@article{KraffBitzDammannetal.2010, author = {Kraff, Oliver and Bitz, Andreas and Dammann, Philipp and Ladd, Susanne C. and Ladd, Mark E. and Quick, Harald H.}, title = {An eight-channel transmit/receive multipurpose coil for musculoskeletal MR imaging at 7 T}, series = {Medical Physics}, volume = {37}, journal = {Medical Physics}, number = {12}, publisher = {Wiley}, address = {Hoboken, NJ}, issn = {2473-4209}, doi = {10.1118/1.3517176}, pages = {6368 -- 6376}, year = {2010}, abstract = {Purpose: MRI plays a leading diagnostic role in assessing the musculoskeletal (MSK) system and is well established for most questions at clinically used field strengths (up to 3 T). However, there are still limitations in imaging early stages of cartilage degeneration, very fine tendons and ligaments, or in locating nerve lesions, for example. 7 T MRI of the knee has already received increasing attention in the current published literature, but there is a strong need to develop new radiofrequency (RF) coils to assess more regions of the MSK system. In this work, an eight-channel transmit/receive RF array was built as a multipurpose coil for imaging some of the thus far neglected regions. An extensive coil characterization protocol and first in vivo results of the human wrist, shoulder, elbow, knee, and ankle imaged at 7 T will be presented. Methods: Eight surface loop coils with a dimension ofurn:x-wiley:00942405:media:mp7176:mp7176-math-0001 were machined from FR4 circuit board material. To facilitate easy positioning, two coil clusters, each with four loop elements, were combined to one RF transmit/receive array. An overlapped and shifted arrangement of the coil elements was chosen to reduce the mutual inductance between neighboring coils. A phantom made of body-simulating liquid was used for tuning and matching on the bench. Afterward, the S-parameters were verified on a human wrist, elbow, and shoulder. For safety validation, a detailed compliance test was performed including full wave simulations of the RF field distribution and the corresponding specific absorption rate (SAR) for all joints. In vivo images of four volunteers were assessed with gradient echo and spin echo sequences modified to obtain optimal image contrast, full anatomic coverage, and the highest spatial resolution within a reasonable acquisition time. The performance of the RF coil was additionally evaluated by in vivo B1 mapping. Results: A comparison of B1 per unit power, flip angle distribution, and anatomic images showed a fairly homogeneous excitation for the smaller joints (elbow, wrist, and ankle), while for the larger joints, the shoulder and especially the knee, B1 inhomogeneities and limited penetration depth were more pronounced. However, the greater part of the shoulder joint could be imaged.In vivo images rendered very fine anatomic details such as fascicles of the median nerve and the branching of the nerve bundles. High-resolution images of cartilage, labrum, and tendons could be acquired. Additionally, turbo spin echo (TSE) and inversion recovery sequences performed very well. Conclusions: This study demonstrates that the concept of two four-channel transmit/receive RF arrays can be used as a multipurpose coil for high-resolutionin vivo MR imaging of the musculoskeletal system at 7 T. Not only gradient echo but also typical clinical and SAR-intensive sequences such as STIR and TSE performed well. Imaging of small structures and peripheral nerves could in particular benefit from this technique.}, 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} } @article{ChenSchoembergKraffetal.2016, author = {Chen, Bixia and Schoemberg, Tobias and Kraff, Oliver and Dammann, Philipp and Bitz, Andreas and Schlamann, Marc and Quick, Harald H. and Ladd, Mark E. and Sure, Ulrich and Wrede, Karsten H.