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Susceptibility Weighted Imaging in MRI Susceptibility Weighted Imaging in MRI Basic Concepts and Clinical Applications Edited by E. Mark Haacke Wayne State University, Detroit, MI, USA TheMRI Institute for Biomedical Research,Detroit, MI, USA Case Western ReserveUniversity, Cleveland, OH, USA Loma Linda University, Loma Linda,CA, USA McMaster University, Hamilton,ON, Canada € Jurgen R. Reichenbach Jena UniversityHospital, Jena, Germany FriedrichSchillerUniversity, Jena, Germany Copyright(cid:1)2011byWiley-Blackwell.Allrightsreserved. Wiley-BlackwellisanimprintofJohnWiley&Sons,FormedbythemergerofWiley’sglobalScientific,Technical, andMedicalbusinesswithBlackwellPublishing. PublishedbyJohnWiley&Sons,Inc.,Hoboken,NewJersey PublishedsimultaneouslyinCanada Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmittedinanyformorby anymeans,electronic,mechanical,photocopying,recording,scanning,orotherwise,exceptaspermitted underSection107or108ofthe1976UnitedStatesCopyrightAct,withouteitherthepriorwritten permissionofthePublisher,orauthorizationthroughpaymentoftheappropriateper-copyfeetothe CopyrightClearanceCenter,Inc.,222RosewoodDrive,Danvers,MA01923,(978)750-8400,fax(978) 750-4470,oronthewebatwww.copyright.com.RequeststothePublisherforpermissionshouldbe addressedtothePermissionsDepartment,JohnWiley&Sons,Inc.,111RiverStreet,Hoboken,NJ07030, (201)748-6011,fax(201)748-6008,oronlineathttp://www.wiley.com/go/permission. LimitofLiability/DisclaimerofWarranty:Whilethepublisherandauthorhaveusedtheirbesteffortsin preparingthisbook,theymakenorepresentationsorwarrantieswithrespecttotheaccuracyor completenessofthecontentsofthisbookandspecificallydisclaimanyimpliedwarrantiesof merchantabilityorfitnessforaparticularpurpose.Nowarrantymaybecreatedorextendedbysales representativesorwrittensalesmaterials.Theadviceandstrategiescontainedhereinmaynotbesuitable foryoursituation.Youshouldconsultwithaprofessionalwhereappropriate.Neitherthepublishernor authorshallbeliableforanylossofprofitoranyothercommercialdamages,includingbutnotlimited tospecial,incidental,consequential,orotherdamages. Forgeneralinformationonourotherproductsandservicesorfortechnicalsupport,pleasecontactour CustomerCareDepartmentwithintheUnitedStatesat(800)762-2974,outsidetheUnitedStatesat(317) 572-3993orfax(317)572-4002. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprintmaynotbe availableinelectronicformats.FormoreinformationaboutWileyproducts,visitourwebsiteat www.wiley.com. LibraryofCongressCataloging-in-PublicationData: SusceptibilityweightedimaginginMRI:basicconceptsandclinicalapplications/[editedby] E.MarkHaacke,J€urgenR.Reichenbach p.;cm. Includesbibliographicalreferences ISBN978-0-470-04343-1(cloth) 1. Brain–Magneticresonanceimaging.2. Cerebrovasculardisease–Magneticresonanceimaging. I. E.MarkHaacke,II.Reichenbach,J€urgenR. [DNLM:1. MagneticResonanceImaging–methods. WN185M93982010] RC386.6.M34M7632010 616.8’047548–dc22 2010018432 PrintedintheUnitedStatesofAmerica 10 9 8 7 6 5 4 3 2 1 Contents PREFACE ix CONTRIBUTORS xiii PART I BASIC CONCEPTS 1 1 Introduction to Susceptibility Weighted Imaging 3 J€urgenR.ReichenbachandE.MarkHaacke 2 Magnetic Susceptibility 17 JaladharNeelavalliandYu-ChungNormanCheng 3 Gradient Echo Imaging 33 J€urgenR.ReichenbachandE.MarkHaacke 4 Phaseand Its Relationship to Imaging Parameters and Susceptibility 47 