Amazing accounts of fires in and around MRIs

 
An article in the latest installment of The RADIANT is just too remarkable not to share. The article reports two MRI facility fires. In the first, the fire started away from the scanner but ended with the fire out and the magnet still on, surrounded by charred debris. The magnet couldn't be shut down (quenched) because the fire had destroyed the emergency quench circuitry! In the other incident the cause of the fire was the MRI scanner itself; arcing in the gradient cables. Read the article, look at the pictures. Thought-provoking stuff.

THIS MAGNET IS STILL ON!!!! (From http://yfrog.com/nut2nicj)

I'm hyper-sensitive to both of these scenarios, the first because we are about to move my scanner into a brand new building so I am redoing the safety training and reviewing procedures, and the second because my scanner had some serious arcing in 2010. Luckily the arcing was caught before the whole facility went up in flames. Even so... Here's the penetration panel where the gradient power lines enter the magnet room:

 

Note the charring at bottom-right, the negative terminal for the X gradient. That's the gradient used for readout for EPI so it gets by far the most use in my scanner. (FMRI is practically all we do!)

Here's the charred filter removed from the penetration panel:

And here's what ultimately happened at the gradient set, at the other end of the -Gx connection:

This picture was taken as the old gradient set was wheeled away, to be replaced with a new one. The intense heat and vibration had caused the X gradient to short out. Thankfully it was only the gradient and a filter that bought the farm. It could easily have been the entire facility!

 

GRAPPA and multi-band imaging. And motion. Again.

 

It's come to my attention that some of the latest accelerated (aka multiplexed) EPI sequences are now being made available to some sites with vendor/collaborative research agreements, a move that should catalyze their verification, testing and eventual application for neuroscience. The distribution of these pulse sequences to the wider world is great news! The potential is considerable! However, those wanting to conduct neuroscience experiments today with these zippy new tools should bear in mind the not inconsiderable risks. I want to warn you to think very carefully before taking the plunge.

Today's accelerated EPI sequences combine techniques such as multi-band (MB) acquisition with simultaneous echo refocusing (SER) and/or GRAPPA (1,2). In previous posts I've highlighted the increased motion sensitivity of parallel imaging methods such as GRAPPA. The MB family of methods also require "reference scan data" in order to reconstruct the time series images, and as such they are inherently more motion-sensitive than your plain vanilla single-shot EPI. Indeed, similar principles are used to reconstruct MB images as for GRAPPA, and the basic motion sensitivities are the same, i.e. motion during the reference data acquisitions will contaminate all images in a subsequent time series, while motion after the reference data but during the (accelerated) time series will lead to mismatches and spatial artifacts that will degrade temporal stability. In short, using these accelerated sequences is akin to sharpening the motion sensitivity profile of your experiment, and you will need to ensure a high degree of subject compliance to get good data.


Plan, then scan.

Now, I'm not suggesting you dismiss out of hand these sequences for your research. I am suggesting that you apply a lot of forethought, taking the time to consider several important factors. I've written before about evaluating pulse sequences that are new (or new to you). Your first task is to determine whether you even need a fancy, partly validated, highly risky pulse sequence to answer your neuroscience question. If the answer isn't a resounding "yes," why take the risk? Next, you should ask yourself how the pulse sequence should be set up to provide the optimum data. For instance, do you know which slice direction is best for minimizing motion sensitivity and/or receive field bias (g-factor) for the multi-band sequence? And do you know which RF coil to use, and why? If you can't establish your experimental setup based on sound principles that's a suggestion you either don't have the expertise yourself or you aren't collaborating with someone with the requisite expertise. (Me? I could guess, but that's about it! Without doing a validation study of my own I'd be winging it. Which is kinda my point!)

Please don't just go download and use the latest and greatest technique because it's new and cool. I've seen this movie before, and ninety nine times out of a hundred it ends in tears. Please put some justification and logic into your choices before you go and spend hundreds of hours and thousands of dollars finding yet another way that motion can confound an fMRI experiment. Eyes wide open!

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References:

1.  S Moeller, et al. "Multiband multislice GE-EPI at 7 tesla, with 16-fold acceleration using partial parallel imaging with application to high spatial and temporal whole-brain fMRI." Magn. Reson. Med. 63, 1144-53 (2009).

2.  DA Feinberg, et al. "Multiplexed echo planar imaging for sub-second whole brain fMRI and fast diffusion imaging." PLoS ONE 5(12), e15710 (2010).

GRAPPA: another warning about motion sensitivity

 
I wrote a post in May last year to highlight the enhanced motion sensitivity of GRAPPA-EPI compared to single-shot EPI for fMRI. Paul Mullins and I had also discussed the use of GRAPPA for resting-state fMRI in the Comments of an earlier post. The literature is still fairly quiet on the adverse effects of GRAPPA for fMRI although, as I noted in the May post, there are one or two reports of reduced fMRI sensitivity when using parallel imaging, some of which might be attributable to motion (whether it was diagnosed as motion or not in the published work).

