The goal of this thesis was to produce an animal model that develops atherosclerotic plaque featuring plaque neovascularization leading to intraplaque hemorrhage and is suitable for noninvasive imaging studies. Several strategies were tested for their effectiveness in producing such plaques in the rabbit aorta, including: a high cholesterol diet, vascular endothelial growth factor injections, therapeutic contrast ultrasound, and balloon catheter injury. It was found that a combination of the high cholesterol diet and balloon injury was able to achieve plaque neovascularization in a manner dependent on circulating plasma cholesterol levels. In addition, a contrast-enhanced magnetic resonance imaging technique implemented in the animal model was able to detect plaque neovascularization and monitor its change over time in a single group of animals. In conclusion, an animal model was created where plaque neovascularization occurs in a predictable fashion and can be studied with non-invasive magnetic resonance imaging.

This thesis presents a high-resolution volumetric technique to measure the longitudinal relaxation time T1 in the vessel wall using MRI. The method of Variable Flip Angles (VFA) was applied using a new strategy for flip angle selection that allows measurement of T1 with high accuracy (< 10% mean error) and precision (T1-to-noise ratio > 10) over the wide range of anticipated values (300-3000ms) in the vessel wall. This strategy was validated in simulation, phantom and volunteer spinal cord experiments. Initial validation of vessel wall T1 measurements was performed in ex-vivo thoracic aorta samples from cholesterol-fed rabbits. For in-vivo vessel wall T1 mapping, the technique was augmented with spatial saturation bands for flow suppression and applied to the carotid arteries of three volunteers. Preliminary results from volunteers suggest that this approach may be useful in characterizing T1 changes associated with high-risk atherosclerotic disease.

The goal of this thesis was to produce an animal model that develops atherosclerotic plaque featuring plaque neovascularization leading to intraplaque hemorrhage and is suitable for noninvasive imaging studies. Several strategies were tested for their effectiveness in producing such plaques in the rabbit aorta, including: a high cholesterol diet, vascular endothelial growth factor injections, therapeutic contrast ultrasound, and balloon catheter injury. It was found that a combination of the high cholesterol diet and balloon injury was able to achieve plaque neovascularization in a manner dependent on circulating plasma cholesterol levels. In addition, a contrast-enhanced magnetic resonance imaging technique implemented in the animal model was able to detect plaque neovascularization and monitor its change over time in a single group of animals. In conclusion, an animal model was created where plaque neovascularization occurs in a predictable fashion and can be studied with non-invasive magnetic resonance imaging.

This thesis presents a high-resolution volumetric technique to measure the longitudinal relaxation time T1 in the vessel wall using MRI. The method of Variable Flip Angles (VFA) was applied using a new strategy for flip angle selection that allows measurement of T1 with high accuracy (< 10% mean error) and precision (T1-to-noise ratio > 10) over the wide range of anticipated values (300-3000ms) in the vessel wall. This strategy was validated in simulation, phantom and volunteer spinal cord experiments. Initial validation of vessel wall T1 measurements was performed in ex-vivo thoracic aorta samples from cholesterol-fed rabbits. For in-vivo vessel wall T1 mapping, the technique was augmented with spatial saturation bands for flow suppression and applied to the carotid arteries of three volunteers. Preliminary results from volunteers suggest that this approach may be useful in characterizing T1 changes associated with high-risk atherosclerotic disease.

