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At least 343 records · Page 19

Respiratory Amplitude Guided 4-Dimensional Magnetic Resonance Imaging

Purpose: To evaluate the feasibility of prospectively guiding 4-dimensional (4D) magnetic resonance imaging (MRI) image acquisition using triggers at preselected respiratory amplitudes to achieve T{sub 2} weighting for abdominal motion tracking. Methods and Materials: A respiratory amplitude-based triggering system was developed and integrated into a commercial turbo spin echo MRI sequence. Initial feasibility tests were performed on healthy human study participants. Four respiratory states, the middle and the end of inhalation and exhalation, were used to trigger 4D MRI image acquisition of the liver. To achieve T{sub 2} weighting, the echo time and repetition time were set to 75 milliseconds and 4108 milliseconds, respectively. Single-shot acquisition, together with parallel imaging and partial k-space imaging techniques, was used to improve image acquisition efficiency. 4D MRI image sets composed of axial or sagittal slices were acquired. Results: Respiratory data measured and logged by the MRI scanner showed that the triggers occurred at the appropriate respiratory levels. Liver motion could be easily observed on both 4D MRI image datasets by sensing either the change of liver in size and shape (axial) or diaphragm motion (sagittal). Both 4D MRI image datasets were T{sub 2}-weighted as expected. Conclusions: This study demonstrated the feasibility of achieving T{sub 2}-weighted 4D MRI images using amplitude-based respiratory triggers. With the aid of the respiratory amplitude-based triggering system, the proposed method is compatible with most MRI sequences and therefore has the potential to improve tumor-tissue contrast in abdominal tumor motion imaging.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

C-13 Nuclear Magnetic Resonance Spectroscopy of Methane and Carbon Dioxide in a Natural Shale

13C nuclear magnetic resonance (NMR) spectroscopy shows that high resolution spectra of isotopically enriched CH4 and CO2 can be obtained for a natural shale sample under in situ conditions relevant to petroleum reservoirs (T = 323K and Pfluid = 90 bars) using magic angle spinning. These results show for the first time that this technique has the potential to provide otherwise unobtainable, species-specific structural and dynamical insight into the pore systems of shales and other tight reservoir and source rocks, and can thus help guide design of the methods used in enhanced petroleum production. The NMR results show that CH4 and CO2 readily displace each other in the nano- (<10 nm) and meso-porosity (>10 nm) pore spaces of the shales; that CH4 in nanopores, mesopores, and bulk fluid can be distinguished; and that the partitioning of CH4 between nanopores and mesopores depends on the CH4/CO2 ratio and, thus, partial pressures of the individual fluid species.

Bowers, Geoffrey M.↗

SU-F-J-151: Evaluation of a Magnetic Resonance Image Gated Radiotherapy System Using a Motion Phantom and Radiochromic Film

Purpose: Magnetic resonance image (MRI) guided radiotherapy enables gating directly on target position for soft-tissue targets in the lung and abdomen. We present a dosimetric evaluation of a commercially-available FDA-approved MRI-guided radiotherapy system’s gating performance using a MRI-compatible respiratory motion phantom and radiochromic film. Methods: The MRI-compatible phantom was capable of one-dimensional motion. The phantom consisted of a target rod containing high-contrast target inserts which moved inside a body structure containing background contrast material. The target rod was equipped with a radiochromic film insert. Treatment plans were generated for a 3 cm diameter spherical target, and delivered to the phantom at rest and in motion with and without gating. Both sinusoidal and actual tumor trajectories (two free-breathing trajectories and one repeated-breath hold) were used. Gamma comparison at 5%/3mm was used to measure fidelity to the static target dose distribution. Results: Without gating, gamma pass rates were 24–47% depending on motion trajectory. Using our clinical standard of repeated breath holds and a gating window of 3 mm with 10% of the target allowed outside the gating boundary, the gamma pass rate was 99.6%. Relaxing the gating window to 5 mm resulted in gamma pass rate of 98.6% with repeated breath holds. For all motion trajectories gated with 3 mm margin and 10% allowed out, gamma pass rates were between 64–100% (mean:87.5%). For a 5 mm margin and 10% allowed out, gamma pass rates were between 57–98% (mean: 82.49%), significantly lower than for 3 mm by paired t-test (p=0.01). Conclusion: We validated the performance of respiratory gating based on real-time cine MRI images with the only FDA-approved MRI-guided radiotherapy system. Our results suggest that repeated breath hold gating should be used when possible for best accuracy. A 3 mm gating margin is statistically significantly more accurate than a 5 mm gating margin.