In the May, 2011 post I explained the two types of motion sensitivity that plague GRAPPA in its usual incarnation for EPI time series acquisitions. The first type - motion contamination of the auto-calibration scans (ACS) - might be mitigated by vigilance and a suitably resilient task script, e.g. one that uses plenty of null events at the start of the acquisition, before the first real stimulus is presented, to give the operator sufficient time to evaluate the images being generated with the current ACS and decide whether or not to stop and start over. This approach is no guarantee that motion won't have contaminated the ACS, but simple tactics like this can help avoid the worst effects of motion during the start of the run.

The second type of motion is that which happens after the ACS and during the (under-sampled) time series itself. This problem is one of mismatch. Displacement of the head from its position during the ACS acquisition can lead to spatial errors in the current image volume. Thus, whilst attaining motion-free ACS might be considered essential for fMRI, maintaining proper matching of the ACS to the under-sampled time series is also important. The bigger the mismatch the more likely there will be a penalty in statistical power for the time series.

In this post I want to tackle the issue of non-head motion in the scanner, and its effects on GRAPPA-EPI images. This investigation was motivated by one of my users who reported seeing occasional "banding" in a study that had used GRAPPA-EPI. The traditional evaluation of head motion suggested that the subjects weren't moving very much, so I started looking into other possible instabilities. I was quite surprised just how sensitive GRAPPA-EPI can be to small perturbations, as you will shortly see.


A quick review of some brain data

Let's begin by looking at one of the problem GRAPPA-EPI data sets from a human subject. The acquisition specifics are as follows: 12-channel head RF coil on a Siemens Trio/TIM scanner, GRAPPA with R = 2, reconstructed matrix = 96x96, FOV = 224x224 mm, slice thickness = 3 mm, 10% gap, interleaved sagittal slices, flip angle = 90 deg, TR/TE=2000/26 ms, echo spacing = 0.8 ms, readout bandwidth = 1408 Hz/pixel.

Here is a cine-loop through the raw data:

New user training guide/FAQ

I've just uploaded a new user training guide/FAQ that we use at Berkeley to initiate newbies into the ways of the dark side. It is Siemens-specific, for a Trio/TIM.

As last time, the guide is a bit rough. Sorry for English-isms and typos. It's worth exactly what you pay for it. It's free. Use and abuse it however you like. It's a Word document so that you can reorder things, add your own notes, etc. I would appreciate constructive feedback, especially if you find mistakes or have suggestions to improve it, but there's no need to ask permission to use it, change it, replicate it, sell it...

The most recent version of the training guide/FAQ is available from this web page:

http://bic.berkeley.edu/scanning

Locate the file attachment towards the bottom of the page, it's called 3T_user_training_FAQ_08Mar2012.doc. The most recent contents and a list of changes since the last version (April, 2011) appear below.


Caveat emptor.

The document is only a component of user training, don't expect to learn how to scan by reading it! Rather, use the tips to extend your understanding, refine your experimental technique and so on. Note also that this document is for a Siemens TIM/Trio (with 32 receive channels) and running software VB17. There may be subtle or not-so-subtle differences for the Verio and Skyra platforms, for software VB15, VD11, etc. so keep your wits about you if you're not on a Trio with VB17!

You may have local differences, e.g. custom pulse sequences, that allow you to do things that contradict what you find in this user guide. Talk to your physicist and your local user group before taking anything you find in this guide/FAQ too literally.

Finally, you wont find many (any?) references in this guide/FAQ. It's for the training of newbies, not a comprehensive literature review! If you are seeking further information on something I mention in the guide and you can't find a suitable reference yourself, shoot me an email and I'll do my best to point you in a useful direction.

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Update Notes (8^th March, 2012):

• Updated with new operating modes available under software syngo MR version B17.

• General tweaks to improve readability.

• Further recommendations on using the 32-channel coil for fMRI.

• Added a description of the new AutoAlign procedure, AAHScout.

• Added a new section: “I have an existing protocol that uses the old AutoAlign (AAScout). How do I get and use the new AutoAlign (AAHScout)?”

• Added a new section: “I want to add a new acquisition and acquire exactly the same slices as this other EPI acquisition I just acquired. How do I tell the scanner to do that?”

• Extended the discussion on the relative merits of PACE versus using an offline realignment alone, in the section on the ep2d_pace sequence.

• Fixed a typo concerning the slice ordering for descending slices.

• Added a new section: “What is a field map and how does it fix EPI distortion?”

• Added a new section: “I want to try to fix my distortion with a field map. What do I need to acquire?”

• Updated the sections on partial Fourier for EPI, noting that Siemens simply zero fills the omitted portion of k-space rather than doing a conjugate synthesis.

• Extended checklists.