1
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Kim J, Sun C, Moon CH, Hetherington H, Pan J. Evaluation of the performance of a 7-T 8 × 2 transceiver array. NMR IN BIOMEDICINE 2024:e5146. [PMID: 38533593 DOI: 10.1002/nbm.5146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 02/16/2024] [Accepted: 02/21/2024] [Indexed: 03/28/2024]
Abstract
The decoupled 8 × 2 transceiver array has been shown to achieve a mean B1 + of 11.7 uT with a coefficient of variation of ~11% over the intracranial brain volume for 7-T MR imaging. However, this array may be thought to give lower signal-to-noise ratio (SNR) and higher g-factors for parallel imaging compared with a radio frequency (RF) receive-only coil due to the latter's higher coil count and use of coil overlap to reduce the mutual impedance. Nonetheless, because the transceiver's highly decoupled design (pertinent for transmission) should also be constructive for reception, we measured the noise correlation, g-factors, and SNR for the decoupled transceiver in comparison with a commercial reference coil. We found that although the transceiver has half the number of receive elements in comparison with the reference coil (16 vs. 32), comparable g-factors and SNR over the head were obtained. From five subjects, the transceiver versus reference coil SNR was 65 ± 10 versus 67 ± 15. The mean noise correlation for all coil pairs was 10% ± 5% and 12% ± 9% (transceiver and reference coil, respectively). As changes in load impedance may alter the S parameters, we also examined the performance of the transceiver with tuned and matched (TM) versus untuned and unmatched (UTM) conditions on five subjects. We found that the noise correlation and SNR are robust to load variation; a noise correlation of 10% ± 5% and 10% ± 6% was determined with TM versus UTM conditions (SNRUTM/SNRTM = 0.97 ± 0.08). Finally, we demonstrate the performance of the array in human brain using T2-weighted turbo spin echo imaging, finding excellent SNR performance in both caudal and rostral brain regions.
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Affiliation(s)
- Junghwan Kim
- Department of Radiology, University of Missouri, Columbia, Missouri, USA
- Department of Electrical Engineering and Computer Science, University of Missouri, Columbia, Missouri, USA
| | - Changyu Sun
- Department of Radiology, University of Missouri, Columbia, Missouri, USA
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, Missouri, USA
| | - Chan Hong Moon
- Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Hoby Hetherington
- Department of Radiology, University of Missouri, Columbia, Missouri, USA
- Resonance Research Inc., Billerica, Massachusetts, USA
| | - Jullie Pan
- Department of Radiology, University of Missouri, Columbia, Missouri, USA
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2
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Rios NL, Gilbert KM, Papp D, Cereza G, Foias A, Rangaprakash D, May MW, Guerin B, Wald LL, Keil B, Stockmann JP, Barry RL, Cohen-Adad J. An 8-channel Tx dipole and 20-channel Rx loop coil array for MRI of the cervical spinal cord at 7 Tesla. NMR IN BIOMEDICINE 2023; 36:e5002. [PMID: 37439129 PMCID: PMC10733907 DOI: 10.1002/nbm.5002] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 05/10/2023] [Accepted: 06/15/2023] [Indexed: 07/14/2023]
Abstract
The quality of cervical spinal cord images can be improved by the use of tailored radiofrequency (RF) coil solutions for ultrahigh field imaging; however, very few commercial and research 7-T RF coils currently exist for the spinal cord, and in particular, those with parallel transmission (pTx) capabilities. This work presents the design, testing, and validation of a pTx/Rx coil for the human neck and cervical/upper thoracic spinal cord. The pTx portion is composed of eight dipoles to ensure high homogeneity over this large region of the spinal cord. The Rx portion is made up of twenty semiadaptable overlapping loops to produce high signal-to-noise ratio (SNR) across the patient population. The coil housing is designed to facilitate patient positioning and comfort, while also being tight fitting to ensure high sensitivity. We demonstrate RF shimming capabilities to optimize B1 + uniformity, power efficiency, and/or specific absorption rate efficiency. B1 + homogeneity, SNR, and g-factor were evaluated in adult volunteers and demonstrated excellent performance from the occipital lobe down to the T4-T5 level. We compared the proposed coil with two state-of-the-art head and head/neck coils, confirming its superiority in the cervical and upper thoracic regions of the spinal cord. This coil solution therefore provides a convincing platform for producing the high image quality necessary for clinical and research scanning of the upper spinal cord.
