Abstract
Magnetic resonance (MR) imaging has created considerable excitement in the medical community, largely because of its great potential to diagnose and characterize many different disease processes. However, it is becoming increasingly evident that, because MR imaging is similar to computed tomography (CT) scanning in identifying structural disorders and because it is more costly and difficult to use, this highly useful technique must be judged against CT before it can become an accepted investigative tool. At present MR imaging has demonstrated diagnostic superiority over CT in a limited number of important, mostly neurologic, disorders and is complementary to CT in the diagnosis of certain other disorders. For most of the remaining organ systems its usefulness is not clear, but the lack of ionizing radiation and MR's ability to produce images in any tomographic plane may eventually prove to be advantageous. The potential of MR imaging to display in-vivo spectra, multinuclear images and blood-flow data makes it an exciting investigative technique. At present, however, MR imaging units should be installed only in medical centres equipped with the clinical and basic research facilities that are essential to evaluate the ultimate role of this technique in the care of patients.
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- Behar K. L., den Hollander J. A., Stromski M. E., Ogino T., Shulman R. G., Petroff O. A., Prichard J. W. High-resolution 1H nuclear magnetic resonance study of cerebral hypoxia in vivo. Proc Natl Acad Sci U S A. 1983 Aug;80(16):4945–4948. doi: 10.1073/pnas.80.16.4945. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bottomley P. A., Hart H. R., Jr, Edelstein W. A., Schenck J. F., Smith L. S., Leue W. M., Mueller O. M., Redington R. W. Anatomy and metabolism of the normal human brain studied by magnetic resonance at 1.5 Tesla. Radiology. 1984 Feb;150(2):441–446. doi: 10.1148/radiology.150.2.6691099. [DOI] [PubMed] [Google Scholar]
- Bradley W. G., Opel W., Kassabian J. P. Magnetic resonance installation: siting and economic considerations. Radiology. 1984 Jun;151(3):719–721. doi: 10.1148/radiology.151.3.6718732. [DOI] [PubMed] [Google Scholar]
- Brady T. J., Gebhardt M. C., Pykett I. L., Buonanno F. S., Newhouse J. H., Burt C. T., Smith R. J., Mankin H. J., Kistler J. P., Goldman M. R. NMR imaging of forearms in healthy volunteers and patients with giant-cell tumor of bone. Radiology. 1982 Aug;144(3):549–552. doi: 10.1148/radiology.144.3.7100470. [DOI] [PubMed] [Google Scholar]
- Brant-Zawadzki M., Badami J. P., Mills C. M., Norman D., Newton T. H. Primary intracranial tumor imaging: a comparison of magnetic resonance and CT. Radiology. 1984 Feb;150(2):435–440. doi: 10.1148/radiology.150.2.6691098. [DOI] [PubMed] [Google Scholar]
- Brant-Zawadzki M., Enzmann D. R., Placone R. C., Jr, Sheldon P., Britt R. H., Brasch R. C., Crooks L. A. NMR imaging of experimental brain abscess: comparison with CT. AJNR Am J Neuroradiol. 1983 May-Jun;4(3):250–253. [PMC free article] [PubMed] [Google Scholar]
- Brant-Zawadzki M., Norman D., Newton T. H., Kelly W. M., Kjos B., Mills C. M., Dillon W., Sobel D., Crooks L. E. Magnetic resonance of the brain: the optimal screening technique. Radiology. 1984 Jul;152(1):71–77. doi: 10.1148/radiology.152.1.6729138. [DOI] [PubMed] [Google Scholar]
- Burt C. T., Koutcher J. A. Multinuclear NMR studies of naturally occurring nuclei. J Nucl Med. 1984 Feb;25(2):237–248. [PubMed] [Google Scholar]
- Carr D. H., Brown J., Bydder G. M., Weinmann H. J., Speck U., Thomas D. J., Young I. R. Intravenous chelated gadolinium as a contrast agent in NMR imaging of cerebral tumours. Lancet. 1984 Mar 3;1(8375):484–486. doi: 10.1016/s0140-6736(84)92852-6. [DOI] [PubMed] [Google Scholar]
