Shear wave elasticity imaging (SWEI) is a new approach to imaging and characterizing tissue structures based on the use of shear acoustic waves remotely induced by the radiation force of a focused ultrasonic beam. SWEI provides the physician with a virtual "finger" to probe the elasticity of the internal regions of the body. In SWEI, compared to other approaches in elasticity imaging, the induced strain in the tissue can be highly localized, because the remotely induced shear waves are attenuated fully within a very limited area of tissue in the vicinity of the focal point of a focused ultrasound beam. SWEI may add a new quality to conventional ultrasonic imaging or magnetic resonance imaging. Adding shear elasticity data ("palpation information") by superimposing color-coded elasticity data over ultrasonic or magnetic resonance images may enable better differentiation of tissues and further enhance diagnosis. This article presents a physical and mathematical basis of SWEI with some experimental results of pilot studies proving feasibility of this new ultrasonic technology. A theoretical model of shear oscillations in soft biological tissue remotely induced by the radiation force of focused ultrasound is described. Experimental studies based on optical and magnetic resonance imaging detection of these shear waves are presented. Recorded spatial and temporal profiles of propagating shear waves fully confirm the results of mathematical modeling. Finally, the safety of the SWEI method is discussed, and it is shown that typical ultrasonic exposure of SWEI is significantly below the threshold of damaging effects of focused ultrasound.

Shear wave elasticity imaging: a new ultrasonic technology of medical diagnostics

Relaxation time measurements at 3.0 T are reported for both gray and white matter in normal human brain. Measurements were made using a 3.0 T Bruker Biospec magnetic resonance imaging (MRI) scanner in normal adults with no clinical evidence of neurological disease. Nineteen subjects, 8 female and 11 male, were studied for T1 and T2 measurements, and 7 males were studied for T2. Measurements were made using a saturation recovery method for T1, a multiple spin-echo experiment for T2, and a fast low-angle shot (FLASH) sequence with 14 different echo times for T2. Results of the measurements are summarized as follows. Average T1 values measured for gray matter and white matter were 1331 and 832 msec, respectively. Average T2 values measured for gray matter and white matter were 80 and 110 msec, respectively. The average T2 values for occipital and frontal gray matter were 41.6 and 51.8 msec, respectively. Average T2 values for occipital and frontal white matter were 48.4 and 44.7 msec, respectively. ANOVA tests of the measurements revealed that for both gray and white matter there were no significant differences in T1 from one location in the brain to another. T2 in occipital gray matter was significantly higher (0.0001 < P < .0375) than the rest of the gray matter, while T2 in frontal white matter was significantly lower (P < 0.0001). Statistical analysis of cerebral hemispheric differences in relaxation time measurements showed no significant differences in T1 values from the left hemisphere compared with the right, except in insular gray matter, where this difference was significant at P = 0.0320. No significant difference in T2 values existed between the left and right cerebral hemispheres. Significant differences were apparent between male and female relaxation time measurements in brain.

https://onlinelibrary.wiley.com/doi/pdf/10.1002/%28SICI%291522-2586%28199904%299%3A4%3C531%3A%3AAID-JMRI4%3E3.0.CO%3B2-L

NMR relaxation times in the human brain at 3.0 tesla.

A shielded medical device implanted in a biological organism. The device has a magnetic shield, and the magnetic shield contains a layer of nanomagnetic material; such layer has a morphological density of at least 98 percent; and it is bonded to the medical device by means of an interlayer with a thickness of less than about 10 microns. The nanomagnetic material in such layer has a saturation magnetization of from about 1 to about 36,000 Gauss, a coercive force of from about 0.01 to about 5,000 Oersteds, a relative magnetic permeability of from about 1 to about 500,000, and an average particle size of less than about 100 nanometers.

Magnetically shielded assembly

Theoretical and experimental results are presented that establish the value of parallel excitation with a transmit coil array in accelerating excitation and managing RF power deposition. While a 2D or 3D excitation pulse can be used to induce a multidimensional transverse magnetization pattern for a variety of applications (e.g., a 2D localized pattern for accelerating spatial encoding during signal acquisition), it often involves the use of prolonged RF and gradient pulses. Given a parallel system that is composed of multiple transmit coils with corresponding RF pulse synthesizers and amplifiers, the results suggest that by exploiting the localization characteristics of the coils, an orchestrated play of shorter RF pulses can achieve desired excitation profiles faster without adding strains to gradients. A closed-form design for accelerated multidimensional excitations is described for the small-tip-angle regime, and its suppression of interfering aliasing lobes from coarse excitation k-space sampling is interpreted based on an analogy to sensitivity encoding (SENSE). With or without acceleration, the results also suggest that by taking advantage of the extra degrees of freedom inherent in a parallel system, parallel excitation provides better management of RF power deposition while facilitating the faithful production of desired excitation profiles. Sample accelerated and specific absorption rate (SAR)-reduced excitation pulses were designed in this study, and evaluated in experiments.