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Affiliation(s)
- Nibardo Lopez Rios
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montréal, QC, Canada
| | - Kyle M. Gilbert
- Centre for Functional and Metabolic Mapping, The University of Western Ontario, London, ON, Canada
| | - Daniel Papp
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montréal, QC, Canada
| | - Gaspard Cereza
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montréal, QC, Canada
| | - Alexandru Foias
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montréal, QC, Canada
| | - D. Rangaprakash
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Markus W. May
- Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany
- High Field and Hybrid MR Imaging, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
| | - Bastien Guerin
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Lawrence L. Wald
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
- Harvard-Massachusetts Institute of Technology Health Sciences & Technology, Cambridge, MA, USA
| | - Boris Keil
- Institute of Medical Physics and Radiation Protection, University of Applied Sciences Mittelhessen, Giessen, Germany
- Department of Diagnostic and Interventional Radiology, University Hospital Marburg, Philipps University of Marburg, Marburg, Germany
| | - Jason P. Stockmann
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Robert L. Barry
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
- Harvard-Massachusetts Institute of Technology Health Sciences & Technology, Cambridge, MA, USA
| | - Julien Cohen-Adad
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montréal, QC, Canada
- Functional Neuroimaging Unit, CRIUGM, Université de Montréal, Montreal, QC, Canada
- Mila – Quebec AI Institute, Montreal, QC, Canada
- Centre de recherche du CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada
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3
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Rios NL, Gilbert KM, Papp D, Cereza G, Foias A, Rangaprakash D, May MW, Guerin B, Wald LL, Keil B, Stockmann JP, Barry RL, Cohen-Adad J. 8-channel Tx dipole and 20-channel Rx loop coil array for MRI of the cervical spinal cord at 7 Tesla. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.02.08.527664. [PMID: 36798276 PMCID: PMC9934596 DOI: 10.1101/2023.02.08.527664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
The quality of cervical spinal cord images can be improved by the use of tailored radiofrequency coil solutions for ultra-high field imaging; however, very few commercial and research 7 Tesla radiofrequency coils currently exist for the spinal cord, and in particular those with parallel transmit capabilities. This work presents the design, testing and validation of a pTx/Rx coil for the human neck and cervical/upper-thoracic spinal cord. The pTx portion is composed of 8 dipoles to ensure high homogeneity over this large region of the spinal cord. The Rx portion is made of 20 semi-adaptable overlapping loops to produce high Signal-to-noise ratio (SNR) across the patient population. The coil housing is designed to facilitate patient positioning and comfort, while being tight fitting to ensure high sensitivity. We demonstrate RF shimming capabilities to optimize B 1 + uniformity, power efficiency and/or specific absorption rate (SAR) efficiency. B 1 + homogeneity, SNR and g-factor was evaluated in adult volunteers and demonstrated excellent performance from the occipital lobe down to the T4-T5 level. We compared the proposed coil with two state-of-the-art head and head/neck coils, confirming its superiority in the cervical and upper-thoracic regions of the spinal cord. This coil solution therefore provides a convincing platform for producing the high image quality necessary for clinical and research scanning of the upper spinal cord.
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Affiliation(s)
- Nibardo Lopez Rios
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montreal, QC, Canada
| | - Kyle M. Gilbert
- Centre for Functional and Metabolic Mapping, The University of Western Ontario, London, ON, Canada
| | - Daniel Papp
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montreal, QC, Canada
| | - Gaspard Cereza
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montreal, QC, Canada
| | - Alexandru Foias
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montreal, QC, Canada
| | - D. Rangaprakash
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Markus W. May
- Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany
- High Field and Hybrid MR Imaging, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
| | - Bastien Guerin
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Lawrence L. Wald
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
- Harvard-Massachusetts Institute of Technology Health Sciences & Technology, Cambridge, MA, USA
| | - Boris Keil
- Institute of Medical Physics and Radiation Protection, University of Applied Sciences Mittelhessen, Giessen, Germany
- Department of Diagnostic and Interventional Radiology, University Hospital Marburg, Philipps University of Marburg, Marburg, Germany
| | - Jason P. Stockmann
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Robert L. Barry
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
- Harvard Medical School, Boston, MA, USA
- Harvard-Massachusetts Institute of Technology Health Sciences & Technology, Cambridge, MA, USA
| | - Julien Cohen-Adad
- NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montreal, QC, Canada
- Functional Neuroimaging Unit, CRIUGM, Université de Montréal, Montreal, QC, Canada
- Mila – Quebec AI Institute, Montreal, QC, Canada
- Centre de recherche du CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada
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4
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Williams SN, McElhinney P, Gunamony S. Ultra-high field MRI: parallel-transmit arrays and RF pulse design. Phys Med Biol 2023; 68. [PMID: 36410046 DOI: 10.1088/1361-6560/aca4b7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 11/21/2022] [Indexed: 11/22/2022]
Abstract
This paper reviews the field of multiple or parallel radiofrequency (RF) transmission for magnetic resonance imaging (MRI). Currently the use of ultra-high field (UHF) MRI at 7 tesla and above is gaining popularity, yet faces challenges with non-uniformity of the RF field and higher RF power deposition. Since its introduction in the early 2000s, parallel transmission (pTx) has been recognized as a powerful tool for accelerating spatially selective RF pulses and combating the challenges associated with RF inhomogeneity at UHF. We provide a survey of the types of dedicated RF coils used commonly for pTx and the important modeling of the coil behavior by electromagnetic (EM) field simulations. We also discuss the additional safety considerations involved with pTx such as the specific absorption rate (SAR) and how to manage them. We then describe the application of pTx with RF pulse design, including a practical guide to popular methods. Finally, we conclude with a description of the current and future prospects for pTx, particularly its potential for routine clinical use.
