired under-sampled data. The output of GRAPPA which contains aliasing artifacts (especially for high acceleration factors) is fed in to POCS which solves for the solution image iteratively and produces a reconstructed image with minimal aliasing artifacts. The reconstruction results are compared with GRAPPA and POCS separately. The results show that the proposed method significantly reduces the aliasing artifacts as compared to GRAPPA or POCS reconstructions.

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Influence of temporal resolution on liver perfusion using golden-angle radial sparse parallel MRI
Nikolaos S Kallistis1, Kai Tobias Block2, Robert Grimm3, Hersh Chandarana2, Ian Rowe1, and Steven P Sourbron4

1Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds, United Kingdom, 2School of Medicine, New York University, New York, NY, United States, 3Siemens AG Healthcare MR, Erlangen, Germany, 4Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom

Golden-angle radial sparse parallell (GRASP) MRI uses temporal regularization in the reconstruction, which risks distorting temporal profiles and reducing DCE-MRI parameter accuracy and precision. The aim of this study is to investigate this issue for liver DCE-MRI by measuring kinetic parameters on data reconstructed at variable temporal resolution. The results depend on temporal resolution according to well-known patterns also observed in simulations and fully sampled data. A systematic error remains at the highest temporal resolution, but this is more likely due to well-known issues of signal saturation. Image reconstruction at lower temporal resolution risks degrading diagnostic image quality due to the mixing of images with different contrast. We conclude that: (1) temporal regularization in GRASP is unlikely to induce significant error in kinetic parameters; (2) images should be reconstructed at high temporal resolution around 2-4s.

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Absolute B1- estimation without a homogeneous receive coil
Olivia W Stanley1,2, Ravi S Menon1,2, and L Martyn Klassen2

1Department of Medical Biophysics, The University of Western Ontario, London, ON, Canada, 2Centre for Functional and Metabolic Mapping, The University of Western Ontario, London, ON, Canada

Fitting the relative B1- maps derived from a B1+ shim acquisition to the Helmholtz equations allows for the calculation of absolute B1- maps. The sensitivity profiles can then be used to optimally combine coils in subsequent acquisitions. In addition, absolute B1- maps allow for the removal of the receive sensitivity from the combined images. This was validated in a GE-EPI sequence and found to produce images with lower phase standard deviation and increased temporal signal-to-noise ratios across the brain. Both of these differences were found to be statistically significant in a Student’s t-test. 

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The Signal-to-Noise Behavior of 3D SPIRiT Image Reconstruction
Yulin V Chang1, Marta Vidorreta2, and John Detre2

1National Institutes of Health, Bethesda, MD, United States, 2Neurology, University of Pennsylvania, Philadelphia, PA, United States

Self-consistent parallel imaging (SPIRiT) is a self-calibrated, iterative parallel imaging technique that is not restricted by a particular k-space sampling pattern. 3D SPIRiT takes advantage of the 3D arrangement of a modern receive array to further improve image quality. Although SPIRiT was shown to yield higher image quality than does GRAPPA, especially at acceleration factors higher than 2, its signal-to-noise behavior has not been rigorously studied. In this study we investigate the image quality behavior of 3D SPIRiT and determine the optimal condition for best image quality.

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Intracranial artery vessel wall reconstruction via feature refinement
Jing Cheng1, Sen Jia1, Lei Zhang1, Yanjie Zhu1, Yuanyuan Liu1, Leslie Ying2, Xin Liu1, Hairong Zheng1, and Dong Liang1

1Shenzhen Institutes of Advanced Technology,Chinese Academy of Sciences, Shenzhen, People's Republic of China, 2Department of Electrical Engineering, The State University of New York (SUNY) at Buffalo, NY, United States

Depicting the vessel wall of intracranial arteries at high resolution and contrast is important to evaluate the intracranial artery disease. This paper propose a feature refinement strategy for improving the reconstruction quality of intracranial artery vessel wall by incorporating the feature descriptor into the reconstruction framework of L1-SPIRiT. Results on in vivo MR data have shown that the feature refinement method is capable of reconstructing the vessel wall with higher contrast than the method without feature refinement, and thus presents great potential for MR vessel wall imaging.


Electronic Poster

Fat+Water Imaging

Exhibition Hall Wednesday 17:15 - 18:15

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A novel method for Rapid 3D fat and water decomposition using a GlObally Optimal multi-surface Estimation (R-GOOSE)
Chen Cui1, Abhay Shah1, Xiaodong Wu1, Dan Thedens 2, and Mathews Jacob1

1Electrical and Computer Engineering, University of Iowa, Iowa City, IA, United States, 2Radiology, University of Iowa, Iowa City, IA, United States

A 3D Rapid, GlObally Optimal Surface Estimation (R-GOOSE) algorithm for fat-water decomposition in MRI is proposed. The fat-water separation is formulated as an optimization problem with data consistency and field-map smoothness penalty. The data consistency only contains exact minimizers from the fully discretized field-map value volume. The proposed method employs a connectivity-reduced graph construction that enables the new formulation to be solved efficiently. The method is validated by the 17 datasets from the 2012 ISMRM Challenge with thirty-fold computational gain compared to our previous method GOOSE while the high quantitative accuracy is maintained. Fat fraction maps obtained from the proposed method also provides a good marker for degenerative muscle diseases in newly collected lower limb datasets. 

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A Generalized Formulation for Parameter Estimation in MR Signals of Multiple Chemical Species
Maximilian Nikolaus Diefenbach1, Stefan Ruschke2, and Dimitrios C Karampinos2

1Department of Diagnostic and Interventional Radiology, TUM Technical University of Munich, Munich, Germany, 2Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany

The purpose of this work is to develop a generalized formulation to study the parameter estimation of complex MR signals and its multi-species components.

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Fat tissue mimics for validation of magnetic resonance thermometry
Slavka Carnicka1, Kathryn Keenan1, Elizabeth Mirowski2, Mark Brown3, Christopher Suiter4, Tara Fortin4, Hannah Erdevig1, Karl Stupic1, and Stephen Russek1

1Physical Measurement Laboratory, National Institute of Standards and Technology, Boulder, CO, United States, 2High Precision Devices Inc., Boulder, CO, United States, 3Department of Radiology, University of Colorado School of Medicine, Denver, CO, United States, 4Applied Chemicals and Materials Division, National Institute of Standards and Technology, Boulder, CO, United States

Phase-based magnetic resonance thermometry is used for monitoring minimally invasive ablation therapies like focused ultrasound therapy. MRT is prone to errors when applied in tissues with high fat content (e.g. breast tissue, fatty liver) due to heat-induced susceptibility changes. Therefore, there is a need for developing well characterized adipose tissue mimics that could serve as standards for validation of MRT techniques. In this study we showed that all measured adipose tissue mimics are representative of human adipose tissue with similar chemical spectra and thermal dependence of susceptibility shift and are reproducible standards for human adipose tissue validation MRI techniques.

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Spectrally selective spin-lock for fat-water imaging and simultaneous T1rho quantification
Weitian Chen1

1Imaging and Interventional Radiology, The Chinese University of Hong Kong, New Territory, Hong Kong

In conventional T1rho imaging, the fat signal is usually suppressed to avoid image artifacts and quantification errors. It is desirable to acquire both water and fat images for certain diseases. In this work, we present an approach to use spectrally selective spin-lock pulses to achieve T1rho quantification with simultaneous fat-water imaging. The theoretical analysis is provided with proof on numerical phantoms.  

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Fat Suppressed Highly Accelerated Dynamic Imaging utilizing View Sharing, Compressed Sensing and Parallel Imaging
Naoyuki Takei1, Kang Wang2, Lloyd Estkowski3, Ken Arai4, Mitsuhiro Bekku4, Hiroyuki Kabasawa1, and Ersin Bayram5

1Global MR Applications & Workflow, GE Healthcare, Hino, Tokyo, Japan, 2Global MR Applications & Workflow, GE Healthcare, Madison, WI, United States, 3Global MR Applications & Workflow, GE Healthcare, Menlo Park, CA, United States, 4MR Engineering, GE Healthcare, Hino, Tokyo, Japan, 5Global MR Applications & Workflow, GE Healthcare, Houston, TX, United States

DISCO (Differential Subsampling with Cartesian Ordering) is high spatial-temporal imaging technique with Dixon based fat suppression for 3D volumetric Abdominal imaging. We developed DISCO with frequency selective presaturation pulse for fat suppression (FatSAT) called FatSAT DISCO. The feasibility study explores the computational advantage of FatSAT DISCO in accelerating scan time with compressed sensing technique and demonstrated that it is a promising technique for achieving faster imaging for 4D dynamic MR imaging with robustness to image artifact and light computation demand for clinical use.

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Classification of White and Brown Adipose Tissue using a Support Vector Machine
Brandon Campbell1,2, Gregory Simchick1,2, Hang Yin3, and Qun Zhao1,2

1Physics and Astronomy, University of Georgia, Athens, GA, United States, 2Bio-Imaging Research Center, University of Georgia, Athens, GA, United States, 3Biochemistry and Molecular Biology, University of Georgia, Athens, GA, United States

Determining the volume and distribution of white adipose tissue (WAT) and brown adipose tissue (BAT) by magnetic resonance imaging (MRI) is clinically important. Previous WAT and BAT classification has relied on using fat fraction and proton relaxation time via fixed multi-peak spectroscopic models. However, the recently proposed Multi-Varying-Peak MR Spectroscopy (MVP-MRS) model allows for the selection of appropriate classification features for differentiation between WAT and BAT. Furthermore, these multi-peak features allow prediction of a ‘browning’ or ‘beigeing’ process of WAT by using a Support Vector Machine (SVM) learning algorithm. 

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Quantitative Liver Fat Measurements in Obese Adolescents: Comparison between using MR Spectroscopy and Chemical-shift Water-fat Fat-fraction Techniques
Steve Cheuk Ngai Hui1, David Ka Wai Yeung1, and Winnie Chiu Wing Chu1

1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, Hong Kong

Liver fat contents measured by magnetic resonance spectroscopy and chemical-shift water-fat separation imaging were compared in a group of obese adolescents. Distribution of fat in left and right liver lobes was also compared. Results demonstrated that fat contents obtained from both MR modalities were highly correlated and agreed to each other. In obese adolescents with non-alcoholic fatty liver disease, fat distribution was non-uniform between left and right lobes. This study supports the use of fat-fraction map to measure liver fat, which can shorten the scanning time by acquiring information about body adipose tissue and liver fat within a single sequence.   

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In-Vivo Fat Water Separation with Multiple-Acquisition bSSFP
Michael Anthony Mendoza1, Joseph Valentine2, and Neal Bangerter3

1Electrical Engineering, Brigham Young University, North Ogden, UT, United States, 2Electrical Engineering, Brigham Young University, provo, UT, United States, 3Electrical Engineering, Brigham Young University, Provo, UT, United States

In this work, we present a novel technique that combines the advantages of bSSFP with Dixon reconstruction in order to produce robust water fat decomposition with high SNR in a short imaging time, while simultaneously reducing banding artifacts that traditionally degrade image quality. 

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Water and fat separation using a Gauss-Newton Trust-Region based algorithm
Carlos Sing-Long1,2, Cristobal Arrieta3,4, Curtis N Wiens5, Diego Hernando5,6, and Sergio Uribe4,7

1Institute for Biological and Medical Engineering, Schools of Engineering, Medicine and Biological Sciences, Pontificia Universidad Catolica de Chile, Santiago, Chile, 2Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, 3Electrical Engeneering Department, Pontificia Universidad Catolica de Chile, Santiago, Chile, 4Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 5Radiology, University of Wisconsin, Madison, WI, United States, 6Medical Physics, University of Wisconsin, Madison, WI, United States, 7Radiology Department, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile

We propose an algorithm based on a Gauss-Newton Trust-Region algorithm that estimates the field map and water and fat concentrations in two steps for all pixels at once. The results are comparable to those obtained with the state-of-art methods.

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Using a general model or measuring the intramuscular lipid spectrum: impact  on the fat infiltration quantification in skeletal muscle
Noura Azzabou1,2, Harmen Reyngoudt1,2, and Pierre G. Carlier1,2

1NMR Laboratory, Institute of Myology, Paris, France, 2CEA, DRF, I²BM, MIRCen, Paris, France

The purpose of this work was to study the impact of fat model on the quantification of fatty infiltration in skeletal muscle. To this end, we acquired multi-echo 1H-NMRS from 23 subjects affected by an inflammatory myopathy and measured the lipid spectrum of each subject. We also acquired 3D gradient echo volumes at different TEs. Fat and water maps were reconstructed in two cases: (i) with a unique mean fat model (ii) with a fat model specific to each subject. The results of comparison showed a good agreement between both methods and the difference never exceeded 4%.

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How accurately can fat be quantified? A Bayesian View
Xiaoqi Wang1, Li Xu2, and Xiaoguang Cheng2

1Philips Healthcare, Beijing, People's Republic of China, 2Department of Radiology, Beijing Jishuitan Hospital

An error analysis was carried, under frame work of Bayesian probability theory, for fat quantification using multiple gradient echo sequences to separate water and fat content in MRI signal. The results confirm that this method is accurate when protocols are carefully designed; this analysis also provides guideline in designing parameter settings to achieve optimal accuracy in fat quantification measurements. 

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Accurate and reliable fat-water MRI breast density measurements
Jie Ding1, Patricia A Thompson2,3, Yi Gao4,5, Marilyn T Marron6, Betsy C Wertheim6, Maria I Altbach6,7, Jean-Philippe Galons6,7, Denise J Roe6,8, Fang Wang9, Gertraud Maskarinec10, Cynthia A Thomson6, Alison Stopeck3,11, and Chuan Huang1,5,12,13

1Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 2Pathology, Stony Brook Medicine, Stony Brook, NY, United States, 3Cancer Center, Stony Brook Medicine, Stony Brook, NY, United States, 4Biomedical Informatics, Stony Brook Medicine, Stony Brook, NY, United States, 5Computer Science, Stony Brook University, Stony Brook, NY, United States, 6Cancer Center, University of Arizona, Tucson, AZ, United States, 7Medical Imaging, University of Arizona, Tucson, AZ, United States, 8Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, United States, 9Stony Brook Medicine, Stony Brook, NY, United States, 10Cancer Center, University of Hawaii at Manoa, Honolulu, HI, United States, 11Hematology and Oncology, Stony Brook Medicine, Stony Brook, NY, United States, 12Radiology, Stony Brook Medicine, Stony Brook, NY, United States, 13Psychiatry, Stony Brook Medicine, Stony Brook, NY, United States

Breast density (BD) is a risk factor for breast cancer, which makes the accurate measurement of BD a priority. Mammography is most widely used for BD determination (MG-BD) but ionizing radiation prohibits its use. BD derived from fat-water decomposition MRI (FWMRI-BD) has been proposed. Here we developed an optimized FWMRI-BD measurement (FraG+W) and compared it to MG-BD and a previous FWMRI-BD measurement (Fra80/90). Both FWMRI-BD measures were strongly correlated with MG-BD and exhibited superior test-retest reliability. The proposed automated FraG+W, which quantifies the entire fibroglandular and water content of the breast, is more accurate and reliable than the previous Fra80/90. 

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A new Phase Unwrapping Method Based on Wraps Identification and Local Surface Fitting for Water-Fat Separation
Junying Cheng1,2, Yingjie Mei2,3, Biaoshui Liu2, Xiaoyun Liu1, Wufan Chen1,2, and Yanqiu Feng2

1School of Automation Engineering, University of Electronic Science and Technology of China, Chengdu, People's Republic of China, 2School of Biomedical Engineering and Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, People's Republic of China, 3Philips Healthcare, Guangzhou, People's Republic of China

The phase information is widely used, for example water-fat separation, susceptibility imaging, etc.   The phase-unwrapping methods are generally needed to estimate the underlying true phase from the principal period (-π, π]. While current phase-unwrapping methods are affected by noise, rapid phase change and disconnected regions. This paper presents an algorithm combined a wrapping identification scheme by thresholding the difference map between the local variations between phasor and wrapped phase, with the local polynominal surface fitting to merge the disconnected components and estimate the phase value of residual pixels in quality guidance region-growing way.  The results demonstrate the proposed method provides an accurate and reliable unwrapped results and has potential application to phase-related MRI in practice.

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Noise Properties of Proton Density Fat Fraction Estimated using Chemical Shift Encoded MRI
Nathan T Roberts1,2, Diego Hernando1,3, James H Holmes1, Curtis N Wiens1, and Scott B Reeder1,3,4,5,6

1Radiology, University of Wisconsin - Madison, Madison, WI, United States, 2Electrical & Computer Engineering, University of Wisconsin - Madison, Madison, WI, United States, 3Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 4Medicine, University of Wisconsin - Madison, Madison, WI, United States, 5Emergency Medicine, University of Wisconsin - Madison, Madison, WI, United States, 6Biomedical Engineering, University of Wisconsin - Madison, Madison, WI, United States

The purpose of this work was to characterize the noise distribution of proton density fat fraction estimation and provide alternatives to averaging for unbiased estimation.  Monte-Carlo simulations and phantom experiments were used to validate the theoretically derived noise distribution. Results demonstrated that at low SNR, median and Nelder-Mead fitting algorithm estimators have reduced bias compared to the mean estimator.

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Muscular fat fraction using high-resolution imaging – comparison of three T2-based methods and chemical shift-encoded imaging
Lena Trinh1, Pernilla Peterson1, Emelie Lind1, Lars E Olsson1, and Sven Månsson1

1Medical Radiation Physics, Department of Translational Medicine, Lund University, Skåne University Hospital, Malmö, Sweden

The most common method for fat-water separation nowadays is chemical shift-encoded imaging (CSEI). However, when studying fat accumulation in skeletal muscles and high spatial resolution fat fraction (FF) images are desired, CSEI might be challenging due to the increased inter-echo spacing. Here, three alternative methods based on T2-relaxation times, have been explored and compared to CSEI by calculating the muscular fat fraction of ten healthy volunteers. All T2-based methods resulted in qualitatively improved high-resolution FF images compared to CSEI, while a 2-parameter non-linear least square fit showed best quantitative agreement to low resolution CSEI.

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Improving the Noise Propagation Behavior of Different Fatty Acid Quantification Techniques using Spectral Denoising
Manuel Schneider1, Felix Lugauer1, Dominik Nickel2, Brian M Dale3, Berthold Kiefer2, Andreas Maier1, and Mustafa R Bashir4,5

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2MR Applications Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany, 3MR R&D Collaborations, Siemens Healthcare, Cary, NC, United States, 4Radiology, Duke University Medical Center, Durham, NC, United States, 5Center for Advanced Magnetic Resonance Development, Duke University Medical Center, Durham, NC, United States

MRI is not only capable of quantifying the fat content, but also the fatty acid composition of human adipose tissue. Especially for low fat fractions, fatty acid quantification is sensitive to image noise. Including prior information or additional parameter approximations into the quantification method helped to improve the noise propagation behavior, but also introduced a systematic bias. Performing spectral denoising in between image reconstruction and fatty acid quantification kept the systematic bias as well as the noise in the parameter maps low, and hence allows for more flexible protocol selection and shorter acquisition times.

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Hydration imaging of skeletal muscle tissue based on fat referenced water-fat separated MRI
Thobias Romu1,2, Patrik Tunón3, Fredrik Uhlin 4,5,6, Micael Gylling4, Mårten Segelmark4,6, Anders Fernström4,6, and Olof Dahlqvist Leinhard2,6

1Department of Biomedical Engineering, Linköping University, Linköping, Sweden, 2Center for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden, 3Advanced MR Analytics AB, Linköping, Sweden, 4Department of Nephrology, Region Östergötland, Sweden, 5Biomedical Engineering, Tallinn University of Technology, Estonia, 6Department of Medical and Health Sciences, Linköping University, Sweden

This work introduces a signal model for imaging of the local hydration of lean tissue, based on water-fat separated MRI. The signal model is calibrated on a healthy cohort and then evaluated on a cohort of hemodialysis patients.

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Flexible spin echo triple echo Dixon (flexible STED) for fat suppressed T1-weighted imaging
Jong Bum Son1, Colleen Costelloe1, Ken-Pin Hwang1, Tao Zhang2, Ersin Bayram2, John Hazle1, and Jingfei Ma1

1The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 2GE Healthcare, WI, United States

The conventional spin-echo (SE) sequence produces the best available T1-contrast and is often used for imaging of brain, head and neck, and spine. Unfortunately, the inclusion of fat suppression pulses in an SE acquisition substantially reduces the number of slices per TR and therefore the overall scan efficiency.  In this work, we developed a flexible spin-echo triple-echo Dixon (flexible STED) technique that enables SE Dixon imaging with high efficiency. The feasibility of the technique is demonstrated with in vivo post-contrast fat-suppressed T1-weighted imaging of spine.

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MRI Quantification of Liver Proton Density Fat Fraction during Free Breathing using a Motion-Insensitive Single-Shot 2D Technique
B. Dustin Pooler1, Jeannine A. Ruby1, Diego Hernando1, Ann Shimakawa2, and Scott B. Reeder1

1University of Wisconsin, Madison, WI, United States, 2GE Healthcare, Waukesha, WI, United States

Chemical shift encoded (CSE-MRI) techniques have been previously validated for the measurement of liver proton density fat fraction (PDFF), which serves as a biomarker for liver fat content.  However, current CSE-MRI techniques rely upon 3D volumetric or 2D interleaved acquisitions, both of which are sensitive to motion and require the patient to suspend respiration.  In this study, we demonstrate the feasibility of a "single shot" 2D sequential CSE-MRI technique to freeze motion. 2D sequential CSE-MRI demonstrates superior performance during free breathing when compared to 3D and 2D interleaved acquisitions.

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Measurement of spleen fat on MRI-proton density fat fraction arises from reconstruction of noise
Cheng William Hong1, Gavin Hamilton1, Catherine Hooker1, Charlie C Park1, Calvin Andrew Tran1, Jeffrey Schwimmer2, Scott B Reeder3, and Claude B Sirlin1

1Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, CA, United States, 2Department of Pediatrics, Division of Pediatric Gastroenterology, Rady Children's Hospital, San Diego, CA, United States, 3Departments of Radiology, Medical Physics, Biomedical Engineering, Medicine, and Emergency Medicine, University of Wisconsin, Madison, Madison, WI, United States

Non-zero proton density fat fraction (PDFF) is commonly observed in the spleen on chemical-shift-encoded MRI. A prospective assessment in 42 research subjects with no visible fat peaks on MR spectroscopy demonstrated small amounts of splenic fat (PDFF up to 4%) using four different MRI-based fat fraction estimation techniques. These measurements were poorly correlated with each other, implying that fat measurements in spleen are likely artifactual rather than representing true splenic fat.

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Comparison of MRI techniques for hepatic fat and iron quantification in the UK Biobank study
Chloe Hutton1, Michael Gyngell1, Matteo Milanesi1, and Michael Brady1

1Perspectum Diagnostics, Oxford, United Kingdom

We compared standard Dixon and T2* relaxometry with “IDEAL” for measuring liver proton density fat fraction (PDFF) and T2*, surrogate metrics for steatosis and iron burden respectively. Results in 118 UK Biobank study participants showed very good correlation between the two methods. Dixon PDFFs were consistently lower than IDEAL PDFFs, explained by the 20° flip angle used for Dixon, introducing a T1 bias and deviation from true PDFF values. Results also showed improved image quality for IDEAL, highlighting the strength of this technique to serve as a reliable and simultaneous biomarker of liver fat and iron overload.  

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Quantitative Cardiac B0, Fat Fraction, and R2* Mapping using Pre-Channel-Combination Phase Processing
Zahra Hosseini1,2, Junmin Liu2, and Maria Drangova1,2,3

1Biomedical Engineering Graduate Program, University of Western Ontario, London, ON, Canada, 2Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada, 3Department of Medical Biophysics, University of Western Ontario, London, ON, Canada

Multi-echo gradient echo MR imaging enables the generation of quantitative B0, fat fraction and R2* maps, from which tissue can be characterized. When applied to cardiac imaging these methods face the challenge presented due to the large susceptibility differences between lung and heart. We present a novel post-processing pipeline for multi-echo GRE phase images that processes the phase data prior to channel combination to enable generation of robust quantitative cardiac maps enabling accurate tissue visualization and characterization.

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Biased Fuzzy C means based intensity inhomogeneity correction for segmentation of abdominal fat in DIXON MR Images
Krishna Kanth Chitta1, Bhanu Prakash KN1, Suresh Sadananthan2, and Sendhil Velan S1

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Singapore Institute for Clinical Sciences, Singapore

Uniform distribution of intensity values for a given tissue type is desirable for accurate segmentation and quantification.  Factors like non-uniform static magnetic field, motion artifacts, and inconsistent RF coil sensitivity introduce intensity inhomogeneity during MR image acquisition.   Several methods for intensity inhomogeneity correction are proposed in the literature. We explored the suitability of Biased fuzzy C-means (BFCM) correction for quantification of abdominal fat from Dixon images.  In our study we formulated a new 2-pass, 2D (intra-slice and inter-slice) BFCM framework for improved segmentation and quantification of abdominal fat.


Electronic Poster

The Many Faces of High Strength

Exhibition Hall Wednesday 17:15 - 18:15

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Cartesian MR Fingerprinting at 7T for Rapid Quantification of Relaxation Times in the Eye
Kirsten Koolstra1, Jan-Willem Beenakker1, Peter Koken2, Thomas Amthor2, Andrew Webb1, and Peter Börnert2

1Leiden University Medical Center, Leiden, Netherlands, 2Philips Research Hamburg, Germany

MR imaging of the eye requires a sequence of scans with different contrast to provide the necessary information on ocular conditions. In this study we apply Cartesian MR fingerprinting in the eye at 7T to add quantitative information to the standard clinical protocol, with the final goal of advancing disease diagnosis. 

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RF slice shimming at 7T with power control on a commercial 8-channel transmit coil
Christopher J. Mirfin1, Stephen Bawden1, Paul Glover1, Penny A. Gowland1, and Richard Bowtell1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

We investigate the performance that can be achieved by applying volume and slice shimming on the commonly-used Nova 8-channel transmit/32-channel receive head coil, whilst controlling the total transmit power, as a proxy for global SAR. Under this constraint, our results suggest that shimming on individual axial slices can significantly improve the achievable B1 field uniformity (39.0% ± 3.9%) for the same transmit power as normal quadrature mode.

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Resolution Enhancement in Ultra-High Field 3D Echo-Planar Imaging Using a Planes-on-a-Paddlewheel with Asymmetric Readout Train (POP-ART) Trajectory
Daniel Stäb1 and Markus Barth1

1The Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia

3D planes-on-a-paddlewheel (POP) EPI is a non-Cartesian readout scheme realized by rotating EPI readout planes about the phase encoding axis. We show that the additional use of echo-asymmetry allows for significant improvements in spatial resolution without negative effects on echo-time, dropouts and distortions. The concept called POP-ART was evaluated at 7T. Whole brain images were obtained at a spatial resolution of 0.78x0.78x1.0mm3 within less than 1 minute by using an echo-asymmetry of only 28%. Being faster spoiled gradient-echo and providing resolutions not achievable by corresponding Cartesian EPI techniques, the trajectory is of interest for T2* weighted or quantitative susceptibility imaging.

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Quantitative measurements of perivascular spaces at 7T, using a semi-automatic tracking method
JM Spijkerman1, HJ Kuijf2, WH Bouvy3, MI Geerlings4, J Hendrikse1, PR Luijten1, and JJM Zwanenburg1

1Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 3Brain Center Rudolf Magnus, Department of Neurology, University Medical Center Utrecht, Utrecht, Netherlands, 4Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands

Currently, perivascular spaces (PVS) are mostly investigated with qualitative measures. In this work, PVS in the centrum semiovale were tracked using a semi-automatic method, and PVS length and tortuosity were determined. Univariate and multivariate linear regression was performed for age, number of tracked PVS, PVS length, and PVS tortuosity. The results show that quantitative assessment of PVS beyond counting is feasible, and a significant positive association between PVS length and the number of tracked PVS was found. These quantitative measurements may be more suitable than qualitative methods to investigate PVS. 

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T1 Mapping of NIST Phantom at 7T
Yi-Fen Yen1, Kathryn E. Keenan2, Karl F. Stupic2, Andre van der Kouwe1, and Jonathan R. Polimeni1,3,4

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Physical Measurement Laboratory, National Institute of Standards and Technology (NIST), Boulder, CO, United States, 3Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 4Department of Radiology, Harvard Medical School, Boston, MA, United States

We are reporting quantitative T1 values of the NIST T1 phantom at 7T for the first time by using IR-SE method. We also compared the accuracy of T1 mapping by using MP2RAGE and variable flip angle (VFA) methods against the IR-SE T1s at 7T and found MP2RAGE gave more accurate T1 measure than VFA, for T1 of 300 ms to 2000ms (the range of brain T1). Although the accuracy of MP2RAGE at 7T was not as good as that at 3T (also shown), MP2RAGE is a promising technique for accurate brain T1 mapping at 7T within a clinically acceptable scan time. 

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Shuffled Magnetization Prepared Multi-contrast Rapid Gradient Echo Imaging at 7T
Peng Cao1, Shuyu Tang1, Xucheng Zhu1, Andrew Leynes1, Angela Jakary1, and Peder Larson1

11Department of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States

In this study, we aimed to explore accelerated acquisition of multi-contrast 3D images with different magnetization preparation times. We combined shuffled acquisition in k-space, parallel imaging, compressed sensing and pixel-wise low rank Hankel matrix reconstruction, achieving reconstruction of tens of multi-contrast 3D images from three 3-minute scans.  

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An in vivo analysis of cerebral cortex organization using a new partial volume method applied to 7T MP2RAGE
Guillaume Bonnier1, Kieran O'Brien2,3, Pascal Sati4, Mario Joao Fartaria5, Jon R Polimeni1, Alexis Roche5,6, Daniel S Reich4, Gunnar Krueger7, and Cristina Granziera1,8

1MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2Center for Advanced Imaging, University of Queensland, Brisbane, Australia, 3Siemens Healthcare Pty Ltd, Brisbane, Australia, 4Translational Neuroradiology Unit, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, United States, 5Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 6Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 7Siemens Medical Solutions USA, Inc., Malvern, MA, United States, 8Neuroimmunology Unit, Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland

We performed an analysis of the cortex organization of 10 healthy subjects using partial volume information. Tissue concentration were estimated using a novel algorithm applied to 7T MP2RAGE high resolution images (0.75mm), and ultra high resolution (0.35mm). We identified 3 distinct layers characterized by presence of WM-like signal (inner layer), only GM (central layer) and GM/CSF partial volume (outer layer).

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Slice-wise first-order shimming of the human spinal cord at 7T
S. Johanna Vannesjo1, Yuhang Shi1, Irene Tracey1, Karla L. Miller1, and Stuart Clare1

1FMRIB centre, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

Spinal cord imaging would benefit from the SNR increase at ultra-high field, to depict small structures inside the cord. However, higher background field strengths also increase susceptibility-induced B0 field distortions, causing image distortions and signal dropouts. To improve field homogeneity, we here implement slice-wise first-order shimming in the cervical spinal cord at 7T. The slice-wise shim settings were calculated based on a B0 field map and a semi-automatically generated spinal cord mask. We demonstrate that the slice-wise shims can improve signal levels in a high-resolution anatomical multi-echo GRE sequence.

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Gradient Moment Dependent T2 Accuracy in FISP Magnetic Resonance Fingerprinting (MRF) at 7T
Christian Anderson1, Charlie Wang1, Yuning Gu1, Yun Jiang1, Dan Ma2, Mark Griswold1,2, Xin Yu1,2,3, and Chris Flask1,2,4

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, United States, 3Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, United States, 4Pediatrics, University Hospitals Cleveland Medical Center, Cleveland, OH, United States

Magnetic Resonance Fingerprinting allows for rapid, simultaneous multi-parametric quantification. The use of a FISP imaging kernel is necessary due to field inhomogeneity in human body and preclinical imaging. We have observed that increases in the applied gradient moment lead to gradient moment size dependent changes in T2 accuracy. By examining different applied gradient moments we illustrate this loss of T2 accuracy while T1 measurement accuracy is maintained. This has implications for FISP MRF design and the implementation of unbalanced gradient moments for quantification.

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Test-Retest Evaluation Spontaneous FMRI Signal: HCP 7T Reliability
Xi-Nian Zuo1, Yin-Shan Wang1, Dan-Yang Sui1, and Xiu-Xia Xing2

1Chinese Academy of Sciences, Beijing, People's Republic of China, 2Beijing University of Technology, Beijing, People's Republic of China

We employed the test-retest HCP datasets scanned at both 3T and 7T scanners from a same group of 62 healthy adults to compare differences in common functional metrics of the human connectome between 3T and 7T rfMRI settings in terms of their regional variations, individual variability and test-retest reliability. Our findings revealed metric-specific differences in both spatial patterns and reliability between 3T and 7T scanners whereas 7T improves reliability of global metrics but reduces reliability of local metrics of the functional connectomes.

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An SNR analysis of DENSE at 7T vs 3T for the measurement of whole brain tissue pulsatility
Ayodeji L Adams1, Peter R Luijten1, and Jaco J.M Zwanenburg1

1Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands

Cardiac induced brain tissue pulsatility holds potential as a means to study the viscoelastic properties of the aging brain. In this study we measured the brain tissue motion in 8 healthy volunteers with DENSE at both 7T and 3T, and assessed the gain in SNR between field strengths. 4D SNR maps for both field strengths were made and examined with a robust histogram analysis. The mean SNR for all volunteers at 7T and 3T was 21.2 ± 6.3 and 7.1 ± 2.5  respectively. The higher SNR at 7T will likely yield greater accuracy in quantifying brain tissue pulsatility.

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Fluid and white matter suppression (FLAWS) with MP2RAGE sequence at 7T.
Yuta Urushibata1, Hideto Kuribayashi1, Junko Inoue1, Tobias Kober2,3,4, John Grinstead5, and Tomohisa Okada6

1Siemens Healthcare K.K., Tokyo, Japan, 2Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 3Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 4LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 5Siemens Medical Solutions, Inc., United States, 6Kyoto University, Kyoto, Japan

Fluid and white matter suppression (FLAWS) is a technique to suppress cerebrospinal fluid (CSF) and white matter (WM) using the MP2RAGE sequence, which has been introduced for 3T.  In this study, FLAWS was applied at 7T and compared to a SPACE double inversion recovery (DIR).  Inversion times of the sequences were optimized for volunteer brain images at 7T.  FLAWS showed better suppression of CSF and WM, more homogeneous gray matter (GM) delineation, as well as better GM/WM contrast compared with DIR.

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High resolution PET insert for high field preclinical MRI: evaluation of single ring system using 7T field strength
Willy Gsell1, Uwe Himmelreich1, Cindy Casteels2, Christophe M. Deroose2, Antonio J. Gonzalez3, Albert Aguilar3, Carlos Correcher4, Emilio Gimenez4, Cesar Molinos4, Ramiro Polo4, Thorsten Greeb5, Ralph Wissmann5, Sven Junge5, and Jose M. Benlloch3

1Biomedical MRI, Department of Imaging and Pathology, KU Leuven, Leuven, Belgium, 2Nuclear Medicine, Department of Imaging and Pathology, KU Leuven, Leuven, Belgium, 3i3M, Valencia, Spain, 4Oncovision, Valencia, Spain, 5Bruker Biospin, Ettlingen, Germany

We designed a novel PET insert based on monolithic LYSO crystals. From our first evaluation, we can conclude that sub-millimeter detector spatial resolution, combined with accurate photon DOI determination, make it possible to acquire high resolution reconstructed images. This enables us now to combine simultaneously high resolution and sensitivity PET with high field preclinical MRI to extract simultaneously complex data from anatomical to molecular information and to dynamically follow non-invasively animal models of different pathologies with no compromise in performance of each imaging modality.

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Pseudo-SSFP magnetic resonance fingerprinting (MRF) at 9.4T
Jinhyeok Choi1 and Hyeonjin Kim1,2

1Department of Biomedical Sciences, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul National University Hospital, Seoul, Korea, Republic of

A balanced steady-state-free-precession (bSSFP) sequence may be preferred in magnetic resonance fingerprinting (MRF) for its high SNR. However, as demonstrated recently at 3.0T, the echo formation in bSSFP is hindered by randomly varying flip-angles in a B0-dependent manner, and yet, the destroyed spin-echo-like signal behavior can be restored by tailoring sequence timings according to varying flip-angles such that the spin ensemble is driven into a pseudo-steady-state. Given more severe B0-inhomogeneity at high-field, we explored the efficacy of the pseudo-steady-state-free-precession (pSSFP) sequence in MRF (pSSFP-MRF) at 9.4T. Our results suggest that pSSFP-MRF has great potential for single-scan multiparameter mapping at high-field.

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High Resolution Pseudo Continuous Arterial Spin Labeling (pCASL) of mouse brain at 9.4 Tesla
Sankar Seramani1, Lydiane Hirschler2, Emmaneul Luc Barbier2, and Kuan Jin Lee1

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Université Grenoble Alpes, Grenoble Institut des Neurosciences, Grenoble, France

The objective of this study was to show the feasibility of performing ASL based high resolution perfusion imaging in the mouse brain at 9.4 Tesla. In this work we applied   pCASL with phase optimization technique at the labeling plane to minimize the effect of B0 inhomogenity . We used fcFLASH based technique to measure the labeling efficiency of pCASL sequence and compared the labeling efficiency with FAIR ASL in mouse brain. Based on our results, with the proposed method of phase optimization, labelling slice can be place away from the iso-center of the magnet. This will allow us to place the imaging slice at the isocenter, which has showed significant improvement in the image quality of the mouse brain at ultra-high field strengths.

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Comparison of pCASL and FAIR for measuring Renal Blood Flow (RBF) of mouse kidney at 9.4T
Sankar Seramani1, Lydiane Hirschler2, Boominathan Ramasamy1, Sakthivel Sekar1, Kishore Bhakoo1, Emmanuel Luc Barbier2, and Kuan Jin Lee1

1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Université Grenoble Alpes, Grenoble Institut des Neurosciences, Grenoble, France

Arterial Spin Labeling (ASL) is a non-invasive MRI technique which can be used to measure quantitative renal perfusion without the injection of contrast agents. The goal of this study is to compare the performance of pCASL with FAIR in measuring Renal Blood Flow in mouse kidney at Ultra High Field (UHF) MR. Based on our experimental results, pCASL based perfusion measurement shows similar reproducibility when compared to FAIR method. pCASL shows better SNR sensitivity and lower in ROI variation of RBF in the kidney when compared to FAIR based ASL method at 9.4 Tesla.

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Spatial Resolution Analysis Comparing Density-Adapted and Conventional Projection Reconstruction in Chlorine-35 MRI at 9.4 T
Ruomin Hu1, Matthias Malzacher1, Mathias Davids1, Andreas Neubauer1, Simon Konstandin2, and Lothar R. Schad1

1Computer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany, 2MR-Imaging and Spectroscopy, Universty of Bremen, Bremen, Germany

35Cl MRI has been of interest for both human and animal in vivo applications to visualise chloride homeostatic changes. In this study we performed measurements of resolution phantoms at an isotropic resolution of 0.490 and 0.326 mm using scanner-equipped ultrashort echo time 3D (UTE3D) and newly implemented density-adapted 3D projection reconstruction (DA-3DPR) sequences with subsequent spatial resolution analysis. DA-3DPR images with visibly higher SNR are capable of resolving both gross and fine structures with more reliable signal distributions and more consistent rendition of structure shapes. Moreover, penalty-free radial oversampling leads to more extended artefact-free regions, allowing for smaller FOVs and reduced measurement times.

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Initial implementation of magnetic resonance fingerprinting on a preclinical 14.1 T scanner
Yasuhiko Terada1

1University of Tsukuba, Tsukuba, Japan

Magnetic resonance fingerprinting (MRF) is a technique that enables simultaneous quantification of tissue parameters in a single scan. So far, MRF has been realized mostly for clinical 1.5 T and 3 T scanners, and a preclinical 7 T scanner. Application to a higher field scanner is limited and challenging because of the increased sensitivity to system hardware imperfections, such as B0 and B1 inhomogeneities and slice-profile imperfection. In this study, we assessed the feasibility of the MRF approach in a preclinical, wide-bore 14.1 T system.

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Robust Bias Correction and Segmentation of 7 Tesla Structural Brain Images with an iterative Bias-Corrected Fuzzy C-means and N4 Bias Correction (iBCFCM+N4)
Andrew Palmera Leynes1, Melanie Morrison1, Angela Jakary1, Peder Larson1, and Janine Lupo1

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

To introduce and evaluate a novel strategy for iterative combination of bias-corrected fuzzy c-means (BCFCM) and N4 bias correction for robust bias correction and segmentation in 7 Tesla brain imaging studies.

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Cost-effectiveness analysis of mascara for eye-blink detection in ultra-high field MRI
Joep Wezel1 and Jan-Willem M. Beenakker2

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Ophthalmology, Leiden University Medical Center, Leiden, Netherlands

Mascara has been proposed as a simple approach to correct for eye-motion artefacts via detection of induced B0 changes when blinking. In this study we measure the B0 changes from 10 different types of mascara. We can differentiate three different categories of mascara, in which in violation of Murphy’s law the cheapest brands result in the strongest B0 field changes.

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Quantitative Evaluation of Micro-vessel Blood Flow in Subcortical Nuclei with High-resolution TOF-MRA at 7T
Xianchang Zhang1,2, Qi Yang3,4, Qingle Kong1,2, Zhaoyang Fan3, Jing An5, Rong Xue1,2,6, and Zihao Zhang1

1State Key Laboratory of Brain and Cognitive Science, Beijing MR Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, People's Republic of China, 2University of Chinese Academy of Sciences, Beijing, People's Republic of China, 3Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Xuanwu Hospital, Beijing, People's Republic of China, 5Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, People's Republic of China, 6Beijing Institute for Brain Disorders, Beijing, People's Republic of China

TOF-MRA at 7T ultra-high field has been proven to have advantages in imaging the perforating arteries originating from the middle cerebral artery. In this study, a novel method of VOI-based micro-vessel density measurement was developed to quantitatively assess the blood flow in subcortical nuclei. Using this technique, the vascular density (VD) of specific basal ganglia sub-regions can be evaluated. Preliminary results showed that VD values of specific nuclei were different among Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalophy (CADASIL) patients, stroke patients, and healthy volunteers. VOI-based micro-vessel density measurement may be useful in differentiating the etiology of cerebral small vessel diseases.

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3D FLAIR at 7T using Direct Signal Control
Arian Beqiri1, Hans Hoogduin2, Alessandro Sbrizzi2, Joseph V Hajnal1,3, and Shaihan J Malik1

1Biomedical Engineering and imaging Sciences, King's College London, London, United Kingdom, 2Image Sciences Institute, University Medical Centre Utrecht, Utrecht, Netherlands, 3Centre for the Developing Brain, King's College London, London, United Kingdom

3D-FLAIR imaging at 7T using a 3D Turbo Spin Echo (TSE) readout is a useful tool for assessment of neurological disorders. The method does however suffer from variation in signal homogeneity due to B1+ inhomogeneities making whole-brain coverage difficult.

In this work, image uniformity is improved by using Direct Signal Control (DSC). The DSC method uses predictions of echo amplitudes to compute optimized RF shims that vary on a pulse by pulse basis throughout the echo train with the aim of homogenising signal properties. Low signal in the centre of the brain and cerebellum is effectively recovered in multiple subjects.


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Quantitative CEST MRI using Image Downsampling Expedited Adaptive Least-squares (IDEAL) fitting
Iris Yuwen Zhou1, Enfeng Wang2, Jerry S Cheung1, Xiaoan Zhang2, Giulia Fulci3, and Phillip Zhe Sun1

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States, 2Zhengzhou University, 3Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States

CEST MRI is sensitive to dilute metabolites with exchangeable protons, allowing tissue characterization in diseases such as acute stroke and tumor. CEST quantification using multi-Lorentzian fitting is challenging due to its strong dependence on image SNR, initial values and boundaries. Here we proposed an Image Downsampling Expedited Adaptive Least-squares (IDEAL) fitting algorithm that quantifies CEST images based on initial values from multi-Lorentzian fitting of iteratively less downsampled images. The IDEAL fitting provides smaller coefficient of variation and higher contrast-to-noise ratio at a faster fitting speed compared to conventional fitting. It revealed pronounced CEST contrasts in tumors which were not found using conventional method. The proposed method can be generalized to quantify MRI data where SNR is suboptimal.

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Adaptive combine reconstruction of sodium MRI data of breast and knee at 7 T: optimization and comparison to sum-of-square reconstruction.
Lenka Minarikova1,2, Stefan Zbyn1,2,3, Olgica Zaric1,2, Stephan Gruber1,2, Armin Nagel4,5, and Siegfried Trattnig1,2

1High Field MR Centre, Department of Medical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 4Institute of Radiology, University Hospital Erlangen, Erlangen, Germany, 5Division of Medical Physics in Radiology, German Cancer Research Centre (DKFZ), Heidelberg, Germany

In this work, adaptive combine (AC) reconstruction was optimized on breast and knee sodium MRI data, acquired with a 14-channel breast and a 15-channel knee coils. AC reconstruction was compared with the standard sum-of-square (SoS) reconstruction. The optimal reconstruction parameters were: the lowest interpolation factor of two and an overlap of the analysis block of two to eight pixels. Images reconstructed using the AC had lower noise floor when compared to the SoS. However, when a multichannel coil with low noise correlation between elements is used, the advantage of AC reconstruction decreases.


Electronic Poster

Acquisition & Artifacts

Exhibition Hall Thursday 8:15 - 9:15

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High-Resolution fMRI of the visual system at 3T using Zoomed Excitation via Tx-SENSE
R. Allen Waggoner1, Kenichi Ueno2, Josef Pfeuffer3, Keiji Tanaka1, and Kang Cheng1,2

1Laboratory for Cognitive Brain Mapping, RIKEN - BSI, Wako-shi, Japan, 2Support Unit for Functional Magnetic Resonance Imaging, RIKEN - BSI, Wako-shi, Japan, 3Application Development, Siemens Healthcare, Erlangen, Germany

Zoomed EPI with a transmit SENSE excitation was used to perform high-resolution fMRI of the human visual cortex at 3T. Tx acceleration was used to reduce the minimum TE by 6ms. BOLD responses were detected in the visual cortex with sub-millimeter in-plane resolution. A monocular stimulation paradigm was employed, and voxels displaying a left or right eye preference were detected, but ocular dominance columns were not apparent. These results show that using transmit SENSE at 3T with a 2-channel pTx system for high-resolution fMRI is possible, but would benefit from further steps to improve tSNR.

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Functional MRI of the auditory cortex: maintaining the steady-state in EPI for silent inter-volume delays with different durations
Manoj Shrestha1, H. Sean Lee1,2, Ulrike Nöth1, and Ralf Deichmann1

1Brain Imaging Center (BIC), Goethe University Frankfurt, Frankfurt am Main, Germany, 2Max Planck Institute for Empirical Aesthetics, Frankfurt am Main, Germany

An fMRI sequence for studying the auditory cortex is proposed, allowing for the insertion of silent delays of variable duration between EPI volumes during which auditory stimuli may be presented. Signal steady state conditions are maintained via spin saturation at fixed time points before each EPI volume. The method was successfully tested in vivo, yielding reliable activation of the primary auditory cortex. Results also show that high saturation efficiency is required to avoid erroneous activation patterns in compartments with long T1 such as cerebrospinal fluid.

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Identification of BOLD and non-BOLD components using Multi-Echo ICA analysis: is native space better than MNI space?
Jed Wingrove1, Owen O'Daly1, and Fernando Zelaya1

1Centre for Neuroimaging Sciences, IoPPN, King's College London, London, United Kingdom

This work looks to see the effects of analysing and de-noising resting state functional data in the native space in comparison to the conventional methodology which utilises the normalistaion, by voxel interpolation and re-sampling, of images to a standard space. We sought to investigate these effects in rs-fMRI data collected in healthy volunteers and analysed with multi-echo ICA de-noising and seed based connectivity.

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Dynamic functional connectivity using multi-band multi-echo EPI (M2-EPI) imaging for resting-state fMRI
Junjie Wu1, Shiyang Chen2, Ganesh Chand3, Kyle Pate1, Amit Saindane1, and Deqiang Qiu1

1Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States, 2Department of Biomedical Engineering, Georgia Institute of Technology & Emory University School of Medicine, Atlanta, GA, United States, 3Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States

In this abstract, we evaluated dynamic functional connectivity (FC) using multi-band multi-echo EPI (M2-EPI) resting-state data, which has higher temporal resolution, less susceptibility related signal dropouts and better signal-to-noise ratio. Dynamic FC and its states can be observed using M2-EPI data. Reduced temporal variation in dynamic FC was found using M2-EPI data acquisition as compared to conventional single-shot EPI imaging. The use of M2-EPI BOLD imaging may help to better delineate the structure of resting-state functional networks.

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High resolution resting-state functional MRI at 7 Tesla using RF parallel transmission
Xiaoping Wu1, Edward J. Auerbach1, An T. Vu2, Steen Moeller1, Keith Jamison1, Sebastian Schmitter1,3, Pierre-Francois Van de Moortele1, Essa Yacoub1, and Kamil Ugurbil1

1Radiology, University of Minnesota, Minneapolis, MN, United States, 2Center for Imaging of Neurodegenerative Diseases, VA Healthcare System, San Francisco, CA, United States, 3Physikalisch-Technische Bundesanstalt, Berlin, Germany

A major component of the Human Connectome Project (HCP) in the WU-Minn consortium is multiband-accelerated whole-brain resting-state functional MRI (rfMRI) at both 3T and 7T. Although providing better contrast and higher spatial resolutions, the 7T acquisition is compromised by RF nonuniformity. Here, we demonstrate the utility of RF parallel transmission (pTx) for 7T HCP-type rfMRI with 1.6-mm isotropic resolutions. Our results show that pTx can significantly enhance temporal SNR across the entire cortical surfaces and in many subcortical voxels relative to a CP-like-mode RF shimming mimicking single-transmit configurations, thereby holding great potential for acquiring high-quality, high-resolution and high-efficiency rfMRI data.

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Quantitative assessment of cerebral venous oxygenation in mouse using T2-Relaxation-Under-Spin-Tagging (TRUST) MRI at 11.7T
Zhiliang Wei1, Jiadi Xu1, Peiying Liu1, Lin Chen1, Wenbo Li1, Peter van Zijl1, and Hanzhang Lu1

1Department of Radiology, The Johns Hopkins University, Baltimore, MD, United States

Venous oxygenation level reflects the cerebral metabolic rate of oxygen and its measurement facilitates studies of animal models of diseases. We developed a non-invasive and non-contrast-agent method based on T2-Relaxation-Under-Spin-Tagging (TRUST) to quantify cerebral venous oxygenation in mice at 11.7T. A series of studies were performed to optimize key imaging parameters. This method may prove useful in studies of brain physiology and pathophysiology in animal models.

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Susceptibility Artifact Correction for DBS-fMRI using a PSF Mapping-based Reversed Gradient Approach
Myung-Ho In1, Shinho Cho1, Yunhong Shu2, Hoon-Ki Min1,2,3, Matthew A. Bernstein2,3, Oliver Speck4,5,6,7, Kendall H. Lee1,3, and Hang Joon Jo1

1Departments of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States, 2Departments of Radiology, Mayo Clinic, Rochester, MN, United States, 3Departments of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States, 4Department of Biomedical Magnetic Resonance, Institute for Experimental Physics, Otto-von-Guericke University Magdeburg, Magdeburg, Germany, 5German Centre for Neurodegenerative Diseases (DZNE), Magdeburg, Germany, 6Leibniz Institute for Neurobiology, Magdeburg, Germany, 7Center for Behavioral Brain Sciences, Magdeburg, Germany

Deep brain stimulation (DBS) fMRI has been considered as an emerging tool in investigating the DBS mechanisms and corresponding clinical outcomes, but suffers from severe susceptibility artifacts near metallic electrodes and tissue/air boundaries. A recent study showed that point spread function (PSF) mapping-based reverse gradient approach has a potential to correct distortions even in gradient-echo echo-planar imaging (GE-EPI) images with opposite phase-encoding polarity using a PSF dataset. To minimize the susceptibility artifacts, in this study, we apply the PSF approach for DBS-fMRI in swine. The results demonstrate that this approach can be beneficial for improving the reliability of DBS-fMRI.

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Mouse somatosensory fMRI at 9.4T using a single-shot Variable Refocusing Flip Angle 3D GRASE
Joonsung Lee1, Hyun-Ji Shim1,2, Hahnsung Kim3, Jungryun Lee1, Sangwoo Kim1, Jeong Pyo Son1,2, Won Beum Jung1,3, and Seong-Gi Kim1,2,3

1Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of, 2Department of Health Sciences and Technology, Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Suwon, Korea, Republic of, 3Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

A single-shot variable flip angle (VFA) 3D GRASE imaging protocol was proposed for mouse somatosensory spin echo fMRI. Given echo-spacing of 24ms and echo train length of 8, 3D GRASE imaging parameters such as phase-encode schedule in partition direction and variable refocusing flip angles were designed to achieve pseudo-continuous signal modulation and effective TE of 40ms. BOLD fMRI experiments were performed using 9.4T MRI with ketamine anesthetized mice. For eight slice acquisition of electrical forepaw simulation fMRI, the proposed single-shot VFA 3D GRASE protocol achieved higher tSNR, t-values and larger activation areas than conventional 2D SE-EPI.

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Feasibility study of gradient echo recalled readout segmented EPI with VB-EPI for ultra-silent fMRI
Patrick Liebig1,2, Robin Martin Heidemann2, Bernhard Hensel1, and David Porter3

1University of Erlangen-Nuremberg, Erlangen, Germany, 2Siemens Healthcare GmbH, 3Fraunhofer MEVIS

We present an application of Variable-Blipped-EPI (VB-EPI) with readout-segmented EPI1, which has possible benefits for functional Magnetic Resonance Imaging (fMRI) experiments. Acoustic noise is reduced by lowering the amplitude of the readout (RO) gradient, which is possible due to the RO segmentation, and by prolonging the duration of the phase encoding (PE) blips simultaneously. Even with standard Cartesian parallel imaging techniques, like Generalized Autocalibrating Partially Parallel Acquisitions (GRAPPA)2, high resolution images can be obtained with high image quality.

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Comparison of Carotid Arterial Signal Automatically Extracted from fMRI Data and Pulse Oximetry
Jeff Gunter1, Joshua Trzasko1, Bret Borowski1, and Clifford Jack,Jr.1

1Radiology, Mayo Clinic, Rochester, MN, United States

Using only imaging data from an fMRI time series carotid cardiac cycle information may be automatically extracted.  By merging data across slices "faster than TR" sampling is achieved. The resulting time series agree with pulse oximetry (PO) data.  The distribution of relative peak times between PO and fMRI has standard deviation of around 40ms.  The fMRI data was quite reliable with cardiac signal observed for all but two of approximately 3000 seconds; PO data was much less reliable. 


