@article{UmutluOrzadaKinneretal.2011, author = {Umutlu, Lale and Orzada, Stephan and Kinner, Sonja and Maderwald, Stefan and Bronte, Irina and Bitz, Andreas and Kraff, Oliver and Ladd, Susanne C. and Antoch, Gerald and Ladd, Mark E. and Quick, Harald H. and Lauenstein, Thomas C.}, title = {Renal imaging at 7 Tesla: preliminary results}, series = {European Radiology}, volume = {21}, journal = {European Radiology}, number = {4}, publisher = {Springer}, address = {Berlin}, issn = {1432-1084}, pages = {841 -- 849}, year = {2011}, abstract = {Objective To investigate the feasibility of 7T MR imaging of the kidneys utilising a custom-built 8-channel transmit/receive radiofrequency body coil. Methods In vivo unenhanced MR was performed in 8 healthy volunteers on a 7T whole-body MR system. After B0 shimming the following sequences were obtained: 1) 2D and 3D spoiled gradient-echo sequences (FLASH, VIBE), 2) T1-weighted 2D in and opposed phase 3) True-FISP imaging and 4) a T2-weighted turbo spin echo (TSE) sequence. Visual evaluation of the overall image quality was performed by two radiologists. Results Renal MRI at 7T was feasible in all eight subjects. Best image quality was found using T1-weighted gradient echo MRI, providing high anatomical details and excellent conspicuity of the non-enhanced vasculature. With successful shimming, B1 signal voids could be effectively reduced and/or shifted out of the region of interest in most sequence types. However, T2-weighted TSE imaging remained challenging and strongly impaired because of signal heterogeneities in three volunteers. Conclusion The results demonstrate the feasibility and diagnostic potential of dedicated 7T renal imaging. Further optimisation of imaging sequences and dedicated RF coil concepts are expected to improve the acquisition quality and ultimately provide high clinical diagnostic value.}, language = {en} } @article{UmutluKraffFischeretal.2013, author = {Umutlu, Lale and Kraff, Oliver and Fischer, Anja and Kinner, Sonja and Maderwald, Stefan and Nassenstein, Kai and Nensa, Felix and Gr{\"u}neisen, Johannes and Orzada, Stephan and Bitz, Andreas and Forsting, Michael and Ladd, Mark E. and Lauenstein, Thomas C.}, title = {Seven-Tesla MRI of the female pelvis}, series = {European Radiology}, volume = {23}, journal = {European Radiology}, number = {9}, publisher = {Springer}, address = {Berlin}, issn = {1432-1084}, doi = {10.1007/s00330-013-2868-0}, pages = {2364 -- 2373}, year = {2013}, language = {en} } @article{TheysohnKraffEilersetal.2014, author = {Theysohn, Jens M. and Kraff, Oliver and Eilers, Kristina and Andrade, Dorian and Gerwig, Marcus and Timmann, Dagmar and Schmitt, Franz and Ladd, Mark E. and Ladd, Susanne C. and Bitz, Andreas}, title = {Vestibular effects of a 7 Tesla MRI examination compared to 1.5 T and 0 T in healthy volunteers}, series = {PLoS one}, volume = {9}, journal = {PLoS one}, number = {3}, publisher = {PLOS}, address = {San Francisco}, issn = {1932-6203}, doi = {10.1371/journal.pone.0092104}, pages = {e92104}, year = {2014}, abstract = {Ultra-high-field MRI (7 Tesla (T) and above) elicits more temporary side-effects compared to 1.5 T and 3 T, e.g. dizziness or "postural instability" even after exiting the scanner. The current study aims to assess quantitatively vestibular performance before and after exposure to different MRI scenarios at 7 T, 1.5 T and 0 T. Sway path and body axis rotation (Unterberger's stepping test) were quantitatively recorded in a total of 46 volunteers before, 2 minutes after, and 15 minutes after different exposure scenarios: 7 T head MRI (n = 27), 7 T no RF (n = 22), 7 T only B₀ (n = 20), 7 T in \& out B₀ (n = 20), 1.5 T no RF (n = 20), 0 T (n = 15). All exposure scenarios lasted 30 minutes except for brief one minute exposure in 7 T in \& out B₀. Both measures were documented utilizing a 3D ultrasound system. During sway path evaluation, the experiment was repeated with eyes both open and closed. Sway paths for all long-lasting 7 T scenarios (normal, no RF, only B₀) with eyes closed were significantly prolonged 2 minutes after exiting the scanner, normalizing after 15 minutes. Brief exposure to 7 T B₀ or 30 minutes exposure to 1.5 T or 0 T did not show significant changes. End positions after Unterberger's stepping test were significantly changed counter-clockwise after all 7 T scenarios, including the brief in \& out B₀ exposure. Shorter exposure resulted in a smaller alteration angle. In contrast to sway path, reversal of changes in body axis rotation was incomplete after 15 minutes. 1.5 T caused no rotational changes. The results show that exposure to the 7 Tesla static magnetic field causes only a temporary dysfunction or "over-compensation" of the vestibular system not measurable at 1.5 or 0 Tesla. Radiofrequency fields, gradient switching, and orthostatic dysregulation do not seem to play a role.