In golden angle radial magnetic resonance imaging a constant azimuthal radial profile spacing of 111.246...(°) guarantees a nearly uniform azimuthal profile distribution in k-space for an arbitrary number of radial profiles. Even though this profile order is advantageous for various real-time imaging methods, in combination with balanced steady-state free precession (SSFP) sequences the large azimuthal angle increment may lead to strong image artifacts, due to the varying eddy currents introduced by the rapidly switching gradient scheme. Based on a generalized Fibonacci sequence, a new sequence of smaller irrational angles is introduced ( 49.750...(°), 32.039...(°), 27.198...(°), 23.628...(°), ... ). The subsequent profile orders guarantee the same sampling efficiency as the golden angle if at least a minimum number of radial profiles is used for reconstruction. The suggested angular increments are applied for dynamic imaging of the heart and the temporomandibular joint. It is shown that for balanced SSFP sequences, trajectories using the smaller golden angle surrogates strongly reduce the image artifacts, while the free retrospective choice of the reconstruction window width is maintained.
This work enables sparse, golden-ratio-based imaging with balanced SSFP sequences. Magn Reson Med 75:2372-2378, 2016. © 2015 Wiley Periodicals, Inc.
sfEBHC generates beam hardening-reduced images and is furthermore capable of dealing with images which are affected by high noise and strong artifacts. The algorithm can be used to recover structures which are hardly visible inside the beam hardening-affected regions.
Purpose: The purpose of this clinical feasibility study was to evaluate the applicability of magnetic resonance imaging (MRI) for the assessment of apical periodontitis in direct comparison with cone beam CT (CBCT). Materials and Methods: 19 consecutive patients (average age 43???13 years) with 34 lesions in total (13 molars, 14 premolars and 7 front teeth) were enrolled in this feasibility study. Periapical lesions were defined as periapical radiolucencies (CBCT) or structural changes in the spongy bone signal (MRI), which were connected with the apical part of a root and with at least twice the width of the periodontal ligament space. The location and dimension of the lesions were compared between MRI and CBCT. Results: While mainly mineralized tissue components such as teeth and bone were visible with CBCT, complimentary information of the soft tissue components was assessable with MRI. The MRI images provided sufficient diagnostic detail for the assessment of the main structures of interest. Heterogeneous contrast was observed within the lesion, with often a clear enhancement close to the apical foramen and the periodontal gap.?No difference for lesion visibility was observed between MRI and CBCT. The lesion dimensions corresponded well, but were slightly but significantly overestimated with MRI. A heterogeneous lesion appearance was observed in several patients. Four patients presented with a well circumscribed hyperintense signal in the vicinity of the apical foramen. Conclusion: The MRI capability of soft tissue characterization may facilitate detailed analysis of periapical lesions. This clinical study confirms the applicability of multi-contrast MRI for the identification of periapical lesions. Key Points: ??MRI can be applied for the identification of periapical lesions without ionizing radiation exposure ??MRI might facilitate more detailed characterization of periapical lesions ??MRI might provide more accurate lesion dimensions as X-ray-based methods Citation Format: ??Geibel MA., Schreiber ES, Bracher AK et?al. Assessment of Apical Periodontitis by MRI: A Feasibility Study. Fortschr R?ntgenstr 2015; 187: 269???275
The objective of this study was to investigate the potential of ultra short echo time imaging for the assessment of caries lesions and early demineralization. 12 patients with suspected caries lesions underwent a dental magnetic resonance imaging investigation comprising ultra short echo time imaging (echo time = 50 μs) and spin echo imaging. Before the dental magnetic resonance imaging, all patients underwent a conventional clinical dental investigation including visual assessment of the teeth as well as dental x‐ray imaging. All lesions identifiable in the x‐ray could be clearly identified in the ultra short echo time images, but only about 19% of the lesions were visible in the spin echo images. In 19% of all lesions, the lesions could be more clearly delineated in the ultra short echo time images than in the x‐ray images. This was especially the case for secondary lesions. In direct comparison with the x‐ray images, all lesions appeared substantially larger in the dental magnetic resonance imaging data. The presented data provide evidence that caries lesions can be identified in ultra short echo time magnetic resonance imaging with high sensitivity. The apparent larger volume of the lesions in dental magnetic resonance imaging may be attributed to fluid accumulation in demineralized areas without substantial breakdown of mineral structures. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.
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