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Motion-Robust Fetal Brain Imaging using Inner Echo Volumar Imaging
Rita G Nunes1,2,3, Giulio Ferrazzi3, Anthony N Price3, Jana Hutter3, Andreia S Gaspar2,3, Mary Rutherford3, and Joseph V Hajnal3

1Institute for Systems and Robotics / Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal, 2Instituto de Biofísica e Engenharia Biomédica, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal, 3Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

The first fetal functional MRI studies used standard 2D multi-slice Echo Planar Imaging acquisitions, relying on post-processing for addressing motion-related effects. To reduce motion sensitivity, the use of Echo Volumar Imaging (EVI) combined with localized excitation has previously been proposed, but the very heterogeneous maternal environment renders selective excitation extremely challenging. We explored a more robust method combining EVI with inner volume imaging. By obtaining selective excitation from a spin-echo, sensitivity to field inhomogeneity is decreased, and spurious contributions from maternal tissue can be avoided. The method was tested in an adult and demonstrated in fetal imaging in utero.

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Multi-slice balanced SSFP is an excellent alternative to GE-EPI for rodent fMRI at ultra-high field
Ileana Ozana Jelescu1, Olivier Reynaud1, Analina Raquel da Silva1, and Rolf Gruetter1

1Centre d'Imagerie Biomédicale, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

Balanced SSFP (bSSFP) can be used as an alternative to gradient-echo (GE)-EPI for BOLD fMRI when image distortions and signal drop-outs are severe at high field. However, on animal systems, 3D-bSSFP acquisitions have low temporal resolution due to limited acceleration options and single slice offers insufficient coverage. Here, we perform multi-slice bSSFP in a pseudo-steady-state and show that non-distorted BOLD fMRI activation maps can be obtained, with comparable performance to GE-EPI. Future work will focus on resting-state fMRI using bSSFP and on the exploration of bSSFP BOLD contrast mechanisms at 14 Tesla.

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Improved functional connectivity between the ventromedial prefrontal cortex and amygdala with multi-echo EPI: a resting state analysis
Brice Fernandez1, Laura Leuchs 2, Philipp G. Sämann 2, Michael Czisch2, and Victor I. Spoormaker2

1Applications & Workflow, GE Healthcare, Orsay, France, 2Neuroimaging Unit, Max Planck Institute of Psychiatry, Munich, Germany

EPI suffers from signal loss in the ventromedial prefrontal cortex (vmPFC), a region of special interest in affective neuroscience. Last year, we showed that Multi-echo EPI (MEPI) was performing better than EPI in the vmPFC using a fear conditioning task. In the present work, we used a seed in the vmPFC, derived from the fear conditioning data, for a seed-based analysis on resting-state data collected from the same subjects. We demonstrate that the additional vmPFC cluster extent detected in the fear conditioning task reflects anatomically/functionally relevant activation as it is connected to bilateral amygdala and to the default mode network.

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A more accurate account of the effect of k-space sampling and signal decay on the effective spatial resolution in functional MRI
Denis Chaimow1,2 and Amir Shmuel3,4

1University of Tübingen, Tübingen, Germany, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3Montreal Neurological Institute, McGill University, Montreal, QC, Canada, 4Center for Magnetic Resonance Research, University of Minnesota, MN, United States

We show that the magnitude PSF fails to accurately represent the true effects of k-space sampling and signal decay. As an alternative, we propose to model fMRI with separate MR sampling and signal decay effects. We approximate the latter as a convolution with a Gaussian PSF or, if the effect is that of high-pass filtering, as reversing the effect of a convolution with a Gaussian PSF. At 7T signal decay in SE has a moderate blurring effect (FWHM = 0.89 voxels). Gradient‐Echo acts as a high‐pass filter, reversing blurring with FWHM = 0.59 voxels. 

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SCITH Approach Reveals Stable Functional Connectivity
Zhan Xu1, Guangyu Chen1, and Shi-Jiang Li1

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States

Current Multi-Echo fMRI approach can only acquire up to three echoes due to the fast T2* decay. We hypothesized that more echo will improve the capability of increasing the BOLD CNR and denoise accuracy, and we managed to acquire up to six echoes using our within TR keyhole based approach: SCITH.  Our preliminary data showed increased BOLD CNR and resting-state functional connectivity(FC), less temporal FC fluctuation and more consistent inter-subject FC in the same population.

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The clinical relevance of correcting susceptibility-related distortions in presurgical fMRI at 7 T
Pedro Lima Cardoso1, Barbara Dymerska1, Beáta Bachratá1, Florian Ph.S. Fischmeister1,2, Nina Mahr1,2, Eva Matt1,2, Siegfried Trattnig1, Roland Beisteiner1,2, and Simon Daniel Robinson1

1High Field Magnetic Resonance Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Study Group Clinical fMRI, Department of Neurology, Medical University of Vienna, Vienna, Austria

The clinical relevance of correcting susceptibility-related distortions using a recently-developed dynamic distortion correction (DDC) approach is assessed. This was applied in fMRI data acquired from a group of 12 patients with a range of neuropathologies at 7 T. Despite the presence of pathologies, time series of artifact-free field maps were generated. If distortion correction was neglected, substantial displacements, both in EPI geometry and activation, were observed. Two cases with potential clinical implications were identified. The DDC was able to accurately correct distortions in all cases and is shown to be effective and clinically relevant in presurgical planning at 7 T.

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Characterization of laminar profiles in human auditory cortex using a dense 24-channel temporal lobe array at 3T
Pu-Yeh Wu1, Ying-Hua Chu1, Jo-Fu Lotus Lin1, Shang-Yueh Tsai2, Wen-Jui Kuo3, and Fa-Hsuan Lin1,4

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Institute of Applied Physics, National Chengchi University, Taipei, Taiwan, 3Institute of Neuroscience, National Yang Ming University, Taipei, Taiwan, 4Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

By using a dedicated 24-channel temporal lobe array and surface based laminar depth analysis, we revealed the tonotopic representations in the human primary auditory cortex on a 3T MRI system. We found that, compared to deep and superficial layers, the minimal inter-subject variability of the tonotopic representation and frequency tuning width were found at the middle layer. Locations in the auditory cortex with finer frequency tuning had smaller inter-subject variability. Taken together, our findings suggested that middle layer of the auditory cortex has more specific frequency preference and selectivity, consistent with neurophysiological animal studies.

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Segmented EPI reconstruction based on physiological information for fMRI studies
Guoxiang Liu1 and Takashi Ueguchi1

1National Institute of Information and Communications Technology, Suita-shi,Osaka, Japan

We proposed a new segmented EPI reconstruction method based on physiological information to reduce influence of physiological noise. A human brain was scanned on a 7T MRI scanner using segmented EPI, while recording cardiac pulse and respiration data. Our results showed that the proposed reconstruction method can reduce the respiratory-related and cardiac-related signal changes in fMRI studies.

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Multiband Echo-SHift EPI (MESH-EPI): Applications at 3T
E Daniel Gomez1, Zahra Fazal1, José P Marques1, Thomas Beck2, Benedikt A Poser3,4, and David G Norris1

1Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 2Application Development, Siemens Healthcare, Erlangen, Germany, 3Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands, 4Maastricht Brain Imaging Center (MBIC), Maastricht University, Maastricht, Netherlands

In the current abstract we explore the applications of Multiband Echo-SHifted (MESH) EPI as a potential tool for fMRI at 3T. We compare MESH and SMS-EPI in two sets of experiments: the first looking into typical fMRI protocols, and the second with a focus in BOLD contrast and temporal resolution optimization. We conclude that MESH can increase the temporal efficiency of fMRI and be used to reduce distortions without sacrificing BOLD contrast.

5246
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Prospective Motion Correction of Multi-Band Multi-Echo fMRI During Overt Speech to Localize the Language Network
Prantik Kundu1, Joao Correia2, Saadi Ghatan3, Daniel Samber4, Michael Herbst5, and Benedikt A Poser2

1Radiology and Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Cognitive Neuroscience, Maastricht University, 3Neurosurgery, St. Lukes Roosevelt Hospital Center, New York, NY, 4Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 5University Hospital Freiburg, Freiburg, Germany

The functional localization of language and other clinically relevant brain networks at the subject-level has been limited by fMRI artifacts such as head motion. These artifacts have forced task-based fMRI for functional localization to be designed around strict timing and strong constraints, such as silent reading in 20-second task-rest blocks. Such limits make experiments hard to follow by patients and not ecologically valid. Dealing with these artifacts, especially at patient level, has been challenging with standard fMRI methods. Here we combine the acquisition technologies of multi-echo fMRI, multi-band acceleration, camera-based prospective motion correction, and 7T MRI, to image canonical language and other networks during overt speech with 7T MRI using stimuli with complex language content with naturalistic timing.


5247
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Study of the PSF distortion correction for ultra-high field BOLD fMRI
Catarina Rua1,2, Myung-Ho In3, Renat Yakupov4, Hendrik Mattern4, Mauro Costagli2, Mark Symms5, Alberto Del Guerra1, Michela Tosetti2,6, and Oliver Speck4,7,8,9

1Department of Physics, University of Pisa, Pisa, Italy, 2Imago7 Research Center, Pisa, Italy, 3Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States, 4Biomedical Magnetic Resonance, Otto-von-Guericke University, Magdeburg, Germany, 5GE Healthcare, Pisa, Italy, 6IRCCS Stella Maris, Pisa, Italy, 7Leibniz Institute for Neurobiology, Magdeburg, Germany, 8Center for Behavioral Brain Sciences, Magdeburg, Germany, 9German Center for Neurodegenerative Diseases, Magdeburg, Germany

Distortion correction is an essential step for anatomically faithful analysis of ultra-high-field fMRI data due to strong susceptibility-induced geometric distortions in echo-planar imaging (EPI). Although the point-spread-function (PSF) method allows accurate unwarping and increase in SNR, its effectiveness in modulating the undistorted BOLD signal is still unknown. In this study we applied the PSF-based distortion correction using different types of correction kernels to GRE- and SE-EPI data at different resolutions and directly to the BOLD contrast maps, and evaluated the effectiveness by assessing functional contrast, specificity, and false-positive-rate. 

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Poloxamer: a new means to recover functional network information in the rodent’s deep brain structures
Georges Hankov1,2,3,4, Giovanna Diletta Ielacqua1,4, Basil Künnecke2, Thomas Mueggler2, Markus von Kienlin2, and Markus Rudin1,3,4

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 Ltd, Basel, Switzerland, 3Neuroscience Center Zurich, Zurich, Switzerland, 4Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland

In the past years, functional MRI studies in rodents have become more frequent. The signal losses in gradient-echo EPI due to the increased sensitivity to magnetic susceptibility differences at higher magnetic field, however, make fMRI studies of deep brain structures difficult. Here we propose the use of Poloxamer, a non-toxic amphiphilic triblock copolymer well known for its thermo-reversible properties and pharmaceutical application to fill up the air cavities in the rodent middle and external ear canals. This practical method considerably increases geometric fidelity of the functional images, opening up the possibility to longitudinally investigate rodent’s deep brain networks.

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PRESTO: an alternative to EPI for functional-MRI in rodents
Georges Hankov1,2,3,4, Basil Künnecke2, Markus Rudin1,3,4, 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 Ltd, Basel, Switzerland, 3Neuroscience Center Zurich, Zurich, Switzerland, 4Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland

With the increasing need for translational readouts, the number of fMRI studies in rodents has grown exponentially in the recent years. Nonetheless, methodological questions regarding fMRI data acquisition in small animals yet have been poorly addressed. In this work, we evaluate the use of the PRESTO sequence for fMRI in rodents: a 3D alternative to EPI using echo-shifting and echo-trains minimizing distortions and artefacts related to the higher magnetic fields, while providing better brain coverage and faster temporal resolution, allowing appropriate physiological noise sampling.

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Increased BOLD activation with high degree spherical harmonic shimming at 7T
Tae Kim1, Yoojin Lee1, Tiejun Zhao2, Hoby P Hetherington1, and Jullie W Pan1

1University of Pittsburgh, Pittsburgh, PA, United States, 2Siemens, Pittsburgh, PA, United States

B0 shimming is important for gradient echo functional MRI where T2* signal loss and precession occur from both physiological and non-physiological susceptibility effects. We used the high degree shim insert (3rd, 4th and two 5th degree shims) to assess its effect for 2mm isotropic whole brain GE-EPI BOLD (breath-hold induced) signal at 7T. Comparing 1st-2nd with high degree shimming, the Δ|B0| changes are spatially varying. For activation, the largest regions of increase are in the inferior frontal region; the largest regions of decrease are in the middle temporal lobe. Overall, there is a 4.3% increase in total activated pixels.


Electronic Poster

fMRI: Contrast Mechanisms

Exhibition Hall Thursday 8:15 - 9:15

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Attentional modulation on the fMRI signal at human visual cortex revealed by fine timing characteristics but not amplitudes
Ying-Hua Chu1, Jo-Fu Lotus Lin1, Pu-Yeh Wu1, Kevin W.-K. Tsai2, Yi-Tien Li1, Yi-Cheng Hsu1, Shang-Yueh Tsai3,4, Wen-Jui Kuo5, and Fa-Hsuan Lin1,6

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Aim for the Top University Project Office, National Taiwan Normal University, Taipei, Taiwan, 3Institute of Applied Physics, National Chengchi University, Taipei, Taiwan, 4Research Center for Mind Brain and Learning, National Chengchi University, Taipei, Taiwan, 5Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan, 6Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

By asking subjects engaging a decision task of two levels of difficulty based on foveal stimuli, we measured the BOLD dynamics elicited by checkerboard flashing shown at the peripheral visual fields with two levels of attention using high precision simultaneous-multi-slice inverse imaging (SMS-InI TR = 0.1 s; 5 mm isotropic resolution). Results shown insignificant difference in the amplitude of the BOLD response by two tasks, while time characteristics of onset, time-to-half, and width differ significantly between tasks in the range of hundreds of milliseconds. 

5252
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MR microscopy of Aplysia californica at 17.2T suggests that the diffusion fMRI signal originates from neural swelling
Yoshifumi Abe1, Khieu Van Nguyen1, Tomokazu Tsurugizawa1, Luisa Ciobanu1, and Denis Le Bihan1

1NeuroSpin, CEA, Gif-sur-Yvette, France

Diffusion fMRI (DfMRI) allows to monitor brain function without BOLD vascular confounding effects. To elucidate the origin of the DfMRI response we performed DfMRI experiments at single neuron and ganglia level upon dopamine stimulation of Aplysia californica buccal ganglia using 17.2T MR microscopy. Neural swelling, evidenced from optical microscopy, resulted in an intracellular ADC increase reflecting cytoplasm dilution and an ADC decrease at ganglia level. While the mechanism of this ADC decrease remains putative these results are consistent with the hypothesis that the ADC decrease observed with DfMRI upon neuronal activation at tissue level reflects activation induced cell swelling.

5253
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Arterial Spin Labeling fMRI in White Matter at 7 Tesla
Leonardo Greco1 and Olivier Reynaud1

1CIBM, EPFL, Lausanne, Switzerland

To date, the White Matter (WM) tracts functionality is never directly assessed using fMRI, but only inferred indirectly via healthy/impaired cortical connectivity. In this study, we use Arterial Spin Labeling (ASL), a non-invasive, quantitative, reproducible fMRI technique, to investigate WM Cerebral Blood Flow (CBF) dynamics at high field. We first show that WM CBF can be measured using standard 2D-EPI-PASL at 7T; and quantify CBF changes in GM and WM during finger-tapping. While the BOLD signal was only found elevated in GM, a net CBF increase was observed in GM and contralateral (but not ipsilateral) WM during the task (+77/25%).

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Spin echo and Gradient echo BOLD fMRI at ultrahigh magnetic field of 15.2T
SoHyun Han1, JinYong Park1, Woochul Jeong1, and Seong-Gi Kim1,2

1Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

In general, gradient-echo (GE) BOLD contains extravascular (EV) contributions from all sized vessels, while spin-echo (SE) BOLD is sensitive to microvessels. Based on simulation, the EV BOLD signal is dependent linearly on B0 for macrovessels, and quadratically on B0 for microvessels. Here, we performed GE and SE BOLD fMRI of α-chloralose anesthetized rats responding to forepaw stimulation on an ultrahigh magnetic field of 15.2T. Stimulation-induced R2 change was quadratically on B0, indicating that microvessel contributions are dominant. SE BOLD at ultrahigh fields can detect precise activation sites and can be used for high-resolution fMRI to detect fine functional structures.

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Macrovascular contributions to high-resolution balanced SSFP- and GE-EPI-based fMRI at 9.4T evaluated using surface-based cortical depth analyses in human visual cortex
Jonathan R. Polimeni1,2,3, Natalia Zaretskaya4,5,6, Johannes Stelzer7, Jonas Bause7, Philipp Ehses7,8, Lawrence L. Wald1,2,3, and Klaus Scheffler7,8

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Radiology, Harvard Medical School, Boston, MA, United States, 3Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 4Centre for Integrative Neuroscience, University of Tübingen, Tübingen, Germany, 5Department of Psychology, University of Tübingen, Tübingen, Germany, 6Department of Physiology of Cognitive Processes, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 7High-Field MR Center, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 8Department for Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany

Several strategies have been proposed for maximizing neuronal specificity of fMRI by utilizing pulse sequences that are primarily sensitive to signal changes within microvasculature. Here we compare the microvascular sensitivity of high-resolution balanced SSFP and gradient-echo EPI at 9.4T using cortical depth analyses within human visual cortex. Because of the large draining vessels lying along the pial surface, the behavior of fMRI signals as a function of cortical depth can provide helpful insights into the vascular contributions. Our preliminary analyses suggest that, for the protocols used here, both balanced SSFP and EPI show similar cortical depth profiles of BOLD responses. 

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Combined dynamic contrast enhanced MRI and diffusion-weighted imaging to evaluate the neoadjuvant chemotherapy (NACT) effect in patients with cervical cancer
Yusen Feng1, Yingying Ding2, Ya Zhang3, Chengde Liao3, Yan Jin2, and Peng Cao4

1Radiology Department, Third Affiliated Hospital of Kunming Medical University, kunming, People's Republic of China, 2Radiology Department, Third Affiliated Hospital of Kunming Medical University, 3Third Affiliated Hospital of Kunming Medical University, 4GE healthcare

In this article,to prospectively investigate the changes of quantitative parameters in dynamic contrast-enhanced MRI (DCE-MRI) and the apparent diffusion coefficient (ADC) of diffusion weighted imaging (DWI) in cervical cancer patients before and after neoadjuvant chemotherapy (NACT).It showed that quantitative parameters of DCE-MRI and ADC provided a new noninvasive way to reflect the changes of hemodynamics and water molecular diffusion in cervical cancer patients with NACT.

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Characterize the Effect of Regional Variations in Venule Vasculature Related to Temporal Variability of Hemodynamic Responses Latency at the Human Primary Visual Cortex
Yi-Tien Li1,2, Jo-Fu Lotus Lin1, Pu-Yeh Wu1, Kevin W.-K. Tsai3, and Fa-Hsuan Lin1,4

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Department of Medical Imaging, Taipei Medical University - Shuang Ho Hospital, New Taipei, Taiwan, 3Aim for the Top University Project Office, National Taiwan Normal University, Taipei, Taiwan, 4Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We correlated between the temporal chacteristics of the BOLD signals and venule structure at human primary visual cortex (V1). Functional MRI was measured by the high temporal resolution (100ms) simultaneous-multi-slice inverse imaging.  Venule probability map was estimated from high spatial resolution (0.85mm) susceptibility-weighted imaging (SWI). Siginficant correlation was found between venule density and intra-/inter-subject temporal variability of the BOLD signal at V1. This correlation suggests that the temporal instability of BOLD signal is likely attributed to vascular structure or reactivity. 

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Gadoxetic acid-enhanced MR imaging of the liver: the effect on hepatic fat quantification in hepatobiliary phase using mDXION-Quant
shuangshuang xie1, qing li1, zhizheng zhuo2, yue cheng1, and wen shen1

1Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Philips healthcare, Beijing, People's Republic of China

This study evaluated the effect of Gd-EOB-DTPA on fat quantification using a multiecho reconstruction technique with T2* correction. Forty-six patients with suspected hepatic tumors underwent Gd-EOB-DTPA enhanced MR imaging and single breath hold 3D mDIXON-Quant for hepatic fat quantification before and 20 minutes after the administration of Gd-EOB-DTPA. Fat fraction (FF) and R2* of the liver parenchyma, spleen parenchyma and vertebral body were measured and compared between pre- and post-contrast. FF measurements of liver, spleen, vertebral body and R2* measurements of liver, spleen revealed no significant difference between the two measurements, and R2* increased in liver and vertebral body significantly after 20 minutes of Gd-EOB-DTPA administration. In addition, good agreement of FF measurement was seen in the Bland-Altman plots. We conclude mDXION-Quant can obtain stable fat quantification in the hepatobiliary phase, without the impact of an increased R2* in liver parenchyma. But R2* maps should be obtained prior to Gd-EOB-DTPA administration.

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Relative latency and temporal variability of BOLD fMRI signal in the ventral visual pathway
Jo-Fu Lotus Lin1, Ying-Hua Chu1, Yi-Cheng Hsu1, and Fa-Hsuan Lin1,2

1Institution of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We used simultaneous-multi-slice inverse imaging to characterize the relative latency and temporal variability of BOLD signals in the human ventral visual pathway with 0.1 s precision. The intra-subject and inter-subject variability were 0.39 (s) +/- 0.49 (s) and 0.51 (s) +/- 0.77 (s) when images of faces were presented. When scrambled faces were shown, the intra-subject and inter-subject variability were 0.42 (s) +/- 0.46 (s) and 0.56 (s) +/- 0.74 (s). With higher temporal resolutions, we showed temporal variability of HRF vary across cortical areas. Within the same cortical area, the temporal variability of HRF differ between different visual stimulations.

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Simultaneous assessment of total CBV, aCBV and BOLD measures at 7 Tesla in motor and somatosensory cortices
Rosa M Sanchez Panchuelo1, Robert Turner1,2,3, and Susan Francis1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3University of Amsterdam, Amsterdam, Netherlands

We combined Arterial Spin Labelling (ASL) and Vascular Space Occupancy (VASO) techniques into a double acquisition FAIR sequence with double echo readout to provide simultaneous measures of arterial Cerebral Blood Volume (aCBV), total CBV and BOLD signals. Using this technique at 7T, we successfully detected aCBV and total CBV (and BOLD) changes induced by both a motor task and a vibrotactile sensory stimulation paradigm, and show that activation maps derived with the independent  ASL and VASO techniques largely overlap. 

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Functional brain imaging with high spectral and spatial resolution MRI at 3T
Sean Foxley1, Xiaodong Guo1, and Gregory S Karczmar1

1Radiology, University of Chicago, Chicago, IL, United States

Functional data were acquired of a finger tapping experiment using a conventional EPI approach as well as using high spectral and spatial resolution water spectra acquired using EPSI at 3T. Activation maps of both acquisition strategies were produced and compared. Expected task dependent areas of activation were seen in both, however, activation volumes were smaller in EPSI data. This could indicate that different Fourier components of the water spectrum are differentially affected by the BOLD effect. If this is the case, detailed analyses of the water spectrum could contribute to our understanding of the relationship between cognitive processes and the hemodynamic response.

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A Robust non-balanced SSFP fMRI Technique for High Field: Comparison with SE-EPI and bSSFP Techniques at 7 Tesla
Vahid Malekian1,2, Abbas Nasiraei Moghaddam1,3, Mahdi Khajehim1, and David Norris2

1Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran, 2Donders Institute for Brain, Cognition and Behaviour, Radboud university Nijmegen, Nijmegen, Netherlands, 3School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran

T2-weighted fMRI methods including Spin-Echo (SE) and balanced SSFP (bSSFP), became of particular interest to reach superior functional specificity in high field application. However, both techniques suffer from a number of practical limitations. SE fMRI may be SAR limited at high fields. On the other hand, bSSFP suffers from dark bands. To eliminate dark bands in bSSFP, non-balanced-SSFP (nbSSFP) fMRI was previously suggested. Here, we developed a robust version of nbSSFP by using a single SSFP-echo sequence to decrease motion effects. The performance of the suggested sequence is evaluated and the results obtained are compared with bSSFP and SE-EPI fMRI.

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Targeted fMRI using radial acquisition and polar reconstruction
Banafshe Shafiei Zargar1, Farzaneh Keyvanfard1,2, and Abbas Nasiraei Moghaddam1,2

1Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran, 2School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran

Recently there has been growing interests in radial fMRI. However, the reconstruction algorithm is also an important issue in K-space radial sampling. In this work, we have investigated the effect of a novel reconstruction method based on polar Fourier transform, for radially acquired fMRI data in polar coordinates. Based on its special features such as central focusing behavior, the obtained results demonstrate the capability of this method in reliable activity detection in targeted regions and also show a higher temporal stability in those areas.

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Crossover Intra-individual Comparison Study of Non-ionic and Ionic Gadolinium Based Contrast Agents in the Quantitative Evaluation of C6 Glioma with DCE-MRI
Ying Li1, Rui Li 1, Wenjia Liu1, Xin Lou1, and Lin Ma1

1PLA General Hospital, Beijing, People's Republic of China

In this crossover intra-individual comparison study, we aimed to compare the non-ionic (godadiamide, Gd-DTPA-BMA) and ionic (gadopentetate dimeglumine, Gd-DTPA) Gadolinium based contrast agents (GBCA) in the quantitative evaluation of C6 glioma with dynamic contrast enhanced MR imaging (DCE-MRI) at 3.0 T MR scanner. Ktrans, Ve and VP maps were generated. Three radiologists independently performed tumor segmentation and value calculation. Gd-DTPA-BMA has significant more pixel counts of glioma in Ktrans map and increased tendency for average Ktrans and Kep values, indicating that DCE-MRI with Gd-DTPA-BMA may be more suitable and sensitive for the evaluation of glioma.

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The Role of Microvascular Blood Motion in BOLD fMRI
Kenneth Wengler1, Andrea He2, Hoi-Chung Leung3, Xiang He4, and Chuan Huang1,4,5

1Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 2Syosset High School, Syosset, NY, United States, 3Department of Psychology, Stony Brook University, Stony Brook, NY, United States, 4Department of Radiology, Stony Brook University, Stony Brook, NY, United States, 5Department of Psychiatry, Stony Brook University, Stony Brook, NY, United States

While the existing BOLD signal model often use a single-compartmental, empirical relationship among fMRI response, blood flow and neural metabolic demand, some model parameters can only be determined from calibration challenges. In this study, for the first time, the role of intravascular blood motion on BOLD response is evaluated by Monte-Carlo simulation. Combined with an analytical description of extravascular contribution, a unified BOLD signal model without the need for calibration can be established, enabling the quantification of neurovascular coupling efficiency in both goal directed and spontaneous neuronal activations.

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Diffusion functional MRI (dfMRI) yields highly defined tonotopic representation in the in vivo mouse
Cristina Chavarrias1, Guilherme Blazquez Freches1, and Noam Shemesh1

1Champalimaud Neuroscience Programme, Champalimaud Centre for the Unknown, Lisbon, Portugal

Diffusion fMRI (dfMRI) is highly promising for improving the detection of active regions with higher spatial accuracy, as well as for its potential of resolving faster dynamics than its BOLD counterpart. To test this hypothesis, we compared BOLD and dfMRI in the auditory pathway of the mouse, which exhibits clear tonotopy in electrophysiology. Our findings suggest that dfMRI activation maps are more localized and are in agreement with the expected area of activation in the inferior colliculus; dfMRI signals were also ~3s faster than BOLD signals. These results are expected to enable brainwide characterization of auditory reorganization, function, and plasticity.

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Evaluation of two novel MRI techniques for the assessment of intracranial pulsatility
Bowen Fan1, Lirong Yan2, Kay Jann2, Mayank Jog2, Ying Kui3, and Danny JJ Wang2

1Department of Engineering Physics, Tsinghua University, Beijing, People's Republic of China, 2Laboratory of FMRI Technology, Mark & Mary Stevens Neuroimaging and Informatics Institute,Keck School of Medicine,University of Southern California, University of Southern California, CA, United States, 3Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Medical Physics and Engineering Institute, Department of Engineering Physics, Tsinghua University, Beijing, People's Republic of China

The brain pulsatility plays an important role in various cerebral pathology, such as brain tumor and traumatic brain injury. Two MRI methods have been recently developed for assessing brain biomechanical features using a ECG-gated cine sequence with different processing strategies. In this study, we evaluated and compared the two methods. Consistent findings were obtained using both methods that the majority of cardiac-induced brain pulsatile motion occurs in the brain stem and basal ganglia as well as in big arteries.

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ADCtotal Ratio and D Ratio Derived from Intravoxel Incoherent Motion Early after TACE Were Independent Predictors for Survival in Hepatocellular Carcinoma
Lifang Wu1

1Radiology, zhongshan hospital, shanghai, People's Republic of China

The purpose of this study was to explore the threshold of IVIM parameters,ADCtotal and ADC(0,500)  ratios 24-48 hours after TACE to assess early response  in patients with unresectable HCC and to compare the association between diffusion‑weighted imaging with the IVIM-DWI and mRECIST with survival. Our study show that the ADCtotal ratio and D ratio 24-48 hours after TACE were independent predictors for response to TACE for HCC, and showed stronger association with PFS than mRECIST.

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Bayesian Inference of Brain Oxygenation and Deoxygenated Blood Volume in Acute Stroke using Streamlined Quantitative BOLD
Matthew T Cherukara1, Alan J Stone2, Davide Carone3, Radim Licenik3, George WJ Harston3, James Kennedy3, Michael A Chappell1, and Nicholas P Blockley2

1Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, United Kingdom, 2FMRIB Centre, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United Kingdom, 3Acute Stroke Programme, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom

Streamlined Quantitative-BOLD provides a method for quantifying brain oxygen metabolism, in particular, deoxygenated blood volume and oxygen extraction fraction, based on linear fitting of values obtained from an asymmetric spin-echo sequence. It is possible that a curve-fitting approach may yield more robust values for these parameters. This study investigated the feasibility of estimating brain metabolic and vascular parameters through a Bayesian framework, through simulations, and analysis of patient data. It was found that under the current model, simultaneous estimation of oxygen extraction fraction and blood volume was not reliable, suggesting a limit to the model or acquisition protocol. 

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A study of identifying patients with Alzheimer’s disease based on resting-state fMRI
Shuai Mao1, Changle Zhang1, Heather T. Ma1, Na Gao1, Yanwu Yang1, and Yan Wang1

1Harbin Institute of Technology Shenzhen Graduate School, Shenzhen, People's Republic of China

Based on resting-state fmri (rs-fMRI) data, this study aims to investigate the method of identifying AD and normal controls through the procedure of feature extraction and pattern recognition. We extracted the ALFF and ReHo parameters based on pre-processed resting-state fMRI data, and calculated some key parameters in graph theory through the functional connectivity network. Then the examination of the reliability of those features shows a satisfactory recognition rate of 94.4% to distinguish AD and normal controls.

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The neurovascular fingerprint of BOLD bSSFP: the impact of vessel size, orientation and intravascular contribution
Klaus Scheffler1,2, David Kleinfeld3,4, Philbert Tsai3, Mario Báez-Yánez1, and Philipp Ehses1

1MPI biol Cybernetics, Tübingen, Germany, 2Department of Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany, 3Department of Physics, University of California at San Diego, San Diego, CA, 4Section of Neurobiology, University of California, La Jolla, CA

The neurovascular fingerprint of BOLD (blood oxygen level dependent) bSSFP (balanced steady-state free precession) is analyzed by Monte Carlo simulations for different vessel geometries and on a vectorized vessel data set of mouse parietal cortex. The results support that bSSFP yields vascular properties similar to those found with spin echo BOLD, a small intravascular signal contribution except for larger vessels, and a high selectivity to microvessels.

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Which fMRI contrast is most specific for high resolution layer-dependent fMRI? Comparison study of GE-BOLD, SE-BOLD, T2-prep BOLD and blood volume fMRI?
Laurentius Huber 1, Jun Hua 2, Valentin G Kemper3, Sean Marrett4, Benedikt A Poser3, and Peter A Bandettini1

1SFIM, NIMH, Bethesda, MD, United States, 2FM Kirby Research Center, Johns Hopkins, United States, 3MBIC, Maastricht University, Netherlands, 4NIMH, United States

fMRI at ultra-high field strengths (≥7T) allow submillimeter voxels across different cortical layers. A big challenge to infer layer-dependent activity information, however, is to find an fMRI contrast that has the best combination of local specificity to microvascular responses within cortical layers and sensitivity to detect activity changes. Here we compare contrast mechanisms that have been proposed to be applicable to layer-dependent fMRI, including blood volume fMRI with VASO, SE-BOLD, T2/T1ρ-prep-BOLD, diffusion weighted T2-prep-BOLD. We find that CBV-weighted VASO and T2-prep methods have a favorable compromise between sensitivity and specificity. Hence, we believe that these fMRI methods might be better suited for layer-dependent applications than conventionally used GE-BOLD and SE-EPI.

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Comparison of BOLD and CBV impulse-response to visual stimulation in humans in the presence of Ferumoxytol
Jacco A de Zwart1, Peter van Gelderen1, Matthew Schindler2, Pascal Sati2, Jiaen Liu1, Daniel S Reich2, and Jeff H Duyn1

1Advanced MRI section, LFMI, NINDS, National Institutes of Health, Bethesda, MD, United States, 2Translational Neuroradiology section, NINDS, National Institutes of Health, Bethesda, MD, United States

Ferumoxytol is a blood-pool-bound superparamagnetic iron-oxide particle (SPIO) that has been shown to yield CBV-dominated fMRI contrast in humans. Differences in impulse-response (IR) timing were previously demonstrated in animals when comparing SPIO-fMRI to BOLD-fMRI. Since BOLD IR is known to differ between humans and animals, we aimed to repeat this SPIO-fMRI to BOLD-fMRI comparison in humans. SPIO-fMRI was performed in human visual cortex and IR was compared to BOLD data from the same subjects. Shorter stimulus onset time and time-to-peak were found. Stimulus design minimized neuronal interaction effects between stimuli; residual inter-stimulus interaction effects, presumably vascular in origin, were found to be minor in SPIO-fMRI, on the same scale as in BOLD.

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THE IMPACT OF THE LOCAL, MESOSCOPIC FREQUENCY DISTRIBUTION AND DIFFUSION IN GRAY AND WHITE MATTER TO THE STATIC bSSFP SIGNAL PROFILE
Mario Gilberto Báez-Yánez1,2, Philipp Ehses1,3, and Klaus Scheffler1,3

1Department of High-Field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Graduate Training Centre of Neuroscience, University of Tuebingen, Tuebingen, Germany, 3Department of Biomedical Magnetic Resonance, University of Tuebingen, Germany

The phase accumulation that spins experience during a MR sequence is closely linked to the microstructure within the voxel, and basically produces changes in T2* or T2. The present abstract demonstrates how the static bSSFP signal profile is modified by the influence of local susceptibility differences produce by the underlying local-frequency distribution and diffusion effects related to white matter and gray matter at 9.4T. We apply an analytical presentation of the diffusion-modified frequency distribution, previously only used for gradient and spin echoes, to bSSFP and we prove the applicability of this theory to bSSFP by Monte Carlo simulations and measurements.


Electronic Poster

fMRI: Basic Neuroscience Applications: Connectivity Based

Exhibition Hall Thursday 8:15 - 9:15

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Dynamic Changes of Functional Connectivity within and between Resting State Networks in Intractable Mesial Temporal Lobe Epilepsy
Chao Zhang1, Kuncheng Li1, Nan Chen1, and Hongyu Yang1

1Xuanwu Hospital,Capital Medical University, Beijing, People's Republic of China

This study aimed to observe dynamic functional organization changes of large-scale resting state network (RSN) in MTLE and the patient who got seizure free after surgical treatment. Subject specific RSNs of three groups (healthy controls, presurgical group and posttreatment group) were extracted using group-information guided independent component analysis. Then, we calculated and compared the FC results between three groups, and we found FC altered markedly before and after surgical treatment. In addition, there was no statistical difference between posttreatment group and healthy controls. Our results may provide valuable information for further understanding of the pathophysiological mechanisms of intractable MTLE.

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Topologically Reorganized Functional Connectivity in Children with Abacus Training
Ye Xie1, Jian Weng1, Chunjie Wang1, and Feiyan Chen1

1Bio-X Laboratory, Department of Physics, Zhejiang University, Hangzhou, People's Republic of China

Cognitive training is an interesting topic in Neuroscience. Abacus-mental based calculation (AMC) training improves math ability that indicates it might affect functional connectivity architecture. Modularity analysis showed between-group differences in visual network and cingulo-opercular network (CON). Compared to the controls, increased local efficient observed in visual network, while decreased in CON in AMC experts. An alternative reason is that visual-spatial strategy involving in AMC training rather than languish strategy, leading to different trend to networks related to different function. Our findings shed light on topological reorganization of functional connectivity induced by AMC training.

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Is Iron Concentration Linked to Structural Connectivity in the Subthalamic Nucleus? Implications for Planning of Deep Brain Stimulation
Wahaj Patel1,2, Alexey Dimov3, Yi Wang3, Yihang Yao3, Brian Kopell4,5, and Rafael O’Halloran1,4

1Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2The City College of New York, New York, NY, United States, 3Weill Cornell Medical College, 4Psychiatry, Icahn School of Medicine at Mount Sinai, 5Neurosurgery, Icahn School of Medicine at Mount Sinai

The relationship between iron concentration, evaluated via quantitative susceptibility mapping (QSM) and white matter connectivity, assessed with 3T MRI, was explored. Such a relationship might be useful in deep brain stimulation (DBS) surgical planning, where both QSM and white matter connectivity are gaining interest. For several relevant regions of interest in movement disorders such as the superior frontal, pre central and post central gyrus there was a strong correlation between STN connectivity and QSM intensity. To allow quick assessment of the spatial variation of connectivity in the STN, an RGB image was computed from connectivity in 3 regions of interest. 

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Shared and Specific Intrinsic Functional Connectivity Patterns in Unmedicated Bipolar Disorder and Major Depressive Disorder
Ying Wang1, Junjing Wang2, Yanbin Jia3, Tao Liu3, Yao Sun1, Shuming Zhong3, Zhongping Zhang4, Li Huang1, and Ruiwang Huang2

1Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, People's Republic of China, 2Center for the Study of Applied Psychology & MRI Center,Center, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou, 3Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou, People's Republic of China, 4MR Research China, GE Healthcare, Beijing

Our findings suggest that bipolar disorder (BD) and major depressive disorder (MDD) may have some shared and morespecific impairments of functional connectivity patterns during the depressiveperiod, providing new evidence for pathophysiology of BD and MDD at thelarge-scale whole brain connectivity level.

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Increased resting-state functional connectivity within subgenual anterior cingulate cortex network reveals the neural substrate of emotion regulation following mindfulness-based stress reduction (MBSR) training
Yao-Chia Shih1,2, Chang-Le Chen2,3, Shih-Chin Fang4, Tzung-Kuen Wen5, Da-Lun Tang6, Si-Chen Lee7, and Wen-Yih Isaac Tseng2,3,8

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Institute of Medical Device and Imaging, National Taiwan University College of Medicine, Taipei, Taiwan, 3Graduate Institute of Brain and Mind Sciences, National Taiwan University College of Medicine, Taipei, Taiwan, 4Department of Neurology, Cardinal Tien Hospital Yonghe Branch, New Taipei City, Taiwan, 5Department of Buddhist Studies, Dharma Drum Institute of Liberal Arts, New Taipei City, Taiwan, 6Department of Mass Communication, Tamkang University, Taipei, Taiwan, 7Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, 8Molecular Imaging Center, National Taiwan University, Taipei, Taiwan

Mindfulness-based stress reduction (MBSR) has been known to improve emotion regulation and cure mood disorders. The present longitudinal study aimed to clarify the effects of MBSR training and practice on the neural substrates of emotion regulation. Resting-state functional MRI (rsfMRI) exams were performed at three time points to investigate changes of functional connectivity (FC) within the subgenual anterior cingulate cortex (sgACC) network. MBSR training and practice strengthened the FC of sgACC with the inferior frontal gyrus and with the insula, and reduced the level of anxiety and depression. The findings reveal the neural substrates of emotion regulation process following MBSR.

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Tinnitus distress is linked to enhanced resting-state functional connectivity from the limbic system to the auditory cortex
Yu-Chen Chen1, Wenqing Xia2, and Xindao Yin1

1Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China, Nanjing, People's Republic of China, 2Nanjing First Hospital, Nanjing Medical University, Nanjing, China, Nanjing, People's Republic of China

Our results identified disrupted effective connectivity networks in the limbic regions of tinnitus patients. Tinnitus severity was positively correlated with a bilateral increase in effective connectivity from the amygdala to the auditory cortex on the same side. In addition, tinnitus duration was positively correlated with enhanced effective connectivity from the right hippocampus to the left auditory cortex. These findings mainly emphasized the crucial role of limbic system and limbic-auditory interaction in tinnitus patients, which could help enhance our understanding of the neuropathological mechanisms underlying tinnitus.   

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The GABA Level in DMN Modulate the Brain Network Centrality
Tun-Wei Hsu1,2, Jy-Kang Adrian Liou1,2, Chien-Yuan Eddy Lin3,4, Ralph Noeske5, and Jiing-Feng Liring1,6

1Department of Radiology, Taipei Veterans General Hospistal, 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, People's Republic of China, 5GE Healthcare, Berlin, Germany, 6Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan

In this study, we combined resting-state functional magnetic resonance imaging (rsfMRI) and advanced magnetic resonance spectroscopy technique to demonstrate a positive relationship between levels of inhibitory neurotransmitter gamma-aminobutyric acid (GABA) within posterior cingulate cortex/precuneus (PCC/PCu) and high network centrality of primary network. High network centrality propagates and contributes to efficient information flow in brain network. The PCC/PCu is a key component of default mode network (DMN) and high regional GABA levels expressing in the PCC/PCu area deactivate DMN activities related to internal thoughts for reallocating attention resources from internal processes to goal directed external stimuli with high network centrality.

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Accelerated intermittent theta burst stimulation, applied to the left DLPFC, influences dynamics in depression related networks
Debby Klooster1,2,3, Rene Besseling1,2,3, Suzanne Franklin1, Antoine Bernas1, Romain Duprat2, Albert Aldenkamp1,2,3, and Chris Baeken2

1Eindhoven University of Technology, Eindhoven, Netherlands, 2University Hospital Ghent, Ghent, Belgium, 3Academic Center for epileptology Kempenhaeghe, Heeze, Netherlands

The effect of accelerated intermittent theta burst stimulation (aiTBS) is investigated in three resting-state networks involved in depression: default mode network (DMN), central executive network (CEN), and salience network (SN). Multivariate Granger causality analysis was performed between time-series representing each network and between time-series of nodes belonging to these networks. The effects of the latter analysis were quantified by the in- and out-degree. No between-network effects were found but specific connections showed increased or decreased Granger causality after stimulation. Clinical responders showed changes in the in- and out-degree of the anterior cingulate, known to be important in depression pathology. 

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Abnormal Heschl’s gyrus resting-state functional connectivity in patients with presbycusis
Fei Gao1, Guangbin Wang1, Bin Zhao1, Fuxin Ren1, and Weibo Chen2

1Shandong Medical Imaging Research Institute, Shandong University, Jinan, People's Republic of China, 2Philips Healthcare, Shanghai, People's Republic of China

This study revealed abnormal resting-state functional connectivity between the Heschl’s gyrus and distributed regions located in the hearing-related and language-related areas in patients with presbycusis. Our findings could be important for exploring imaging evidence of central component of presbycusis.  

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The Synchronization of Brain Activity in Real-Time Human Interaction Revealed by fMRI Hyperscanning
Jacky Tai-Yu Lu1, Claire Hui-Chuan Chang2, Shu-Yu Huang1, Wen-Jui Kuo3, and Fa-Hsuan Lin4,5

1Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 2College of Humanities and Social Sciences, Taipei Medical University, Taipei, Taiwan, 3Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan, 4Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 5Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

This study used functional magnetic resonance imaging (fMRI) hyperscanning to estimate the synchronization of human brain activations in interpersonal interaction by inter-subject correlation (ISC) analysis. Brain activations of pairs of subjects were recorded simultaneously during real-time video tennis game under cooperation, competition, and a control condition involving no interaction. Compared to control condition, higher ISC was found in premotor area (BA6) and right precuneus in the two game conditions. The finding of premotor area suggests that mutual action understanding was supported by the mirror neuron system during interpersonal interaction.

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Sense of agency is a biological function sustained by a somatosensory-premotor network
Tommaso Gili1,2, Valentina Ciullo2,3, Daniela Vecchio2,3, Gianfranco Spalletta2,4, and Federica Piras2

1Enrico Fermi Center, Rome, Italy, 2Neuropsychiatry Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy, 3Psychology Department, Sapienza University, Rome, Italy, 4Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States

Sense of agency (SoA) refers to the experience of controlling one’s own actions. Temporal distortions between the action and the effect mislead agency attribution. We investigated the covariance between the amount of functional interactions among brain regions at rest and SoA. We found that the functional network involved in self-agency attribution included the premotor and somatosensory cortices bilaterally, and the right superior parietal lobule. This provides the first evidence that functional connectivity at rest in healthy subjects varies along with experienced SoA, implying that self-agency is processed within an intrinsic brain functional module.

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Organization and hierarchy of the human brain functional network at rest lead to a chain-like core.
Tommaso Gili1,2, Rossana Mastrandrea3, Andrea Gabrielli4, Fabrizio Piras1,2, Gianfranco Spalletta2,5, and Guido Caldarelli3,4

1Enrico Fermi Center, Rome, Italy, 2Neuropsychiatry Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy, 3Networks Unit, IMT School for Advanced Studies, Lucca, Italy, 4Institute for Complex Systems, CNR, Rome, Italy, 5Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States

The intrinsic functional architecture of the brain and its alterations due to cognitive engagement, ageing and diseases are nodal topics in neuroscience, attracting considerable attention from many disciplines of scientific investigation. Complex network theory offers powerful tools to investigate brain connectivity disclosing the structure of the human brain functional network. Here we put forward a number of methods to investigate the network of brain areas coupled by their functional coordination without introducing exogenous thresholds. In this way we overcame the problem of having a fully connected network and found the intrinsic structure of the functional architecture of the brain.

5287
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Oxytocin influences the directed connectivity between the precuneus and the dorsolateral prefrontal cortex
Jyothika Kumar1, Sarina J Iwabuchi2, Birgit A Völlm1, and Lena Palaniyappan3

1Division of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, United Kingdom, 2Radiological Sciences, Division of Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom, 3Department of Psychiatry & Robarts Research Institute, University of Western Ontario, London, ON, Canada

The default mode network (DMN) is now known to play an important role in social cognition. Thus, we hypothesized that the social neuropeptide oxytocin (OXT) will modulate the connectivity of the DMN. We used Granger Causality Analysis and found that intranasal OXT modulates the effective or ‘causal’ connectivity between the precuneus: a key DMN node and the dorsolateral prefrontal cortex, a key region in the central executive network. Thus, OXT has the potential to enhance the cooperative role of the DMN, which could explain the mechanistic action by which OXT improves social cognition in disorders such as autism and schizophrenia.

5288
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Identify the neural basis of vascular dynamic network connectivity with high-field fMRI
Yi He1,2, Maosen Wang1,2, Xuming Chen1,2, and Xin Yu1

1High-field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Graduate Training Centre of Neuroscience, International Max Planck Research School, University of Tuebingen, Tuebingen, Germany

The vascular dynamic network connectivity was detected with the resting-state fMRI in rodent and human brains (abstract: 3115). However, the basis of vascular dynamic connectivity is unclear. Here, the GCaMP6-mediated calcium signal simultaneously detected by fiber optics with fMRI showed slow-freuqncy fluctuation (0.01-0.04Hz) correlated to the single-vessel fMRI signal fluctuation with lead times from 1 to 5 seconds. In addition, the correlation was observed on the slow-frequency oscillation of the power profile of the spontaneous calcium burst spikes with frequency bandwidth of 1-10Hz. Thus, the vascular dynamic network connectivity demonstrates the hemodynamic state changes coupled to the brain state fluctuation. 

5289
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Individualized Functional Parcellation of Human Amygdala using a Semi-Supervised Clustering Method based on 7T Resting State fMRI Data
Xianchang Zhang1,2, Hewei Cheng3, Zhentao Zuo1, Ke Zhou1, Bo Wang1, Lin Chen1,2, Yong Fan4, and Rong Xue1,2,5

1State Key Laboratory of Brain and Cognitive Science, Beijing MR Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, People's Republic of China, 2University of Chinese Academy of Sciences, Beijing, People's Republic of China, 3Department of Biomedical Engineering, School of Bioinformatics, Chongqing University of Posts and Telecommunications, Chongqing, People's Republic of China, 4Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States, 5Beijing Institute for Brain Disorders, Beijing, People's Republic of China

Functional subspecialization of human amygdala has been revealed in a variety of studies based on histological, in-vivo imaging, and meta-data. However, most of the existing studies identified functional subregions of amygdala at a group level. In this study, we investigated individualized functional neuroanatomy of amygdala based on 7T resting-state fMRI data with high spatiotemporal resolution. Our results have demonstrated that an improved semi-supervised clustering algorithm successfully parcellated individual subjects’ amygdala into 3 subregions, each of them having distinctive functional connectivity patterns. The individualized functional subregions of amygdala may better capture individual variability in functional neuroanatomy than their group level counterparts.

5290
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Contrary Effect of Stressful vs. Non-stressful Striped Patterns on Human Visual Cortical Functional Connectivity
Jie Huang1 and David C. Zhu1,2

1Department of Radiology, Michigan State University, East Lansing, MI, United States, 2Department of Psychology, Michigan State University, East Lansing, MI

Areas across the visual cortex are functionally connected. A stressful striped pattern induces perceptual illusions/distortions and visual discomfort in most people, headaches in patients with migraine, and seizures in patients with photosensitive epilepsy. In contrary, a non-stressful striped pattern does not induce such effects. This study found that a 25-min visual stimulation showed a significantly contrary effect of the stressful vs. non-stressful striped patterns on human visual cortical functional connectivity (FC). To the contrary of the strengthening effect of the stressful striped pattern on the FC, the non-stressful striped pattern showed a weakening effect on the FC.

5291
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Impact of previous episodes of hepatic encephalopathy on post-transplantation brain function recovery
Yue Cheng1 and Wen Shen2

1Tianjin First Central Hospital, Tianjin, People's Republic of China, 2Tianjin First Central Hospital, People's Republic of China

Purpose: To investigate the impact of prior episodes of hepatic encephalopathy (HE) on post-transplantation brain function recovery. Method: Thirty-three cirrhotic patients (HE, n=15 and noHE, n=18) and 30 healthy controls were included. Functional connectivity strength (FCS) were compared between the pre-LT data and the post-LT data, respectively. Results: For the noHE group, the altered FCS found pre-LT largely returned to nearly normal levels soon after LT. The abnormal FCS prior to LT was largely preserved in the HE group, including high-level cognition-related and vision-related areas. Conclusion: Pre-LT episode of HE may have adverse effects on post-LT brain function recovery.

5292
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Effects of motor dysfunction on functional connectivity and network topology in Parkinson’s disease
Karthik Sreenivasan1, Virendra Mishra1, Zhengshi Yang1, Xiaowei Zhuang1, Sarah Banks1, Dietmar Cordes1,2, and Ryan R Walsh1

1Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States, 2University of Colorado Boulder, Boulder, CO, United States

The objective of this study was to use resting-state functional connectivity and graph theory to determine how the topology of the network is altered in PD with respect to severity of motor dysfunction. The current study revealed altered functional connectivity and topological properties of networks in PD with respect to severity of motor dysfunction. Our results point to a shift towards a less efficient network topology with altered integration and segregation in more motorically affected patients.

5293
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Differential changes in functional connectivity of fronto-striatal and motor-striatal circuits in early and premanifest Huntington’s Disease measured by ultra-high field (7T) resting state BOLD fMRI
Jun Hua1,2, Martin Kronenbuerger3,4, Xinyuan Miao1,2, James Pekar1,2, Peter van Zijl1,2, and Christopher Ross3,4,5

1Dept. of Radiology, 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, 3Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 5Department of Neuroscience and Pharmacology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Huntington’s disease (HD) is a neurodegenerative disorder characterized by motor, cognitive and behavioral deficits. The striatum is one of the first brain regions that show detectable atrophy in HD. Reduced functional connectivity between striatum and motor cortex has been reported. Here, we report decreased motor-striatal connectivity but increased fronto-striatal connectivity in early/premanifest HD patients. We speculate that this may imply a compensatory mechanism, where additional cortical regions are recruited to subserve functions that have been impaired due to HD pathology. We also found strong correlations between functional connectivity and genetic measures, suggesting its potential value as a biomarker for HD.

5294
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Subthalamic nucleus activation under audio-motor transformation in lateralized Parkinson’s disease
Oleksii Omelchenko1, Zinayida Rozhkova2, Irina Karaban3, and Mykola Makarchuk4

1Human and Animal Physiology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, 2Medical Clinic BORIS, Kyiv, Ukraine, 3Department of extrapyramidal disorders, D. F. Chebotarev Institute of Herontology, Kyiv, Ukraine, 4Taras Shevchenko National University of Kyiv, Kyiv, Ukraine

We hypothesized that audio-motor transformation (AMT) play an important role in voice-guided movement initiation with STN involvement. We propose AMT-related subthalamic nucleus  activation analysis in lateralized PD for tremor asymmetry influence study. We identified PD symptoms laterality dependent STN activation peculiarities. Obligatory left STN activation in AMT supposes its role in motor command switching. Bilateral STN activation during the movement execution supports its proposed role as a motor error correction node.

5295
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Distributed and overlapping cortical networks represent visual categories
Haiguang Wen1, Junxing Shi1, Kuan Han1, and Zhongming Liu2

1Electrical and Computer Engineering, Purdue University, West Lafayette, IN, United States, 2Electrical and Computer Engineering and Biomedical Engineering, Purdue University, West Lafayette, IN, United States

The principle of cortical representations when thousands of real-life objects and categories are involved remains unclear. Here, we built a computational model of the human visual system by using a deep neural network and predicted the cortical responses to natural visual stimuli. In particular, we trained the model by using fMRI data obtained while subjects watched very long (>10 hours) natural movie stimuli that contained thousands of visual object categories. Based on the model, we systematically analyzed the activation patterns in the brain induced by different kinds of object categories. We found that the categorical information was represented by distributed and overlapping cortical networks, as opposed to discrete and distinct areas. Three cortical networks represented such broad categories as biological objects, non-biological objects, and background scenes. More fine-grained categorical representations in the brain suggest that visual objects share more (spatially) similar cortical representations if they share more similar semantic meanings. 

5296
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An fMRI-based neurologic signature of lower back pain
Jing Liu1, Zhizheng Zhuo2, Juan Wei3, Queenie Chan4, and Xiaoying Wang1

1Peking University First Hospital, Beijing, People's Republic of China, 2Philips Healthcare, Beijing China, 3Philips Research China, Shanghai, China, 4Philips Healthcare, Hongkong China

Brain function MRI (fMRI) could successfully demonstrate that differences in the pattern of brain activity to lower back pain (LBP) can be used as a neurological marker to distinguish between individuals with and without LBP. Medical, legal and business professionals have recognized the importance of this research topic and of developing objective measures of LBP and other chronic pain.

