{"title":"Update in shoulder magnetic resonance imaging.","authors":"D S Uri, J B Kneeland, M K Dalinka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The shoulder is capable of the largest range motion of any articulation in the human body. Because it is inherently unstable, the glenohumeral joint is dependent on the support given by surrounding muscular, ligamentous, and tendonous structures. A variety of disorders may involve these structural supports and lead to shoulder pain and dysfunction. Refinements in magnetic resonance (MR) imaging techniques have allowed improved characterization of these abnormalities and may permit earlier and more specific diagnoses in patients with shoulder pain. Theories as to the pathogenesis of rotator cuff disease include intrinsic and extrinsic impingement as well as overload tendinosis. MR is useful in the evaluation of rotator cuff impingement and tears. The classification and MR assessment of glenohumeral instability has recently received increased attention yet remains an area of difficulty. MR arthrography has been used with some success in the evaluation of instability demonstrating improved diagnostic sensitivities and specificities when compared with conventional MR. Relatively little attention has been paid to MR evaluation of the shoulder after surgery. Micrometallic artifact, distortion of soft-tissue planes, and persistent signal abnormalities within rotator cuff and capsulolabral structures may hinder assessment of recurrent tear or instability in the postoperative patient.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"11 1","pages":"21-44"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18617901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional magnetic resonance imaging with echo planar imaging.","authors":"K K Kwong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this report, a review is made of the mechanism behind the functional MRI (fMRI) signals and the advances made in many different areas of fMRI. Such areas include understanding and compensating for artifacts specific to fMRI, postprocessing of fMRI images, the application of fMRI to areas of interest in neuroscience, some interesting new glimpses on the frontiers of studying hemodynamics and metabolic responses, and the effect to combine fMRI results with magnetoencephalography (MEG) and electroencephalography (EEG).</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"11 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18617900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Magnetic resonance imaging of the anal sphincter using an internal coil.","authors":"N M deSouza, R Puni, D J Gilderdale, G M Bydder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A surface coil placed within the anal canal was used to image the anal sphincter and determine normal anatomy and contrast enhancement patterns as well as appearances in disease. Sixteen normal volunteers and 24 patients were examined. Imaging was performed on a 0.5-T Picker Asset and a 1.0-T Picker HPQ Vista MRI scanner. T1-weighted and T2-weighted spin-echo, T1-weighted gradient-echo, STIR images transverse to the sphincter, and T1-weighted spin-echo images parallel to the sphincter in the coronal oblique plane were obtained. Intravenous gadopentetate dimeglumine (0.1 mmol/kg) was given to two normal subjects and 10 patients. The coil was easy to insert and well-tolerated and provided high spatial resolution. The internal sphincter had a higher signal intensity than the external sphincter on all sequences but particularly on STIR images. Brisk contrast enhancement of the internal sphincter was seen. Sphincteric abscesses and fistulous tracks were identified in three patients and confirmed at surgery. Sphincter defects were seen in three patients with obstetric trauma, and these were confirmed at surgery. Sphincter atrophy was seen in four patients with idiopathic fecal soiling. High resolution magnetic resonance imaging with a dedicated endoanal coil provides excellent visualisation of normal anatomy and pathology in and around the anal sphincter and may be of considerable value in diagnosis.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"11 1","pages":"45-56"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18617902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N Wilke, M Jerosch-Herold, A E Stillman, K Kroll, N Tsekos, H Merkle, T Parrish, X Hu, Y Wang, J Bassingthwaighte
{"title":"Concepts of myocardial perfusion imaging in magnetic resonance imaging.","authors":"N Wilke, M Jerosch-Herold, A E Stillman, K Kroll, N Tsekos, H Merkle, T Parrish, X Hu, Y Wang, J Bassingthwaighte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Based on the major innovations in ultrafast magnetic resonance (MR) imaging in recent years, myocardial perfusion imaging with MR has become the focus of many investigators. Two major approaches to myocardial perfusion imaging involve either exogenous or endogenous contrast agents. For the first category of perfusion experiments, we review the characteristics of the common contrast agents and MR techniques for experimental and clinical first-pass studies and in particular address the question of extracting quantitative estimates for myocardial blood flow (milliliters per minute per gram) and volume (milliliters per gram). We demonstrated quantitative perfusion analysis using intravascular relaxation agents and heavily T1-weighted ultrafast gradient echo sequences. Signal time curves need to be transformed to content time curves and the resulting residue functions were analyzed with a multiple-pathway, axially distributed perfusion model. These preliminary results suggest that quantitative assessment of myocardial perfusion is feasible, but additional studies should provide further confidence for this novel MR approach. The exact sensitivity and specificity of MR first-pass imaging in conjunction with extracellular contrast agents in patient studies and its diagnostic accuracy as judged against coronary angiography and scintigraphic perfusion imaging remain yet undefined. The second category of perfusion experiments does not require exogenous contrast agents and has not yet been tested in patient studies. Progress is reported on several MR perfusion-sensitive methods that use the tissue water as an endogenous contrast agent in combination with magnetization transfer techniques as well as paramagnetic deoxyhemoglobin for measuring tissue oxygenation using heavily T2*-weighted sequences for blood oxygen-level-dependent contrast. Possible future directions and developments toward further improvements for MR myocardial perfusion measurements and contraction-perfusion matching are also addressed.