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279 protocols using intera

1

MnO Nanocubes MRI Relaxivity

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We performed MR imaging experiment of MnO nanocubes solution with a 3.0 T clinical MRI scanner with a micro-47 surface coil (Intera; Philips Medical Systems, Best, the Netherlands). The R1 relaxivity of various concentrations of MnO nanocubes was measured by the Carr–Purcell–Meiboom–Gill (CPMG) sequence at room temperature with the following parameters: echo time (TE) = 60 ms, repetition time (TR) = 4000 ms, slice thickness = 2.0 mm, number of acquisitions = 1, and point resolution = 234 × 234 μm2. The relaxivity values of R1 were calculated by a series of T1 values, when plotted as 1/T1 versus [Mn]. The relaxivity coefficient (mM−1 s−1) was equal to the ratio of R1 (1/T1, s−1) and the nanoparticle concentration. In vitro/in vivo MRI experiments were performed using a 3.0 T clinical MRI instrument equipped with a micro-47 surface coil (Intera; Philips Medical Systems, Best, Netherlands). To acquire cellular T1-weighted MR images, following parameters were adopted: resolution = 234 × 234 mm, section thickness = 3.0 mm, TE = 18 ms, TR = 625 ms, and number of acquisitions = 2. For T1-weighted MR images of the nude mice, the following parameters were adopted: resolution = 234 × 234 mm, section thickness = 2.0 mm, TE = 60 ms, TR = 4000 ms, and number of acquisitions = 1.
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2

Multicentre MRI Acquisition Protocol

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All scans were conducted for clinical indications. The MRI acquisitions were performed on diverse scanners from referring institutions (n = 37; 1.0, 1.5, 3.0 T; (1) Siemens MRI models: Avanto, Espree, Aera, Verio, Essenza (Siemens, Erlangen, Germany), (2) Toshiba Titan (Toshiba, Tokio, Japan) and (3) Philips MRI models: Panorama, Intera, Achieva, Ingenia (Philips Healthcare, Best, The Netherlands) and on local scanners from the University Hospital of Cologne [n = 19, Philips models: Achieva, Ingenia, Intera; 1.5 and 3.0 T (Philips Healthcare, Best, The Netherlands)]. MRI scan parameters are given in Supplementary Table S1. At the University Hospital of Cologne, for T1CE MR images patients were injected intravenously with gadolinium (Dotarem; Guerbet, Roissy, France: 0.5 mmol/ml, i.e. 1 ml = 279.32 mg gadoteric acid = 78.6 mg gadolinium) with a concentration of 0.1 mmol/kg body weight. The contrast medium applications in the referring institutions were not standardised.
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3

Relaxivity of PEGylated Magnetic Nanoparticles for MRI

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We performed the MR imaging experiment of a PEGylated MN solution with a 1.5 T clinical MRI instrument with a micro47 surface coil (Intera; Philips Medical Systems, Best, the Netherlands). The T2 weights of various concentrations of PEGylated MN solution were measured by the Carr–Purcell–Meiboom–Gill (CPMG) sequence at room temperature with the following parameters: TR = 10 s, 32 echoes with a 12-ms even echo space, number of acquisitions = 1, point resolution of 156 × 156 mm, and section thickness of 0.6 mm. The relaxivity coefficient (mM−1 s−1) was equal to the ratio of R2 (1/T2, S−1) to the PEGylated MN concentration. In addition, in vivo MR imaging experiments were performed with a 3 T clinical MRI instrument with a micro-47 surface coil (Intera; Philips Medical Systems, Best, the Netherlands). The T2 weights of a nude mouse injected with PEGylated MNs were measured by the CPMG sequence at room temperature with the following parameters: TR = 10 s, 32 echoes with a 12-ms even echo space, number of acquisitions = 1, point resolution of 156 × 156 mm, and section thickness of 0.6 mm. For the T2-weighted MR imaging of the nude mouse model, we adopted the following parameters: resolution of 234 × 234 mm, section thickness of 2.0 mm, TE = 60 ms, TR = 4000 ms, and number of acquisitions = 1.
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4

MRI Scan Acquisition Protocol Changes

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All MRI data were obtained using 3T scanners. Scans before October 2012 were made on the Intera system (Philips Intera, Philips Medical Systems, Best, The Netherlands) and scans after October 2012 on the Ingenia system (Philips Ingenia, Philips Medical Systems, Best, The Netherlands). A change in scan acquisition parameters occurred simultaneously with the switch in MRI systems (online supplementary table 1). Scans were assessed by two neuroradiologists (MRL and MGFL), MRL assessed the BAD and MGFL assessed WMLs and infarctions. All identifying data (eg, age, sex, scan date) were removed from the MRI scans and both neuroradiologists were also blinded for scan order (baseline or follow-up).
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5

Multimodal Brain Imaging Protocol

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We acquired high‐resolution T1‐weighted MRI data and diffusion tensor imaging (DTI) from all participants using a Philips 3T scanner (Philips Intera, Philips Medical System). A detailed description is provided in Method S1.
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6

Cardiac Imaging with Steady-State Free Precession

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Images were obtained on either a 1.5 Tesla Siemens Avanto (Siemens Healthcare Sector, Erlangen, Germany) or a 1.5 Tesla Philips Intera (Philips Medical Systems, Best, The Netherlands) using a standard imaging protocol.11 (link) Steady-state free precession sequences were obtained in a short axis stack. Typical imaging parameters were: slice thickness 8mm, no gap, field of view 360mm x 360mm, matrix 208 x 256, spatial resolution <2.2mm x 2.0mm x 8mm, flip angle 80 degrees, temporal resolution < 55ms, minimum echo time and repetition time; the sequences were breath-holds, the cardiac gating was retrospective and parallel imaging with GRAPPA (Siemens) and SENSE (Philips) with an acceleration factor of 2 was used.
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7

