| 1. |
- Fahlström, Markus, et al.
(författare)
-
A mathematical model for temporal cerebral blood flow response to acetazolamide evaluated in patients with Moyamoya disease
- 2024
-
Ingår i: Magnetic Resonance Imaging. - : Elsevier. - 0730-725X .- 1873-5894. ; 110, s. 35-42
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Paired cerebral blood flow (CBF) measurement is usually acquired before and after vasoactive stimulus to estimate cerebrovascular reserve (CVR). However, CVR may be confounded because of variations in time-to-maximum CBF response (tmax) following acetazolamide injection. With a mathematical model, CVR can be calculated insensitive to variations in tmax, and a model offers the possibility to calculate additional model-derived parameters. A model that describes the temporal CBF response following a vasodilating acetazolamide injection is proposed and evaluated.Methods: A bi-exponential model was adopted and fitted to four CBF measurements acquired using arterial spin labelling before and initialised at 5, 15 and 25 min after acetazolamide injection in a total of fifteen patients with Moyamoya disease. Curve fitting was performed using a non-linear least squares method with a priori constraints based on simulations.Results: Goodness of fit (mean absolute error) varied between 0.30 and 0.62 ml·100 g-1·min-1. Model-derived CVR was significantly higher compared to static CVR measures. Maximum CBF increase occurred earlier in healthy- compared to diseased vascular regions.Conclusions: The proposed mathematical model offers the possibility to calculate CVR insensitive to variations in time to maximum CBF response which gives a more detailed characterisation of CVR compared to static CVR measures. Although the mathematical model adapts generally well to this dataset of patients with MMD it should be considered as experimental; hence, further studies in healthy populations and other patient cohorts are warranted.
|
|
| 2. |
- Filippov, Andrei, PhD, 1957-, et al.
(författare)
-
Dynamics of ethylammonium nitrate near PTFE surface
- 2022
-
Ingår i: Magnetic Resonance Imaging. - : Elsevier. - 0730-725X .- 1873-5894. ; 85, s. 102-107
-
Tidskriftsartikel (refereegranskat)abstract
- Self-diffusion of ions in the protic ionic liquid ethylammonium nitrate (EAN) was studied by 1H NMR pulsed field gradient techniques between 294 and 393 K in the presence of a PTFE insert in a 5-mm NMR tube. At all temperatures, the bulk diffusion of ions (measured by 1H and 15N NMR) can be described by a unique diffusion coefficient. The presence of solid hydrophobic surfaces of PTFE induces regions of EAN in their vicinity, where diffusion of ions, both cations and anions, is reduced compared to the bulk values. An additional line-shape analysis in 1H NMR spectra showed that local mobility of ethylammonium cations in the surface layers near PTFE is also reduced.
|
|
| 3. |
- Gnezdilov, Oleg I., et al.
(författare)
-
Temperature dependence of 1H NMR chemical shifts and diffusivity of confined ethylammonium nitrate ionic liquid
- 2020
-
Ingår i: Magnetic Resonance Imaging. - : Elsevier. - 0730-725X .- 1873-5894. ; 74, s. 84-89
-
Tidskriftsartikel (refereegranskat)abstract
- Some ionic liquids (ILs) change their dynamic properties when placed in a confinement between polar surfaces (Filippov et al., Phys. Chem. Chem. Phys. 2018, 20, 6316). The diffusivities of ions and NMR relaxation times in these ILs also reversibly change under a strong static magnetic field. The mechanisms of these phenomena are not clear, but it has been suggested that they involve modified hydrogen-bonding networks formed in these ILs in the presence of polar surfaces. To obtain a better understanding of these effects, we performed temperature-dependent measurements of chemical shifts and diffusion coefficients for ethylammonium nitrate (EAN) IL in the bulk phase (IB) and confined in layers with a thickness of ~4 μm between quartz plates unexposed (I phase) and exposed (IMF phase) to a static magnetic field of 9.4 T. It was shown that the NMR chemical shift of NH3 protons of EAN in the I phase is strongly shifted upfield, ~0.0145 ppm/K, which is due to weakening of the hydrogen-bonding network of the confined EAN. Exposure to the magnetic field leads to restitution of the hydrogen-bonding (H-bonding network). The temperature dependences of diffusion coefficients follow the order D(I) > D(IB) > D(IMF) and can be described by a Vogel-Fulcher-Tammann approach with variation of the pre-exponential factor, which is determined by the strength of the H-bonding network. Confinement of EAN between plates (IB → I) is an endothermic process, while processes occurring in a magnetic field, I → IMF and IMF → I, are exothermic and endothermic, respectively.
|
|
| 4. |
- Ha, Hojin, et al.
