Local B1+ shimming for prostate imaging with transceiver arrays at 7T based on subject-dependent transmit phase measurements.
ABSTRACT High-quality prostate images were obtained with transceiver arrays at 7T after performing subject-dependent local transmit B(1) (B(1) (+)) shimming to minimize B(1) (+) losses resulting from destructive interferences. B(1) (+) shimming was performed by altering the input phase of individual RF channels based on relative B(1) (+) phase maps rapidly obtained in vivo for each channel of an eight-element stripline coil. The relative transmit phases needed to maximize B(1) (+) coherence within a limited region around the prostate greatly differed from those dictated by coil geometry and were highly subject-dependent. A set of transmit phases determined by B(1) (+) shimming provided a gain in transmit efficiency of 4.2 +/- 2.7 in the prostate when compared to the standard transmit phases determined by coil geometry. This increased efficiency resulted in large reductions in required RF power for a given flip angle in the prostate which, when accounted for in modeling studies, resulted in significant reductions of local specific absorption rates. Additionally, B(1) (+) shimming decreased B(1) (+) nonuniformity within the prostate from (24 +/- 9%) to (5 +/- 4%). This study demonstrates the tremendous impact of fast local B(1) (+) phase shimming on ultrahigh magnetic field body imaging.
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ABSTRACT: To assess the image quality of T2-weighted (T2w) magnetic resonance imaging of the prostate and the visibility of prostate cancer at 7 Tesla (T). Seventeen prostate cancer patients underwent T2w imaging at 7T with only an external transmit/receive array coil. Three radiologists independently scored images for image quality, visibility of anatomical structures, and presence of artefacts. Krippendorff's alpha and weighted kappa statistics were used to assess inter-observer agreement. Visibility of prostate cancer lesions was assessed by directly linking the T2w images to the confirmed location of prostate cancer on histopathology. T2w imaging at 7T was achievable with 'satisfactory' (3/5) to 'good' (4/5) quality. Visibility of anatomical structures was predominantly scored as 'satisfactory' (3/5) and 'good' (4/5). If artefacts were present, they were mostly motion artefacts and, to a lesser extent, aliasing artefacts and noise. Krippendorff's analysis revealed an alpha = 0.44 between three readers for the overall image quality scores. Clinically significant cancer lesions in both peripheral zone and transition zone were visible at 7T. T2w imaging with satisfactory to good quality can be routinely acquired, and cancer lesions were visible in patients with prostate cancer at 7T using only an external transmit/receive body array coil. aEuro cent Satisfactory to good T2-weighted image quality of the prostate is achievable at 7T. aEuro cent Periprostatic lipids appear hypo-intense compared to healthy peripheral zone tissue at 7T. aEuro cent Prostate cancer is visible on T2-weighted MRI at 7T.European Radiology 05/2014; 24(8). DOI:10.1007/s00330-014-3234-6 · 4.34 Impact Factor
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ABSTRACT: Specific absorption rate (SAR) amplification around active implantable medical devices during diagnostic MRI procedures poses a potential risk for patient safety. In this study, we present a parallel transmit (pTx) strategy that can be used to safely scan patients with deep brain stimulation (DBS) implants.Magnetic Resonance in Medicine 06/2014; DOI:10.1002/mrm.25324 · 3.40 Impact Factor
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ABSTRACT: The objective of this study was to document and review advances and groundbreaking progress in cardiac and body MR at ultrahigh fields (UHF, B0 ≥ 7.0 T) with the goal to attract talent, clinical adopters, collaborations and resources to the biomedical and diagnostic imaging communities. This review surveys traits, advantages and challenges of cardiac and body MR at 7.0 T. The considerations run the gamut from technical advances to clinical opportunities. Key concepts, emerging technologies, practical considerations, frontier applications and future directions of UHF body and cardiac MR are provided. Examples of UHF cardiac and body imaging strategies are demonstrated. Their added value over the kindred counterparts at lower fields is explored along with an outline of research promises. The achievements of cardiac and body UHF-MR are powerful motivators and enablers, since extra speed, signal and imaging capabilities may be invested to overcome the fundamental constraints that continue to hamper traditional cardiac and body MR applications. If practical obstacles, concomitant physics effects and technical impediments can be overcome in equal measure, sophisticated cardiac and body UHF-MR will help to open the door to new MRI and MRS approaches for basic research and clinical science, with the lessons learned at 7.0 T being transferred into broad clinical use including diagnostics and therapy guiding at lower fields. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.NMR in Biomedicine 02/2015; DOI:10.1002/nbm.3268 · 3.56 Impact Factor