Low‐field MRI: An MR physics perspective Marques, José P.; Simonis, Frank F.J.; Webb, Andrew G.
Journal of magnetic resonance imaging,
June 2019, Letnik:
49, Številka:
6
Journal Article
Recenzirano
Odprti dostop
Historically, clinical MRI started with main magnetic field strengths in the ∼0.05–0.35T range. In the past 40 years there have been considerable developments in MRI hardware, with one of the primary ...ones being the trend to higher magnetic fields. While resulting in large improvements in data quality and diagnostic value, such developments have meant that conventional systems at 1.5 and 3T remain relatively expensive pieces of medical imaging equipment, and are out of the financial reach for much of the world. In this review we describe the current state‐of‐the‐art of low‐field systems (defined as 0.25–1T), both with respect to its low cost, low foot‐print, and subject accessibility. Furthermore, we discuss how low field could potentially benefit from many of the developments that have occurred in higher‐field MRI.
In the first section, the signal‐to‐noise ratio (SNR) dependence on the static magnetic field and its impact on the achievable contrast, resolution, and acquisition times are discussed from a theoretical perspective. In the second section, developments in hardware (eg, magnet, gradient, and RF coils) used both in experimental low‐field scanners and also those that are currently in the market are reviewed. In the final section the potential roles of new acquisition readouts, motion tracking, and image reconstruction strategies, currently being developed primarily at higher fields, are presented.
Level of Evidence: 5
Technical Efficacy Stage: 1
J. Magn. Reson. Imaging 2019.
Purpose
Low‐field (B0 < 0.1 T) MRI has generated much interest as a means of increased accessibility via reduced cost and improved portability compared to conventional clinical systems (B0 ≥ 1.5 ...Tesla). Here we measure MR relaxation times at 50 mT and compare results with commonly used models based on both in vivo and ex vivo measurements.
Methods
Using 3D turbo spin echo readouts, T1 and T2 maps of the human brain and lower leg were acquired on a custom‐built 50 mT MRI scanner using inversion‐recovery and multi‐echo–based sequences, respectively. Image segmentation was performed based on a histogram analysis of the relaxation times.
Results
The average T1 times of gray matter, white matter, and cerebrospinal fluid (CSF) were 327 ± 10 ms, 275 ± 5 ms, and 3695 ± 287 ms, respectively. Corresponding values of T2 were 102 ± 6 ms, 102 ± 6 ms, and 1584 ± 124 ms. T1 times in the calf muscle were measured to be 171 ± 11 ms and were 130 ± 5 ms in subcutaneous and bone marrow lipid. Corresponding T2 times were 39 ± 2 ms in muscle and 90 ± 13 ms in lipid.
Conclusions
For tissues except for CSF, the measured T1 times are much shorter than reported at higher fields and generally lie within the range of different models in the literature. As expected, T2 times are similar to those seen at typical clinical field strengths. Analysis of the relaxation maps indicates that segmentation of white and gray matter based purely on T1 or T2 will be quite challenging at low field given the relatively small difference in relaxation times.
Purpose
To design a low‐cost, portable permanent magnet‐based MRI system capable of obtaining in vivo MR images within a reasonable scan time.
Methods
A discretized Halbach permanent magnet array ...with a clear bore diameter of 27 cm was designed for operation at 50 mT. Custom‐built gradient coils, RF coil, gradient amplifiers, and RF amplifier were integrated and tested on both phantoms and in vivo.
Results
Phantom results showed that the gradient nonlinearity in the y‐direction and z‐direction was less than 5% over a 15‐cm FOV and did not need correcting. For the x‐direction, it was significantly greater, but could be partially corrected in postprocessing. Three‐dimensional in vivo scans of the brain of a healthy volunteer using a turbo spin‐echo sequence were acquired at a spatial resolution of 4 × 4 × 4 mm in a time of about 2 minutes. The T1‐weighted and T2‐weighted scans showed a good degree of tissue contrast. In addition, in vivo scans of the knee of a healthy volunteer were acquired at a spatial resolution of about 3 × 2 × 2 mm within 12 minutes to show the applicability of the system to extremity imaging.
