@article{LagemaatBreukelsVosetal.2016, author = {Lagemaat, Miriam W. and Breukels, Vincent and Vos, Eline K. and B., Adam and Uden, Mark J. van and Orzada, Stephan and Bitz, Andreas and Maas, Marnix C. and Scheenen, Tom W. J.}, title = {¹H MR spectroscopic imaging of the prostate at 7T using spectral-spatial pulses}, series = {Magnetic Resonance in Medicine}, volume = {75}, journal = {Magnetic Resonance in Medicine}, number = {3}, publisher = {International Society for Magnetic Resonance in Medicine}, issn = {1522-2594}, doi = {10.1002/mrm.25569}, pages = {933 -- 945}, year = {2016}, abstract = {Purpose To assess the feasibility of prostate ¹H MR spectroscopic imaging (MRSI) using low-power spectral-spatial (SPSP) pulses at 7T, exploiting accurate spectral selection and spatial selectivity simultaneously. Methods A double spin-echo sequence was equipped with SPSP refocusing pulses with a spectral selectivity of 1 ppm. Three-dimensional prostate ¹H-MRSI at 7T was performed with the SPSP-MRSI sequence using an 8-channel transmit array coil and an endorectal receive coil in three patients with prostate cancer and in one healthy subject. No additional water or lipid suppression pulses were used. Results Prostate ¹H-MRSI could be obtained well within specific absorption rate (SAR) limits in a clinically feasible time (10 min). Next to the common citrate signals, the prostate spectra exhibited high spermine signals concealing creatine and sometimes also choline. Residual lipid signals were observed at the edges of the prostate because of limitations in spectral and spatial selectivity. Conclusion It is possible to perform prostate ¹H-MRSI at 7T with a SPSP-MRSI sequence while using separate transmit and receive coils. This low-SAR MRSI concept provides the opportunity to increase spatial resolution of MRSI within reasonable scan times.}, 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{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{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{LagemaatVosMaasetal.2014, author = {Lagemaat, Miriam W. and Vos, Eline K. and Maas, Marnix C. and Bitz, Andreas and Orzada, Stephan and Uden, Mark J. van and Kobus, Thiele and Heerschap, Arend and Scheenen, Tom W. J.}, title = {Phosphorus magnetic resonance spectroscopic imaging at 7 T in patients with prostate cancer}, series = {Investigative Radiology}, volume = {49}, journal = {Investigative Radiology}, number = {5}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia, Pa.}, issn = {1536-0210}, doi = {10.1097/RLI.0000000000000012}, pages = {363 -- 372}, year = {2014}, abstract = {Objectives The aim of this study was to identify characteristics of phosphorus (³¹P) spectra of the human prostate and to investigate changes of individual phospholipid metabolites in prostate cancer through in vivo ³¹P magnetic resonance spectroscopic imaging (MRSI) at 7 T. Materials and Methods In this institutional review board-approved study, 15 patients with biopsy-proven prostate cancer underwent T₂-weighted magnetic resonance imaging and 3-dimensional ³¹P MRSI at 7 T. Voxels were selected at the tumor location, in normal-appearing peripheral zone tissue, normal-appearing transition zone tissue, and in the base of the prostate close to the seminal vesicles. Phosphorus metabolite ratios were determined and compared between tissue types. Results Signals of phosphoethanolamine (PE) and phosphocholine (PC) were present and well resolved in most ³¹P spectra in the prostate. Glycerophosphocholine signals were observable in 43\% of the voxels in malignant tissue, but in only 10\% of the voxels in normal-appearing tissue away from the seminal vesicles. In many spectra, independent of tissue type, 2 peaks resonated in the chemical shift range of inorganic phosphate, possibly representing 2 separate pH compartments. The PC/PE ratio in the seminal vesicles was highly elevated compared with the prostate in 5 patients. A considerable overlap of ³¹P metabolite ratios was found between prostate cancer and normal-appearing prostate tissue, preventing direct discrimination of these tissues. The only 2 patients with high Gleason scores tumors (≥4+5) presented with high PC and glycerophosphocholine levels in their cancer lesions. Conclusions Phosphorus MRSI at 7 T shows distinct features of phospholipid metabolites in the prostate gland and its surrounding structures. In this exploratory study, no differences in ³¹P metabolite ratios were observed between prostate cancer and normal-appearing prostate tissue possibly because of the partial volume effects of small tumor foci in large MRSI voxels.}, language = {en} } @article{FiedlerOrzadaFloeseretal.2022, author = {Fiedler, Thomas M. and Orzada, Stephan and Fl{\"o}ser, Martina and Rietsch, Stefan H. G. and Schmidt, Simon and Stelter, Jonathan K. and Wittrich, Marco and Quick, Harald H. and Bitz, Andreas and Ladd, Mark E.