Body MR Imaging at 3 Tesla Body MR Imaging at 3 Tesla Edited by Ihab R. Kamel JohnsHopkinsSchoolofMedicine,Baltimore,Maryland,USA Elmar M. Merkle DukeUniversitySchoolofMedicine,Durham,NorthCarolina,USA CAMBRIDGE UNIVERSITY PRESS Cambridge,NewYork,Melbourne,Madrid,CapeTown, Singapore,SãoPaulo,Delhi,Tokyo,MexicoCity CambridgeUniversityPress TheEdinburghBuilding,CambridgeCB28RU,UK PublishedintheUnitedStatesofAmericaby CambridgeUniversityPress,NewYork www.cambridge.org Informationonthistitle:www.cambridge.org/9780521194860 #CambridgeUniversityPress2011 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithout thewrittenpermissionofCambridgeUniversityPress. Firstpublished2011 PrintedintheUnitedKingdomattheUniversityPress,Cambridge AcatalogrecordforthispublicationisavailablefromtheBritishLibrary LibraryofCongressCataloging-in-PublicationData BodyMRimagingat3Tesla/editedbyIhabR.Kamel,ElmarM. Merkle p. ; cm. Includesbibliographicalreferencesandindex. ISBN978-0-521-19486-0(Hardback) 1. Magneticresonanceimaging. I. Kamel,IhabR.,editor. II. Merkle,ElmarM.,editor. [DNLM: 1. MagneticResonanceImaging–methods. WN185] RC78.7.N83B632011 616.070548–dc22 2010050337 ISBN978-0-521-19486-0Hardback CambridgeUniversityPresshasnoresponsibilityforthepersistenceor accuracyofURLsforexternalorthird-partyinternetwebsitesreferredto inthispublication,anddoesnotguaranteethatanycontentonsuch websitesis,orwillremain,accurateorappropriate. Everyefforthasbeenmadeinpreparingthisbooktoprovide accurateandup-to-dateinformationwhichisinaccordwithaccepted standardsandpracticeatthetimeofpublication.Althoughcase historiesaredrawnfromactualcases,everyefforthasbeenmadeto disguisetheidentitiesoftheindividualsinvolved.Nevertheless,the authors,editors,andpublisherscanmakenowarrantiesthatthe informationcontainedhereinistotallyfreefromerror,notleastbecause clinicalstandardsareconstantlychangingthroughresearchand regulation.Theauthors,editors,andpublishersthereforedisclaimall liabilityfordirectorconsequentialdamagesresultingfromtheuseof materialcontainedinthisbook.Readersarestronglyadvisedtopay carefulattentiontoinformationprovidedbythemanufacturerofany drugsorequipmentthattheyplantouse. Contents List of contributors vi Foreword ix Jonathan S.Lewin Preface xi 1. Body MRimagingat 3T: basic 9. Magnetic resonance considerations about artifacts and cholangiopancreatography 123 safety 1 Byun Ihn Choi and Jeong Min Lee Kevin J. Chang and Ihab R. Kamel 10. MR imaging of small and large bowel 134 2. Novel acquisition techniques that are Manon L. W.Ziech, MarijeP. vander Paardt, facilitated by3T 12 Aart J. Nederveen,and Jaap Stoker HiroumiD. Kitajima, PuneetSharma, Daniel 11. MR imaging of the rectum, 3T vs.1.5T 150 R. Karolyi, and Diego R. Martin MoniqueMaas, Doenja M. J. Lambregts, and 3. BreastMRimaging 26 Regina G. H.Beets-Tan SavannahC. Partridge, HabibRahbar, and 12. Imaging of the kidneysand MRurography ConstanceD.Lehman at3T 164 4. Cardiac MRimaging 34 John R. Leyendecker ChristopherJ.François,OliverWieben,andScott 13. MR imaging andMR-guided biopsy of the B. Reeder prostateat3T 178 5. Abdominal and pelvic MRangiography 47 Katarzyna J.Macura and Jurgen J. Fütterer HenrikJ. Michaely 14. Femalepelvicimagingat3T 197 6. Liver MR imaging at3T:challenges and Darcy J. Wolfman andSusan M. Ascher opportunities 67 ElizabethM. Hecht and Bachir Taouli 7. MR imaging of the pancreas 82 Index 206 Sang Soo Shin, Chang HeeLee, RafaelO.P. de Campos,and Richard C.Semelka The color plate sectionfoundbetween pp. 180 8. MR imaging of the adrenal glands 111 and181. DanieleMarin andElmar M. Merkle v Contributors Susan M. Ascher, MD DanielR. Karolyi, MD PhD Georgetown University Hospital, Clinically Applied Research Body MR imaging Washington, DC, USA Program, Department of Radiology, Emory University School of Medicine, Atlanta, Regina G.H. Beets-Tan, MD, PhD GA, USA Department of Radiology, Maastricht University Medical Centre, Maastricht, Hiroumi D.Kitajima, PhD The Netherlands Department of Radiology, Emory Healthcare, Inc., Atlanta, GA, USA Rafael O.P.de Campos, MD Department of Radiology, University of North Doenja M. J. Lambregts, MD Carolina at Chapel Hill, NC, USA Department of Radiology, Maastricht University Medical Centre, Maastricht, Kevin J. Chang, MD The Netherlands Brown University Alpert Medical School, Providence, RI, USA Chang Hee Lee, MD Byun Ihn Choi, MD Department of Radiology, University of North Department of Radiology, Seoul National University, Carolina at Chapel Hill, NC, USA, and Korea College of Medicine, Seoul, South Korea University Guro Hospital, Korea University College of Medicine, South Korea Christopher J. François, MD Department of Radiology, University of Wisconsin – Jeong