https://onlinelibrary.wiley.com/doi/pdf/10.1002/mrm.20011

Parallel excitation with an array of transmit coils

Temporomandibular joint (TMJ) disorders have complex and sometimes controversial etiologies. Also, under similar circumstances, one person's TMJ may appear to deteriorate, while another's does not. However, once degenerative changes start in the TMJ, this pathology can be crippling, leading to a variety of morphological and functional deformities. Primarily, TMJ disorders have a non-inflammatory origin. The pathological process is characterized by deterioration and abrasion of articular cartilage and local thickening. These changes are accompanied by the superimposition of secondary inflammatory changes. Therefore, appreciating the pathophysiology of the TMJ degenerative disorders is important to an understanding of the etiology, diagnosis, and treatment of internal derangement and osteoarthrosis of the TMJ. The degenerative changes in the TMJ are believed to result from dysfunctional remodeling, due to a decreased host-adaptive capacity of the articulating surfaces and/or functional overloading of the joint that exceeds the normal adaptive capacity. This paper reviews etiologies that involve biomechanical and biochemical factors associated with functional overloading of the joint and the clinical, radiographic, and biochemical findings important in the diagnosis of TMJ-osteoarthrosis. In addition, non-invasive and invasive modalities utilized in TMJ-osteoarthrosis management, and the possibility of tissue engineering, are discussed.

Degenerative Disorders of the Temporomandibular Joint: Etiology, Diagnosis, and Treatment

Magnetic resonance imaging of the TMJ disc in asymptomatic volunteers

The theoretical advantages of nuclear magnetic resonance imaging at higher field strengths are discussed. Examples of images created at 3.5 KGauss (0.35 T) are demonstrated. The authors present a method of collecting several tomographic images sequentially during the time required for a single image.

Nuclear magnetic resonance whole-body imager operating at 3. 5 Kgauss

Although cross-sectional magnetic resonance examination of the head and body is useful for screening large regions of tissue, subsectional regions of the head and body often need to be examined. Orthogonally directed, selectively irradiated planes with different flip angles produce a spatially limited signal region from which two- or three-dimensional volume images can be reconstructed. Images with limited fields-of-view can be acquired in reduced imaging time. We present a general description of this technique. These subsectional or "inner volume" images eliminate respiratory motion artifacts by excluding moving tissues from the imaged volume. A result of this technique is a high signal from rapid pulsatile blood flow, produced without cardiac gating the pulse sequence.

Inner volume MR imaging: technical concepts and their application.

The relationship between data acquisition parameters and contrast in nuclear magnetic resonance (NMR) images was studied. NMR imaging by the pulse echo technique selectively enhanced intracranial abnormalities; imaging by the inversion recovery technique heightened the difference between cerebral gray and white matter. Using a blood flow model, the authors also showed that NMR imaging of flow in major vessels is possible.

Visualization of cerebral and vascular abnormalities by NMR imaging. The effects of imaging parameters on contrast

Advances in imaging technique have improved the efficiency of clinical nuclear magnetic resonance (NMR) imaging, and will allow total patient examination time that equals or is more favorable than that of x-ray computed tomography (CT). The whole head can be examined with NMR in a 6.5-minute imaging time with a spatial resolution of 1.7 mm. Fifteen sections in the body can be similarly imaged. Quantitative T2 ("spin-spin" relaxation time) information, as well as estimates of T1 ("spin-lattice" relaxation time) can be obtained in this time. Quantitative T1 information requires an additional procedure.

Mitsuaki Arakawa

Papers

Magnetic resonance imaging of the TMJ disc in asymptomatic volunteers

Nuclear magnetic resonance whole-body imager operating at 3. 5 Kgauss

Inner volume MR imaging: technical concepts and their application.

Visualization of cerebral and vascular abnormalities by NMR imaging. The effects of imaging parameters on contrast

Clinical efficiency of nuclear magnetic resonance imaging.