AlexanderRauscher,E.MarkHaacke,JaladharNeelavalli,andJ€urgenR.Reichenbach 5 UnderstandingT*-Related Signal Loss 73 2 JanSedlacik,AlexanderRauscher,J€urgenR.Reichenbach, andE.MarkHaacke 6 Processing Concepts and SWIFiltered Phase Images 89 AlexanderRauscherandStephanWitoszynskyj 7 MR Angiography and Venography ofthe Brain 103 SamuelBarnes,ZhaoyangJin,YipingP.Du,AndreasDeistung, andJu¨rgenR.Reichenbach v vi CONTENTS 8 Brain Anatomy with Phase 121 JeffDuynandOliverSpeck PART II CURRENT EFFORTS IN CLINICAL TRANSLATIONAL RESEARCHUSINGSWI 137 9 SWI VenographicAnatomyof the Cerebrum 139 DanielK.Kido,JessicaTan,StevenMunson,UdochukwuE.Oyoyo, andJ.PaulJacobson 10 NovelApproaches to Imaging Brain Tumors 151 SandeepMittal,BejoyThomas,ZhenWu,and E.MarkHaacke 11 Traumatic Brain Injury 171 KarenTong,BarbaraHolshouser,andZhenWu 12 ImagingCerebral Microbleeds with SWI 191 MuhammadAyaz,AlexanderBoikov,GrantMcAuley,MathewSchrag, DanielK.Kido,E.MarkHaackeandWolffKirsch 13 ImagingIschemic Stroke andHemorrhage with SWI 215 NathanielWycliffe,GuangbinWang,MasahiroIda,andZhenWu 14 Visualizing Deep Medullary Veins withSWI in Newborn and Young Infants 235 J.PaulJacobson,UdochukwuE.Oyoyo,DanielK.Kido, JohnWuchenich,andStephenAshwal 15 Susceptibility Weighted Imagingin Multiple Sclerosis 249 YulinGe,RobertI.Grossman,andE.MarkHaacke 16 Cerebral Venous Diseasesand Occult Intracranial Vascular Malformations 265 Hans-JoachimMentzel,GuangbinWang,MasahiroIda, andJ€urgenR.Reichenbach 17 Sturge–Weber Syndrome 295 ZhifengKou,CsabaJuhaszandJianiHu 18 Visualizing the Vessel WallUsing Susceptibility Weighted Imaging 307 YangQi,SamuelBarnesandE.MarkHaacke 19 ImagingBreast CalcificationUsingSWI 319 MichaelD.Noseworthy,ColmBoylan,andAliFatemi-Ardekani 20 Susceptibility Weighted Imagingat Ultrahigh Magnetic Fields 329 AndreasDeistung,SamuelBarnes,YulinGe,andJ€urgenR.Reichenbach CONTENTS vii PART III ADVANCED CONCEPTS 351 21 Improved Contrast in MR Imagingofthe MidbrainUsing SWI 353 ElenaManovaandE.MarkHaacke 22 Measuring Iron Content with Phase 369 ManjuLiu,CharbelHabib,YanweiMiao,andE.MarkHaacke 23 Validation of Phase Iron Detectionwith Synchrotron X-Ray Fluorescence 403 HelenNichol,KarlaHopp,BogdanF.Gh.Popescu,andE.MarkHaacke 24 Rapid Calculation of Magnetic Field Perturbations from Biological Tissue inMagnetic ResonanceImaging 419 JaladharNeelavalli,Yu-ChungNormanCheng,andE.MarkHaacke 25 SWIM: SusceptibilityMappingas aMeans toVisualize Veins and Quantify Oxygen Saturation 461 JinTang,JaladharNeelavalli,SaifengLiu,Yu-ChungNormanCheng, andE.MarkHaacke 26 EffectsofContrast AgentsinSusceptibilityWeighted Imaging 487 AndreasDeistungandJ€urgenR.Reichenbach 27 Oxygen Saturation:Quantification 517 E.MarkHaacke,KarthikPrabhakaran,IlayaRajaElangovan,ZhenWu, andJaladharNeelavalli 28 Quantification ofOxygen Saturation ofSingleCerebral Veins, the Blood Capillary Network, and Its Dependency on Perfusion 529 JanSedlacik,SongLai,andJ€urgenR.Reichenbach 29 Integrating PerfusionWeighted Imaging,MR Angiography, and Susceptibility Weighted Imaging 543 MengLiandE.MarkHaacke 30 Functional SusceptibilityWeighted Magnetic ResonanceImaging 561 MarkusBarthandDanielB.Rowe 31 Complex ThresholdingMethods for EliminatingVoxels That ContainPredominantlyNoise in Magnetic Resonance Images 577 DanielB.Rowe,JingJiang,andE.MarkHaacke 32 Automatic Vein Segmentation and Lesion Detection: from SWI-MIPs toMR Venograms 605 