NMR in biomedicine
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Diffusion tensor imaging (DTI) and its metrics, such as mean diffusivity (MD) and fractional anisotropy (FA), have been used to detect the extent of brain tumors and understand tumor growth and its influence on the surrounding tissue. However, there are conflicting reports on how DTI metrics can be used for tumor diagnosis. The physiological interpretation of these metrics in terms of tumor growth is also not clear. ⋯ F98 had a larger difference in anisotropies between tumor and peritumor regions than 9L. From the eigenvalues, it was found that the increase in CL and trace of the 9L tumor was due to an increase in the primary eigenvalue, whereas the increase in CP in the peritumor region was due to an increase in both primary and secondary eigenvalues and a decrease in tertiary eigenvalue. Our results indicate that shape-oriented anisotropy measures, such as CL and CP, and orientational coherence measures, such as LI, can provide useful information in differentiating these two tumor models and also differentiating tumor from peritumoral regions.
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Single-shot echo-planar imaging (EPI) is an important method for MRI of the brain. A method has been developed to double the resolution of EPI in the phase-encode direction, without requiring increases in the maximum gradient amplitude or slew rate. The new approach is based on an EPI implementation of the TRAIL (two reduced acquisitions interleaved) method, in which two images, acquired in rapid succession, are spatially interleaved. ⋯ However, the individual readouts do not increase in length, so there is no increase in image blurring, and distortion is halved as a result of the closer temporal spacing of the acquired k-space lines. A correction method is also presented to remove additional potential Nyquist ghosting. The new method is demonstrated in vivo at 4.7 T and could in principle be combined with existing approaches for increasing resolution, such as partial Fourier or parallel imaging.
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A segmental, multislice, multi-echo T2* MRI approach could be useful in heart iron-overloaded patients to account for heterogeneous iron distribution, demonstrated by histological studies. However, segmental T2* assessment in heart can be affected by the presence of geometrical and susceptibility artefacts, which can act on different segments in different ways. The aim of this study was to assess T2* value distribution in the left ventricle and to develop a correction procedure to compensate for artefactual variations in segmental analysis. ⋯ Group III showed a greater variability with respect to normal subjects. The correction map failed to compensate for these variations if both additive and percentage-based corrections were applied. This may reinforce the hypothesis that true inhomogeneity in iron deposition exists.
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Cine displacement-encoded MRI is a promising modality for quantifying regional myocardial function. However, it has two major limitations: low signal-to-noise ratio (SNR) and data acquisition efficiency. The purpose of this study was to incrementally improve the SNR and the data acquisition efficiency of cine displacement-encoded MRI through the combined use of balanced steady-state free precession (b-SSFP) imaging, 3T imaging, echo-combination image reconstruction, and time-adaptive sensitivity encoding (TSENSE) parallel imaging. ⋯ The 12-heartbeat twofold accelerated b-SSFP acquisition yielded functional maps with spatial resolution of 3.6 x 3.6 mm, temporal resolution of 35 ms, and relatively high SNR (31.2 +/- 5.4 at end diastole; 19.9 +/- 3.6 at end systole; 10.3 +/- 1.1 at late diastole; mean +/- SD). The left ventricular strain values between the non-accelerated and twofold accelerated b-SSFP acquisitions correlated strongly (slope = 0.99; bias = 0.00; R2 = 0.91) and were in excellent agreement. The combined implementation of b-SSFP imaging, 3T imaging, echo-combination image reconstruction, and TSENSE parallel imaging can be used to incrementally improve the cine displacement-encoded MRI pulse sequence.
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Determination of the apparent diffusion coefficient (ADC) of the prostate in men (n = 60) with raised prostate-specific antigen (PSA) or an abnormal digital rectal examination (DRE) prior to transrectal ultrasound (TRUS) guided biopsy using endorectal DWI is reported. Patients were categorized into different groups based on their PSA levels. The mean ADC was calculated from a number of regions of interest (ROIs) for the whole of the peripheral zone (PZ) and the central gland (CG). ⋯ A plot between PSA and mean ADC for the PZ showed non-linear association with logarithmic decrease in ADC. The mean ADC of the CG was not significantly different in patients who were positive or negative for malignancy in biopsy. In addition, a cut-off value of 1.17 x 10(-3) mm2/s (sensitivity = 73% and specificity = 74%, area under the curve = 0.83) for the mean ADC for the whole of the PZ of patients was determined by using the receiver operating characteristic curve (ROC) to predict malignancy of the PZ.