- El Yousef S. J., Duchesneau R. H., Alfidi R. J., Haaga J. R., Bryan P. J., LiPuma J. P. Magnetic resonance imaging of the breast. Work in progress. Radiology. 1984 Mar;150(3):761–766. doi: 10.1148/radiology.150.3.6695077. [DOI] [PubMed] [Google Scholar]
- Fletcher B. D., Jacobstein M. D., Nelson A. D., Riemenschneider T. A., Alfidi R. J. Gated magnetic resonance imaging of congenital cardiac malformations. Radiology. 1984 Jan;150(1):137–140. doi: 10.1148/radiology.150.1.6689753. [DOI] [PubMed] [Google Scholar]
- George C. R., Jacobs G., MacIntyre W. J., Lorig R. J., Go R. T., Nose Y., Meaney T. F. Magnetic resonance signal intensity patterns obtained from continuous and pulsatile flow models. Radiology. 1984 May;151(2):421–428. doi: 10.1148/radiology.151.2.6709913. [DOI] [PubMed] [Google Scholar]
- Han J. S., Benson J. E., Bonstelle C. T., Alfidi R. J., Kaufman B., Levine M. Magnetic resonance imaging of the orbit: a preliminary experience. Radiology. 1984 Mar;150(3):755–759. doi: 10.1148/radiology.150.3.6695076. [DOI] [PubMed] [Google Scholar]
- Hart H. R., Jr, Bottomley P. A., Edelstein W. A., Karr S. G., Leue W. M., Mueller O., Redington R. W., Schenck J. F., Smith L. S., Vatis D. Nuclear magnetic resonance imaging: contrast-to-noise ratio as a function of strength of magnetic field. AJR Am J Roentgenol. 1983 Dec;141(6):1195–1201. doi: 10.2214/ajr.141.6.1195. [DOI] [PubMed] [Google Scholar]
- Herfkens R. J., Higgins C. B., Hricak H., Lipton M. J., Crooks L. E., Lanzer P., Botvinick E., Brundage B., Sheldon P. E., Kaufman L. Nuclear magnetic resonance imaging of the cardiovascular system: normal and pathologic findings. Radiology. 1983 Jun;147(3):749–759. doi: 10.1148/radiology.147.3.6601813. [DOI] [PubMed] [Google Scholar]
- Higgins C. B., Herfkens R., Lipton M. J., Sievers R., Sheldon P., Kaufman L., Crooks L. E. Nuclear magnetic resonance imaging of acute myocardial infarction in dogs: alterations in magnetic relaxation times. Am J Cardiol. 1983 Jul;52(1):184–188. doi: 10.1016/0002-9149(83)90093-0. [DOI] [PubMed] [Google Scholar]
- Higgins C. B., Lanzer P., Stark D., Botvinick E., Schiller N. B., Crooks L., Kaufman L., Lipton M. J. Imaging by nuclear magnetic resonance in patients with chronic ischemic heart disease. Circulation. 1984 Mar;69(3):523–531. doi: 10.1161/01.cir.69.3.523. [DOI] [PubMed] [Google Scholar]
- Hricak H., Williams R. D., Moon K. L., Jr, Moss A. A., Alpers C., Crooks L. E., Kaufman L. Nuclear magnetic resonance imaging of the kidney: renal masses. Radiology. 1983 Jun;147(3):765–772. doi: 10.1148/radiology.147.3.6844612. [DOI] [PubMed] [Google Scholar]
- Levy R. M., Mano I., Brito A., Hosobuchi Y. NMR imaging of acute experimental cerebral ischemia: time course and pharmacologic manipulations. AJNR Am J Neuroradiol. 1983 May-Jun;4(3):238–241. [PMC free article] [PubMed] [Google Scholar]
- Meaney T. F. Magnetic resonance without nuclear. Radiology. 1984 Jan;150(1):277–277. doi: 10.1148/radiology.150.1.6689780. [DOI] [PubMed] [Google Scholar]
- Mendonça-Dias M. H., Gaggelli E., Lauterbur P. C. Paramagnetic contrast agents in nuclear magnetic resonance medical imaging. Semin Nucl Med. 1983 Oct;13(4):364–376. doi: 10.1016/s0001-2998(83)80048-8. [DOI] [PubMed] [Google Scholar]
- Mills C. M., Crooks L. E., Kaufman L., Brant-Zawadzki M. Cerebral abnormalities: use of calculated T1 and T2 magnetic resonance images for diagnosis. Radiology. 1984 Jan;150(1):87–94. doi: 10.1148/radiology.150.1.6689792. [DOI] [PubMed] [Google Scholar]
- Modic M. T., Pavlicek W., Weinstein M. A., Boumphrey F., Ngo F., Hardy R., Duchesneau P. M. Magnetic resonance imaging of intervertebral disk disease. Clinical and pulse sequence considerations. Radiology. 1984 Jul;152(1):103–111. doi: 10.1148/radiology.152.1.6729099. [DOI] [PubMed] [Google Scholar]
- Modic M. T., Weinstein M. A., Pavlicek W., Starnes D. L., Duchesneau P. M., Boumphrey F., Hardy R. J., Jr Nuclear magnetic resonance imaging of the spine. Radiology. 1983 Sep;148(3):757–762. doi: 10.1148/radiology.148.3.6878697. [DOI] [PubMed] [Google Scholar]
