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      Improvement in B 1 + Homogeneity and Average Flip Angle Using Dual-Source Parallel RF Excitation for Cardiac MRI in Swine Hearts

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          Abstract

          Cardiac MRI may benefit from increased polarization at high magnetic field strength of 3 Tesla but is challenged by increased field inhomogeneity. Initial human studies have shown that the radiofrequency (RF) excitation field (B 1 +) used for signal excitation in the heart is both inhomogeneous and significantly lower than desired, potentially leading to image artifacts and biased quantitative measures. Recently, multi-channel transmit systems have been introduced allowing localized patient specific RF shimming based on acquired calibration B 1 + maps. Some prior human studies have shown lower than desired mean flip angles in the hearts of large patients even after RF shimming. Here, 100 cardiac B 1 + map pairs before and after RF shimming were acquired in 55 swine. The mean flip angle and the coefficient of variation (CV) of the flip angle in the heart were determined before and after RF shimming. Mean flip angle, CV, and RF shim values (power ratio and phase difference between the two transmit channels) were tested for correlation with cross sectional body area and the Right-Left/Anterior-Posterior ratio. RF shimming significantly increased the mean flip angle in swine heart from 74.4±6.7% (mean ± standard deviation) to 94.7±4.8% of the desired flip angle and significantly reduced CV from 0.11±0.03 to 0.07±0.02 (p<<1e-10 for both). These results compare well with several previous human studies, except that the mean flip angle in the human heart only improved to 89% with RF shimming, possibly because the RF shimming routine does not consider safety constraints in very large patients. Additionally, mean flip angle decreased and CV increased with larger cross sectional body area, however, the RF shimming parameters did not correlate with cross sectional body area. RF shim power ratio correlated weakly with Right-Left/Anterior-Posterior ratio but phase difference did not, further substantiating the need for subject specific cardiac RF shimming.

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          Saturated double-angle method for rapid B1+ mapping.

          For in vivo magnetic resonance imaging at high field (> or =3 T) it is essential to consider the homogeneity of the active B(1) field (B(1)+), particularly if surface coils are used for RF transmission. A new method is presented for highly rapid B(1)+ magnitude mapping. It combines the double angle method with a B(1)-insensitive magnetization-reset sequence such that the choice of repetition time (TR) is independent of T(1) and with a multislice segmented (spiral) acquisition to achieve volumetric coverage with adequate spatial resolution in a few seconds. Phantom experiments confirmed the accuracy of this technique even when TR < T(1), with the side effect being lowered SNR. The speed of this method enabled B(1)+ mapping in the chest and abdomen within a single breath-hold. In human cardiac imaging, the method enabled whole-heart coverage within a single 16-s breath-hold. Results from phantoms and healthy volunteers at 1.5 T and 3 T are presented. Copyright 2006 Wiley-Liss, Inc.
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            In vivo heating of pacemaker leads during magnetic resonance imaging.

            Magnetic resonance imaging (MRI) is well established as an important diagnostic tool in medicine. However, the presence of a cardiac pacemaker is usually regarded as a contraindication for MRI due to safety reasons. In this study, heating effects at the myocardium-pacemaker lead tip interface have been investigated in a chronic animal model during MRI at 1.5 Tesla. Pacemaker leads with additional thermocouple wires as temperature sensors were implanted in nine animals. Temperature increases of up to 20 degrees C were measured during MRI of the heart. Significant impedance and minor stimulation threshold changes could be seen. However, pathology and histology could not clearly demonstrate heat-induced damage. MRI may produce considerable heating at the lead tip. Changes of pacing parameters due to MRI could be seen in chronic experiments. Potential risk of tissue damage cannot be excluded even though no reproducible alterations at the histological level could be found.
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              Cardiovascular magnetic resonance at 3.0T: Current state of the art

              There are advantages to conducting cardiovascular magnetic resonance (CMR) studies at a field strength of 3.0 Telsa, including the increase in bulk magnetization, the increase in frequency separation of off-resonance spins, and the increase in T1 of many tissues. However, there are significant challenges to routinely performing CMR at 3.0T, including the reduction in main magnetic field homogeneity, the increase in RF power deposition, and the increase in susceptibility-based artifacts. In this review, we outline the underlying physical effects that occur when imaging at higher fields, examine the practical results these effects have on the CMR applications, and examine methods used to compensate for these effects. Specifically, we will review cine imaging, MR coronary angiography, myocardial perfusion imaging, late gadolinium enhancement, and vascular wall imaging.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                5 October 2015
                2015
                : 10
                : 10
                : e0139859
                Affiliations
                [1 ]Russell H. Morgan Department of Radiology and Radiological Science, Division of Magnetic Resonance Research, Johns Hopkins University, Baltimore, Maryland, United States of America
                [2 ]Clinical Science MRI, Philips Healthcare, Cleveland, Ohio, United States of America
                [3 ]Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
                [4 ]Biomedical Engineering, Tsinghua University, Beijing, China
                University of Chicago, UNITED STATES
                Author notes

                Competing Interests: MS was an employee of Philips Healthcare until May 2014, the manufacturer of equipment used in this study. There are no patents, products in development or marketed products to declare. This does not alter the authors' adherence to all the PLoS ONE policies on sharing data and materials.

                Conceived and designed the experiments: MS DH. Performed the experiments: DH HD. Analyzed the data: MS DH. Contributed reagents/materials/analysis tools: MS DH. Wrote the paper: MS HD DH.

                Article
                PONE-D-15-22332
                10.1371/journal.pone.0139859
                4593605
                26436658
                039137d2-6476-47ed-9670-347064516566
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 9 June 2015
                : 16 September 2015
                Page count
                Figures: 4, Tables: 1, Pages: 8
                Funding
                This work was supported by the American Heart Association (AHA-11SDG5280025), NIH R01 HL094610, and Prof. Herzka's start-up funds. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. MS was an employee of Philips Healthcare until May 2014. Philips Healthcare provided support in the form of salary for author MS, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Custom metadata
                All relevant data are within the paper and its Supporting Information files.

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