SamuelBarnes,MarkusBarthandPeterKoopmans 33 Rapid Acquisition Methods 619 SongLai,YingbiaoXuandE.MarkHaacke 34 High-Resolution VenographicBOLDMRI ofAnimal Brain at9.4 T: Implications for BOLD fMRI 637 Seong-GiKimandSung-HongPark viii CONTENTS 35 Susceptibility Weighted Imagingin Rodents 649 YiminShen,ZhifengKou,andE.MarkHaacke 36 Ultrashort TE Imaging: Phaseand Frequency Mapping of SusceptibilityEffectsinShort T Tissuesof the 2 MusculoskeletalSystem 669 JiangDu,MichaelCarl,andGraemeM.Bydder APPENDIX: Seminal Articles Related tothe Developmentof SusceptibilityWeighted Imaging 697 INDEX 717 Preface Sinceitsinception,magneticresonanceimaginghasusedtissuepropertiessuchasT ,T , 1 2 andspindensityfollowedbyflow,diffusioncharacteristics,lipidimaging,andspectros- copyasthetechnologydevelopedtocreateimageswithextraordinarydetailofthebody and brain;and this listcontinues to grow. Surprisingly, prior to susceptibility weighted imagingorSWI,thebasicpropertyoftissuesusceptibilityhadnotbeenuseddirectly,but rathertakenadvantageofthroughlocalT*effectsinmagnitudeimages.Theproblemwith 2 thisapproachisthatmanydifferentsourcescancauseT*signaldephasing.Thebasicfield 2 effectscreatedbysusceptibilityhavegenerallybeenrecognizedasasourceofartifacts andtheusualfirstresponsewastoremovethem.However,suchfieldeffectscanbeusedto separate types of materials such as calcium deposits, which are diamagnetic, from microbleeds,whichareparamagnetic.Infact,thesefieldeffectswereusedintheoriginal concept of susceptibility weighted imaging to better image small veins and to enhance contrast in tissues. Practically,thephaseinformationavailableinMRimagingcarriesalltheinformation that is needed to reconstruct the local magnetic source or susceptibility difference between tissues. Although SWI uses phase as a source of contrast, the more advanced concept is to create a susceptibility map that can be used not only to differentiate paramagnetic from diamagnetic substances but also to quantify the amount of a given substance present that is causing the susceptibility difference, such as local iron differences between tissues. In this book, we refer to the combination of SWI filtered phaseandmagneticsusceptibilitymappingasSWIMforsusceptibilityweightedimaging andmapping.TheworkonSWIshowedthesignificanceofphaseinenhancingcontrastin tissuesandnowSWIMopensthedoortoquantifyingsusceptibilityintissues.Clinically, SWI makes it possible to image microbleeds and veins more effectively, while SWIM will provide the methods to quantify oxygen saturation and local iron content. These techniques have or will find applications in neurovascular diseases, neurodegenerative diseases, and iron-related diseases. Multi-echo SWI also offers a means to image the ix x PREFACE entirevascularsystem,includingarteriesandveinsalike.Thefieldisstilldeveloping,and therearehintsthatmajorroadblocksinthisareaarefalling,thankstotechnicaladvances inmagnethomogeneity,gradientstrengths,andfasterimagingmethodssuchasparallel imaging. For example, the need to accommodate or correct air/tissue interfaces is now theoretically possible, high bandwidth imaging avoids geometric distortion, and multi- echoimagingmayofferameanstoideallyphaseunwrapdataonapixelbypixelbasis. ThisbookcontainsnearlyeveryaspectofSWI;however,anumberofnewdevelopments andnewfindingsarebeingmadeatthetimethisbookwentintopublication.Asthesenew concepts in the field of MRI evolve and develop, some