- Moon K. L., Jr, Genant H. K., Helms C. A., Chafetz N. I., Crooks L. E., Kaufman L. Musculoskeletal applications of nuclear magnetic resonance. Radiology. 1983 Apr;147(1):161–171. doi: 10.1148/radiology.147.1.6828722. [DOI] [PubMed] [Google Scholar]
- Moss A. A., Goldberg H. I., Stark D. B., Davis P. L., Margulis A. R., Kaufman L., Crooks L. E. Hepatic tumors: magnetic resonance and CT appearance. Radiology. 1984 Jan;150(1):141–147. doi: 10.1148/radiology.150.1.6316416. [DOI] [PubMed] [Google Scholar]
- New P. F., Rosen B. R., Brady T. J., Buonanno F. S., Kistler J. P., Burt C. T., Hinshaw W. S., Newhouse J. H., Pohost G. M., Taveras J. M. Potential hazards and artifacts of ferromagnetic and nonferromagnetic surgical and dental materials and devices in nuclear magnetic resonance imaging. Radiology. 1983 Apr;147(1):139–148. doi: 10.1148/radiology.147.1.6828719. [DOI] [PubMed] [Google Scholar]
- Ordidge R. J., Mansfield P., Doyle M., Coupland R. E. Real time movie images by NMR. Br J Radiol. 1982 Oct;55(658):729–733. doi: 10.1259/0007-1285-55-658-729. [DOI] [PubMed] [Google Scholar]
- Pykett I. L., Newhouse J. H., Buonanno F. S., Brady T. J., Goldman M. R., Kistler J. P., Pohost G. M. Principles of nuclear magnetic resonance imaging. Radiology. 1982 Apr;143(1):157–168. doi: 10.1148/radiology.143.1.7038763. [DOI] [PubMed] [Google Scholar]
- Pykett I. L., Rosen B. R. Nuclear magnetic resonance: in vivo proton chemical shift imaging. Work in progress. Radiology. 1983 Oct;149(1):197–201. doi: 10.1148/radiology.149.1.6310682. [DOI] [PubMed] [Google Scholar]
- Rosen B. R., Brady T. J. Principles of nuclear magnetic resonance for medical application. Semin Nucl Med. 1983 Oct;13(4):308–318. doi: 10.1016/s0001-2998(83)80043-9. [DOI] [PubMed] [Google Scholar]
- Rosen B. R., Carter E. A., Pykett I. L., Buchbinder B. R., Brady T. J. Proton chemical shift imaging: an evaluation of its clinical potential using an in vivo fatty liver model. Radiology. 1985 Feb;154(2):469–472. doi: 10.1148/radiology.154.2.3966134. [DOI] [PubMed] [Google Scholar]
- Rosen B. R., Wedeen V. J., Brady T. J. Selective saturation NMR imaging. J Comput Assist Tomogr. 1984 Oct;8(5):813–818. doi: 10.1097/00004728-198410000-00001. [DOI] [PubMed] [Google Scholar]
- Sipponen J. T., Sepponen R. E., Sivula A. Nuclear magnetic resonance (NMR) imaging of intracerebral hemorrhage in the acute and resolving phases. J Comput Assist Tomogr. 1983 Dec;7(6):954–959. doi: 10.1097/00004728-198312000-00003. [DOI] [PubMed] [Google Scholar]
- Smith F. W., MacLennan F., Abramovich D. R., MacGilivray I., Hutchison J. M. NMR imaging in human pregnancy: a preliminary study. Magn Reson Imaging. 1984;2(1):57–64. doi: 10.1016/0730-725x(84)90126-7. [DOI] [PubMed] [Google Scholar]
- Stark D. D., Bass N. M., Moss A. A., Bacon B. R., McKerrow J. H., Cann C. E., Brito A., Goldberg H. I. Nuclear magnetic resonance imaging of experimentally induced liver disease. Radiology. 1983 Sep;148(3):743–751. doi: 10.1148/radiology.148.3.6192464. [DOI] [PubMed] [Google Scholar]
- Stark D. D., Goldberg H. I., Moss A. A., Bass N. M. Chronic liver disease: evaluation by magnetic resonance. Radiology. 1984 Jan;150(1):149–151. doi: 10.1148/radiology.150.1.6689754. [DOI] [PubMed] [Google Scholar]
- Webb W. R., Gamsu G., Stark D. D., Moore E. H. Magnetic resonance imaging of the normal and abnormal pulmonary hila. Radiology. 1984 Jul;152(1):89–94. doi: 10.1148/radiology.152.1.6729141. [DOI] [PubMed] [Google Scholar]
- Wesbey G., Higgins C. B., Lanzer P., Botvinick E., Lipton M. J. Imaging and characterization of acute myocardial infarction in vivo by gated nuclear magnetic resonance. Circulation. 1984 Jan;69(1):125–130. doi: 10.1161/01.cir.69.1.125. [DOI] [PubMed] [Google Scholar]










