Magnetic resonance in medicine : official journal of the Society of Magnetic Resonance in Medicine
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Contrast-enhanced (CE) coronary magnetic resonance angiography (MRA) following intraarterial (IA) injection of contrast agent was compared using two sequences in swine: magnetization-prepared fast imaging with steady-state precession (True-FISP), and magnetization-prepared fast low-angle shot (FLASH). Thick-slice projection images were acquired with submillimeter in-plane spatial resolution (0.9 x 0.8 mm(2)). ⋯ The True-FISP acquisition resulted in an increase in signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) by approximately a factor of 2 over FLASH (P < 0.05). Magnetization-prepared True-FISP is a promising technique for catheter-directed CE thick-slice projection coronary MRA.
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Contrast reagents (CRs) may enter the tissue interstitium for a period after a vascular bolus injection. As the amount of interstitial CR increases, the longitudinal relaxographic NMR "shutter-speed" (T(-1)) for the equilibrium transcytolemmal water exchange process increases. The quantity T(-1) is given by |r(1o)[CR(o)] + R(1o0) - R(1i)| (where r(1o) and [CR(o)] represent the interstitial (extracellular) CR relaxivity and concentration, respectively, and R(1o0) and R(1i) are the extra- and intracellular (1)H(2)O relaxation rate constants, respectively, in the absence of exchange). ⋯ Thus, even relative pharmacokinetic quantities can be incorrectly represented in a parametric map that neglects this effect. The BOLERO analysis shows promise for in vivo vascular phenotyping in pathophysiology. It also includes a provision for approximating the separation of the perfusion and permeability contributions to CR extravasation.
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Comparative Study
Comparison of longitudinal metabolite relaxation times in different regions of the human brain at 1.5 and 3 Tesla.
In vivo longitudinal relaxation times of N-acetyl compounds (NA), choline-containing substances (Cho), creatine (Cr), myo-inositol (mI), and tissue water were measured at 1.5 and 3 T using a point-resolved spectroscopy (PRESS) sequence with short echo time (TE). T(1) values were determined in six different brain regions: the occipital gray matter (GM), occipital white matter (WM), motor cortex, frontoparietal WM, thalamus, and cerebellum. ⋯ The amounts of GM, WM, and cerebrospinal fluid (CSF) within the voxel were determined by segmentation of a 3D image data set. No influence of tissue composition on metabolite T(1) values was found, while the longitudinal relaxation times of water protons were strongly correlated with the relative GM content.
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Current implementations of coronary artery magnetic resonance angiography (MRA) suffer from limited coverage of the coronary arterial system. Whole-heart coronary MRA was implemented based on a free-breathing steady-state free-precession (SSFP) technique with magnetization preparation. The technique was compared to a similar implementation of conventional, thin-slab coronary MRA in 12 normal volunteers. ⋯ Whole-heart coronary MRA visualized LM/LAD (11.7 +/- 3.4 cm) and LCX (6.9 +/- 3.6 cm) over a significantly longer distance than the transverse volume (LM/LAD, 6.1 +/- 1.1 cm, P < 0.001; LCX, 4.2 +/- 1.2 cm, P < 0.05). Improvements in visible vessel length for RCA and LCX in the whole-heart approach vs. their respective targeted volumes were not significant. It is concluded that the whole-heart coronary MRA technique improves visible vessel length and facilitates high-quality coronary MRA of the complete coronary artery tree in a single measurement.