Svensson Jonas
Department of Radiation Physics, Institute of Radiology and Physiology, Malmö, Malmö University Hospital, Lund University, SE-205 02 Malmö, Sweden.
Acta Radiol Suppl. 2003 Jul;429:1-30. doi: 10.1034/j.1600-0455.44.s.429.1.x.
Contrast-enhanced magnetic resonance angiography (CE-MRA) is a diagnostic method for imaging of vascular structures based on nuclear magnetic resonance. Vascular enhancement is achieved by injection of a contrast medium (CM). Studies were performed using two different types of CM: conventional paramagnetic CM, and a new type of CM based on hyperpolarized (HP) nuclei. The effects of varying CM concentration with time during image acquisition were studied by means of computer simulations using two different models. It was shown that a rapid concentration variation during encoding of the central parts of k-space could result in signal loss and severe image artifacts. The results were confirmed qualitatively with phantom experiments. A postprocessing method was developed to address problems with simultaneous enhancement of arteries and veins in CE-MRA of the lower extremities. The method was based on the difference in flow-induced phase in the two vessel types. Evaluation of the method was performed with flow phantom measurements and with CE-MRA in two volunteers using standard pulse sequences. The flow-induced phase in the vessels of interest was sufficient to distinguish arteries from veins in the superior-inferior direction. Using this method, the venous enhancement could be extinguished. The possibility of using HP nuclei as CM for CE-MRA was evaluated. Signal expressions for a flow of HP CM imaged with a gradient echo sequence were derived. These signal expressions were confirmed in phantom experiments using HP 129Xe dissolved in ethanol. Studies were also performed with a new CM based on HP 13C. The CM had very long relaxation times (T1, in vivo/T2, in vivo approximately 38/1.3 s). The long relaxation times were utilized in imaging with a fully balanced steady-state free precession pulse sequence (trueFISP), where the optimal flip angle was found to be 180 degrees. CE-MRA with the 13C-based CM in rats resulted in images with high vascular SNR (approximately 500). CE-MRA is a useful clinical tool for diagnosing vascular disease. With the development of new contrast media, based on hyperpolarized nuclei for example, there is a potential for further improvement in the signal levels that can be achieved, enabling a standard of imaging of vessels that is not possible today.
对比增强磁共振血管造影(CE-MRA)是一种基于核磁共振对血管结构进行成像的诊断方法。通过注射造影剂(CM)实现血管强化。研究使用了两种不同类型的造影剂:传统的顺磁性造影剂和基于超极化(HP)核的新型造影剂。通过使用两种不同模型的计算机模拟研究了在图像采集过程中造影剂浓度随时间变化的影响。结果表明,在k空间中心部分编码期间造影剂浓度的快速变化可能导致信号丢失和严重的图像伪影。体模实验定性地证实了这些结果。开发了一种后处理方法来解决下肢CE-MRA中动脉和静脉同时强化的问题。该方法基于两种血管类型中流动诱导相位的差异。使用标准脉冲序列通过流动体模测量和两名志愿者的CE-MRA对该方法进行了评估。感兴趣血管中的流动诱导相位足以在上下方向上区分动脉和静脉。使用该方法,可以消除静脉强化。评估了将HP核用作CE-MRA造影剂的可能性。推导了用梯度回波序列成像的HP造影剂流动的信号表达式。这些信号表达式在使用溶解于乙醇中的HP 129Xe的体模实验中得到了证实。还使用基于HP 13C的新型造影剂进行了研究。该造影剂具有非常长的弛豫时间(体内T1/体内T2约为38/1.3秒)。在使用完全平衡的稳态自由进动脉冲序列(trueFISP)成像时利用了长弛豫时间,其中发现最佳翻转角为180度。大鼠使用基于13C的造影剂进行CE-MRA得到了具有高血管信噪比(约500)的图像。CE-MRA是诊断血管疾病的一种有用的临床工具。随着新型造影剂的发展,例如基于超极化核的造影剂,有可能进一步提高可实现的信号水平,从而实现目前无法达到的血管成像标准。
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