Min Lee, MD Madison, Madison, WI, USA Department of Radiology, Seoul National University, College of Medicine, Seoul, South Korea Jurgen J. Fütterer, MD, PhD Department of Radiology, Radboud University Constance D.Lehman, MD, PhD Nijmegen Medical Centre, Nijmegen, Section of Breast Imaging, University of The Netherlands Washington Medical Center, Seattle Cancer Care Alliance, Seattle, WA, USA Elizabeth M. Hecht, MD Department of Radiology, Hospital of the University John R. Leyendecker, MD of Pennsylvania, Philadelphia, PA, USA Department of Radiology and Magnetic Resonance Imaging,WakeForestUniversitySchoolofMedicine, Ihab R. Kamel, MD, PhD Winston-Salem, NC, USA The Johns Hopkins University School of Medicine, The Russell H. Morgan Department of Radiology Monique Maas, MD and Radiological Science, Department of Radiology, Maastricht University Baltimore, MD, USA Medical Centre, Maastricht, The Netherlands vi Listofcontributors Katarzyna J.Macura, MD,PhD Richard C. Semelka, MD The Russell H. Morgan Department of Radiology Department of Radiology, University of North and Radiological Science, Carolina at Chapel Hill, NC, USA Johns Hopkins University, Puneet Sharma, PhD Baltimore, MD, USA Department of Radiology, Emory Healthcare, Inc., Daniele Marin, MD Atlanta, GA, USA Department of Radiology, Duke University Sang SooShin, MD Medical Center, Durham, NC, USA Department of Radiology, University of Diego R. Martin, MD,PhD North Carolina at Chapel Hill, NC, USA, and Clinically Applied Research Body MR Imaging Chonnam National University Medical School, Program, Department of Radiology, Emory Gwangju, South Korea University School of Medicine, Atlanta, GA, USA Jaap Stoker, MD, PhD Elmar M. Merkle, MD Department of Radiology, Academic Medical Department of Radiology, Duke University School Center, University of Amsterdam, Amsterdam, of Medicine, Durham, NC, USA The Netherlands HenrikJ. Michaely, MD Bachir Taouli, MD InstituteofClinicalRadiologyandNuclearMedicine, Department of Radiology, The Mount Sinai University Medical Center Mannheim, Medical Medical Center, New York, NY, USA Faculty Mannheim – University of Heidelberg, Marije P.van der Paardt, MD Mannheim, Germany Department ofRadiology, AcademicMedical Center, Aart J.Nederveen, PhD University of Amsterdam, Amsterdam, Department ofRadiology, AcademicMedical Center, The Netherlands University of Amsterdam, Amsterdam, Oliver Wieben, PhD The Netherlands Departments of Medical Physics and Radiology, Savannah C. Partridge Wisconsin Institutes for Medical Research, Section of Breast Imaging, University of Washington University of Wisconsin – Madison, Madison, MedicalCenter,SeattleCancerCareAlliance,Seattle, WI, USA WA, USA Darcy J. Wolfman, MD Habib Rahbar Georgetown University Hospital, Section of Breast Imaging, University of Washington Washington, DC, USA MedicalCenter,SeattleCancerCareAlliance,Seattle, Manon L.W. Ziech, MD WA, USA Department ofRadiology, AcademicMedical Center, Scott B.Reeder, MD, PhD University of Amsterdam, Amsterdam, Departments of Radiology, Medical Physics, The Netherlands Biomedical Engineering, and Medicine, University of Wisconsin – Madison, Madison, WI, USA vii Foreword Astheuseof3Tsystems evolvesintothestandardof at 3T. The editors have done an outstanding job of careforbodyMRimaging,anin-depthunderstanding choosing clinicians and scientists involved in the ofthedifferencesbetweenbodyimagingat3Tversus development and early adoption of 3T MR imaging 1.5T becomes critical for all diagnostic imagers. Up ofthebody,andhavecreatedacompendiumthatwill untilnow,athoroughknowledgeofprotocols,physics, trulyimpactthefieldforyearstocome.Itisaparticu- andpotentialpitfallsin3TMRimagingofthebodyhas larpleasureformetowritethisintroduction,asIhave been limited to those radiologists with extensive hadthehonorofworkingcloselywithDr.Merklefor experience at this higher field strength. Fortunately, over12yearsandwithDr.Kamelforthepast7years. withthepublicationofBodyMRImagingat3Teslaby Watching them produce this textbook is a pleasure Drs. Ihab Kamel and Elmar Merkle, this knowledge onlyequaledbythesatisfactionofreadingitscontent. and insight is now available to a wide audience of To you, the reader, I wish many hours of enjoyment diagnostic radiologists and other clinical imaging and learning in your reading of this book, and I am physicians. Drs. Merkle and Kamel are truly author- certain your future patients will benefit from much itiesinhigh-fieldbodyMRimaging;inthisbook,they thatyoulearnintheprocess! have gathered additional experts from around the world to lend their own proficiency in MR imaging JonathanS. Lewin, MD,FACR ix
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