(författare)
-
In vitro experiments on ICOSA6 4D flow MRI measurement for the quantification of velocity and turbulence parameters
- 2020
-
Ingår i: Magnetic Resonance Imaging. - : ELSEVIER SCIENCE INC. - 0730-725X .- 1873-5894. ; 72, s. 49-60
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: To perform comprehensive in vitro experiments using six-directional icosahedral flow encoding (ICOSA6) 4D flow magnetic resonance imaging (MRI) under various scan conditions to analyze the robustness of velocity and turbulence quantification. Materials and methods: In vitro flow phantoms with steady flow rates of 10 and 20 L/min were scanned using both conventional 4D flow MRI and ICOSA6. Experiments focused on comparisons between ICOSA6 and conventional four point (4P) methods, and the effects of contrast agents, velocity encoding range (Venc), and scan direction on velocity and turbulence quantification. Results: The results demonstrated that 1) ICOSA6 improves the velocity-to-noise ratio (VNR) of velocity estimation by 33% (on average) and results in similar turbulent kinetic energy (TKE) estimation as the 4P method. 2) Measurements with a contrast agent resulted in more than a 2.5 fold increase in average VNR. However, the improvement of total TKE quantification was not obvious. 3) TKE estimation was less affected by Venc and the scan direction, whereas turbulence production (TP) estimation was largely affected by these measurement conditions. The effects of Venc and scan direction accounted for less than 11.63% of TKE estimation, but up to 33.89% of TP estimation. Conclusion: The ICOSA6 scheme is compatible with conventional 4D flow MRI for velocity and TKE measurement. Contrast agents are effective at increasing VNR, but not signal-to-noise ratio for TKE quantification. The effects of Venc and scan direction influence total TP more than total TKE.
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
- Doimo, Sara, et al.
(författare)
-
Tissue-tracking in the assessment of late gadolinium enhancement in myocarditis and myocardial infarction
- 2020
-
Ingår i: Magnetic Resonance Imaging. - : Elsevier BV. - 0730-725X. ; 73, s. 62-69
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: To test the diagnostic performance of cardiovascular magnetic resonance (CMR) tissue-tracking (TT) to detect the presence of late gadolinium enhancement (LGE) in patients with a diagnosis of myocardial infarction (MI) or myocarditis (MYO), preserved left ventricular ejection fraction (LVEF) and no visual regional wall motion abnormalities (RWMA). Methods: We selected consecutive CMR studies of 50 MI, 50 MYO and 96 controls. Receiving operating characteristic (ROC) curve and net reclassification index (NRI) analyses were used to assess the predictive ability and the incremental diagnostic yield of 2D and 3D TT-derived strain parameters for the detection of LGE and to measure the best cut-off values of strain parameters. Results: Overall, cases showed significantly reduced 2D global longitudinal strain (2D-GLS) values compared with controls (−20.1 ± 3.1% vs −21.6 ± 2.7%; p = 0.0008). 2D-GLS was also significantly reduced in MYO patients compared with healthy controls (−19.7 ± 2.9% vs −21.9 ± 2.4%; p = 0.0001). 3D global radial strain (3D-GRS) was significantly reduced in MI patients compared with controls with risk factors (34.3 ± 11.8% vs 40.3 ± 12.5%, p = 0.024) Overall, 2D-GLS yielded good diagnostic accuracy for the detection of LGE in the MYO subgroup (AUROC 0.79; NRI (95% CI) = 0.6 (0.3, 1.02) p = 0.0004), with incremental predictive value beyond risk factors and LV function parameters (p for AUROC difference = 0.048). In the MI subgroup, 2D-GRS (AUROC 0.81; NRI (95% CI) = 0.56 (0.17, 0.95) p = 0.004), 3D-GRS (AUROC 0.82; NRI (95% CI) = 0.57 (0.17, 0.97) p = 0.006) and 3D global circumferential strain (3D-GCS) (AUROC 0.81; NRI (95% CI) = 0.62 (0.22, 1.01) p = 0.002) emerged as potential markers of disease. The best cut-off for 2D-GLS was −21.1%, for 2D- and 3D-GRS were 39.1% and 37.7%, respectively, and for 3D-GCS was −16.4%. Conclusions: At CMR-tissue tracking analysis, 2D-GLS was a significant predictor of LGE in patients with myocarditis but preserved LVEF and no visual RWMA. Both 2D- and 3D-GRS and 2D-GCS yielded good diagnostic accuracy for LGE detection in patients with previous MI but preserved LVEF and no visual RWMA.