60 APPLIED LIFE SCIENCES↗

A feasibility study of hand kinematics for EVA analysis using magnetic resonance imaging

A new method for analyzing the kinematics of joint motion using magnetic resonance imaging (MRI) is described. The reconstruction of the metacarpalphalangeal joint of the left index finger into a 3D graphic display is shown. From the reconstructed volumetric images, measurements of the angles of movement of the applicable bones are obtained and processed by analyzing the screw motion of the joint. Landmark positions are chosen at distinctive locations of the joint at fixed image threshold intensity levels to ensure repeatability. The primarily 2D planar motion of this joint is then studied using a method of constructing coordinate systems using three or more points. A transformation matrix based on a world coordinate system describes the location and orientation of the local target coordinate system. The findings show the applicability of MRI to joint kinematics for gaining further knowledge of the hand-glove design for EVA.

Dickenson, Reuben D.↗

Magnetic Resonance Lymphography Findings in Patients With Biochemical Recurrence After Prostatectomy and the Relation With the Stephenson Nomogram

Purpose: To estimate the occurrence of positive lymph nodes on magnetic resonance lymphography (MRL) in patients with a prostate-specific antigen (PSA) recurrence after prostatectomy and to investigate the relation between score on the Stephenson nomogram and lymph node involvement on MRL. Methods and Materials: Sixty-five candidates for salvage radiation therapy were referred for an MRL to determine their lymph node status. Clinical and histopathologic features were recorded. For 49 patients, data were complete to calculate the Stephenson nomogram score. Receiver operating characteristic (ROC) analysis was performed to determine how well this nomogram related to the MRL result. Analysis was done for the whole group and separately for patients with a PSA <1.0 ng/mL to determine the situation in candidates for early salvage radiation therapy, and for patients without pathologic lymph nodes at initial lymph node dissection. Results: MRL detected positive lymph nodes in 47 patients. ROC analysis for the Stephenson nomogram yielded an area under the curve (AUC) of 0.78 (95% confidence interval, 0.61-0.93). Of 29 patients with a PSA <1.0 ng/mL, 18 had a positive MRL. Of 37 patients without lymph node involvement at initial lymph node dissection, 25 had a positive MRL. ROC analysis for the Stephenson nomogram showed AUCs of 0.84 and 0.74, respectively, for these latter groups. Conclusion: MRL detected positive lymph nodes in 72% of candidates for salvage radiation therapy, in 62% of candidates for early salvage radiation therapy, and in 68% of initially node-negative patients. The Stephenson nomogram showed a good correlation with the MRL result and may thus be useful for identifying patients with a PSA recurrence who are at high risk for lymph node involvement.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Development of hypertension after long-term exposure to static magnetic fields among workers from a magnetic resonance imaging device manufacturing facility

Highlights: • High cumulative exposure to MRI-related static magnetic fields is associated with hypertension. • No association was apparent for low cumulative exposure to static magnetic fields. • New association pointing at long term effects of static magnetic fields needs corroboration. To assess the association between long-term exposure to static magnetic fields (SMF) in a magnetic resonance imaging (MRI)-manufacturing environment and hypertension.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Fluid Flow Investigations within a 37 Element CANDU Fuel Bundle Supported by Magnetic Resonance Velocimetry and Computational Fluid Dynamics

The current work presents experimental and computational investigations of fluid flow through a 37 element CANDU nuclear fuel bundle. Experiments based on Magnetic Resonance Velocimetry (MRV) permit three-dimensional, three-component fluid velocity measurements to be made within the bundle with sub-millimeter resolution that are non-intrusive, do not require tracer particles or optical access of the flow field. Computational fluid dynamic (CFD) simulations of the foregoing experiments were performed with the hydra-th code using implicit large eddy simulation, which were in good agreement with experimental measurements of the fluid velocity. Greater understanding has been gained in the evolution of geometry-induced inter-subchannel mixing, the local effects of obstructed debris on the local flow field, and various turbulent effects, such as recirculation, swirl and separation. These capabilities are not available with conventional experimental techniques or thermal-hydraulic codes. Finally, the overall goal of this work is to continue developing experimental and computational capabilities for further investigations that reliably support nuclear reactor performance and safety.