}, title = {Cranial fixation plates in cerebral magnetic resonance imaging: a 3 and 7 Tesla in vivo image quality study}, series = {Magnetic Resonance Materials in Physics, Biology and Medicine}, volume = {29}, journal = {Magnetic Resonance Materials in Physics, Biology and Medicine}, number = {3}, publisher = {Springer}, address = {Berlin}, issn = {1352-8661}, doi = {10.1007/s10334-016-0548-1}, pages = {389 -- 398}, year = {2016}, abstract = {Objective This study assesses and quantifies impairment of postoperative magnetic resonance imaging (MRI) at 7 Tesla (T) after implantation of titanium cranial fixation plates (CFPs) for neurosurgical bone flap fixation. Materials and methods The study group comprised five patients who were intra-individually examined with 3 and 7 T MRI preoperatively and postoperatively (within 72 h/3 months) after implantation of CFPs. Acquired sequences included T₁-weighted magnetization-prepared rapid-acquisition gradient-echo (MPRAGE), T₂-weighted turbo-spin-echo (TSE) imaging, and susceptibility-weighted imaging (SWI). Two experienced neurosurgeons and a neuroradiologist rated image quality and the presence of artifacts in consensus reading. Results Minor artifacts occurred around the CFPs in MPRAGE and T2 TSE at both field strengths, with no significant differences between 3 and 7 T. In SWI, artifacts were accentuated in the early postoperative scans at both field strengths due to intracranial air and hemorrhagic remnants. After resorption, the brain tissue directly adjacent to skull bone could still be assessed. Image quality after 3 months was equal to the preoperative examinations at 3 and 7 T. Conclusion Image quality after CFP implantation was not significantly impaired in 7 T MRI, and artifacts were comparable to those in 3 T MRI.}, language = {en} } @article{SchmidtForkmannSinkeetal.2016, author = {Schmidt, K. and Forkmann, K. and Sinke, C. and Gratz, M. and Bitz, Andreas and Bingel, U.}, title = {The differential effect of trigeminal vs. peripheral pain stimulation on visual processing and memory encoding is influenced by pain-related fear}, series = {NeuroImage}, volume = {134}, journal = {NeuroImage}, publisher = {Elsevier}, address = {Amsterdam}, issn = {1053-8119}, doi = {10.1016/j.neuroimage.2016.03.026}, pages = {386 -- 395}, year = {2016}, abstract = {Compared to peripheral pain, trigeminal pain elicits higher levels of fear, which is assumed to enhance the interruptive effects of pain on concomitant cognitive processes. In this fMRI study we examined the behavioral and neural effects of trigeminal (forehead) and peripheral (hand) pain on visual processing and memory encoding. Cerebral activity was measured in 23 healthy subjects performing a visual categorization task that was immediately followed by a surprise recognition task. During the categorization task subjects received concomitant noxious electrical stimulation on the forehead or hand. Our data show that fear ratings were significantly higher for trigeminal pain. Categorization and recognition performance did not differ between pictures that were presented with trigeminal and peripheral pain. However, object categorization in the presence of trigeminal pain was associated with stronger activity in task-relevant visual areas (lateral occipital complex, LOC), memory encoding areas (hippocampus and parahippocampus) and areas implicated in emotional processing (amygdala) compared to peripheral pain. Further, individual differences in neural activation between the trigeminal and the peripheral condition were positively related to differences in fear ratings between both conditions. Functional connectivity between amygdala and LOC was increased during trigeminal compared to peripheral painful stimulation. Fear-driven compensatory resource activation seems to be enhanced for trigeminal stimuli, presumably due to their exceptional biological relevance.}, 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{NoureddineBitzLaddetal.2015, author = {Noureddine, Yacine and Bitz, Andreas and Ladd, Mark E. and Th{\"u}rling, Markus and Ladd, Susanne C. and Schaefers, Gregor and Kraff, Oliver}, title = {Experience with magnetic resonance imaging of human subjects with passive implants and tattoos at 7 T: a retrospective study}, series = {Magnetic Resonance Materials in Physics, Biology and Medicine}, volume = {28}, journal = {Magnetic Resonance Materials in Physics, Biology and Medicine}, number = {6}, publisher = {Springer}, address = {Berlin}, issn = {1352-8661}, doi = {10.1007/s10334-015-0499-y}, pages = {577 -- 590}, year = {2015}, language = {en} } @article{VosLagemaatBarentszetal.2014, author = {Vos, E. K. and Lagemaat, M. W. and Barentsz, J. O. and F{\"u}tterer, J. J. and Zamecnik, P. and Roozen, H. and Orzada, S. and Bitz, Andreas and Maas, M. C. and Scheenen, T. W. J.