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Affiliation(s)
- Sydney N Williams
- Imaging Centre of Excellence, University of Glasgow, Glasgow, United Kingdom
| | - Paul McElhinney
- Imaging Centre of Excellence, University of Glasgow, Glasgow, United Kingdom
| | - Shajan Gunamony
- Imaging Centre of Excellence, University of Glasgow, Glasgow, United Kingdom.,MR CoilTech Limited, Glasgow, United Kingdom
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5
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Yuan Q, Li H, Du B, Dang Q, Chang Q, Zhang Z, Zhang M, Ding G, Lu C, Guo T. The cerebellum and cognition: further evidence for its role in language control. Cereb Cortex 2022; 33:35-49. [PMID: 35226917 DOI: 10.1093/cercor/bhac051] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 12/27/2021] [Accepted: 01/26/2022] [Indexed: 11/14/2022] Open
Abstract
The cognitive function of the human cerebellum could be characterized as enigmatic. However, researchers have attempted to detail the comprehensive role of the cerebellum in several cognitive processes in recent years. Here, using functional magnetic resonance imaging (fMRI) and transcranial direct current stimulation (tDCS), we revealed different functions of bilateral cerebellar lobules in bilingual language production. Specifically, brain activation showed the bilateral posterolateral cerebellum was associated with bilingual language control, and an effective connectivity analysis built brain networks for the interaction between the cerebellum and the cerebral cortex. Furthermore, anodal tDCS over the right cerebellum significantly optimizes language control performance in bilinguals. Together, these results reveal a precise asymmetrical functional distribution of the cerebellum in bilingual language production, suggesting that the right cerebellum is more involved in language control. In contrast, its left counterpart undertakes a computational role in cognitive control function by connecting with more prefrontal, parietal, subcortical brain areas.
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Affiliation(s)
- Qiming Yuan
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Hehui Li
- Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen 518061, China
| | - Boqi Du
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Qinpu Dang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Qianwen Chang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Zhaoqi Zhang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Man Zhang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Guosheng Ding
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
- Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing 100875, China
| | - Chunming Lu
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
- Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing 100875, China
| | - Taomei Guo
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
- Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing 100875, China
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6
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Gokyar S, Voss HU, Taracila V, Robb FJL, Bernico M, Kelley D, Ballon DJ, Winkler SA. A pathway towards a two-dimensional, bore-mounted, volume body coil concept for ultra high-field magnetic resonance imaging. NMR IN BIOMEDICINE 2022; 35:e4802. [PMID: 35834176 DOI: 10.1002/nbm.4802] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 07/08/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
Lack of a body-sized, bore-mounted, radiofrequency (RF) body coil for ultrahigh field (UHF) magnetic resonance imaging (MRI) is one of the major drawbacks of UHF, hampering the clinical potential of the technology. Transmit field (B1 ) nonuniformity and low specific absorption rate (SAR) efficiencies in UHF MRI are two challenges to be overcome. To address these problems, and ultimately provide a pathway for the full clinical potential of the modality, we have designed and simulated two-dimensional cylindrical high-pass ladder (2D c-HPL) architectures for clinical bore-size dimensions, and demonstrated a simplified proof of concept with a head-sized prototype at 7 T. A new dispersion relation has been derived and electromagnetic simulations were used to verify coil modes. The coefficient of variation (CV) for brain, cerebellum, heart, and prostate tissues after B1 + shimming in silico is reported and compared with previous works. Three prototypes were designed in simulation: a head-sized, body-sized, and long body-sized coil. The head-sized coil showed a CV of 12.3%, a B1 + efficiency of 1.33 μT/√W, and a SAR efficiency of 2.14 μT/√(W/kg) for brain simulations. The body-sized 2D c-HPL coil was compared with same-sized transverse electromagnetic (TEM) and birdcage coils in silico with a four-port circularly polarized mode excitation. Improved B1 + uniformity (26.9%) and SAR efficiency (16% and 50% better than birdcage and TEM coils, respectively) in spherical phantoms was observed. We achieved a CV of 12.3%, 4.9%, 16.7%, and 2.8% for the brain, cerebellum, heart, and prostate, respectively. Preliminary imaging results for the head-sized coil show good agreement between simulation and experiment. Extending the 1D birdcage coil concept to 2D c-HPLs provides improved B1 + uniformity and SAR efficiency.