|
|
| 8. |
- Johansson, Jens, et al.
(författare)
-
Brain diffusion MRI with multiplexed sensitivity encoding for reduced distortion in a pediatric patient population
- 2022
-
Ingår i: Magnetic Resonance Imaging. - : Elsevier BV. - 0730-725X. ; 87, s. 97-103
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Diffusion-weighted imaging (DWI) is a valuable tool for routine imaging of the pediatric brain. However, the commonly used single-shot (ss) echo-planar imaging (EPI) DWI sequence is prone to geometric distortions and T2*-blurring. This study aimed to investigate in a pediatric population the benefits of using multiplexed sensitivity-encoding (MUSE) without and with reversed polarity gradients (RPG) instead. Methods: This retrospective study compared image quality, geometric distortions, and diffusion values between three different approaches for DWI (ssEPI, MUSE, and RPG-MUSE) in 14 patients (median age = 4 (0.6–15) years, 11 males). Distortion levels were quantified and compared in two brain regions, i.e., the brain stem and the temporal lobes, using the Dice Coefficient and the Hausdorff Distance, with T2-weighted images as reference. Expected geometrical distortion was further evaluated by comparing the effective echo spacing between the DWI sequences. Apparent diffusion coefficient (ADC) values were determined in the genu of the corpus callosum and the optic nerves. Two raters graded overall image quality and image distortions on a Likert scale. Results: Distortion levels assessed with Dice coefficient and Hausdorff distance were significantly lower for MUSE (p < 0.05) and RPG-MUSE (p < 0.01) compared to ssEPI. No significant difference in ADC values was observed between methods. The RPG-MUSE method was graded by one rater as significantly higher in overall image quality than ssEPI (p < 0.05) and by both raters as significantly lower in levels of image distortions than both MUSE (p < 0.05) and ssEPI (p < 0.05). These results were in agreement with the reduced effective echo spacing was that was attained with MUSE and RPG-MUSE. Conclusion: For imaging of the pediatric brain, MUSE and even more so RPG-MUSE offers both improved geometric fidelity and image quality compared to ssEPI. © 2022 The Authors
|
|
| 9. |
- Lagerstrand, Kerstin M, et al.
(författare)
-
Importance of through-plane heart motion correction for the assessment of aortic regurgitation severity using phase contrast magnetic resonance imaging
- 2021
-
Ingår i: Magnetic Resonance Imaging. - : Elsevier BV. - 0730-725X. ; 84, s. 69-75
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: To elucidate the influence of through-plane heart motion on the assessment of aortic regurgitation (AR) severity using phase contrast magnetic resonance imaging (PC-MRI). Approach: A patient cohort with chronic AR (n = 34) was examined with PC-MRI. The regurgitant volume (RVol) and fraction (RFrac) were extracted from the PC-MRI data before and after through-plane heart motion correction and was then used for assessment of AR severity. Results: The flow volume errors were strongly correlated to aortic diameter (R = 0.80, p < 0.001) with median (IQR 25%;75%): 16 (14; 17) ml for diameter>40mm, compared with 9 (7; 10) ml for normal aortic size (p < 0.001). RVol and RFrac were underestimated (uncorrected:64 +/- 37 ml and 39 +/- 17%; corrected:76 +/- 37 ml and 44 +/- 15%; p < 0.001) and similar to 20% of the patients received lower severity grade without correction. Conclusion: Through-plane heart motion introduces relevant flow volume errors, especially in patients with aortic dilatation that may result in underestimation of the severity grade in patients with chronic AR.
|
|
| 10. |
|
|
