TY - JOUR A1 - Lagemaat, Miriam W. A1 - Breukels, Vincent A1 - Vos, Eline K. A1 - B., Adam A1 - Uden, Mark J. van A1 - Orzada, Stephan A1 - Bitz, Andreas A1 - Maas, Marnix C. A1 - Scheenen, Tom W. J. T1 - ¹H MR spectroscopic imaging of the prostate at 7T using spectral-spatial pulses JF - Magnetic Resonance in Medicine N2 - 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. Y1 - 2016 U6 - https://doi.org/10.1002/mrm.25569 SN - 1522-2594 VL - 75 IS - 3 SP - 933 EP - 945 PB - International Society for Magnetic Resonance in Medicine ER - TY - JOUR A1 - Vos, E. K. A1 - Lagemaat, M. W. A1 - Barentsz, J. O. A1 - Fütterer, J. J. A1 - Zamecnik, P. A1 - Roozen, H. A1 - Orzada, S. A1 - Bitz, Andreas A1 - Maas, M. C. A1 - Scheenen, T. W. J. T1 - Image quality and cancer visibility of T2-weighted Magnetic Resonance Imaging of the prostate at 7 Tesla JF - European Radiology N2 - 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. Y1 - 2014 U6 - https://doi.org/10.1007/s00330-014-3234-6 SN - 1432-1084 VL - 24 IS - 8 SP - 1950 EP - 1958 PB - Springer CY - Cham ER - TY - JOUR A1 - Lagemaat, Miriam W. A1 - Maas, Marnix C. A1 - Vos, Eline K. A1 - Bitz, Andreas A1 - Orzada, Stephan A1 - Weiland, Elisabeth A1 - Uden, Mark J. van A1 - Kobus, Thiele A1 - Heerschap, Arend A1 - Scheenen, Tom W. J. T1 - (31) P MR spectroscopic imaging of the human prostate at 7 T: T1 relaxation times, Nuclear Overhauser Effect, and spectral characterization JF - Magnetic Resonance in Medicine Y1 - 2015 U6 - https://doi.org/10.1002/mrm.25209 SN - 1522-2594 VL - 73 IS - 3 SP - 909 EP - 920 PB - Wiley CY - Weinheim ER - TY - JOUR A1 - Theysohn, Jens M. A1 - Kraff, Oliver A1 - Eilers, Kristina A1 - Andrade, Dorian A1 - Gerwig, Marcus A1 - Timmann, Dagmar A1 - Schmitt, Franz A1 - Ladd, Mark E. A1 - Ladd, Susanne C. A1 - Bitz, Andreas T1 - Vestibular effects of a 7 Tesla MRI examination compared to 1.5 T and 0 T in healthy volunteers JF - PLoS one N2 - 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. Y1 - 2014 U6 - https://doi.org/10.1371/journal.pone.0092104 SN - 1932-6203 VL - 9 IS - 3 PB - PLOS CY - San Francisco ER - TY - JOUR A1 - Kraff, Oliver A1 - Bitz, Andreas A1 - Breyer, Tobias A1 - Kruszona, Stefan A1 - Maderwald, Stefan A1 - Brote, Irina A1 - Gizewski, Elke R. A1 - Ladd, Mark E. A1 - Quick, Harald H. T1 - A transmit/receive radiofrequency array for imaging the carotid arteries at 7 Tesla: coil design and first in vivo results JF - Investigative Radiology N2 - 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. Y1 - 2011 U6 - https://doi.org/10.1097/RLI.0b013e318206cee4 SN - 1536-0210 VL - 46 IS - 4 SP - 246 EP - 254 PB - Wolters Kluwer CY - Köln ER - TY - JOUR A1 - El Quardi, A. A1 - Streckert, J. A1 - Bitz, Andreas A1 - Münkner, S. A1 - Engel, J. A1 - Hansen, V. T1 - New fin-line devices for radiofrequency exposure of small biological samples in vitro allowing whole-cell patch clamp recordings JF - Bioelectromagnetics N2 - The development and analysis of three waveguides for the exposure of small biological in vitro samples to mobile communication signals at 900 MHz (GSM, Global System for Mobile Communications), 1.8 GHz (GSM), and 2 GHz (UMTS, Universal Mobile Telecommunications System) is presented. The waveguides were based on a fin-line concept and the chamber containing the samples bathed in extracellular solution was placed onto two fins with a slot in between, where the exposure field concentrates. Measures were taken to allow for patch clamp recordings during radiofrequency (RF) exposure. The necessary power for the achievement of the maximum desired specific absorption rate (SAR) of 20 W/kg (average over the mass of the solution) was approximately Pin = 50 mW, Pin = 19 mW, and Pin = 18 mW for the 900 MHz, 1800 MHz, and 2 GHz devices, respectively. At 20 W/kg, a slight RF-induced temperature elevation in the solution of no more than 0.3 °C was detected, while no thermal offsets due to the electromagnetic exposure could be detected at the lower SAR settings (2, 0.2, and 0.02 W/kg). A deviation of 10% from the intended solution volume yielded a calculated SAR deviation of 8% from the desired value. A maximum ±10% variation in the local SAR could occur when the position of the patch clamp electrode was altered within the area where the cells to be investigated were located. Y1 - 2011 U6 - https://doi.org/10.1002/bem.20621 SN - 1521-186X VL - 32 IS - 2 SP - 102 EP - 112 PB - Wiley CY - Weinheim ER - TY - JOUR A1 - Schlamann, Marc A1 - Voigt, Melanie A. A1 - Maderwald, Stefan A1 - Bitz, Andreas A1 - Kraff, Oliver A1 - Ladd, Susanne C. A1 - Ladd, Mark E. A1 - Forsting, Michael A1 - Wilhelm, Hans T1 - Exposure to high-field MRI does not affect cognitive function JF - Journal of Magnetic Resonance Imaging N2 - 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. Y1 - 2010 U6 - https://doi.org/10.1002/jmri.22065 SN - 1522-2586 VL - 31 IS - 5 SP - 1061 EP - 1066 PB - Wiley-Liss CY - New York ER - TY - JOUR A1 - Bitz, Andreas A1 - Zhou, Yi A1 - El Quardi, Abdessamad A1 - Streckert, Joachim T1 - Occupational Exposure at Mobile Communication Base Station Antenna Sites JF - Frequenz Y1 - 2009 U6 - https://doi.org/10.1515/FREQ.2009.63.7-8.123 SN - 2191-6349 VL - 63 IS - 7-8 SP - 123 EP - 128 ER - TY - JOUR A1 - Schlamann, Marc A1 - Yoon, Min-Suk A1 - Maderwald, Stefan A1 - Pietrzyk, Thomas A1 - Bitz, Andreas A1 - Gerwig, Marcus A1 - Forsting, Michael A1 - Ladd, Susanne C. A1 - Ladd, Mark E. A1 - Kastrup, Oliver T1 - Short term effects of magnetic resonance imaging on excitability of the motor cortex at 1.5T and 7T JF - Academic Radiology N2 - 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. Y1 - 2010 U6 - https://doi.org/10.1016/j.acra.2009.10.004 SN - 1076-6332 VL - 17 IS - 3 SP - 277 EP - 281 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Kraff, Oliver A1 - Bitz, Andreas A1 - Kruszona, Stefan A1 - Orzada, Stephan A1 - Schaefer, Lena C. A1 - Theysohn, Jens M. A1 - Maderwald, Stefan A1 - Ladd, Mark E. A1 - Quick, Harald H. T1 - An eight-channel phased array RF coil for spine MR imaging at 7 T JF - Investigative Radiology Y1 - 2009 U6 - https://doi.org/10.1097/RLI.0b013e3181b24ab7 SN - 1536-0210 VL - 44 IS - 11 SP - 734 EP - 740 PB - Lippincott Williams & Wilkins ER - TY - JOUR A1 - Klomp, D. W. J. A1 - Bitz, Andreas A1 - Heerschap, A. A1 - Scheenen, T. W. J. T1 - Proton spectroscopic imaging of the human prostate at 7 T JF - NMR in Biomedicine Y1 - 2009 U6 - https://doi.org/10.1002/nbm.1360 SN - 1099-1492 VL - 22 IS - 5 SP - 495 EP - 501 ER - TY - JOUR A1 - Lerchl, Alexander A1 - Krüger, Heike A1 - Niehaus, Michael A1 - Streckert, Joachim R. A1 - Bitz, Andreas A1 - Hansen, Volkert T1 - Effects of mobile phone electromagnetic fields at nonthermal SAR values on melatonin and body weight of Djungarian hamsters (Phodopus sungorus) JF - Journal of Pineal Research Y1 - 2008 U6 - https://doi.org/10.1111/j.1600-079X.2007.00522.x SN - 1600-079X VL - 44 IS - 3 SP - 267 EP - 272 ER - TY - JOUR A1 - Fiedler, Thomas M. A1 - Ladd, Mark E. A1 - Bitz, Andreas T1 - SAR Simulations & Safety JF - NeuroImage Y1 - 2017 U6 - https://doi.org/10.1016/j.neuroimage.2017.03.035 SN - 1053-8119 IS - Epub ahead of print PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Noureddine, Yacine A1 - Kraff, Oliver A1 - Ladd, Mark E. A1 - Wrede, Karsten H. A1 - Chen, Bixia A1 - Quick, Harald H. A1 - Schaefers, Gregor A1 - Bitz, Andreas T1 - In vitro and in silico assessment of RF-induced heating around intracranial aneurysm clips at 7 Tesla JF - Magnetic Resonance in Medicine Y1 - 2017 U6 - https://doi.org/10.1002/mrm.26650 SN - 1522-2594 IS - Early view PB - Wiley CY - Weinheim ER - TY - JOUR A1 - Fiedler, Thomas M. A1 - Ladd, Mark E. A1 - Bitz, Andreas T1 - RF safety assessment of a bilateral