}, language = {en} } @article{SchlamannYoonMaderwaldetal.2010, author = {Schlamann, Marc and Yoon, Min-Suk and Maderwald, Stefan and Pietrzyk, Thomas and Bitz, Andreas and Gerwig, Marcus and Forsting, Michael and Ladd, Susanne C. and Ladd, Mark E. and Kastrup, Oliver}, title = {Short term effects of magnetic resonance imaging on excitability of the motor cortex at 1.5T and 7T}, series = {Academic Radiology}, volume = {17}, journal = {Academic Radiology}, number = {3}, publisher = {Elsevier}, address = {Amsterdam}, issn = {1076-6332}, doi = {10.1016/j.acra.2009.10.004}, pages = {277 -- 281}, year = {2010}, abstract = {Rationale and Objectives The increasing spread of high-field and ultra-high-field magnetic resonance imaging (MRI) scanners has encouraged new discussion of the safety aspects of MRI. Few studies have been published on possible cognitive effects of MRI examinations. The aim of this study was to examine whether changes are measurable after MRI examinations at 1.5 and 7 T by means of transcranial magnetic stimulation (TMS). Materials and Methods TMS was performed in 12 healthy, right-handed male volunteers. First the individual motor threshold was specified, and then the cortical silent period (SP) was measured. Subsequently, the volunteers were exposed to the 1.5-T MRI scanner for 63 minutes using standard sequences. The MRI examination was immediately followed by another TMS session. Fifteen minutes later, TMS was repeated. Four weeks later, the complete setting was repeated using a 7-T scanner. Control conditions included lying in the 1.5-T scanner for 63 minutes without scanning and lying in a separate room for 63 minutes. TMS was performed in the same way in each case. For statistical analysis, Wilcoxon's rank test was performed. Results Immediately after MRI exposure, the SP was highly significantly prolonged in all 12 subjects at 1.5 and 7 T. The motor threshold was significantly increased. Fifteen minutes after the examination, the measured value tended toward normal again. Control conditions revealed no significant differences. Conclusion MRI examinations lead to a transient and highly significant alteration in cortical excitability. This effect does not seem to depend on the strength of the static magnetic field.}, language = {en} } @article{SchlamannVoigtMaderwaldetal.2010, author = {Schlamann, Marc and Voigt, Melanie A. and Maderwald, Stefan and Bitz, Andreas and Kraff, Oliver and Ladd, Susanne C. and Ladd, Mark E. and Forsting, Michael and Wilhelm, Hans}, title = {Exposure to high-field MRI does not affect cognitive function}, series = {Journal of Magnetic Resonance Imaging}, volume = {31}, journal = {Journal of Magnetic Resonance Imaging}, number = {5}, publisher = {Wiley-Liss}, address = {New York}, issn = {1522-2586}, doi = {10.1002/jmri.22065}, pages = {1061 -- 1066}, year = {2010}, abstract = {Purpose To assess potential cognitive deficits under the influence of static magnetic fields at various field strengths some studies already exist. These studies were not focused on attention as the most vulnerable cognitive function. Additionally, mostly no magnetic resonance imaging (MRI) sequences were performed. Materials and Methods In all, 25 right-handed men were enrolled in this study. All subjects underwent one MRI examination of 63 minutes at 1.5 T and one at 7 T within an interval of 10 to 30 days. The order of the examinations was randomized. Subjects were referred to six standardized neuropsychological tests strictly focused on attention immediately before and after each MRI examination. Differences in neuropsychological variables between the timepoints before and after each MRI examination were assessed and P-values were calculated Results Only six subtests revealed significant differences between pre- and post-MRI. In these tests the subjects achieved better results in post-MRI testing than in pre-MRI testing (P = 0.013-0.032). The other tests revealed no significant results. Conclusion The improvement in post-MRI testing is only explicable as a result of learning effects. MRI examinations, even in ultrahigh-field scanners, do not seem to have any persisting influence on the attention networks of human cognition immediately after exposure.