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Morphological And Functional Research In Parkinson Disease By Magnetic Resonance Imaging
Shuaiwen Wang1, Junqiang Lei1, and Shunlin Guo1

1Department of Radiology, the First Hospital of Lanzhou University, Lanzhou, People's Republic of China

Parkinson's disease (PD) is the second most common neurodegenerative disease after AD, and the most frequent subcortical degenerative disease.We hope to found  morphological and functional characteristic change in PD

5298
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Modulation of Expectation on Sound-to-Meaning Mapping during Speech Processing: An fMRI Study
Bingjiang Lyu1,2,3, Jianqiao Ge1,2,3, Zhendong Niu4, Li Hai Tan5, Tianyi Qian6, and Jia-Hong Gao1,2,3

1Center for MRI Research, Peking University, Beijing, People's Republic of China, 2McGovern Institute for Brain Research, Peking University, Beijing, People's Republic of China, 3Beijing City Key Lab for Medical Physics and Engineering, Peking University, Beijing, People's Republic of China, 4School of Computer Science and Technology, Beijing Institute of Technology, Beijing, People's Republic of China, 5Center for Language and Brain, Shenzhen Institute of Neuroscience, Shenzhen, People's Republic of China, 6MR Collaborations NE Asia, Siemens Healthcare, Beijing, People's Republic of China

Spoken language comprehension relies on both the identification of individual words and the expectations arising from contextual information. A distributed fronto-temporal network is known to facilitate the mapping of speech sounds onto corresponding meanings. However, how prior expectations influence this efficient mapping at the neuroanatomical level, especially for individual words, remains unclear. Using functional magnetic resonance imaging, we addressed this question in the framework of the dual-stream model by investigating both the neural substrates and their mutual functional and effective connectivity. Our results revealed how this ubiquitous sound-to-meaning mapping in daily communication is achieved in a predictive manner.


Electronic Poster

fMRI: Physiology

Exhibition Hall Thursday 8:15 - 9:15

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Lower Resting Cerebral Blood Flow but Greater Cerebrovascular Reactivity in Young Adults with Higher Aerobic Fitness
Catherine Foster1, Jessica J Steventon1,2, Daniel Helme1, Valentina Tomassini3, and Richard G Wise1

1School of Psychology, Cardiff University Brain Research Imaging Centre, Cardiff, United Kingdom, 2School of Medicine, National Mental Health Research Institute, Cardiff, United Kingdom, 3School of Medicine, Institute of Psychological Medicine and Clinical Neurosciences, Cardiff, United Kingdom

We measured the association between aerobic fitness and cerebral blood flow (CBF) and cerebrovascular reactivity (CVR) in young, healthy adults using multiple inversion time (MTI) arterial spin labelling (ASL), with a hypercapnic challenge to assess CVR. The results show that higher fitness is associated with lower baseline CBF and greater CVR. Although studies with a larger sample size are required to clarify the relationship between fitness and cerebrovascular function in early adulthood, the current results suggest that aerobic fitness may promote vascular efficiency and reserve.

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Where is Physiological Noise Lurking in $$$k$$$-Space?
Toni Karvonen1,2, Arno Solin3, Ángel F. García-Fernández1, Filip Tronarp1, Simo Särkkä1, and Fa-Hsuan Lin4,5

1Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland, 2Aalto NeuroImaging, Aalto University, Espoo, Finland, 3IndoorAtlas Ltd., Helsinki, Finland, 4Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 5Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We analyze the structure of physiological noise in the $$$k$$$-space of BOLD fMRI. We use DRIFTER which is an algorithm based on optimal Bayesian smoothing techniques for  separation of the fMRI signal to a BOLD signal component and physiological noises. DRIFTER is run independently for each spatial frequency and it is shown that the physiological noise lies in the $$$k$$$-space points with low spatial frequency and that its amplitude is proportional to the BOLD signal. This result suggests that we can lower the computational burden without losing estimation accuracy by running DRIFTER only on a subset of $$$k$$$-space points.

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Measuring cerebrovascular reactivity in terms of resistance
James Duffin1, Olivia Sobczyk, Adrian Crawley, Julien Poublanc, Kevin Sam, Lashmi Venkatrahavan, David Mikulis, and Joseph Fisher

1Anaesthesia, University of Toronto, Toronto, ON, Canada

Conventional measurements of cerebrovascular reactivity (CVR) are often based on the BOLD changes in response to a ramp CO2 stimulus ranging from hypo- to hypercapnia.  Using a simple model of two vascular beds, one with a healthy standard reference resistance, competing for the same limited blood supply, we derive the sigmoidal relative resistance changes in the other branch of the model from measured BOLD responses.  Maps displaying the spatial pattern of the relative resistance sigmoid parameters describe the physiology and pathophysiology of the vessels themselves and thus may provide more clinically useful insight. 

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Retrospective Independent Component Estimation of Respiratory and Cardiac Artefact Residuals (RICERCAR) in BOLD-fMRI.
Michael Hütel1, Andrew Melbourne1, Dave Thomas1, Jonathan Rohrer1, and Sebastien Ourselin1

1UCL, London, United Kingdom

Variations in the heart and respiration rate have an impact on BOLD-fMRI signal variations. The cardiac cycle causes a pulsatile arterial blood flow which causes slice-specific signal changes resulting in artificial correlations between voxels within the same slice. The introduction of multi-band (MB) EPI acquisitions such as in the Human Connectome Project (HCP) increase such artificial correlations because many slices are acquired at the same slice time. We find physiological-related spatial Independent Components (ICs) and remove their corresponding time courses from BOLD-fMRI scans. Our method RICERCAR outperforms RETROICOR as well as FIX.

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The effect of low-level carbon monoxide exposure on BOLD FMRI
Caroline R Bendell1, Shakeeb H Moosavi1, and Mari Herigstad1,2

1Biological and Medical Sciences, Oxford Brookes University, Oxford, United Kingdom, 2Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom

Carbon monoxide (CO) is a cerebral vasodilator, yet effects of low-level CO exposure (from e.g. smoking) on BOLD FMRI remain unknown. We scanned 12 never-smokers at 3T before and after inhaling low-level CO (or air as a control). CO significantly reduced BOLD response to carbon dioxide during breath holds and attenuated visual cortex activation during visual stimulation and fingertapping, but also increased premotor cortex activation during fingertapping. This indicates that CO generally dampens BOLD signal (possibly through elevated baseline CBF), but that the effect may be task- and/or region-dependent. Caution should be exercised when comparing populations with different CO levels.

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Effects of anesthesia on BOLD, electrophysiology, and PO2 signals in the whisker barrel cortex
Daniil P Aksenov1, Limin Li1, Michael Miller1, Robert Linsenmeier2, and Alice M Wyrwicz1

1NorthShore University HealthSystem, Evanston, IL, United States, 2Northwestern University, Evanston, IL, United States

A comprehensive understanding of the relationship between neuronal activity and oxygen dynamics in the brain is vital for the accurate interpretation of fMRI results. This study investigates the relationship between changes in blood and tissue oxygen as well as neuronal activity in the awake and anesthetized states.  We compare BOLD, PO2 and electrophysiological signals in the barrel cortex during whisker stimulation in awake and isoflurane-anesthetized rabbits.  Our findings suggest that the relationship between BOLD, PO2 and electrophysiological responses is considerably different in the awake and anesthetized states.

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Quantitative Mapping of Cerebrovascular Reactivity using Resting-state BOLD fMRI: A Validation in Healthy Adults
Ali Golestani1, Luxi Wei2, and Jean Chen2,3

1Department of Psychology, University of Toronto, Toronto, ON, Canada, 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Rotman Research Institute at Baycrest, Toronto, ON, Canada

Cerebrovascular reactivity (CVR) is commonly mapped as the response of the blood oxygenation level dependent (BOLD) signal to a hyper/hypocapnic breathing challenge, which might be intolerable for some patients. We proposed a method to estimate quantitative CVR using intrinsic fluctuations of end-tidal CO2 (PETCO2) during resting-state fMRI data acquisition (rs-qCVR). We validated our rs-qCVR method against the “gold-standard” hyper/hypocapnic CVR method, demonstrating significantly association between the two in the majority of the healthy subjects. 

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Comparison of Quantitative Specific Ventilation Imaging in the Lung with Oxygen Enhanced 1H and 3He Multibreath MRI
Tatsuya J Arai1,2,3, Felix C Horn2, Rui Carlos Sá3, Madhwesha R Rao2, Guilhem Collier2, Rebecca J Theilmann3, G. Kim Prisk3, and Jim M Wild2

1UT Southwestern Medical Center, Dallas, TX, United States, 2Academic Unit of Radiology, The University of Sheffield, Sheffield, United Kingdom, 3Pulmonary Imaging Laboratory, University of California, San Diego, San Diego, CA, United States

Two multi-breath imaging techniques for quantifying specific ventilation based on oxygen enhanced 1H and hyperpolarized 3He gas MRI were cross-validated with spatially matched data from the same subjects. With a custom RF torso 1H array configured with 3He T-R coil in situ we were able to separately acquire 1H and hyperpolarized 3He MRI during a single scanning session without repositioning the subject. The preliminary study demonstrated qualitative as well as quantitative similarities between the two techniques.

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Quantification of Neural Energetic Changes during Visuomotor Learning using Arterial Spin Labelling FMRI
Catherine Foster1, Jessica Steventon1,2, Ian Driver1, Daniel Helme1, Valentina Tomassini3, and Richard G Wise1

1School of Psychology, Cardiff University Brain Research Imaging Centre, Cardiff, United Kingdom, 2School of Medicine, Neuroscience and Mental Health Research Institute, Cardiff, United Kingdom, 3School of Medicine, Institute of Psychological Medicine and Clinical Neurosciences, Cardiff, United Kingdom

Recovery of motor function following neurological damage is dependent on functional neuroplasticity. Mechanisms of adaptive plasticity are not well understood, thus limiting the ability to predict recovery following rehabilitation. This study examined the suitability of calibrated fMRI to study cerebrovascular changes during motor learning, as cerebrovascular function plays an important role in neuroplasticity. Results showed cerebral blood flow, BOLD and oxygen metabolism increases from rest with task but decreases with task-learning. However, high inter-subject response variability was observed. Calibrated fMRI shows promise for studying cerebrovascular changes during learning but the repeatability and stability of measurements requires further investigation.

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Impact of Physiological Noise on Serial Correlations in Fast Simultaneous Multislice (SMS) EPI at 7T
Saskia Bollmann1, Alexander Puckett2, Ross Cunnington2, and Markus Barth1

1Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 2Queensland Brain Institute, The University of Queensland, Brisbane, Australia

We investigated the influence of physiological noise on statistical inference in fMRI at the single-subject level. By comparing two SMS sequences with a short and a long TR, we explored the interaction between repetition time, physiological noise modelling and the autoregressive model used to characterize serial correlations in fMRI data. Using variational Bayesian inference, we found that fMRI acquisitions with a short TR require accurate modelling of cardiac and respiratory processes to successfully remove serial correlations from the fMRI time series. For the SMS sequence with a longer TR, the standard AR model of order 1 proved sufficient.

5309
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Comparison of BH CVR and resting state fMRI to “gold standard” task-based fMRI for assessment of brain tumor-induced neurovascular uncoupling
Shruti Agarwal1, Haris I. Sair1, Sachin Gujar1, Arvind P. Pathak 1,2, and Jay J. Pillai1

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Dept. of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Neurovascular Uncoupling (NVU) can critically limit presurgical mapping using blood oxygen level dependent functional magnetic resonance imaging (BOLD fMRI). False-negative activations caused by NVU can lead to erroneous interpretation of clinical fMRI examinations. Brain tumor-related NVU has been previously demonstrated on task-based BOLD fMRI (tbfMRI) and resting state BOLD fMRI (rsfMRI). The purpose of this study is to demonstrate that NVU in the sensorimotor network can be similarly detected on rsfMRI and BH CVR maps as evident in the criterion standard tbfMRI. 

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Pharmacological inactivation of dorsal hippocampus enhances responses and induces adaptation to sound in midbrain
Celia M. Dong1,2, Russell W. Chan1,2, Leon C. Ho1,2, Alex T.L. Leong1,2, Eddie Wong1,2, Lei Wang1,2,3, Felix F. Chen3, Condon Lau4, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, People's Republic of China, 4Department of Physics and Materials Science, City University of Hong Kong, Hong Kong, Hong Kong

The hippocampus is associated with the memory and learning, meanwhile, receives signal from all sensory system indirectly. However, whether and how the hippocampus influences sound processing in the auditory system remains unclear. Our recent study showed that optogenetic stimulation of hippocampus enhances the brain bilateral auditory cortex connectivity. This fMRI study investigated the influence of hippocampus on auditory processing in the inferior colliculus (IC) by using tetrodotoxin (TTX) to pharmacologically deactivate the dorsal hippocampus. For the first time, our results revealed that the dorsal hippocampus plays a dynamic role in shaping the IC auditory response. 

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Cerebral oxygen extraction fraction measurement using an asymmetric spin echo EPI approach
Yong Zhang1, Zhongping Zhang1, Kang Wang2, and Zhenyu Zhou1

1MR Research China, GE Healthcare, Shanghai, People's Republic of China, 2GE Healthcare, Milwaukee, WI, United States

Quantitative measurement of oxygen delivery and consumption in the brain can provide insight into neurovascular and metabolic coupling. A single shot asymmetric spin echo (ASE) EPI sequence was implemented for quantitative oxygen extraction fraction (OEF) measurement in healthy volunteers for the feasibility study. OEF results were in good agreement with the normal range of 30%-40% reported in the previous literature. ASE EPI shows the potential to provide quantitative OEF maps with good brain coverage and without the need of gas challenges. Further investigation is required to evaluate the sensitivity of OEF measurement in the disease situation, such as stroke.

5312
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Eigenvector Centrality Mapping in Detecting Parkinson’s Disease
Zhengshi Yang1, Ryan Walsh1, Virendra Mishra1, Karthik Sreenivasan1, Xiaowei Zhuang1, Sarah Banks1, and Dietmar Cordes1,2

1Cleveland Clinic Lou Ruvo Center for Brain Health, LAS VEGAS, NV, United States, 2University of Colorado Boulder, CO, United States

Eigenvector centrality (EC) is a parameter-free method to measure the centrality of complex brain network structures without a priori assumption. It is here applied to resting state fMRI data acquired from normal controls (NC) and Parkinson’s disease (PD) subjects for the purpose of detecting centrality abnormality in PD, a disease known to impact neural networks diffusely. The features extracted from EC were able to accurately classify subjects when used with linear discriminant analysis and support vector machine. 

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Modulation of resting state networks after slow and periodic visual stimulation in humans
Lei Wang1,2,3, Celia M. Dong1,2, Alex T. L. Leong1,2, Xunda Wang1,2, Leon C. Ho1,2, Russell W. Chan1,2, Felix F. Chen3, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, People's Republic of China

Periodicity is inherent in numerous external sensory stimuli. However, its effect on large-scale resting state brain networks has not been fully understood. This study investigated brain networks before and after periodic visual stimulation in low frequency (1Hz) using resting state functional MRI. Enhanced connectivity in visual, temporal, salience and ventral attention networks were detected after 1Hz visual stimulation. Furthermore, power spectrum analysis showed increase in infra-slow (<0.1Hz) rsfMRI activity. These findings suggest that slow and periodic visual stimulation initiates and/or facilitates certain neuromodulatory mechanisms such as neural oscillations, leading to increased rsfMRI connectivity. 

5314
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fMRI activation optimization in the setting of brain tumor-induced neurovascular uncoupling using resting state BOLD ALFF
Shruti Agarwal1, Hanzhang Lu1, and Jay J. Pillai1

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

The phenomenon of neurovascular uncoupling (NVU) is an under-recognized but very important limitation of clinical BOLD fMRI because it can lead to non-visualization of eloquent cortex and resultant inadvertent surgical resection of vital brain tissue leading to permanent postoperative disability. In this study we demonstrate a novel method for correcting for the spuriously decreased ipsilesional motor activation associated with NVU through use of a novel resting state fMRI (rsfMRI) frequency domain metric-- ALFF (amplitude of low-frequency fluctuation)-- in patients with perirolandic low grade gliomas.

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Functional MRI of Brain's White Matter in Alzheimer's Disease
Xiaowei Song1,2, Hui Guo1,3, Sujoy Ghosh-Hajra2, Careesa Liu2, Yunting Zhang3, and Ryan CN D'Arcy1,2

1Health Sciences and Innovation, Fraser Health Authority, Surry, BC, Canada, 2Simon Fraser University, Burnaby, BC, Canada, 3Medical Imaging, Tianjin Medical University General Hospital, Tianjin, People's Republic of China

Impaired white matter (WM) integrity is common in Alzheimer's disease (AD), in addition to gray matter degeneration. While fMRI has been widely used in understanding the disease-associated changes, results so far have omitted the WM even though WM activation has repeatedly been reported in healthy younger adults in recent fMRI studies. Here we applied three tasks targeting interhemispheric transfer at 3.0T to extend the WM fMRI research to clinical applications in AD-dementia. The study detected fMRI activation in the corpus callosal WM in 87% individuals with early AD and normal cognitive aging (NC), and a difference between AD and NC.

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Etomidate anaesthesia for fMRI in mice revisited: Subcutaneous administration facilitates experimental procedures
Rebecca Klee1, Thomas Mueggler1, Andreas Bruns1, Nicole Wyttenbach1, Antonio Ricci1, Rodolfo Gasser1, Markus von Kienlin1, and Basil Künnecke1

1Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd, Basel, Switzerland

Etomidate has recently been proposed as a hypnotic for high-fidelity fMRI in mice. It largely preserves cerebrovascular autoregulation and basal perfusion, thus providing a large window for hemodynamic-based fMRI readouts. However, commercially available formulations of etomidate come at low concentration and are suitable only for intravenous infusion, hence resulting in large infusion volumes and difficult procedures in small rodents. Here, we demonstrate that fMRI-compatible anaesthesia can be readily achieved upon subcutaneous administration of etomidate formulated as aqueous solution. We further propose to substitute etomidate with its short-acting analogue cyclopropyl-methoxycarbonyl metomidate to avert long recovery times due to subcutaneous depot formation.

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Resting state connectivity analysis for normal and abnormal physiology conditions during fMRI data acquisition
Sun Young Chae1,2, Geun Ho Im3,4, Jisu Hong1,5, Moon-Sun Jang3,4, Hyunjin Park1,5, and Jung Hee Lee1,2,4

1Center for Neuroscience Imaging Research, Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Korea, Republic of, 3Center for Molecular and Cellular Imaging, Samsung Biomedical Research Institute, Seoul, Korea, Republic of, 4Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, Republic of, 5Department of Electronic, Electrical and Computer Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

Unlike blood oxygen level dependent (BOLD)-fMRI, accurate physiologic adjustment for subjects during rs-fMRI data acquisition does not seem to be critical for the quality of the final data. In this study, we performed rs-fMRI measurements during normal and abnormal physiological conditions and analyzed betweenness centrality (BC), degree centrality (DC) and eigenvector centrality (EC). In this study, we demonstrate that physiologic conditions seem to have a direct effect on the rs-fMRI result. Thus, the results of our current study suggest that normal physiologic condition should be maintained for rs-fMRI data acquisition.

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The Gut-Brain-Axis: from gut feelings to gut memory
Deepika Bagga1,2, Karl Koschutnig2, Bhageshwar Mohan3, Christoph Stefan Aigner4, Johanna Reichert1,2, Peter Holzer2,5, and Veronika Schӧpf1,2

1Institute of Psychology, University of Graz, Graz, Austria, 2BioTechMed, Graz, Austria, 3Institute of Chemical Engineering, Graz University of Technology, Graz, Austria, 4Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 5Institute of Experimental and Clinical Pharmacology, Medical University of Graz, Graz, Austria

The present study investigated the effect of probiotic administration on emotional memory in healthy volunteers using fMRI. The preliminary results showed that probiotic intake for 4-5 weeks improved the response accuracy significantly and this was accompanied by a decrease in the neural activity in the brain areas associated with emotions and memory formations. This decrease was more prominent for unpleasant stimuli as compared to neutral stimuli. Considering the scarce literature on gut microbiota and brain interactions in humans, our findings might provide a gateway for further understanding of mechanisms of gut-brain interactions and their effect on emotions and memory.

5319
Computer 93
BOLD Signal Changes in Spinal Cord with Hypercapnia
Benjamin N Conrad1,2, Satoshi Maki1, Jennifer M Watchmaker3, Bailey A Box1, Robert L Barry4,5, Seth A Smith1,3, and John C Gore1,3

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Neuroscience, Vanderbilt University, Nashville, TN, United States, 3Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 4Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 5Radiology, Harvard Medical School, Boston, MA, United States

A hypercapnic gas challenge was used to demonstrate blood oxygenation level dependent (BOLD) signal changes in the cervical spinal cord, and the sensitivities of two functional acquisition sequences (standard single shot (GE-EPI) and 3D multishot (3D-EPI) gradient echo EPI) were compared. Results indicated that both acquisitions were able to detect signal changes of about 1% in gray matter and higher values in white matter confirming that BOLD effects in the cord are reliable. The 3D multishot sequence exhibited higher temporal SNR and reduced susceptibility distortions, making it an attractive option for BOLD fMRI in the spinal cord.

5320
Computer 94
fMRI-based brain responses to bitter and sucrose gustatory stimulation for nutrition research in the minipig model
Nicolas Coquery1, Paul Meurice1, Régis Janvier1, Eric Bobillier1, Stéphane Quellec2, Hervé Saint-Jalmes3, and David Val-Laillet1

1UR1341 ADNC, INRA, Saint-Gilles, France, 2UR TERE, IRSTEA, Rennes, France, 3UMR1099, INSERM, Rennes, France

The minipig model is of high interest for brain research in nutrition and associated pathologies considering the similarities to human nutritional physiology, brain structures and functions1,2 . In the context of a gustatory stimulation paradigm, fMRI can provide crucial information about the sensory, cognitive and hedonic integration of exteroceptive stimuli in healthy and pathological nutritional conditions. To date, this is the first intent to describe gustatory stimulation in minipigs using fMRI.

5321
Computer 95
Deciphering the functional projections of the lateral hypothalamus with optogenetic fMRI
Jan Kevin Schluesener1 and Xin Yu1

1Translational Neuroimaging and Neural Control Group, High-Field Magnetic Resonance Department, Max-Planck Institute for Biological Cybernetics, Tuebingen, Germany

The lateral hypothalamus (LH) is a central node of the brain to mediate brain states. It is comprised of highly heterogeneous neuronal populations and diverse projections. It remains elusive how different neuronal LH subdivisions mediate the brain state. Here, we developed an optogenetic method to map LH functional projections and investigate functional connectivity upon LH activation. Optical stimulation of the LH can directly activate the preoptic area, central thalamus and the subiculum area, and increase the cortical resting-state correlation. This work makes it possible to further target different LH neuronal populations and decipher cell-type specific functional projections.


Electronic Poster

fMRI Analysis

Exhibition Hall Thursday 9:15 - 10:15

5322
Computer 1
Modeling the hemodynamic response function in rat fMRI study
Chen-You Huang1, Chiun-Wei Huang2, Shao-Chieh Chiu2, Wu-Chung Shen1, and Shin-Lei Peng1

1Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan, 2Center for Advanced Molecular Imaging and Translation, Chang Gung Memorial Hospital

Previous rat fMRI studies have been analyzed by statistical parametric mapping (SPM) but the SPM is designed for human fMRI studies. In this study, we examine whether the default settings including delay time, statistic methods and hemodynamic response function (HRF) shape in SPM can directly transform to rat fMRI studies. Results show statistic methods do not affect the mapping of brain activation. However, the delay time and HRF shapes have significant impacts on extracting brain activation, especially in primary somatosensory cortex and striatum. We therefore suggest the HRF should be optimized to approach better sensitivity in other rat fMRI studies.

5323
Computer 2
Accounting for serial correlation in GLM residuals during resting state fMRI nuisance regression
Molly G Bright1,2, Christopher R Tench2, and Kevin Murphy3

1Sir Peter Mansfield Imaging Centre, School of Medicine, University of Nottingham, Nottingham, United Kingdom, 2Division of Clinical Neurosciences, School of Medicine, University of Nottingham, United Kingdom, 3CUBRIC, School of Physics and Astronomy, Cardiff University, United Kingdom

In resting-state fMRI nuisance regression, a General Linear Model (GLM) is employed to fit and remove the variance associated with a noise model. Without "ground-truth" knowledge, the noise models must be tested and improved to obtain accurately cleaned datasets without "throwing the baby out with the bath-water." Valid statistical inference on a GLM fit requires normally-distributed residuals, which is not the case when intrinsic brain fluctuations are present. We demonstrate that existing pre-whitening tools can be appropriately applied to account for serial autocorrelation in resting-state fluctuations during nuisance regression, allowing statistical differentiation of true and simulated noise models.

5324
Computer 3
Evaluating the impact of SNR, sampling interval and number of samples on functional sensitivity using the General Linear Model framework
Nadège Corbin1, Guillaume Flandin1, Oliver Josephs1, Nick Todd2, Karl J Friston1, and Martina F Callaghan1

1Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom, 2Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States

In fMRI, functional sensitivity is dictated by many factors related to the data acquisition scheme, most notably image SNR, temporal resolution and the number of samples acquired. Advanced acquisition techniques, such as 2D multiband imaging, are popular for fMRI studies because they afford the possibility of greatly increasing temporal resolution allowing more samples to be acquired per unit time, but at the cost of image SNR and increased temporal auto-correlations. This study uses the General Linear Model framework to disentangle these effects and determine the net impact on functional sensitivity, as parameterised via temporal SNR and t-scores.

5325
Computer 4
Spatial Adaptive Kernel Canonical Correlation Analysis
Zhengshi Yang1, Xiaowei Zhuang1, Tim Curran2, Richard Byrd2, Virendra Mishra1, Karthik Sreenivasan1, and Dietmar Cordes1,2

1Cleveland Clinic Lou Ruvo Center for Brain Health, LAS VEGAS, NV, United States, 2University of Colorado Boulder, CO, United States

Spatially adaptive multivariate methods were applied in fMRI activation analysis to alleviate low sensitivity in commonly used Gaussian smoothing single voxel analysis. Usually these methods require constraint to avoid the curse of high degrees of freedom. We have developed a novel spatially adaptive kernel canonical correlation analysis method, which does not require constraint and has superior performance compared to other methods.

5326
Computer 5
Value of frequency domain resting state fMRI metrics ALFF & fALFF in the assessment of brain tumor induced neurovascular uncoupling
Shruti Agarwal1, Hanzhang Lu1, and Jay J. Pillai1

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

In brain tumor patients, coupling between neuronal activity and BOLD response is often disrupted (known as neurovascular uncoupling (NVU)), resulting in dangerous underestimation of true extent of eloquent cortex in pre-surgical planning. With increasing popularity of resting state fMRI (rsfMRI) for presurgical mapping, it becomes critical to investigate effects of NVU in rsfMRI. A recent study demonstrated that tumor-related NVU can impact resting state functional connectivity within the sensorimotor network as assessed using a seed-based correlation analysis (SCA).2 We now explore whether NVU may also affect the rsfMRI frequency domain metrics ALFF (amplitude of low-frequency fluctuation) & fALFF (fractional ALFF).

5327
Computer 6
The resting state fMRI regional homogeneity (ReHo) metrics KCC-ReHo & Cohe-ReHo are valid indicators of tumor-related neurovascular uncoupling
Shruti Agarwal1, Haris I. Sair1, and Jay J. Pillai1

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

The validity of BOLD fMRI in pre-surgical planning may be severely  compromised due to disruption of the normal coupling between neural activity and the consequent microvascular blood flow response (neurovascular uncoupling, or NVU). The effects of brain tumor-induced NVU on resting state BOLD fMRI (rsfMRI) have been previously described through seed-based correlation analysis (SCA). In this study, we evaluated regional homogeneity of resting state fMRI data using Kendall's coefficient of concordance (KCC-ReHo) & Coherence (Cohe-ReHo) metrics and compared these results with those of “gold standard”motor task-based (tbfMRI) activation to determine their effectiveness in detecting NVU in the sensorimotor network.

5328
Computer 7
Reproducibility of Functional Connectivity Measures acquired at different times of day
Jia Fan1, Ernesta Meintjes1,2, and A Alhamud1,2

1MRC/UCT Medical Imaging Research Unit, Department of Human Biology, University of Cape Town, Cape Town, South Africa, 2Cape Universities Body Imaging Centre (CUBIC-UCT), Cape Town, South Africa

Resting state fMRI (rs-fMRI) used to detect and evaluate resting state functional connectivity (RSFC) in both healthy subjects and patients. However, the reproducibility of rs-fMRI may be influenced by the time of day when the scan is performed. In this work, we investigated the reproducibility of resting state networks by comparing scans performed in the morning (immediately after the scanner was switched on) and again in the late afternoon (after all daily scans were done) on six different days. Our results showed higher RSFC in afternoon scans in 5 regions within 5 networks .

5329
Computer 8
Investigating the feasibility of classifying independent components in resting state BOLD fMRI with sparse paradigm free mapping
Cesar Caballero-Gaudes1, Oihane Ezama1, Manuel Delgado-Alvarado2,3, and Maria Cruz Rodriguez-Oroz1,4,5,6

1Basque Center of Cognition, Brain and Language, Donostia - San Sebastian, Spain, 2Biodonostia Health Research Institute, Donostia-San Sebastian, Spain, 3Neurology Department, University Hospital Marqués de Valdecilla, Santander, Spain, 4Neuroscience Area, Biodonostia Health Research Institute, Donostia-San Sebastian, Spain, 5Centro de Investigacion Biomedicas en Red Enfermedades Neurodegenerativas (CIBERNED), Institute Carlos III, Spain, 6Ikerbasque. Basque Foundation for Science, Bilbao, Spain

This work proposes a novel method for the classification of ICs in resting-state fMRI data based on sparse paradigm free mapping (PFM), a deconvolution approach that enables detecting BOLD events without prior information of their timing. This approach uses a single temporal feature, the significance of the deconvolution model estimated with PFM. Our results demonstrate that despite its simplicity this approach achieves similar sensitivity in classifying the neuronal-related BOLD components to the more complex classification method of ICA-AROMA, but with less specificity in classifying noise components. In addition, it can improve the identification of physiological noise components. 

5330
Computer 9
Region-specific modeling of heart rate and respiratory volume signal contributions  in whole-brain high-spatial resolution resting-state fMRI at 7 Tesla
Joana Pinto1, Sandro Nunes1, Marta Bianciardi2, Afonso Dias1, Luis Miguel Silveira3, Lawrence Wald2, and Patricia Figueiredo1

1Institute for Systems and Robotics - Lisbon and Department of Bioengineering, Instituto Superior Tecnico, 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 and Department of Electrical and Computer Engineering, Instituto Superior Tecnico, Universidade de Lisboa, Lisbon, Portugal

Several strategies have been proposed for correcting physiological noise in rs-fMRI, including different models of respiratory volume (RV) and heart rate (HR) effects. Although group-level model optimization has often been employed, it has been reported that these effects are highly variable across subjects and brain regions. Here, we investigated the impact of optimizing the time-lags of RV and HR physiological noise contributions at different levels of specificity in 7 Tesla rs-fMRI. We found that a regional optimization based on a clustering approach taking into account the time-lags’ individual spatial variability explained more fMRI signal variance than group or subject-based optimizations.

5331
Computer 10
A Group level analysis to compare characteristics of balanced SSFP fMRI with non-balanced techniques
Arash Foroudi Ghasemabadi1, Mahdi Khajehim1, Vahid Malekian1, and Abbas Nasiraei Moghaddam1,2

1Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran, 2School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran

Non-balanced SSFP has been recently suggested as a viable approach for T2-weighted SSFP fMRI. Compared to bSSFP, it entirely eliminates the problematic banding artifacts. However, its sensitivity has not yet been systematically investigated.  In this study, fixed effects group analysis was performed on balanced and non-balanced SSFP data from seven healthy subjects in 7 T. We found that, group activation maps are generally similar, besides, mean z-values for the two methods are not significantly different. The obtained results suggest that the newly developed nbSSFP method is a viable approach to substitute bSSFP in high resolution fMRI studies.

5332
Computer 11
Relationship of seed-based connectivity and amplitude of low-frequency fluctuations in resting-state functional MRI
Parul Chachra1, Suresh Emmanuel Joel1, Rakesh Mullick1, and Radhika Madhavan1

1GE Global Research, Bangalore, India

Resting-state functional magnetic resonance imaging (rs-fMRI) has been suggested to provide key understanding of large-scale network organization in human brain. Harnessing rs-fMRI, we have examined the relationship of seed-based connectivity (SBC) with amplitude of low-frequency fluctuations (ALFF) and fractional ALFF (fALFF). We recorded rs-fMRI from healthy volunteers and measured regional ALFF, fALFF and SBC. We demonstrate that ALFF and fALFF were weakly correlated to SBC and the correlation was specifically stronger for selected networks. Our results suggest that ALFF/fALFF and SBC may be driven by the same underlying factors and thus co-vary in a similar manner.

5333
Computer 12
Group level property of functional correlation tensor can reveal default mode network
Yang Fan1, Jing Wang2, Bingjiang Lyu3, Bing Wu1, and Zhenyu Zhou1

1MR Research China, GE Healthcare, Beijing, People's Republic of China, 2Center for Medical Device Evaluation, CFDA, Beijing, People's Republic of China, 3Center for MRI Reserch, Peking University, Beijing, People's Republic of China

Recently, a novel technique was proposed directly integrated resting-state fMRI and DTI to construct a local spatio-temporal correlation tensor from resting state fMRI data. In individual level, the functional correlation tensor can be used to tract white matter fibers. However, there is no knowledge of group level property of functional correlation tensor. In the present study, group averaged tensorial properties (e.g. FA and trace) of functional correlation tensor were investigated.  It is shown that the group averaged trace map of  functional tensor can reveal default mode network. And our results are consistent across different datasets.

5334
Computer 13
A Novel Multiband Multi-Echo Simultaneous ASL/BOLD Sequence for Task-Based fMRI
Alexander D. Cohen1, Andrew S. Nencka1, and Yang Wang1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

A novel multiband multi-echo ASL sequence was employed to collect high-resolution, whole-brain simultaneous ASL/BOLD fMRI data. Four echoes were collected allowing multi-echo independent component analysis (ME-ICA) denoising to be applied to both the BOLD and ASL data. Subjects performed a finger-tapping task, and activation was compared between datasets with and without denoising. The multi-echo denoised BOLD dataset detected the most activation compared to activation calculated using the combined echoes and only the second echo. Additional activation was observed for the denoised perfusion-weighted data compared to the original perfusion-weighted data. There was also less spurious negative activation for the PWDN data. 

5335
Computer 14
Quantitative data-driven analysis for resting-state fMRI data reveals functional connectivity differences in epilepsy patients
Yanlu Wang1,2, Ivanka Savic Berglund3, Martin Uppman2, and Tie-Qiang Li1,2

1Medical Radiation and Nuclear Medicine, Karolinska University Hospital, Stockholm, Sweden, 2Department of Clinical Sciences, Intervention and Technology, Karolinska Institute, Stockholm, Sweden, 3Department of Women's and Children's Health, Karolinska University Hospital, Stockholm, Sweden

Quantitative data-driven analysis (QDA) has shown to be robust and intuitive method to extract functional connectivity information from resting-state fMRI data for group-level comparison. In this study, the QDA method is applied to patients suffering from epileptic seizures. Multiple brain regions of significant (p<0.01) differences were detected. The results are consistent with published works in temporal lobe epilepsy and frontal lobe epilepsy in literature using invasive methods. All brain regions experience down-regulation in functional connectivity in epilepsy patients compared to healthy control subjects.

5336
Computer 15
A New Method of HRF Estimation Containing High Frequency Content
Xiaowei Zhuang1, Zhengshi Yang1, Virendra Mishra1, Karthik Sreenivasan1, and Dietmar Cordes1,2

1Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States, 2University of Colorado Boulder, Boulder, CO, United States

A new HRF estimation method was introduced to improve the accuracy in recovering HRFs with wider frequency range. This non-smooth optimization problem was solved via BFGS technique. Results from simulated data demonstrate the accuracy and reliability of this new method in recovering HRF. Results from an event-related fMRI dataset further demonstrate the ability of the proposed method in capturing the variation of HRFs across different brain regions and subject populations.

5337
Computer 16
Solution for Cluster Failure: Simple Method to Obtain Spatially Smooth Residuals with nearly Gaussian Auto-Correlation Functions
Kaundinya Gopinath1, Simon Lacey2, Randall Stilla2, Venkatagiri Krishnamurthy1, and Krish Sathian2

1Department of Radiology & Imaging Sciences, Emory University, Atlanta, GA, United States, 2Department of Neurology, Emory University

Recent studies have shown that cluster-wise family-wise error rate (FWE) corrected inferences made in parametric statistical methods based fMRI studies over the past couple of decades were invalid due to incorrect these methods incorrectly specifying that spatial auto-correlation functions (sACF) of fMRI data had a gaussian shape. In this study we proposed a method to obtain fMRI inferential statistic residuals with gaussian sACF. Results show that this method substantially increases the detection power of group-level inference tests while not significantly changing the voxelwise statistic maps. Additionally it makes inferences based on assumption of gaussian sACF valid again.

5338
Computer 17
Non-linear Realignment Using Minimum Deformation Averaging for Single-subject fMRI at Ultra-high Field
Saskia Bollmann1, Steffen Bollmann1, Alexander Puckett2, Andrew Janke1, and Markus Barth1

1Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 2Queensland Brain Institute, The University of Queensland, Brisbane, Australia

Motion dominates the contribution to variance in fMRI time series and it is therefore important to account for this variability correctly. Currently, most correction schemes use a rigid body realignment procedure, but interactions with magnetic field inhomogeneities and physiological fluctuations lead to non-linear deformations. Non-linear realignment increased spatial resolution by harvesting sub-voxel shift information with little impact on tSNR. Activated regions showed a better delineation with a clear match to anatomical features. Importantly, our proposed method can be applied to already acquired fMRI data sets to improve spatial conspicuity.

5339
Computer 18
Prior Knowledge Oriented Independent Component Analysis (pICA) for Component Identification in Functional MRI
Gengyan Zhao1, Vivek Prabhakaran1,2, Elizabeth M. Meyerand1,3, and Rasmus Birn1,4

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, WI, United States, 3Biomedical Engineering, University of Wisconsin - Madison, WI, United States, 4Psychiatry, University of Wisconsin - Madison, WI, United States

Independent component analysis (ICA), as a data-driven signal decomposition method, has been widely used in fMRI. Sources of the measurement can be separated according to the rule of maximum independency, but it usually cannot naturally generate a source which is highly correlated with the signal we are interested in. To solve this problem, we propose a new method, prior knowledge oriented ICA (pICA), to drive ICA to a set of sources with the SOI among them. Experiments of simulation and fMRI show this new method has higher specificity and accuracy in identifying the SOI and its corresponding spatial map.

5340
Computer 19
Power law exponent analysis of the resting state BOLD signal as a potential measure of excitatory-inhibitory balance in Alzheimer’s disease
Niharika Gajawelli1,2, Bradley Voytek3, Danny JJ Wang1, Berislav Zlokovic4, Arthur W Toga1, Meng Law1, John Morris5, Tammie Benzinger6, and Judy Pa1

1Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, Los Angeles, CA, United States, 2Biomedical Engineering, University of Southern California, Los Angeles, CA, 3Department of Computational Cognitive Science and Neuroscience, University of California, San Diego, CA, 4Zilkha Neurogenetic Institute, University of Southern California, Los Angeles, CA, 5Knight Alzheimer Disease Research Center, Washington University, St. Louis, MO, 6Department of Radiology and Neurological Surgery, Washington University, St. Louis, MO

The power spectrum of the functional MRI (fMRI) signal is 1/f-distributed: the power (P) is proportional to inverse frequency (1/f) with scaling factor (B), the power law exponent (PLE). The PLE, in electrophysiology, may reflect the relative balance of excitation and inhibition. Here, we examine the PLE of fMRI power spectrums in the default mode network in older adults with a clinical dementia rating score of 0, 0.5, or 1. PLE analysis may help us understand the potential regional inhibitory/excitatory balance of underlying architecture, given that the BOLD signal is a surrogate marker of local field potentials and post-synaptic processes.

5341
Computer 20
Subtypes Differentiation of Renal Cell Carcinoma (<4cm) Using Whole-volume Histogram Analysis of Apparent Diffusion Coefficient Maps
Haojie Li1, Yonghong Hao1, Daoyu Hu1, and Zhen Li1

1Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wu Han, People's Republic of China

Because of different subtypes of RCC have different prognoses and respond differently to targeted therapies, accurate identification of the specific diagnosis prior to treatment is important. In this study, our results demonstrate that the combination of r-FOV DWI and the whole-lesion histogram analysis method may help in the interpretation of DWI of small renal masses and determine the optimal ADC parameter for quantitative assessment. The 75th percentile ADC value was more reliable than other histogram parameter values in distinguishing clear cell from non-clear cell RCCs with high sensitivity and specificity, potentially improving the accuracy of pretreatment diagnosis and selection of clinical therapy.

5342
Computer 21
Detection of Functional Activity in Somatosensory Pathways Using Tactile Stimulations
Xi Wu1,2, Zhipeng Yang1,2, Stephen K. Bailey3, Jiliu Zhou1, Laurie C. Cutting4,5, John C. Gore2,5,6, and Zhaohua Ding2,6,7

1Department of Computer Science, Chengdu University of Information Technology, Chengdu, People's Republic of China, 2Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 3Brain Institute, Vanderbilt University, Nashville, TN, United States, 4Vanderbilt Kennedy Center, Vanderbilt University, Nashville, TN, United States, 5Department of Radiology and Radiological Science, Vanderbilt University Medical School, Nashville, TN, United States, 6Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 7Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, United States

Functional magnetic resonance imaging has been widely used in measuring functional connectivity between cortical regions, but it has not been well-established in white matter to date. While we have previously demonstrated that resting state BOLD signals exhibit structure-specific correlations, suggesting that neural activities may be encoded in white matter BOLD signals as well, in this study we further confirm that functional stimulations can induce activities in relevant white matter pathways.

5343
Computer 22
Characterization of the Gray Matter Hemodynamic Response Function with High-Resolution Functional MRI
Amanda J. Taylor1, Jung Hwan Kim1, and David Ress1

1Neuroscience, Baylor College of Medicine, Houston, TX, United States

Functional magnetic resonance imaging (fMRI) measures the hemodynamic response to neural activation. Brief periods (2 s) of multisensory neural stimulation evoke the hemodynamic response function (HRF) across the majority of cerebral cortex. High (2 mm) spatial resolution enables the characterization of the HRF restricted to the gray matter, avoiding partial volume effects into nearby white matter and vascular tissue. HRF amplitude and timing measurements from eight healthy subjects showed temporal stability and stereotypical spatial amplitude patterns, suggesting that this method could be adapted to diagnose pathologies associated with abnormal neurovascular coupling.

5344
Computer 23
Confound Suppression in Resting State fMRI using Sliding Windows and Running Mean
Cameron Trapp1, Kishore Vakamudi1, and Stefan Posse1,2,3

1Neurology, University of New Mexico, Albuquerque, NM, United States, 2Physics and Astronomy, University of New Mexico, 3Electrical Engineering, University of New Mexico

We analytically investigate the characteristics of a recently developed sliding window methodology designed for real time analysis of resting state connectivity. The suppression of various types of confounds is investigated both in this analytical framework and numerically. It is shown that this methodology not only acts as a high pass filter and denoiser, but behaves as a model free despiking and confound suppression tool.

5345
Computer 24
Inflated false positive rates in fMRI depend on the voxel size of normalized images
Karsten Mueller1, Jöran Lepsien1, Harald E. Möller1, and Gabriele Lohmann2,3

1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 2Department of Biomedical Magnetic Resonance, University Hospital Tübingen, Tübingen, Germany, 3Magnetic Resonance Center, Max Planck Institute for Biological Cybernetics, Tübingen, Germany

Recently, Eklund et al published a manuscript discussing the issue of false positive results in functional MRI (fMRI) using the most common software packages. In their analysis, image upscaling was performed in fMRI preprocessing after registering images into a standard space (normalization). We show that the degree of image upscaling used for normalization impacts the statistical results when using the Gaussian Random field approach. A higher upscaling generally leads to smaller p-values increasing the number of false positive clusters. This result is quite troubling because statistical inference should not depend on a preprocessing parameter which can be chosen ad libitum.


Electronic Poster

fMRI: Basic Neuroscience Applications: Non-Connectivity Based

Exhibition Hall Thursday 9:15 - 10:15

5346
Computer 25
Voxel-level comparison of regional neural activity in patients with type 2 diabetes mellitus
Dong Zhang1, Changzheng Shi1, Rong Ma1, Zhongping Zhang2, and Liangping Luo1

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

People with high risk of diabetes exhibited decreased ReHo in right temporal lobes, left pallidum/ lenticular nucleus/insula/Heschl gyrus and left cingulate cortex and declined fALFF in left Heschl gyrus, left supramarginal gyrus and left cingulate cortex, which is consistent with type 2 diabetes mellitus (T2DM) patients. These abnormal regions may be regarded as the endophenotype of T2DM in resting-state BOLD-fMRI.

5347
Computer 26
Dyslexia therapy customization based on dorsal-ventral pathway representation
Sunita Gudwani1, Senthil Kumaran1, Rajesh Sagar2, SN Dwivedi3, and Naranamangalam R Jagannathan1

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

Reading necessitates skill mastering of phonological (sound to letter), orthographic (knowledge of letter identities, position), and semantic (words meaning) processing requiring optimal interface of ventral-dorsal routes. Dyslexia, a developmental reading disorder, is an umbrella term with heterogeneity of behavioral deficits constrains the management efficiency. Persistent deficits lead to emotional, academic, social consequences necessitating evidence-based interventions. The study was planned on neurobiological-model to customize the therapeutic management. Dorsal pathway (BOLD activation) reorganization associated with improvement in reading rate, accuracy, spelling and writing flow suggest neurobiological normalization in dyslexics observed post-remediation on comparing therapy group with non-therapy and age-matched typical readers.

5348
Computer 27
Altered hemodynamic response in visual cortex observed in high-school American football players
Trey Edward Shenk1, Meghan Robinson2, and Thomas Talavage3

1Electrical and Computer Engineering, Purdue University, West Lafayette, IN, United States, 2The Translational Research Center for TBI and Stress Disorders, VA Boston Healthcare System, Boston, MA, United States, 3Purdue University, West Lafayette, IN, United States

There is growing concern that subconcussion could have an effect on the neural health of contact sports athletes. The hemodynamic response was measured and changes were observed in high school football athletes after exposure to impacts.

5349
Computer 28
Dexmedetomidine-induced CBF changes measured with Arterial Spin Labeling
Marta Vidorreta1,2, Sihua Xu3, Fan N Yang3, Andrew McKinstry-Wu4, Alexander Proekt4, Brenna Shortal4, Hengyi Rao3, Max B Kelz4, and John A Detre1,2

1Neurology, University of Pennsylvania, Philadelphia, PA, United States, 2Radiology, University of Pennsylvania, Philadelphia, PA, United States, 3Neurology, University of Pennsylvania, PA, United States, 4Anesthesiology, University of Pennsylvania, PA, United States

Dexmedetomidine infusion was used to induce pharmacological unconsciousness akin to natural non-REM sleep, and brain resting-state activity changes were monitored using Arterial Spin Labeling and EEG recordings. 

Our results confirm that functional changes associated with non-REM sleep in both centrencephalic and cortical structures can be monitored with ASL, revealing that selective regional CBF decreases are associated with the loss of consciousness, most significantly in the reticular activating system. The thalamic/cortical GM CBF ratio was also found to be a reliable marker of conscious state.


5350
Computer 29
Linear and non-linear BOLD effects in grip force execution are reproduced in observation
Letizia Casiraghi1,2, Adnan AS Alahmadi 3,4, Karl J Friston 5, Claudia AM Gandini Wheeler-Kingshott6,7,8, and Egidio D'Angelo 1,2

1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy, 2Brain Connectivity Center, C. Mondino National Neurological Institute, Pavia, Italy, 3Department of Diagnostic Radiology, Faculty of Applied Medical Science, KAU, Jeddah, Saudi Arabia, 4UCL Institute of Neurology, Queen Square MS center, University College London, London, United Kingdom, 5UCL Institute of Neurology, Wellcome Trust Centre for Neuroimaging, University College London, United Kingdom, 6Department of Brain and Behavioral Sciences, University of Pavia, Italy, 7UCL Institute of Neurology, Queen Square MS Centre, University College London, London, United Kingdom, 8Brain MRI 3T Mondino Research Center, C. Mondino National Neurological Institute, Pavia, Italy

In this pilot study, we investigated whether the non-linear BOLD response to varying grip force (GF) is reproduced when observing others performing the task. We used an fMRI squeezeball paradigm with two conditions: action execution (AE - subjects performed the task) and action observation (AO - subjects watched a video of the task). In both conditions, activations were detected in areas constituting the action execution-observation network and both areas evidenced linear and non-linear relations with the GF. These results indicate that action observation calls on the same context sensitive and high level processing necessary for execution.

5351
Computer 30
Modality specific thalamic activations in rat brain by fMRI
Basavaraju G Sanganahalli1,2,3, Peter Herman1,2,3, Garth J Thompson1,3, and Fahmeed Hyder1,2,3,4

1Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States, 2Quantitative Neuroscience with Magnetic Resonance, Yale University, New Haven, CT, United States, 3Magnetic Resonance Research Center, Yale University, New Haven, CT, United States, 4Biomedical Engineering, Yale University, New Haven, CT, United States

The thalamus is a crucial node in cortical-subcortical circuits important for human emotion, cognition, and memory. While invasive studies in animals have revealed rich anatomical and functional separation of various thalamic nuclei, we sought to parse the different portions of the rat thalamus in relation to tactile (forepaw, whisker) and non-tactile (visual, olfactory) stimuli by high field fMRI (11.7T). We reproducibly detected BOLD activations of VPL, VPM, POM, dLGN, and MDT, where MDT activation is a novel indication of this structure’s involvement during olfactory processing. These results have significance in understanding the role of both cortical-subcortical circuits during sensory integration.

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Acute effects of alcohol on brain perfusion monitored with 3D pseudo continuous arterial spin labeling(3D PCASL)
liang zhang1 and jun chen2

1radiology, Renmin Hospital of Wuhan University, Wu Han, People's Republic of China, 2Radiology, Renmin Hospital of Wuhan University, Wu Han, People's Republic of China

Despite the fact that alcohol have impact on human brain function, the mechanism is not yet well understood. In order to detect the changes of blood perfusion information based on PCASL, and to discuss the possible mechanism, we analyze the differences of CBF in 29 healthy volunteers before and after alcohol consumption. The results show that CBF changed significantly in brainstem, bilateral hippocampus, left frontal lobe, bilateral thalamus, corpus callosum, anterior cingulate cortex, bilateral cerebellum, bilateral occipital lobe, cuneus and bilateral temporal gyrus. These abnormal activities may have important value in revealing the mechanism of alcohol in the brain.

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Potential changes of cerebral perfusion alterations in sensorineural hearing loss
Xiaomin Xu1 and Gaojun Teng2

1Jiangsu Key Laboratory of Molecular Imaging and Functional Imaging Department of Radiology, Nanjing, People's Republic of China, 2Jiangsu Key Laboratory of Molecular Imaging and Functional Imaging Department of Radiology

To explore the effect of hearing loss on cerebral perfusion, by using a whole brain arterial spin-labeling (ASL) MRI technique. We recruited 8 hearing loss patients and 6 healthy controls, and identified the cuneus with hypoperfusion in SHL patients which may provide new insights into SHL-associated psychological abnormalities.

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Alteration of intrinsic brain activity in children with obstructive sleep apnea syndrome revealed by resting-state functional magnetic resonance imaging
Shuangfeng Yang1, Shengpei Wang2,3,4,5, Yue Liu1, Wenfeng Li1, Hongbin Li6, Jishui Zhang7, Yang Fan8, Hua Cheng1, Huiguang He2,3,4,5, and Yun Peng1

1Imaging Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China, 2The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, People's Republic of China, 3Research Center for Brain-inspired Intelligence, Institute of Automation, Chinese Academy of Sciences, Beijing, People's Republic of China, 4Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Beijing, People's Republic of China, 5Department of pattern recognition and intelligent system, University of Chinese Academy of Sciences, Beijing, People's Republic of China, 6Otolaryngology, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China, 7Neurology department, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China, 8MR Research China, GE Healthcare, Beijing, People's Republic of China

Obstructive sleep apnea syndrome (OSAS) in adults has been demonstrated tobe associated with brain functional and structural changes. However, little is known about the changes in regional synchronization of spontaneous brain activity and spontaneous fluctuations in children with OSAS. In the present study, regional homogeneity (ReHo) analysis and amplitude of low-frequency fluctuation (ALFF) based on resting-state functional magnetic resonance imaging (MRI) were used to investigate spontaneous brain activity in children with OSAS compared with controls (CN). As a result, children with OSAS showed significant functional alterations of the cerebellum and temporal gyrus in children with OSAS.

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Transient reduction in auditory midbrain responses following acute noise exposure
Condon Lau1, Eddie Wong2, Woody Ho1, Bin Yang3, and Ed Wu2,4

1Department of Physics and Materials Science, City University of Hong Kong, Kowloon, Hong Kong, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, 3Department of Radiology, Children's Hospital of Fudan University, Shanghai, People's Republic of China, 4Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong

Noise pollution can significantly affect sound processing, even without causing hearing loss. In this study, adult rat subjects are exposed to 100 dB sound level noise for 15 minutes. Functional magnetic resonance imaging (fMRI) and auditory brainstem response (ABR) testing with sound stimulation are performed before, 7 days after, and 14 days after exposure. ABR results show no significant threshold elevation, indicating no significant abnormalities in and near the ear. fMRI results show significant response reductions in the auditory midbrain 7 days after exposure. This suggests transient changes in central auditory gain following acute noise exposure.

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Multi-Echo EPI improves olfaction-related brain activation
Sonja Blankenagel1,2, Ana Beatriz Solana3, Brice Fernandez4, Christoph Hofstetter5, Andreas Dunkel5, Thomas Hofmann5, Hans Hauner6,7, and Jessica Freiherr1,2

1Fraunhofer Institute for Process Engineering and Packaging (IVV), Freising, Germany, 2Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Aachen, Germany, 3GE Global Research, Munich, Germany, 4GE Healthcare, Orsay, France, 5Food Chemistry and Molecular Sensory Science, Technical University of Munich, Freising, Germany, 6ZIEL Institute for Food and Health, Clinical Nutritional Medicine, Technical University of Munich, Munich, Germany, 7Institute of Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany

Multi‑echo planar imaging (MEPI) was explored regarding its ability to overcome the limitations of conventional EPI imaging in studies related to olfaction. MEPI offers great sensibility even in brain regions, which are affected by susceptibility artifacts in EPI imaging. Five subjects were scanned using an event-related olfactory task with both sequences. The subsequent comparison shows that three echoes MEPI has advantages regarding olfaction-related brain activation compared to single echo EPI.