}, title = {Image quality and cancer visibility of T2-weighted Magnetic Resonance Imaging of the prostate at 7 Tesla}, series = {European Radiology}, volume = {24}, journal = {European Radiology}, number = {8}, publisher = {Springer}, address = {Cham}, issn = {1432-1084}, doi = {10.1007/s00330-014-3234-6}, pages = {1950 -- 1958}, year = {2014}, abstract = {Objectives 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). Materials \& methods 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. Results 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 α = 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. Conclusion 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.}, language = {en} } @article{LagemaatMaasVosetal.2015, author = {Lagemaat, Miriam W. and Maas, Marnix C. and Vos, Eline K. and Bitz, Andreas and Orzada, Stephan and Weiland, Elisabeth and Uden, Mark J. van and Kobus, Thiele and Heerschap, Arend and Scheenen, Tom W. J.}, title = {(31) P MR spectroscopic imaging of the human prostate at 7 T: T1 relaxation times, Nuclear Overhauser Effect, and spectral characterization}, series = {Magnetic Resonance in Medicine}, volume = {73}, journal = {Magnetic Resonance in Medicine}, number = {3}, publisher = {Wiley}, address = {Weinheim}, issn = {1522-2594}, doi = {10.1002/mrm.25209}, pages = {909 -- 920}, year = {2015}, 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{KraffBitzBreyeretal.2011, author = {Kraff, Oliver and Bitz, Andreas and Breyer, Tobias and Kruszona, Stefan and Maderwald, Stefan and Brote, Irina and Gizewski, Elke R. and Ladd, Mark E. and Quick, Harald H.}, title = {A transmit/receive radiofrequency array for imaging the carotid arteries at 7 Tesla: coil design and first in vivo results}, series = {Investigative Radiology}, volume = {46}, journal = {Investigative Radiology}, number = {4}, publisher = {Wolters Kluwer}, address = {K{\"o}ln}, issn = {1536-0210}, doi = {10.1097/RLI.0b013e318206cee4}, pages = {246 -- 254}, year = {2011}, abstract = {Objective: To develop a transmit/receive radiofrequency (RF) array for magnetic resonance imaging (MRI) of the carotid arteries at 7 T. The prototype is characterized in numerical simulations and bench measurements, and the feasibility of plaque imaging at 7 T is demonstrated in first in vivo images. Materials and Methods: The RF phased array coil consists of 8 surface loop coils. To allow imaging of both sides of the neck, the RF array is divided into 2 coil clusters, each with 4 overlapping loop elements. For safety validation, numerical computations of the RF field distribution and the corresponding specific absorption rate were performed on the basis of a heterogeneous human body model. To validate the coil model, maps of the transmit B1+ field were compared between simulation and measurement. In vivo images of a healthy volunteer and a patient (ulcerating plaque and a 50\% stenosis of the right internal carotid artery) were acquired using a 3-dimensional FLASH sequence with a high isotropic spatial resolution of 0.54 mm as well as using pulse-triggered proton density (PD)/T2-weighted turbo spin echo sequences. Results: Measurements of the S-parameters yielded a reflection and isolation of the coil elements of better than -18 and -13 dB, respectively. Measurements of the g-factor indicated good image quality for parallel imaging acceleration factors up to 2.4. A similar distribution and a very good match of the absolute values were found between the measured and simulated B1+ transmit RF field for the validation of the coil model. In vivo images revealed good signal excitation of both sides of the neck and a high vessel-to-background image contrast for the noncontrast-enhanced 3-dimensional FLASH sequence. Imaging at 7 T could depict the extent of stenosis, and revealed the disruption and ulcer of the plaque. Conclusions: This study demonstrates that 2 four-channel transmit/receive RF arrays for each side of the neck is a suitable concept for in vivo MRI of the carotid arteries at 7 Tesla. Further studies are needed to explore and exploit the full potential of 7 T high-field MRI for carotid atherosclerotic plaque imaging.}, language = {en} }