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"10 4","pages":"249-86"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18871828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical applications of magnetic resonance spectroscopy.","authors":"B Ross, T Michaelis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neurospectroscopy measures a neuronal marker, energy and redox state, specific fuels of tissue respiration, maturation, and possibly myelination. It provides diagnostic patterns of altered neurochemistry. Current clinical uses range from intensive care in neonates to dementia in the elderly and include tumor and stroke management, prognosis in hemorrhage and trauma, white matter, inflammatory diseases, and AIDS. Inborn errors, metabolic and systemic diseases, subclinical hepatic encephalopathy, hyponatremia, and \"coma\" have been elucidated. Automation, single-voxel MRS, chemical shift imaging, quality control, and outcome analyses are discussed. With no remaining impediments to clinical use, neurospectroscopy has changed the way we look at diseases of the brain.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"10 4","pages":"191-247"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18873809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MRI of degenerative disease of the lumbar spine.","authors":"M C Jensen, A P Kelly, M N Brant-Zawadzki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Low back pain (LBP) is one of the most common reasons that patients seek medical attention. Although acute LBP is generally a self-limiting condition, the estimated cost for this health care problem exceeds $8 billion annually. MR accurately depicts both the morphologic as well as biochemical sequelae of disc degeneration. Additionally, MR is superior in its ability to depict disease processes that can present in an indistinguishable fashion. Although multiple mechanisms have been proposed for the possible etiology of disc degeneration, it remains incompletely understood at this time. In addition to the unknown etiology of disc degeneration, the relationship between degenerative disc disease and LBP has not been firmly established. Substantial percentages of people without a history of LBP or sciatica have been shown to have abnormal imaging examinations. Mechanical compression of neural elements by disc herniation, as well as direct biochemical and inflammatory effects of the contents of the nucleus pulposus upon neural structures, have been proposed as possible sources of LBP. Due to the above, caution is urged before attributing a particular anatomic finding as the patient's source of low back pain.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"10 3","pages":"173-90"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Magnetic resonance angiography.","authors":"D Atkinson, L Teresi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Magnetic resonance (MR) angiography is a broad and expanding field. The technology of MR angiograms is evolving to produce higher spatial resolution, faster acquisition times, and reduced artifact. Rather than a straight, linear evolution, this progress is going forward in a number of areas inherent to the MR imaging process. Considerable progress has been demonstrated in such diverse areas as flow-sensitized radiofrequency pulses, reduced background signal with off-resonance pulses, improved vessel depiction with reduced echo times via improved hardware and reconstruction techniques, and improved display with more powerful computer algorithms. This review is a brief survey and comparison of available techniques for the visualization of blood vessels within the human body.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"10 3","pages":"149-72"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N J Pelc, F G Sommer, K C Li, T J Brosnan, R J Herfkens, D R Enzmann
{"title":"Quantitative magnetic resonance flow imaging.","authors":"N J Pelc, F G Sommer, K C Li, T J Brosnan, R J Herfkens, D R Enzmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Time-of-flight and phase shift methods have both been used for vascular imaging with magnetic resonance. Phase methods, and phase contrast in particular, are well suited to quantitative measurements of velocity and volume flow rate. The most robust methods for measuring flow encode through-plane velocity into phase shift and compute flow by integrating the measured velocity over the vessel lumen. The accuracy of the flow data can be degraded by the effects of acceleration and eddy currents and by partial volume effects, including the effects of finite slice thickness and resolution, pulsatile waveforms, motion, and chemical shift. The reproducibility depends on the signal-to-noise of the data and the strength of the flow encoding and can be degraded by inconsistent definition of the vessel boundary. The adjustable flow sensitivity inherent in this method is a particular asset, allowing phase contrast flow measurement to operate over a dynamic range exceeding 10(5). Recently developed rapid imaging methods are helpful in applications that would be compromised by respiratory motion. With care, excellent quantitative data can be quickly obtained in vivo, and the resulting flow information is valuable for the diagnosis and management of a variety of conditions.</p>","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"10 3","pages":"125-47"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18812145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Magnetic resonance angiography.","authors":"David Atkinson, L. Teresi","doi":"10.1201/b11379-20","DOIUrl":"https://doi.org/10.1201/b11379-20","url":null,"abstract":"Magnetic resonance (MR) angiography is a broad and expanding field. The technology of MR angiograms is evolving to produce higher spatial resolution, faster acquisition times, and reduced artifact. Rather than a straight, linear evolution, this progress is going forward in a number of areas inherent to the MR imaging process. Considerable progress has been demonstrated in such diverse areas as flow-sensitized radiofrequency pulses, reduced background signal with off-resonance pulses, improved vessel depiction with reduced echo times via improved hardware and reconstruction techniques, and improved display with more powerful computer algorithms. This review is a brief survey and comparison of available techniques for the visualization of blood vessels within the human body.","PeriodicalId":77248,"journal":{"name":"Magnetic resonance quarterly","volume":"10 3 1","pages":"149-72"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65974600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}