High Field Brain MRI

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1 High Field Brain MRI

2 Tommaso Scarabino Saverio Pollice Teresa Popolizio Editors High Field Brain MRI Use in Clinical Practice Second Edition

3 Editors Tommaso Scarabino Department of Radiology and Neuroradiology L. Bonomo Hospital Andria (BT) Italy Teresa Popolizio Department of Neuroradiology IRCCS Casa Sollievo della Sofferenza San Giovanni Rotondo (FG) Italy Saverio Pollice Department of Radiology and Neuroradiology L. Bonomo Hospital Andria (BT) Italy ISBN DOI / ISBN (ebook) Library of Congress Control Number: Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

4 Preface The second revised and implemented edition of this text aims to provide an update on the progress achieved in the high-field MRI systems in terms of hardware, software, its use in clinical routine and in the research field. During the last years, there has been an increase in the installation trend of MRI 3 Tesla scanner all over the world, thanks to new laws and concessions introduced by the legislative systems of different European countries and thanks to the growing interest in the experts deriving from the different utlities and diagnostic possibilities. Through the research carried out in this area by various manufacturing companies, the 3 Tesla scanners have become more compact, powerful, and versatile. These improvements have also been accompanied by a reduction of the differences in terms of the purely economic costs compared with more widely diffused 1.5 Tesla devices. In this text, the many benefits offered by a 3 Tesla scanner compared to 1.5 Tesla are highlighted: higher signal, higher resolution, higher sensitivity, shorter imaging times, additional more advanced study procedures and enhanced diagnostic capacity, greater accuracy in morphofunctional study of the brain. With advances in terms of software and hardware, some of the shortcomings of the 3.0 T systems, previously put in evidence, (inhomogeneity of the field, artifacts caused by susceptibility and chemical shift, elevated SAR, high costs), are currently less relevant. The 3.0 T MR systems currently offer morphological investigation with high spatial, temporal and contrast resolution (essential for diagnosis). They also provide physiological, metabolic and functional information, enhancing the diagnostic power of routine MR imaging in terms of sensitivity and specificity both in clinical practice and in applied research purposes. This volume includes papers on the techniques and semeiotics of morphofunctional cerebral imaging at 3.0 Tesla (including reference to the advantages and drawbacks respect to lower field strength MR systems) and the main clinical applications in neuroradiology. Andria (BT), Italy San Giovanni Rotondo (FG), Italy Tommaso Scarabino Saverio Pollice Teresa Popolizio v

5 Contents Part I Techniques and Semeiotics 1 High-Field MRI and Safety: I. Installations Alberto Maiorana and Alessandra Iannelli 2 High-Field MRI and Safety: II. Utilization Alberto Maiorana and Alessandra Iannelli T MRI Diagnostic Features: Comparison with Lower Magnetic Fields Tommaso Scarabino, Giuseppe Maria Giannatempo, Saverio Pollice, Michelangelo Nasuto, Rosario Francesco Balzano, and Teresa Popolizio 4 Standard 3.0 T MR Imaging Tommaso Scarabino, Antonella Bacci, Giuseppe Maria Giannatempo, Saverio Pollice, Michelangelo Nasuto, Annamaria Pennelli, Raffaele Agati, and Teresa Popolizio T MR Angiography Tommaso Scarabino, Saverio Pollice, Giuseppe Maria Giannatempo, Michelangelo Nasuto, Rosario Francesco Balzano, and Teresa Popolizio T MR Spectroscopy Michela Tosetti, Timo Schirmer, Valentina D Alesio, Alfonzo Di Costanzo, Tommaso Scarabino, Teresa Popolizio, Rosario Francesco Balzano, and Marco Perri T Diffusion Studies Armando Tartaro, Antonio Ferretti, Simone Salice, and Piero Chiacchiaretta 8 Nerve Pathways with MR Tractography Maria Eugenia Caligiuri, Andrea Cherubini, Carlo Cosentino, Francesco Amato, Tommaso Scarabino, and Umberto Sabatini vii

6 viii Contents T Perfusion MRI Dynamic Susceptibility Contrast and Dynamic Contrast-Enhanced Techniques Giuseppe Maria Giannatempo, Tommaso Scarabino, Teresa Popolizio, Tullio Parracino, Ettore Serricchio, and Annalisa Simeone 10 ASL 3.0 T Perfusion Studies Piero Chiacchiaretta, Armando Tartaro, Simone Salice, and Antonio Ferretti 11 Functional MRI at 3.0 Tesla Daniela Cevolani, Raffaele Agati, Francesco Di Salle, and Marco Leonardi T Brain MRI: A Pictorial Overview of the Most Interesting Sequences Teresa Popolizio, Francesca Di Chio, Rosario Francesco Balzano, and Tommaso Scarabino 13 Setting the Report and Support of the Functional Findings Armando Tartaro and Simone Salice Part II Applications 14 High-Field Neuroimaging in Traumatic Brain Injury and Disorders of Consciousness Chiara Falletta Caravasso, Francesco De Pasquale, Rita Formisano, and Umberto Sabatini T Imaging of Ischemic Stroke Teresa Popolizio, Giuseppe Guglielmi, Annalisa Simeone, Giuseppe Maria Giannatempo, Marco Perri, Rosario Francesco Balzano, and Tommaso Scarabino 16 High-Field-Strength MRI (3.0 T or More) in White Matter Diseases Maria Assunta Rocca, Simonetta Gerevini, Massimo Filippi, and Andrea Falini 17 High-Field Neuroimaging in Parkinson s Disease Andrea Cherubini, Maria Eugenia Caligiuri, Patrice Péran, and Umberto Sabatini 18 High-Field 3 T Imaging of Alzheimer s Disease Maria Eugenia Caligiuri, Andrea Cherubini, Tommaso Scarabino, and Umberto Sabatini T Imaging of Brain Gliomas Antonella Bacci, Gianluca Marucci, Caterina Budai, Federico Sacchetti, and Raffaele Agati

7 Contents ix Tesla of Advanced Neuroimaging of CNS Infection: A Pictorial Essay Simone Salice, Piero Chiacchiaretta, Antonio Ferretti, and Armando Tartaro 21 Use of fmri Activation Paradigms: A Presurgical Tool for Mapping Brain Function Daniela Cevolani, Raffaele Agati, and Marco Leonardi T fmri in Psychiatry Linda Antonella Antonucci, Alessandro Bertolino, and Giuseppe Blasi 23 7 T MR: From Basic Research to Human Applications Laura Biagi, Mirco Cosottini, and Michela Tosetti Index

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