}, language = {en} } @article{RietschPfaffenrotBitzetal.2017, author = {Rietsch, Stefan H. G. and Pfaffenrot, Viktor and Bitz, Andreas and Orzada, Stephan and Brunheim, Sascha and Lazik-Palm, Andrea and Theysohn, Jens M. and Ladd, Mark E. and Quick, Harald H. and Kraff, Oliver}, title = {An 8-channel transceiver 7-channel receive RF coil setup for high SNR ultrahigh-field MRI of the shoulder at 7T}, series = {Medical Physics}, journal = {Medical Physics}, number = {Article in press}, publisher = {Wiley}, address = {Hoboken}, issn = {0094-2405}, doi = {10.1002/mp.12612}, year = {2017}, language = {en} } @article{RietschBrunheimOrzadaetal.2019, author = {Rietsch, Stefan H. G. and Brunheim, Sascha and Orzada, Stephan and Voelker, Maximilian N. and Maderwald, Stefan and Bitz, Andreas and Gratz, Marcel and Ladd, Mark E. and Quick, Harald H.}, title = {Development and evaluation of a 16-channel receive-only RF coil to improve 7T ultra-high field body MRI with focus on the spine}, series = {Magnetic Resonance in Medicine}, journal = {Magnetic Resonance in Medicine}, number = {Early view}, publisher = {Wiley}, address = {Weinheim}, issn = {1522-2594}, doi = {10.1002/mrm.27731}, year = {2019}, language = {en} } @article{OrzadaSolbachGratzetal.2019, author = {Orzada, Stephan and Solbach, Klaus and Gratz, Marcel and Brunheim, Sascha and Fiedler, Thomas M. and Johst, S{\"o}ren and Bitz, Andreas and Shooshtary, Samaneh and Abuelhaija, Asjraf and Voelker, Maximilian N. and Rietsch, Stefan H. G. and Kraff, Oliver and Maderwald, Stefan and Fl{\"o}ser, Martina and Oehmingen, Mark and Quick, Harald H. and Ladd, Mark E.}, title = {A 32-channel parallel transmit system add-on for 7T MRI}, series = {Plos one}, journal = {Plos one}, doi = {10.1371/journal.pone.0222452}, year = {2019}, language = {en} } @article{OrzadaMaderwaldPoseretal.2010, author = {Orzada, Stephan and Maderwald, Stefan and Poser, Benedikt Andreas and Bitz, Andreas and Quick, Harald H. and Ladd, Mark E.}, title = {RF excitation using time interleaved acquisition of modes (TIAMO) to address B1 inhomogeneity in high-field MRI}, series = {Magnetic Resonance in Medicine}, volume = {64}, journal = {Magnetic Resonance in Medicine}, number = {2}, publisher = {Wiley-Liss}, address = {New York}, issn = {1522-2594}, doi = {10.1002/mrm.22527}, pages = {327 -- 333}, year = {2010}, abstract = {As the field strength and, therefore, the operational frequency in MRI is increased, the wavelength approaches the size of the human head/body, resulting in wave effects, which cause signal decreases and dropouts. Several multichannel approaches have been proposed to try to tackle these problems, including RF shimming, where each element in an array is driven by its own amplifier and modulated with a certain (constant) amplitude and phase relative to the other elements, and Transmit SENSE, where spatially tailored RF pulses are used. In this article, a relatively inexpensive and easy to use imaging scheme for 7 Tesla imaging is proposed to mitigate signal voids due to B1 field inhomogeneity. Two time-interleaved images are acquired using a different excitation mode for each. By forming virtual receive elements, both images are reconstructed together using GRAPPA to achieve a more homogeneous image, with only small SNR and SAR penalty in head and body imaging at 7 Tesla.}, language = {en} } @article{OrzadaLaddBitz2016, author = {Orzada, Stephan and Ladd, Mark E. and Bitz, Andreas}, title = {A method to approximate maximum local SAR in multichannel transmit MR systems without transmit phase information}, series = {Magnetic Resonance in Medicine}, volume = {78}, journal = {Magnetic Resonance in Medicine}, number = {2}, publisher = {International Society for Magnetic Resonance in Medicine}, issn = {1522-2594}, doi = {10.1002/mrm.26398}, pages = {805 -- 811}, year = {2016}, abstract = {Purpose To calculate local specific absorption rate (SAR) correctly, both the amplitude and phase of the signal in each transmit channel have to be known. In this work, we propose a method to derive a conservative upper bound for the local SAR, with a reasonable safety margin without knowledge of the transmit phases of the channels. Methods The proposed method uses virtual observation points (VOPs). Correction factors are calculated for each set of VOPs that prevent underestimation of local SAR when the VOPs are applied with the correct amplitudes but fixed phases. Results The proposed method proved to be superior to the worst-case calculation based on the maximum eigenvalue of the VOPs. The mean overestimation for six coil setups could be reduced, whereas no underestimation of the maximum local SAR occurred. In the best investigated case, the overestimation could be reduced from a factor of 3.3 to a factor of 1.7. Conclusion The upper bound for the local SAR calculated with the proposed method allows a fast estimation of the local SAR based on power measurements in the transmit channels and facilitates SAR monitoring in systems that do not have the capability to monitor transmit phases}, language = {en} }