42 ENGINEERING↗

Inter-reader agreement of magnetic resonance imaging proton density fat fraction and its longitudinal change in a clinical trial of adults with nonalcoholic steatohepatitis

Purpose: To determine the inter-reader agreement of magnetic resonance imaging proton density fat fraction (PDFF) and its longitudinal change in a clinical trial of adults with nonalcoholic steatohepatitis (NASH). Study type: We performed a secondary analysis of a placebo-controlled randomized clinical trial of a bile acid sequestrant in 45 adults with NASH. A six-echo spoiled gradient-recalled-echo magnitude-based fat quantification technique was performed at 3 T. Three independent readers measured MRI-PDFF by placing one primary and two additional regions of interest (ROIs) in each segment at both time points. Cross-sectional agreement between the three readers was evaluated using intra-class correlation coefficients (ICCs) and coefficients of variation (CV). Additionally, we used Bland–Altman analyses to examine pairwise agreement between the three readers at baseline, end of treatment (EOT), and for longitudinal change. Results: Using all ROIs by all readers, mean PDFF at baseline, at EOT, and mean change in PDFF was 16.1%, 16.0%, and 0.07%, respectively. The 27-ROI PDFF measurements had 0.998 ICC and 1.8% CV at baseline, 0.998 ICC and 1.8% CV at EOT, and 0.997 ICC for longitudinal change. The 9-ROI PDFF measurements had corresponding values of 0.997 and 2.6%, 0.996 and 2.4%, and 0.994. Using 27 ROIs, the magnitude of the bias between readers for whole-liver PDFF measurement ranged from 0.03% to 0.06% points at baseline, 0.01% to 0.07% points at EOT, and 0.01% to 0.02% points for longitudinal change. Conclusion: Inter-reader agreement for measuring whole-liver PDFF and its longitudinal change is high. 9-ROI measurements have only slightly lower agreement than 27-ROI measurements.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Dose Effect Relationship for Late Side Effects of the Rectum and Urinary Bladder in Magnetic Resonance Image-Guided Adaptive Cervix Cancer Brachytherapy

Purpose: To establish dose-response relationships for late side effects of the rectum and bladder in cervix cancer patients after magnetic resonance image-guided adaptive brachytherapy (IGABT). Methods and Materials: A cohort of 141 patients was treated with 45 to 50.4 Gy with or without cisplatin plus 4 fractions of 7 Gy IGABT. Doses for the most exposed 2, 1, and 0.1-cm{sup 3} (D{sub 2cc}, D{sub 1cc}, D{sub 0.1cc}) volumes of the rectum and bladder were converted into the equivalent dose in 2 Gy fractions (EQD2), using a linear quadratic model ({alpha}/{beta} = 3 Gy). Late side effects were prospectively assessed (using late effects in normal tissues subjective, objective, management and analytic [LENT SOMA]) scales. Dose-response relationships were determined by logit analyses. Results: Eleven patients developed rectal side effects, and 23 patients had urinary side effects. A significant dose effect was found for all rectal dose-volume histogram (DVH) parameters for patients with side effect grades of 1 to 4 but was only significant for D{sub 2cc} and D{sub 1cc} for grades {>=}2. The ED10 values for D{sub 2cc} were 73 Gy for grades 1 to 4 and 78 Gy for grades 2 to 4 rectal morbidity. For bladder side effects, a significant dose effect was shown for all DVH parameters for complication grades {>=}2; the respective ED10 was 101 Gy. Conclusions: Well-defined dose-response curves could be established for D{sub 2cc} in the rectum and the urinary bladder.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Toward holistic understanding of the ITER-like resonant magnetic perturbation (RMP) ELM control on KSTAR

Here, KSTAR has clarified a set of unresolved 3D physics issues utilizing the ITER-like in-vessel, three-row, resonant magnetic perturbation (RMP) configurations. Since RMP-driven, edge-localized-modes (ELMs)-crash control elevates the divertor heat flux peak through its impact on edge plasma parameters and transport, a series of intentionally misaligned RMP configurations (IMCs) have been explored to investigate the relationship between RMP ELM control and divertor heat fluxes, while searching for an ideal IMC that could be favorable in both aspects. First of all, the contrasting influence of kink vs anti-kink phasing on the ELM-crash suppression has been articulated, demonstrating the synergistic benefit of 'kink' phasing on ELM-crash-suppression. On the other hand, the three-row IMC in the anti-kink phasing becomes more insensitive to the ELM-crashes at the sub-marginal level of RMP, consistent with theory. Meanwhile, the divertor 'wetted' area of ELM-crash-suppression gets narrower than that of ELM-crash-mitigation, suggesting that ELM-crash-mitigation remains advantageous over ELM-crash-suppression in terms of time-averaged divertor thermal loading. In comparison, based on a set of two-row IMCs, no evidence of divertor heat flux broadening was found during ELM-crash-suppression, supporting a hypothesis that the dispersal of the divertor heat flux in three-row IMCs cannot be driven by helically structured two-row RMPs alone. Among ITER-like three-rows, lower two-row RMPs have been found to be much more effective in suppressing the ELM-crashes than upper two-row RMPs. Although it is quite preliminary, the up/down asymmetric dependence of RMP coupling may be generically attributed to lower-single-null plasmas. Such a holistic understanding of RMP-driven, ELM-crash-control in KSTAR is expected not only to elucidate various subtle points in the vicinity of ELM-crash-suppression, but also to clarify the relevant divertor thermal loading issues for ITER and beyond.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Cerebral quantification of N-acetyl aspartate, aspartate, and glutamate levels in local structures of the human brain using J-editing of {sup 1}H magnetic resonance spectra in vivo