Conclusion
This work has shown that it is possible to construct a low‐field MRI unit with hardware components costing less than 10 000 Euros, which is able to acquire human images in vivo within a reasonable data‐acquisition time. The system has a high degree of portability with magnet weight of approximately 75 kg, gradient and RF amplifiers each 15 kg, gradient coils 10 kg, and spectrometer 5 kg.
Low-field (B
< 0.1 T) MRI has generated much interest as a means of increased accessibility via reduced cost and improved portability compared to conventional clinical systems (B
≥ 1.5 Tesla). Here ...we measure MR relaxation times at 50 mT and compare results with commonly used models based on both in vivo and ex vivo measurements.
Using 3D turbo spin echo readouts, T
and T
maps of the human brain and lower leg were acquired on a custom-built 50 mT MRI scanner using inversion-recovery and multi-echo-based sequences, respectively. Image segmentation was performed based on a histogram analysis of the relaxation times.
The average T
times of gray matter, white matter, and cerebrospinal fluid (CSF) were 327 ± 10 ms, 275 ± 5 ms, and 3695 ± 287 ms, respectively. Corresponding values of T
were 102 ± 6 ms, 102 ± 6 ms, and 1584 ± 124 ms. T
times in the calf muscle were measured to be 171 ± 11 ms and were 130 ± 5 ms in subcutaneous and bone marrow lipid. Corresponding T
times were 39 ± 2 ms in muscle and 90 ± 13 ms in lipid.
For tissues except for CSF, the measured T
times are much shorter than reported at higher fields and generally lie within the range of different models in the literature. As expected, T
times are similar to those seen at typical clinical field strengths. Analysis of the relaxation maps indicates that segmentation of white and gray matter based purely on T
or T
will be quite challenging at low field given the relatively small difference in relaxation times.
Ultra-high field MRI offers unprecedented detail for noninvasive visualization of the human brain. However, brain imaging is challenging at 7T due to the B
field inhomogeneity, which results in ...signal intensity drops in temporal lobes and a bright region in the brain center. This study aims to evaluate using a metasurface to improve brain imaging at 7T and simplify the investigative workflow.
Two flexible metasurfaces comprising a periodic structure of copper strips and parallel-plate capacitive elements printed on an ultra-thin substrate were optimized for brain imaging and implemented via PCB. We considered two setups: (1) two metasurfaces located near the temporal lobes and (2) one metasurface placed near the occipital lobe. The effect of metasurface placement on the transmit efficiency and specific absorption rate was evaluated via electromagnetic simulation studies with voxelized models. In addition, their impact on signal-to-noise ratio (SNR) and diagnostic image quality was assessed in vivo for two male and one female volunteers.
Placement of metasurfaces near the regions of interest led to an increase in homogeneity of the transmit field by 5% and 10.5% in the right temporal lobe and occipital lobe for a male subject, respectively. SAR efficiency values changed insignificantly, dropping by less than 8% for all investigated setups. In vivo studies also confirmed the numerically predicted improvement in field distribution and receive sensitivity in the desired ROI.
Optimized metasurfaces enable homogenizing transmit field distribution in the brain at 7T. The proposed lightweight and flexible structure can potentially provide MR examination with higher diagnostic value images.
•Compartment and cell-specific microscopic anisotropy are measured with DDES.•The intracellular space is highly anisotropic in white (WM) and gray matter (GM).•The extracellular space in GM is ...isotropic, while that of WM is highly anisotropic.•Water and metabolites intracellular mean diffusivities are lower in GM than in WM.•Intracellular tortuosity derived from water and tNAA is higher in GM than WM.
