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A high-impedance detector-array glove for magnetic resonance imaging of the hand.

ABSTRACT: Densely packed resonant structures used for magnetic resonance imaging (MRI), such as nuclear magnetic resonance phased-array detectors, suffer from resonant inductive coupling, which restricts coil design to fixed geometries, imposes performance limitations, and narrows the scope of MRI experiments to motionless subjects. Here, we report the design of high-impedance detectors, and the fabrication and performance of a wearable detector array for MRI of the hand, that cloak themselves from electrodynamic interactions with neighboring elements. We experimentally verified that the detectors do not suffer from signal-to-noise degradation mechanisms typically observed with the use of traditional low-impedance elements. The detectors are adaptive and can accommodate movement, providing access to the imaging of soft-tissue biomechanics with unprecedented flexibility. The design of the wearable detector glove exemplifies the potential of high-impedance detectors in enabling a wide range of applications that are not well suited to traditional coil designs.

SUBMITTER: Zhang B

PROVIDER: S-EPMC6405230 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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A high-impedance detector-array glove for magnetic resonance imaging of the hand.

Zhang Bei B Sodickson Daniel K DK Cloos Martijn A MA

Nature biomedical engineering 20180507 8

Densely packed resonant structures used for magnetic resonance imaging (MRI), such as nuclear magnetic resonance phased-array detectors, suffer from resonant inductive coupling, which restricts coil design to fixed geometries, imposes performance limitations, and narrows the scope of MRI experiments to motionless subjects. Here, we report the design of high-impedance detectors, and the fabrication and performance of a wearable detector array for MRI of the hand, that cloak themselves from electr ...[more]

PMID: 30854251

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Project description:ObjectivesThe aim of this work was to determine hand joint inflammation in systemic sclerosis (SSc); patients with rheumatoid arthritis (RA) with hand joint involvement were used as controls. Our investigation also aimed at examining the relationship between these subclinical inflammatory changes in the hands, verified by low-frequency MRI, and clinical (especially cardiopulmonary) manifestations, disease activity, and functional capacity in patients with diffuse cutaneous (dcSSc) and limited cutaneous SSc (lcSSc).MethodsOut of 250 SSc patients, the selection included 82 patients with signs and symptoms of joint involvement, and 35 consecutive RA patients. These patients underwent clinical and laboratory investigations, and hand X-ray and MRI of the dominant hand. Synovitis/tenosynovitis, bone edema, and erosions were investigated, and the bone changes were quantified and scored using the RAMRIS method. HAQ index, modified Rodnan skin score, examination of internal organ involvement, and serological markers for SSc, as well as rheumatoid factor (RF) and cyclic citrullinated peptides antibodies (ACPA), were performed on all experimental group subjects.ResultsMRI of the dominant hand showed a significantly higher number of cases with synovitis (78%) than the number of patients with clinically swollen joints (17.1%; p < 0.001); bone edema was found in 62 (75.6%) SSc patients. MRI also showed a higher number of erosions (52; 63.4%) compared to those (22; 27.5%) detected with X-ray (p < 0.001). The average values of the total MRI score of synovitis/edema and erosions in the wrist (p < 0.001) and MCP joints (p < 0.001) were statistically higher in RA than in SSc patients (p < 0.001). The probability of the MRI-detected inflammatory changes was considerably higher in SSc patients who had vascular complications (digital ulceration, OR = 4.68; 95% IP: 1.002-22.25; p < 0.05), in patients with more severe functional impairment (OR = 8.22; 95% IP: 1.74-38.89; p < 0.01), and in patients with active disease (OR = 3.132; 95% IP: 1.027-9.551; p < 0.05). In our investigation, patients with a limited form of the disease and with inflammatory changes on MR more often had higher functional impairment compared to the other group without MRI inflammation.ConclusionsOur data show that in SSc MRI can detect a significant subclinical joint inflammation. RAMRIS confirmed the high degree of joint inflammation in RA, but also revealed a great deal of joint inflammation in SSc. That inflammation is associated with systemic inflammation (disease activity), vascular complications, and more severe forms of the disease, as synovitis cannot be precisely diagnosed by the clinical examination of joints. These results suggest that a careful joint investigation is necessary in SSc, and that in symptomatic patients, MRI may identify joint inflammation. In clinical practice, this evidence might drive to an early targeted therapy, thus preventing joint erosions.

Dataset Information

A high-impedance detector-array glove for magnetic resonance imaging of the hand.

Publications

A high-impedance detector-array glove for magnetic resonance imaging of the hand.

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