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Working memory improved by abacus training in Chinese children: an fMRI study utilizing a spatial n-back task
Chunjie Wang1, Jian Weng1, Yuqiu Liu2, Hui Zhou1, and Feiyan Chen1

1Department of Physics, Zhejiang University, Hangzhou, People's Republic of China, 2Department of Psychology, Zhejiang University, Hangzhou, People's Republic of China

To examine whether abacus training improves working memory (WM), sixty-four children were randomly assigned into two groups, matched for intelligence. One group received abacus training for five years while the other group had no any abacus experience. WM was measured by a n-back task. The results showed that children with training were more accurate and faster than their peers. They also had greater activation and functional connectivity in the frontoparietal regions. The findings suggest that AMC training may be an effective method to improve WM in school children, which may have implications to help individuals with cognitive deficits.

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Audio-motor interactions during musical playing with an external timing reference
Shu-Chi Pai1, Ying-Hua Chu1, Hui-Chuan Chang2, and Jo-Fu Lin1

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, Taipei, Taiwan, 2College of Humanities and Social Sciences, Taipei Medical University, Taipei, Taiwan

Previous studies have demonstrated brain activation patterns during musical playing. However, while musical playing with multiple sources of auditory inputs is essential for musical practices and group performance, it is less understood. By using an MR-compatible piano keyboard, the present study compared musical playing with or without acoustic feedback or external timing reference. Functional MRI contrasts showed BOLD signal increase in bilateral Superior Temporal Gyrus and BA 42 during musical playing with an external timing reference, which indicates a neuronal processing pattern relating to the coordination of multiple auditory inputs.

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Characteristics of brain spontaneous neuronal activity in chronic alcoholics using different resting-state fMRI algorithm
Yilin Zhao1, Jun Chen1, and Hui Lin2

1Radiology, Renmin Hospital of Wuhan University, Wuhan, People's Republic of China, 2GE Healthcare, GE MR Research China, People's Republic of China

Resting-state fMRI reflected spontaneous baseline neuronal activity.The fractional amplitude of low frequency fluctuation (fALFF) and regional homogeneity(ReHo) method had been developed to analyze the blood oxygenation level-dependent signal fluctuations in voxelwise analysis across the whole brain.In this study, we combined two resting-state fMRI algorithm to explore the features of brain spontaneous activities in chronic alcoholics.The results indicated the abnormality activities of some nodes in the default mode network and reward circuit. It is our hope that in future studies this technique may provide the opportunity to examine the integrity of networks involving the above loops in chronic alcoholics.

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BOLD-fMRI evaluation of analgesic effects on allodynia-specific pain using fibromyalgia model rats
Sosuke Yoshinaga1, Naoya Yuzuriha1, Yuri Kitamoto1, Mitsuhiro Takeda1, Hiroshi Sato2, and Hiroaki Terasawa1

1Department of Structural BioImaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Bruker BioSpin K.K., Yokohama, Japan

The aim of this study is to evaluate the effects of analgesic agents on the allodynia-specific response in an animal model of fibromyalgia. Before and after the treatment with analgesic agents, BOLD experiments using green laser stimulation were performed. Before the treatments with analgesic agents, S1, IC, and TH exhibited BOLD responses (S1: 1.1%, IC: 0.8%, TH: 0.7%). These responses were inhibited by pregabalin treatment and to a lesser extent by duloxetine treatment (S1: 0.4%, IC: not detected, TH: 0.4%). Our experimental system provides a robust preclinical and clinical evaluation system for new analgesic agents.

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Preliminary study of hypoxic exposure effect on pilots using the Resting-State Functional Magnetic Resonance Imaging
liu jie1, zhang wan shi, cheng jing liang, zhang yong, xu xian rong, and qian long

1first affiliated hospital of zhengzhou university, zhengzhou, People's Republic of China

The study was about the Resting-State fMRI of pilots before and after hypoxic exposure. It proved that the feasibility of monitor the real-time cerebral functional activity change by using MRI. Otherwise, it confirmed that hypoxic exposure inhibited the cognitive functions of pilots to some extent.


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Representation of Taxonomic and Thematic Knowledge of the Human Brain
Yangwen Xu1, Weiwei Men2, Tianyi Qian3, Thomas Beck4, Jiahong Gao2, and Yanchao Bi1

1National Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, People's Republic of China, 2Center for MRI research, Peking University, Beijing, People's Republic of China, 3MR Collaboration NE Asia, Siemens Healthcare, Beijing, People's Republic of China, 4Siemens Healthcare, Erlangen, Germany

Decades of studies have identified a list of brain areas specific to a certain taxonomic category. However, neural representations incorporating both taxonomic and thematic knowledge are not well understood. In this study, we applied representational similarity analyses to investigate the underlying organizing principles of high-resolution neural activation patterns induced by different categories and themes at different cortical levels. In contrast to taxonomic representation, we did not find specific neural substrates representing thematic knowledge. Instead, neural activation patterns specific to thematic information emerged only when taxonomic differences were controlled for. These results suggest that the brain is dominated by taxonomic knowledge and then modified by thematic knowledge.

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A BOLD analysis of the olfactory perception system in the mouse whole brain, using independent component analysis
Hirotsugu Funatsu1, Fuyu Hayashi1, Sosuke Yoshinaga1, Mitsuhiro Takeda1, Naoya Yuzuriha1, Shunsuke Kusanagi1, and Hiroaki Terasawa1

1Department of Structural BioImaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan

A BOLD analysis can trace real-time odor responses at high spatial resolution.  Rodents have well-developed olfactory systems, and thus BOLD studies have mainly been performed in rodents.  However, mice have smaller brains and are more susceptible to peripheral hemodynamic changes than rats, which make it harder to obtain sufficient BOLD signals.  This study revealed the real-time odor response in the mouse whole brain by the BOLD experiment with periodical odor stimulations using a high-sensitivity cryogenic probe and the high-detectability analytical method, Independent Component Analysis (ICA).  The signal changes of the activation sites corresponded to the human canonical hemodynamic response function.

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Repetition effects in early blind adults revealed by fMRI adaptation
Laureline Arnaud1, Lucie Ménard2, and Vincent L. Gracco3,4

1Integrated Program in Neuroscience, McGill University, Montreal, QC, Canada, 2Linguistics Department, Université du Québec à Montréal, Montréal, QC, 3School of Communication Sciences and Disorders, McGill University, Montréal, QC, Canada, 4Haskins Laboratories, New Haven, CT, United States

Behavioural and fMRI studies have revealed enhanced auditory abilities and differences in the brain organization of early blind individuals compared to sighted. We used fMRI to assess cortical interactions associated with speech processing of repeated and novel stimuli. Although the in-scanner behavior for the blind and sighted groups were comparable, there were a number of cortical activation and deactivation differences. Additionally, the blind participants were better at a post-scan recall task. Cross-modal recruitment of occipital areas was found in the blind participants. They also showed widespread repetition-enhancement effects, suggesting that additional attention mechanisms contribute to their enhanced auditory word encoding abilities.

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Mouse BOLD fMRI imaging during operant learning at ultra-high field (14 T)
Naohiro Jomura1, Teppei Shintani1, Keisuke Sakurai1, Jun Kaneko1, and Tatsuhiro Hisatsune1

1Department of Integrated Biosciences, The University of Tokyo, Tokyo, Japan

A setup for operant learning fMRI was developed and inserted in a horizontal bore 14 T MRI. After the habituation of head-fixed mice, visual stimulation was delivered as CS and a water as reward was supplied automatically in response to licking behavior, for an operant learning task. We analyzed fMRI data between the correct and the error trials and found the BOLD elevation of brain areas including the visual cortex and the hippocampal formation when mice performed the correct trial. Mouse BOLD fMRI in operant learning task will offer unexperienced data to basic as well as clinical research fields.

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fMRI detection of neuromodulation induced neuroplasticity after spinal cord injury
Vijai Krishnan1,2, Anna Schwartz1, William Stokes1, Jeff W.M. Bulte2, Jineta Banerjee2, Aline Thomas2, Pablo Celnik3, and Galit Pelled1,2

1F.M. Kirby Center, Kennedy Krieger Institute, Baltimore, MD, United States, 2Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, MD, United States

Spinal cord injury (SCI) leads to severe motor and sensory deficits. New advances in non-invasive neuromodulation technologies such as transcranial magnetic stimulation (TMS) have shown promise in facilitating recovery following brain injuries. Here we tested whether TMS therapy can be developed as a rehabilitative approach in a rat model of SCI. High-resolution functional MRI (fMRI) at 11.7 T was used to detect cortical activity associated with post-injury neuroplasticity. A battery of behavioral tests was used to monitor gross changes in motor behavior. Our results demonstrate that TMS therapy is beneficial in improving post-SCI functional outcomes. 

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Evidence of modulation of laminar profiles by contextual modulation in V1 using high-resolution fMRI
Kimberly B Weldon1, Michael-Paul Schallmo2, Philip C Burton3, Andrea N Grant4, and Cheryl A Olman1

1Department of Psychology, University of Minnesota, Minneapolis, MN, United States, 2Department of Psychology, University of Washington, Seattle, WA, United States, 3Office of the Associate Dean for Research, University of Minnesota, Minneapolis, MN, United States, 4Department of Neuroscience, University of Minnesota, Minneapolis, MN, United States

We characterized depth-dependent laminar profiles of surround suppression in human early visual cortex with high-resolution 7T fMRI. In a block-design participants viewed circular target stimuli (gratings defined by sinusoidal luminance modulation) surrounded by an annulus with a grating either parallel or orthogonal to the target grating. The surround was placed either adjacent to the target grating (Near) or separated from the target by 2° of visual angle (Far). Results show a similar activation profile for Parallel and Orthogonal conditions in the Far condition across depth. For the Near condition, contextual modulation occurred more in deep, rather than superficial layers. 

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Top-down modulation in a directed sensory attention task
Kevin M. Aquino1, Rodika Sokoliuk2, Rosa Sanchez-Panchuelo1, Simon Hanslmayr2, Stephen Mayhew2, Karen Mullinger1,2, and Susan Francis1

1Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom, 2Centre for Human Brain Health (CHBH), University of Birmingham, Birmingham, United Kingdom

Attentional top-down effects are known to modulate responses when spatially directing attention within sensory modality. The directing of attention between sensory modality is less well understood. Here we present fMRI data using a Posner type attention paradigm between sensory areas (visual and somatosensory). We show that the visual, somatosensory and IPS regions are recruited during attention periods, with some of these areas modulated by degree of attention. Additional IPS regions were modulated strongly with attention recruitment. This paradigm presents top-down influence on cortical regions, allowing the study of the top-down influences of attention switching between sensory modalities.

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Encoding and decoding semantic information of natural movies from 7T human brain activity provided by the Human Connectome Project
Nehemia Mekete1 and An Thanh Vu2

1UC Berkeley, Berkeley, CA, United States, 2Center for Imaging of Neurodegenerative Diseases, Veteran Affairs Health Care System, San Francisco, CA, United States

We demonstrate the utility of the new 7T fMRI movie dataset made publicly available by the WashU-UMinn Human Connectome Project (HCP, www.humanconnectome.org) by reconstructing the movies participants watched, based on their fMRI brain activity and two general models of the human brain: a structural model and a semantic model. Although we were only marginally successful when using the structural model (most likely because participants were allowed to freely view the movie without a fixation task), we were able to successfully decode the semantic content of the held out movie data, with surprisingly high accuracy (r~0.8, and p<10^-10).


Electronic Poster

fMRI: Connectivity Methods

Exhibition Hall Thursday 9:15 - 10:15

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Physiological noise correction improves sensitivity, specificity, and reproducibility of resting-state functional connectivity in a reading model
Venkatagiri Krishnamurthy1,2,3, Lisa C. Krishnamurthy2,3,4, Dina M. Schwam5, Daphne Greenberg5, and Robin D. Morris3,6

1Dept. of Neurology, Emory University, Atlanta, GA, United States, 2Center for Visual and Neurocognitive Rehabilitation, Atlanta VAMC, Decatur, GA, United States, 3Center for Advanced Brain Imaging, GSU/GT, Atlanta, GA, United States, 4Dept. of Physics & Astronomy, Georgia State University, Atlanta, GA, United States, 5Dept. of Educational Psychology, Special Education, and Communication Disorders, Georgia State University, Atlanta, GA, United States, 6Dept. of Psychology, Georgia State University, Atlanta, GA, United States

Amongst several sources of noise, physiological noise (PN) from cardiac and respiratory cycles affects reliable quantification of rsFC measures such as correlation coefficient (CC). The purpose of this study is to determine the effects of PN on specificity, sensitivity and reproducibility of rsFC maps in a ‘reading’ model. We show that a combination of multiple methodologies to correct for such noise leads to improved signal fluctuations (tSNR) that culminates in higher specificity and sensitivity to neuronal fluctuations that are closer to actual ground truth. Applying our methodologies to a ‘reading’ model, we show that, irrespective of session, correction for PN results in meaningful discrimination of reading networks between typical and struggling readers.

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On the feasibility of estimating functional connectivity from hypercapnia BOLD MRI data
Xirui Hou1,2, Peiying Liu1, Micaela Chan3, Gagan Wig3,4, Denise Park3, and Hanzhang Lu1

1The Russell H. Morgan Department of Radiology, Johns Hopkins School of Medicine, Baltimore, MD, United States, 2Department of Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, United States, 3Center for Vital Longevity and School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, Texas, Dallas, TX, United States, 4Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, United States

Resting-state fMRI, particular based on Blood-Oxygenation-Level-Dependent (BOLD) signal, has been extensively used to measure functional connectivity (FC) in the brain. A recent report proposed that FC can also be evaluated from hypercapnia BOLD image.  In this work, we aim to systematically compare FC derived from hypercapnia BOLD data with those obtained from traditional resting-state BOLD data in a large cohort (170 healthy participants). Our results suggest that the hypercapnia and resting-state FC maps are spatially correlated across voxels, amplitude-wise correlated across subjects.

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Community detection in resting state functional connectivity networks beyond the resolution limit
Carlo Nicolini1, Cecile Bordier1, and Angelo Bifone1

1Center for Neuroscience and Cognitive Systems, Istituto Italiano di Tecnologia, Rovereto (TN), Italy

Graph-theoretical analysis has been widely applied to study the modular organization of brain functional connectivity networks. However, existing methods suffer from a fundamental resolution limit. Here, we propose and validate a novel, resolution-limit-free approach dubbed Asymptotical Surprise. Application of this method to human resting state networks reveals the presence of heterogeneously distributed modules, corresponding to neuroanatomically and functionally plausible networks. The finer partition afforded by Asymptotical Surprise enables a more accurate identification of connector hubs, the brain regions that are thought to be responsible for the integration of functionally segregated modules into a cohesive structure. 

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Structural basis of functional networks: A fMRI/DTI fusion approach in network level
Farzaneh Keyvanfard1,2 and Abbas Nasiraei Moghaddam1,2

1Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran, 2School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran

MRI provides the capability of obtaining different information from various aspects of the brain. More comprehensive understanding of the brain can be achieved by combining multimodal brain imaging data. Using Diffusion Tensor Imaging (DTI) in addition to resting state fMRI (rs-fMRI), we have proposed a novel multivariate fusion approach to find supportive structural basis of brain functional networks. Two known functional networks and their counterpart structural networks were extracted through this method.

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Bayesian Spatio-temporal Model for Brain Resting State Connectivity
Hakmook Kang1, Hernando Ombao2, Chris Fonnesbeck3, Zhaohua Ding3, and Victoria L Morgan3

1Vanderbilt University, Nashville, TN, United States, 2University of California, Irvine, 3Vanderbilt University

Current approaches separately analyze concurrently acquired diffusion tensor imaging (DTI) and functional magnetic resonance imaging (fMRI) data. The primary limitation of these approaches is not to use all available information in estimation of resting state functional connectivity (FC). To overcome this limitation, we developed a Bayesian hierarchical spatio-temporal model that incorporated structural connectivity (SC) into estimating FC, where SC based on DTI was used to construct a prior for FC based on resting state fMRI (rs-fMRI) data. Simulations and data analysis concluded that our model achieved smaller false positive rates and was robust to data decimation compared to the conventional approach.

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Influence of temporal filtering and global signal regression on resting state networks in the rat brain
Robert Becker1, Claudia Falfan-Melgoza1, Jonathan Reinwald1, and Wolfgang Weber-Fahr1

1RG Translatioanl Imaging, Department Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim / Heidelberg University, Mannheim, Germany

In a test-retest fMRI experiment we examined the influence of temporal filtering and global signal regression (GSR) on resting state networks in rats. Connectivity and topological properties as well as their test-retest reliability were assessed for eight filtering variants (with and without GSR, four frequency bands). We found GSR to strongly impair the expected structure of networks. The choice of temporal filtering frequencies whereas did not have a significant effect. Test-retest-reliability was low for all filtering variants. Based on our results we recommend to use less restrictive bandpass filters but no GSR.

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The Early Global Function Connectivity Stability in Infants during the Neonatal Period
Yue Cai1,2, Yuan Shi3, Yang Fan4, Wei Gao5,6, and Jiahong Gao2

1Department of Biomedical Engineering, Peking University, beijing, People's Republic of China, 2Center for MRI Research, Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, People's Republic of China, 3Daping Hospital, Third Military Medical University, Daping Hospital, Third Military Medical University, Chongqing, People's Republic of China, 4MR Research China, GE Healthcare, Beijing, People's Republic of China, 5Biomedical Imaging Research Institute (BIRI), Department of Biomedical Sciences and Imaging, Cedars-Sinai Medical Center, los angeles, CA, United States, 6Department of Radiology and Biomedical Research Imaging Center, University of North Carolina Chapel Hill, United States

This study proposes an improved method named global functional connectivity stability (GFCS) to quantify the brain dynamic functional connectivity at a voxel-wise level. The GFCS was applied to investigate the overall functional connectivity stability and its correlation with time in infants during the period from late preterm to the term equivalent age (TEA). It is shown that infants presented high functional stability predominantly in the sensorimotor areas, temporal lobe, posterior cingulate cortex (PCC) and medial prefrontal cortex. With time, the frontal areas appeared more variable while the sensorimotor cortex appeared more stable in infants during the neonatal period.

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A computer aid diagnosis of diabetic nephropathy based on the combination of IVIM and BOLD imaging
Lihua Chen1, Zhizheng Zhuo2, Tao Ren1, Shuangshuang Xie1, Yu Zhang2, and Wen Shen1

1Radiology, Tianjin First Center Hospital, Tianjin, People's Republic of China, 2Philips healthcare, Beijing, People's Republic of China

To detect the changes of kidney diseases, magnetic resonance imaging(MRI) as a noninvasive approach has been proved to be more suitable for detecting and monitoring diabetic nephropathy(DN). Intravoxel incoherent motion (IVIM) and blood oxygenation level dependent (BOLD) MR imaging have been confirmed their high potential in detecting changes of renal function in patients with chronic renal diseases and transplanted kidneys. 

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Resting State Network Dynamics using Sliding-Window Detrending and Meta-Statistics: A New Approach for Real-time fMRI
Kishore Vakamudi1, Kunxiu Gao2, Cameron W Trapp3, Greg Scantlen4, and Stefan Posse5,6

1Neurology, Physics and Astronomy, University of New Mexico, Albuquerque, NM, United States, 2NeurInsight LLC, Albuquerque, 3Neurology, Physics and Astronomy, University of New Mexico, 4CreativeC LLC, Albuquerque, 5Neurology, Physics and Astronomy, Electrical and Computer Engineering, University of New Mexico, Albuquerque, NM, United States, 6NeurInsight LLC, Albuquerque, NM, United States

This study introduces a real-time confound-tolerant approach for mapping resting-state network (RSN) dynamics that is compatible with ultra-high-speed fMRI and integrates the following processing steps: (a) iterative optimization of seed selection, (b) sliding-window online detrending of confounding signals, and (c) seed-based sliding-window correlation analysis using hierarchical running averages (meta-statistics) for mapping connectivity dynamics. The method maximizes sensitivity and specificity of mapping RSNs with enhanced suppression of spurious connectivity in WM and GM. This methodology is suitable for online monitoring of data quality, for clinical applications and basic neuroscience research of resting-state connectivity, for which there are no currently available tools.

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Pseudo-bootstrap network analysis - an application in functional connectivity fingerprinting
Hu Cheng1, Ao Li1, Andrea Avena-Koenigsberger1, Chunfeng Huang1, and Sharlene Newman1

1Indiana University, Bloomington, IN, United States

As an alternative to template based brain parcellation in functional connectivity analysis, nearly equal-sized random parcellations are applied to individual subjects multiple times to obtain a pseudo-bootstrap sample of the functional network. As one application, the method was applied on the HCP resting state dataset to identify individuals across scan sessions based on the mean functional connectivity. With a parcellation number of 278 and bootstrap sample size of 400, an accuracy rate of ~90% was achieved by simply finding the maximum correlation of mean functional connectivity of pseudo-bootstrap samples between two scan sessions. 

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Functional connectivity disturbances of the ascending reticular activating system in temporal lobe epilepsy
Dario J. Englot1, Peter E. Konrad1, Monica L. Jacobs1, John C. Gore1, Bassel W. Abou-Khalil1, and Victoria L. Morgan1

1Vanderbilt University, Nashville, TN, United States

Seizures in temporal lobe epilepsy (TLE) disturb brain network physiology and lead to brain connectivity disturbances. We used resting-state functional MRI (fMRI) recordings in TLE patients and controls to examine functional connectivity between brainstem ARAS structures and cortical/subcortical regions. ARAS connectivity was significantly lower in TLE patients than controls, with largest connectivity decreases noted in neocortical regions ipsilateral to the epileptogenic zone. Diminished ARAS connectivity was related to seizure frequency and neuropsychological impairments. Functional connectivity analysis of small brainstem structures using fMRI is feasible and may provide important information regarding mechanisms of disease in neurological disorders.

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Reproducibility of graphical measures and dynamic network features in resting state fMRI
Sue-Jin Lin1,2, Tobias R. Baumeister2,3, Alex MacKay4,5, Irene Vavasour5, David K.B. Li5,6, and Martin J McKeown1,2,6

1Graduate Program in Neuroscience, University of British Columbia, Vancouver, BC, Canada, 2Pacific Parkinson’s Research Centre, UBC Hospital, Vancouver, BC, Canada, 3Department of Biomedical Engineering Program, University of British Columbia, 4Department of Physics and Astronomy, University of British Columbia, 5Department of Radiology, UBC Hospital, 6Neurology, Faculty of Medicine, University of British Columbia

Resting state fMRI (rsfMRI) has been widely used to study brain function. Numerous informative features derived from rsfMRI data have been proposed, such as graphical metrics and dynamic connectivity, but their robustness is uncertain. In order to verify their reproducibility, we acquired rsfMRI three times for 11 subjects and calculated 7 graphical measures and 7 dynamic network features. None of the measures showed significant differences among the three rsfMRI sessions. Therefore, we concluded that graphical measures and dynamic network features in rsfMRI are at least robust to inter-trial variability, which should ameliorate uncertainties when applying them to clinical research.   

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Cue-Induced reactivity of brain in abstinence and methadone maintenance treatment for heroin addiction: an event-related functional magnetic resonance imaging study
Xuan Wei1, Jiajie Chen1, Qiang Li2, and Wei Wang2

1Radiology department of Tangdu hospital, The Fourth Military Medical University, Xi'an, People's Republic of China, 2Radiology department of Tangdu hospital, The Fourth Military Medical University, People's Republic of China

Purpose Our research aims to research abstinence and methadone maintenance treatment, to reveal which abstinence way is better and to compare their cue-reactivity in heroin-dependent individuals.

Materials and Methods 24 heroin-dependent patients under abstinence,19 heroin-dependent patients under MMT and 20 healthy volunteers were recruited. The functional images were acquired by using a spin-echo EPI.

Results MMT group brain regions which had differences in cue-reactivity intensity were significantly positive correlation with craving changes, and abstinence group did not exist. Discussion and Conclusion This study showed that abstinence is more advantageous than MMT to reduce heroin addiction in drug cue-reactivity.


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Frequency characteristics of resting-state fMRI functional networks
Nicole Yuen1 and Jean Chen1,2

1Roman Research Institute, Toronto, ON, Canada, 2Medical Biophysics, University of Toronto, Toronto, ON

This study examines the frequency dependence of functional connectivity patterns as measured using resting-state fMRI (rs-fMRI). We decompose the rs-fMRI signal into its intrinsic mode functions (IMFs) using the recently proposed variational mode decomposition (VMD) technique, which provides increased frequency precision and reduced modal mixing than previous methods. We show that many functional connectivity patterns can only be seen in a certain frequency range, contrasting previous findings. We concluded that the correlation patterns are frequency dependent and are more prominent and consistent in the lower frequency range.

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Dynamic Functional Connectivity within the Default Mode Network is associated with the Complexity of its Network Nodes
Kay Jann1 and Danny JJ Wang1

1Laboratory of FMRI Technology (LOFT), USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, United States

While dynamic functional connectivity (dynFC) provides an estimate of the information transfer between brain network nodes, the signal dynamics at each node represents the local information processing. Here we assessed the relation between dynFC within the default mode network and the complexity/regularity of fMRI signal of network nodes.  We found that a more complex and thus less predictable signal in a node allows for a more dynamic connectivity and hence a richer repertoire of different FC states.

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Effects of tCDS to vmPFC functional connectivity after 36 hours total sleep deprivation: a resting-state fMRI study
Li Jiyuan1, Song Yunlong1, Shao Yongcong2, Pan Zhibin1, Wu Yao1, and Zhou Lu2

1CT and MRI, The General Hospital of The Air Force People's Liberation Army, Beijing, People's Republic of China, 2Cognitive and Mental Health Research Center, Beijing Institute of Basic Medical Sciences, Beijing, People's Republic of China

There are fifteen health indibiduals recruited in order To explore the changes of functional connectivity in vmPFC with tDCS stimuli after 36 hours sleep deprivation. Colleceting resting-state fMRI data under the tDCS stimuli and sham stimuli conditions. Using the vmPFC as the seed region,and then the time courses of all brain voxels were correlated separately with the mean time course generated from the ROI by Pearson cross-correlation. Finally, we found that  tDCS can effectively mediate the dysfunction of brain connectivity.


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White Matter Resting-State fMRI with Hypercapnic Respiratory Challenge
Tung-Lin Wu1,2, Jennifer Watchmaker1, Li Min Chen1,3, Adam W Anderson1,2,3, Zhaohua Ding1,2,3, and John C Gore1,2,3

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

In order to further elucidate the biophysical origins of spatio-temporal correlation tensors and validate the possibility of detecting BOLD signals in white matter, we acquired resting-state fMRI in volunteers breathing alternately room air and CO2 enriched air to induce a hypercapnic-normoxic change in CBF and CBV. Our hypercapnic respiratory challenge experiments suggest that spatio-temporal correlations in white matter may be driven by local hemodynamic effects, consistent with BOLD effects instead of other potential mechanisms. Our results also imply and support our previous observation that BOLD signals in white matter can be reliably detected, and resting-state correlations between voxels are anisotropic. 

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Temporal evolution of effective connectivity analysis in anaesthetised mice
Qasim Bukhari1, Aileen Schroeter1, and Markus Rudin1,2

1Institute of Biomedical Engineering, ETH and University of Zurich, Zurich, Switzerland, 2Institute of Pharmacology and Taxicology, University of Zurich, Zurich, Switzerland

Dynamic functional connectivity (dFC) analysis has gained considerable interest in the past years. The goal of this technique is to estimate the temporal changes of resting state functional connectivity networks and get insights into brain pathologies by analyzing these dynamic patterns. dFC uses functional connectivity correlations as a means to understand the brain functional principle. Dynamic Causal Modeling (DCM) has been widely used in the neuroimaging community to estimate the effective connectivity by fitting a neuronal model to the observed fMRI data. Stochastic DCM together with Bayesian Model Comparison applied to resting state fMRI data results in the selection of the most plausible neuronal model explaining the observed data. The input to these model estimation methods are the full length time series extracted from the regions of interest of mouse resting state fMRI data, neglecting the temporal evolution of the model parameters. In this work we combine the two approaches by estimating the temporal changes in the effective connectivity as derived from DCM.

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Stimulus-evoked fMRI activations are a subset of resting-state fMRI networks in the rat olfactory bulb
Garth J Thompson1,2, Basavaraju G Sanganahalli1,2,3, Keeley Baker4,5, Justus V Verhagen4,5, Gordon M Shepherd5, and Fahmeed Hyder1,2,3,6

1Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States, 2Magnetic Resonance Research Center (MRRC), Yale University, New Haven, CT, United States, 3Quantitative Neuroscience with Magnetic Resonance (QNMR) Core Center, Yale University, New Haven, CT, United States, 4The John B. Pierce Laboratory, New Haven, CT, United States, 5Neurobiology, Yale University, New Haven, CT, United States, 6Biomedical Engineering, Yale University, New Haven, CT, United States

Are coordinated activations of the brain during sensory stimulation linked to the synchronized activations or “functional connectivity” observed with resting state fMRI? We recorded odor-stimulation fMRI and resting state fMRI in the rat olfactory bulb’s glomerular sheet. Glomerular activations due to three odors were compared to spontaneous fluctuations organized as twenty-two independent component networks. Networks correlated with activation in an odor-specific manner. We reconstructed approximations of activation which retained odor specificity for two of three odors, despite being constructed from resting state data. Our results suggest a function for synchronized resting oscillations in reinforcing stimulation-specific responses.

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Dynamic Functional Connectivity in Event-Related fMRI and its implications in Epilepsy
Ashish Kaul Sahib1,2, Michael Erb1, Klaus Scheffler1,3, Thomas Ethofer1,4, and Niels Focke2

1Department of Biomedical Magnetic Resonance, University Hospital tuebingen, Tuebingen, Germany, 2Department of Neurology/Epileptology, University Hospital tuebingen, Tuebingen, Germany, 3Max-Planck-Institute for Biological Cybernetics, Tuebingen, Germany, 4Department of General Psychiatry, University Hospital tuebingen, Tuebingen, Germany

To assess the impact of repetition time (TR) and window size on the temporal features of BOLD functional connectivity (FC) using a sliding window approach in event-related fMRI. in addition, test the feasibility of this approach in epilepsy. We calculated the functional connectivity degree (FCD) by counting the total number of connections of a given voxel above a predefined threshold based on Pearson correlation. In summary, we showed that dynamic FCD transients are better detectable with sub-second TR than conventional TR, indicating a potential to study the temporal characteristics of interictal epileptiform discharges and seizures in epilepsy patients.

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Topological Networks reorganization in two profile of High Potential Children: a resting state fMRI study.
Ilaria Suprano1, Chantal Delon-Martin, Gabriel Kocevar, Claudio Stamile, Salem Hannoun , Pierre Fourneret, Olivier Revol, Fanny Nusbaum, and Dominique Sappey-Marinier

1Université Claude Bernard - Lyon 1, Lyon, France

High Potential Children diagnosis remains unclear. We proposed to examine 56 children with a resting state fMRI study. The profile of network topology was explored in two different groups of HP estimating the hub disruption index (k). A disruption of the order of importance of specific nodes in both the HP groups was found with a stronger reorganization in heterogeneous group. This results may offer a confirm of the different psychiatric characteristics that exist between the HP profiles. The sensitivity of graph metrics based on rs-fMRI was demonstrated to be very helpful to provide a better characterization of HP children.  

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Diffusion kurtosis imaging with tract-based spatial statistics reveals white matter alterations in children with obstructive sleep apnea syndrome
Wenfeng Li1, Hongwei Wen2, Yun Peng1, Hongbin Li1, Yang Wen1, Hua Cheng1, Yang Fan3, Huiguang He2, and Yue Liu1

1Beijing Children's Hospital,Capital Medical University, Beijing, People's Republic of China, 2Chinese Academy of Sciences, Beijing, People's Republic of China, 3GE Healthcare, Beijing, People's Republic of China

It is reported that OSAS may cause cognitive function disorder of children due to chronic hypoxia for a long time[1]. However, it is not clear whether there are any structural changes of cerebral regions, e.g. white matter (WM). Diffusion kurtosis imaging is now widely used in the detection of cortical structural changes across kinds of diseases. In the present study, DKI is used to investigate microstructural changes of WM in OSAS children compared with normal healthy controls.

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Graph theoretical analysis of the modular organization of resting state functional connectivity in the rat
Stefano Tambalo1, Giulia Scuppa1, Carlo Nicolini1, Cecile Bordier1, and Angelo Bifone1

1Center for Neuroscience and Cognitive Systems, Istituto Italiano di Tecnologia, Rovereto (TN), Italy

Modular organization of resting state functional connectivity has been demonstrated in human studies using graph theoretical approaches. Various methods, characterized by different resolutions, have enabled the investigation of the functional connectivity structure of the human brain at different scales. Here, we extend these approaches to the study of resting state connectivity in the rat, and demonstrate for the first time the existence of multi-scale, functionally segregated modules in this species.


Electronic Poster

fMRI: Multimodal

Exhibition Hall Thursday 9:15 - 10:15

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How does chronic neuroinflammation affect resting state functional connectivity?
Esteban Adrian Oyarzabal1,2,3, SungHo Lee1,4,5, Manasmita Das1,2, Sheng Song6,7, and Yen-Yu Ian Shih1,2

1Neurology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 3Neurobiology Laboratory, National Institute of Environmental Health Sciences, RTP, NC, United States, 4University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 5Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, 6Neurobiology Laboratory, National Institute of Environmental Health Sciences, 7National Institute of Environmental Health Sciences, RTP, NC, United States

Chronic neuroinflammation, present in most neuropathologies, has long-term consequences on neurocircuit connectivity synchrony and strength.  By implementing multi-modal techniques to quantify neuroinflammation, we found a strong association linking the intensity of neuroinflammation with depressed functional connectivity.  We partly attribute these changes to neurodegeneration and the loss of central NE.

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The Combine Analysis of improved Multi-parametric MR for identifying the different subtypes and immunohistochemical expression of Breast cancer
Weixiong Fan1, Xiaofeng Chen1, Fengyan Cheng1, Yabao Cheng2, Tai Xu3, Guijin Li4, Xiaolei Zhu5, and Shuai Li6

1Department of Radiology(MRI), Meizhou City People's Hospital, Meizhou,Guangdong, People's Republic of China, 2Department of Radiology(MRI), Meizhou City People's Hospital, People's Republic of China, 3Department of breast surgery, Meizhou City People's Hospital, Meizhou,Guangdong, People's Republic of China, 4Departmen of Siemens Healthcare application, Siemens Healthcare, Guangdong, People's Republic of China, 5MR scientific marketing NE Asia, Siemens Healthcare, Guangdong, People's Republic of China, 6MR scientific marketing NE Asia, Siemens Healthcare, Beijing, People's Republic of China

The aim of this study was to explore the different subtypes and immunohistochemical expression  of breast cancer in improved multi-parametric MR imaging. By introducing the free breathing of ultrafast temporal resolution dynamic VIBE (TWIST-VIBE) and readout segmentation of long variable echo-trains (RESOLVE) techniques, quantitative pharmacokinetic (PK), semi-quantitative DCE-MRI based on curve of time concentration and diffusion parameters were extracted to analyze it. The results show that significant differences in multi parametric parameters Kep and rADC among the different subtypes of Breast cancer. Those parameters were hopeful to be a non-invasive measurement for assessing the subtypes and the biology, histological features of breast cancer.

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Fluctuations of the EEG-fMRI correlation reflect intrinsic strength of functional connectivity in default mode network
Tuija Keinänen1,2, Seppo Rytky2, Vesa Korhonen1, Juha Nikkinen3, Osmo Tervonen1, Matias Palva4, and Vesa Kiviniemi1

1Diagnostic Radiology, Oulu University Hospital, Oulu, Finland, 2Clinical Neurophysiology, Oulu University Hospital, Oulu, Finland, 3Oncology and Radiotherapy, Oulu University Hospital, 4Neuroscience Center, University of Helsinki

Resting-state networks (RSN) functional connectivity has shown to be temporally dynamic in the brain. Also the correlations between infra slow fluctuations in electroencephalography (EEG) and blood oxygen level-dependent signal have shown dynamic variability over time. Here, we used simultaneous EEG-fMRI with ultra-fast magnetic resonance encephalography to study the link between the variations of these correlations and variations in RSN functional connectivity. The results suggest that the correlation strength is markedly linked to the strength of underlying functional connectivity. This leads to low correlations when averaged over a long period, high momentary synchrony can be reached due to intrinsic RSN dynamics.

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Neurochemical Basis of the BOLD Change in Attention Control - a combined task-based fMRI and 1H-MRS
Pui Wai Chiu1,2, Hui Zhang1, Issac Ip3, Savio Wai Ho Wong3, Tianyin Liu4, Gloria Hoi Yan Wong5, Queenie Chan6, Kelvin Kai Wing Yau7, Leung Wing Chu8,9, and Henry Ka Fung Mak1,2,9

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, Hong Kong, 4Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong, 5Department of Social Work and Administration, The University of Hong Kong, Hong Kong, Hong Kong, 6Philips Healthcare, Hong Kong, Hong Kong, Hong Kong, 7Department of Management Sciences, City University of Hong Kong, Hong Kong, Hong Kong, 8Department of Medicine, Queen Mary Hospital, Hong Kong, Hong Kong, 9Alzheimer's Disease Research Network, The University of Hong Kong, Hong Kong, Hong Kong

fMRI can indirectly measure brain activity, but the biochemical underpinnings of the BOLD changes are still unknown. Nevertheless, 1H-MRS can bridge such gap by measuring Glx [summation of glutamate (Glu) and glutamine (Gln)], where Glu is one of the mediators of neurovascular coupling. In this study, we aim to elucidate the complex relationship between attention control (numerical Stroop) and its associated neurochemical changes by combining the biochemical information from task-based fMRI and 1H-MRS. Our result showed that the anterior cingulate cortex was positively correlated with Glx. This is the first study providing neurochemical explanation of the BOLD change during attention control task.

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Empirical Model Decomposition Removes Non-stationary EEG Noise in Simultaneous fMRI-EEG Acquisition
Kevin Wen-Kai Tsai1, Hsin-Ju Lee2, Wen-Jui Kuo2, Jo-Fu Lotus Lin3, and Fa-Hsuan Lin3,4

1Aim for the Top University Project Office, National Taiwan Normal University, Taipei, Taiwan, 2Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan, 3Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 4Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

Non-stationary EEG noise from simultaneous fMRI-EEG acquisition could be conventionally removed by optimal basis selection and followed by a low-pass filtering. An empirical model decomposition (EMD) method was applied to partially remove non-stationary EEG noise from simultaneous fMRI-EEG acquisition. Our results suggested that EMD method could reveal similar auditory evoked potential with optimal basis selection and low-pass filtering without prior knowledge or cut-off frequency, thus preserving high frequency signal not empirically related to the non-stationary noise. This EMD method allows us to investigate human brain high frequency EEG oscillation in the simultaneous fMRI-EEG measurement.

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Correcting motion-affected gradient artifacts in EEG-fMRI: a modeling approach
Shuoyue Zhang1, Bruno Riemenschneider1, Maxim Zaitsev1, Jürgen Hennig1, and Pierre LeVan1

1Department of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany

Simultaneous acquisition of electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) is extensively applied for brain mapping due to the high temporal resolution of EEG and high spatial resolution of fMRI. But gradient artifacts on the EEG cannot be optimally corrected in the presence of abrupt head movements. In this work, we demonstrate a method to model motion-related gradient artifacts. Thus we obtain not only an improvement in gradient artifact correction, but also infer motion information directly from the EEG.

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Investigation of the relationship between metabolic basis of thalamus and brain spontaneous activity revealed by a study combined fMRI and MRS
Zhengge Wang1, Bing Zhang1, and Bin Zhu1

1Radiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, People's Republic of China

Several recent studies have reported a correlation between regional glutamate concentration and BOLD activation. In this study, we combined resting-state fMRI and MRS to investigate whether this association maintain in spontaneous brain activity in the thalamus. Significant positive correlation was found between glutamate concentration and the ALFF and ReHo in left thalamus; negative correlation between glutamate and DC in left thalamus. Furthermore, the ALFF of left primary motor cortex and bilateral auditory cortex were affected by left thalamus glutamate. This provides insight into better understanding the neuronal and biochemical mechanisms of thalamus function.

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Comparison of fMRI and MEG language localization tasks—a prospective study of noninvasive presurgical functional mapping
Li Zheng1, Jingwei Sheng1, Tianyi Qian2, Thomas Beck3, and Jia-hong Gao1

1Center for MRI Research, Peking University, Beijing, People's Republic of China, 2Siemens Healthcare, MR Collaborations NE Asia, Beijing, People's Republic of China, 3Siemens Healthcare, Application Development, Erlangen, Germany

In patients with intractable epilepsy, anomalous cortical organization could be observed and pre-surgical planning involving the localization of cortical language areas is critical. As a prospective study, we compared language localization using functional magnetic resonance imaging (fMRI) and magnetoencephalography (MEG) with advanced source estimate method in 18 volunteers. Group analysis results showed something similar or discordant between fMRI and MEG activation. It is consider that fMRI technique combined MEG can used for the preoperative localization and postoperative functional evaluation in the future.

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Low frequency activity from somatosensory thalamus propagates brain-wide and modulates top-down visual processing
Alex T. L. Leong1,2, Russell W. Chan1,2, Xunda Wang1,2, Celia M. Dong1,2, Leon C. Ho1,2, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, Hong Kong

Top-down/descending control is a critical stage in sensory processing that underlies numerous cognitive processes. Recent studies uncovered the prevalence of converging long-range networks across multiple sensory modalities as anatomical substrates that likely mediate sensory top-down control. Using an optogenetic fMRI technique that we recently developed to examine patterns of large-scale brain-wide interactions mediated by the somatosensory thalamo-cortical network, we demonstrated that propagating low frequency activity (~1Hz) underlying such interactions enhanced visual responses in the superior colliculus. This work presents a new approach to investigate the functional roles of top-down control and their underlying brain mechanisms. 

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Correction of Gradient Artefacts in Simultaneous EEG-FMRI from Rotating Gradient Trajectories
Mark Chiew1, Jostein Holmgren2, Nadine N Graedel1, Dean Fido1, Catherine E Warnaby1, and Karla L Miller1

1FMRIB Centre, University of Oxford, Oxford, United Kingdom, 2Institute of Psychology, University of Oslo

We propose a method for correcting gradient artefacts in simultaneous EEG-FMRI that are variable from shot-to-shot, where artefacts cannot be identified via averaging. The artefact model is extracted from a data-driven decomposition that identifies the signal contributions which show geometric variation matching that of the trajectory rotation model. We show that this correction, applied to a rotating EPI trajectory, works just as well as standard approaches applied to conventionally sampled (non-rotating) EPI data. This will allow the use of more flexible sampling approaches in simultaneous EEG/FMRI that facilitate highly accelerated dynamic image reconstruction.

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Simultaneous trimodal MR-flumazenil-PET-EEG imaging in a rest-task-rest design in humans
Irene Neuner1,2,3,4, Ravichandran Rajkumar1,2,3,4, Praveen Sripad1, Christine Wyss1,4,5, Jörg Mauler1, Lutz Tellmann1, Elena Rota Kops1, Jürgen Scheins1, Markus Lang6, Frank Boers1, Christoph Lerche1,4, Johannes Ermert6, Bernd Neumaier6, Jürgen Dammers1, Karl-Josef Langen1,7, Hans Herzog1, Wolfram Kawohl4,5, and N Jon Shah1,3,4,8,9

1Institute of Neuroscience and Medicine 4 (INM4), Forschungszentrum Juelich GmbH, Juelich, Germany, 2Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, Germany, 3JARA – BRAIN – Translational Medicine, Juelich, Germany, 4TRIMAGE-consortium, Juelich, Germany, 5Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry, Zurich, Switzerland, 6Institute of Neuroscience and Medicine 5 (INM5), Forschungszentrum Juelich GmbH, Juelich, Germany, 7Department of Nuclear Medicine, RWTH Aachen University, Aachen, Germany, 8Department of Neurology, RWTH Aachen University, Aachen, Germany, 9Department of Electrical and Computer Systems Engineering, and Monash Biomedical Imaging, School of Psychological Sciences, Monash University, Melbourne, Australia

How quickly does the human brain switch back from a task mode to the resting state condition? This question is addressed in a small sample of healthy volunteers employing a simultaneous trimodal MR-flumazenil-PET-EEG approach at 3T. Based on the fMRI results, we observe an increase in ReHo - a measure of local connectivity - coupled with a slight decrease in the binding potential of [11C] Flumazenil in the PCC which is a major hub of the default mode network; this indicates a change of the GABA-ergic driven inhibitory tonus. This is accompanied with changes in the alpha band over parietal electrodes.

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GABA MRS combined with resting state functional connectivity to explore decoding and fluency skills of typical and struggling readers
Lisa C. Krishnamurthy1,2,3, Venkatagiri Krishnamurthy2,3,4, Dina M. Schwam5, Daphne Greenberg5, and Robin D. Morris3,6

1Dept. of Physics & Astronomy, Georgia State University, Atlanta, GA, United States, 2Center for Visual and Neurocognitive Rehabilitation, Atlanta VAMC, Decatur, GA, United States, 3Center for Advanced Brain Imaging, GSU/GT, Atlanta, GA, United States, 4Dept. of Neurology, Emory University, Atlanta, GA, United States, 5Dept. of Educational Psychology, Special Education, and Communication Disorders, Georgia State University, Atlanta, GA, United States, 6Dept. of Psychology, Georgia State University, Atlanta, GA, United States

Previous reports have shown that resting concentrations of gamma-amino butyric acid (GABA) will predict resting state Functional Connectivity (rsFC) measures as well as amplitude of task activation. The goal of this study is to model how the neurochemical profile interplays with the connectivity underlying the decoding and fluency components of the reading circuit. Our model is in support of recent task-based fMRI observations, but goes beyond by interrogating the underlying networks that support the behavior, and combining that information with the neurochemistry that characterize the trait. These preliminary results of combining MRS and rsFC with neuropsychological measures are promising, and will help identify the underlying dysfunction in struggling adult readers’ brain circuitry.

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Multimodal meta-analysis of neural correlates in first-episode drug-naïve major depressive disorder
Weina Wang1, Youjin Zhao2, Xinyu Hu2, and Qiyong Gong2

1West China Hospital of Sichuan University, Chengdu, People's Republic of China, 2West China Hospital of Sichuan University, People's Republic of China

Evidence of structural and resting-state functional brain abnormalities in MDD has been inconsistent. We conducted the first multimodal meta-analysis of voxel-based morphometry (VBM) and amplitude of low-frequency fluctuation (ALFF) studies in first-episode drug-naïve MDD patients. 15 VBM data setsand 11 ALFF data sets were included. A multimodal meta-analysis was used to highlight brain regions with both structural and functional abnormalities. The multimodal meta-analysis identified conjoint structural and functional differences in the left lateral orbitofrontal cortex and right supplementary motor area.  Dissociated anatomical and functional brain abnormalities in MDD were also observed. Meta-analysis revealed in MDD a complex pattern of conjoint and dissociated structural and functional brain abnormalities in brain regions involved in cognition and emotional processing.

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Multimodal functional imaging using modified fMRI-weighted minimum-norm estimation
Jing Xu1, Tianyi Qian2, Thomas Beck3, and Jia-Hong Gao1

1Center for MRI Research, Peking University, Beijing, People's Republic of China, 2MR Collaborations NE Asia, Siemens Healthcare, Beijing, People's Republic of China, 3Application Development, Siemens Healthcare, Erlangen, Germany

Multimodal functional neuroimaging by combining fMRI and EEG has been studied to achieve high-resolution reconstruction of the spatiotemporal cortical current density (CCD) distribution. Although fMRI-constrained EEG/MEG source imaging can enhance spatiotemporal resolution of functional neuroimaging, it has been reported that hard fMRI constraint can result in misidentification of neuronal sources if mismatches exist between fMRI activations and EEG/MEG sources. In this study, we propose a new method modified fMRI-weighted minimum-norm estimation (mfMNE) to solve the problem of fMRI–EEG integrated source imaging. This method may be a promising option for solving the mismatches between fMRI and EEG/MEG in the fMRI-constrained EEG/MEG source imaging.

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A Comparison of BOLD Signal Amplitude and Electrical Activity During Task Performance in MS and Healthy Control Subjects: Evidence of Neurovascular Decoupling
Mark J Lowe1, Wanyong Shin1, Balu Krishnan2, and Lael Stone2

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) and BOLD during performance of a motor task. Using EEG-derived predictors of BOLD response, we show that, while EEG robustly predicts the amplitude of the BOLD signal in healthy control subjects, the estimation is very poor in MS patients. This could be direct evidence of cerebrovascular decoupling of the BOLD signal in MS.

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Investigation of neural mechanism underlying ipsi- and contra-lateral acupuncture analgesia in the capsaicin-induced pain model
Xuan Niu1, Yuchen Zhang1, Qiuli Zhang1, Haining Li1, Zhuonan Wang1, Yingxiang Sun1, Lijun Bai2, and Ming Zhang1

1The First Affiliated Hospital of Xi’An Jiaotong University, Xi’an, People's Republic of China, 2The Key Laboratory of Biomedical Information Engineering,Ministry of Education, Department of Biomedical Engineering, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an, People's Republic of China

This paper presents an original research to investigate the underlying neural mechanism on analgesia at ipsi- or contra-lateral acupuncture with capsaicin-induced allodynia on human body. Our findings further suggested that DMN participants in the modulation of spatial-oriented attention on placebo analgesia as a mechanism underlying the degree to which treatment side corresponding to the pain. Notably, disruptions of the DMN may account for the cognitive and behavioral impairments in chronic pain patients. In addition, it may possibly reflect individual variation in placebo response, thus, as a valuable neural biomarker to predict clinical curative effect in acupuncture treatment.

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Altered structure and function reflect chronic pain in patients with idiopathic trigeminal neuralgia
Yuan Wang1,2, Dongyuan Cao3, Bethany Remeniuk2,4, David Seminowicz2, and Ming Zhang1

1Department of Medical Imaging, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China, 2Department of Neural and Pain Sciences, School of Dentistry, University of Maryland Baltimore, Baltimore, MD, United States, 3Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Stomatological Hospital, Xi’an Jiaotong University Health Science Center, Xi'an, People's Republic of China, 4Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States

To testify the hypothesis of morphometric and functional alterations of patients with idiopathic trigeminal neuralgia (ITN), we displayed gray matter volume (GMV) reductions in the anterior and middle cingulate cortex (ACC and MCC), insula, and several regions of temporal lobe. Additionally, enhanced functional connectivity was revealed between right insula and ACC, medial prefrontal cortex, posterior cingulate cortex (PCC), and dorsal lateral prefrontal cortex in ITN patients. Furthermore, GMV of left inferior temporal gyrus negatively correlated with pain intensity and disease duration in patients, and connectivity of right insula-ACC was negatively associated with pain scores, depression, and anxiety ratings, respectively.

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Alterations of white matter integrity and hippocampal functional connectivity in type 2 diabetes without cognitive impairment
Qian Sun1, Guan-Qun Chen2, Yu Ying3, Yu-Chuan Hu3, Lin-Feng Yan3, Xin Zhang3, Yang Yang3, Wen Wang3, Ying Han2, and Guang-Bin Cui3

1Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi’an, People's Republic of China, 2Department of neurology, Xuan Wu Hospital, Capital Medical University, People's Republic of China, 3Department of Radiology, Tangdu Hospital, Fourth Military Medical University, People's Republic of China

Researchers and clinicians interested in neuroimaging and type 2 diabetes mellitus without cognitive impairment, with a particular interest in diffusion tensor imaging (DTI) and resting state functional magnetic resonance imaging (rs-fMRI) 

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Detecting gamma frequency neural activity using simultaneous multiband EEG-fMRI
Makoto Uji1, Ross Wilson1, Susan T. Francis2, Stephen D. Mayhew1, and Karen J. Mullinger1,2

1Centre for Human Brain Health (CHBH), University of Birmingham, Birmingham, United Kingdom, 2SPMIC, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom

We establish a methodology for optimal combination of simultaneous EEG recording with sparse multiband fMRI that preserves high resolution, whole brain fMRI coverage with broad-band EEG signal measurement uncorrupted by MR gradient artefacts. We demonstrate the ability of this approach to record gamma frequency (>50Hz) EEG signals, that are usually obscured during continuous fMRI data acquisition. In a novel application to a motor task we observe a positive correlation between gamma and BOLD responses, supporting and extending previous findings concerning the coupling between neural and haemodynamic measures of brain activity.

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SomatoMotor Mapping in MEG
Eleanor Barratt1, George O'Neill1, Rosa Sanchez-Panchuelo1, Matthew Brookes1, and Susan Francis1

1School of Physics, University of Nottingham, Nottingham, United Kingdom

Sensorimotor mapping allows separation of the brain’s representation of individual digits. This is possible using functional magnetic resonance imaging (fMRI), but is more challenging in magnetoencephalography (MEG) where it has been demonstrated by mapping evoked responses. Here, we use ultra-high field (7T) fMRI to map digits in a finger-tapping experiment, and contrast our findings to equivalent results showing the spatial signatures of beta band oscillatory responses measured in MEG. We show that the MEG beta rebound can be mapped topographically.

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Toward real-time head motion corrections in simultaneous EEG-fMRI: Convolutional neural network classification of EEG-derived motion independent components.
Chung-Ki Wong1, Vadim Zotev1, Raquel Phillips1, Masaya Misaki1, and Jerzy Bodurka1,2,3

1Laureate Institute for Brain Research, Tulsa, OK, United States, 2Stephenson School of Biomedical Engineering, University of Oklahoma, Norman, OK, United States, 3Center for Biomedical Engineering, University of Oklahoma, Norman, OK, United States

In EEG-fMRI, EEG electrodes record head motions with a high temporal resolution (EEG-motion-sensor), which can be utilized for retrospective slice-by-slice fMRI motion correction. EEG motion components derived from independent component (IC) analysis were automatically identified by the common features observed in the IC mean power spectral density, spatial projection topographic map, and signal contribution. For real-time application of the EEG-motion-sensor, pre-trained models are desirable for faster classification. We used convolutional neural network to evaluate performance of motion-IC classification model. High speed and classification accuracy were achieved on a large EEG-fMRI dataset, suggesting the possibility of real-time EEG-motion-sensor applications for fMRI.

5414
Computer 94
Multi-scale peak detection method for an automatic cardioballistic artifact period determination directly from EEG-fMRI data
Chung-Ki Wong1, Qingfei Luo1, Vadim Zotev1, Raquel Phillips1, and Jerzy Bodurka1,2,3

1Laureate Institute for Brain Research, Tulsa, OK, United States, 2Stephenson School of Biomedical Engineering, University of Oklahoma, Norman, OK, United States, 3Center for Biomedical Engineering, University of Oklahoma, Norman, OK, United States

In simultaneous EEG-fMRI, the period of cardioballistic artifact (BCG) in EEG is required for the artifact removal. Recording the electrocardiogram (ECG) waveform during fMRI is difficult, often causing inaccurate period detection. Since the BCG artifact waveform in EEG-fMRI is relatively invariable compared to the ECG waveform, we propose a multiple-scale peak-detection algorithm to determine directly the BCG period from EEG-fMRI data. The algorithm achieves a high detection accuracy of the BCG artifact occurrence on a large EEG-fMRI dataset without using the ECG waveforms, virtually eliminating the need for ECG for BCG artifact removal.