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Affiliation(s)
- Sayim Gokyar
- Department of Radiology, Weill Cornell Medicine, New York, New York, USA
- USC Mark and Mary Stevens Neuroimaging and Informatics Institute, Los Angeles, California, USA
| | - Henning U Voss
- College of Human Ecology, Cornell University, Ithaca, New York, USA
| | | | | | | | | | - Douglas J Ballon
- Department of Radiology, Weill Cornell Medicine, New York, New York, USA
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7
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Bielak L, Henrik Nicolay N, Ludwig U, Lottner T, Rühle A, Grosu AL, Bock M. Improvement of diffusion weighted MRI by practical B 0 homogenization for head & neck cancer patients undergoing radiation therapy. Phys Med 2022; 97:59-65. [PMID: 35413606 DOI: 10.1016/j.ejmp.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 02/08/2022] [Accepted: 04/04/2022] [Indexed: 10/18/2022] Open
Abstract
BACKGROUND MRI is a frequently used tool in radiation therapy planning. For MR-based tumor segmentation, diffusion weighted imaging plays a major role, which can fail due to excessive image artifacts for head and neck cancer imaging. Here, an easy-to-use setup is presented for imaging of head and neck cancer patients in a radiotherapy thermoplastic fixation mask. METHODS In a prospective head and neck cancer study, MRI data of 29 patients has been acquired at 3 different time points during radiation treatment. The data was analyzed with respect to Nyquist ghosting artifacts in the diffusion images in conventional single shot and readout segmented EPI sequences. For 9 patients, an improved setup with water bags for B0 homogenization was used, and the impact on artifact frequency was analyzed. Additionally, volunteer measurements with B0 fieldmaps are presented. RESULTS The placement of water bags to the sides of the head during MRI measurements significantly reduces artefacts in diffusion MRI. The number of artifact-free images in readout segmented EPI increased from 74% to 95% of the cases. Volunteer measurements showed a significant increase in B0 homogeneity across slices (head foot direction) as well as within each slice. CONCLUSIONS The placement of water bags for B0 homogenization is easy to implement, cost-efficient and does not impact patient comfort. Therefore, if very sophisticated soft- or hardware solutions are not present at a given site, or cannot be implemented due to restrictions from the thermoplastic mask, this is an excellent alternative to reduce artifacts in diffusion weighted imaging.
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Affiliation(s)
- Lars Bielak
- Dept. of Radiology, Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; German Cancer Consortium (DKTK), Partner Site Freiburg, Freiburg, Germany.
| | - Nils Henrik Nicolay
- Dept. of Radiation Oncology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; German Cancer Consortium (DKTK), Partner Site Freiburg, Freiburg, Germany
| | - Ute Ludwig
- Dept. of Radiology, Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Thomas Lottner
- Dept. of Radiology, Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Alexander Rühle
- Dept. of Radiation Oncology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Anca-Ligia Grosu
- Dept. of Radiation Oncology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; German Cancer Consortium (DKTK), Partner Site Freiburg, Freiburg, Germany
| | - Michael Bock
- Dept. of Radiology, Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; German Cancer Consortium (DKTK), Partner Site Freiburg, Freiburg, Germany
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8
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Improvement of magnetic resonance imaging using a wireless radiofrequency resonator array. Sci Rep 2021; 11:23034. [PMID: 34845314 PMCID: PMC8630230 DOI: 10.1038/s41598-021-02533-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 11/17/2021] [Indexed: 11/21/2022] Open
Abstract
In recent years, new human magnetic resonance imaging systems operating at static magnetic fields strengths of 7 Tesla or higher have become available, providing better signal sensitivity compared with lower field strengths. However, imaging human-sized objects at such high field strength and associated precession frequencies is limited due to the technical challenges associated with the wavelength effect, which substantially disturb the transmit field uniformity over the human body when conventional coils are used. Here we report a novel passive inductively-coupled radiofrequency resonator array design with a simple structure that works in conjunction with conventional coils and requires only to be tuned to the scanner's operating frequency. We show that inductive-coupling between the resonator array and the coil improves the transmit efficiency and signal sensitivity in the targeted region. The simple structure, flexibility, and cost-efficiency make the proposed array design an attractive approach for altering the transmit field distribution specially at high field systems, where the wavelength is comparable with the tissue size.