of them may be ready for incorporation into the next edition of the book. The main aim of this book is to provide clinicians a detailed overview of the basic conceptsandapplicationsrelatedtosusceptibilityweightedimaging.Thebookhasbeen organized into three parts. In the first eight chapters, we introduce basic concepts that includethedefinitionsandmechanismsofgradientechoimaging,phase,T*,andmulti- 2 echoimaging.Thiswillenablethereadertohaveanunderstandingofthebasicsofthe terms used throughout the book. The next 12 chapters represent the current efforts in clinicaltranslationalresearchusingSWI.Thesechapterscoverthebasicvenousstructures in the brain followed by the application of SWI in several diseases, such as cancer, traumaticbraininjury,vasculardementia,stroke,hemorrhage,multiplesclerosis,venous malformations, Sturge–Weber syndrome, atherosclerosis, and calcifications in breast cancer. The final 16 chapters cover a variety of technically more advanced concepts, including susceptibility mapping (SWIM), oxygen saturation measurements, technical developments,andanimalimaging,aswellasalistofreferencesrelatedtoSWIuptoearly 2010. Most of the images used in this book have been adapted from published journal articles. Since most of thesewere either from Journal of Magnetic Resonance Imaging (JMRI) or Magnetic Resonance in Medicine (MRM), both published by John Wiley & SonsInc.,ablanketpermissionwasacquiredfortheiruseinthisbook.Acknowledgement for the figures adapted from other publications are specifically mentioned in their respective captions. TheincreasingclinicalapplicationsofSWIwereourinspirationstowriteandproduce this book. We believe its recent growth into SWIM and susceptibility mapping will spearhead even more quantitative measures of iron and new applications ranging from neurodegenerativediseasestohemochromatosis.Manycolleaguesaroundtheworldhave madeeffortsindevelopingclinicalapplicationsofSWIandmany,ifnotmostofthem,have contributed to this book. We acknowledge the contributions of these experts in the field. Withouttheirenthusiasmandcontinuoussupport,includingnumerousmeetingsatvarious conferences, this project would nothavebeen possible. Weareindebtedtoallthosepeoplewhohelpedusinbringingoutthisbook,particularly Alexander Boikov, Daniel Haacke, Lisa Hamm, and Judith Farah. Yongquan Ye helped us with his technical expertise in refining several chapters. A very special thanks to Jaladhar Neelavalli for his careful reading of the book, for his meticulous attention to detail,andforcoordinatingthefinaleffortsthatmadeitpossibletogetthisbooktopress,ina timely fashion. We acknowledge Wiley for taking on this project and for their expert professional editorial support, particularly that of Dean Gonzalez, Kristen Parrish, and Ms. Sanchari Sil. We are grateful to Thom Moore, editor at Wiley, for his patience and enthusiasm in bringing out this book. A special thanks is due to the people at Siemens HealthcareforhavingmadeSWIavailableasaproductfortheircustomers.Thiswasamajor PREFACE xi stepintakingthemethodologyintotheclinicaldomainand,inpart,isthereasonwhyso manynewapplications are developingfor SWI now.Finally,wewouldliketothank our familieswhoputupwiththeaddedresponsibilitiesduringourlonghoursofwork.Their emotional support andpatience made thisbook possible. E. MARK HAACKE JU€RGENR. REICHENBACH

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