Atherosclerosis is a disease of the cardiovascular system where a stenosis may develop in an artery which is an abnormal narrowing in the blood vessel that adversely affects the blood flow. Due to the constriction of the blood vessel, the flow is disturbed, forming a jet and recirculation downstream of the stenosis. Dynamic pressure fluctuations on the inner wall of the blood vessel leads to the vibration of the vessel structure and acoustic energy is propagated through the surrounding tissue that can be detected on the skin surface. Acoustic energy radiating from the interaction of blood flow and stenotic blood vessel carries valuable information from a diagnostic perspective. In this study, a constricted blood flow is modeled by using ADINA finite element analysis software together with the blood vessel in the form of a thin cylindrical shell with an idealized blunt constriction. The flow is considered as incompressible and Newtonian. Water properties at indoor temperature are used for the fluid model. The diameter of the modeled vessel is 6.4 mm with 87% area reduction at the throat of the stenosis. The flow is investigated for Reynolds numbers 1000 and 2000. The problem is handled in three parts which are rigid wall Computational Fluid Dynamics (CFD) solution, structural analysis of fluid filled cylindrical shell, and Fluid Structure Interaction (FSI) solutions of fluid flow and vessel structure. The pressure fluctuations and consequential vessel wall vibrations display broadband spectral content over a range of several hundred Hz with strong fluid-structural coupling. Maximum dynamic pressure and vibration amplitudes are observed around the reattachment point of the flow near the exit of the stenosis and this effect gradually decreases along downstream of flow. Results obtained by the numerical simulations are compared with relevant studies in the literature and it is concluded that ADINA can be used to investigate these types of problems involving high frequency pressure fluctuations of the fluid and the resulting vibratory motion of the surrounding blood vessel structure.

Atherosclerotic plaques in the bifurcation of the carotid artery vessels can pose a significant stroke risk from stenosis, thrombosis and emboli, or plaque rupture. However, the possibility of the latter depends on the structure of the plaque and its stability. So far, the assessment of such depositions, and the evaluation of the risk they pose, is not satisfactory with 3 Tesla black blood imaging. It is expected that the SNR increase at 7 Tesla, together with an appropriate and patient-safe RF coil, will result in higher resolution images that would help in better assessing the composition of atherosclerotic plaques in vessel walls. A custom-built neck array was designed and constructed, with the aim of investigating the benefits of the higher field strength using DANTE-prepared black blood imaging. A 4-channel transmit array was designed to generate the required <b>B</b>^&plus;<sub style='position: relative; left: -.5em;'>1</sub> field for the DANTE module to be used. A separate close fitting 4-channel receive array was preferred for improved SNR and parallel (receive) imaging. Geometric, active, passive as well as preamp decoupling schemes were employed for adequate isolation between the arrays and their channels. Electromagnetic simulation software, Semcad X (SPEAG, Zurich), was used for safety assessment with human phantoms (Virtual population). The <b>E</b> fields for 1 W transmission per channel were calculated for each element for a worst case SAR estimation. The transmission power limits per channel were set according to the 10g SAR limit set in IEC 60601. For simulation validation, temperature measurements and surface heat mapping were performed on a meat phantom. Finally, a healthy male subject was scanned using a protocol consisting of <b>B</b>₁ mapping, RF shimming at an ROI, and 2D and 3D DANTE prepared Gradient Echo (GRE). The worst-case heating scenario, as defined in the methods section, generated a maximum local SAR of 7.65 W/kg for 1 Watt per channel input. Thus, for 1st level mode (20W/kg max), the power limit was set at 2.6 W per channel. The heating profile was similar to that simulated and the measured temperature increase was within a &plusmn;10&percnt; margin relative to the simulation. The global SAR power limit per channel was found to be higher (i.e. more allowed power) than the worst case local SAR power limit, and thus did not impose additional power penalty. The resolution achieved was 0.6 mm isotropic for the 3D protocol and 0.6 by 0.6 by 2.5 mm for the 2D protocol. The average SNR was measured within the vessel wall location of the two carotid arteries and found to be 27&plusmn;6 for the DANTE images and for the static tissue closer to the skin the SNR was 55&plusmn;2. In conclusion, a 4Tx/4Rx coil was designed to target the carotid arteries operating under pTx mode and a black blood imaging sequence was implemented for blood signal suppression and vessel wall imaging. The initial results from the subject and phantom imaging show satisfactory blood suppression and spatial resolution.

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