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9
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Meixner CR, Eisen CK, Schmitter S, Müller M, Herrler J, Hensel B, Dörfler A, Uder M, Nagel AM. Hybrid B 1 + -shimming and gradient adaptions for improved pseudo-continuous arterial spin labeling at 7 Tesla. Magn Reson Med 2021; 87:207-219. [PMID: 34411335 DOI: 10.1002/mrm.28982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 08/03/2021] [Accepted: 08/03/2021] [Indexed: 11/09/2022]
Abstract
PURPOSE To improve pseudo-continuous arterial spin labeling (pcASL) at 7T by exploiting a hybrid homogeneity- and efficiency-optimized B 1 + -shim with adapted gradient strength as well as background suppression. METHODS The following three experiments were performed at 7T, each employing five volunteers: (1) A hybrid (ie, homogeneity-efficiency optimized) B 1 + -shim was introduced and evaluated for variable-rate selective excitation pcASL labeling. Therefore, B 1 + -maps in the V3 segment and time-of-flight images were acquired to identify the feeding arteries. For validation, a gradient-echo sequence was applied in circular polarized (CP) mode and with the hybrid B 1 + -shim. Additionally, the gray matter (temporal) signal-to-noise ratio (tSNR) in pcASL perfusion images was evaluated. (2) Bloch simulations for the pcASL labeling were conducted and validated experimentally, with a focus on the slice-selective gradients. (3) Background suppression was added to the B 1 + -shimmed, gradient-adapted 7T sequence and this was then compared to a matched sequence at 3T. RESULTS The B 1 + -shim improved the signal within the labeling plane (23.6%) and the SNR/tSNR increased (+11%/+11%) compared to its value in CP mode; however, the increase was not significant. In accordance with the simulations, the adapted gradients increased the tSNR (35%) and SNR (45%) significantly. Background suppression further improved the perfusion images at 7T, and this protocol performed as well as a resolution-matched protocol at 3T. CONCLUSION The combination of the proposed hybrid B 1 + -phase-shim with the adapted slice-selective gradients and background suppression shows great potential for improved pcASL labeling under suboptimal B 1 + conditions at 7T.
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Affiliation(s)
- Christian R Meixner
- Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Christian K Eisen
- Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Sebastian Schmitter
- Physikalisch-Technische Bundesanstalt, Braunschweig and Berlin, Germany.,Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Max Müller
- Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Jürgen Herrler
- Department of Neuroradiology, University Hospital Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Bernhard Hensel
- Center for Medical Physics and Engineering, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Arnd Dörfler
- Department of Neuroradiology, University Hospital Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Michael Uder
- Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Armin M Nagel
- Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.,Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
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10
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Zhu Y, Lu M, Grissom WA, Gore JC, Yan X. Hybrid-pair ratio adjustable power splitters for add-on RF shimming and array-compressed parallel transmission. Magn Reson Med 2021; 86:3382-3390. [PMID: 34286860 DOI: 10.1002/mrm.28934] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 06/08/2021] [Accepted: 07/01/2021] [Indexed: 02/03/2023]
Abstract
PURPOSE A ratio adjustable power splitter (RAPS) circuit was recently proposed for add-on RF shimming and array-compressed parallel transmission. Here we propose a new RAPS circuit design based on off-the-shelf components for improved performance and manufacturability. THEORY AND METHODS The original RAPS used a pair of home-built Wilkinson splitter and hybrid coupler connected by a pair of connectorized coaxial cables. Here we propose a new hybrid-pair RAPS (or HP-RAPS) circuit that replaces the home-built circuits with two commercially available hybrid couplers and replaces connectorized cables with interchangeable microstrip lines. We derive the relation between the desired splitting ratio and the required phase shifts for HP-RAPS and investigate how to generate arbitrary splitting ratios using paired meandering and straight lines. Several HP-RAPSs with different splitting ratios were fabricated and tested on the workbench and MRI experiments. RESULTS The splitting ratio of an HP-RAPS circuit has a tan or cot dependence on the meandering line's additional length compared to the straight line. The fabricated HP-RAPSs exhibit accurate splitting ratios as expected (<4% deviations) and generate transmit fields that well agree with predicted fields. They also demonstrated a low insertion loss of 0.33 dB, high output isolation of -26 dB, and acceptable impedance matching of -16 dB. CONCLUSION A novel HP-RAPS circuit was developed and implemented. It is easy-to-fabricate/reproduce with minimal expertise. It also preserves the features of the original RAPS circuit (ratio-adjustable, small footprint, etc.) with lower insertion loss.