5415
Computer 95
Effect of DBS stimulation intervals on brain activity and dopamine release
Christin Y. Sander1, John Arsenault1,2, Bruce R Rosen1, Wim Vanduffel1,2, and Joseph B Mandeville1

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2Laboratory of Neuro- and Psychophysiology, Katholieke Universiteit, Leuven, Belgium

In this study, deep brain stimulation with chronically implanted electrodes in the unilateral ventral tegmental area of a monkey was performed. The purpose was to determine stimulation paradigms for a range of inter-stimulation intervals that would enable the simultaneous observation of brain activity using fMRI and endogenous dopamine release using [11C]raclopride-PET. While long inter-stimulation intervals produced a unilateral focal CBV response in the striatum but no change in [11C]raclopride binding, short intervals produced a more widespread CBV response and displacement of [11C]raclopride. This study shows the effect of stimulation parameters on brain activity, neurotransmitter release and its limits of detectability.

5416
Computer 96
Mapping TMS immediate effects by concurrent TMS/fMRI using a dedicated high-sensitivity coil array
Martin Tik1, Michael Woletz1, Lucia Navarro de Lara1, Ronald Sladky1, André Hoffmann1, Allan Hummer1, Nicole Geissberger1, and Christian Windischberger1

1Division MR Physics, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Wien, Austria

In this work we show the feasibility of a novel concurrent TMS/fMRI setup based on two multi-channel receive arrays that allows for whole brain fMRI data acquisition during brain stimulation. We show that stimulation at frequencies of 1 and 10Hz, respectively, leads to distinct changes in BOLD signal. We also report increased TMS-related network effects with higher stimulation. This validity check sets the frame for efficacy studies investigating the TMS stimulation of cortical areas for modulating complex brain networks. 


Electronic Poster

Thermal/HIFU

Exhibition Hall Thursday 13:00 - 14:00

5417
Computer 1
In-Bore MRI-Guided and Monitored Laser Ablation for Renal Malignancy: Outcome Data from 46 Treated Tumors with 24-Month Median Follow-up
Sherif G. Nour1,2, Kareem K Elfatairy3, Debra O Weber3, Melinda M. Lewis4, and Viraj A Master5

1Radiology and Imaging Sciences, Emory University Hospitals and School of Medicine, Atlanta, GA, United States, 2Interventional MRI Program, Emory University Hospitals and School of Medicine, Atlanta, GA, United States, 3Radiology and Imaging Sciences, Interventional MRI Program, Emory University Hospitals, Atlanta, GA, United States, 4Pathology, Emory University Hospitals and School of Medicine, Atlanta, GA, United States, 5Urology, Emory University Hospitals and School of Medicine, Atlanta, GA, United States

Interventional MRI technology has been used to guide and monitor renal ablation procedures because of its ability to provide online feedback on ablation progress and determine treatment endpoints based of individual tumor responses. The field of Interventional MRI lacks the abundance of outcome data that provide the evidence for the added value of using MRI technology to guide interventions. We report the long-term efficacy data for interactive guidance and real-time monitoring of 46 renal ablation procedures performed entirely within an interventional MRI suite using a short introducing needle and a flexible laser fiber.

5418
Computer 2
Quantitative Evaluation of Thermochemical Ablation Injections in Bovine Liver Phantoms using ²³Na MRI
Tobias Theis1, Nicolas G. R. Behl1, Erik N. K. Cressman2, Armin M. Nagel1,3, Sebastian Flassbeck1, Aaron Kujawa1, Peter Bachert1, Mark E. Ladd1, and Florian Maier1

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 3Institute of Radiology, University Hospital Erlangen, Erlangen, Germany

Thermochemical ablation (TCA), a novel minimally invasive ablation therapy, was quantitatively evaluated using 23Na MRI at 7T. In this study, eight TCA injection experiments were performed using eight ex vivo bovine liver phantoms. Normalization on the reference tubes and B1-correction of the 23Na images were performed to get quantitative values. This improved the maximum relative error of the estimated amount of substance by a factor of 3.6. The total injected amount was accurately determined. This study shows that quantitative 23Na MRI provides detailed information about TCA injections, which is important for computational modelling of the method and cell damage prediction.

5419
Computer 3
Monitoring Cryoablation using Short Inversion Recovery Ultrashort Echo Time (STIR-UTE) MRI
Junichi Tokuda1, Kemal Tuncali1, Ravi T Seethamraju 2, Clare M Tempany1, and Ehud J Schmidt1

1Radiology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States, 2Siemens Healthcare, Boston, MA, United States

We propose a new technique to delineate the area below the critical temperature in the frozen tissue during cryoablation using STIR UTE MRI. It relies on the temperature-dependency of the T1 in the frozen tissue. We demonstrated the technique in an ex vivo swine kidney sample using a 3T MRI scanner with a STIR PETRA sequence. To create a uniform temperature gradient, the sample was placed between dry-ice and warm bath, while UTE and STIR UTE images were being acquired. The STIR UTE image demonstrated hyper-intensity in the frozen area, relative to hypo-intensity in the UTE image.

5420
Computer 4
Field drift-correction of PRFS temperature mapping using interleaved non selective free induction decay (FID) readouts
Cyril J Ferrer1, Lambertus W Bartels1, Tijl van der Velden1, Charles Mougenot1, Chrit T.W Moonen1, and Clemens Bos1

1UMC Utrecht, Utrecht, Netherlands

During long hyperthermia procedures guided by MR thermometry, drift of the main magnetic field leads to systematic errors in PRFS measurements, compromising the required temperature monitoring. In this study we evaluated if interleaving acquisition of PRFS MRT with non-selective FID readouts using conventional receive coil elements allows for correcting the drift effects in PRFS thermometry. Automated field drift correction using interleaved non-selective FIDs allowed maintaining a precision and accuracy better than 1°C. This temperature precision would typically be required for controlling a hyperthermia procedure.


5421
Computer 5
MR Relaxation Properties in MR Coagulation for Vascular Repair
Ming Zhao 1,2, Ouri Cohen2, Erez Nevo3, R.Gilberto Gonzalez2, and Jerome L. Ackerman2

1Department of Physics, University of Massachusetts Lowell, Lowell, MA, United States, 2Martinos Center, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 3Robin Medical, Inc., Baltimore, MD, United States

As part of a project to develop MR-induced RF heating of a coagulable biomaterial for minimally invasive repair of vascular lesions, we investigate the relationship between the heat coagulation behavior and MR relaxation properties of egg white. This protein solution is a good model for the analogous behavior of human serum albumin solution, an optimal (but expensive) biomaterial for MR coagulation. We find that large changes in both T2 and the width of the magnetization transfer spectrum clearly indicate the temperature at which the coagulation process occurs. T2 and MT weighted MR images identify coagulated material in an aneurysm phantom. 

5422
Computer 6
Effect of the transceive phase on MR thermometry in aqueous mediums
G. Salim1, P. Baron1, D.H.J. Poot1, J.A. Hernandez Tamames1, T. Drizdal2, M.M. Paulides2, S. Klein3, and G. Salim1

1Radiology dept., Erasmus Medical Center, Rotterdam, Netherlands, 2Radiation Oncology dept., Erasmus Medical Center, Rotterdam, Netherlands, 3Biomedical Imaging Group Rotterdam (BIGR), Erasmus Medical Center, Rotterdam, Netherlands

In this work we illustrate the effect of changes in the transceive phase on the quality of MR thermometry in acqueous medium.  

5423
Computer 7
In Vivo Evaluation of a Multi-echo Pseudo-Golden Angle Stack of Stars Thermometry Method
Bryant T. Svedin1, Allison Payne1, and Dennis L. Parker1

1Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States

A multi-echo pseudo-golden angle stack of stars sequence for use in free-breathing interventional procedures is evaluated in vivo with 5 healthy volunteers for use in MR thermometry in the breast. High spatial and temporal resolution (1.3 mm3, 1.43 s) is achieved through k-space filtering. PRF temperature, T2*, ρ (signal magnitude at TE = 0), respiration correction and fat/water separation are simultaneously measured. Use of a pseudo-golden angle increment allows for the removal of phase (and therefore PRF temperature) artifacts due to changing k-space sampling between reconstructed time points. k-Space sampling based phase reference library greatly improves temperature standard deviation compared to a single baseline reference.

5424
Computer 8
A Methodology for Deriving Thermal Dose Model Parameters from Perioperative MR Data
Christopher MacLellan1,2, David Fuentes1,2, Sujit Prabhu3, Ganesh Rao3, Jeffrey S. Weinberg3, John D. Hazle1,2, and R. Jason Stafford1,2

1Imaging Physics, MD Anderson Cancer Center, Houston, TX, United States, 2The University of Texas Graduate School of Biomedical Sciences at Houston, Houston, TX, United States, 3Neurosurgery, MD Anderson Cancer Center, Houston, TX, United States

Real-time damage estimates provided by Magnetic Resonance Temperature Imaging (MRTI) and appropriate thermal dose models can provide crucial feedback during of thermal ablation procedures. However, these models are not tailored to the post-treatment radiological endpoints that are used to verify the extent of the thermal lesion after therapy. A technique is developed to allow estimation of thermal dose model parameters through retrospective analysis of MRTI and post-treatment imaging. The feasibility of this technique is investigated in a protein coagulation phantom and clinical ablation data. 

5425
Computer 9
Highly accelerated Cartesian MR thermometry without parallel imaging using undersampled partial Fourier acquisition and k-space hybrid reconstruction
Rebecca E Weires1,2 and Will Grissom1,2

1Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 2Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States

Partial Fourier temperature mapping using the k-space hybrid algorithm is shown to be more accurate than conventional partial Fourier reconstruction, and the use of partial Fourier acquisition patterns improves the performance of the k-space hybrid algorithm. Undersampled partial Fourier acquisition with k-space hybrid reconstruction can be used to achieve highly accelerated, artifact-free temperature mapping with a robust Cartesian acquisition. Reconstruction is parallelized in the slice dimension and frequency-encoded dimension to achieve real-time volumetric EPI temperature mapping, without parallel imaging.

5426
Computer 10
Visualization of the VIM Thalamic Nucleus using Synthesized MPRAGE Images
Jiachen Zhuo1, Steven Roys1, John Hebel1, Erma Owens1, Prashant Raghavan1, Dheeraj Gandhi1, and Rao P Gullapalli1

1Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States

The ventral intermediate nucleus (VIM) of the thalamus is a highly effective target for treatment of essential tremor (ET). Visualization of VIM is however challenging due to the lack of T1 or T2 MRI contrast between the various thalamic nuclei. In this study, we used synthesized MPRAGE images with varied inversion time (TI) (SynTI images) to visualize the VIM for pre-surgical planning in MRgFUS treatment of ET. Verification based on 24hr post-treatment lesion location on four patients showed good agreement from the identified VIM with lesion center. 

5427
Computer 11
MR-HIFU mild hyperthermia for recurrent rectal cancer: updated results from a phase I clinical trial
William Chu1, Robert M Staruch2, Samuel Pichardo3,4, Yuexi Huang5, Merrylee McGuffin1, Ruby Endre5, Gregory Czarnota6, and Kullervo Hynynen5

1Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada, 2Clinical Sites Research Program, Philips Research, Cambridge, MA, United States, 3Thunder Bay Regional Research Institute, Thunder Bay, ON, Canada, 4Electrical Engineering, Lakehead University, Thunder Bay, ON, Canada, 5Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 6Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada

We present the updated results of our phase I trial that delivers mild hyperthermia using magnetic resonance-guided high intensity focused ultrasound (MR-HIFU) combined with radiation and chemotherapy in the treatment of locally recurrent rectal cancer. Participation in the study is based on careful consideration of patient and tumor factors. MR-HIFU mild hyperthermia was delivered in three sessions during a 17-day regimen. MR-HIFU mild hyperthermia was successfully delivered and the procedure was well tolerated. No adverse effects have been reported following the combined treatment to date.

5428
Computer 12
In Vivo Targeting Accuracy Assessment of a MR-guided Focused Ultrasound Device (MRgFUS) Equipped with Tracking Coils
Sara Johnson1, Bryant T Svedin2, and Allison Payne3

1Bioengineering, University of Utah, Salt Lake City, UT, United States, 2Physics, University of Utah, Salt Lake City, UT, United States, 3Radiology, University of Utah, Salt Lake City, UT

MR-guided focused ultrasound (MRgFUS) ablation treatments can be improved with more accurate and faster treatment planning. In this study, a fast, automatic tracking coil system is employed to predict the ultrasound transducer focus for treatment planning purposes. The accuracy of the geometric focus predictions was assessed in vivo with a breast-specific MRgFUS device. This study reports a targeting accuracy of 3.1 ± 1.4mm, measured as the average Euclidean distance between the volumetric center of mass of thermal sonications and their predicted focal locations.

5429
Computer 13
MR Thermometry-guided Ultrasound Hyperthermia of User-Defined Regions Using the ExAblate Prostate Ablation Array
Eugene Ozhinsky1, Vasant A. Salgaonkar2, Chris J. Diederich2, and Viola Rieke1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Radiation Oncology, University of California San Francisco

We have implemented a real-time MR thermometry-guided system for ultrasound hyperthermia delivery within user-defined regions and validated it in phantom experiments. It was based on the commercial ExAblate prostate transducer, RTHawk real-time MRI system and featured accelerated PRFS MR thermometry and automated steering of the ultrasound focus to ensure uniform heating of the entire region of treatment.

5430
Computer 14
Active catheter tracking for cardiac MR thermometry during radiofrequency ablation
Solenn Toupin1,2, Valéry Ozenne1, Pierre Bour1,3, Rainer Schneider4, Matthieu Lepetit-Coiffé2, Baudouin Denis de Senneville5, Erik Dumont3, Pierre Jaïs6, and Bruno Quesson1

1Imaging, IHU Liryc (Electrophysiology and heart modeling institute), Bordeaux, France, 2Siemens Healthineers France, Saint-Denis, France, 3IGT (Image Guided Therapy), Pessac, France, 4Siemens Healthineers, Germany, 5IMB (Mathematics Institute of Bordeaux), Bordeaux, France, 6Electrophysiology and Ablation Unit, IHU Liryc (Electrophysiology and heart modeling institute), Bordeaux, France

Cardiac MR thermometry provides a real-time monitoring of temperature distribution in myocardium during catheter-based radiofrequency ablation. One major challenge of this technique is the compensation of motion induced by the heart contraction and respiration. In this study, we propose to perform fast multi-slice proton resonance frequency (PRF) shift MR thermometry combined with a real-time slice following technique, based on active catheter tracking. Performance of this approach was evaluated in vitro on a moving agar gel phantom.

5431
Computer 15
Detailing radio frequency heating induced release of a fluorescent model drug attached to a thermoresponsive polymer carrier: A 7.0 T thermal MR study
Yiyi Ji1, Alexander E. Dunn2, Michal Pham1, Werner Hoffmann3, Min-Chi Ku1, Helmar Waiczies4, Sonia Waiczies1, Cyrille Boyer2, May Lim2, Thoralf Niendorf1,4,5, and Lukas Winter1

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany, 2School of Chemical Engineering, University of New South Wales, Sydney, Australia, 3Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany, 4MRI.TOOLS GmbH, 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

Utilizing the RF pulses of the MR system for MR imaging, controlled RF heating and temperature monitoring with MRTh in an integrated system is appealing for MR guided thermal interventions. In this work, we demonstrate for the first time the applicability of our integrated system for targeted drug delivery using a pH- and thermoresponsive polymer. Upon RF heating to T>LCST, the polymers released 50% of its load in 30min, and 89% in 120min. Temperature monitoring with MRTh and external fiber optic temperature sensors were well correlated, with a deviation of 0.2-0.9°C. 

5432
Computer 16
Higher is better: High peak and high average RF power transmit/receive switch for an integrated RF heating applicator operating at 297 MHz (7.0 Tesla)
Yiyi Ji1, Werner Hoffmann2, Michal Pham1, Celal Oezerdem1, Helmar Waiczies3, Thoralf Niendorf1,3,4, and Lukas Winter1

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany, 2Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany, 3MRI.TOOLS GmbH, Berlin, Germany, 4Experimental 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

An integrated RF heating system utilizes the MR spin excitation frequency together with dedicated RF antennas for controlled RF heating and MR imaging in an integrated system. Operating the MR power amplifier for both RF heating and MR imaging applications simultaneously requires customized transmit/receive (Tx/Rx) switches that can handle both high peak powers and high average powers. In this work we designed, built and evaluated a high power Tx/Rx switch for handle MRI and RF heating requirements.

5433
Computer 17
PRF temperature and velocity mapping of complex fluid flow inside a pin fin array heat exchanger
Waltraud B. Buchenberg1, Florian Wassermann2, Martin Bruschewski3, Sven Grundmann3, Axel J. Krafft1, Jürgen Hennig1, and Bernd Jung4

1Department of Radiology, University Medical Center Freiburg, Medical Physics, Freiburg, Germany, 2Department of Fluid Mechanics and Aerodynamics, 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

MR thermometry (MRT) and MR velocimetry (MRV) allow to non-invasively measure temperature and velocity fields.  Therefore, they are well-suited to address medical questions; however, they can also be a valuable tool to study fluid flow and heat transfer phenomena in technical devices. Here, PRF temperature and velocity measurements were performed in a complex flow setup: a pin fin array consisting of multiple copper tubes which is frequently used in industrial processes for cooling purposes. MRV and MRT are excellent techniques to gain new insights into fundamental heat transfer phenomena and they greatly extend conventional tools for temperature and velocity measurements.

5434
Computer 18
Dynamically Modified BHT Model Enhanced PRF Shift Thermometry for Monitoring Microwave Ablation
Jinchao Wu1, Xing Wei2, Jiafei Yang2, Bingyao Chen2, Zijing Dong3, Shuo Chen1, and Kui Ying1

1Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Department of Engineering Physics, Tsinghua University, Beijing, People's Republic of China, 2Department of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing, People's Republic of China, 3Department of Biomedical Engineering, Tsinghua University, Beijing, People's Republic of China

A Bio-Heat Transfer (BHT) model enhanced PRF method was introduced to improve the temporal resolution and to recover the lost signal caused by the susceptibility of probe in microwave ablation. Simulation results of MR-guided microwave ablation performed in an agar phantom show that the proposed method can recover the temperature map with the largest error less than 2°C and increase the temporal resolution to 1s or 0.5s with adequate computing capacity.

5435
Computer 19
A fully electronically steered phased array with 4096 elements for ultrasound treatments under MRI guidance
Yuexi Huang1, Ben Lucht1, Rohan Ramdoyal1, Samuel Guneseelan1, Tyler Portelli1, Ping Wu1, and Kullervo Hynynen1,2,3

1Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada

A flat focused ultrasound array of 13 cm in diameter with 4096 elements was manufactured in house with center-to-center element spacing of half-wavelength at the centre frequency of approximately 500 kHz. The design allows for a much wider steering range. Feasibility for thermal ablation and hyperthermia over large target volumes was demonstrated in animal studies.

5436
Computer 20
A Three-dimensional Target Tracking Technique for MRgHIFU using an Image Matching Method with Liver Deformation Volumes Obtained via Time-Resolved Volume Acquisitions
Etsuko Kumamoto1,2, Daisuke Kokuryo2, and Kagayaki Kuroda3,4

1Information Science and Technology Center, Kobe University, Kobe, Japan, 2Graduate School of System Informatics, Kobe University, Kobe, Japan, 3Graduate School of Engineering, Tokai University, Hiratsuka, Japan, 4Center for Frontier Medical Engineering, Chiba University, Chiba, Japan

MRgHIFU treatment for liver requires a tracking technique to “lock on” to the focal spot at the target tissue region during respiratory-induced motion for targeting and temperature imaging. Here, we proposed a target tracking technique using template matching methods. A pre-operative, multi-slice sagittal image series under natural slow breathing was acquired, and a database, including a three-dimensional translation and deformation behavior of the liver and the target, was constructed. Intra-operative target tracking was performed by acquiring a single sagittal slice. The experimental results were demonstrated the feasibility of the three-dimensional target tracking technique using a template matching methods.

5437
Computer 21
Variation of B1+ Homogeneity and SNR Efficiency in Select Water Bolus Designs for Transcranial MR-Guided Focused Ultrasound
Matthew R. Tarasek1, Benny Assif2, Eyal Zadicario2, and Desmond T.B. Yeo1

1MRI, GE Global Research, Niskayuna, NY, United States, 2Insightec Ltd., Tirat Carmel, Israel

Transcranial magnetic resonance (MR)-guided focused ultrasound (tcMRgFUS) has gained prominence as a technology for treating several brain pathologies. A typical FUS applicator has a large water bolus in direct contact with the patient’s head to provide (i) acoustic coupling to the patient, and (ii) a means to remove heat generated from acoustic absorption in the skull. These water bolus structures can lead to significant image artefacts. Here we use electromagnetic simulations to assess water bolus compartment designs that have different electrical properties. The goal is to downselect a design that produces improved B1+ homogeneity and SNR in a region of interest.

5438
Computer 22
Monitoring of Microbubbles Stable Cavitation in a Flowing Phantom by Using MRI
Cheng-Tao Ho1, Chen-Hua Wu1, Shih-Tsung Kang1, Wen-Shiang Chen2, Po-Hung Hsu3, Hao-Li Liu3, Chih-Kuang Yeh1, and Hsu-Hsia Peng1

1Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan, 3Department of Electrical Engineering, Chang-Gung University, Taoyuan, Taiwan

We aim to real-time monitor the signal intensity (SI) change of microbubbles in the presence of stable cavitation (SC) effect in a flowing phantom to comprehend the combining effects of SC and flow. Distinct reduced SI was observed, particularly in the focused ultrasound (FUS) focus and downstream regions, during transmitting FUS pulses. More substantial SI changes can be observed with increase of acoustic pressure. In this study, we verified the feasibility of using HASTE sequence to real-time monitor SI changes at the presence of SC effect of MBs in a flowing phantom.

5439
Computer 23
PRF thermometry accuracy at 7.0T for thermal MR applications with and without the presence of fat
Michal Pham1, Yiyi Ji1, Hendrik Paysen1, Eva Oberacker1, Till Huelnhagen1, Thoralf Niendorf1,2,3, and Lukas Winter1

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 (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine, Berlin, Germany, 3MRI.TOOLS GmbH, Berlin, Germany

Proton resonance frequency (PRF) shift temperature mapping is influenced by B₀ field drift, temperature dependent electromagnetic property changes that alter phase velocity, alpha calibration and temperature dependent magnetic susceptibility changes. This work details PRF thermometry at 7.0T of a thermal MR setup. In a homogeneous agarose phantom PRF reading accuracy is within the accuracy of fiber optic sensor readings (0.29±0.21)°C. Temperature dependent magnetic susceptibility changes in pure fat lead to significant temperature reading errors. However, for more realistic thermal MR applications in the human brain (ΔT<10°C, volume fat fractions <10-20%), temperature reading accuracy is comparable to water-based samples.

5440
Computer 24
Percutaneous MRI-guided focal cryoablation of recurrent prostate cancer: how we do it
Christiaan G. Overduin1, Joyce G.R. Bomers1, Michiel J.P.M. Sedelaar2, Sjoerd F.M. Jenniskens1, and Jurgen J. Fütterer1,3

1Radiology and Nuclear Medicine, Radboud University Medical Centre, Nijmegen, Netherlands, 2Urology, Radboud University Medical Centre, Nijmegen, Netherlands, 3MIRA Institute for Biomedical Engineering and Technical Medicine, University of Twente, Enschede, Netherlands

We present a feasible and safe approach to perform transperineal MRI-guided focal cryoablation in patients with recurrent PCa after radiotherapy, with encouraging initial results.


Electronic Poster

MR Safety

Exhibition Hall Thursday 13:00 - 14:00

5441
Computer 97
Real-time measuring of active medical devices malfunction, rectification and induced gradient voltages during MRI exam: low-frequency voltage sensor for MRI safety test.
Thérèse Barbier1,2, Sarra Aissani1, Nicolas Weber1, Julie Kabile1, Cédric Pasquier1, and Jacques Felblinger1,3

1IADI, U947, INSERM, Université de Lorraine, Nancy, France, 2Axon' Cable, Montmirail, France, 3CIC 1433 Innovation Technologique, INSERM, CHRU Nancy, Nancy, France

An MR compatible low-frequency voltage probe design will be presented. This tool is used to monitor active implanted medical devices during MRI exam as well as measuring the gradients switching induced voltage or RF rectification thus allowing MRI safety assessment and combined field tests.

5442
Computer 98
Quasi MR-imaging Artefact Free ECoG and Intracortical Electrodes
Johannes B. Erhardt1, Maria Vomero1,2, Jochen Leupold3, Calogero Gueli1,2, Sam Kassegne2, and Thomas Stieglitz1

1Dep. of Microsystems Engineering, University of Freiburg, Freiburg, Germany, 2Dep. of Mechanical Engieneering, San Diego State University, United States, 3Dep. of Radiology, University Medical Center Freiburg, Germany

The combination of implantable neural electrodes and fMRI holds great potential for better understanding the human brain. However, the image acquisition - especially in the vicinity of the implants - is compromised by artifacts caused by metal components. In this work we address this issue by studying different types of devices in terms of designs and materials, and by quantifying their MRI artifacts. Doing so we demonstrate the quasi artifact-free behavior of a hybrid probe combining surface and penetrating carbon electrodes into a single sheet of polyimide, after comparing it with conventional implants in high field MRI and clinical fMRI.

5443
Computer 99
Adaptive SAR mass-averaging compared against thermal simulations in the presence of a titanium hip prosthesis in 7T pTx MRI
Aurelien Destruel1,2, Kieran O'Brien2,3, Markus Barth2, Jin Jin1, Feng Liu1, and Stuart Crozier1

1School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia, 2Centre for Advanced Imaging, The University of Queensland, St Lucia, Australia, 3Siemens Healthcare Pty Ltd, Brisbane, Australia

The lack of study and guidelines means there is currently no imaging of orthopaedic metal implants at 7T MRI. Local RF heating should preferably be monitored to ensure that no heating occurs close to the implant. SAR10g is the current preferred method to monitor the patients’ local radiofrequency exposure. This study shows that keeping SAR10g under recommended values does not ensure that heating remains under safe values close to a hip prosthesis when compared with the more relevant thermal simulations. A new adaptive SAR mass-averaging approach is introduced and gives more reliable prediction of the location and magnitude of heating.

5444
Computer 100
Neurological MRI protocols for patients with DBS equipment in situ consistent with new B1+RMS -limited MR Conditional product label
Annie Papadaki1,2, M. Jorge Cardoso3, Stephen J. Wastling1,2, Tarek Yousry1,2, Ludvic Zrinzo4, Indran Davagnanam1,2, and John S, Thornton1,2

1Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, University College London Hospital, London, United Kingdom, 2Department of Brain Repair and Rehabilitation, Institute of Neurology, University College London, London, United Kingdom, 3Translational Imaging Group, Centre for Medical Image Computing (CMIC), Department of Medical Physics and Bioengineering, University College London, 4Unit of Functional Neurosurgery, Institute of Neurology, University College London

We modified routine clinical head MRI protocols to be compliant with a new MR conditional product label for deep brain stimulation (DBS) devices limiting B1+RMS to ≤2.0μT. 12 healthy volunteers were scanned using the routine and modified protocols. Quantitative signal to noise (SNR) and contrast to noise ratio (CNR) analysis was performed, as well as blinded rating of images by a neuroradiologist. Routine and B1+RMS -limited sequences yielded very similar SNR and grey vs. white matter CNR values, indicating that the B1+RMS condition had been achieved with minimum impact on image quality, consistent with the neuroradiologist’s qualitative assessment.

5445
Computer 101
Analysis of MRI gradient induced voltage on Deep Brain Stimulator lead using high resolution anatomical models
Xi Lin Chen1, Shiloh Sison1, Xin Huang1, Shi Feng1, and Richard Williamson1

1St Jude Medical, Sylmar, CA, United States

When a patient with implantable device such as deep brain stimulator undergoes MR scan, the exposure to gradient fields can induce strong voltage across the lead and cause unintended stimulation to the patient or damage the device. In this study, three tiers of voltage determination approach recommended by ISO/TS 10974 ED2 were executed. The analysis results indicate that the tier 3 approach which utilizes realistic gradient coil designs, anatomical models and numerical simulations may arrive at predicted voltage value five times lower than tier 1 approach because of the avoidance of over-conservative assumptions.

5446
Computer 102
Potential for Estimation of Perfusion from  MR Thermometry – A Simulation Study
Giuseppe Carluccio1,2 and Christopher Michael Collins1,2

1Radiology, Center for Advanced Imaging Innovation and Research (CAI2R), New York University, New York, NY, United States, 2Radiology, Bernard and Irene Schwartz Center for Biomedical Imaging, New York University, New York, NY, United States

Among the several parameters that affect temperature computation, blood perfusion is one of the most relevant. According to some studies, perfusion may change significantly with local temperature changes: therefore, it is relevant to characterize both the baseline value of perfusion and its dependence on local temperature for a correct temperature estimation with numerical simulations. In this work, we compare the efficiency and the robustness to noise levels of three different methods to estimate blood perfusion based on the analysis of temperature images which can be acquired, for example, with MR thermometry sequences.

5447
Computer 103
Coil losses significantly alter the electromagnetic fields of a 64 MHz quadrature driven birdcage coil
Mikhail Kozlov1,2, Leonardo M Angelone3, and Wolfgang Kainz3

1MR:comp GmbH, Gelsenkirchen, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Division of Biomedical Physics, U.S. FDA, CDRH, Office of Science and Engineering Laboratories, Silver Spring, MD, United States

We investigated the dependence of the incident electric field (E) generated in the ASTM phantom on the coil losses. The results showed that magnetic field (H) normalized to √wbSAR, depends on capacitor Q factors. To avoid systematic errors in predicting the induced electric fields inside a human body the coil model should include realistic coil losses. Our results indicate that the use of ratio E to ||H|| at the coil iso-center normalization to predict E inside a human body located in a commercial birdcage coil based on a numerical coil model with arbitrary coil losses can result in high errors.


5448
Computer 104
Sensitivity of the transfer function on the dielectric properties of the surrounding media: a case study
Mikhail Kozlov1,2 and Wolfgang Kainz3

1MR:comp GmbH, Gelsenkirchen, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Division of Biomedical Physics, U.S. FDA, CDRH, Office of Science and Engineering Laboratories, Silver Spring, MD, United States

In this case study we show the dependence of the lead transfer function and the RF-induced power deposition (P) on the presence of heterogeneous tissues around of the lead tip. Depending on the lead length, our results shows a dramatic non-linear dependence of P on a small volume of a different tissue surrounding the lead tip, i.e., a fatty pocket, when using a TF derived in a homogeneous media. Thus, using TFs derived in a homogeneous media can result in large systematic errors in predicting P, and consequently the lead tip heating, of AIMDs inside a human body.

5449
Computer 105
Study of RF coupling and heating in multi-wire SEEG Electrodes.
Tanvir Baig1, Bhumi Bhusal1, Pallab Bhattacharyya2, Stephen Jones2, and Michael Martens1

1Physics, Case Western Reserve University, Cleveland, OH, United States, 2Cleveland Clinic Foundation, Cleveland, OH, United States

A SEEG electrode contains a number of contact points and as many number of insulated wires each following a contact. Here, we studied the coupling among the contact wires of SEEG electrode inserted into phantom, by using temperature measurements at different contact points, and varying the lengths of contact wires. From the experiment, we saw that, changing the length of one contact wire will result in change in temperature rise to other contacts also, even if wire lengths corresponding to those contacts are unchanged. This shows significant coupling among the wires at the RF frequency of 3T MRI system.

5450
Computer 106
Analytical Solution for Electric Field Induced Inside Ellipsoidal Conductor by Time-Varying Magnetic Fields in MRI
Peter J Shin1 and Daniel B Vigneron1

1University of California, San Francisco, San Francisco, CA, United States

An analytical, closed-form solution for the electric field induced inside an ellipsoidal conductor by time-varying gradients in MRI was developed. We applied the method to calculate the electric field for an ellipsoid centered on the isocenter having the semi-axis lengths 20 cm, 15 cm, and 40 cm in LR, AP, and SI directions. We observed that, due to the geometry, ramping up on the Y-axis resulted in the highest electric field intensity. Furthermore, we found that, when the ellipsoid is shifted in the SI direction, the electric field intensity increases approximately 100%.

5451
Computer 107
High Resolution Volume Of Interest Acquisition With 3D Gradient Echo Sequence Using Reduced FOV 2D-RF Excitation Pulse.
Malek I MAKKI1,2

1MRI Research, University Children Hospital, Zurich, Switzerland, 2BioFlow, University Picardie Jules Verne, Amiens, France

We designed high spatio-temporal resolution imaging sequence by reducing the excited 3D volume to the object of interest in the slab. A fast spoiled gradient recalled echo acquisition sequence was modified by incorporating spiral selective 2DRF excitation in 2 perpendicular gradients. Three different combinations of slice-select gradient axis (XY, YZ, and XZ) were tested simultaneously in axial, coronal and sagittal prescription planes and different imaging parameters to define the best scheme that provides extremely high resolution spatial imaging, with low SAR and minimum artefact on clinically available scanner.

5452
Computer 108
RF safety of an implanted port catheter in direct vicinity of a 7T transmit head coil
Oliver Kraff1, Yacine Noureddine1,2, Eileen Frerk1,3, Andreas K Bitz4, Mark E Ladd1,4, and Harald H Quick1,5

1Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany, 2MR Safety Testing Laboratory, MR:comp GmbH, Gelsenkirchen, Germany, 3Hamm-Lippstadt University of Applied Sciences, Hamm, Germany, 4Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 5High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

Potential RF-induced heating from an implanted port catheter in direct vicinity of a local transmit head coil at 7T was investigated. The assessment included direct measurements of E-field and temperature in a rectangular head/shoulder phantom filled with tissue simulating liquid as well as numerical SAR and thermal simulations in two human body models. Two different RF coils were used for the evaluation, a custom-made 8-channel head coil and the widely-available Nova Medical head coil. No evidence of RF-induced heating was found. Identical transmit power restrictions apply with or without port for both investigated RF coil types.

5453
Computer 109
Assessment of specific absorption rate and temperature increase induced by artificial hip joints during MRI scans
Youngseob Seo1,2

1Korea Research Institute of Standards & Science, Daejeon, Korea, Republic of, 2Medical Physics, University of Science & Technology, Daejeon, Korea, Republic of

Heating of patients or burning of biological tissues by RF power induced by medical implants during MRI scan is a significant patient safety concern. The poor reliability and repeatability of the manufacturer-reported SAR values on clinical MRI systems have been acknowledged. High SAR and temperature change occur on both head and tail of artificial hip joints. It is essential to assess the safety of MRI system for patient with medical implant by measuring not only accurate SAR deposited in the body, but also temperature elevation due to the deposited SAR during clinical MRI.

5454
Computer 110
Predictive modelling for Sacral Nerve Stimulation Lead heating - Pathway factors and their effect on MRI RF-induced stimulation lead heating
Scott Kalpin1, Norbert Kaula2, and Ramez Shehada3

1Systems Engineering, Nuvectra Medical, Broomfield, CO, United States, 2R&D, Nuvectra Medical, Broomfield, CO, United States, 3R&D, Medical Technology Labs, La Mirada, CA, United States

A formula based methodology for predicting Sacral Nerve Stimulation lead temperatures when undergoing MRI exposures is presented. A generalized lead pathway model having 4 primary factors is used to represent the clinical placement. Twelve experimental configurations are selected based on variation of these generalized factors. Heating data measured in an MRI phantom is used to formulate an analytical model. Predictions from the model are compared against the actual data measured in MRI testing. The mean squared error for the model against the 12 test cases is 0.112 °C.

5455
Computer 111
Suitability of right angle pathway for testing RF-induced Spinal Cord Stimulation lead heating in an MRI
Scott Kalpin1, Norbert Kaula2, and Ramez Shehada3

1Systems Engineering, Nuvectra Medical, Broomfield, CO, United States, 2R&D, Nuvectra Medical, Broomfield, CO, United States, 3R&D, Medical Technology Labs, La Mirada, CA, United States

This work evaluates the suitability of various pathway models to represent the worst-case heating for a Spinal Cord Stimulation lead when subjected to MRI RF-intensive exposure. The ideal model represents relevant pathways that a lead can take between any two points with the fewest variable factors.  One model, used for evaluation of safety for Spinal Cord Stimulation (SCS) devices, describes a path with 4 variable factors – IPG starting position (Z), vertical rise of the proximal end of the lead (H1), lateral span width (W), and rise of the distal end of the lead within the central axis (H2).  The “right angle” model is evaluated direct diagonal, half-way diagonal, and one in which all vertical rise is confined to the central axis of the MRI. 

5456
Computer 112
Safety of MRI on patients with abandoned/retained cardiac leads: Patient-derived simulation studies at 64MHz and 127MHz
Laleh Golestanirad1, Amir Ali Rahsepar2, Jeremy C Collins2, Rod S Passman3, Giorgio Bonmassar4, Boris Keil5, James C Carr2, and Lawrence L Wald1

1Massachusetts General Hospital, Charlestown, MA, United States, 2Radiology, Northwestern University, Chicago, IL, United States, 3Medicine, Northwestern University, 4Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 5Life Science Engineering, Mittelhessen University of Applied Sciences (THM), Giessen, Germany

Despite the tremendous effort to develop MRI safety protocols to reduce complications in patients with cardiac implantable electronic devices with intact leads, almost nothing is known about the variation and extent of RF heating in patients with fractured or abandoned leads. Here we report the preliminary results of the first systematic simulation study of RF-induced SAR amplification at and around abandoned cardiac leads in patients undergoing MRI at 1.5 T and 3.0 T with different imaging landmarks.

5457
Computer 113
Spatial analysis of acoustic noise transfer function: is the noise level increased by the presence of a patient inside the imager bore during MRI?
Takashi Hamaguchi1, Tosiaki Miyati2, Naoki Ohno2, Tatsuhiko Matsushita3, Masanori Ozaki4, Tetsuya Minami5, Wataru Kouda5, and Toshifumi Gabata5

1Department of Radiology, Kanazawa University Hospital, Kanazawa, Japan, 2Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan, 3Department of Radiology, Kyoto University Hospital, Kyoto, Japan, 4MR Engineering, GE Healthcare Japan, Hino, Japan, 5Faculty of Medicine, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan

The purpose of our study was to evaluate the spatial distribution of a gradient-pulse-to-acoustic-noise transfer function (GPAN-TF) with and without a phantom inside the bore. This study showed that the spatial distribution of GPAN-TFs with a phantom in the bore was significantly larger than that with an empty imager. The GPAN-TF spectrum for high frequency range were increased by the phantom. Therefore, the patient would be exposed to a more unpleasant sound than conventional evaluation in an empty scanner. The multipoint analysis using GPAN-TFs revealed structural differences in respective gradient coils under a situation similar to actual MR examination.

5458
Computer 114
The ultimate local SAR in realistic body models: Preliminary convergence results
Bastien Guerin1,2, Stephen F Cauley1,2, Jorge F Villena3, Athanasios G Polimeridis4, Elfar Adalsteinsson5,6,7, Luca Daniel7, Jacob K White7, and Lawrence L Wald1,2,5

1Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Cadence Design Systems, Feldkirchen, Germany, 4Skolkovo Institute of Science and Technology, Moscow, Russian Federation, 5Harvard-MIT Division of Health Sciences Technology, Cambridge, MA, United States, 6Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 7Dept of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States

We extend our previously reported methodology for computation of the ultimate signal-to-noise ratio in realistic body models to the computation of the ultimate specific absorption rate (SAR) in the head of the Duke body model at 3 Tesla. We optimize 90° magnitude least-squares RF pulses subject to hundreds of thousands of SAR constraint for increasing numbers of electromagnetic fields in the basis set. As the size of the basis set increases, we show that the local SAR decreases toward a value that we call the “ultimate local SAR”.

5459
Computer 115
B1+ maps in adults and children heads at 7.0T: selection of the generic human head model and maximum local SAR evaluation
Gianluigi Tiberi1,2, Mauro Costagli1,2, Laura Biagi2, Nunzia Fontana3, Riccardo Stara4, Mark R Symms5, Mirco Cosottini6, Renzo Guerrini7, and Michela Tosetti1,2

1Imago7, Pisa, Italy, 2IRCCS Stella Maris Foundation, Pisa, Italy, 3Dipartimento di Ingegneria dell'Informazione, Pisa, Italy, 4Dipartimento di Fisica, Pisa, Italy, 5General Electric ASL Scientist (EMEA), Pisa, Italy, 6Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Pisa, Italy, 7Meyer Children’s Hospital, Firenze, Italy

In this study we compare B1+ simulations performed on generic anatomic models with subject-specific measured B1+ maps, performed on both adults and children. We introduce a cost function, based on the normalized standard deviations (the ratio between standard deviation and average) of B1+ maps (magnitude), to guide the selection of generic human model to be used for subject-specific maximum local SAR evaluation. Maximum local SAR does not show a significant variation with subject weight and with subject cranial circumference. Limits on maximum SAR are always met for the sequence here considered (SILENT), in all adults and children.

5460
Computer 116
fMRI in Parkinson's Disease: Post STN-DBS implant.
Mohit Saxena1, Cameron McIntyre1, and Benjamin Lee Walter2

1Neuromodulation Center, Case Western Reserve University, Cleveland, OH, United States, 2Neurology, University Hospitals, Cleveland Medical Center, Cleveland, OH, United States

We present a method to conduct fMRI in Parkinson’s disease patients with fully implanted bilateral STN Medtronic Activa DBS. This allows for fMRI evaluation of clinically optimized settings or other settings that may reveal anatomical correlations with benefits and side effects.

5461
Computer 117
Analytic Validation of a Computational Model of Magnetic Force in Linear Magnetic Materials
Spencer B Parent1, William Handler2, John Drozd2, and Blaine A Chronik1,2

1Medical Biophysics, Western University, London, ON, Canada, 2Physics and Astronomy, Western University, London, ON, Canada

The current procedures and guidelines for testing forces on medical devices require that testing be performed in a MR setting, which is both timely and costly. To reduce test time and cost, a computational model of magnetic force was developed. Using a test case where an analytic solution of magnetic force can be applied, it is shown that for materials with magnetic susceptibility (chi)<105 ppm, a computational model of magnetic force was correct within 10% error and this error decreases to less than 1% for chi<104 ppm. Size of object is shown to have little effect on error. 

5462
Computer 118
Comparing Transfer Functions in Different Tissues with a Spinal Cord Stimulation System for Estimation of RF Heating during MRI Scans
Xiaoyi Min1 and Shiloh Sison2

1St. Jude Medical, Inc, Sylmar, CA, United States, 2St. Jude Medical, Inc, Sunnyvale, CA, United States

The objective of this study is to compare transfer functions (TFs) of a Spinal Cord Stimulation (SCS) system in high permittivity media (HPM), low permittivity media (LPM) and in spinal cord by using computer simulations.  For a SC model, we modeled the anatomical and conductive properties of the lower thoracic (T7-T10) spinal cord.  The TF curves in HPM and in SCS follow each other closely.   With a SC model, the compound tissue effect around the lead was seen.   Lowering HPM conductivity would shift the curve slightly up that with the SC model for in-vivo.   

5463
Computer 119
Loopoles vs. conventional MR loops under safety considerations
Jörg Felder1, Chang-Hoon Choi1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine (INM-4), Forschungszentrum Jülich, Jülich, Germany, 2Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

While the application of loopole configurations may be beneficial to improve B1 distribution at high fields it comes with the drawback of reduced voltage withstanding capability during transmission. This either implies use with lower transmit power or the addition of more capacitors which in turn degrades the quality factor of the coil and thus efficiency and sensitivity of the antenna element.

5464
Computer 120
A web-based searchable system to confirm MRI compatibility for medical implants in Japan
Yasuhiro Fujiwara1, Hitoshi Fujioka2, Tomoko Watanabe2, Maiko Sekiguchi2, and Ryuji Murakami1

1Department of Medical Imaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Medie Corporation, Tokyo, Japan

The purpose of this study was to develop a web-based searchable MRI safety information system for confirming medical implant compatibility and to evaluate the usefulness of the system.  The system allows MRI compatibility confirmation to be performed over internet.  This system facilitates obtaining MRI safety information for medical implants easily and rapidly, thereby improving the safety of MRI examination.


Electronic Poster

MRS Processing

Exhibition Hall Thursday 13:00 - 14:00

5465
Computer 25
Estimating acetate extracellular fraction in the rat brain using diffusion-weighted MRS and modeling of tissue microstructure
Marco Palombo1, Masoumeh Dehghani2, Nicolas Kunz3, Bernard Lanz2, Rolf Gruetter2,3, and Julien Valette1

1Molecular Imaging Research Center (MIRCen), Commissariat à l'Energie Atomique, Fontenay-aux-Roses, France, 2Laboratory of Functional and Metabolic Imaging (LIFMET), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 3Center for Biomedical Imaging (CIBM), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

While most brain metabolites detected by in vivo MRS are intracellular, some of them, in particular energy metabolism substrates such as glucose, lactate and acetate, are also known to be significantly present in the extracellular space. Although of high metabolic significance and of practical importance for metabolic flux quantification in labeling studies, the accurate determination of the extracellular fraction remains challenging. Here we propose to use diffusion-weighted MRS combined with modeling of tissue microstructure to estimate acetate’s extracellular fraction in the rat brain, which we find to be ~45%.

5466
Computer 26
Magnetization exchange between water and downfield metabolites in human brain at 9.4T
Nicole D Fichtner1,2, Ioannis-Angelos Giapitzakis3, Nikolai Avdievich3, Ralf Mekle4, Daniel Zaldivar3, Anke Henning2,3, and Roland Kreis1

1Depts. Radiology and Clinical Research, University Bern, Bern, Switzerland, 2Institute for Biomedical Engineering, UZH and ETH Zurich, Zurich, Switzerland, 3Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 4Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Berlin, Germany

Ultra-high field strengths provide higher signal to noise ratio and improved separation of metabolites in spectroscopy, allowing for more precise characterization of peaks. In particular, this improved peak resolution may be of benefit for characterization of the downfield (5-10ppm) spectrum, which is not yet well characterized; this experiment aims to improve knowledge of downfield peaks by investigating their exchange rates and T1 values at 9.4T, using inversion transfer experiments and metabolite cycling to allow for non-water suppressed acquisition.

5467
Computer 27
A Subspace Approach to Spectral Quantification
Yudu Li1,2, Fan Lam2, Bryan Clifford1,2, and Zhi-Pei Liang1,2

1Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States

This work presents a novel spectral model for spectral quantification, which represents each spectral component using a subspace instead of a parametric basis function with unknown parameters. The proposed model enables efficient and effective incorporation of both spectral and spatial prior information to improve the quantification performance. The proposed method is validated using both simulation and experimental data, demonstrating superior performance to existing methods using parametric spectral bases. This method is expected to be useful for processing noisy MRSI data.

5468
Computer 28
Quantitative analysis of in vivo MEGA-PRESS spectra in mice at 9.4T
Jia Guo1, Yanping Sun2, Zhu Gang3, Scott A. Small4, and Douglas L. Rothman5

1Department of Biomedical Engineering, Columbia University, New York, NY, United States, 2Department of Medicine, Columbia University, New York, NY, 3Bruker BioSpin, Billerica, MA, 4Departments of Neurology, Radiology or Psychiatry, Columbia University, New York, NY, 5Departments of Biomedical Engineering or Radiology and Biomedical Imaging, Yale University, New Haven, CT

As of yet J-difference editing methods such as MEGA-PRESS have not been applied to in vivo mouse studies due to low sensitivity and the lack of an automated program to analyze the data. To overcome the obstacles, a fully automated software toolkit MRSMouse was developed for the quantitative analysis of MEGA-PRESS data of the mouse brain. With MRSMouse, we demonstrated the feasibility and reproducibility of MEGA-PRESS for detection of GABA in the mouse brain using a Bruker BioSpec 94/20 9.4T system. During anesthesia, significant decreases of mouse thalamic GABA levels caused by isoflurane were noticed in vivo for the first time.

5469
Computer 29
Association of NAA Resonance Frequency with Axonal Orientation
Andrew A Maudsley1, Mohammed Z. Goryawala1, and Sulaiman Sheriff1

1Radiology, University of Miami, Miami, FL, United States

The resonance frequencies of tissue metabolite are affected by cellular-level variations in magnetic susceptibility and the compartmentation of each metabolite. One prominent finding for 1H MRS studies of the brain is differences of the N-Acetylaspartate (NAA) resonance frequency in white matter, which is hypothesized to reflect the inter-axonal localization of this metabolite and susceptibility variations that are dependent on the orientation of the major axonal bundles relative to the applied magnetic field. In this study, the dependence of the NAA frequency on axonal orientation was evaluated using voxel-based analysis of a whole-brain MRSI and diffusion-tensor imaging.

5470
Computer 30
Quantitative MRI of In Vivo Water and Lipid Concentrations with the ERETIC Method
Eric Baetscher1, Thomas M Barbara1, Manoj Sammi1, Krista Vandenborne2, Glenn Walter2, and William D Rooney1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Department of Physical Therapy, University of Florida, Gainesville, FL, United States

A synthetic radio-frequency (RF) signal, which is received along with the 1H magnetic resonance (MR) signal in magnetic resonance imaging (MRI), is used to determine absolute tissue water and lipid quantities. We show application of this ERETIC method (electronic reference to access in vivo concentration) to musculoskeletal imaging, with the potential to better track disease progression in Duchenne Muscular Dystrophy (DMD), and other muscle pathologies.

5471
Computer 31
MR Spectroscopy shows that high fat diet changes composition and distribution of mammary gland fat in a transgenic mouse model of breast cancer
Dianning He1, Devkumar Mustafi1, Xiaobing Fan1, Sully Fernandez2, Erica Markiewicz1, Marta Zamora1, Jeffrey Mueller3, Joseph Sachleben4, Matthew J Brady2, Suzanne D Conzen5, and Gregory S Karczmar1

1Radiology, The University of Chicago, Chicago, IL, United States, 2Medicine, Adult and Pediatric Endocrinology, Diabetes, and Metabolism, The University of Chicago, Chicago, IL, United States, 3Pathology, The University of Chicago, Chicago, IL, United States, 4Biochemistry & Molecular Biology, The University of Chicago, Chicago, IL, United States, 5Medicine, Hematology and Oncology, The University of Chicago, Chicago, IL, United States

Epidemiological studies show increased risk of breast cancer associated with Western diets containing high animal fat. The aim of this study was to evaluate changes in mammary fat composition due to a high animal fat diet (HAFD), compared to a low fat diet (LFD), in a mouse model of breast cancer. Localized MR spectroscopy and high spectral and spatial resolution (HiSS) MRI data were acquired at 9.4T. The saturated fat fractions increased and the polyunsaturated bond component decreased significantly in HAFD mice compared to LFD mice. Fat images obtained from HiSS demonstrated increased mammary fat concentration in HAFD mice than LED mice.

5472
Computer 32
Probing In Vivo Metabolite Relaxation by Linear Quantification of RF Driven Steady States
Linqing Li1, Ningzhi Li1, Li An1, and Jun Shen1

1National Institute of Mental Health, National Institute of Health, Bethesda, MD, United States

A driven steady states technique for brain metabolite relaxation measurement is proposed. Multiple steady states driven by long pulse train were used to quantify T2 of brain metabolites in vivo. The proposed technique does not need to vary echo time of the measuring sequence such as PRESS. A simple linear equation for quantification of driven steady state spectra was derived using Bloch equations. The derived equation was verified by Bloch simulations, phantom and in-vivo experiments.

5473
Computer 33
Novel Approach for Simultaneous In Vivo 31P MRS Measurements in Frontal and Occipital Lobes of Human Brain with Dynamic Shimming
Byeong-Yeul Lee1, Xiao-Hong Zhu1, Myung Kyun Woo1, and Wei Chen1

1Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota Medical School, Minneapolis, MN, United States

Functional/metabolic changes in different brain regions of interest are of importance for better understanding of the pathophysiological mechanism underlying the human brain diseases. In this work, we present a novel design of the dual-channel 31P MRS system for simultaneous measurements of cerebral high-energy phosphate metabolism from two brain regions of interest by incorporating a new pulse sequence and two separated RF surface coils with a transistor-transistor logic (TTL) controller. By successfully implementing this method, we are able to obtain high quality in vivo 31P MR spectra from both frontal and occipital lobes within the same amount of time as the traditional method covering one brain region. From an engineering perspective, this new approach provides a cost-effective solution for in vivo 31P MRS study of multiple brain regions with a conventional single-channel transmitter-receiver configuration. Therefore, this valuable MR tool can be used in examining the cerebral energy metabolism across different brain regions, and the same approach could be employed to other spin applications.  

5474
Computer 34
Prior-Knowledge Quantitation of Glutamate, Glutamine, GABA, and Glutathione using Covariance J-resolved spectroscopy
Zohaib Iqbal1 and M. Albert Thomas1

1Radiological Sciences, University of California - Los Angeles, Los Angeles, CA, United States

The two dimensional J-resolved spectroscopy technique is capable of resolving many metabolites in vivo from a volume of interest. However, the spectral resolution along the indirect dimension is generally very poor in these acquisitions. One solution is to apply a covariance transformation along the indirect dimension to yield a resulting Covariance J-resolved (CovJ) spectrum with high spectral resolution. While spectral resolution is enhanced, currently there are no methods available to fit the non-linear aspects of the covariance reconstruction. Here, we have developed a non-linear fitting algorithm capable of yielding Glutamate, Glutamine, GABA, and Glutathione concentrations in vivo using CovJ spectra. 

5475
Computer 35
Spectral-Dephasing based Non-Local Means for Spatially Adaptive Denoising in 3D-MRSI
Dhritiman Das1,2, Eduardo Coello1,2, Axel Haase1, Rolf F. Schulte2, and Bjoern H. Menze1

1Technical University of Munich, Garching, Germany, 2GE Global Research, Munich, Germany

We present a data-driven technique for denoising 3D Magnetic Resonance Spectroscopic Imaging (MRSI) data. Our proposed method involves a novel spectral de-phasing and re-phasing approach which increases the phase dimension of the spectra to deal with the arbitrary complex phase in the data. This is coupled with an anisotropic non local means (NLM) filter-based pattern-recognition across the multi-slice data to select similar spectra patches having a similar phase for denoising. We show that our method leads to a mean SNR improvement by an average factor of 4.5 while preserving the spectral resolution of the metabolites.

5476
Computer 36
Absolute quantification of brain metabolites by 1H-MRSI using gradient echo imaging of ~2s as a concentration reference: initial findings
Eva Heckova1, Bernhard Strasser1, Michal Považan1,2, Gilbert Hangel1, Siegfried Trattnig1,2, and Wolfgang Bogner1,2

1High Field MR Centre, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

The unsuppressed internal water signal is a standard reference method used for quantification of brain metabolites in 1H-MRSI, however it requires additional water unsuppressed acquisition, which is in case of MRSI time demanding. Therefore we compared the performance of water signal reference acquired with unsuppressed MRSI and with ~2s long gradient echo imaging integrated into MRSI sequence. Our findings indicates that gradient echo imaging can be used as a concentration reference for 1H-MRSI.

