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Abstract-A magnetic resonance imaging (MRI) duodenoscope is demonstrated, by combining nonmagnetic endoscope components with a thin-film receiver based on a magneto-inductive waveguide. The waveguide elements consist of figure-of-eight shaped inductors formed on either side of a flexible substrate and parallel plate capacitors that use the substrate as a dielectric. Operation is simulated using equivalent circuit models and by computation of two-and three-dimensional sensitivity patterns. Circuits are fabricated for operation at 127.7 MHz by double-sided patterning of copper-clad Kapton and assembled onto non-magnetic flexible endoscope insertion tubes. Operation is verified by bench testing and by 1 H MRI at 3T using phantoms. The receiver can form a segmented coaxial image along the length of the endoscope, even when bent, and shows a signal-to-noise-ratio advantage over a surface array coil up to three times the tube diameter at the tip. Initial immersion imaging experiments have been carried out and confirm an encouraging lack of sensitivity to RF heating.

Aim Diagnostic imaging of early-stage cholangiocarcinoma is challenging. A previous in vitro study of fixed-tissue liver resection specimens investigated T2 mapping as a method of exploiting the locally increased signal-to-noise ratio (SNR) of duodenoscope coils for improved quantitative magnetic resonance imaging (MRI), despite their non-uniform sensitivity. This work applies similar methods to unfixed liver specimens using catheter-based receivers. Methods Ex vivo intraductal MRI and T2 mapping were carried out at 3T on unfixed resection specimens obtained from cholangiocarcinoma patients immediately after surgery using a catheter coil based on a thin-film magneto-inductive waveguide, inserted directly into an intrahepatic duct. Results Polypoid intraductal cholangiocarcinoma was imaged using fast spin-echo sequences. High-resolution T2 maps were extracted by fitting of data obtained at different echo times to mono-exponential models, and disease-induced changes were correlated with histopathology. An increase in T2 was found compared with fixed specimens and differences in T2 allowed the resolution of tumour tissue and malignant features such as polypoid morphology. Conclusion Despite their limited field of view, useful data can be obtained using catheter coils, and T2 mapping offers an effective method of exploiting their local SNR advantage without the need for image correction.

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SUMMARY This paper advances the field of externally linear–internally nonlinear (ELIN) filters by introducing a synthesis method that enables the design of high‐order class‐AB sinh filters by means of complementary metal–oxide semiconductor (CMOS) weak‐inversion sinh integrators comprising only one type of devices in their translinear loops. The proposed transistor‐level synthesis approach is demonstrated through the examples of (1) a biquadratic and (2) a fifth‐order filter, and their simulated performance is studied. The biquadratic filter achieves a dynamic range of 94 dB and has a tunable quality factor Q up to the value of 8, whereas its natural frequency can be tuned for four orders of magnitude. Its static power consumption amounts to 6.2 μW for Q = 1 and fo = 2 kHz. The fifth‐order Chebyshev sinh CMOS filter with a cut‐off frequency of 100 Hz, a pass band ripple of 1 dB, and a power consumption of ~300 nW is compared head‐to‐head with its pseudo‐differential class‐AB CMOS log domain counterpart. The sinh filter achieves similar or better signal‐to‐noise ratio (SNR) and signal‐to‐noise‐plus‐distortion ratio (SNDR) performances with half the capacitor area but at the expense of higher power consumption from the same power supply level. All three presented filter topologies are novel. Cadence design framework simulations have been performed using the commercially available 0.35 µm AMS (austriamicrosystems) process parameters. Copyright © 2013 John Wiley & Sons, Ltd.

Aim: Cholangiocarcinoma is endemic in southeast Asia, generally developing from liver fluke infestation. However, diagnostic imaging of early-stage disease is challenging. The aim of this work is to investigate relaxometry (specifically, T2 mapping) as a method of exploiting the higher signal-to-noise ratio (SNR) of internal coils for improved reception of magnetic resonance signals, despite their non-uniform sensitivity. Methods: Ex vivo T2 mapping was carried out at 3T on fixed resection specimens from Thai cholangiocarcinoma patients using an mGRASE sequence and an endoscope coil based on a thin-film magneto-inductive waveguide and designed ultimately for internal use. Results: Disease-induced changes including granulomatous inflammation, intraepithelial neoplasia and intraductal tumours were correlated with histopathology, and relaxation data were compared with mono-and bi-exponential models of T2 relaxation. An approximately 10-fold local advantage in SNR compared to a 16-element torso coil was demonstrated using the endoscope coil, and improved tissue differentiation was obtained without contrast agents. Conclusion: The performance advantage above follows directly from the inverse relation between the component of the standard deviation of T2 due to thermal noise and the SNR, and offers an effective method of exploiting the SNR advantage of internal coils. No correction is required, avoiding the need for tracking, relaxing constraints on coil and slice orientation and providing rapid visualization.