Perfusion Imaging Protocols for Brain MRI

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DSC-MR images and the post-contrast T1-weighted images were acquired using standard pulse sequences on either 1.5 T MR (Siemens Avanto, Siemens Sonata, Siemens Symphony, Siemens Magnetom Vision, Siemens Healthcare; GE Genesis, GE Signa Excite, GE Signa HDx, GE Medical Systems; Philips Intera, Philips Medical Systems) or 3.0 T MR (Siemens Trio, Siemens Healthcare). A 0.025 mmol/kg pre-load dose of gadolinium contrast agent was administered prior to DSC-MRI to diminish T1 relaxation effects of contrast agent extravasation [10 (link)],[13 (link)],[14 (link)]. A 3-5 cc/sec bolus of either gadopentetate dimeglumine (Gd-DTPA; Magenvist, Bayer Schering Pharma, Leverkusen, Germany), administered at a dose of 10-20 cc (0.075 mmol/kg), or gadobenate dimeglumine (Gd-BOPTA; Multihance, Bracco Diagnostics, Princeton, NJ), administered at a dose of 9-20 cc (0.075 mmol/kg), was used in the acquisition of DSC as well as the subsequent post-contrast T1-weighted images (total of 0.01 mmol/kg). DSC-MRI scan parameters ranged from 23-50 ms for echo times (TE), 1250-1400 ms for repetition times (TR), 30-35 for flip angles (FA), 40-90 repetitions, 4-7 mm for slice thickness with interslice gap from 0-1.5 mm, 6 – 20 for number of slices, and 80 × 96 to 128 × 128 for matrix sizes.
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8

Longitudinal MRI Evaluation of Patients

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The average interval between baseline imaging and infusion was four months (range 0.4 to 11.5 months). Follow-up imaging was performed on average 11.9 months (range 11 to 13 months) after infusion [23 (link)]. The MRI equipment of the baseline imaging included five 1.5 T units (GE Signa Twinspeed, General Electric Medical Systems, Milwaukee, WI, USA; Philips Achieva and Philips Intera, Philips Medical Systems, Eindhoven, The Netherlands; Siemens Avanto and Siemens Espree, Siemens Medical, Erlangen, Germany), a 0.34 T unit (Siemens Magnetom C, Siemens Medical, Erlangen, Germany) and a 0.23 T unit (Philips Panorama, Philips Medical Systems, Eindhoven, The Netherlands). The imaging sequences were sagittal T1-weighted (T1 W) turbo spin-echo (TSE) or fast spin-echo (FSE) with fluid attenuation inversion recovery (FLAIR), sagittal T2-weighted (T2 W) TSE/FSE, and short tau inversion recovery sequences (STIR). The specific imaging parameters have been described previously [23 (link)]. The MRI equipment of the one-year follow-up imaging included two 1.5 T units (GE Signa Twinspeed and GE Optima, General Electric Medical Systems, Milwaukee, WI, USA) and a 3 T unit (Siemens Skyra, Siemens Medical, Erlangen, Germany). Imaging protocols were established for clinical spine imaging.
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9

Cardiovascular Magnetic Resonance Imaging Protocol

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Images were obtained on either a 1.5 Tesla Siemens Avanto (Siemens Healthcare Sector, Erlangen, Germany) or a 1.5 Tesla Philips Intera (Philips Medical Systems, Best, The Netherlands). Functional imaging was performed as previously described using balanced steady state free-precession images in a short axis stack[29 (link)]. Myocardial tagging was performed in the short axis at the level of the papillary muscles using a segmented k-space fast gradient echo sequence with ECG triggering. Grid tagging was performed with a spacing of 8 mm and 8-10 phases (Philips) or 9-13 phases (Siemens). Typical imaging parameters included: slice thickness 6-8 mm, field of view 340 mm × 340 mm, matrix size 256 × 192, and minimum echo time and repetition time. The sequences were breath-holds and parallel imaging with GRAPPA (Siemens) and SENSE (Philips) with an acceleration factor of two was used.
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10

Aortic MRI and Phase-Contrast Imaging

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MRI at baseline was performed on a 1.5 T scanner (Philips Intera; Philips Healthcare, Best, the Netherlands) between March 2008 and December 2011. Imaging details have been previously described [7] (link), [8] , [11] . In short, contrast-enhanced MRA of the entire aorta was obtained from first-pass imaging of a 25 mL contrast bolus Dotarem (Guerbet, Gorinchem, the Netherlands), using a T1-weighted fast gradient-echo sequence during end-expiration breath-hold (85% rectangular field of view (FOV) 500 × 80 mm2, 50 slices of 1.6 mm slice thickness, echo time (TE) 1.3 ms, repetition time (TR) 4.6 ms, flip angle α 40°, acquisition voxel size 1.25 × 2.46 × 3.20 mm3). Regional PWV was determined from two consecutively acquired multi-slice 2D phase-contrast scans, positioned in oblique-sagittal orientation capturing the aorta in candy-cane view, with one-directional velocity-encoding respectively in phase-encoding (i.e., anterior-posterior) direction and in frequency-encoding (i.e., feet-head) direction. The velocity-sensitivity was set to 150 cm/s. Retrospective gating was performed with maximal number of phases reconstructed. The true temporal resolution was 8.6 ms (=2 × TR). Detailed scan parameters can be found in the previous studies [7] (link), [8] , [11] .
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