5477
Computer 37
Simple and general automatic quality control of 3D 1H MRSI data of the prostate using intrinsic spectral properties
Nassim Tayari1, Jiri Obels1, Thiele Kobus1, Tom W.J. Scheenen1, and Arend Heerschap1

1Department of Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands

Proton 3D MR spectroscopic imaging (MRSI) provides spatial metabolic information of the prostate for improved cancer detection, localization, and staging. Clinical application of  MRSI of prostate requires automatic quality control of spectra. We propose Qratio, a ratio balancing constructive spectral components of choline and citrate signals with destructive elements of lipid signals, water residuals and noise.  We demonstrate that Qratio can serve as a general, fast and automated tool for quality control of prostate MRSI data, independent of field strength (1.5-7T) and acquisition protocol. The Qratio can be displayed as maps and performs with an accuracy of 88±3% and AUC=0.93. 

5478
Computer 38
Quality Control of MRSI data using efficient data labelling
Nuno Pedrosa de Barros1, Richard Iain McKinley1, Roland Wiest1, and Johannes Slotboom1

1SCAN / Neuroradiology, University Hospital Bern (Inselspital), Bern, Switzerland

MRSI-data frequently contains bad-quality spectra, what can prevent proper quantification and consequently lead to data misinterpretation. Machine-learning based methods have been proposed for automatic quality control of MRSI-data with performance levels identical to expert’s-manual-checking and that can classify thousands of spectra in a matter of a few seconds. Besides this, a considerable amount of time needs to be spent labelling data required to train these algorithms. Here we present a method that allows to actively select those spectra that carry the most information for the classification, allowing to reduce drastically the amount of time needed for labelling.

5479
Computer 39
Ghostbusters for MRS: Automatic Detection of Ghosting Artifacts using Deep Learning
Sreenath P Kyathanahally1, Andre Doering1, and Roland Kreis1

1Depts. Radiology and Clinical Research, University of Bern, Bern, Switzerland

Ghosting artifacts in spectroscopy are problematic since they superimpose with metabolites and lead to inaccurate quantification. Detection of ghosting artifacts using traditional machine learning approaches with feature extraction/selection is difficult since ghosts appear at different frequencies. Here, we used a “Deep Learning” approach, that was trained on a huge database of simulated spectra with and without ghosting artifacts that represent the complex variations of ghost-ridden spectra. The trained model was tested on simulated and in-vivo spectra. The preliminary results are very promising, reaching almost 100% accuracy and further testing on in-vivo spectra will hopefully confirm its ghost busting capacity

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Spectral quality: rosette spectroscopic imaging in human brain at 3T
Claudiu Schirda1, Tiejun Zhao2, Yoojin Lee1, Hoby P Hetherington1, and Jullie W Pan3

1Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 2Siemens Medical Systems, 3MRRC, University of Pittsburgh, Pittsburgh, PA

Highly efficient sampling strategies based on gradient trajectories can accelerate MRSI studies by 1-2 orders of magnitude compared to conventional acquisitions. However, increasing acceleration and gradient slew rates commonly result in a predictable decline in spectral quality. This report uses rosette trajectory spectroscopic imaging studies to assess how spectral quality and Cramer Rao lower bounds influence how sensitive the MRSI and metabolite ratios are to the expected variation of tissue gray matter.

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Factors influencing Data Quality in a Multi-Center Breast MR Spectroscopy Trial (ACRIN 6657 Extension)
Patrick J Bolan1, Benjamin A Herman2, Gregory J Metzger1, Eunhee Kim3, David C Newitt4, Savannah Partridge5, Michael Garwood1, Mark A Rosen6, and Nola M Hylton4

1Radiology, University of Minnesota, Minneapolis, MN, United States, 2Center for Statistical Sciences, Brown University, Providence, RI, United States, 3National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD, United States, 4Radiology, University of California, San Francisco, CA, United States, 5Radiology, University of Washington, Seattle, WA, United States, 6Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, United States

The ACRIN 6657-extension trial, the first multi-center trial using magnetic resonance spectroscopy (MRS) in breast cancer, has completed and its initial results have been recently published. This study reports on the quality of the MRS data and identifies technical and logistic factors that contributed to a lower-than-anticipated data yield.

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Phase-rotation acquisition to study imperfections of PRESS
Sophie M. Peereboom1, Maximilian Fuetterer1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

A phase-rotation acquisition scheme is able to separate different signals in PRESS. In this work phase-rotation PRESS measurements were complemented by simulations to assess origins of spectral distortions in cardiac spectroscopy. Simulations show that, when using a phase-rotation acquisition scheme for PRESS without spoilers, more motion is acceptable when pulses are better calibrated. However, because of non-ideal pulse profiles, spoilers cannot be fully omitted if moving tissue is studied. It is shown that phase-rotation acqusition can, by combining simulations and measurements, be used as an elegant tool to investigate spectral distortions and optimize sequence parameters in PRESS of moving tissue.

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Impact of time sample selection and model function design on the quantification of fatty acid composition: in vitro and in vivo studies.
Angeline Nemeth1, Hélène Ratiney1, Benjamin Leporq1, Amandine Coum2,3, Giulio Gambarota2,3, Kevin Seyssel4, Bérénice Segrestin5, Pierre-Jean Valette6, Martine Laville5, and Olivier Beuf1

1Univ. Lyon, INSA‐Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, F69621, Lyon, France, 2INSERM, UMR 1099, Rennes, France, 3Univ Rennes 1, LTSI, Rennes, France, 4Department of Physiology, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland, 5Centre de Recherche en Nutrition Humaine Rhône-Alpes (CRNH-RA), Centre Hospitalier Lyon Sud, Pierre-Bénite, Lyon, France, 6Hospices Civils de Lyon, Département d'imagerie digestive, CHU Edouard Herriot, Lyon, France

Interest in the follow-up of fatty acid composition(saturated, polyunsaturated and monounsaturated fatty acid) in the body is growing. Quantitative MR spectroscopy can give access to this fat composition. Today, several quantification methods are used (e.g LCModel, AMARES). However the statistical outcome issued from a quantitative analysis of the lipid signal can be greatly influenced by the used quantification method. We analyze 1) the impact of the time sample selection and design of the model function on the parameter identifiability 2) the quantification results obtained with different quantification models on acquisitions performed in vitro (oils) and in vivo (subcutaneous adipose tissue).

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A Novel Method for Absolute Metabolite Quantification of 1H Spectroscopic Imaging in the Human Brain Based on Water Measurement with Ultrashort TE
Michal Bittšanský1, Milada Kováčová2, Oliver Štrbák1, Petra Hnilicová1, and Dušan Dobrota3

1Biomedical Center Martin, Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia, 2Faculty of Mathematics, Physics and Informatics, Comenius University, Bratislava, Slovakia, 3Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia

We introduce an easily implementable quantification method in vivo based on unsuppressed water measurement (pulse-acquire FID sequence with low flip-angle, short TE and TR and geometry identical to metabolite MRSI). Our quantification is practically independent on water relaxation times, requires only short extra measurement time and is robust enough in pathologies like tumors. We tested its results in a homogeneous phantom, healthy volunteers and tumor patients using a head resonator and an 8-channel array coil for acquisition.

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Water lineshape fitting method to overcome B0 field inhomogeneity for NMR spectroscopy
Donghyun Hong1, Seyedmorteza Rohani Rankouhi1, Jan-Willem Thielen1, and David G. Norris1,2

1Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany, 2Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, Netherlands

Good B0 field homogeneity is an essential requirement for NMR single voxel spectroscopy. Previously proposed spectral fitting method assumes that all metabolite signals have a Lorentzian shape. However, B0 inhomogeneity may both broaden the linewidth, and modify the lineshape into an asymmetric form. This study has demonstrated a water lineshape fitting method to overcome B0 inhomogeneity using corresponding metabolite fitting models by water lineshape. We obtained similar relative metabolite signal intensities and improved spectral fitting quality regardless of the field homogeneity condition.

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Repeatability of myocardial creatine and triglyceride concentration measurements with 1H-MRS
Adrianus J. Bakermans1, Paul de Heer1,2, Gustav J. Strijkers3, S. Matthijs Boekholdt4, Aart J. Nederveen1, and Jeroen A.L. Jeneson1,5

1Department of Radiology, Academic Medical Center, Amsterdam, Netherlands, 2C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 3Department of Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands, 4Department of Cardiology, Academic Medical Center, Amsterdam, Netherlands, 5Neuroimaging Center, University Medical Center Groningen, Groningen, Netherlands

Changes in myocardial total creatine (tCr) and triglyceride (TG) content have been linked to the pathogenesis of cardiomyopathy. An assessment of repeatability for absolute quantification of myocardial [tCr] and [TG] is required for 1H-MRS to be employed for longitudinal monitoring of therapeutic efficacy. This work reports intra- and inter-exam repeatability of [tCr] and [TG] measurements with 1H-MRS at 3 Tesla. Our results indicate that the repeatability of the 1H-MRS assay will be sufficient to detect a >50% depletion of the tCr pool, and >50% changes in myocardial TG levels with 95% confidence in a single subject.

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Accurate determination of cerebral lactate and glutamate concentration changes during a long visual stimulus
Carolina Fernandes1, Bernard Lanz1, Chen Chen1, and Peter Morris1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

Estimation of metabolic changes during neuronal activation represents a challenge for in vivo MRS, particularly in the case of lactate, whose dissociation from other resonances is not straightforward. To reliably quantify lactate, the lipid and macromolecular signals were significantly reduced by using a long TE (144 ms) and the remaining macromolecular signals in the vicinity of the lactate peak were individually fitted with lorentzian peaks. Statistically significant changes in lactate and glutamate levels during 15 min of visual stimulation were detected in the visual cortex, unveiling a distinctive metabolic response pattern, which can provide further insight into brain activation mechanisms.  

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Full Density Matrix Simulation of Spatially Localized Magnetic Resonance Spectroscopy
Yan Zhang1, Li An1, and Jun Shen1

1National Institute of Mental Health, Bethesda, MD, United States

Numerical simulations of three-dimensionally localized MRS spectra have been very time-consuming for multi-spin systems because the current state-of-the-art requires computation of a large ensemble of spins pixel-by-pixel in three dimensional space. In this abstract it was found that spatial coordinates of the full set of spin density operators labeled by slice selection gradients can be projected onto one dimension after slice selection as long as the crusher gradients are refocused. Therefore, the conventional three-dimensional simulation can be converted to a one-dimensional problem in cases such as the commonly used PRESS or STEAM. The proposed method was implemented using a computer program written in Java language.


Electronic Poster

MRS Acquisition Methods

Exhibition Hall Thursday 13:00 - 14:00

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Correlation of Diffusion Weighted Imaging and Echo Planar Correlated Spectroscopic Imaging of Breast Cancer in 3T
Rajakumar Nagarajan1,2, Maithili Gopalakrishnan2, Amir Huda3, Melissa Joines2, Nanette Debruhl2, and Michael A Thomas2

1Human Magnetic Resonance Center, Institute for Applied Life Sciences (IALS), University of Massachusetts, Amherst, MA, United States, 2Radiological Sciences, University of Califonia Los Angeles, Los Angeles, CA, United States, 3Physics, California State University, Fresno, CA, United States

In vivo magnetic resonance spectroscopy (MRS) of the breast can be used to measure the level of choline-containing compounds, which is a biomarker of malignancy. The advantage of  four dimensional (4D) echo-planar correlated spectroscopic imaging (EP-COSI) enables full slice coverage of the breast facilitating recording of multi-voxel based two-dimensional (2D) MRS than the single-voxel based localized correlated spectroscopy (L-COSY). Also in addition to differentiate malignant from benign, EP-COSI can differentiate the healthy fatty from glandular. Decreased ADC values derived from diffusion weighted imaging (DWI) can be correlated with increased choline and decreased lipids quantified by the EP-COSI technique.   

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Improving the quality of DW spectra in the supraclavicular fossa with a navigator-gated and cardiac-triggered flow-compensated diffusion-weighted STEAM MRS acquisition
Dominik J. Weidlich1, Andreas Hock2, Stefan Ruschke1, Daniela Franz1, Hans Hauner3, Ernst J. Rummeny1, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, Technical University Munich, Munich, Germany, 2Philips Healthcare, Hamburg, Germany, 3Else Kröner Fresenius Center for Nutritional Medicine, Technical University Munich, Munich, Germany

Measuring in vivo blood perfusion within the brown adipose tissue depot of the human supraclavicular fossa is highly relevant in metabolic and obesity research. DW-MRS can probe perfusion properties by measuring the IVIM signal of the water peak. However, DW-MRS of the supraclavicular fossa remains a challenging task due the high sensitivity of the region to motion and the associated poor spectral quality. The present work proposes a DW-MRS methodology with a flow compensated acquisition combining cardiac and respiratory tracking to improve spectral quality. IVIM results for the water peak are shown for the first time in the supraclavicular fossa.

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Dual Voxel Diffusion Weighted MR-Spectroscopy
Vincent Oltman Boer1, Henrik Lundell1, Tim Bjørn Dyrby1,2, Itamar Ronen3, and Esben Thade Petersen1,4

1Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark, 2Department of Applied Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark, 3C. J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Centre, 4Electrical Engineering, Technical University of Denmark, Lyngby, Denmark

Diffusion weighted spectroscopy is a technique with inherent long scan times. Here it was implemented in a simultaneous multi-voxel technique. This allows simultaneous assessment of multiple brain locations, and gives possibilities to extend the diffusion schemes with more directions and b-values.

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Simultaneous Hadamard Editing of GABA and glutathione
Muhammad Gulamabbas Saleh1,2, Georg Oeltzschner1,2, Kimberly L. Chan1,2,3, Nicolaas A.J. Puts1,2, Mark Mikkelsen1,2, Michael Schär1,2, Ashley D. Harris4,5, and Richard A.E. Edden1,2

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F. M. Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Biomedical Engineering, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Radiology, University of Calgary, Calgary, AB, Canada, 5Child and Adolescent Imaging Research Program, Alberta Children’s Hospital Research Institute, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada

Hadamard Encoding and Reconstruction of MEGA-Edited Spectroscopy (HERMES) allows the simultaneous, separable editing of GABA and GSH, the two most frequently edited metabolites. Rather than a two-step ON/OFF encoding of MEGA editing, HERMES uses a four-step Hadamard encoding matrix to orthogonally edit multiple metabolites. We demonstrate the method through simulations, phantom and in vivo experiments. HERMES provides excellent separation of GABA and GSH with a two-fold reduction in scan time, while maintaining spectral quality and SNR, compared to sequentially acquired measurements of GABA and GSH using MEGA-PRESS.   

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Real-time frequency and motion corrected Hadamard encoded spectral editing (CHASE)
Anouk Marsman1, Vincent Oltman Boer1, Mads Andersen2, and Esben Thade Petersen1,3

1Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark, 2Philips Healthcare, Copenhagen, Denmark, 3Dept. Electrical Engineering, Technical University of Denmark, Denmark

Inhibitory neurotransmitter GABA and antioxidant GSH are suggested to be implicated in psychiatric and neurological disorders. These metabolites can be measured in the human brain in vivo using edited 1H-MRS. However, traditional MEGA editing can only be performed for one metabolite at a time, whereas Hadamard encoded spectral editing assesses both metabolites in one sequence, thereby reducing total scan time twofold. As the relatively small GABA and GSH signals as well as the Hadamard paradigm are highly susceptible to frequency drift and motion, real-time frequency and motion correction was added to the sequence. 

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The use of MEGA-sLASER with J-refocusing echo time extension to measure the proton T2 of lactate in healthy human brain at 7 T
Chen Chen1, Bernard Lanz 1, Carolina Fernandes1, Susan Francis1, Penny Gowland1, and Peter Morris1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

The challenges in T2 measurement of lactate (Lac) in healthy brain tissue include J-modulation, signal overlaps and low concentration. To overcome these and characterize Lac T2 relaxation in normal brain tissue at 7T (for the first time), this study used a MEGA-sLASER sequence with J-refocusing echo time extension. The measured T2 value of Lac was 182±10 ms in healthy human brain (occipital lobe), which can be used for absolute quantification of Lac. The measured T2 of NAA (169±8 ms) agrees with previous 7T reports. With high sensitivity, this approach showed its potential in detecting changes in Lac T2 in pathology. 

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Inter and intra-subject repeatability study of GABA Editing using MEGA-PRESS and ImSpecial Sequence
Meng Gu1, Ralph Hurd2, Laima Baltusis3, and Daniel Spielman1

1Radiology, Stanford University, Stanford, CA, United States, 2GE Healthcare, Menlo Park, CA, United States, 3Center for Cognitive and Neurobiological Imaging, Stanford University, Stanford, CA, United States

GABA editing with frequency-insensitive macromolecule suppression using improved MEGA-SPECIAL sequence (ImSpecial) has been developed. By using a very frequency-selective editing pulse with a pulse width of 30 ms, macromolecule was suppressed without applying a lysine-symmetric editing. An inter and intra-subject repeatability studies were conducted to evaluate GABA editing with MEGA-PRESS and ImSpecial. Compared with GABA+/Cre levels using MEGA-PRESS, GABA/Cre levels using ImSpecial is about 40% less with lower variations for both inter and intra-subject repeatability studies, demonstrating significant MM suppression achieved using ImSpecial.

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Regional GABA concentration comparison in the human brain with the interleaved short TE sLASER and MEGA-sLASER sequence at 7T
Donghyun Hong1, Seyedmorteza Rohani Rankouhi1, Jan-Willem Thielen1, and David G. Norris1,2

1Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany, 2Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, Netherlands

GABA is challenging to resolve due to j-couplings and overlapping signals. Previously proposed GABA editing ans short TE approach at UHF make it possible to measure relative GABA concentration. We measured GABA concentration with the interleaved sequence at various brain regions, and found an optimal method to estimate GABA in terms of spectral fitting quality. Occiptal cortex  showed a high GABA concentration, and GABA editing approach gave a reliable spectral fitting quality.

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J-difference editing of Creatine in the human brain
Kimberly Chan1,2,3, Richard Edden2,3, and Peter Barker2,3

1Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, United States, 2Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, United States, 3F. M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

In in vivo proton spectra, Creatine (Cr) and phosphocreatine are usually regarded as non-coupled spin systems (1).  This abstract reports on the observation of a small coupling between the creatine CH2 (3.91 ppm) and CH3 (3.02 ppm) groups.  A series of J-difference edited experiments were performed both in a phantom and in the human brain to demonstrate that a coupling exists.  This coupling was found to have a coupling constant of 0.28 Hz in an isotropic phantom and an even greater coupling in a white matter region.

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Investigating the effect of phase cycling schemes on GABA-edited spectroscopy using MEGA-PRESS
Jia-Ren Lin1, Jhih-Ling Liang1, Yi-Ru Lin1, Cheng-Wen Ko2, and Shang-Yueh Tsai3

1Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan, 2Department of Computer Science and Engineering, National Sun Yat-sen University, Kaohsiung, Taiwan, 3Research Center for Mind, Brain and Learning, National Chengchi University, Taipei, Taiwan

The application of phase cycling scheme in combination with interleaved off-odd switch has been suggested for MEGA-PRESS method in many previous reports but the effect of phase cycling schemes on the spectral shape of GABA peak and on the GABA quantification has not been studied yet. Here, performance of phase cycling by different number of steps were and by modified interleaved scheme were compared. The results show that phase cycling is necessary to be applied prior interleaved on-off switch and minimum shape cycling steps are suggested to minimize subtraction artifacts possibly resulting from on-off frequency drift and motion.

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MEGA-PRESS for simultaneous aspartate and glutamate quantification at 3T.
Petr Menshchikov1,2, Tolibjon Akhadov2, Il'ya Melnikov2, and Natalia Semenova1,2

1Semenov Institute of Chemical Physics, Russian Academy of Sciences, Moscow, Russian Federation, 2Clinical and Research Institute of Urgent Pediatric Surgery and Trauma, Moscow, Russian Federation

Direct Asp observation using PRESS, STEAM etc. in the human brain is strongly complicated by J-evolution and overlapping with other metabolites. In this work we have adjusted MEGA-PRESS for simultaneous  Asp and Glu estimation. According to Vespa simulation as well as phantoms and in vivo studies TE=115ms was chosen as the best for Asp (2.65 and 2.80 ppm) and Glu (2.13 ppm) quantification without overlapping.  Asp is the main precursor of neuronal marker NAA. NAA have been shown to be reduced in many disorders. Using this method allows accurate investigation of this important metabolic pathway.  

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Highly resolved 1H decoupled spectroscopy with a shorter constant time delay using the 2D CT-PRESS with J refocusing
Hidehiro Watanabe1 and Nobuhiro Takaya1

1Center for Environmental Measurement and Analysis, National Institute for Environmental Studies, Tsukuba, Japan

The 2D constant time localized sequence of CT-PRESS with J refocusing was proposed, having features of good peak resolution via 1H decoupling along F1 and of J refocusing by a 90-degree pulse at the first echo time. By controlling the time point of J refocusing, shorter constant time delay of Tct can be achieved. This method was developed on a 4.7 T whole-body MR system. Phantom experiments were demonstrated using brain mixture solutions. Three resonances at 2.28 ppm of GABA C2H, 2.35 ppm of glutamate C4H and 2.44 ppm of glutamine C4H were resolved on the phantom spectra.

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Homonuclear spectral editing to measure ectopic lipid composition in vivo with 1H-MRS
Lucas Lindeboom1,2 and Robin de Graaf3

1Dept. of Human Biology/Human Movement Sciences, NUTRIM school for Nutrition and Translational Research in Maastricht, Maastricht University Medical Center, Maastricht, Netherlands, 2Dept. of Radiology, NUTRIM school for Nutrition and Translational Research in Maastricht, Maastricht University Medical Center, Maastricht, Netherlands, 3Dept. of Radiology and Biomedical Imaging, Magnetic Resonance Research Center, Yale University School of Medicine, New Haven, CT, United States

1H-MRS has been used extensively to measure the total amount of lipids stored in organs like skeletal muscle and liver and it has been found that these so called ectopic fat stores are associated with insulin resistance. The role of the composition of these lipid stores (e.g. saturated vs. unsaturated fatty acids) in metabolic disturbances is unclear. Here we show the feasibility of spectral editing techniques to characterize lipid composition in adipose tissue and skeletal muscle in vivo. Estimations of lipid composition with our approach are in line with invasive biopsy studies.

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Local metabolites of healthy human brain measured with whole brain spectroscopic imaging and with single voxel spectroscopy - a study to compare different 1H-MRS data acquisitions and data analyses
Birte Schmitz1, Andrew A Maudsley2, Sulaimann Sheriff2, Heinrich Lanfermann1, and Xiao-Qi Ding1

1Institute of Diagnostic and Interventional Neuroradiology, Hannover Medical School, Hannover, Germany, 2Department of Radiology, University of Miami School of Medicine, FL, United States

Local metabolite concentrations in 60 healthy volunteers were estimated from EPSI data that were analyzed from individual voxel measurements and using spectral integration over a ROI and compared to results from single-voxel acquisitions. Linear regression analysis was used to estimate age-dependence of metabolite concentrations obtained with each of the three different methods. The results were compared with each other for quantitative evaluation of EPSI acquisition at short TE for detection of brain metabolites.

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Integration of Water Referencing with Water Suppression for Absolute Quantification of High-Speed MR Spectroscopic Imaging
Akram Etemadi Amin1, Elena Ackley2, Kevin Fotso2, Stephen R Dager3, and Stefan Posse2,4,5

1Physisc and Astronomy, U New Mexico, Albuquerque, NM, United States, 2Neurology, U New Mexico, Albuquerque, NM, United States, 3Radiology, U Washington, Seattle, WA, United States, 4Physics and Astronomy, U New Mexico, Albuquerque, NM, United States, 5Electrical and Computer Engineering, U New Mexico, Albqueruque, NM, United States

We present a new approach with negligible impact on overall scan time that integrates a short water reference acquisition and navigators into the water suppression module, to spatially and spectrally encode the water signal before suppression. We show that this approach enables quantitative 2D and 3D high-speed MR spectroscopic imaging (MRSI) of brain metabolites, for range of pre-localization techniques (slice-selective, slab-selective or PRESS), at short and long TE, and at different slice locations. This method significantly reduces the acquisition time of volumetric MR spectroscopic imaging and is compatible with a wide range of spectroscopic acquisition methods.

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Simultaneous water and lipid suppression for brain 1H MR spectroscopy at 7T using multiple RF pulses with spoiling phases
Linqing Li1, Li An1, Ningzhi Li1, and Jun Shen1

1National Institute of Mental Health, National Institute of Health, Bethesda, MD, United States

The variation of RF phases may effectively suppress water and lipid coherent signals, as similar effect has been previously demonstrated in GRE MR imaging sequences. We demonstrate a new suppression sequence capable of simultaneous water and lipid suppression with short inter-pulse delay and RF phase spoiling. Monte Carlo analysis showed that the proposed technique can significantly improve both accuracy and precision of metabolite quantification by suppressing lipid contamination.  

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Overdiscrete Reconstruction for Signal Enhancement in Single Voxel Spectroscopy
Eduardo Coello1,2, Ralph Noeske3, Bjoern Menze1, Axel Haase1, and Rolf Schulte2

1Technische Universität München, Munich, Germany, 2GE Global Research, Munich, Germany, 3GE Healthcare, Potsdam, Germany

This work proposes an overdiscrete reconstruction for Single Voxel Spectroscopy (SVS). It is demonstrated that in single voxel acquisitions benefit from the SNR and linewidth improvement obtained by correcting for of B0 inhomogeneities and the optimization of the Spatial Response Function (SRF), as compared to regular signal averaging. This method, enables SV acquisitions in challenging brain areas, i.e. where B0 shimming is sub-optimal, and corrects for spectral artifacts such as peak aliasing.

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Ultra-short echo STEAM with TE of 3 ms improves 1H-MRS based lipid quantification and allows fast localization of 31P metabolite signals in the liver at 7T
Martin Gajdošík1,2, Marek Chmelík3,4, Lorenz Pfleger1,2, Anton Luger2, Siegfried Trattnig1,4, and Martin Krššák1,2

1High-field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, 3Clinical Molecular Imaging, Karl Landsteiner Institute, Vienna, Austria, 4Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

Liver fat quantification with in vivo 1H-MR spectroscopy is challenging at ultra-high fields also due to very short T2 times. Ultra-short TE localized sequence using Gaussian pulses with TE of 3ms was developed and its advantages could be utilized also with 31P-MR spectroscopy. Our data showed, that localization was feasible in large homogeneous tissues such as liver providing liver fat measurement with unprecedented precision. The detection of 31P signals was feasible and resulted in high spectral resolution in acceptable time.

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T2 relaxation times of metabolites measured with LASER and PRESS at 3 T
Dinesh K Deelchand1, Edward J Auerbach1, and Małgorzata Marjańska1

1CMRR, University of Minnesota, Minneapolis, MN, United States

The goal of this study was to compare the apparent transverse relaxation time (T2) constants of metabolites obtained using LASER and PRESS sequences in the human brain at 3 T.  A 25% higher apparent T2s of total N-acetyl aspartate, total creatine and total choline were measured with LASER sequence as compared to PRESS while comparable apparent T2s were measured for strongly coupled metabolites, e.g., glutamate and myo-inositol, with both sequences.

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J-difference semi-LASER for GABA editing
Ralph Noeske1

1GE Healthcare, Berlin, Germany

The performance of a J-difference spectral editing technique based on the across vendor implementation of semi-LASER with high bandwidth GOIA-WURST adiabatic gradient modulated refocusing pulses for a GABA+ and macromolecule-suppressed GABA protocol was investigated. Phantom measurements show a TE dependence of the edited 3ppm GABA signal that allows using the longer TE of 80ms to implement a macromolecular-suppressed protocol with higher signal compared to a PRESS based implementation.

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Voxel Based Transmit Gain Calibration using Bloch-Siegert semi-LASER at 7T
Ralph Noeske1, Alessandra Toncelli2, Hana Hlavata3, and Michela Tosetti3,4

1GE Healthcare, Berlin, Germany, 2INFN and Department of Physics, University of Pisa, Pisa, Italy, 3IMAGO7 Foundation, Pisa, Italy, 4IRCCS Stella Maris, Pisa, Italy

A voxel-based implementation of the Bloch-Siegert phase shift method within a semi-LASER based localization sequence that shows a high robustness to determine transmit gain (TG) for the same volume that is excited for the spectroscopy experiment is demonstrated at 7T.  Phantom and in-vivo measurements show higher robustness over a large range of initial TG settings and voxel locations resulting in a faster and more reliable calibration procedure to achieve good voxel selection and spectrum quality and avoid additional calibration steps.

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Optimal Echo Time for In-Vivo Glutamate Detection at 7T Using semi-LASER 1H-MRS
Dickson Wong1,2, Amy Schranz1,2, and Robert Bartha1,2

1Medical Biophysics, The University of Western Ontario, London, ON, Canada, 2Centre for Functional and Metabolic Mapping, Robarts Research Institute, London, ON, Canada

At ultra-high field (7T), the quantification of glutamate by 1H-MRS is more accurate and precise than at lower field strengths. The semi-LASER 1H-MRS pulse sequence has advantages at high field but requires the use of relatively long radio frequency pulses to reduce power deposition. Typically, the shortest achievable echo times (TE) are sub-optimal for glutamate detection. In this study, the optimal TE for glutamate detection was estimated by time-domain simulation and verified against in-vivo measurements. Using simulations, the optimal TE was found to be 125 ms. In-vivo measurements in one subject produced a result of ~102 ms. Both results suggest that the glutamate signal is greater at longer TEs (100-125 ms) when using semi-LASER at 7T compared to the shortest achievable TEs (40-60 ms).

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Robust detection of 2-hydroxyglutarate at 7T high field with a fully adiabatic LASER sequence
Morteza Esmaeili1,2 and Ovidiu Cristian Andronesi1

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 2Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, NTNU, Trondheim, Norway

With increasing number of high field 7T MR systems in clinical setting, the potential of using advanced MR modalities such as MR spectroscopy is increasing. Imaging 2-hydroxyglutarate (2-HG) can genotype IDH mutations in gliomas. However, the MR signal of this metabolite is overlapped with other resonances, hampering robust quantification of 2-HG. Here we optimized the timing of LASER sequence for robust detection of 2-HG at high field 7T in the presence of B1 inhomogeneity.

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Effects of Iron Content on J-edited 1H MRS Measures of Cortical Glutathione Investigated In Vivo with Quantitative Susceptibility Mapping (QSM)
Kofi M. Deh 1, Xiangling Mao1, Yize Zhao2, Guoxin Kang1, Pascal Spincemaille1, Yi Wang1, and Dikoma C. Shungu1

1Radiology, Weill Cornell Medicine, New York, NY, United States, 2Healthcare Policy and Research, Weill Cornell Medicine, New York, NY, United States

As the primary intracellular antioxidant, glutathione (GSH) is involved in free radical reactions in vivo involving paramagnetic iron II/III as catalysts or cofactors, suggesting that findings low tissue GSH by MRS could reflect T2 signal loss due to differences in iron content, rather than a genuine antioxidant deficit. This study estimated brain iron content using QSM to assess whether GSH deficits previously reported in patients with chronic fatigue syndrome (CFS) were genuine or simply a T2 signal loss. No iron content differences were found between patients and controls, supporting a genuine GSH deficit in CFS.



Electronic Poster

MRSI Methods

Exhibition Hall Thursday 13:00 - 14:00

5513
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S-ESPIRiT: Estimation of Coil Sensitivity Maps from MR Spectroscopic Imaging Data Using ESPIRiT
Namgyun Lee1,2, Vincent Oltman Boer3, Esben Thade Petersen3, and Gyunggoo Cho1

1Korea Basic Science Institute, Daejeon, Korea, Republic of, 2University of Southern California, Los Angeles, CA, United States, 3Danish Research Centre for Magnetic Resonance (DRCMR)

Estimating a set of coil sensitivity maps that is consistent with the low-resolution SENSE model is challenging in SENSE spectroscopic imaging. Recently, ESPIRiT, an autocalibrating approach to estimate sensitivity maps for MR imaging, that combines both advantages of SENSE and GRAPPA has been developed. In this work, we propose a spectroscopic extension of ESPIRiT, referred to as S-ESPIRiT, to estimate sensitivity maps from Cartesian 2D spectroscopic k-space data.  The proposed method was demonstrated using 2D spectroscopic imaging data of a brain metabolite phantom acquired with a semi-LASER pulse sequence and a 32-channel receive head coil on a 7T MRI scanner.

5514
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semi-adiabatic SPECIAL-based 1H MRSI at 9.4T: Implementation and preliminary validation in a rat brain
Hyeong-Hun Lee1 and Hyeonjin Kim1,2,3

1Department of Biomedical Sciences, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul National University Hospital, Seoul, Korea, Republic of, 3Department of Transdisciplinary Studies, Graduate School of Convergence Science and Technology, Seoul National University, Suwon, Korea, Republic of

Given the issues of chemical shift displacement error, B1 inhomogeneity and short T2 at high field, a semi-adiabatic SPECIAL-based MRSI sequence was implemented at 9.4T, which is equipped with a pair of broad-band hyperbolic secant adiabatic full passage pulses for refocusing, and yet, allows a minimum TE of as short as 4.98 ms. In phantom, the effect of the prolonged minimum TE on the J-evolution of coupled spins is negligible. In a rat brain, preliminary quantitative results are in close agreement with the previous results obtained by using single-voxel MRS.

5515
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High resolution MRSI using compartmental low rank algorithm: demonstration using undersampled EPSI
Ipshita Bhattacharya1, Ralph Noeske2, Baolin Yang3, Rolf F Schulte4, and Mathews Jacob1

1Department of Electrical and Computer Engineering, The University of Iowa, Iowa City, IA, United States, 2GE Healthcare, Postdam, Germany, 3GE Healthcare, Waukesha, WI, United States, 4GE Global Research, Munich, Germany

Improved spatial resolution is the need of the hour for MRSI. In this work we propose an algorithm which provides a comprehensive and automatic approach to recover high resolution metabolite maps from highly undersampled acquisitions; the improved spatial resolution translates to improved spectral quality and reduced leakage artifacts. The proposed algorithm is also quite flexible and can be readily used in a variety of sequences, including EPSI, CSI, and spirals acquisition schemes.

5516
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Evaluation of Compressed Sensing reconstructions of 3D Echo Planar Spectroscopic Imaging using TV, Wavelet-$$$\ell_{1}$$$, and TV+Wavelet-$$$\ell_{1}$$$ based regularization.
Andres Saucedo1, Zohaib Iqbal1, Manoj K. Sarma1, and M. Albert Thomas1

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States

Magnetic Resonance Spectroscopic Imaging (MRSI) is a valuable tool to characterize metabolic concentrations and changes in several spatial locations in a single recording. However, the long acquisition time of conventional three-dimensional (3D) MRSI limits its practical application. Non-uniformly sampled 3D echo planar spectroscopic imaging (EPSI) has been proposed to accelerate the scan time, combined with compressed sensing (CS) to retain reconstruction fidelity.  We apply the novel approach of reconstructing 3D EPSI data by applying TV, Wavelet-$$$\ell_{1}$$$, and TV + Wavelet-$$$\ell_{1}$$$ CS-based regularization on both the combined spectral and two undersampled spatial dimensions. These three reconstruction methods were evaluated in both simulated and in retrospectively undersampled data of a brain phantom. 


5517
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Low-Rank TGV Reconstruction of High-Resolution 1H-FID-MRSI of whole brain slices
Antoine Klauser1, Dimitri Van De Ville1,2, and François Lazeyras1

1Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland, 2Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

High resolution MRSI data were acquired with 2D FID-MRSI at 3T and a post-processing including lipid suppression, low-rank approximation and TGV-reconstruction is proposed. The resulting metabolic images of tNAA, tCre, Cho, Ins and Glx showed a substantial gain in quality, CRLB values associated and the SNR. This effect was particularly marked for lower signal metabolite: Ins and Glx. In addition, the proposed post-processing reconstructed efficiently under-sampled data allowing a 2- or 4-fold acquisition acceleration.

5518
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Macromolecule Mapping with Ultrashort-TE Acquisition and Metabolite Spectral Prior
Fan Lam1, Yudu Li1,2, Bryan Clifford1,2, and Zhi-Pei Liang1,2

1Beckman Institute for Advanced Science and Technology, 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

This work presents a novel method for macromolecule mapping and quantification. The proposed method integrates an FID-based MRSI acquisition with a generalized series (GS) model based extrapolation scheme. The FID acquisition allows for the use of ultrashort echoes and short repetition times for fast imaging with improved SNR efficiency. The GS model effectively makes use of the spectral priors from single voxel spectroscopy and allows for reformulating the back-extrapolation of metabolite signals as a linear problem (in contrast to conventional nonlinear methods). Results from in vivo experiments demonstrate that MM signals estimated by the proposed method are consistent with an inversion recovery based method and lead to better metabolite quantification.

5519
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Covariance Five Dimensional Echo Planar J-resolved Spectroscopic Imaging
Zohaib Iqbal1 and M. Albert Thomas1

1Radiological Sciences, University of California - Los Angeles, Los Angeles, CA, United States

Chemical shift imaging is a very important method used to investigate several pathologies in vivo. A recent technological development incorporating an echo planar readout, a non-uniform sampling scheme, and an iterative, non-linear reconstruction is the five dimensional echo planar J-resolved spectroscopic imaging (5D EP-JRESI) method. While this technique is capable of obtaining 3 spatial and 2 spectral dimensions in vivo, the indirect spectral dimension has a low spectral resolution, which may hinder accurate metabolite quantitation. In this study, a novel approach using a covariance transformation after reconstruction is assessed and compared to the 5D EP-JRESI method. 

5520
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Comparison of different acceleration methods for high-resolution metabolite mapping using 1H FID MRSI at 9.4T
Sahar Nassirpour1,2, Paul Chang1,2, and Anke Henning1,3

1MPI for Biological Cybernetics, Tuebingen, Germany, 2IMPRS for Cognitive and Systems Neuroscience, Eberhard Karls University of Tübingen, Tuebingen, Germany, 3Institute of Physics, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany

Reliable metabolite mapping of the human brain using ultra-short TE and TR 1H FID-MRSI is possible at ultra-high fields. However, MRSI studies with high spatial resolutions and brain coverage suffer from long scan times. To make these studies clinically relevant, different acceleration methods are used at the price of losing SNR. The aim of this study is to implement and compare different in-plane acceleration methods: SENSE, GRAPPA and compressed sensing for high-resolution metabolite mapping of the human brain at 9.4T without lipid suppression.

5521
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Density Weighted Concentric Circle Trajectories for Brain MRSI at 7T
Lukas Hingerl1, Bernhard Strasser1, Philipp Moser1, Gilbert Hangel1, Siegfried Trattnig1,2, and Wolfgang Bogner1

1High Field MR Centre, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Medical University of Vienna, Vienna, Austria

A density weighted concentrically circular echo-planar trajectories readout scheme is presented for brain MRSI at 7 T. We give an analytic solution for the variable radii distribution in order to intrinsically measure a Hamming weighted k-space. A comparison with post acquisition filtered equidistant concentric circles is done. Invivo metabolic maps and spectra are shown.

5522
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Metabolite-Cycling Short-Echo Time Magnetic Resonance Spectroscopic Imaging using a Concentric Ring k-space Trajectory
Uzay E Emir1, Brian Burns2, Mark Chiew1, Peter Jezzard1, and Albert Thomas3

1Oxford Centre for Functional MRI of the Brain (FMRIB), University of Oxford, Oxford, United Kingdom, 2Department of Oncology, University of Oxford, Oxford, United Kingdom, 3Department of Radiological Sciences, University of California, Los Angeles, CA, United States

In this study, the feasibility of acquiring and quantifying short-echo (TE = 14 ms), two-dimensional (2D) STEAM MRSI spectra from the motor cortex was demonstrated by utilizing a non-water-suppressed metabolite-cycling technique. The increase in measurement time by the metabolite-cycling is counterbalanced by a time-efficient concentric ring k-space trajectory. High quality spectra were acquired from 36 localized 2mL voxels in 8 minutes. The metabolite spectra and estimated concentrations were in agreement between non-water-suppressed and water-suppressed MRSI techniques.  Findings of this study demonstrate that a non-water-suppressed metabolite-cycling MRSI technique can perform robustly on clinical MRI scanners and within a clinically feasible acquisition time.

5523
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Full-field of view GM and WM spectroscopy in vivo using spatial lipid pattern estimation and BASE-SLIM localization
Peter Adany1, In-Young Choi1,2,3, and Phil Lee1,2

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

The presence lipids of several orders of magnitude higher concentrations than metabolites in the extracranial tissues present significant challenges for the reliable acquisition and quantification of 1H MRSI, especially in the outer perimeter areas of the brain.  We developed a novel spatial lipid reconstruction technique to remove nuisance lipid signals in 1H MRS. We applied lipid reconstruction to MRSI data and performed BASE-SLIM localization on the lipid-subtracted signal. Using this method, high quality compartment spectra of GM and WM could be obtained.

5524
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Multi-region Semi-Adiabatic Spectral-Spatial Spectroscopic Imaging (SASSI) sequence for accelerated MRSI at 7T
Rebecca Emily Feldman1 and Priti Balchandani1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States

High field MRI permits us to leverage increased signal-to-noise ratio (SNR) and spectral separation between metabolite peaks for more sensitive metabolite detection at higher spatial resolutions. However, the acquisition of high-resolution spectral grids can be prohibitively time intensive. Accelerated MRSI acquisitions are challenged by the limitations at 7T. We develop a multi-region SPSP excitation pulse and use it to create a novel low power, B1 insensitive multi-region SASSI sequence with minimal chemical shift to enable accelerated MRSI. 

5525
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IRREGULAR SPIRAL ACQUISITION FOR COMPRESSIVE SENSING IN MRSI
Jabrane Karkouri1,2, Fabien Millioz1, Magalie Viallon1, Rémy Prost1, and Hélène Ratiney1

1Université de Lyon, INSA‐Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, F‐69621, LYON, France, Lyon, France, 2Siemens Healthineers, Saint-Denis, France

Magnetic resonance spectroscopic imaging (MRSI) has multiple interests in clinical practice but it faces quite long acquisition time in practice which limits their use in a clinical environment. In this work, a new fast Magnetic Resonance Spectroscopic image acquisition method, based on Compressed Sensing and the a priori known support of the metabolites chemical shift, is introduced and evaluated based on a k-t space spiral sampling.  In the real-world noisy scenario the error in the recovered spectrum highly depends on the acquired samples. We reduce this error to an acceptable level by selecting irregularly the samples using the Sequential Backward Selection algorithm. Our method has been applied on an in vivo 31P acquisition, to prove the feasibility of the proposed approach.

5526
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Prospective frequency correction using outer volume suppression-localized navigator for MR Spectroscopic Imaging
Chu-Yu Lee1, In-Young Choi1,2,3, 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

Data acquisitions for magnetic resonance spectroscopic imaging (MRSI) require a long scan time to increase SNR and for spatial encoding. During the prolonged scan time, maintaining a constant static magnetic field (B0) is important for a robust MRSI measurement. However, frequency drifts occur over time even in advanced MR systems and become larger when high shim currents or rapidly switched gradients are applied. The frequency drift causes broad and distorted spectral lineshapes, reduced SNR, and quantification errors. These effects can be mitigated retrospectively and prospectively. However, in MRSI measurements, these effects can only be mitigated using the prospective frequency correction, because each spectrum is phase-encoded. The prospective frequency correction is typically achieved by incorporating a PRESS-based interleaved reference scan (PRESS-IRS) as a navigator, termed as PRESS-IRS navigator. A small excitation flip angle (10-20°) is used for the PRESS-IRS navigator to reduce the saturation-induced SNR loss on metabolite signals. Nonetheless, the SNR loss remains unavoidable and becomes notable when the imperfect refocusing pulses or a short repetition time (TR) are used in MRSI. In this study, a new prospective frequency correction method is introduced. The new method utilizes the outer volume suppression-localized navigator, termed OVS-localized navigator, resulting in no perturbations of metabolite signals and thus no saturation-induced SNR losses. Meanwhile, a precise measurement of the frequency drift and the effective correction is achieved. The presented method was demonstrated in two-dimensional (2-D) MRSI measurements under the large frequency drift induced by a fMRI experiment.

5527
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Rigid Motion Correction in MRSI Using Wireless Active Markers
Yibo Zhao1, Chao Ma2, Chang Gao1, Kui Ying1, Jinsong Ouyang2, and Georges El Fakhri2

1Engineering Physics, Tsinghua University, Beijing, People's Republic of China, 2Gordon Center for Medical Imaging, Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

For brain imaging, even with head restraints, maximum translations in the range of 5-10 mm and rotations of 1-4 degrees are sometimes observed.  The rigid body motion of the subject during MRSI acquisition can degrade both the spatial resolution and spectral quality. In this work, we developed a wireless active marker based method to track and correct motion in MRSI.

5528
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Motion Correction for 1H-MRSI of the Brain Using Unsuppressed Water Signals
Bryan Clifford1,2, Xi Peng2,3, Yudu Li1,2, Zhi-Pei Liang1,2, and Fan Lam2

1Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, Urbana, IL, United States, 3Paul C Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Shenzhen, People's Republic of China

Head motion poses a significant problem in MRSI experiments, especially for 1H-MRSI of the brain performed without water or lipid suppression. In this work we propose a practical method specifically designed to track head motion and correct for its effects on 1H-MRSI data acquired without water suppression. By using the companion spectroscopic water signals, we are able to track head motion with navigators collected in circular and linear trajectories. A specialized data processing scheme is also proposed for processing the navigator data along with the unsuppressed spectroscopic water signals to determine the motion parameters.

5529
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Lipid Suppression in 3D Magnetic Resonance Spectroscopic Imaging
Mohammed Goryawala1, Andrew A Maudsley1, and Sulaiman Sheriff1

1University of Miami, Miami, FL, United States

Proton MR spectroscopic imaging (MRSI) is complicated by the presence of subcutaneous lipids, which, if not suppressed before Fourier reconstruction, cause ringing in metabolite maps due to limited k-space sampling. In this study inversion recovery (IR) based lipid suppressed acquisition was compared to non-lipid suppressed acquisition combined with two methods for reducing lipid ringing in whole brain MRS imaging. Results indicate non-lipid suppressed acquisition using the ℓ2-regularization or Papoulis-Gerchberg algorithm for reconstruction is possible without significant ringing artifacts, however, can have a detrimental effect on spectral linewidth and baseline, resulting in smaller spatial coverage than IR based lipid-suppressed acquisition.

5530
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A Minimum-Phase Shinnar-Le Roux Spectral-Spatial Excitation RF Pulse for Water and Lipid Suppression in 1H MRSI of Body Extremities
Kexin Deng1, Chao Ma2, Kui Ying3, and Georges El Fakhri2

1Biomedical Engineering, Tsinghua University, Beijing, People's Republic of China, 2Gordon Center for Medical Imaging, Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 3Engineering Physics, Tsinghua University, Beijing, People's Republic of China

It is challenging to remove nuisance water and lipid signals in 1H-MRSI of body extremities. Strong lipid signals exist both in the subcutaneous layer and bone marrow but also in the muscle, i.e., intramyocellular and extramyocellular lipids.  This work presents a novel minimum-phase Shinnar-Le Roux (SLR) spectral-spatial excitation RF pulse for both water and lipid suppression in 1H-MRSI of body extremities. We have validated the proposed method using Bloch equation simulation, phantom, and in vivo studies.

5531
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High resolution cortical spectroscopy at 7T using lipid signal crushing and a high density receive array.
Alex Bhogal1, Carrie Wismans1, Christiaan Vinckers2, Peter R Luijten1, Dennis WJ Klomp1, and Jannie P Wijnen1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Psychiatry, University Medical Center Utrecht, Utrecht, Netherlands

In this work we attempt to overcome MRSI limitations associated with extra-cranial lipid signal leakage and low SNR at high resolution. We use a dedicated crusher coil for lipid signal removal, in combination with a high density receive array and an  7T MR scanner for boosted SNR. 

5532
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Spatial Hadamard encoding of J-edited spectroscopy using slice-selective editing pulses
Kimberly Chan1,2,3, Georg Oeltzschner2,3, Michael Schär3, Peter Barker2,3, and Richard Edden2,3

1Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, United States, 2F. M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, United States

A new approach for simultaneous dual-voxel J-difference spectral editing is described, that uses spatially selective spectral-editing pulses and Hadamard encoding. The theoretical framework for Spatial Hadamard Editing and Reconstruction for Parallel Acquisition (SHERPA) was developed, applying gradient pulses during the frequency selective editing pulses. SHERPA was simulated for GABA, tested in a two-compartment GABA phantom, and applied to the left and right hemispheres of ten normal subjects. SHERPA was successfully implemented with results in close agreement with conventional MEGA-PRESS scans.  Compared to conventional single-voxel single-metabolite J-difference editing, two-fold acceleration is possible without significant loss of SNR using the SHERPA method.

5533
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A Vendor-Agnostic MRSI Acquisition and Reconstruction XML Descriptor Format
Marram P Olson1, Jason C Crane1, Peder Larson1, and Sarah J Nelson1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States

The evaluation of MRSI data is complex because data files are encoded with vendor specific file formats and there is a lack of standardized tools for reconstruction. A standard way to describe raw MRSI data is necessary for the reconstruction of sequences utilizing parallel and non-Cartesian sampling strategies. In this work we are developing a vendor neutral data format to define MRSI sequences with arbitrary k-space trajectories that can be used by reconstruction software to understand the data acquisition scheme. This file format is XML-based and uses the ISMRMRD header as a basis for its scheme.

5534
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Using 3D MEGA-LASER MRSI to study the role of basal ganglia GABA and Glx in response selection in Manganese neurotoxicology
Ruoyun Ma1,2, Sandy Snyder1,3, Ann-Kathrin Stock4, Wolfgang Bogner5, Ovidiu C. Andronesi6, Christian Beste4, and Ulrike Dydak1,2

1School of Health Sciences, Purdue University, West Lafayette, IN, United States, 2Department of Radiology and Imaging Sciences, Indidana University School of Medicine, Indianapolis, IN, United States, 3Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN, United States, 4Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine of the Technische Universität Dresden, Germany, 5Department of Biomedical Imaging and Image-guided Therapy, High Field MR Center, Medical University of Vienna, Vienna, Austria, 6Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

This pilot study on manganese (Mn) neurotoxicity investigates the association between deficits in response selection and GABA and Glx levels in basal ganglia structures using MEGA-LASER 3D MRSI. Using a novel automated brain-structure-specific quantification approach for GABA+ and Glx, we studied three basal ganglia structures and the thalamus in Mn-exposed welders and controls. A modified Simon task was used to measure selection inhibition. GABA+ and Glx in putamen and globus pallidus were associated with response times in the most complicated experimental scenario in Mn-exposed subjects; whereas thalamic Glx levels were associated with response time for all subjects.

5535
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Assessment of Neurochemical changes in HIV adults Using Accelerated MR Spectroscopic Imaging and Compressed Sensing Reconstruction
Rajakumar Nagarajan1,2, Eric S Daar3, Ebrahim Haroon4, Zohaib Iqbal2, Neil Wilson2, Sathya Arumugam2, Mario Guerrero3, and Michael A Thomas2

1Human Magnetic Resonance Center, Institute for Applied Life Sciences (IALS), University of Massachusetts, Amherst, MA, United States, 2Radiological Sciences, University of California Los Angeles, Los Angeles, Los Angeles, CA, United States, 3Medicine, Harbor-UCLA Medical Center, Torrance, CA, United States, 4Psychiatry and Behavioral Sciences, Emory School of Medicine, GA, United States

In this work, we have successfully evaluated the accelerated 5D EP-JRESI sequence in 16 adult HIV-infected  patients and 15 healthy subjects. Compared to healthy subjects, significant neurochemical changes were observed in HIV+ patients on ART: elevated Ch/Cr ratios in frontal gray, right frontal white and right basal ganglia locations, decreased Glx ratios in the left frontal white, right basal ganglia, occipital gray and white and right insular cortical regions. There was also decreased NAA/Cr in the left basal ganglia and right occipital white regions. In the HIV+ patients, a positive correlation was recorded between the left basal ganglia NAA/Cr and the number of years of ART treatment (r=0.58, p<0.02).

5536
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Accelerated 3D Echo Planar Spectroscopic Imaging of HIV: Metabolite Changes Correlation with CD4 count and Number of Years of Treatment
Rajakumar Nagarajan1,2, Eric S Daar3, Zohaib Iqbal2, Manoj K Sarma2, Mario Guerrero3, and Michael A Thomas2

1Human Magnetic Resonance Center, Institute for Applied Life Sciences (IALS), University of Massachusetts, Amherst, MA, United States, 2Radiological Sciences, University of California Los Angeles, Los Angeles, Los Angeles, CA, United States, 3Medicine, Harbor-UCLA Medical Center, Torrance, CA, United States

In vivo proton magnetic resonance spectroscopy studies of HIV-infected humans have demonstrated region-specific changes in brain metabolites including N-acetylaspartate, creatine, choline, glutamate/ glutamine, and myo-inositol. Using a 3D EPSI technique, we examined metabolite ratios with respect to creatine in several regions of brain in 18 HIV adults (mean age 46.2 years) and 15 healthy controls (mean age 43.4 years). We have demonstrated for the first time the feasibility of a novel accelerated 3D EPSI method in HIV-infected adults compared to age matched healthy controls and correlated with CD4 counts and number of years of treatment.


Electronic Poster

Interventional Non-Thermal

Exhibition Hall Thursday 14:00 - 15:00

5537
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Low-field cardiac MRI for cardiac radiosurgery using an integrated MRI-guided radiotherapy system
H Michael Gach1, Roger Nana2, Clifford G Robinson3, Philip S Cuculich4, Rojano Kashani3, Jeffrey D Bradley3, Michael C Roach3, James F Dempsey5, Sasa Mutic3, and Olga Green3

1Radiation Oncology and Radiology, Washington University in St Louis, St Louis, MO, United States, 2ViewRay, Oakwood Village, OH, United States, 3Radiation Oncology, Washington University in St Louis, St Louis, MO, United States, 4Cardiovascular, Washington University in St Louis, St Louis, MO, United States, 5ViewRay, Mountain View, CA, United States

Integrated MRI-guided radiotherapy (MRIgRT) systems perform simultaneous MRI acquisitions during radiation therapy to optimize the accuracy of dose delivery. Cardiac radiosurgery using stereotactic body radiation therapy (SBRT) is a promising new treatment option for cardiac arrhythmias. We imaged the heart with a novel ungated radial TrueFISP sequence on a 0.35 T MRIgRT system. The sequence is being developed for next generation SBRT. Image artifacts associated with the sequence were measured using a Medtronic implantable cardiac defibrillator (ICD) in hydrogel and extended 13 cm from its center. Thus, artifacts should not preclude MRIgRT for most patients with ICDs.