}, title = {Performance and safety assessment of an integrated transmitarray for body imaging at 7 T under consideration of specificabsorption rate, tissue temperature, and thermal dose}, series = {NMR in Biomedicine}, volume = {35}, journal = {NMR in Biomedicine}, number = {5}, publisher = {Wiley}, issn = {0952-3480 (Print)}, doi = {10.1002/nbm.4656}, pages = {1 -- 17}, year = {2022}, abstract = {In this study, the performance of an integrated body-imaging array for 7 T with 32 radiofrequency (RF) channels under consideration of local specific absorption rate (SAR), tissue temperature, and thermal dose limits was evaluated and the imaging performance was compared with a clinical 3 T body coil. Thirty-two transmit elements were placed in three rings between the bore liner and RF shield of the gradient coil. Slice-selective RF pulse optimizations for B1 shimming and spokes were performed for differently oriented slices in the body under consideration of realistic constraints for power and local SAR. To improve the B1+ homogeneity, safety assessments based on temperature and thermal dose were performed to possibly allow for higher input power for the pulse optimization than permissible with SAR limits. The results showed that using two spokes, the 7 T array outperformed the 3 T birdcage in all the considered regions of interest. However, a significantly higher SAR or lower duty cycle at 7 T is necessary in some cases to achieve similar B1+ homogeneity as at 3 T. The homogeneity in up to 50 cm-long coronal slices can particularly benefit from the high RF shim performance provided by the 32 RF channels. The thermal dose approach increases the allowable input power and the corresponding local SAR, in one example up to 100 W/kg, without limiting the exposure time necessary for an MR examination. In conclusion, the integrated antenna array at 7 T enables a clinical workflow for body imaging and comparable imaging performance to a conventional 3 T clinical body coil.}, language = {en} } @article{BankOrzadaSmitsetal.2015, author = {Bank, Bart L. van de and Orzada, Stephan and Smits, Frits and Lagemaat, Miriam W. and Rodgers, Christopher T. and Bitz, Andreas and Scheenen, Tom W. J.}, title = {Optimized (31) P MRS in the human brain at 7 T with a dedicated RF coil setup}, series = {NMR in Biomedicine}, volume = {28}, journal = {NMR in Biomedicine}, number = {11}, publisher = {Wiley}, address = {Weinheim}, issn = {1099-1492}, doi = {10.1002/nbm.3422}, pages = {1570 -- 1578}, year = {2015}, language = {en} } @article{OrzadaBitzSchaeferetal.2011, author = {Orzada, Stephan and Bitz, Andreas and Sch{\"a}fer, Lena C. and Ladd, Susanne C. and Ladd, Mark E. and Maderwald, Stefan}, title = {Open design eight-channel transmit/receive coil for high-resolution and real-time ankle imaging at 7 T}, series = {Medical Physics}, volume = {38}, journal = {Medical Physics}, number = {3}, publisher = {Wiley}, address = {Hoboken}, issn = {2473-4209}, doi = {10.1118/1.3553399}, pages = {1162 -- 1167}, year = {2011}, abstract = {Purpose: At 1.5 T, real-time MRI of joint movement has been shown to be feasible. However, 7 T, provides higher SNR and thus an improved potential for parallel imaging acceleration. The purpose of this work was to build an open, U-shaped eight-channel transmit/receive microstrip coil for 7 T MRI to enable high-resolution and real-time imaging of the moving ankle joint. Methods: A U-shaped eight-channel transmit/receive array for the human ankle was built.urn:x-wiley:00942405:mp3399:equation:mp3399-math-0001-parameters and urn:x-wiley:00942405:mp3399:equation:mp3399-math-0002-factor were measured. SAR calculations of different ankle postures were performed to ensure patient safety. Inhomogeneities in the transmit field consequent to the open design were compensated for by the use of static RF shimming. High-resolution and real-time imaging was performed in human volunteers. Results: The presented array showed good performance with regard to patient comfort and image quality. High acceleration factors of up to 4 are feasible without visible acceleration artifacts. Reasonable image homogeneity was achieved with RF shimming. Conclusions: Open, noncylindrical designs for transmit/receive coils are practical at 7 T and real-time imaging of the moving joint is feasible with the presented coil design.}, language = {en} } @article{KraffWredeSchoembergetal.2013, author = {Kraff, Oliver and Wrede, Karsten H. and Schoemberg, Tobias and Dammann, Philipp and Noureddine, Yacine and Orzada, Stephan and Ladd, Mark E. and Bitz, Andreas}, title = {MR safety assessment of potential RF heating from cranial fixation plates at 7 T}, series = {Medical Physics}, volume = {40}, journal = {Medical Physics}, number = {4}, publisher = {Wiley}, address = {Hoboken}, issn = {2473-4209}, doi = {10.1118/1.4795347}, pages = {042302-1 -- 042302-10}, year = {2013}, language = {en} } @article{OrzadaJohstMaderwaldetal.2013, author = {Orzada, Stephan and Johst, S{\"o}ren and Maderwald, Stefan and Bitz, Andreas and Solbach, Klaus and Ladd, Mark E.}, title = {Mitigation of B1(+) inhomogeneity on single-channel transmit systems with TIAMO}, series = {Magnetic Resonance in Medicine}, volume = {70}, journal = {Magnetic Resonance in Medicine}, number = {1}, publisher = {Wiley}, address = {Weinheim}, issn = {1522-2594}, doi = {10.1002/mrm.24453}, pages = {290 -- 294}, year = {2013}, language = {en} }