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As ultrahigh field cardiac MRI becomes more widespread in the (pre)clinical research arena the propensity of ECG recordings to interference from electromagnetic fields and magneto-hydrodynamic effects increases and with it the motivation for a practical gating/triggering alternative. This study compares the feasibility, efficacy and reliability phonocardiogram (ACT), vector electrocardiogram (VCG) and traditional pulse oximetry (pO2) triggered MRI for left ventricular function assessment at 7.0T. ACTs intrinsic insensitivity to interference from electro-magnetic fields and magneto-hydrodynamic effects results in an excellent trigger reliability and renders it suitable for global cardiac function assessment at ultrahigh magnetic field strengths.
While MR is a diagnostic imaging tool which saves lives, magnetic forces of fringe magnetic field components of MR systems on ferromagnetic components can impose a severe occupational health and safety hazard. With the advent of ultrahigh field MR Systems including passively shielded magnet versions this risk - commonly known as missile effect /1/ - is pronounced. Numerous accidents have been reported ranging from mechanical damage to patient death. These casualties are probably most widely known through television documentaries and printed media but still present the tip of the iceberg of safety violations (/2/ /3/ /4/). Various policies have been implemented around the world to safeguard healthcare workers, volunteers and patients with the ultimate goal of avoiding unforeseen disasters and injuries.
ECG is corrupted by magneto-hydrodynamic effects at higher magnetic field strength. Artifacts in the ECG trace and severe T-wave elevation might be mis-interpreted as R-waves. MHD being inherently sensitive to blood flow and blood velocity provides an alternative approach for cardiac gating, even in peripheral target areas far away from the commonly used upper torso positions of ECG electrodes. This feature would be very beneficial to address traveling time induced motion artifacts and trigger latency related issues raised by ECG-gated peripheral MR angiography. For all those reasons, this work proposes the use of MHD-trigger for cardiac gated MR.
The magnetic forces of fringe magnetic fields of MR systems on ferromagnetic components can impose a severe patient, occupational health and safety hazard. MRI accidents are listed as number 9 of the top 10 risks in modern medicine. With the advent of ultrahigh field MR systems including passively shielded magnet versions, this risk, commonly known as the missile or projectile effect is even more pronounced. A strategy employing magnetic field sensors which can be attached to ferromagnetic objects that are commonly used in a clinical environment is conceptually appealing for the pursuit of reducing the risk of ferromagnetic projectile accidents.
High Spatial Resolution 3D MRI of the Larynx Using a Dedicated TX/RX Phased Array Coil at 7.0T
(2010)
MRI holds great potential for elucidating laryngeal and vocal fold anatomy together with the assessment of physiological processes associated in human phonation. However, MRI of human phonation remains very challenging due to the small size of the targeted structures, interfering signal from fat, air between the vocal folds and surrounding muscles and physiological motion. These anatomical/physiological constraints translate into stringent technical requirements in balancing, scan time, image contrast, immunity to physiological motion, temporal resolution and spatial resolution. Motivated by these challenges and limitations this study is aiming at translating the sensitivity gain at ultra-high magnetic fields for enhanced high spatial resolution 3D imaging of the larynx and vocal tract. To approach this goal a dedicated two channel TX/RX larynx coil is being proposed.
4CH TX/RX Surface Coil for 7T: Design, Optimization and Application for Cardiac Function Imaging
(2010)
Practical impediments of ultra high field cardiovascular MR (CVMR) can be catalogued in exacerbated magnetic field and radio frequency (RF) inhomogeneities, susceptibility and off-resonance effects, conductive and dielectric effects in tissue, and RF power deposition constraints, which all bear the potential to spoil the benefit of CVMR at 7T. Therefore, a four element cardiac transceive surface coil array was developed. Cardiac imaging provided clinically acceptable signal homogeneity with an excellent blood myocardium contrast. Subtle anatomic structures, such as pericardium, mitral and tricuspid valves and their apparatus, papillary muscles, and trabecles were accurately delineated.
With its need for high SNR and short acquisition times, Cardiac MRI (CMR) is an intriguing target application for ultrahigh field MRI. Due to the sheer size of the upper torso, however, the known RF issues of 7T MRI are also most prominent in CMR. Recent years brought substantial progress but the full potential of the ultrahigh field for CMR is yet to be exploited. Parallel transmission (pTx) is a promising approach in this context and several groups have already reported B1 shimming for 7T CMR. In such a static pTx application amplitudes and phases of all Tx channels are adjusted individually but otherwise imaging techniques established in current clinical practice 1.5 T and 3 T are applied. More advanced forms of pTx as spatially selective excitation (SSE) using Transmit SENSE promise additional benefits like faster imaging with reduced fields of view or improved SAR control. SSE requires the full dynamic capabilities of pTx, however, and for the majority of today's implemented pTx hardware the internal synchronization of the Tx array does not easily permit external triggering as needed for CMR. Here we report a software solution to this problem and demonstrate the feasibility of CINE CMR at 7 T using a Tx array.
Cardiac MR (CMR) is of proven clinical value but also an area of vigorous ongoing research since image quality is not always exclusively defined by signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR). Recent developments of CMR at 7.0 T have been driven by pioneering explorations into novel multichannel transmit and receive coil array technology to tackle the challenges B1+-field inhomogeneities, to offset specific-absorption rate (SAR) constraints and to reduce banding artifacts in SSFP imaging. For this study, recognition of the benefits and performance of local surface Tx/Rx-array structures recently established at 7.0 T inspired migration to 3.0 T, where RF inhomogeneities and SAR limitations encountered in routine clinical CMR, though somewhat reduced versus the 7.0 T situation, remain significant. For all these reasons, this study was designed to build and examine the feasibility of a local four channel Tx/Rx cardiac coil array for anatomical and functional cardiac imaging at 3.0 T. For comparison, a homebuilt 4 channel Rx cardiac coil array exhibiting the same geometry as the Tx/Rx coil and a Rx surface coil array were used.
Cardiac MR (CMR) at ultrahigh (≥7.0 T) fields is regarded as one of the most challenging MRI applications. At 7.0 T image quality is not always exclusively defined by signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR). Detrimental effects bear the potential to spoil the signal-to-noise (SNR) and contrast-to-noise (CNR) benefits of cardiac MR (CMR) at 7.0 T. B₁⁺-inhomogeneities and signal voids represent the main challenges. Various pioneering coil concepts have been proposed to tackle these issues, enabling cardiac MRI at 7.0 T. This includes a trend towards an ever larger number of transmit and receive channels. This approach affords multi-dimensional B₁⁺ modulations to improve B₁⁺ shimming performance and to enhance RF efficiency. Also, parallel imaging benefits from a high number of receive channels enabling two-dimensional acceleration. Realizing the limitations of existing coil designs tailored for UHF CMR and recognizing the opportunities of a many element TX/RX channel architecture this work proposes a modular, two dimensional 32-channel transmit and receive array using loop elements and examines its efficacy for enhanced B¹+ homogeneity and improved parallel imaging performance.