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Affiliation(s)
- Yue Zhu
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Ming Lu
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | - William A Grissom
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA
| | - John C Gore
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA
| | - Xinqiang Yan
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.,Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
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11
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Orzada S, Fiedler TM, Quick HH, Ladd ME. Post-processing algorithms for specific absorption rate compression. Magn Reson Med 2021; 86:2853-2861. [PMID: 34216047 DOI: 10.1002/mrm.28909] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 05/19/2021] [Accepted: 06/10/2021] [Indexed: 11/06/2022]
Abstract
PURPOSE Compression of local specific absorption rate (SAR) matrices is essential for enabling SAR monitoring and efficient pulse calculation in parallel transmission. Improvements in compression result in lower error margin and/or lower number of virtual observation points (VOPs). The purpose of this work is to introduce two algorithms for post-processing of already compressed VOP sets. One calculates individual overestimation matrices for the VOPs to reduce overestimation, the other identifies redundant VOPs. METHODS The first algorithm was evaluated for VOP sets calculated for three different transmit arrays with either 8 or 16 channels. For each array, two different overestimation matrices were used to generate the VOP sets. Each post-processed VOP set was evaluated using one million random excitation vectors and the results compared to the VOP set before post-processing. The second algorithm was evaluated by utilizing the same random excitation vectors and comparing the results after removal of the redundant VOPs with the results before removal to verify that these were identical. RESULTS The first algorithm reduced the mean overestimation by up to four fifths compared to the original set, while keeping the number of VOPs constant. The second algorithm decreased the number of VOPs generated by a compression with Eichfelder and Gebhardt's algorithm by more than 40% in 40% of the investigated cases and by more than 20% in 73% of the investigated cases. CONCLUSION Two post-processing algorithms are presented that enhance previously compressed VOP sets by improving the accuracy per number of VOPs.
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Affiliation(s)
- Stephan Orzada
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Thomas M Fiedler
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Harald H Quick
- Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany.,High-Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany
| | - Mark E Ladd
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.,Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany.,Faculty of Physics and Astronomy, University of Heidelberg, Heidelberg, Germany.,Faculty of Medicine, University of Heidelberg, Heidelberg, Germany
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12
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Sun C, Patel K, Wilcox M, Dimitrov IE, Cheshkov S, McDougall M, Wright SM. A retrofit to enable dynamic B 1 + steering for transmit arrays without multiple amplifiers. Magn Reson Med 2020; 85:3497-3509. [PMID: 33314274 DOI: 10.1002/mrm.28632] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 10/28/2020] [Accepted: 11/13/2020] [Indexed: 12/13/2022]
Abstract
PURPOSE B 1 + shimming is an important method for mitigating B1 inhomogeneity in high-field MRI. Using independent power amplifiers for each transmit (Tx) element is the preferred method for B1 shimming but comes with a high cost. Conversely, the simplest approach to control a Tx array is by using coaxial cables of varying length in the Tx chain, but this approach is cumbersome and impractical for dynamic shimming. In this article, a system is described that enables dynamic, phase-only, eight-channel B 1 + steering on a 7T MR scanner with only two power amplifiers. METHODS Power dividers were utilized to first split the existing two-channel Tx signal into eight channels. Digitally controlled phase shifters on each channel were designed to provide independent phase shifts with a resolution of 22.5° (from 0°, 22.5° … 337.5°). To validate the system, an eight-channel body dipole array was simulated and constructed for bench and 7T imaging and evaluation. RESULTS The phase conjugate B 1 + steering method was employed at three different spatial positions in simulation, bench measurements, and scanner measurements-all with matching results. At the desired points, regions with homogenous B 1 + were generated, indicating good Tx steering to the selected region. CONCLUSION The described system can be used as a simple retrofit to existing hardware to provide phase control while avoiding the need to manually switch cables and without requiring independent power amplifiers for each channel, thus demonstrating the ability to perform dynamic B 1 + shimming with increased degrees of freedom but without significantly increased hardware cost.