A procedure was developed for the first time for simultaneous in vivo quantification of local aspartate and glutamate concentrations in the human brain using {sup 1}H magnetic resonance spectroscopy ({sup 1}H MRS) and spectral J-editing. The MEGA-PRESS pulse sequence was modified to observe β-CH{sub 2} nonequivalent proton resonances of aspartate (δ 2.65 and 2.80) and glutamate (δ 2.04 and 2.12) overlapped by signals of other metabolites. The frequencies, frequency selective pulse durations, and optimal echo times were selected by simulation and experimentally (for phantoms and in the brain in vivo).

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Advances in the physics understanding of ELM suppression using resonant magnetic perturbations in DIII-D

We report recent experiments on DIII-D have increased confidence in the ability to suppress edge-localized modes (ELMs) using edge-resonant magnetic perturbations (RMPs) in ITER, including an improved physics basis for the edge response to RMPs as well as expansion of RMP ELM suppression to more ITER-like conditions. Complete ELM suppression has been achieved utilizing n = 3 RMPs in the ITER baseline scenario. In addition, RMP ELM suppression has been expanded to include plasmas with helium concentrations near 25% and the use of n = 2 RMPs. Analysis of the kinetic profile response suggests that ELM suppression is correlated with the co-alignment of the ω ⊥e = 0 location, an n = 3 rational surface, and the top of the pedestal. Modelling predicts that such a co-alignment could potentially lead to island (or island chain) formation just inside the top of the pedestal, inhibiting the growth of the pedestal and thereby maintaining the ELM-free state. Detailed analysis of data obtained during toroidal phase variations of the applied n = 3 RMPs have provided further evidence of an island-like structure at the top of the pedestal. In addition, nearly matched discharges with co-neutral-beam-injection (co-NBI) and counter-NBI have demonstrated the importance of the presence of the ω ⊥e = 0 location for ELM suppression. In the counter-NBI cases, the toroidal rotation profile is such that there is no ω ⊥e = 0 location and ELMs are not suppressed in conditions in which ELM suppression is generally observed with co-NBI.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

High-resolution {sup 13}C nuclear magnetic resonance evidence of phase transition of Rb,Cs-intercalated single-walled nanotubes

We present 13 C high-resolution magic-angle-turning (MAT) and magic angle spinning nuclear magnetic resonance data of Cs and Rb intercalated single walled carbon nanotubes. We find two distinct phases at different intercalation levels. A simple charge transfer is applicable at low intercalation level. The new phase at high intercalation level is accompanied by a hybridization of alkali (s) orbitals with the carbon (sp2) orbitals of the single walled nanotubes, which indicate bundle surface sites is the most probable alkali site.

36 MATERIALS SCIENCE↗

Quantification of Esophageal Tumor Motion on Cine-Magnetic Resonance Imaging

Purpose: To quantify the movement of esophageal tumors noninvasively on cine-magnetic resonance imaging (MRI) by use of a semiautomatic method to visualize tumor movement directly throughout multiple breathing cycles. Methods and Materials: Thirty-six patients with esophageal tumors underwent MRI. Tumors were located in the upper (8), middle (7), and lower (21) esophagus. Cine-MR images were collected in the coronal and sagittal plane during 60 seconds at a rate of 2 Hz. An adaptive correlation filter was used to automatically track a previously marked reference point. Tumor movement was measured in the craniocaudal (CC), left–right (LR), and anteroposterior (AP) directions and its relationship along the longitudinal axis of the esophagus was investigated. Results: Tumor registration within the individual images was typically done at a millisecond time scale. The mean (SD) peak-to-peak displacements in the CC, AP, and LR directions were 13.3 (5.2) mm, 4.9 (2.5) mm, and 2.7 (1.2) mm, respectively. The bandwidth to cover 95% of excursions from the mean position (c95) was also calculated to exclude outliers caused by sporadic movements. The mean (SD) c95 values were 10.1 (3.8) mm, 3.7 (1.9) mm, and 2.0 (0.9) mm in the CC, AP, and LR dimensions. The end-exhale phase provided a stable position in the respiratory cycle, compared with more variety in the end-inhale phase. Furthermore, lower tumors showed more movement than did higher tumors in the CC and AP directions. Conclusions: Intrafraction tumor movement was highly variable between patients. Tumor position proved the most stable during the respiratory cycle in the end-exhale phase. A better understanding of tumor motion makes it possible to individualize radiation delivery strategies accordingly. Cine-MRI is a successful noninvasive modality to analyze motion for this purpose in the future.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

