摘要:
A method and apparatus is disclosed to rapidly assess the severity of a stenosis using MR technology. The invention includes identifying a suspected stenotic vessel and applying a phase contrast pulse sequence to the stenotic vessel in which the MR operator is allowed to control the amplitude and direction of the flow encoding gradient. Peak flow velocity is determined in the suspected stenotic vessel by correlating the flow encoding gradient with the onset of flow velocity aliasing. In a preferred embodiment, the invention utilizes a 2D fast gradient echo pulse sequence having flow sensitizing bipolar gradient waveforms. The resulting flow sensitizing gradients are substantially coincident in time, thereby allowing rotation of the resultant flow sensitizing gradient direction. The amplitude of the flow encoding gradient is increased until the observance of flow related aliasing. Once flow related aliasing is observed, the velocity encoding (VENC) value is recorded and used as the indicator of peak flow velocity in the suspected stenotic vessel. The process can be repeated along the suspected stenosis vessel to isolate and assess the severity of the stenosis by comparing the peak flow velocity VENC values obtained at various locations along the suspected stenosis.
摘要:
The present invention includes a method and apparatus for high sensitivity whole body scanning using MR imaging. The invention includes acquiring MR data as the patient moves through the iso-center of the magnet while providing interactive control for the operator to change scan parameters and table motion and direction. The technique allows efficient whole body scanning for fast screening of abnormalities while allowing operator control during the screening process to interrupt table motion and redirect the speed and direction of the table while also allowing control over the acquisition plane, number of sections imaged, inter-section spacing, and the scan location.
摘要:
A method and apparatus are disclosed for creating peripheral MR angiographic images and performing an MRA examination using an intravascular contrast agent in which MR data acquisition is optimized in the most distal stations in a multi-station acquisition. The technique includes administering a contrast agent into the blood stream of the patient, acquiring low spatial resolution MR images of the arterial vasculature, and tracking the passage of the contrast agent through the patient. The patient table is moved in response to the tracking. The technique continues to acquire low spatial resolution images at each of the proximal stations until the most distal station is reached where a high spatial resolution image data set is then acquired of preferentially arterial vascular structures. Higher spatial resolution images are then acquired in the proximal stations.
摘要:
A system and method are disclosed that use the steady-state free precessing (SSFP) technique for MR imaging to allow the acquisition of MR angiography images in which the acquisition is not time dependent upon the first passage of a contrast agent. The technique includes applying a pulse sequence with refocusing S− signals from a train of RF pulses to a desired field-of-view (FOV) in a patient in which a contrast bolus has been injected. An SSFP image of the desired FOV is acquired, together with an S− SSFP mask image of the desired FOV. The S− SSFP mask image is subtracted from the SSFP image in order to reconstruct an image with improved visualization of the arterial and venous structures and reduce mis-registration artifacts.
摘要:
A system and method for arterial and venous discrimination in MR venography is disclosed. By setting a noise level in the phase image (that is proportional to the velocity encoding value) at a threshold level between that of the arterial signals and the venous signals during the diastole portion of the cardiac cycle and acquiring a phase contrast MR image during the diastole portion, the arterial signals are effectively suppressed and a venous only image can be reconstructed. Post-processing steps are disclosed which can alternatively provide an arterial only image. By separately reconstructing a magnitude image and a phase image map to produce a magnitude image and a phase image, a masking module can create an output displaying venous only or arterial only images based on a user selection. The present invention allows for a complete noninvasive angiography exam to be completed within approximately 30 minutes.
摘要:
A method of peripheral MR angiography is provided for imaging an artery or other vessel, wherein the vessel is of such length that MR data must be acquired at each of a plurality of scan stations spaced along the vessel. In accordance with the method, a contrast agent is intravenously injected, in order to provide a bolus which successively flows to each of the scan stations. After acquiring an initial subset of the MR data associated with a given scan station, the bolus is tracked to determine whether it has arrived at the next-following scan station. If so, at least some of the MR data associated with the next scan station are then acquired. However, if it is found that the bolus has not yet arrived at the next scan station, acquisition of further data at the given scan station is continued.
摘要:
A system and method for the acquisition of preferential arterial and venous images is disclosed. The invention includes setting a noise level in the phase image, that is proportional to the velocity encoding value, at a threshold level above the venous signal but below the arterial signal during a systolic portion of the cardiac cycle and acquiring a phase contrast MR image during the systolic portion that effectively acquires the arterial signal and suppresses the venous signal. During the diastolic portion of the same R—R interval, the velocity encoding value is then set to establish a noise threshold level in the phase image lower to a value below the venous signal but above the arterial signal to acquire the venous signal and suppress the arterial signal. In this manner, either an arterial only image or a venous only image can be displayed. Alternatively, the images can be combined to create a higher SNR arterial and venous image.
摘要:
An apparatus, system and method to determine a coordinate system of a heart includes an imager and a computer. The computer is programmed to acquire a first set of initialization imaging data from an anatomical region of a free-breathing subject. A portion of the first set of initialization imaging data includes organ data, which includes cardiac data. The computer is further programmed to determine a location of a central region of a left ventricle of a heart, where the location is based on the organ data and a priori information. The computer is also programmed to determine a short axis of the left ventricle based on the determined location, acquire a first set of post-initialization imaging data from the free-breathing subject from an imaging plane orientation based on the determination of the short axis, and reconstruct at least one image from the first set of post-initialization imaging data.
摘要:
A method and apparatus is disclosed for MR perfusion acquisition using a notched RF saturation pulse. In acquiring such MR data, a volume of slice locations is selected in which MR data is to be acquired. Each given slice is prepared with a notched RF saturation pulse which has a stop-band between a pair of pass-bands. The stop-band is designed to not affect the spins in the next slice in which MR data is to be acquired thereby effectively increasing the TI and increasing SNR and contrast simultaneously. Since the notched saturation pulse saturates all the spins outside of the notched stop-band, the blood in the ventricular chamber is effectively saturated so that the resulting perfusion images have blood pool suppression. Additionally, the use of a 90° presaturation RF pulse provides a high level of immunity to the effects of arrhythmias or other variations in the patient's heart rate. In order to keep the stop-band, or the notch, as wide as possible to overlap the boundaries of each slice location, it is preferable to interleave the acquisition of slice locations.
摘要:
A system and method for creating MR images using mask data that is copied forward for on-the-fly image subtraction for use within such techniques as MR angiography is disclosed. The invention includes acquiring an MR mask image comprised of a plurality of k-space lines, and then copying the k-space line data of the MR mask image into a number of different memory locations. The number of different memory locations corresponds to a preselected number of MR image acquisitions as set by an MR operator. The invention next includes acquiring the preselected number of MR images, each comprised of k-space line data. As the k-space line data is acquired, it is then immediately accumulated in one of the memory locations having the MR mask image k-space line data. By setting a polarity of the data stored, each acquired k-space line of an acquired MR image is subtracted from a corresponding k-space line of the MR mask image in real time. The image is then reconstructed using the subtracted k-space line data. After each additional MR image acquisition, the data is accumulated with the masked data, which result is used for reconstructing an MR image without the need to transfer the data to another workstation for separate processing or post-processing. In this manner, the acquired data is automatically subtracted on-the-fly, thereby yielding fluoroscopic images, for example, without the prior art penalties of excessive image reconstruction time and image post-processing time.