5538
Computer 2
Interventional MRI at 3T: Compressed Sensing SEMAC for Improved Needle Visualization
Jan Fritz1, Wesley D Gilson2, Christoph Forman3, Esther Ratihel3, Mathias Nittka3, and Allan Belzberg1

1The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Siemens Healthcare USA, 3Siemens Healthcare GmbH

Interventional MR imaging at 3 Tesla benefits from high signal and affords visualization and subsequent targeting of submillimeter structures, but needle artifacts may be exaggerated. Optimized fast gradient echo- and turbo spin echo-based pulse sequences minimize in-plane signal displacement, but through-plane artifacts remain. Compressed Sensing Slice-Encoding Metal Artifact Correction (SEMAC) MRI has the ability to minimize through-plane displacement, and thus holds promise to improve the accuracy of device localization. We demonstrate the clinical feasibility of Compressed Sensing SEMAC TSE for interventional MR imaging at 3 Tesla and visualization of the needle artifact with high accuracy.

5539
Computer 3
Controlling Brain Infusion Distributions: Moving from Surgical Planning to Real-Time MR Guidance
Martin Brady1, Raghu Raghavan1, Andrew L Alexander2,3, and Walter F Block2,3,4

1Therataxis, Baltimore, MD, United States, 2TherVoyant, Madison, WI, United States, 3Medical Physics, University of Wisconsin- Madison, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin- Madison, Madison, WI, United States

The hetergeneity of the brain makes designing a desired end drug distribution through pressurized catheters difficult.  We present a method to utilize real-time MR monitoring of a co-infused Gd tracer during initial stages of the infusion to derive a real-time 3D estimate of the velocity front. We also describe a new algorithm that uses the velocity front to provide surgical feedback on the likely final infusion distribution.

5540
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Real-Time Motion Prediction for Feedback Control of MRI-Guided Interventions
Xinzhou Li1,2, Samantha Mikaiel1,3, James Simonelli4, Yu-Hsiu Lee4, Tsu-Chin Tsao4, and Holden H. Wu1,2,3

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Physics and Biology in Medicine, University of California, Los Angeles, Los Angeles, CA, United States, 4Mechanical and Aerospace Engineering, University of California, Los Angeles, Los Angeles, CA, United States

MRI is capable of providing flexible soft tissue contrast and real-time guidance of interventions. Real-time information about the motion of tissues and devices is essential to provide feedback for physician and robotic control of MRI-guided interventions. In this work, a new motion prediction algorithm using MRI-based motion tracking and multi-rate Kalman filtering is proposed to provide accurate and real-time motion information. Experiments and simulations show that Kalman filtering with expectation maximization training and multi-rate data fusion is able to achieve low motion prediction error. This new algorithm has potential in providing real-time feedback information for MRI-guided interventions.

5541
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Hemorrhage Events during MR Guided DBS Implantations
Alastair Martin1, Philip Starr2, Jill Ostrem3, and Paul Larson2

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2Neurological Surgery, UCSF, 3Neurology, UCSF

MR guidance is increasingly being used to implant DBS electrodes.  The technique is extremely accurate and permits patients to be under general anesthesia during the procedure.  The incidence of complications during these procedures, however, has not been established.  We report on the incidence of hemorrhagic events during 231 surgical procedures (374 electrodes implanted).  The ability to detect hemorrhage intra-operatively is demonstrated and factors contributing to hemorrhage incidence are identified.  Total hemorrhage rates and symptomatic hemorrhage rates were found to be 2.4%/electrode implanted and 1.1%/electrode implanted respectively, which is comparable to conventional surgical approaches for DBS implantation.

5542
Computer 6
Unseen Clinically Significant Prostate Cancer on 3T Multiparametric MRI Challenging Screening and Focal Therapy: An In-bore MRI-Guided Biopsy Study of MRI Negative Areas
Kareem K Elfatairy1, Christopher P Filson2, Omer G Kucuk3, Peter J Rossi4, Viraj A Master2, and Sherif G Nour1

1Radiology, Emory University-School of Medicine, Atlanta, GA, United States, 2Urology, Emory University-School of Medicine, Atlanta, GA, United States, 3Hematology-Oncology and Urology, Emory University-School of Medicine, Atlanta, GA, United States, 4Radiation Oncology, Emory University-School of Medicine, Atlanta, GA, United States

The use of multiparametric MRI for prostate cancer screening is challenged by the potential missing of clinically significant cancer in areas with no visible abnormalities. We randomly biopsied areas with no visible targets under direct MRI guidance. Out of 43 biopsied areas, negative predictive value for clinically significant cancers was 90.7% suggesting a very low potential for harboring clinically significant cancers and supporting the use of mpMRI in cancer screening and active surveillance. An extended biopsy approach including sampling of areas without visible MRI abnormalities may still need to be considered prior to focal therapy.

5543
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The role of in-bore MR-guided prostate biopsies in patients With discrepancy between MRI findings and TRUS biopsies
Sverre Langørgen1, Brage Krüger-Stokke1, Øystein Størkersen2, May-Britt Tessem3, Helena Bertilsson4, Tone Frost Bathen3, and Kirsten Margrethe Selnæs3

1Departement of Radiology and Nuclear Medicine, St Olavs Hospital, Trondheim, Norway, 2Department of Pathology and Genetics, St Olavs Hospital, Trondheim, Norway, 3Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, 4Departement of Urology, St Olavs Hospital, Trondheim, Norway

A retrospecive review of 34 patients who had been to former TRUS guided prostate biopsies, where there was a discrepancy between MRI reported tumor suspicious findings and histology. They were re-biopsied with MRGB. We could verify cancer in 14 of 24 patients with former negative or benign histology. We also upgraded 7 out of 10 patients from low-grade to intermidiate or high-grade cancer. In addition to finding former unknown cancers, we also found that the urologists settled with benign diagnoses from MRGB. They then decided to end investigations in these patients.

5544
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Inline Adaptive Spiral Off-Resonance Correction for MRI-guided interventions
Matthew Restivo1, Michael Hansen1, Hui Xue1, and Adrienne Campbell-Washburn1

1Biochemistry and Biophysics Center, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States

Spiral imaging is appealing for MRI-guided interventions due to the need for high frame rate dynamic imaging and low RF power sequences to reduce RF-induced heating in metallic guidewires. Unfortunately, spiral images are susceptible to image distortions due to off-resonance which must be corrected. In this work, we implement a real-time interactive spiral sequence and a fast reconstruction in the Gadgetron that performs inline off-resonance correction that adapts to slice position and orientation changes. We show the effectiveness of our correction in both phantom and in-vivo volunteer images with reconstruction times that are approaching real-time.


5545
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MR-Guided Mixed-Reality For Surgical Planning: Set-Up and Perceptual Accuracy
Subashini Srinivasan1, Amanda Wheeler2, Brian Hargreaves1, and Bruce Daniel1

1Department of Radiological Sciences, Stanford University, Palo Alto, CA, United States, 2Department of Surgery, Stanford University, Palo Alto, CA, United States

Microsoft HoloLens provides the ability to visualize 3D holograms of preoperative MRI in addition to the physical environment. In this work we have developed a HoloLens application that aligns these preoperative holograms to the patient. The accuracy of perceiving these holograms was evaluated by presenting different shapes of holograms in random locations and comparing their positions to ground truth. The current set-up enables visualization and perception of holograms with a margin tolerance of < 6 mm.

5546
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Advanced Passive Tracking and Visualization of MR-Compatible Diagnostic Electrophysiology Catheter
Sébastien Roujol1, Radhouene Neji1,2, Henry Chubb1, John Silberbauer1, Tom Lloyd3, Thomas Pohl4, Rainer Schneider4, Nick Kampa3, James Harrison1, Steven Williams1, Rahul Mukherjee1, Louisa O'Neill1, John Whitaker1, Matthew Wright1, Tobias Schaeffter1, Mark O'Neill1, and Reza Razavi1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom, 3Imricor Medical Systems, Burnsville, MN, United States, 4Siemens Healthcare GmbH, Erlangen, Germany

MRI shows promise for the guidance of electrophysiology (EP) procedures. MR-guided EP procedures require reliable catheter tracking capabilities. Passive catheter tracking enable positive or negative contrast visualization of the catheter in the MR-images using for example integrated ferromagnetic/paramagnetic materials or contrast agent. Positive contrast visualization remains challenging and often sensitive to imaging/post-processing parameters. Negative contrast techniques remain associated with confounding factors (i.e. any other signal void) which complicate visual catheter tracking. In this study, we sought to develop and evaluate a novel framework for passive catheter tracking with negative contrast combined with automatic tracking and enhanced visualization of the catheter.

5547
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Simultaneous MR imaging and control of an MR compatible afterloader: feasibility of real-time HDR brachytherapy source tracking
Ellis Beld1, Marinus A. Moerland1, Jeroen Schuurman 2, Frank Zijlstra3, Max A. Viergever3, Jan .J.W. Lagendijk1, and Peter R. Seevinck3

1Department of Radiotherapy, UMC Utrecht, Utrecht, Netherlands, 2Elekta NL, Veenendaal, Netherlands, 3Image Sciences Institute, UMC Utrecht, Utrecht, Netherlands

For MR-guided high-dose-rate (HDR) brachytherapy, an MR-compatible afterloader was developed, required for real-time HDR brachytherapy source tracking. This afterloader should be able to function well close to the MRI scanner. The functioning of both the MR-compatible afterloader and the MRI scanner, while operating simultaneously, was investigated. Source localization was performed by a phase-only cross correlation localization method. The results demonstrate that the afterloader was able to send the source to predefined source positions, while simultaneously performing MR imaging. Combined with high-temporal resolution imaging and fast reconstruction/post-processing, this study shows the feasibility of real-time source tracking for MR-guided HDR brachytherapy.

5548
Computer 12
Non-contrast-enhanced imaging of RF ablation lesions in the heart
Michael A. Guttman1, Susumu Tao1, Aravindan Kolandaivelu1, Sarah Fink1, Henry Halperin1, and Daniel A. Herzka2

1Division of Cardiology, Johns Hopkins University, School of Medicine, Baltimore, MD, United States, 2Department of Biomedical Engineering, Johns Hopkins University, School of Medicine, Baltimore, MD, United States

Non-contrast-enhanced T1-weighted imaging has been demonstrated to be an effective technique for visualization of acute RF ablation lesions in the heart.  Current practice does not include any soft tissue visualization, which could lead to gaps or incomplete ablations and possible recurrence of symptoms.  We propose a T1-weighted sequence with long TI to increase contrast between normal and ablated myocardium.  Images are presented demonstrating the technique after ablations in the ventricles, left atrium and pulmonary vein.

5549
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Using multi-stack simultaneous multi-slice bSSFP for improved motion characterization during MR-guided radiotherapy
Pim Borman1, Clemens Bos2, Sjoerd Crijns1, Chrit Moonen2, Bas Raaymakers1, and Rob H.N. Tijssen1

1Radiotherapy, UMC Utrecht, Utrecht, Netherlands, 2Imaging Division, UMC Utrecht, Utrecht, Netherlands

Integrated MR-guided radiotherapy systems make it possible to monitor intra-fraction anatomy changes due to motion. A Simultaneous Multi-Slice (SMS) balanced SSFP sequence with interleaved stacks is used for dynamic imaging, where SMS is used to increase the spatial coverage without decreasing the frame rate. It is shown that SMS factors up to 4 are feasible without significant artifacts, for both orthogonal and parallel stacks.

5550
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Improved planning of MR-HIFU therapy for breast cancer using image registration of pre- and per- treatment mDixon MRI
Ieva Braškutė1, Clemens Bos1, Roel Deckers1, and Lambertus W. Bartels1

1UMC Utrecht, Utrecht, Netherlands

During Magnetic Resonance Imaging-guided High Intensity Focused Ultrasound (MR-HIFU) ablation of breast tumors, localization of the tumor during the treatment procedure is important for proper treatment planning. However, the use of a contrast agent during thermal ablation is preferably avoided for reasons of safety and practicality. We propose an image registration approach using pre-treatment eligibility CE and per-treatment non-CE breast MR scans, acquired with a dedicated mDixon-based tumor localization scan. We demonstrate the feasibility of our method in a volunteer study.

5551
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An Approach for Accurate Quantification of Hepatic Metastatic Burden during MRI-Guided Laser Ablation: Impact on Management Decisions in 41 Patients
Danial I Mir1, Kareem K Elfatairy1,2, Debra Overby Weber1, and Sherif G Nour1,3

1Radiology and Imaging Sciences, Emory University Hospital, Atlanta, GA, United States, 2Interventional MRI Program, Emory University Hospital, Atlanta, GA, United States, 3School of Medicine, Emory University, Atlanta, GA, United States

Treatment of patients with metastatic liver disease requires accurate quantification of hepatic tumor burden and precise three dimensional localization. We demonstrate that intraprocedural MRI utilizing IV gadoxetate disodium (Eovist®) administration with controlled breath suspension under general anesthesia results in the detection additional hepatic metastatic deposits in 25% of cases, not appreciated on prior diagnostic imaging. In 88% of these cases this discovery led to a change in clinical management strategy that may have influenced patient outcomes.  

5552
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MRI-compatible Voltage Device Tracking (VDT) navigation: Simultaneous Tracking and imaging with high-gradient-duty-cycle sequences via complete removal of Gradient Induced Voltages. Initial results.
Mikayel Dabaghyan1, Jose de Arcos2, Raymond Kwong3, William Stevenson3, Jeff Schweitzer4, Greg Olson4, and Ehud Schmidt2

1Mirtech, Inc, Brockton, MA, United States, 2Radiology, Brigham and Women's Hospital, Boston, MA, United States, 3Cardiology, Brigham and Women's Hospital, Boston, MA, United States, 4St. Jude Medical, Minnetonka, MI, United States

  Voltage Device Tracking (VDT), a method for catheter navigation, during MRI is explored. VDT utilizes multiple catheter electrodes that measure both the spatial location of the electrode and the ECG on the vessel wall (EGM) at that location. Electrode spatial-localization is performed by driving intermittent sinusoidal signals at kHz frequencies between surface electrodes, and measuring the signals received by the catheter. Large (>1V) signals (GIV), generated within the body by the MR gradients during a scan interfere with the much smaller (~10mV) tracking signals. We applied two approaches to remove GIVs, which allowed VDT visualization with <5% GIV contamination.

5553
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Investigation of Phase-only Cross Correlation (POCC) for Passive Marker Tracking with a limited Number of Projections
Andreas Reichert1, Axel Joachim Krafft1, and Michael Bock1

1Dept. of Radiology, Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany

In MR-guided interventions passive markers serve as needle guides for percutaneous biopsies and can be followed automatically to visualize the planned needle trajectory. This is achieved by tracking techniques which acquire two cross-sectional Cartesian tracking images of a cylindrical marker to determine the position information. We show that the implementation of radially undersampled tracking images might be used to reduce the duration of percutaneous needle procedures by about 80%.

5554
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‘Pulse-acquire’ method for obtaining the guidewire coupling modes of a PTx transmit array
Felipe Godinez1, Joseph Hajnal1, Greig Scott2, Ronald Mooiweer1, and Shaihan Malik1

1Imaging and Biomedical Engineering, King's College London, London, United Kingdom, 2Electrical Engineering, Stanford University, United States

A method for measuring relative coupling between elements of a parallel transmit (PTx) array and conductive structures such as guidewires or braided catheters. The method relies on strong local enhancement of B1 fields close to conductors due to induced currents. Data acquired from single pulse-acquire measurements using very low flip angles is hence dominated by these induced current contributions. Coupling matrices for N-channel arrays can therefore be estimated using only N pulses; it is demonstrated that these are similar to those obtained from dedicated current sensors.

5555
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Clinical evaluation of automatic localization of prostate gold Fiducial Markers for MR-only Radiotherapy
Matteo Maspero1, Cornelis AT van den Berg1, Frank Zijlstra1, Hans C de Boer1,2, Gert J Meijer1,2, Max A Viergever1, Jan JW Lagendijk1,2, Linda GW Kerkmeijer1,2, and Peter R Seevinck1

1Center for Image Sciences, UMC Utrecht, Utrecht, Netherlands, 2Cancer Center, UMC Utrecht, Utrecht, Netherlands

A novel approach aiming at automatic localization of gold Fiducial Markers (FMs) used in prostate radiotherapy to accurately perform patient positioning is presented and evaluated. The proposed method correctly detected 49/51 FMs in 17 patients when compared to FMs locations manually detected on MR. The spatial accuracy (median) and precision (STD) achieved were 0.2 mm, and 1.2 mm, respectively, when compared to relative FMs locations obtained with CT. When combined with a manual check, this approach could be a safe way to eliminate CT during radiotherapy planning, facilitating an MR-only workflow. 

5556
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Quantitative Image Analysis of Real-Time Golden Angle Radial iSSFP for Interventional MRI
Samantha Mikaiel1,2, Thomas Martin1,2, Kyunghyun Sung1,2,3, and Holden H Wu1,2,3

1Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 2Biomedical Physics, University of California Los Angeles, Los Angeles, CA, United States, 3Bioengineering, University of California Los Angeles, Los Angeles, CA, United States

Real-time visualization is crucial to the success of MRI-guided minimally invasive cancer interventions. We have developed golden-angle (GA) ordered radial integrated-SSFP (iSSFP), which can suppress banding artifacts associated with bSSFP while maintaining similar T2/T1 contrast. In this work, we further analyze the tissue contrast as well as passive visualization of interventional needles using GA radial iSSFP. In volunteer scans, we verify that GA radial iSSFP achieves T2/T1 tissue contrast similar to bSSFP while suppressing banding artifacts. With phantom scans we show that iSSFP reduced the size of the needle-induced signal void, versus that seen on bSSFP. These advantages of GA Radial iSSFP show its potential for improving real-time MRI-guided interventions.

5557
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Hydrostatically Actuated MRI-Compatible Motion Platform for Dynamic MRI Research
Samantha Mikaiel1,2, James Simonelli3, Yu-Hsiu Lee3, Xinzhou Li1,4, Kyunghyun Sung1,2,4, Tsu-Chin Tsao3, and Holden H Wu1,2,4

1Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 2Biomedical Physics, University of California Los Angeles, Los Angeles, CA, United States, 3Mechanical and Aerospace Engineering, University of California Los Angeles, Los Angeles, CA, United States, 4Bioengineering, University of California Los Angeles, Los Angeles, CA, United States

Motion is one of the main challenges in MRI, including interventional MRI. While many dynamic imaging and motion compensation techniques have been created, comparisons and validation are difficult, since it is difficult to reproduce in vivo motion for multiple experiments. This work proposes the design and development of a 1 Degree-of-Freedom hydrostatically actuated MRI-compatible motion platform, which can reliably reproduce programmed motion for dynamic MRI experiments.  

5558
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Motion-corrected high-resolution intra-cardiac imaging using MR-Tracking coils: reducing the effect of noise on motion estimation
Jose de Arcos1, Mikayel Dabaghyan1, William G Stevenson2, Junichi Tokuda1, Raymond Y Kwong2, Ravi T Seethmaraju3, Jeff Schweitzer4, and Ehud J Schmidt1

1Radiology, Brigham and Women's Hospital, Boston, MA, United States, 2Cardiology, Brigham and Women's Hospital, Boston, MA, United States, 3Siemens Healthcare, Boston, MA, United States, 4St. Jude Medical, Minnesota, MN, United States

We developed an intra-cardiac MRI (ICMRI) catheter to monitor heating during MRI-guided electro-physiological ablative procedures. ICMRI includes an imaging coil that expands within the cardiac chambers and a tetrahedral-shaped array of MR-tracking coils, intended to compensate for cardiac motion during the imaging process. In this study, we used real swine cardiac MR-tracking data, which may contain varying levels of positional uncertainty (noise), to develop algorithms that filter this noise, and thus do not distort the motional (translational/rotational) estimates, required for delivering non-blurred high-resolution intra-cardiac images. Our results show that submillimiter-error motion reconstruction is feasible under realistic levels of noise.

5559
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Feasibility study for implementing low-field MRI with SPIO nanoparticles for endovascular interventions – An alternative to X-ray guided techniques
Jordy K. van Zandwijk1,2, Frank F.J. Simonis1, Robert H. Geelkerken1,2, Robert Meerwaldt2, Friso G. Heslinga1, and Bennie ten Haken1

1Faculty of Science and Technology, University of Twente, Enschede, Netherlands, 2Vascular Surgery, Medisch Spectrum Twente, Enschede, Netherlands

Low-field magnetic resonance imaging (lf-MRI) using super-paramagnetic iron-oxide (SPIO) nanoparticles as contrast agent seems to be a promising radiation free alternative to guide endovascular interventions in patients with critical limb ischemia (CLI). We propose an innovative workflow on how to deploy lf-MRI during such an intervention and investigate in phantoms the achievable contrast and resolution levels. The results showed that this combination of lf-MRI with SPIO contrast has potential to guide endovascular interventions, but that high quality pre-operative imaging might be required in deployment of this technique.

5560
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Of Active Catheters and Guidewires: How do Guidewires affect the Tracking Signal Intensity?
Thomas Lottner1, Ali Caglar Özen1, Simon Reiss1, Timo Heidt2, Axel J. Krafft1, Lisa C. Besch2, Klaus Düring3, Constantin von zur Mühlen2, and Michael Bock1

1Dept. of Radiology, Medical Physics, Medical Center - University of Freiburg, Freiburg, Germany, 2Department of Cardiology and Angiology I, University Heart Center, Freiburg, Germany, 3MaRVis, Frechen, Germany

Active tracking or profiling coils mounted on catheters provide high signal. Other devices in the vicinity can alter the signal acquired by the catheters. The effects of guidewires on the signal from actively tracked catheters were investigated in phantom and in vivo. A standard metallic guidewire and a MR safe guidewire with a passive marker were introduced through the catheter and tested for different positions at the tip. The signal loss was substantial for both guidewires. When the metallic guidewire passed through the catheter tip, the signal was unstable, whereas the MR safe guidewire did not cause any distortions.


Electronic Poster

MR Contrast & EM Safety

Exhibition Hall Thursday 14:00 - 15:00

5561
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Contrast Deposition Within the Dentate Nucleus After Repetitive Administration: Comparison of Linear versus Macrocyclic Gadolinium Contrast Agents
Eugene Huo1, Bing Tian1, David Saloner1, Michael Hope1, Christopher Hess1, William Dillon1, and Thomas Hope1

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

Although gadolinium deposition in nephrogenic systemic fibrosis is limited to patients with abnormal renal function, more recent rat and human studies have demonstrated gadolinium deposition in specific brain structures in subjects without renal failure. We report here one of the largest studies evaluating gadolinium deposition in terms of both number of patients and number of doses, verifying the impact of the structural differences between the two most commonly used classes of agents (linear vs macrocyclic) and demonstrating a previously undescribed plateau in signal intensity ratio increase in patients who have received more than 25 administrations of gadolinium.

5562
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Gadolinium Containing Metabolites in Brain Tissue. A Study in Rats
Thomas Frenzel1, Gregor Jost1, Chirag Apte2, and Hubertus Pietsch1

1Bayer AG, Berlin, Germany, 2University of British Columbia, Vancouver, BC, Canada

After the repeated dosing of linear or macrocyclic GBCAs in rats, the brain was fractionated 3 and 24d p.i. Cerebrum, cerebellum and pons were separated, homogenized and divided into an insoluble and soluble fraction, which was separated into low and high molecular weight molecules. The gadolinium concentration in the brain was very low. A large portion of the Gd in the linear GBCA groups was found in the insoluble fraction and a smaller portion in large macromolecules. The Gd in the macrocyclic GBCA groups was only found in the soluble fraction and in small molecules. Gd excretion was still ongoing.

5563
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In vivo measurements of gadolinium accumulation in bone of healthy individuals following administration of gadolinium-based contrast agents: a pilot study
Michelle L. Lord1, Fiona E. McNeill2, James L. Gräfe3, Michael D. Noseworthy4,5, and David R. Chettle2

1Radiation Sciences Graduate Program, McMaster University, Hamilton, ON, Canada, 2Department of Physics and Astronomy, McMaster University, Hamilton, ON, Canada, 3Department of Physics, Ryerson University, Toronto, ON, Canada, 4McMaster School of Biomedical Engineering, McMaster University, Hamilton, ON, Canada, 5Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON, Canada

The use of gadolinium (Gd) based contrast agents is being questioned due to its recently discovered retention in healthy individuals following administration. Our newest generation x-ray fluorescence system has been used in a small pilot study for in vivo Gd measurements in bones of healthy individuals, who have previously received these contrast agents. Preliminary results show a significant difference between the Gd-exposed and control groups, suggesting Gd accumulation in healthy individuals. Our system has performed the first human in vivo measurement of Gd in bone and has the potential to be used in further studies of accumulation in the body.

5564
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Characterization of Gadolinium Deposition in the Brain Manifest as T2-hypointensity and T1-hyperintensity Associated with Repeat Monthly Triple-Dose Gadopentetate Dimeglumine Administration for 2 years in the BECOME Trial
Paul Allen DiCamillo1,2, Michael Benjamin Shvarts1,2, Ravi Bhasker Patel2,3,4, Jhimli Mitra3, Pallavi Tiwari3, Stuart D Cook5, Diego Cadavid5, Robert T Naismith6, Samantha Lancia6, and Leo J Wolansky1,2

1Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, United States, 2Case Western Reserve University School of Medicine, Cleveland, OH, United States, 3Department of Biomedical Engineering, Case Western Reserve University School of Medicine, Cleveland, OH, United States, 4Radiation Oncology, University Hospitals Cleveland Medical Center, Cleveland, OH, United States, 5Department of Neurology, Rutgers-New Jersey Medical School, Newark, NJ, United States, 6Neurology, Washington University School of Medicine, St. Louis, MO, United States

We characterize the brain parenchymal deposition of Gadolinium (Gd) in the dentate nucleus (DN) and globus pallidus (GP) in a cohort of 16 subjects with multiple sclerosis (MS), each of whom had systematically received one year of serial monthly triple dose Gd (3-dose Gd) and optional additional monthly exposure for a second year.  Progressive increase in T1 signal and decrease in T2 signal is found in both the dentate nucleus and globus pallidus.

5565
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SKIN ENHANCEMENT WITH GADOLINIUM BASED CONTRAST AGENTS
Akira YAMAMOTO1, Tsutomu OKADA1, Yasutaka FUSHIMI1, Tomohisa OKADA2, and Kaori TOGASHI1

1Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Human Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan

Skin tissue showed enhancement after GBCA administration. This phenomenon was confirmed by profile curve analysis. Subtraction image between pre-post contrast was calculated after image registration. This subtraction image showed distinct contrast effect of the skin tissue and may be helpful for the clinical diagnosis.

5566
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Comparison of Gd-DTPA-BMA versus Gd-DOTA of Gadolinium retention in human bone tissue with renal function
Takaki Maeda1, Hitomi Hara2, Toshihiro Akisue2, Yuki Iwama3, Ryosuke Kuroda2, Masahiko Fujii4, and Kazuro Sugimura5

1Radiology, Kobe University Hospital, Kobe, Japan, 2Orthopedic Surgery, Kobe University Graduate School of Medicine, 3Radiology, Hyogo Prefectural Nishinomiya Hospital, 4Kobe Minimally Invasive Cancer Center, 5Kobe University Graduate School of Medicine

The purpose of this study was to determine the gadolinium (Gd) retention in human bone tissue after administration of Gd contrast agent such as macrocyclic (Gd-DOTA) or linear (Gd-DTPA-BMA) chelate at a standard single clinical dose and to evaluate its correlation with renal function.

5567
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Gadolinium presence in the brain: Detection and quantification of gadolinium based contrast agents in the cerebrospinal fluid in rats
Gregor Jost1, Thomas Frenzel1, Jessica Lohrke1, Diana Lenhard2, Shinji Naganawa3, and Hubertus Pietsch1

1MR & CT Contrast Media Research, Bayer Pharma AG, Berlin, Germany, 2Institute of Vegetative Physiology, Charité, Berlin, Germany, 3Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan

 

The infiltration of six marketed and one experimental gadolinium based contrast agents (GBCA) from blood into the cerebrospinal fluid (CSF) was evaluated in rats by repeated fluid attenuated (FLAIR) MRI up to 4h.  Quantitative gadolinium measurements in CSF samples (4.5 and 24h) were performed by ICP-MS. No differences in penetration and distribution into the CSF were observed for the marketed GBCAs. FLAIR imaging demonstrates a kinetic from the inner CSF cavities to the subarachnoid space, suggesting an infiltration via the choroid plexus and a passive distribution with CSF flow. After 24h an almost complete GBCA clearance from CSF was observed.

 


5568
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A Manganese-Based Alternative to Gadolinium: Contrast Enhanced MR Angiography at 3T and In Vivo Stability
Eric M Gale1, Hsiao-Ying Wey1, Ian Ramsay1, David E Sosnovik1, and Peter Caravan1

1A. A. Martinos Center for Biomedical Imaging, MGH/ Harvard Medical School, Charlestown, MA, United States

We evaluated the efficacy of a new manganese-based contrast agent, Mn-PyC3A, in contrast-enhanced MR angiography by comparison to Gd-DTPA in a baboon model at 3T. Mn-PyC3A clearance was assessed by dynamically scanning the excretory organs and performing serial blood draws out to 60 min. Mn-PyC3A plasma clearance and metabolism were quantified from the drawn blood. Mn-PyC3A generates equivalent vessel-to-muscle contrast-to-noise ratios as Gd-DTPA at 3T, clears via a mixed renal and hepatobiliary pathway, and is excreted unchanged. Mn-PyC3A is a functionally equivalent gadolinium-free alternative for contrast-enhanced MRI angiography.  

5569
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Ferumoxytol as an Alternative to Gadolinium-based MRI Applications in Patients With and Without Renal Impairment: Acute and Short-term Safety Experience
Kim-Lien Nguyen1,2, Takegawa Yoshida1,3, Isidro B Salusky4, Peng Hu1,3, and J. Paul Finn1,3

1Diagnostic Cardiovascular Imaging Laboratory, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Division of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States, 3Department of Radiological Sciences, David Geffen School of Medicine at UCLA, 4Department of Pediatric Nephrology, David Geffen School of Medicine at UCLA

Recent concerns about gadolinium deposition in biologic tissues and discontinuation of gadofosveset trisodium have created increased interest in the off-label use of ferumoxytol as an MRI contrast agent. Limited safety data relating to the diagnostic use of ferumoxytol are available.  We summarize our safety experience with ferumoxytol as an alternative MRI contrast agent in 285 unique patients (314 injections) with all levels of renal function.

5570
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Immediate Reactions to Gadolinium Based Contrast Agents: a Meta-Analysis
Ashkan Heshmatzadeh Behzadi1, Yize Zhao2, Zerwa Farooq3, and Martin R. Prince4

1Radiology, Weill Cornell Medical College, New York, NY, United States, 2Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, 3Radiology, Weill Cornell Medical Center, 4Department of Radiology, Cornell and Columbia Universities, New York, NY, United States

 Recently there has been increased attention focused on GBCA safety and data on the numbers of reactions have begun to be reported in large Studies.  Here we combine data from multiple papers in a meta-analysis to determine if certain GBCA or classes of GBCA may have different immediate reaction profiles.

5571
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Impact of renal impairment on T1-weighted signal increase and gadolinium presence in the rat brain after multiple administrations of gadolinium based contrast agents
Hubertus Pietsch1, Thomas Frenzel1, Jessica Lohrke1, and Gregor Jost1

1MR & CT Contrast Media Research, Bayer Pharma AG, Berlin, Germany

The impact of renal insufficiency on the T1-weighted signal intensity (SI) increase in the cerebellar nuclei (CN) and on the brain gadolinium concentration was evaluated by comparing 5/6-nephrectomized to healthy control rats. Eight weeks after repeated high-dose GBCA administrations a significantly higher CN/pons SI ratio compared to a saline control group was found for linear GBCAs. This was independent of the renal status. No altered SI ratios compared to the saline group were observed after administration of macrocyclic GBCAs. Inductive coupled plasma mass spectrometry revealed higher gadolinium concentrations for all GBCAs in the cerebellum of renally impaired rats.  


5572
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T1-signal increases as a marker of Gd-deposition in pediatric brain: findings after multiple exposures to gadobenate dimeglumine
Guenther Schneider1, Paul Raczeck1, Arno Buecker1, and Jonas Stroeder1

1Saarland University Medical Center, Homburg, Germany

The possibility of Gd deposition in the pediatric brain following exposure to GBCAs is a potentially serious issue. Our study of 34 pediatric patients that received between 5 and 15 administrations of low dose (0.05 mmol/kg bodyweight) gadobenate dimeglumine (MultiHance; Bracco) revealed no differences in T1-signal in the DN, GP, pons and thalamus relative to measurements made in 24 age- and weight-matched control subjects that had never been exposed to any GBCA. Likewise no meaningful differences were seen in DN–pons and GP–thalamus SI ratios. We consider low dose gadobenate to be safe and effective for diagnosis and routine follow-up of pediatric oncologic patients.

5573
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Strong enhancement of relaxivity of gadolinium contrast agent in solution with intracellular viscosity:  Quantitative estimation of the deposited contrast agent in the brain
Ken Masuyama1,2, Masayuki Taguchi1, and Toru Yamamoto3

1Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan, 2Department of Medical Radiation Technology, Teine Keijinkai Hospital, Sapporo, Japan, 3Faculty of Health Sciences, Hokkaido University, Sapporo, Japan

High T1-weighted signal appears in brain of patients who have experienced MRI examinations using gadolinium contrast agent several times. The relaxation effect of gadolinium contrast agent strongly depends on the viscosity of the solution, and the average viscosity in the cell is higher than that of the free water. However, the relaxation effect of the gadolinium contrast agent in the cell has been unknown. In this study, we investigated the longitudinal relaxivity of it – concentration dependence of longitudinal relaxation rate in solution with intracellular viscosity. The intracellular viscosity strongly enhances the longitudinal relaxivity of the gadolinium contrast agent.

5574
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Gadolinium Calculator for Safe Dosing of Gadolinium Based Contrast Agents
Scott B Reeder1,2, Elizabeth A Simcock1, Bryan E Ramirez1, Joseph H Rowley3, and Howard A Rowley1

1Radiology, University of Wisconsin, Madison, WI, United States, 2Medical Physics, University of Wisconsin, Madison, WI, 3Department of Computer Science, University of California, Santa Cruz

In this work, we describe the design, implementation, and utilization of an online and smartphone gadolinium calculator used to calculate gadolinium-based contrast agent (GBCA) dose. By providing a readily available, reliable, and rapid means of calculating the volume of a GBCA, we aim to ensure accurate dosing so as to avoid accidental over- or under-dosing. Utilization tracking demonstrated progressively increasing use of the online gadolinium calculator with a total of 22,074 page visits from 68 countries, logged during a 9-month tracking period.

5575
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Impact of Abdominal Magnetic Resonance Imaging on DNA Double Strand-Breaks in Human Blood Lymphocytes
Saravanabavaan Suntharalingam1, Emil Mladenov2, Georg Iliakis2, Michael Forsting1, Oliver Kraff3,4, Harald H. Quick3,4, and Kai Nassenstein1

1Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany, 2Institute of Medical Radiation Biology, University Hospital Essen, Essen, Germany, 3Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Hospital Essen, Essen, Germany, 4High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

Magnetic resonance imaging is considered to be a safe alternative to other imaging techniques that use ionizing radiation, such as computed tomography. Initially driven by X-ray and CT imaging studies, within the recent years different in vitro and in vivo studies analyzed the impact of MR imaging on DNA integrity in human lymphocytes but reported contradictory results. In this study on patients referred to clinical abdominal MRI, γ-H2AX immunofluorescence microscopy was used to determine DNA integrity. No evidence of DNA damage induced by abdominal MRI in a clinical setting was found.

5576
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RF Heating Studies on Anesthetized Swine Using Fractionated Dipole Antennas at 10.5 T
Yigitcan Eryaman1, Russell L. Lagore1, Arcan Erturk1, Lynn Utecht1, Patrick Zhang1, Angel Torrado-Carvajal2,3, Esra Abaci Turk4, Lance DelaBarre1, Gregory J Metzger1, Gregor Adriany1, Kamil Ugurbil1, and J. Thomas Vaughan1

1University of Minnesota-Center for Magnetic Resonance Research, Minneapolis, MN, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, MA, United States, 3Medical Image Analysis and Biometry Laboratory, Universidad Rey Juan Carlos, Madrid, Spain, 4Boston Children's Hospital, Harvard Medical School, MA, United States

We measured temperature increase (ΔT) in anesthetized swine using fluoroscopic probes and compared our results to the simulated solutions obtained from digital models of the same swine. For our studies, we used a 4 channel fractionated dipole array that is placed on the neck/upper back region. Electromagnetic and thermal simulations were performed along with in vivo experiments with different RF excitation patterns at 10.5 T. 

5577
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RF safety assessment of a 32-channel integrated body coil for 7 Tesla: Thermal dose evaluation at high SAR level
Thomas M. Fiedler1, Stephan Orzada2, Martina Flöser1, Harald H. Quick2,3, Mark E. Ladd1,2, and Andreas K. Bitz1

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany, 3High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

RF safety assessment for a 32-ch body coil for 7T was performed based on SAR, tissue temperature, and a thermal dose model (CEM43°C). Temperature simulations considered a temperature-dependent thermoregulation. The tissue temperature limit is exceeded when SAR limits are adhered to. However, based on the thermal dose limit, the maximum input power determined from SAR limits can be exceeded by up to a factor of 5 without noticeable limitations in permissible exposure time in MR examinations. This increased input power allows for improved B1+ homogeneity with 50% reduced flip angle error compared to the input power determined from SAR limits.

5578
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The effect of variable amniotic fluid conductivity and fetal tissues properties on B1+ and local SAR for fetal imaging at 3T
Shaihan J Malik1, Jeffrey W Hand1, and Joseph V Hajnal1

1Division of Imaging Sciences & Biomedical Engineering, King's College London, London, United Kingdom

Effects on B1+ and local specific absorption rate of varying the conductivity of fetal tissues and amniotic fluid ($$$\sigma_{AF}$$$) in a model of a 7 month pregnant woman within a 3T birdcage coil are investigated numerically. Results indicate that a realistic value of  $$$\sigma_{AF}$$$ is required to estimate power to produce a chosen B1+ in the fetus and fetal SAR10g. Fetal properties adjusted for gestational age impact on B1+ and result in increased fetal SAR10g compared to adult value based simulations.  Smaller changes in SAR10g are predicted between detailed fetal models and homogeneous ones with volume weighted average dielectric properties. 

5579
Computer 115
Assessment of specific absorption rate and energy deposition in over 14,000 clinical MRI examination at 1.5 and 3 Tesla scanners
Amir Ali Rahsepar1, Laleh Golestanirad2, Hassan Haji-Valizadeh3, Haris Saybasili 1, Julie A Blaisdell 1, Michael Markl3, John Kirsch4, James C Carr1, and Jeremy D Collins1

1Department of Radiology, Northwestern University, Chicago, IL, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Boston, MA, United States, 3Department of Biomedical Engineering, McCormick School of Engineering, Chicago, IL, United States, 4Siemens Medical Solutions, Boston, MA, United States

Although SAR value is an important factor in device heating, but this study also provides information about the other factors like the total amount of delivered RF energy, time period of RF delivery and most importantly the pause between pulse sequences should be considered 

5580
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Optimization of the order and spacing of the sequences to reduce the maximum SAR-induced temperature reached during an MRI examination
Giuseppe Carluccio1,2 and Christopher Michael Collins1,2

1Radiology, Center for Advanced Imaging Innovation and Research (CAI2R), New York University, New York, NY, United States, 2Radiology, Bernard and Irene Schwartz Center for Biomedical Imaging, New York University, New York, NY, United States

We demonstrate that the maximum SAR-induced temperature in an examination can be lowered with strategic ordering of the sequences in the exam. Using numerical simulations, here we optimize the order of and time between sequences in a spine exam to minimize the maximum temperature reached in a human body model without increasing the duration of the exam. The optimized sequence has a maximum temperature 0.63 C lower than the original.

5581
Computer 117
Peripheral Nerve Stimulation in MRI: Insights from a three level analysis and coupled EM-electrophysiological simulations in neuro-functionalized human models
Antonino Mario Cassara'1, Esra Neufeld1, Gisela Hagberg2, Manuel Guidon3, Klaus Scheffler4, and Niels Kuster1,5

1IT'IS Foundation, Zurich, Switzerland, 2Max Plank Institute - Tuebingen, 3Zurich MedTech, 4Max Plank Institute - Tuebingen, Germany, 5ETH, Zurich, CH

The mechanisms of peripheral nerve stimulation (PNS) induced by the fast switching of MRI gradient coils are only partially understood, stimulation sites and E-field (or dB/dt) thresholds show large inter-subject variability and neurostimulation models based on the amphibian SENN axon model are not ideal. We propose a 3 level computational investigation that combines analysis of E-field exposure, of activation functions, and of multi-parametric EM-electrophysiological simulations in neuro-functionalized human models for different axon models and gradient waveforms. Results concerning E-field/dB/dt thresholds values and sites of neurostimulation are compared with published experimental data. A functional uncertainty analysis is also provided.

5582
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Evaluation of SMS sequence on the AIMD MRI model validation
Yuliang Du1, Xi Lin Chen2, Will Lui2, Shi Feng2, and Shiloh Sison2

1CRMD-Hardware Development, St Jude Medical, Sylmar, CA, United States, 2St. Jude Medical

Impacts of SMS imaging technique on the AIMD design, transfer function measurement, model calculation and system validation were thoroughly analyzed. The RF frequency broadening from the SMS imaging sequence has minimal impacts to the existing device design and test methodology.

5583
Computer 119
Graphene for MRI Applications at 7T: Opportunities for SAR reduction
Gianluigi Tiberi1,2, Guo Liu3, Raj Mittra4, and Michela Tosetti1,2

1Imago7, Pisa, Italy, 2IRCCS Stella Maris Foundation, Pisa, Italy, 3Xidian University, Xidian, People's Republic of China, 4University of Central Florida in Orlando, Orlando, FL

SAR management is critical at ultra-high field (UHF) strength where RF field energy deposition in the subject increases and its distribution becomes very inhomogeneous. Here we illustrate simulation results for a test example in order to show how a graphene sheet can be used to obtain a SAR reduction without sacrificing the coil efficiency significantly. Specifically, the presence of the graphene sheet leads a maximum local SAR reduction up to 47%. Thus, from the simulation here shown, it follows that graphene sheets can be successfully used in MRI applications at 7T for enhancing the safety with respect to SAR issue

5584
Computer 120
Safety and Function of Programmable Ventriculo-Peritoneal Shunt Valves: An in vitro 7 Tesla Magnetic Resonance Imaging Study
Karsten H Wrede1,2, Bixia Chen1,2, Ulrich Sure2, Harald H Quick1,3, and Oliver Kraff1

1Erwin L. Hahn Institute for MRI, University of Duisburg-Essen, Essen, Germany, 2Department of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany, 3High Field and Hybrid MR Imaging, University Hospital Essen, University of Duisburg-Essen, Essen, Germany

This in vitro study tests function, safety and image artifacts of the two worldwide most frequently implanted programmable VP-shunt valves in a 7 Tesla whole body MRI system. Both tested programmable VP-shunt valves lost their ability to be reprogramed after exposure to the static magnetic field and are therefore unsafe for use in 7 Tesla whole body scanners in their current design. Magnetic coercivity of the permanent magnets in the programming mechanisms was insufficient. Image artifacts adjacent to the valves, however, were tolerable.


Electronic Poster

NMR & ESR & Education

Exhibition Hall Thursday 14:00 - 15:00

5585
Computer 25
Properties of Localization by Adiabatic SElective Refocusing (LASER) sequence
Dinesh K Deelchand1, Edward J Auerbach1, and Małgorzata Marjańska1

1CMRR, University of Minnesota, Minneapolis, MN, United States

This abstract reviews and highlights the various properties and advantages of the LASER pulse sequence 

5586
Computer 26
A MatLab-based simulation program (tcaSIM2) for predicting NMR spectra and MS data for 13C tracer experiments
A. Dean Sherry1,2, Qiang Li3, Mark Jeffrey3, Shawn Burgess1, and Craig R. Malloy1

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Chemistry, University of Texas at Dallas, Richardson, TX, United States, 3Advanced Imaging Research Center, UT Southwestern Medical Center

A MatLab-based program is presented for predicting 13C NMR spectra and mass 13C isotopomer data of various tissue metabolites in a 13C tracer experiments.  The program is useful for predicting changes in 13C multiplet patterns in NMR spectra and changes in mass isotopomer ratios in mass spectral data as a tissue responds to changes in flux of various substrates through completing pathways involving mitochondrial metabolism.   The program tcaSIM2 (copies available free of charge) is also valuable for teaching metabolism and analysis of 13C NMR data and mass spec data in metabolic tracer experiments.

5587
Computer 27
Use of MR Spectroscopy in Clinical Trials
Alexander Peter Lin1, Benjamin Rowland1, and John R Griffiths2

1Center for Clinical Spectroscopy, Brigham and Women's Hospital, Boston, MA, United States, 2Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom

Magnetic resonance spectroscopy (MRS) is an ideal tool for therapeutic monitoring in clinical trials although its role has not been formally examined.  An initial search in a clinical trials database showed 488 studies; however the results were cross-referenced with the scientific literature to yield 61 studies demonstrating the use of MRS in clinical trials.  It is most frequently used to study hepatic lipid content, followed by studies of skeletal muscle, and finally the brain, which surprisingly was only 15% of the MRS studies.  A review is provided to assess its importance as a non-invasive and quantitative biomarker for disease.

5588
Computer 28
Effect of liver transplantation on muscle metabolism and the abdomen adipose tissue volume in diabetic and non-diabetic patients
Petr Sedivy1, Miloslav Drobny1, Monika Dezortova1, Irena Hejlova2, Monika Cahova3, Pavel Trunecka2, and Milan Hajek1

1MR-unit, Institute for Clinical and Experimental Medicine, Prague, Czech Republic, 2Hepatogastroenterology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic, 3Centre of Experimental Medicine, Institute for Clinical and Experimental Medicine, Prague, Czech Republic

Liver transplantation (TxL) is a treatment that rapidly improves the clinical status of patients. However, side effects due to long-term immunosuppressive therapy may negatively influence the function of certain organs and metabolism. 31P MRS and MRI are suitable methods for the clinical examination of muscles and abdomen fat volume in transplanted patients. Our pilot results show that TxL leads to an improvement of resting muscle metabolism in especially in diabetic patients and an increase of volume visceral fat in a short term (six months) after transplantation.

5589
Computer 29
Relationship Between BOLD fMRI and Functional MRS the Medial Temporal Lobe
Simona Nikolova1, Shauna Stark1, and Craig E.L. Stark1,2

1Department of Neurobiology and Behavior, University of California, UCI, Irvine, CA, United States, 2Center for the Neurobiology of Learning and Memory, University of California, Irvine, CA, United States

Structures in the medial temporal lobe (MTL) like the hippocampus play a critical role in memory. Functional disruptions of the MTL (typically studied with BOLD fMRI) are present in a range of disorders and diseases. The relative and indirect nature of BOLD makes it difficult to interpret findings such as the hippocampal “hyperactivity” that has been tied to age-related cognitive decline and the progression to Alzheimer’s Disease. In this work, “functional” MR spectroscopy is combined with simultaneous BOLD during memory tasks to investigate the relationship between the two.  While task-related activity is observed in both, there are points of departure. 

5590
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Online quantification of lactate concentration in microdialysate during cerebral activation using 1H-MRS and sensitive NMR microcoil
Leslie Mazuel1, Ursule Dumont2, Noël Pinaud2, Vanessa Zhendre2, Silvia Rizzitelli2, Jordy Blanc1, Hélène Roumes1, Anne-Karine Bouzier-Sore1, and Yannick Crémillieux2

1CRMSB, Université de Bordeaux, Bordeaux, France, 2Institut des Sciences Moléculaires, Université de Bordeaux, Bordeaux, France

The role of lactate in neuronal activation is central in the hypothesis of the astrocyte-to-neurons lactate shuttle. In this work, we implement highly sensitive 1H-MRS on brain microdialysate in order to monitor online the lactate fluctuations during neuronal activation in the S1BF area. The custom-made microcoil used in this study was shown to be sensitive enough for measuring a 40% increase in lactate concentration during brain stimulation.

5591
Computer 31
1H and 13C NMR evaluation of pH-dependent structural characteristics of lonidamine
Kavindra Nath1, Jeffrey Roman1, David S Nelson1, Andrew Butterworth1, Stephen Pickup1, Dennis B Leeper2, and Jerry D Glickson1

1University of Pennsylvania, Philadelphia, PA, United States, 2Thomas Jefferson University, Philadelphia, PA, United States

We seek to understand the pH-dependent physicochemical changes of lonidamine (LND), an antineoplastic drug, particularly to locate the sites of ionization. LND samples at pH 2, 7, and 13 were analyzed using 1H and 13C NMR. The results indicate that there is a noticeable change in the chemical shifts for a few atoms in LND from neutral to alkaline pH. These changes demonstrate that LND is ionized at its imidazole α-nitrogen. In addition, the expected ionization of the carboxyl group of LND at acid pH is not directly observed, and this may be due to a rapid-exchange phenomenon.

5592
Computer 32
Characterization of Water Compartment Exchange in Ex-Vivo Human Cartilage Using Two-Dimensional Relaxometry
Kyle William Sexton1, David A. Reiter1, Hasan Celik2, Kenneth Fishbein1, Tariq Nayfeh3, and Richard G. Spencer1

1Magnetic Resonance Imaging and Spectroscopy Section, National Institute on Aging, Baltimore, MD, United States, 2University of California, Berkeley, CA, United States, 3Medstar Harbor Hospital, Baltimore, MD, United States

One-dimensional transverse relaxometry has proven to be an effective method for characterizing macromolecular compartments in cartilage. Two-dimensional studies extend the capabilities of these types of experiments, providing characterization of tissue compartments in terms of correlated relaxation times and providing a means of probing intercompartmental exchange.  We provide results of T2-T2 and T1-T2 relaxometry experiments on human articular cartilage, indicating that exchange between tissue compartments may be augmented in degraded tissue.

5593
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Full Digital Cancellation-based NMR with Concurrent Excitation and Acquisition using a Lock-in Amplifier
Ali Caglar Özen1, Mazin Jouda2, Jan Korvink2, and Michael Bock1

1Deptartment of Radiology, Medical Physics, Medical Center – University of Freiburg, Freiburg, Germany, 2Institute of Microstructure Technology, Karlsruhe Institute of Technology, Karlsruhe, Germany

Concurrent Excitation and Acquisition (CEA) offers fundamental advantages for NMR such as 100% signal acquisition efficiency, true zero echo time, reduction of acoustic noise, and decreased peak RF power. Bandwidth of the excitation in CEA is independent of the RF power, allowing detection very broad resonances. In this work, a CEA system is introduced with a full digital cancellation. The system uses a lock-in amplifier combined with an arbitrary signal generator. Preliminary results for NMR of various samples are represented and discussed.

5594
Computer 34
In vivo brain redox status and blood-brain barrier function in diethylmaleate-treated mice by EPR imaging and ME-MRI
Hirotada G Fujii1, Miho C Emoto1, Yuta Matsuoka2, and Ken-ichi Yamada2

1Sapporo Medical University, Sapporo, Japan, 2Kyushu University, Fukuoka, Japan

EPR imaging has been used to visualize redox status in oxidative brain diseases, but the role of cerebral glutathione (GSH) is not clear. In this study, using the mouse model of GSH depletion with diethylmaleate (DEM), the role of GSH in brain redox status was examined. The remarkable change in redox status in DEM-treated mouse brain was visualized with EPR imaging, and in vitro assay showed decrease in the level of GSH. ME-MRI clearly visualized blood-brain barrier dysfunction in DEM-treated mice. Results indicate that GSH plays an important role in the maintenance of both brain redox status and BBB integrity.

5595
Computer 35
Unique molecular signatures to distinguish immunotherapy responding and resistant cell lines in melanoma by NMR spectroscopy and MR hyperpolarization
Shivanand Pudakalakatti1, Ashvin Jaiswal2, Prasanta Dutta1, Michael Curran2, and Pratip Bhattacharya1

1Department of cancer systems imaging, University of Texas M D Anderson Cancer Center, Houston, TX, United States, 2Department of Immunology, University of Texas M D Anderson Cancer Center, Houston, TX, United States

The cancer immunotherapy has brought new ray of hope in cancer patients with its capability of curing cancer with less side effects. However not all patients responds to therapy. In this study we have employed Nuclear Magnetic Spectroscopy (NMR) and in vivo hyperpolarized 1-13C pyruvate magnetic resonance spectroscopy (MRS) to differentiate immunotherapy responding from immunotherapy resisting melanoma. 

5596
Computer 36
Lactate and lipid provide identifying biomarkers for good quality sperm by 1H MRS
Sarah J Calvert1, Steven Reynolds2, Martyn N Paley2, and Allan A Pacey1

1Academic Unit of Reproductive & Developmental Medicine, University of Sheffield, Sheffield, United Kingdom, 2Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom

1H MRS was used to examine good and poor sperm populations to identify biomarker differences between them. Spectra were binned to 0.02ppm and two-way ANOVA with Bonferroni correction, Wilcoxon match rank test and ROC curve analyses were used to find bins with significant differences between good and poor sperm. All three statistical methods identified the bins at 1.24-1.32ppm which correlates with overlapping lipid and lactate peaks. Differences in these peaks may result from metabolic differences between the two sperm populations and this may give a useful insight into the pathology of sperm dysfunction.

5597
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Metabolic differences in patients with Overt and Potential Celiac disease Studied by in-vitro Proton NMR
Uma Sharma1, Deepti Upadhyay1, Prasenjit Das 2, Siddhartha Datta Gupta 2, Govind K Makharia3, and Naranamangalam R Jagannathan1

1Nuclear Magnetic Resonance and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, 2Pathology, All India Institute of Medical Sciences, New Delhi, India, 3Gastroenterology & Human Nutrition, All India Institute of Medical Sciences, New Delhi, India

Potential celiac disease (CeD) patients have immunological abnormalities similar to CeD but unlike CeD, their duodenum displays normal histology. In-vitro proton NMR study of small intestinal mucosa of these patients demonstrated metabolic abnormalities associated with the intestinal inflammation. Both potential CeD and CeD patients had lower concentration of histidine compared to controls while lower glycine was seen only in CeD. Since, both amino acids exert anti-inflammatory effects; their reduced levels suggested compromised cytoprotective mechanism. Significantly higher level of glycerophosphocholine seen in potential CeD compared to CeD might have contributed for renewal of enterocytes and thus to normal small intestine histology.

5598
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High-resolution MRS characterization of malignant ascites in two different models of ovarian cancer
Santosh K Bharti1, Flonné 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 University School of Medicine, Baltimore, MD, United States, 2Pathology, The Johns Hopkins University School of Medicine, 3Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine

Malignant ascites occurs in approximately 37% of terminal ovarian cancer patients. It significantly contributes to poor quality of life and mortality. Advances in understanding malignant ascites formation and finding new therapeutic options are urgently needed.  High-resolution proton magnetic resonance spectroscopy provides opportunities to characterize biofluid metabolites and can be easily translated to the clinic. Here, we are investigating the metabolic profile of ascites obtained in two different experimental models of ovarian cancer. To further understand the differences observed between both models, we completed our study by analyzing the metabolic profiles of those cells in culture and their corresponding conditioned media.

