MR Shuffling: Accelerated Single-Scan Multi-Contrast Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is an attractive medical imaging modality as it is non-invasive and does not involve ionizing radiation. Routine clinical MRI exams obtain MR images corresponding to different soft tissue contrast by performing multiple scans. When two-dimensional (2D) imaging is used, these scans are often repeated in other scanning planes. As a result, the number of scans comprising an MRI exam leads to prohibitively long exam times as compared to other medical imaging modalities such as computed tomography. Many approaches have been designed to accelerate the MRI acquisition while maintaining diagnostic quality.One approach is to collect multiple measurements while the MRI signal is evolving due to relaxation. This enables a reduction in scan time, as fewer acquisition windows are needed to collect the same number of measurements. However, when the temporal aspect of the acquisition is left unmodeled, artifacts are likely to appear in the reconstruction. Most often, these artifacts manifest as image blurring. The effect depends on the acquisition parameters as well as the tissue relaxation itself, resulting in spatially varying blurring. The severity of the artifacts is directly related to the level of acceleration, and thus presents a tradeoff with scan time. The effect is amplified when imaging in three dimensions, severely limiting scan efficiency. Volumetric variants would be used if not for the blurring, as they are able to reconstruct images at isotropic resolution and support mutli-planar reformatting.Another established acceleration technique, called parallel imaging, takes advantage of spatially sensitive receive coil arrays to collect multiple MRI measurements in parallel. Thus, the acquisition is shortened, and the reconstruction uses the spatial sensitivity information to recover the image. More recently, methods have been developed that leverage image structure such as sparsity and low rank to reduce the required number of samples for a well-posed reconstruction. Compressed sensing and its low rank extensions use these concepts to acquire incoherent measurements below the Nyquist rate. These techniques are especially suited to MRI, as incoherent measurements can be easily achieved through pseudo-random under-sampling. As the mechanisms behind parallel imaging and compressed sensing are fundamentally different, they can be combined to achieve even higher acceleration.This dissertation proposes accelerated MRI acquisition and reconstruction techniques that account for the temporal dynamics of the MR signal. The methods build off of parallel imaging and compressed sensing to reduce scan time and flexibly model the temporal relaxation behavior. By randomly shuffling the sampling in the acquisition stage and imposing low rank constraints in the reconstruction stage, intrinsic physical parameters are modeled and their dynamics are recovered as multiple images of varying tissue contrast. Additionally, blurring artifacts are significantly reduced, as the temporal dynamics are accounted for in the reconstruction.This dissertation first introduces T2 Shuffling, a volumetric technique that reduces blurring and reconstructs multiple T2-weighted image contrasts from a single acquisition. The method is integrated into a clinical hospital environment and evaluated on patients. Next, this dissertation develops a fast and distributed reconstruction for T2 Shuffling that achieves clinically relevant processing time latency. Clinical validation results are shown comparing T2 Shuffling as a single-sequence alternative to conventional pediatric knee MRI. Based off the compelling results, a fast targeted knee MRI using T2 Shuffling is implemented, enabling same-day access to MRI at one-third the cost compared to the conventional exam. To date, over 2,400 T2 Shuffling patient scans have been performed.Continuing the theme of accelerated multi-contrast imaging, this dissertation extends the temporal signal model with T1-T2 Shuffling. Building off of T2 Shuffling, the new method additionally samples multiple points along the saturation recovery curve by varying the repetition time durations during the scan. Since the signal dynamics are governed by both T1 recovery and T2 relaxation, the reconstruction captures information about both intrinsic tissue parameters. As a result, multiple target synthetic contrast images are reconstructed, all from a single scan. Approaches for selecting the sequence parameters are provided, and the method is evaluated on in vivo brain imaging of a volunteer.Altogether, these methods comprise the theme of MR Shuffling, and may open new pathways toward fast clinical MRI