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Affiliation(s)
- Chenhao Sun
- Department of Electrical and Computer Engineering, Texas A&M University, College Station, Texas, USA
| | - Kevin Patel
- Department of Electrical and Computer Engineering, Texas A&M University, College Station, Texas, USA
| | - Matthew Wilcox
- Department of Biomedical Engineering, Texas A&M University, College Station, Texas, USA
| | - Ivan E Dimitrov
- Philips Healthcare, Gainesville, Florida, USA.,Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Sergey Cheshkov
- Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.,Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Mary McDougall
- Department of Electrical and Computer Engineering, Texas A&M University, College Station, Texas, USA.,Department of Biomedical Engineering, Texas A&M University, College Station, Texas, USA
| | - Steven M Wright
- Department of Electrical and Computer Engineering, Texas A&M University, College Station, Texas, USA.,Department of Biomedical Engineering, Texas A&M University, College Station, Texas, USA
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13
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Maunder A, Rao M, Robb F, Wild JM. An 8-element Tx/Rx array utilizing MEMS detuning combined with 6 Rx loops for 19 F and 1 H lung imaging at 1.5T. Magn Reson Med 2020; 84:2262-2277. [PMID: 32281139 DOI: 10.1002/mrm.28260] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 02/27/2020] [Accepted: 02/27/2020] [Indexed: 12/24/2022]
Abstract
PURPOSE To firstly improve the attainable image SNR of 19 F and 1 H C3 F8 lung imaging at 1.5 tesla using an 8-element transmit/receive (Tx/Rx) flexible vest array combined with a 6-element Rx-only array, and to secondly evaluate microelectromechanical systems for switching the array elements between the 2 resonant frequencies. METHODS The Tx efficiency and homogeneity of the 8-element array were measured and simulated for 1 H imaging in a cylindrical phantom and then evaluated for in vivo 19 F/1 H imaging. The added improvement provided by the 6-element Rx-only array was quantified through simulation and measurement and compared to the ultimate SNR. It was verified through the measurement of isolation that microelectromechanical systems switches provided broadband isolation of Tx/Rx circuitry such that the 19 F tuned Tx/Rx array could be effectively used for both 19 F and 1 H nuclei. RESULTS For 1 H imaging, the measured Tx efficiency/homogeneity (mean ± percent SD; 6.79 μ T / kW ± 26 % ) was comparable to that simulated ( 7.57 μ T / kW ± 20 % ). The 6 additional Rx-only loops increased the mean Rx sensitivity when compared to the 8-element array by a factor of 1.41× and 1.45× in simulation and measurement, respectively. In regions central to the thorax, the simulated SNR of the 14-element array achieves ≥70% of the ultimate SNR when including noise from the matching circuits and preamplifiers. A measured microelectromechanical systems switching speed of 12 µs and added minimum 22 dB of isolation between Tx and Rx were sufficient for Tx/Rx switching in this application. CONCLUSION The described single-tuned array driven at 19 F and 1 H, utilizing microelectromechanical systems technology, provides excellent results for 19 F and 1 H dual-nuclear lung ventilation imaging.
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Affiliation(s)
- Adam Maunder
- POLARIS, Imaging Group, Department of IICD, University of Sheffield, Sheffield, United Kingdom
| | - Madhwesha Rao
- POLARIS, Imaging Group, Department of IICD, University of Sheffield, Sheffield, United Kingdom
| | - Fraser Robb
- POLARIS, Imaging Group, Department of IICD, University of Sheffield, Sheffield, United Kingdom.,GE Healthcare, Aurora, OH, USA
| | - Jim M Wild
- POLARIS, Imaging Group, Department of IICD, University of Sheffield, Sheffield, United Kingdom
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14
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Moon HC, Oh BH, Cheong C, Kim WS, Min KS, Kim YG, Park YS. Precentral and cerebellar atrophic changes in moyamoya disease using 7-T magnetic resonance imaging. Acta Radiol 2020; 61:487-495. [PMID: 31378078 DOI: 10.1177/0284185119866808] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Background Chronic repeated transient ischemic changes are one of the common symptoms of moyamoya disease that could affect cortical and subcortical atrophy. Purpose We aimed to assess the cortical gray matter volume and thickness, white matter subcortical volume, and clinical characteristics using 7-T magnetic resonance imaging (MRI) and MR angiography (MRA). Material and Methods In this case-control study, whole-brain parcellation of gray matter and subcortical volumes were manually assessed in nine patients with moyamoya disease (18 hemispheres; median age = 34 years; age range = 10–60 years) and nine healthy controls (18 hemispheres; median age = 29 years; age range = 20–62 years) matched for age and sex, who underwent both 7-T MRI and MRA. The volumes were measured using high-resolution image (<1 mm) processing based on the Desikan-Killiany-Tourville (DKT) atlas, via an automated segmentation method (FreeSurfer version 6.0). Results The gray matter volume of the left precentral cortex and the white matter volume of the subcortical cerebellum were lower in both hemispheres in the patients with moyamoya disease compared to the healthy controls. Conclusion Gray matter atrophy in the precentral cortex and cerebellar white matter were detected in this 7-T MRI volumetric analysis study of patients with moyamoya disease who experienced repeated transient ischemic changes. Cortical atrophy in precentral cortex and cerebellum could explain the transient motor weakness in patients with moyamoya disease, as one of the early findings was that patients with moyamoya disease do not have detectable infarction changes on conventional MRI images.
