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Intracranial Time-Resolved Contrast-Enhanced MR Angiography at 3T

T.A. Cashena, J.C. Carrb, W. Shina, M.T. Walkerb, S.F. Futtererb, A. Shaibanib, R.M. McCarthyb and T.J. Carrolla,b

a Department of Biomedical Engineering, Northwestern University, Feinberg School of Medicine of Northwestern University, Chicago, Ill
b Department of Radiology, Feinberg School of Medicine of Northwestern University, Chicago, Ill


Figure 1
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Fig 1. Comparison of the TRICKS and TREAT acquisition schemes. The segmentation methods are shown in panel A. In panel B, the distance of each sample from the center of k-space (kr) is plotted as a function of time to demonstrate the different ordering methods. Notice that the TREAT scheme acquires data without discontinuities in kr.


Figure 2
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Fig 2. For enhanced intra-arterial blood: signal intensity versus flip angle at 1.5T and 3T (A), signal intensity versus flip angle and TR at 3T (B), and the ratio of 3T to 1.5T signals versus normalized flip angle and TR (C). The normalized flip angle was that which yielded an equivalent SAR at 1.5T. Missing values at high flip angles and low TRs were experimentally determined to exceed the SAR threshold.


Figure 3
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Fig 3. A qualitative comparison of S/N at 1.5T (A and C) and 3T (B and D) with timed coronal acquisitions is shown in these arterial phase mask subtraction MIP images. Magnified views (C and D) demonstrate better depiction of small distal middle cerebral arterial branches (circled) at 3T because of increased S/N.


Figure 4
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Fig 4. Timed coronal (A) and sagittal (B) MRAs at 3T of different AVM patients are shown in these subtracted MIP images. Despite high S/N and spatial resolution, low temporal resolution makes it difficult to determine the order in which vessels fill and the direction of flow. Early venous enhancement (arrows) due to arteriovenous shunting is present and "degrades" the arterial phase.


Figure 5
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Fig 5. Time-resolved sagittal MRA at 3T of healthy volunteer. Consecutive timeframes are shown with temporal resolution of 2.5 seconds/frame and spatial resolution of 1.0 x 1.0 x 2.5 mm.


Figure 6
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Fig 6. Time-resolved sagittal MRA at 3T of an AVM patient. Consecutive MIP timeframes are shown with temporal resolution of 2.5 seconds/frame and spatial resolution of 1.0 x 1.0 x 2.5 mm. Notice subtle early venous enhancement in the sagittal sinus during the early arterial phase (A, arrows) before enhancement of the basal vein of Rosenthal (C, arrow).


Figure 7
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Fig 7. Consecutive timeframes of a conventional radiographic angiogram (AD) and a 3D MIP MR angiogram (E and F) of the same patient with an arteriovenous malformation. The MR imaging is displayed with inverse grayscale contrast for better comparison. Conventional radiographic images are temporally blurred (G and H) for comparison with the MR images. For the radiographic and MR angiograms, respectively, the spatial resolutions are 0.1 x 0.1 and 1.0 x 1.0 x 2.5 mm and the temporal resolutions are 0.3 seconds/frame and 2.5 seconds/frame, respectively.