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Open AccessJournal ArticleDOI

High-resolution phased-array MRI of the human brain at 7 tesla: Initial experience in multiple sclerosis patients

TLDR
In this paper, the authors developed optimized high-resolution 7T MRI techniques using high sensitivity, specialized phasedarray coils, for improved gray matter (GM) and white matter differentiation, in an effort to improve visualization of multiple sclerosis (MS) lesions in vivo.
Abstract
Recent advancement for magnetic resonance imaging (MRI) involves the incorporation of higher-field strengths. Although imagers with higher magnetic field strengths were developed and tested in research labs, the direct application to patient MR studies have been extremely limited. Imaging at 7 Tesla (7T) affords advantages in signal-to-noise ratio and image contrast and resolution; however, these benefits can only be realized if the correct coils exist to capture the images. The objective of this study was to develop optimized high-resolution 7T MRI techniques using high sensitivity, specialized phased-array coils, for improved gray matter (GM) and white matter differentiation, in an effort to improve visualization of multiple sclerosis (MS) lesions in vivo. Twenty-three subjects were enrolled in this preliminary study, 17 with clinically definite MS (11 females, 6 males; mean age 43.4 years; range 22-64 years) and 6 healthy controls (2 females, 4 males; mean age 39.0 years; range 27-67 years). MR imaging of MS patients at 7T was demonstrated to be safe, well tolerated, and provided high-resolution anatomical images allowing visualization of structural abnormalities localized near or within the cortical layers. Clear involvement of the GM was observed with improved morphological detail in comparison to imaging at lower-field strength.

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Journal ArticleDOI

Tracking iron in multiple sclerosis: a combined imaging and histopathological study at 7 Tesla

TL;DR: This combined imaging and pathological study shows that multi-gradient echo magnetic resonance imaging is a sensitive technique for the identification of iron in the brain tissue of patients with multiple sclerosis and can shed light on the pathological processes when coupled with topographical information and patient disease history.
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Imaging Cortical Lesions in Multiple Sclerosis With Ultra–High-Field Magnetic Resonance Imaging

TL;DR: The potential of T2*GRE and white matter-attenuated TFE sequences in ultra-high-field magnetic resonance imaging for cortical lesion detection in patients with multiple sclerosis is indicated.
Journal ArticleDOI

7-T MR—from research to clinical applications?

TL;DR: Examples are given to demonstrate the advantages of susceptibility‐weighted imaging, time‐of‐flight MR angiography, high‐resolution functional MRI, 1H and 31P MRSI in the human brain, sodium and functional imaging of cartilage and the first results using an eight‐channel body array, suggesting future areas of research should be intensified in order to fully explore the potential of 7‐T MR systems for use in clinical diagnosis.
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Association of Cortical Lesion Burden on 7-T Magnetic Resonance Imaging With Cognition and Disability in Multiple Sclerosis

TL;DR: To evaluate the clinical relevance of measures of CL burden derived from high-field magnetic resonance imaging (MRI) in multiple sclerosis, an observational clinical imaging study conducted at an academic MS center found that increasing log[CL volume] conferred a 3-fold increase in the odds of cognitive impairment.
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Increased cortical grey matter lesion detection in multiple sclerosis with 7 T MRI : a post-mortem verification study

TL;DR: The aim of this study was to determine the sensitivity of 7 T versus 3 T magnetic resonance imaging pulse sequences for the detection of cortical multiple sclerosis lesions by directly comparing them to histopathology.
References
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Journal ArticleDOI

7T vs. 4T: RF power, homogeneity, and signal-to-noise comparison in head images.

TL;DR: Signal‐to‐noise ratio (SNR), RF field (B1), and RF power requirement for human head imaging were examined at 7T and 4T magnetic field strengths and were consistent with calculations performed using a human head model and Maxwell's equations.
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Cortical lesions in multiple sclerosis

TL;DR: Investigation of the cortical venous supply shows how such lesions may arise, and why the majority also involve the underlying white matter.
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Subpial demyelination in the cerebral cortex of multiple sclerosis patients.

TL;DR: The results indicate that the cerebral cortex is likely to be a predilection site for MS lesions and identify general cortical subpial demyelination as a distinct pattern occurring in a significant subpopulation of MS patients.
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Signal-to-noise measurements in magnitude images from NMR phased arrays.

TL;DR: In this article, a region-of-interest (ROI) analysis is proposed to estimate signal-to-noise ratio (SNR) values in phased array magnitude images.
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Intracortical Lesions in Multiple Sclerosis: Improved Detection with 3D Double Inversion-Recovery MR Imaging

TL;DR: In this paper, the depiction of intracortical lesions by using multislab three-dimensional (3D) double inversion-recovery (DIR), multiislab 3D fluid-attenuated inversion recovery (FLAIR), and T2-weighted spin-echo (SE) imaging in patients with multiple sclerosis was compared.
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