5599
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High-resolution 1H MRS human plasma profiling of pancreatic ductal adenocarcinoma
Santosh K Bharti1, Michael Goggins2,3, and Zaver M Bhujwalla1,3

1JHU ICMIC Program, Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Departments of Pathology and Medicine, The Sol Goldman Pancreatic Cancer Research Center, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

The dismally poor 5 year survival rate of less than 6% in pancreatic ductal adenocarcinoma (PDAC) increases to ~50% with early stage PDAC making early detection critically important.  Metabolic characterization of patient plasma samples provides a unique opportunity to identify biomarkers to assist in routine screening to detect of PDAC.  Here, in a preliminary study, we have characterized the metabolic profiles of plasma samples from normal, benign, and PDAC patients.  Even with a limited sample we identified a significant increase in β-hydroxybutyrate, acetate, acetoacetate, lactate and pyruvate in PDAC compared to normal plasma. 

5600
Computer 40
Interrogating Liver Metabolic Stress due to Cancer-Induced Cachexia
Santosh K Bharti1, Paul T Winnard Jr.1, Yelena Mironchik1, Anirban Maitra2, and Zaver M Bhujwalla1,3

1JHU ICMIC Program, Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2MD Anderson Cancer Center, The University of Texas, Houston, TX, United States, 3Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, United States

Cachexia is a poorly understood metabolic syndrome characterized by cancer-induced tissue wasting and weight loss.  Cachexia occurs with the highest frequency and severity in pancreatic ductal adenocarcinoma (PDAC).  To further understand this syndrome, here we used 1H MRS to analyze liver metabolites in mice with and without cachexia-inducing PDAC. We detected profound liver weight loss in cachectic mice. 1H MR spectra identified significant depletion of lactate, glucose and glutathione in cachectic mice that provide new insights into the syndrome and may present novel strategies to prevent or reduce cachexia-induced weight loss and the morbidity and mortality associated with the syndrome. 

5601
Computer 41
Phenformin Induces Profound Metabolic Changes in Lung Cancer Cells
Santosh Kumar Bharti1, Ellen Tully2, Edward Gabrielson2, and Zaver M Bhujwalla3,4

1Radiology, JOHNS HOPKINS UNIVERSITY, BALTIMORE, MD, United States, 2Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3JHU ICMIC Program, Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, United States

Lung cancer is a leading cause of cancer associated death in United States and worldwide. Non-small cell lung cancer (NSCLC) accounts for 85% of all lung cancer cases in the United States. Use of metformin is associated with improved cancer treatment outcomes, reduction in cancer incidence and decreased mortality, and because of a higher potency, phenformin may be a more promising anti-cancer agent. Here, we have used 1H MRS of cell extracts to investigate the effect of phenformin on A549 cells.  Significant metabolic changes were observed following phenformin treatment

5602
Computer 42
A Very Low-cost EPR Spectrometer Using 3D Design and Manufacturing
Bahareh Behzadnezhad1,2, Jian Dong1, Nader Behdad1, and Alan McMillan2

1Dept of Electrical and Computer Engineering, University of Wisconsin-Madison, Madison, WI, United States, 2Dept of Radiology, University of Wisconsin-Madison, Madison, WI, United States

This study describes a very low-cost EPR spectrometer that can be feasibly constructed using general purpose laboratory equipment combined with the use of 3D electromagnetic design and additive manufacturing. We demonstrate a functioning, homebuilt, low-cost continuous wave EPR spectrometer operating at 115 MHz. The development of a low-cost spectrometer has applications in education and for other general laboratory purposes. 

5603
Computer 43
Detection of Tumor Spheroid Metabolism Using Hyperpolarized Magnetic Resonance Spectroscopy
Sui-Seng Tee1, Izabela Suster1, Sangmoo Jeong1, Roozbeh Eskandari1, Valentina Di Gialleonardo1, Kristin L Granlund1, Vesselin Miloushev1, Steven Truong2, and Kayvan Keshari1

1Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Hunter College, New York

Cell-line tumor spheroids or patient-derived organoids are 3D structures that self-organize when grown in a suitable extracellular matrix. As they mirror in vivo physiology and biology well, these structures have been used as surrogates for clinical trials. This study describes the ability to grow spheroids in NMR-compatible scaffolds that metabolize hyperpolarized [1-13C] pyruvate. These spheroids are also sensitive to AKT inhibition that manifest in significantly decreased lactate production. Histological analysis confirms on-target inhibition, demonstrating that hyperpolarized magnetic resonance spectroscopy can be used to probe treatment response in spheroids that can mimic human disease. 

5604
Computer 44
Comprehensive Metabolic Profiling of Urosepsis with positive and negative controls
Suruchi Singh1, Tanushri Chatterji2, Manodeep Sen2, Ishwar Ram Dhayal3, 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 presents the metabolic perturbation in serum and urine samples while comparing Urosepsis with negative and positive controls. It explores the metabolic differentiation of serum samples with sepsis and urine samples with urinary tract infection (UTI) (considered as positive controls), and healthy controls (considered as negative controls) respectively. The serum and urine metabolic profile mainly depicted changes occurring due to severity and spread of infection. The statistical Partial Least Square Discriminant Analysis (PLS-DA) model was robust enough to differentiate the three groups distinctively in both serum and urine samples.

5605
Computer 45
Metabolomical NMR measurements of cell cultures: Increasing the metabolic stability of lysed cells by additional heating due to enzymatic inactivation.
Gaelle Diserens1, Damian Hertig2,3, Martina Vermathen2, Balazs Legeza4, Christa E. Flueck4, Jean-Marc Nuoffer3, and Peter Vermathen1

1Depts. Radiology and Clinical Research, University Bern, Bern, Switzerland, 2Dept. Chemistry and Biochemistry, University Bern, Bern, Switzerland, 3University Institute of Clinical Chemistry, Bern University Hospital, Bern, Switzerland, 4Pediatric Endocrinology and Diabetology of the Dept. Pediatrics & Dept. Clinical Research, University Bern, Bern, Switzerland

Advanced NMR measurements of biological samples may take several hours. Preanalytical issues may impact the metabolite content, potentially leading to misinterpretation. Our aim was to investigate by 1H HR-MAS NMR the impact of different cell handling preparation protocols (lysis with and without heating) on the stability of the cell metabolome over the measurement time. In lysed fibroblasts and adrenal-cells, metabolism was ongoing over-time, contrary to a stable metabolite content of the lysed-heated cells. Therefore, to minimize metabolome modifications over the measurement time, it is suggested to use cell lysis in combination with heat inactivation for extended HR-MAS NMR measurements. 

5606
Computer 46
Metabolomic Analysis of Dendritic Cell Vaccination
Ram Bahadur Khattri1, Farhad Dastmalchi2, James R. Rocca3, Maryam Rahman2, and Matthew Merritt4

1Department of Biochemistry & Molecular Biology, University of Florida, Gainesville, FL, United States, 2Department of Neurosurgery, University of Florida, Gainesville, FL, United States, 3Mcknight Brain Institute, University of Florida, Gainesville, FL, United States, 4Department of Biochemistry and Molecular Biology, University of Florida, Gainesville, FL, United States

We use 1H NMR metabolomics to measure the impact of immunotherapy intended to target glioblastoma multiforme in a murine model. Cellular immunotherapy is a promising new platform for cancer treatment. Analysis of the urine of C57Bl6 mice revealed a set of metabolites associated with changes in glycolysis after immunotherapy treatment.

5607
Computer 47
NMR Based Metabolomics of Human Filtered-Serum: An Appraisal of Chronic Stable Angina and Myocardial Infarction
Ashish Gupta1, Sudeep Kumar2, Shiridhar kashyap2, Deepak Kumar3, and Aditya Kapoor2

1metabolomics, Centre of Biomedical Research, Lucknow, India, 2Cardiology, SGPGIMS, Lucknow, India, 3Metabolomics, Centre of Biomedical Research, Lucknow, India

To address the shortcomings of the conventional biochemical approach for the precise identification of myocardial infarction (MI), and differentiation from chronic stable angina (CSA), and normal coronary (NC) subjects, we applied filtered serum based metabolomics using 1H NMR spectroscopy. The study comprises filtered sera from CAD [CSA (n=88, MI (n=90)], and NC (n=55) subjects. NMR-measured metabolites and clinical evaluation data were examined separately using chemometric approach to probe the signature descriptors for each cohort. This approach reveals that filtered serum based metabolic profiling can differentiate not only NC from CSA and MI but also CSA from MI.   

5608
Computer 48
Effect of Coil Proximity on Parallel Spectroscopic Data Collection with Phased Array Coils
Candace C Fleischer1, Xiaodong Zhong1,2, and Hui Mao1

1Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States, 2MR R&D Collaborations, Siemens Healthcare, Atlanta, GA, United States

Parallel imaging and spectroscopy are facilitated by multi-channel phased array coils. An important step is the combination of individual data from each channel, yet the effect of the non-uniformity of array coils on signal-to-noise ratio (SNR) is poorly characterized. Here, we present a systematic framework for identifying vulnerabilities in phased array coils for MRS. We demonstrate the importance of voxel position and coil proximity on overall SNR in a phantom and human subject, with significant SNR improvements after selectively filtering individual spectra based on pre-determined SNR thresholds which must be optimized for each phased array coil and volume of interest.


Electronic Poster

Non-Proton MRI & MRS

Exhibition Hall Thursday 14:00 - 15:00

5609
Computer 49
The feasibility of absolute quantification for 31P MRS at 7T
Lucian A. B. Purvis1, Ladislav Valkovic1, Matthew D. Robson1, and Christopher T. Rodgers1

1OCMR, Department of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom

Calculation of in vivo concentrations requires knowledge of the B1 field. A common solution to this problem has been to use field maps measured in phantoms, but this becomes increasingly difficult at high field. The size of the effect of material and B0 field strength determining B1 in the liver using phosphorus (31P) phantoms was investigated at 1.5, 3, and 7T using CST simulations. The effect of concentration differences at 7T was demonstrated using 15 and 30mM phosphate phantoms. At 1.5T, using phosphate phantoms with concentrations between 5-40mM give an error of less than 3%. This increases to 10% at 3T, and 20-114% at 7T. 

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Effect of hyperbaric oxygenation on human brain phosphate metabolites at 3 Tesla. In vivo 31P MRS study
Andrei Valerievich Manzhurtsev1,2, Olga Vasyukova3, Victoria Victorovna Sergeeva4, Tolibjon Abdullaevich Akhadov2, Ilia Andreevich Mel'nikov2, Olga Vasil'evna Bozhko2, and Natalia Alexandrovna Semenova1,2,5

1N.M.Emanuel Institute of Biochemical Physics of RAS, Moscow, Russian Federation, 2Radiology, Research Institute for Childen Emergency Surgery and Traumatology, Moscow, Russian Federation, 3National Research Nuclear University "MEPhI", Moscow, Russian Federation, 4Hyperbaric Oxygenation Dept., Research Institute for Childen Emergency Surgery and Traumatology, Moscow, Russian Federation, 5N.N. Semenov Institute of Chemical Physics of RAS, Moscow, Russian Federation

This study is aimed to reveal the effects of hyperbaric oxygenation on human brain phosphate metabolites using 31P MRS. At first, 31P MRS study was conducted, after that the subjects took a session in hyperbaric chamber (1.2 atmosphere, 100% O2) and then 31P MRS study was repeated. The increase of α-ATP peak intensity was revealed after hyperbaric oxygenation, while other peak intensities and pH remained unchanged. This phenomenon is likely to happen because of [NAD(H)] increase, that might confirm the positive effect of hyperbaric oxygenation on human brain metabolism.

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31P spectroscopic imaging of the human brain at 3T: effect of NOE and 1H-decoupling
Mark J. van Uden1, Tom H. Peeters1, Tom W.J. Scheenen1, and Arend Heerschap1

1Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands

31P MRS of the brain can reveal changes in energy and lipid metabolism in healthy and diseased brain. In this abstract we compare 31P MRS measurements with and without NOE and/or 1H-decoupling. Adding nuclear Overhauser enhancement (NOE) and 1H-decoupling to a 31P MRS measurement at 3T increases spectral resolution to that at 7T and improves sensitivity so that the theoretical difference with 7T is partly compensated for. At relatively short repetition times both 1H-decoupling and NOE have to be taken into account for proper quantification.


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Different activated calf muscle groups measured simultaneously during plantar flexion exercise with multiple knee angles using multivoxel 31P-MRS.
Fabian Niess1, Georg Bernd Fiedler1, Albrecht Ingo Schmid1, Sigrun Goluch1, Roberta Frass-Kriegl1, Michael Wolzt2, Ewald Moser1, and Martin Meyerspeer1

1Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria, 2Department of Clinical Pharmacology, Medical University Vienna, Vienna, Austria

The distribution of workload between GM and SOL during plantar flexion exercise is strongly linked to the knee angle. This work investigates the differences in muscle activation of GM and SOL during plantar flexion with multiple knee angles.  Time series spectra of both muscle groups were acquired simultaneously with high time resolution using dynamic multi-voxel 31P MRS. A linear correlation was found between knee angle and 31P MRS parameters related to muscle activation (PCr depletion, pH, PCr recovery time), confirming predominant involvement of GM with a straight knee, and increasing contributions of SOL with a bent knee.

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Optimization of Regularization Parameters of Compressed Sensing Reconstruction for Fast Phosphorus MR Spectroscopic Imaging of Human Brain.
Gokce Hale Hatay1, Muhammed Yildirim1,2, and Esin Ozturk-Isik1

1Institute of Biomedical Engineering, Bogazici University, Istanbul, Turkey, 2Advanced Diagnostic Imaging, Philips Healthcare, Best, Netherlands

This study aims at investigating the effects of compressed sensing data acquisition and reconstruction factors for accelerated phosphorus MR spectroscopic imaging (31P-MRSI). Simulated 31P MRSI datasets containing healthy and tumor regions were created based on the metabolite information of brain tumor patient 31P-MRSI acquired at 3T. k-space data were randomly undersampled with three different reduction factors while preserving the central portion for different noise levels, reduced datasets were reconstructed using compressed sensing by combining eleven different total variation and L1-norm penalties. Findings showed that data acquisition pattern and reconstruction parameters have a significant effect on the resultant 31P-MRSI spectral quality. 

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Dynamic 31P MR spectroscopy of fatigue in triceps surae muscles on post-poliomyelitis patients versus healthy age-matched volunteers at 3T
Xeni Deligianni1,2, Tanja Haas3, Patricia Hafner4, Simone Schmidt4, Vanya Gocheva4, Francesco Santini1,2, Oliver Bieri1,2, and Dirk Fischer4

1Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland, 2Biomedical Engineering, University of Basel, Basel, Switzerland, 3Radiology, Clinic for Radiology and Nuclear Medicine, University of Basel Hospital, Basel, Switzerland, 4Pediatric Neurology, Universitäts-Kinderspital beider Basel (UKBB), Basel, Switzerland

This study was focused on comparing the metabolism of triceps surae muscles on postpoliomyelitis patients and age-matched healthy volunteers through dynamic 31P spectra acquisition at 3T magnetic field. It has been suggested previously that in postpolio patients, metabolic changes are secondary to neurogenic pathways, but may influence Pi/PCr ratios. Here, it was shown that baseline PDE/PCr ratios were higher in patients. During exercise, controls performed significantly higher work and the change of Pi/PCr ratios was lower than in patients. Investigation of the correlation of Pi/PCr with the degree of the disease could be a promising clinical direction.

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Improvement in 31P CSI voxel tissue segmentation
Xian-Feng Shi1, Young-Hoon Sung1, Douglas Kondo1, Colin Andrew Riley2, and Perry Renshaw1

1Psychiatry, University of Utah, Salt Lake City, UT, United States, 2The Brain Institute, University of Utah, Salt Lake City, UT, United States

The aim of the present study was to test a novel method for improving the subcortical tissue segmentation results, of the anatomical brain images acquired using a 31P/1H dual-tuned coil.  When a dual-tuned 31P/1H coil is utilized to perform phosphorus-31 magnetic resonance spectroscopy studies of subcortical brain regions, the resulting anatomical images suffer from both low signal-to-noise ratio, and from reduced image contrast. By registering this volume image on a second anatomical image acquired using a single-tuned, 12 channel 1H head coil, we found that the subcortical tissue segmentation accuracy was significantly improved.

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Short TE PRESS-based proton observed carbon edited (POCE) 13C Magnetic Resonance Spectroscopy with a volumetric 1H transmitter for in vivo rat brain imaging at 7T
Chathura Kumaragamage1,2, Dan Madularu2,3, Axel Mathieu2,3, Henk De Feyter4, Natasha Rajah2,3, and Jamie Near1,2,3

1Biomedical Engineering, McGill University, Montreal, QC, Canada, 2Brain Imaging Centre, Douglas Mental Health University Institute, Montreal, QC, Canada, 3Department of Psychiatry, McGill University, Montreal, QC, Canada, 4Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States

Carbon-13 (13C) magnetic resonance spectroscopy (MRS) remains to be the only noninvasive method capable of measuring neuroenergetics and neurotransmitter cycling in the brain in vivo [1]. However, 13C MRS is a challenging technique to implement, and suffers from low sensitivity. In this study we investigated a short TE (12.6 ms) PRESS localized proton observed carbon edited 13C MRS utilizing a volumetric resonator for proton excitation. The designed platform demonstrates high sensitivity to 1H signals, provides excellent localization, and high resolution 1H and 1H-[13C] spectra for in vivo rat brain imaging.

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Quantitative analysis of hyperpolarized [1-13C]pyruvate metabolic kinetics using Bayesian Inference algorithms
Nikolaos Dikaios1, Charlie J. Daniels2, Ferdia A. Gallagher2, James O’Callaghan3, David Atkinson3, and Shonit Punwani3

1Electrical Engineering, University of Surrey, Guildford, United Kingdom, 2Radiology, University of Cambridge, 3Centre for Medical Imaging, University College London

Metabolic processes monitored by MRS precede the micro-structural changes visualised by MRI. It is well-recognised that cancer cells reprogram their metabolic pathways to meet their energy demands for abnormal proliferation.  Pyruvate is produced through the breakdown of glucose in glycolysis, and is essential for providing cellular energy. Histological studies have shown increased exchange of pyruvate to lactate in prostate cancer, demonstrating a positive correlation with more aggressive disease. In regions of up-regulation of glucose metabolism, [1-13C]pyruvate is more readily converted to [1-13C]lactate, providing added value for diagnostic imaging.  This work aims to robustly quantify the exchange rates between pyruvate and lactate using Bayesian Inference algorithms.

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Comparison of direct 13C and indirect 1H-[13C] MR detection methods for the study of dynamic metabolic turnover in the human brain
Hao Chen1, Henk M De Feyter1, Peter B Brown1, Douglas L Rothman1, and Robin A de Graaf1

1MRRC, Yale University, New Haven, CT, United States

A wide range a direct 13C and indirect 1H-[13C] MR detection methods exist to probe dynamic metabolic pathways in the human brain. Choosing an optimal detection method is difficult as sequence-specific features regarding spectral resolution, power requirements and sensitivity complicate a straightforward comparison. Here we combine density matrix simulations with experimentally determined values for intrinsic 1H and 13C sensitivity, T1 and T2 relaxation and transmit efficiency to allow selection of an optimal 13C MR detection method for a given application and magnetic field.

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The effect of malonate, succinate, oxaloacetate and 2-deoxy-D-glucose on boar sperm metabolism using 13C MRS
Nurul Fadhlina Ismail1, Steven Reynolds1, Sarah Calvert2, Allan Pacey2, and Martyn Paley1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 2Academic Unit of Reproductive & Developmental Medicine, University of Sheffield, Sheffield, United Kingdom

One in five young men has poor semen quality, including low motility. Studying energy metabolism may provide better understanding of sperm motility. We acquired 13C Magnetic Resonance spectra of sperm incubated with 13C-glucose with different concentrations of inhibitors: malonate, oxaloacetate, succinate, and 2-deoxy-D-glucose. This study examined the effect of these inhibitors on sperm lactate production and vitality, with a secondary aim to observe Krebs cycle intermediates in the MR spectrum. Glucose signal significantly decreased with increasing oxaloacetate concentration. Malonate and oxaloacetate and 2DG significantly decreased in lactate production. These inhibitors did not lead to observable 13C labelled Krebs cycle intermediates.

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NMR and MRS studies of the neurotoxic oligomer of α-Synuclein toward investigating its in vivo structure
Keika Saito1, Mitsuhiro Takeda1, Sosuke Yoshinaga1, and Hiroaki Terasawa1

1Department of Structural BioImaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan

α-Synuclein (α-Syn) is an abundant protein in neurons, and changes to a neurotoxic α-helical oligomer in vitro. The goal of our study is to investigate the structure of the α-Syn oligomer in vivo, by delivering 13C-labeled α-Syn into mouse brains and performing a 13C CEST experiment. We report the MRS detection of the 13C signals of the α-Syn monomer in an agarose gel phantom, mimicking a physiological environment. We also report that the in vitro oligomerization rate of α-Syn varies, depending on buffer conditions. We envisage that the CEST effect will be detected by adjusting the oligomerization kinetics of α-Syn.

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Feasibility of localized, 1H decoupled natural abundance 13C-MRS of human brain at 7T using double tuned array coils and polarization transfer
Guillaume Donati1 and Rolf Gruetter1,2

1Laboratory for Functional and Metabolic Imaging, CIBM, EPFL, Lausanne, Switzerland, 2Department of Radiology, Universities of Lausanne and Geneva, Lausanne, Geneva, Switzerland

The inherent low sensitivity of 13C-MRS makes detection of natural abundance metabolites in human brain challenging. We aimed to demonstrate that double-tuned array coils are particularly well-suited for 13C-MRS studies in vivo, as they provide high sensitivity and high transmit efficiency over a large FOV. To further enhance the SNR, DEPT sequence was used to transfer polarization from 1H to 13C, as well as WALTZ-16 1H-decoupling, all within FDA guidelines. Natural abundance metabolites such as glutamate, glutamine, NAA and creatine were successfully detected and decoupled in 30 minutes acquisition time, showing strong efficiency and sensitivity of our measurement setup.


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A 35Cl ToRo Resonator System for Preclinical MRI/MRS at 9.4T
Matthias Malzacher1, Ruomin Hu1, Jorge Chacon-Caldera1, Andreas Neubauer1, and Lothar R Schad1

1Computer Assisted Clinical Medicine,Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

Chloride (Cl-) is next to the cations Na+ and K+ the most abundant non-organic anion in the mammals.  Assessment of chlorine’s (35Cl) concentration in tissue could provide further insights into tissue viability in addition to tissue sodium concentration. Yet, low Signal-to-Noise ratio (SNR) is challenging for the RF hardware components. To overcome these challenges, a Transmit-only-Receive-only (ToRo) system for 35Cl MRI/MRS at 9.4T was developed comprised of an actively-decoupled linearly-driven 16 leg low-pass Birdcage transmitter coil combined with two different receiver coils. Substantial SNR gain was reached using receive-only elements compared to the Birdcage coil in TxRx mode.

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Simultaneous measurement of metabolic rates of oxygen via 17O NMR imaging in brain and muscle tissue of rat at 16.4T
Hannes Michel Wiesner1,2, Dávid Zsolt Balla3, Klaus Scheffler2,4, Kamil Ugurbil1, Xiao-Hong Zhu1, Wei Chen1, Kamil Uludag5, and Rolf Pohmann2

1CMRR, Radiology, University of Minnesota Medical School, Minneapolis, MN, United States, 2MRC Department, MPI for Biological Cybernetics, Tübingen, Germany, 3Department of Physiology of Cognitive Processes, MPI for Biological Cybernetics, Tübingen, Germany, 4Radiology, University of Tübingen, Tübingen, Germany, 5MBIC, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands

In this study, we exploit the feasibility of the 17O MRSI technique for simultaneous measurement of the metabolic rates of oxygen in brain and surrounding muscle based on ROI analysis of dynamics of tissue H217O time courses acquired at 16.4T with 3D 17O MRSI. An established three-phase model originally developed for brain application was extended with certain assumptions applied to the resting temporalis muscle of rats.

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Design and construction of a novel double-tuned 1H/19F coil using PIN-diode switches at 9.4T
Chang-Hoon Choi1, Suk-Min Hong1, YongHyun Ha1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine-4, Forschungszentrum Juelich, Juelich, Germany, 2Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

A double-tuned 1H/19F coil using PIN-diode switches was developed and evaluated its performance on a 9.4T preclinical MRI scanner. This proposed design uses an inductor rather than a capacitor in series with the PIN-diode so that the resonance frequency is shifted in the opposite direction compared to the conventional method. This is a key difference from the previous developments and in this way we can maintain the SNR or image quality of the X-nuclei (therefore 19F); the SNR is nearly as good as a single-tuned 19F coil. 

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Study of MR characteristics of anti-psychotic drugs using fluorine (19F) MR spectroscopy at 9.4 T
Chu-Yu Lee1, In-Young Choi1,2,3, Jean C Dinh4, William M Brooks1,2, J. Steven Leeder4,5, 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, 4Division of Clinical Pharmacology, Toxicology, and Therapeutic Innovation, Children's Mercy Hospital, Kansas City, MO, United States, 5Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO, United States

19F MRS allows assessment of fluorine containing anti-psychotic drugs in the brain. However, the reliable quantification remains challenging due to low drug concentrations and MR characteristics of the drugs are not well understood. This study aimed to characterize MR properties of four anti-psychotic drugs: pimozide, paliperidone, risperidone, and racemic fluoxetine, in phantoms at 9.4 T. Our results demonstrated that pimozide, paliperidone and risperidone showed over 50 ppm differences in chemical shifts and over 200 ms differences in T1 and T2 relaxation times compared with racemic fluoxetine. These different MR characteristics may have important implications for the 19F MRS technique development.

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Monitoring of cell proliferation by 19F-MRS via quantitation of 3'-deoxy-3'-fluorothymidine (FLT) and its monophosphate metabolite (FLT-MP) in invivo
Inok Ko1, Ki-Hye Jung1, Kyung Jun Kang1, Kyo Chul Lee1, Yong Jin Lee1, Jung-Young Kim1, Sang Moo Lim2, and Ji-Ae Park1

1Division of RI-Convergence Research, Korea Institute Radiological and Medical Sciences, Seoul, Korea, Republic of, 2Department of Nuclear Medicine, Korea Institute Radiological and Medical Sciences, Seoul, Korea, Republic of

Distinguishing between FLT(fluorothymidine) and FLT-MP(flruorothymidine - monophosphate) by imaging methods is important for evaluating the tumor cell proliferation rate. The aim of this study is to develop and validate a suitable 19F MR Spectroscopy for measuring TK1 activity via quantitation of FLT and FLT-MP in vivo. We observed the good correlations between SNR and FLT concentration (r2= 0.94). In phantom study, the locations of FLT and FLT-MP was -175.99, -175.24 ppm, respectively. In vivo study, FLT spectrum in mouse tumor was observed in 25 min after injection, whereas FLT-MP spectrum occurred in 90 min after injection. This result shows that 19F MR Spectroscopy is suitable for monitoring of FLT-MP generation in in vivo.

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Simultaneous multi-parametric and quantitative estimation of 23Na physical properties at 7 Tesla using QuICS
Lisa Leroi1, Arthur Coste1, Ludovic de Rochefort2, Mathieu Santin3, Romain Valabrègue3, Franck Mauconduit4, Marie-France Hang1, Edouard Chazel1, Jérémy Bernard1, Michel Luong5, Eric Giacomini1, Denis Le Bihan1, Cyril Poupon1, Fawzi Boumezbeur1, Cécile Rabrait-Lerman1, and Alexandre Vignaud1

1Neurospin, CEA, Pais-Saclay University, Saclay, France, 2CRMBM, UMR 7339, Aix-Marseille University, Marseille, France, 3Institut Cerveau Moelle - ICM, CENIR, UPMC-Inserm U1127, CNRS 7225, Paris, France, 4Siemens Healthineers, Saint-Denis, France, 5IRFU, CEA, Paris-Saclay University, Saclay, France

Quantifying physical properties of sodium could be of benefit to assess more specifically changes in cellular homeostasis accompanying neuroinflammatory or neurodegenerative diseases. This work aimed at adapting for 23Na MRI at 7 Tesla the Quantitative Imaging using Configuration States (QuICS) method, primarily developped for 1H MRI. We demonstrate the possibility to not only estimate accurately the T1, T2, FA, M0 and ADC simultaneously for 23Na at physiological concentration at UHF, but to acquire 3D maps for all of them.

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Realistic simulation of 23Na brain data: Understanding the influence of acquisition parameters on the accuracy of 23Na concentration measurement
Jonathan M. Lommen1, Nicolas G.R. Behl1, Peter Bachert1, Mark E. Ladd1, and Armin M. Nagel1,2

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Institute of Radiology, University Hospital Erlangen, Erlangen, Germany

Sodium (23Na) is connected to tissue physiology and can be spatially resolved by MRI. Low in-vivo concentrations and short relaxation times render a quantitative determination challenging. We present a simulation method which allows synthesizing realistic 23Na MRI raw data. Thereby, most effects in typical quantification experiments on the basis of an external concentration reference can be studied. To establish a reference accuracy level, we investigate the influence of T2* decay, undersampling, TE, and TR on 23Na quantification. The presented simulations can be used for the testing and evaluation of quantitative reconstruction methods as well as to test significance in clinical studies.

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Improving Sodium Concentration Measurements using sub-sampled Non-Cartesian Trajectories and Non-Linear Iterative Reconstruction algorithm
Arthur Coste1, Nicolas Chauffert1, Fawzi Boumezbeur1, Alexandre Vignaud1, Philippe Ciuciu1, Guillaume Madelin2, Kathrin Reetz3, Denis Le Bihan1, Cécile Rabrait-Lerman1, and Sandro Romanzetti3

1NeuroSpin, CEA, Paris Saclay University, Paris, France, 2Center for Biomedical Imaging, Department of Radiology, New York University Langone Medical Center, New York, USA, 3Neurology Department, Aachen University Clinic, Germany

In this work we explored different aspects that could benefit to in vivo Sodium concentration measurements in order to reduce Acquisition Time to improve patient comfort and an reduce risk of motion artifacts. We studied two Non Cartesian image reconstruction methods and explored subsampling.

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Investigation of Strophanthin Induced Na-/K-ATPase Blockage by Means of 23Na Multi Quantum Spectroscopy in a High Density Cell Culture on Chip
Andreas Neubauer1, Matthias Malzacher1, Victor Schepkin2, Jorge Chacon-Caldera1, Ruomin Hu1, Eric Gottwald3, Cordula Nies3, David Thiele3, and Lothar Schad1

1Computer Assisted Clinical Medicine/CBTM, Heidelberg University, Mannheim, Germany, 2CIMAR, National High Magnetic Field Laboratory/FSU, Tallahassee, FL, United States, 3Institute for Biological Interfaces-5, Karlsruhe Institute of Technology, Eggenstein-Leopoldshafen, Germany

Sodium multi quantum (MQ) spectroscopy was used to record single (SQ) and triple quantum (TQ) resonances from a 3D cell culture implanted in a MRI compatible bioreactor under the strophanthin induced inhibition of the sodium-potassium pump (Na-/K-ATPase) at 9.4T. The results show a clear alteration in the ratio TQ/SQ under strophanthin influence. Due to the high control of physiological parameters the bioreactor provides, this alteration can be directly linked to the inhibition of the Na-/K-ATPase. 

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Sodium short and long T2* components in the normal human brain: a multi-TE 23Na MRI study at 7T
Mark Bydder1, Armin Nagel2, Adil Maarouf1,3, Jeremy Verneuil1, Patrick Viout1, Maxime Guye1,3, Jean-Philippe Ranjeva1, and Wafaa Zaaraoui1

1Aix-Marseille Univ, CNRS, CRMBM, Marseille, France, 2University Hospital Erlangen, Institute of Radiology, Erlangen, Germany, 3Aix-Marseille Univ, APHM, Hopital de la Timone, CEMEREM, Marseille, France

The study aimed to provide values of the short and long T2* sodium components of the human brain at 7T using a multi-echoes 23Na MRI approach (n=24 TE). These results may help improving sodium quantification at 7T.

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Validation and Initial Results from Dynamic 23Na fMRI
Mark Bydder1, Wafaa Zaaraoui1, Lothar Schad2, Maxime Guye1, and Jean-Philippe Ranjeva1

1Aix-Marseille Université, Marseille, France, 2Heidelberg University

In this abstract we develop and validate an MRI acquisition/reconstruction method to derive the temporal dynamics of 23Na within a 20 min scan.


Electronic Poster

MRS Applications

Exhibition Hall Thursday 14:00 - 15:00

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Interregional associations between GABA+, Glx and BOLD contrast changes during acute pain perception in the human brain – A combined 1H fMRS and fMRI study
Marianne Cleve1, Alexander Gussew1, Gerd Wagner2, and Jürgen R. Reichenbach1

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Psychiatric Brain & Body Research Group Jena, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

Possible associations between BOLD and left insular GABA+/tCr and Glx/tCr levels were investigated by conducting whole brain fMRI measurements and 1H MEGA-PRESS MRS at 3 T in healthy subjects prior to and during acute pain stimulation. A significant negative correlation between insular resting state GABA+/tCr levels and BOLD response was obtained in the supplementary motor area with transition to the mid-cingulate cortex. Furthermore, insular ΔGlx revealed a significant positive association with BOLD signal in the left anterior and right posterior insula. These findings suggest interregional interrelations between metabolite levels and stimulus induced BOLD response in the pain processing network.

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Abnormal developmental trajectories of brain metabolites contributed to abnormal muscle tone development in infants with prenatal methamphetamine and tobacco-exposure
Linda Chang1, Sara Hayama1, Steven Buchthal1, Chathura Siriwardhana1, Daniel Alicata1, Zachary Pang1, Tricia Wright1, Jon Skranes2, and Thomas Ernst1

1University of Hawaii at Manoa, Honolulu, HI, United States, 2Pediatrics, Sorlandet Hospital, Arendal, Norway

In prior studies, children with prenatal methamphetamine-(PME) or tobacco-exposure (PTE) showed elevated brain metabolites levels.  The current study evaluated infants with PME and PTE during the first 5 months of life and found abnormal developmental trajectories of metabolites in the frontal white matter, with abnormally lower levels of total creatine [tCr], N-acetylaspartate [NAA], and glumate+glutamine [Glx] at baseline, and steeper developmental trajectories that resulted in normal or elevated levels after 2-months old. Furthermore, the trajectories of basal ganglia-[NAA] and corticospinal tract-[tCr] further contributed to the slower muscle tone development in PME infants, especially the males. 

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Neurochemical alterations in the hippocampus induced by high-fat diet: In vivo magnetic resonance spectroscopy
Song-I Lim1,2, Kyu-Ho Song1, Chi-Hyeon Yoo1, Dong-Choel Woo2, and Bo-Young Choe1

1Department of Biomedical Engineering, and Research Institute of Biomedical Engineering. The Catholic University of Korea College of Medicine, Seoul, Korea, Republic of, 2Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea, Republic of

In this study, we investigated the neurochemical alterations in mouse hippocampus using in vivo proton magnetic resonance spectroscopy. We also examine the effect of high-fat diet on the levels of abdominal fat, plasma leptin, and corticosterone. The decrease in mIns concentration seen in HF diet mice without corresponding Gln-Glu alternation may reflect changes in glial function. In addition, the observed total choline levels indicate attenuated membrane turnover in HF diet mice. We therefore suggest that diets rich in saturated fats induce a stress-related response through metabolic disturbance and HPA axis dysfunction, which may indicate a relationship between obesity and depression.

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Reliability of in vivo Glx measurements from GABA-edited MRS at 3T
Elodie Boudes1,2, Rachelle S Loo1,2, Kari AL Parsons1,2, Gareth J Barker3, David Lythgoe3, Richard AE Edden4,5, R Marc Lebel6, Martin P Wilson7, and Ashley D Harris1,2

1Radiology, University of Calgary, Calgary, AB, Canada, 2CAIR Program, Alberta Children's Hospital Research Institute and Hotchkiss Brain Institute, University of Calgary, 3Department of Neuroimaging, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 4Radiology, The Johns Hopkins School of Medicine, 5F. M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, 6General Electric Healthcare, 7School of Psychology, University of Birmingham

Mixed glutamate/glutamine (GLX) signal contributes to spectra acquired for GABA editing, both as a co-edited peak in the difference spectrum and in the OFF subspectrum. GLX results are often included in GABA studies, but the reliability of these metrics has received little attention. In this study, we examine the relationship between GLX measures, using a short-TE PRESS as a “gold standard”, and comparing GLX measured from the co-edited peak and the OFF subspectrum from typical GABA+ and macromolecule-suppressed GABA acquisitions.

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Prognostic utility of cervicovaginal fluid acetate-glutamate ratio for risk of preterm delivery within two weeks of presentation with symptoms of threatened preterm labour
Emmanuel Amabebe1, Steven Reynolds2, Victoria Stern1, Graham Stafford3, Martyn Paley2, and Dilly Anumba1

1Academic unit of Reproductive and Developmental Medicine, University of Sheffield, Sheffiled, United Kingdom, 2Academic unit of Radiology, University of Sheffield, Sheffiled, United Kingdom, 3School of Clinical Dentistry, University of Sheffield, Sheffiled, United Kingdom

Accurate identification of pregnant women with symptoms of preterm labor (PTL) most likely to deliver prematurely soon after presentation/assessment is crucial for prompt clinical decision making and allocation of scarce resources by minimizing unnecessary hospitalizations and treatments, as well as by triaging patients to the centers with optimal care facilities.  We determined the predictive capacity of cervicovaginal fluid (CVF) acetate/glutamate ratio in pregnant women presenting with symptoms of threatened PTL using 1H-NMR. The ratio of CVF acetate to glutamate demonstrated better prediction of delivery within 2 weeks of symptomatic presentation, compared to either acetate or glutamate alone.  

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Reproducibility for MRS-Based Relaxometry and Identification of Influential Parameters
Bernhard Neumayer1,2, Thomas Widek1,2, Chris Boesch3, and Eva Scheurer4

1Ludwig Boltzmann Institute for Clinical Forensic Imaging, Graz, Austria, 2BioTechMed-Graz, Graz, Austria, 3Department of Clinical Research (AMSM), University of Bern, Bern, Switzerland, 4Department of Forensic Medicine, University of Basel, Basel, Switzerland

The different relaxation times of the water and the fat compartment in human lumbar vertebrae make it necessary to determine these values for a correct calculation of the fat fraction, which is used as a biomarker for various applications. This study investigates the reproducibility of relaxometry in human lumbar vertebrae to serve as a basis for future studies. Furthermore, factors like age, sex, and physique are investigated for their influence on the derived T1 and T2 values to investigate whether relaxation times of the fat and water compartments can serve as biomarkers in addition to the fat fraction.

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Mapping brain macromolecules in patients with multiple sclerosis using 1H-MRSI at 7T
Michal Považan1,2, Eva Heckova1, Gilbert Hangel1, Bernhard Strasser1, Stephan Gruber1, Assunta Dal-Bianco3, Fritz Leutmezer3, Siegfried Trattnig1,2, and Wolfgang Bogner1,2

1Department of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Department of Neurology, Medical University Vienna, Vienna, Austria

Multiple sclerosis (MS) is a disease of the central nervous system associated with demyelination and glial activation affecting large areas of white matter. 1H-MRSI may detect the metabolic changes induced by MS and facilitate the differentiation between MS lesions. Our study aimed to detect and map the signal of macromolecules in healthy controls and MS patients. 2D FID-based 1H-MRSI was used with measurement time under 6 minutes. We found increased macromolecules in the perilesional region and decreased macromolecules in most of the lesions. However, in some lesions, macromolecules were increased, which may be possibly related to pathological activation of lesion.

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Decreased tNAA concentration in female college basketball players with mild depression/anxiety symptoms
Xian-Feng Shi1, Perry Renshaw1, and Deborah Yurgelun-Todd1

1Psychiatry, University of Utah, Salt Lake City, UT, United States

The aim of the present study was to examine possible gender differences in 1H brain metabolite concentrations in male and female college basketball players. Decreased total N-acetylaspartate/N- acetylaspartylglutamate (tNAA) levels within white matter tissue were observed in female basketball players with symptoms of depression or anxiety (p = 0.0256 /p = 0.0112). 

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Cerebral Metabolite Changes and Cognitive Clinical Correlates in Perinatally HIV-infected Young Adults
Manoj K Sarma1, Margaret A Keller2, Tamara Welikson3, Sathya Arumugam 1, David E Michalik4, Irwin Walot5, Karin Nielsen-Saines6, Jaime Deville6, Andrea Kovacs7, Eva Operskalski7, Joseph Ventura8, and M. Albert Thomas1

1Radiological Sciences, UCLA School of Medicine, Los Angeles, CA, United States, 2Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, United States, 3Semel Institute for Neuroscience and Human Behavior, UCLA School of Medicine, Los Angeles, CA, United States, 4Infectious disease-Pediatrics, Miller Children's Hospital, Long Beach, CA, United States, 5Radiology, Harbor-UCLA Medical Center, Torrance, CA, United States, 6Pediatrics, UCLA School of Medicine, Los Angeles, CA, United States, 7Pediatrics, Keck School of Medicine of USC, Los Angeles, CA, United States, 8Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, Los Angeles, CA, United States

A recently implemented 5D echo-planar J-resolved spectroscopic sequence using 8x acceleration and compressed sensing reconstruction was evaluated in 7 perinatally infected and 8 healthy youths. Selected metabolite ratios with respect to Cr were detected bilaterally in the basal ganglia, anterior insular cortex, posterior insular cortex, frontal white and occipital/frontal gray regions of the two groups. Statistically significant differences were found between metabolite ratios (/Cr) of HIV-infected youing adults and healthy control subjects in the occipital gray N-acetylaspartate, right basal ganglia glutamine/glutamate, left anterior insular cortex choline, and left posterior insular cortex. Also, our pilot findings suggest a possible difference in energy metabolism between perinatally HIV-infected young adults and controls without HIV. The metabolite ratios correlated with neuropsychological test scores showing cognitive impairment as result of HIV-infection and/or long term ART.

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In vivo measurement of metabolic changes associated with chick embryo development using 1H-NMR spectroscopy at 14.1 Tesla
Antoine Cherix1, Brodier Laurent2,3, Jean-Marc Matter2,3, and Rolf Gruetter1,4,5

1Laboratory for Functional and Metabolic Imaging (LIFMET), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Department of Biochemistry, University of Geneva, Geneva, Switzerland, 3Department of molecular biology, University of Geneva, Geneva, Switzerland, 4Department of Radiology, University of Geneva, Geneva, Switzerland, 5Department of Radiology, University of Lausanne, Lausanne, Switzerland

1H-MRS was used to study the metabolic changes associated with development of the neural tissue in vivo longitudinally. Different tissues (yolk, eye and vitreous body) of developing chickembryos were scanned at three different stages (E3, E6 and E8) for metabolic quantification. As expected, results indicate that a critical juncture appears between stages E3 and E6 in terms of energetic status of the embryo.

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Can we predict the chemotherapy outcomes and efficacy - metabolomics approach for predicting response to anticancer drugs: in vitro 1H MRS of living human melanoma and bladder carcinoma at 9.4T
Katarzyna Pierzchala1, Nicolas Kunz1, and Rolf Gruetter 1

1Center for Biomedical Imaging, EPFL / CIBM, Lausanne, Switzerland

The number of patients diagnosed with cancer is increasing. Therefore the ability to predict tumor response to therapeutic agents remains a major challenge. Tumor cell metabolism is currently examined by 1H MRS with the aim of getting more insight into the differences between normal and neoplastic tissues, characterize their metastatic potential/finding prognostic markers, and monitoring the effect of therapies. In this study we demonstrate the feasibility of characterizing in-vitro living cells and present changes in the metabolic profile of WM793 and T24 cells lines subjected to chemotherapy. These results show promise for more personalized treatment protocols for cancer patients. 

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Improving the detection of scalar-coupled resonances at short and moderate echo times for in vivo rat MRS at 9.4 T
Liangjie Lin1,2,3, Yanqin Lin1, Dan Tian1, Hongyi Yang4, Zhiliang Wei2,3, Peter B. Barker2,3, Kai Zhong4, and Zhong Chen1

1Department of Electronic Sciense, Xiamen University, Xiamen, People's Republic of China, 2Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 3F. M. Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 4High Magnetic Field Laboratory, CAS Center for Excellence in Brain Science, Chinese Academy of Sciences, Hefei, People's Republic of China

Conventional localized 1H MRS pulse sequences, such as PRESS and STEAM, generally suffer from J coupling modulations which can aggravate attenuation of multiplet resonances during echo times. Here, the “perfect echo” module combined with an optimized localization scheme is utilized for in-phase single-voxel in vivo MRS at 9.4 T. The relative signal intensities of multiplet to singlet resonances acquired at short and moderate echo times increase substantially in comparison with those at PRESS spectra. Therefore, direct MRS quantification of many important metabolites, such as glutamine, glutamate, γ-aminobutyrate, aspartate, and myo-inositol, may be improved.

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The subjective intensity of pain in healthy subjects is inversely correlate with posterior insular GABA levels
Margot Thiaucourt1, Polina Shabes2, Natalie Schloss3, Markus Sack1, Ulf Baumgaertner2, Christian Schmahl3, and Gabriele Ende1

1Neuroimaging, Central Institute of Mental Health, Mannheim, Germany, 2Center for Biomedicine and Medical Technology Mannheim, Medical Faculty Mannheim, Mannheim, Germany, 3Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany

We present single voxel MEGA-PRESS MRS data from the posterior insula of 20 healthy women demonstrating a significant association of GABA and the subjective pain thresholds. These findings are in good agreement with the postulated role of the posterior insula for pain information processing. In this region pain is first processed and the sensory aspects of pain perception is elaborated and then conveyed to the anterior insula where it is related to emotional and cognitive aspects of pain perception. The data corroborate that GABA levels seem to be an important mediator for pain perception.

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Altered intrinsic neuronal activity correlates with GABA levels in the auditory region of patients with presbycusis
Fei Gao1, Guangbin Wang1, Bin Zhao1, Fuxin Ren1, and Weibo Chen2

1Shandong Medical Imaging Research Institute, Shandong University, JINAN, People's Republic of China, 2Philips Healthcare, Shanghai, People's Republic of China

In this study, we used J-difference edited MRS and resting-state fMRI to investigate correlation between intrinsic neuronal activity and GABA levels in the auditory cortex of patients with presbycusis. Our results indicated that abnormalities in GABAergic neurotransmission may underlie resting-state functional deficits in presbycusis. 

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Investigation of metabolic changes during watching movie using fMRS at 3T system
Jia-Ren Lin1, Yi-Ru Lin1, and Shang-Yueh Tsai2,3

1Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan, 2Graduate Institute of Applied Physics, National Chengchi University, Taipei, Taiwan, 3Research Center for Mind, Brain and Learning, National Chengchi University, Taipei, Taiwan

Recent studies have reported metabolic change during visual and motor stimulation using MRS at 7T MRI system. We think there is potential to perform fMRS experiments at 3T system. Visual stimuli were given with block design consisting of 2 black-white movie clips and 3 rest sections. Our preliminary results showed that Glu concentrations in visual cortex increases by 1.39% during watching movie, while NAA and Cre have no significant change. The observed Glu change was comparable to previous study performed at 7T.

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Identification of Prostate Cancer with MR Spectroscopic Imaging and Diffusion-weighted Imaging at 3 Tesla
Yousef Mazaheri1, Amita Shukla-Dave2, Debra A Goldman3, Chaya S Moskowitz3, Victor E Reuter4, Oguz Akin5, and Hedvig Hricak5

1Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Medical Physics, Memorial Sloan Kettering Cancer Center, 3Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 4Pathology, Memorial Sloan Kettering Cancer Center, 5Radiology, Memorial Sloan Kettering Cancer Center

The aims of our study were to retrospectively measure metabolite ratios and apparent diffusion coefficient values for benign and malignant PZ tissue at 3T, develop statistically-based rules for classifying benign and malignant PZ tissue, and assess the rules’ performance, using whole-mount step-section pathology as the reference standard.

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Using broadband refocusing pulses for increased sensitivity for 2HG detection to determine glioma IDH mutation status
Sunitha B Thakur1, Robert J Young1, Robin Fatovic1, Ralph Noeske2, Martin Janich3, Andrei Holodny1, and Ingo K Mellinghoff1

1Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2GE HealthCare, Berlin, Germany, 3GE Global Research, Munich, Germany

2-hydroxyglutarate in IDH1/2 mutated tumors is of clinical interest and can be measured in-vivo by magnetic resonance spectroscopy. Goal of this work was to compare results obtained using the standard reduced flip angle refocusing pulses with results using broadband refocusing pulses. Sensitivity improvement was observed in phantoms and demonstrated in vivo.



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1H NMR based metabolomics study of serum in Parkinson’s patients
Sadhana Kumari1, Senthil Kumaran1, Vinay Goyal2, SN 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

Proton metabolic profile of serum samples in 20 patients with Parkinson’s disease (PD) and 10 healthy controls (HC) was studied using 700 MHz NMR spectrometer. Data were processed using MestReNova software (version: 10.0) and integral values were evaluated. PLS-DA multivariate analysis was performed to compare the metabolic differences between PD patients and HC using MetaboAnalyst (version: 3.0) software. We found elevated levels of glucose, fatty acid, glutamine, lactate, choline, creatine and acetate in PD patients in comparison with HC (on t-test, p<0.05), indicating disturbances in lipid metabolism, fatty acid oxidation and mitochondrial damage leading to dopaminergic deficiency in Parkinson's disease.

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NEURO 2D CORRELATED  SPECTROSCOPY  IDENTIFIES  NEURO DEREGULATION IN SOLDIERS EXPOSED TO BLAST  PRIOR TO  DISCERNIBLE CHANGES BY CONVENTIONAL IMAGING
Graham J Galloway1,2, Scott G Quadrelli1,3,4, Aaron J Urquhart1, Katie Trickey1, Peter Malycha1, Theresa Keane5, and Carolyn E Mountford1

1Translational Research Institute, Woolloongabba, Australia, 2Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 3University of Newcastle, Australia, 4Institute for Health and Biomedical Innovation, Brisbane, Australia, 5Department of Defence, Australian Government, Sydney, Australia

This pilot study reports clear deregulation in the neurochemistry  of defense personnel exposed to repeated blast. The changes  recorded are different to those reported for mTBI, PTSD and chronic pain. No differences between blast exposed and healthy were recorded by MRI sequences T1WI, FLAIR or SWI. In vivo neuro 2D spectroscopy  recorded deregulation with PC and GPC, NAA and GABA all decreased compared to the healthy non exposed brain. We we did not observe any changes in the fucosolated glycans, which are reflective of pain, repetitive brain injury  and/or cognitive deficit.

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7T Brain MRS in HIV Infection: Effects of Cognitive Impairment
Mona A Mohamed1, Peter B Barker1, Richard Skolasky2, and Ned C Sacktor3

1Radiology, Johns Hopkins Medical Institutions, Baltimore, MD, United States, 2Orthopedic, Johns Hopkins Medical Institutions, Baltimore, MD, United States, 3Neurology, Johns Hopkins Medical Institutions, Baltimore, MD, United States

Higher magnetic field such as 7T provides increased sensitivity, better signal to noise ratio and more reliable measure of the metabolite concentrations. In this study, 7T MRS was used to measure brain metabolites in HIV+ patients in 5 brain regions. Our study showed impaired neuronal integrity across the white and gray matter as well as possible impaired astrocyte osmoregulation in patients with symptomatic cognitive impairment. In conclusion, 7T MRS brain metabolites measurement can be used as reliable biomarkers for the assessment of cognitive status in HIV+ patients.

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Microstructural dynamic changes in ischemic stroke in humans measured with diffusion-weighted magnetic resonance spectroscopy at 3 T
Francesca Branzoli1,2, Bélen Díaz-Fernández 3, Malgorzata Marjanska4, Edward Auerbach4, Romain Valabrègue1,2, Itamar Ronen5, Stéphane Lehéricy1,2, and Charlotte Rosso1,2,3

1Brain and Spine Institute (ICM), Center for Neuroimaging Research (CENIR), Paris, France, 2UPMC Paris 6, INSERM, U1127; CNRS, UMR 7225, Paris, France, 3Service des Urgences Cérébrovasculaires, Hòpital Pitié-Salpétrière, Paris, France, 4Center for Magnetic Resonance Research and Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 5C. J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands

Diffusion-weighted 1H magnetic resonance spectroscopy (DW-MRS) probes the diffusion properties of metabolites, which are differentially compartmentalized in brain tissue and are thus more specific than water molecules to the intra-cellular environment. The aim of this study was to measure water and metabolite diffusion in the human brain in the acute, sub-acute and choronic stage of ischemic stroke, in order to better characterize the microstructural dynamic changes ongoing at different stages of the disease, in both infarcted and periferal regions, by disentangling neuronal, glial and extra-cellular pathological processes.

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Enhanced detection of weak metabolites with short initial echo time 2D L-COSY
Jameen ARM1, Karen Ribbons2, Jeannette Lechner-Scott3, Kate Skehan4, Shiami Luchow3, M. Albert Thomas5, and Saadallah Ramadan6

1University of Newcastle, Newcastle, Australia, 2John Hunter Hospital, Australia, 3Hunter Medical Research Institute, Australia, 4HMRI Imaging centre, Hunter Medical Research Institute, Australia, 5University of California Los Angeles, CA, United States, 6University of Newcastle, Australia

The detection of weak neurometabolites such as g-aminobutyric acid (GABA), glutathione (GSH), glycerophosphocholine (GPC), phosphorylethanolamine (PE) with 2D L-COSY can be challenging due to lower concentrations. Moreover, the standard initial echo time (TEinitial) of 30ms yields suboptimal SNR due to shorter T2*. In this study, we compared short TEinitial of 20ms vs 30ms to evaluate improved detection of low concentration metabolites. Our results show a significant increase in SNR with TEinitial of 20ms compared to 30ms. Short TEinitial of 20ms has increased potential in the detection of peaks from weak neurometabolites.

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Investigation of long-term effect of a high-fat diet using quantitative MRI and 1H MRS for assessing body and liver fat, and muscle mass
Jong-Hee Hwang1, In-Young Lee2, Jung-Hyun Kim2, and Jae Seung Kim2

1Institute for Clinical Diabetology, German Diabetes Center, Leibniz Institute for Diabetes Research, Heinrich Heine University, Düsseldorf, Germany, 2Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, Korea, Republic of

Repetitive and noninvasive MR examinations of fat content can provide indispensable information for longitudinal metabolic studies. It is of great interest to understand how obesity in youth affects the fat metabolism later in life. Thus we longitudinally examined mice with/without a high-fat diet [HFD] for 8 weeks from 13 to 67 weeks old using MRI and 1H MRS.  As a result, visceral fat restored normalcy in 10 weeks after the termination of HFD, subcutaneous and liver fat returned to normalcy in ~ 16 - 20 weeks as compared to controls.