four-channel transmit/receive 7 Tesla breast coil: SAR versus temperature limits JF - Medical Physics Y1 - 2017 U6 - https://doi.org/10.1002/mp.12034 N1 - This article is corrected by: Errata: Erratum: “RF safety assessment of a bilateral four-channel transmit/receive 7 Tesla breast coil: SAR versus tissue temperature limits” [Med. Phys. 44(1), 143–157 (2017)] Volume 44, Issue 2, 772 VL - 44 IS - 1 SP - 143 EP - 157 ER - TY - JOUR A1 - Lagemaat, Miriam W. A1 - Vos, Eline K. A1 - Maas, Marnix C. A1 - Bitz, Andreas A1 - Orzada, Stephan A1 - Uden, Mark J. van A1 - Kobus, Thiele A1 - Heerschap, Arend A1 - Scheenen, Tom W. J. T1 - Phosphorus magnetic resonance spectroscopic imaging at 7 T in patients with prostate cancer JF - Investigative Radiology N2 - 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. Y1 - 2014 U6 - https://doi.org/10.1097/RLI.0000000000000012 SN - 1536-0210 VL - 49 IS - 5 SP - 363 EP - 372 PB - Lippincott Williams & Wilkins CY - Philadelphia, Pa. ER - TY - JOUR A1 - Maas, Marnix C. A1 - Vos, Eline K. A1 - Lagemaat, Miriam W. A1 - Bitz, Andreas A1 - Orzada, Stephan A1 - Kobus, Thiele A1 - Kraff, Oliver A1 - Maderwald, Stefan A1 - Ladd, Mark E. A1 - Scheenen, Tom W. J. T1 - Feasibility of T₂-weighted turbo spin echo imaging of the human prostate at 7 tesla JF - Magnetic Resonance in Medicine N2 - Purpose To demonstrate that high quality T₂-weighted (T2w) turbo spin-echo (TSE) imaging of the complete prostate can be achieved routinely and within safety limits at 7 T, using an external transceive body array coil only. Methods Nine healthy volunteers and 12 prostate cancer patients were scanned on a 7 T whole-body system. Preparation consisted of B₀ and radiofrequency shimming and localized flip angle calibration. T₁ and T₂ relaxation times were measured and used to define the T2w-TSE protocol. T2w imaging was performed using a TSE sequence (pulse repetition time/echo time 3000–3640/71 ms) with prolonged excitation and refocusing pulses to reduce specific absorption rate. Results High quality T2w TSE imaging was performed in less than 2 min in all subjects. Tumors of patients with gold-standard tumor localization (MR-guided biopsy or prostatectomy) were well visualized on 7 T imaging (n = 3). The number of consecutive slices achievable within a 10-g averaged specific absorption rate limit of 10 W/kg was ≥28 in all subjects, sufficient for full prostate coverage with 3-mm slices in at least one direction. Conclusion High quality T2w TSE prostate imaging can be performed routinely and within specific absorption rate limits at 7 T with an external transceive body array. Y1 - 2014 U6 - https://doi.org/10.1002/mrm.24818 SN - 1522-2594 VL - 71 IS - 5 SP - 1711 EP - 1719 PB - Wiley-VCH CY - Weinheim ER - TY - JOUR A1 - Umutlu, Lale A1 - Kraff, Oliver A1 - Fischer, Anja A1 - Kinner, Sonja A1 - Maderwald, Stefan A1 - Nassenstein, Kai A1 - Nensa, Felix A1 - Grüneisen, Johannes A1 - Orzada, Stephan A1 - Bitz, Andreas A1 - Forsting, Michael A1 - Ladd, Mark E. A1 - Lauenstein, Thomas C. T1 - Seven-Tesla MRI of the female pelvis JF - European Radiology Y1 - 2013 U6 - https://doi.org/10.1007/s00330-013-2868-0 SN - 1432-1084 VL - 23 IS - 9 SP - 2364 EP - 2373 PB - Springer CY - Berlin ER - TY - JOUR A1 - Bitz, Andreas A1 - Felder, Jorg A1 - Wittig, Tilmann T1 - Designing MRI Coils with Aid of Simulation JF - Microwaves & RF Y1 - 2013 SN - 0745-2993 VL - 52 IS - 7 SP - 56 PB - Penton CY - Cleveland, Ohio ER - TY - JOUR A1 - Kraff, Oliver A1 - Wrede, Karsten H. A1 - Schoemberg, Tobias A1 - Dammann, Philipp A1 - Noureddine, Yacine A1 - Orzada, Stephan A1 - Ladd, Mark E. A1 - Bitz, Andreas T1 - MR safety assessment of potential RF heating from cranial fixation plates at 7 T JF - Medical Physics Y1 - 2013 U6 - https://doi.org/10.1118/1.4795347 SN - 2473-4209 VL - 40 IS - 4 SP - 042302-1 EP - 042302-10 PB - Wiley CY - Hoboken ER -