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Affiliation(s)
- Hyeong Cheol Moon
- Department of Neurosurgery, GKS Center, Chungbuk National University Hospital, Cheongju, Republic of Korea
- Department of Medical Neuroscience, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Byeong Ho Oh
- Department of Neurosurgery, GKS Center, Chungbuk National University Hospital, Cheongju, Republic of Korea
| | - Chaejoon Cheong
- Bioimaging Research Team, Korea Basic Science Institute, Ochang, Cheongju, Republic of Korea
- Department of Bio-Analytical Science, University of Science and Technology, Daejeon, Republic of Korea
| | - Won Seop Kim
- Department of Pediatrics, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Kyung Soo Min
- Department of Neurosurgery, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Young Gyu Kim
- Department of Neurosurgery, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Young Seok Park
- Department of Neurosurgery, GKS Center, Chungbuk National University Hospital, Cheongju, Republic of Korea
- Department of Medical Neuroscience, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
- Department of Neurosurgery, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
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15
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Abstract
Radiofrequency (RF) coils are an essential part of the magnetic resonance (MR) system. To exploit the inherently higher signal-to-noise ratio at ultrahigh magnetic fields (UHF), research sites were forced to build up expertise in RF coil development, as the number of commercially available RF coils were limited. In addition, an integrated transmit body RF coil, which is well-established at MR systems of lower field strength, is still missing at UHF due to technical and physical constraints. This review article provides a brief recapitulation of RF characteristics and RF coils in general to introduce terminology and RF-related parameters, and will then provide an extensive overview of current state-of-the-art RF coils used for MRI from head to toe at 7 Tesla. Finally, a section on RF safety will briefly discuss challenges in performing a safety assessment for custom-designed RF coils, and issues arising from the interaction of the RF field and potentially implanted medical devices.
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Affiliation(s)
- Oliver Kraff
- Erwin L. Hahn Institute for MR Imaging, University of Duisburg-Essen, Essen, Germany
| | - Harald H Quick
- Erwin L. Hahn Institute for MR Imaging, University of Duisburg-Essen, Essen, Germany
- High-Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany
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16
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Topographic Maps of Visual Space in the Human Cerebellum. Curr Biol 2019; 29:1689-1694.e3. [DOI: 10.1016/j.cub.2019.04.012] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 02/22/2019] [Accepted: 04/04/2019] [Indexed: 11/19/2022]
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17
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Clément JD, Gruetter R, Ipek Ö. A human cerebral and cerebellar 8‐channel transceive RF dipole coil array at 7T. Magn Reson Med 2018; 81:1447-1458. [PMID: 30226637 DOI: 10.1002/mrm.27476] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Revised: 06/25/2017] [Accepted: 07/10/2018] [Indexed: 02/01/2023]
Abstract
PURPOSE Dipole antennas that provide high transmit field penetration with large coverage, and their use in a parallel transmit setup, may be advantageous in minimizing B 1 + -field inhomogeneities at ultra-high field, i.e 7T. We have developed and evaluated an 8-channel RF dipole coil array for imaging the entire cerebral and cerebellar regions in man. METHODS A coil array was modeled with seven dipoles: six placed covering the occipital and temporal lobes; one covering the parietal lobe; and two loops covering the frontal lobe. Center-shortened and fractionated dipoles were simulated for the array configuration and assessed with respect to B 1 + -field at maximum specific absorption rate averaged over 10 g tissue regions in human brain. The whole-brain center-shortened dipoles with frontal loops coil array was constructed and its transmit properties were assessed with respect to MR images, B 1 + -field, and homogeneity. RESULTS In simulations, the dipole arrays showed comparable performances to cover the whole-brain. However, for ease of construction, the center-shortened dipole was favored. High spatial resolution anatomical images of the human brain with the coil array demonstrated a full coverage of the cerebral cortex and cerebellum. CONCLUSIONS The 8-channel center-shortened dipoles and frontal loops coil array promises remarkable efficiency in highly challenging regions as the cerebellum, and phase-only RF shimming of whole-brain could greatly benefit ultra-high field magnetic resonance imaging of the human brain at 7T.
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Affiliation(s)
- Jérémie D. Clément
- LIFMET Ecole Polytechnique Fédérale de Lausanne (EPFL) Geneva Switzerland
| | - Rolf Gruetter
- LIFMET Ecole Polytechnique Fédérale de Lausanne (EPFL) Geneva Switzerland
- Department of Radiology University of Geneva Geneva Switzerland
- Department of Radiology University of Lausanne Lausanne Switzerland
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