High-resolution ultra-low field magnetic resonance imaging with a high-sensitivity sensing coil

We present high-resolution magnetic resonance imaging (MRI) at ultra-low field (ULF) with a proton Larmor frequency of around 120 kHz. The key element is a specially designed high-sensitivity sensing coil in the shape of a solenoid with a few millimeter gap between windings to decrease the proximity effect and, hence, increase the coil’s quality ([Formula: see text]) factor and sensitivity. External noise is strongly suppressed by enclosing the sensing coil in a copper cylindrical shield, large enough not to negatively affect the coil’s [Formula: see text] factor and sensitivity, measured to be 217 and 0.47 fT/Hz[Formula: see text], respectively. To enhance small polarization of proton spins at ULF, a strong pulsed 0.1 T prepolarization field is applied, making the signal-to-noise ratio (SNR) of ULF MRI sufficient for high-quality imaging in a short time. We demonstrate ULF MRI of a copper sulfate solution phantom with a resolution of [Formula: see text] and SNR of 10. The acquisition time is 6.3 min without averaging. The sensing coil size in the current realization can accommodate imaging objects of 9 cm in size, sufficient for hand, and it can be further increased for human head imaging in the future. Since the in-plane resolution of [Formula: see text] is typical in anatomical medical imaging, this ULF MRI method can be an alternative low-cost, rapid, portable method for anatomical medical imaging of the human body or animals. This ULF MRI method can supplement other MRI methods, especially when such methods are restricted due to high cost, portability requirement, imaging artifacts, and other factors.

59 BASIC BIOLOGICAL SCIENCES↗

SU-E-I-60: Quality Assurance Testing Methods and Customized Phantom for Magnetic Resonance Imaging and Spectroscopy

Purpose: The objectives of this study are to develop an magnetic resonance imaging and spectroscopy (MRI-MRS) fused phantom along with the inserts for metabolite quantification and to conduct quantitative analysis and evaluation of the layered vials of brain-mimicking solution for quality assurance (QA) performance, according to the localization sequence. Methods: The outer cylindrical phantom body is made of acrylic materials. The section other than where the inner vials are located was filled with copper sulfate and diluted with water so as to reduce the T1 relaxation time. Sodium chloride was included to provide conductivity similar to the human body. All measurements of MRI and MRS were made using a 3.0 T scanner (Achiva Tx 3.0 T; Philips Medical Systems, Netherlands). The MRI scan parameters were as follows: (1) spin echo (SE) T1-weighted image: repetition time (TR), 500ms; echo time (TE), 20ms; matrix, 256×256; field of view (FOV), 250mm; gap, 1mm; number of signal averages (NSA), 1; (2) SE T2-weighted image: TR, 2,500 ms; TE, 80 ms; matrix, 256×256; FOV, 250mm; gap, 1mm; NSA, 1; 23 slice images were obtained with slice thickness of 5mm. The water signal of each volume of interest was suppressed by variable pulse power and optimized relaxation delays (VAPOR) applied before the scan. By applying a point-resolved spectroscopy sequence, the MRS scan parameters were as follows: voxel size, 0.8×0.8×0.8 cm{sup 3}; TR, 2,000ms; TE, 35ms; NSA, 128. Results: Using the fused phantom, the results of measuring MRI factors were: geometric distortion, <2% and ±2 mm; image intensity uniformity, 83.09±1.33%; percent-signal ghosting, 0.025±0.004; low-contrast object detectability, 27.85±0.80. In addition, the signal-to-noise ratio of N-acetyl-aspartate was consistently high (42.00±5.66). Conclusion: The MRI-MRS QA factors obtained simultaneously using the phantom can facilitate evaluation of both images and spectra, and provide guidelines for obtaining MRI and MRS QA factors simultaneously. This study was supported by grant (2012-007883 and 2014R1A2A1A10050270) from the Mid-career Researcher Program through the NRF funded by Ministry of Science. In addition, this study was supported by the Industrial R&D of MOTIE/KEIT (10048997, Development of the core technology for integrated therapy devices based on real-time MRI-guided tumor tracking)

60 APPLIED LIFE SCIENCES↗