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NMR in Biomedicine
Article
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NMR in Biomedicine
Article . 2018 . Peer-reviewed
License: Wiley Online Library User Agreement
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Feasibility of quantitative ultrashort echo time (UTE)‐based methods for MRI of peripheral nerve

Authors: Shu‐Juan Fan; Jonathan Wong; Xin Cheng; Ya‐Jun Ma; Eric Y. Chang; Jiang Du; Sameer B. Shah;

Feasibility of quantitative ultrashort echo time (UTE)‐based methods for MRI of peripheral nerve

Abstract

Peripheral nerves are a composite tissue consisting of neurovascular elements packaged within a well‐organized extracellular matrix. Their composition, size, and anatomy render nerves a challenging medical imaging target. In contrast to morphological MRI, which represents the predominant approach to nerve imaging, quantitative MRI sequences can provide information regarding tissue composition. Here, we applied standard clinical Carr‐Purcell‐Meiboom‐Gill (CPMG) and experimental three‐dimensional (3D) ultrashort echo time (UTE) Cones sequences for quantitative nerve imaging including T 2 measurement with single‐component analysis, T 2 * measurement with single‐component and bi‐component analyses, and magnetization transfer ratio (MTR) analysis. We demonstrated the feasibility and the high quality of single‐component T 2 *, bi‐component T 2 *, and MTR approaches to analyze nerves imaged with clinically deployed 3D UTE Cones pulse sequences. For 24 single fascicles from eight nerves, we measured a mean single‐component T 2 * of 22.6 ±8.9 ms, and a short T 2 * component (STC) with a mean T 2 * of 1.7 ±1.0 ms and a mean fraction of (6.74 ±4.31)% in bi‐component analysis. For eight whole nerves, we measured a mean single‐component T 2 * of 16.7 ±2.2 ms, and an STC with a mean T 2 * of 3.0 ±1.0 ms and a mean fraction of (15.56 ±7.07)% in bi‐component analysis. For nine fascicles from three healthy nerves, we measured a mean MTR of (25.2 ±1.9)% for single fascicles and a mean MTR of (23.6 ±0.9)% for whole nerves. No statistically significant correlation was observed between any MRI parameter and routine histological outcomes, perhaps due to the small sample size and lack of apparent sample pathology. Overall, we have successfully demonstrated the feasibility of measuring quantitative MR outcomes ex vivo, which might reflect features of nerve structure and macromolecular content. These methods should be validated comprehensively on a larger and more diverse set of nerve samples, towards the interpretation of in vivo outcomes. These approaches have new and broad implications for the management of nerve disease, injury, and repair.

Country
United States
Keywords

Adult, Male, Time Factors, Clinical Sciences, Biomedical Engineering, Bioengineering, Imaging, Medicinal and Biomolecular Chemistry, Young Adult, Imaging, Three-Dimensional, 80 and over, Humans, Aged, Aged, 80 and over, screening and diagnosis, Neurosciences, Middle Aged, Magnetic Resonance Imaging, Detection, Nuclear Medicine & Medical Imaging, quantitative imaging, Three-Dimensional, peripheral nerve, Neurological, Biomedical Imaging, Feasibility Studies, UTE, Female, Tibial Nerve, MRI, 4.2 Evaluation of markers and technologies

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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Average
Green
bronze