Double diffusion encoding (DDE) of the water signal offers a unique ability to separate the effect of microscopic anisotropic diffusion in structural units of tissue from the overall macroscopic orientational distribution of cells. However, the specificity in detected microscopic anisotropy is limited as the signal is averaged over different cell types and across tissue compartments. Performing side-by-side water and metabolite DDE spectroscopic (DDES) experiments provides complementary measures from which intracellular and extracellular microscopic fractional anisotropies (μFA) and diffusivities can be estimated. Metabolites are largely confined to the intracellular space and therefore provide a benchmark for intracellular μFA and diffusivities of specific cell types. By contrast, water DDES measurements allow examination of the separate contributions to water μFA and diffusivity from the intra- and extracellular spaces, by using a wide range of b values to gradually eliminate the extracellular contribution. Here, we aimed to estimate tissue and compartment specific human brain microstructure by combining water and metabolites DDES experiments. We performed our DDES measurements in two brain regions that contain widely different amounts of white matter (WM) and gray matter (GM): parietal white matter (PWM) and occipital gray matter (OGM) in a total of 20 healthy volunteers at 7 Tesla. Metabolite DDES measurements were performed at b = 7199 s/mm2, while water DDES measurements were performed with a range of b values from 918 to 7199 s/mm2. The experimental framework we employed here resulted in a set of insights pertaining to the morphology of the intracellular and extracellular spaces in both gray and white matter. Results of the metabolite DDES experiments in both PWM and OGM suggest a highly anisotropic intracellular space within neurons and glia, with the possible exception of gray matter glia. The water μFA obtained from the DDES results at high b values in both regions converged with that of the metabolite DDES, suggesting that the signal from the extracellular space is indeed effectively suppressed at the highest b value. The μFA measured in the OGM significantly decreased at lower b values, suggesting a considerably lower anisotropy of the extracellular space in GM compared to WM. In PWM, the water μFA remained high even at the lowest b value, indicating a high degree of organization in the interstitial space in WM. Tortuosity values in the cytoplasm for water and tNAA, obtained with correlation analysis of microscopic parallel diffusivity with respect to GM/WM tissue fraction in the volume of interest, are remarkably similar for both molecules, while exhibiting a clear difference between gray and white matter, suggesting a more crowded cytoplasm and more complex cytomorphology of neuronal cell bodies and dendrites in GM than those found in long-range axons in WM.
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Purpose
Concomitant gradient fields have been extensively studied at clinical field strengths. However, their effects have not yet been modeled for low‐field point‐of‐care (POC) systems. The purpose ...of this work is to characterize the effects associated with concomitant fields for POC Halbach‐array‐based systems.
Methods
The concomitant fields associated with a cylindrical gradient coils designed for a transverse B0$$ {B}_0 $$ and a signal model including the tilting effect of the effective magnetic field are derived. The formalism is used to simulate and predict concomitant field related distortions. A 46‐mT Halbach‐array‐based system with a maximum gradient strength of 15 mT/m is used to verify the model using two‐dimensional spin‐echo sequences.
Results
The simulations and experimental results are in good agreement with the derived equations. The fundamental characteristics of the concomitant field equations are different to conventional MRI systems: Image distortions occur primarily in the transverse directions and a cross‐term only exists when applying transverse gradient pulses simultaneously.
Conclusion
The level of image warping in the frequency encoding direction is insignificant for the POC systems discussed here. However, when trying to achieve short echo‐times by using strong phase encoding and readout‐dephasing gradients, the combination can result in image warping and blurring which should be accounted for in image interpretation.
Purpose
High permittivity dielectric pads are known to be effective for tailoring the RF field and improving image quality in high field MRI. Despite a number of studies reporting benign specific ...absorption rate (SAR) effects, their “universal” safety remains an open concern. In this work, we evaluate the impact of the insulation material in between the pad and the body, using both RF simulations as well as phantom experiments.
Methods
A 3T configuration with high permittivity material was simulated and characterized experimentally in terms of B1+ fields and RF power absorption, both with and without electrical insulation in between the high permittivity material and the sample. Different insulation conditions were compared, and electromagnetic analyses on the induced current density were performed to elucidate the effect.
Results
Increases in RF heating of up to 49% were observed experimentally in a tissue‐mimicking phantom after removing the material insulation. The B1+ magnitude and RF transceive phase were not affected. Simulations indicated that an insulation thickness of 0.5–2 mm should be accounted for in numerical models in order to ensure reliable results.
Conclusion
A reliable RF safety assessment of high permittivity dielectric pads requires accounting for the insulating properties of the plastic encasing. Ignoring the electrical insulation can lead to erroneous results with substantial increases in local SAR at the interface. Conversely, the material insulation does not need to be modeled to predict the B1+ effects during the design of the pad geometry.