Improved 3D MR Image Acquisition and Processing in Congenital Heart Disease

Congenital heart disease (CHD) is the most common type of birth defect, affecting about 1% of the population. MRI is an essential tool in the assessment of CHD, including diagnosis, intervention planning and follow-up. Three-dimensional MRI can provide particularly rich visualization and information. However, it is often complicated by long scan times, cardiorespiratory motion, injection of contrast agents, and complex and time-consuming postprocessing. This thesis comprises four pieces of work that attempt to respond to some of these challenges. The first piece of work aims to enable fast acquisition of 3D time-resolved cardiac imaging during free breathing. Rapid imaging was achieved using an efficient spiral sequence and a sparse parallel imaging reconstruction. The feasibility of this approach was demonstrated on a population of 10 patients with CHD, and areas of improvement were identified. The second piece of work is an integrated software tool designed to simplify and accelerate the development of machine learning (ML) applications in MRI research. It also exploits the strengths of recently developed ML libraries for efficient MR image reconstruction and processing. The third piece of work aims to reduce contrast dose in contrast-enhanced MR angiography (MRA). This would reduce risks and costs associated with contrast agents. A deep learning-based contrast enhancement technique was developed and shown to improve image quality in real low-dose MRA in a population of 40 children and adults with CHD. The fourth and final piece of work aims to simplify the creation of computational models for hemodynamic assessment of the great arteries. A deep learning technique for 3D segmentation of the aorta and the pulmonary arteries was developed and shown to enable accurate calculation of clinically relevant biomarkers in a population of 10 patients with CHD

Acceleration Methods for MRI

Acceleration methods are a critical area of research for MRI. Two of the most important acceleration techniques involve parallel imaging and compressed sensing. These advanced signal processing techniques have the potential to drastically reduce scan times and provide radiologists with new information for diagnosing disease. However, many of these new techniques require solving difficult optimization problems, which motivates the development of more advanced algorithms to solve them. In addition, acceleration methods have not reached maturity in some applications, which motivates the development of new models tailored to these applications. This dissertation makes advances in three different areas of accelerations. The first is the development of a new algorithm (called B1-Based, Adaptive Restart, Iterative Soft Thresholding Algorithm or BARISTA), that solves a parallel MRI optimization problem with compressed sensing assumptions. BARISTA is shown to be 2-3 times faster and more robust to parameter selection than current state-of-the-art variable splitting methods. The second contribution is the extension of BARISTA ideas to non-Cartesian trajectories that also leads to a 2-3 times acceleration over previous methods. The third contribution is the development of a new model for functional MRI that enables a 3-4 factor of acceleration of effective temporal resolution in functional MRI scans. Several variations of the new model are proposed, with an ROC curve analysis showing that a combination low-rank/sparsity model giving the best performance in identifying the resting-state motor network.PhDBiomedical EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/120841/1/mmuckley_1.pd

Compressed Sensing Accelerated Magnetic Resonance Spectroscopic Imaging

abstract: Magnetic resonance spectroscopic imaging (MRSI) is a valuable technique for assessing the in vivo spatial profiles of metabolites like N-acetylaspartate (NAA), creatine, choline, and lactate. Changes in metabolite concentrations can help identify tissue heterogeneity, providing prognostic and diagnostic information to the clinician. The increased uptake of glucose by solid tumors as compared to normal tissues and its conversion to lactate can be exploited for tumor diagnostics, anti-cancer therapy, and in the detection of metastasis. Lactate levels in cancer cells are suggestive of altered metabolism, tumor recurrence, and poor outcome. A dedicated technique like MRSI could contribute to an improved assessment of metabolic abnormalities in the clinical setting, and introduce the possibility of employing non-invasive lactate imaging as a powerful prognostic marker. However, the long acquisition time in MRSI is a deterrent to its inclusion in clinical protocols due to associated costs, patient discomfort (especially in pediatric patients under anesthesia), and higher susceptibility to motion artifacts. Acceleration strategies like compressed sensing (CS) permit faithful reconstructions even when the k-space is undersampled well below the Nyquist limit. CS is apt for MRSI as spectroscopic data are inherently sparse in multiple dimensions of space and frequency in an appropriate transform domain, for e.g. the wavelet domain. The objective of this research was three-fold: firstly on the preclinical front, to prospectively speed-up spectrally-edited MRSI using CS for rapid mapping of lactate and capture associated changes in response to therapy. Secondly, to retrospectively evaluate CS-MRSI in pediatric patients scanned for various brain-related concerns. Thirdly, to implement prospective CS-MRSI acquisitions on a clinical magnetic resonance imaging (MRI) scanner for fast spectroscopic imaging studies. Both phantom and in vivo results demonstrated a reduction in the scan time by up to 80%, with the accelerated CS-MRSI reconstructions maintaining high spectral fidelity and statistically insignificant errors as compared to the fully sampled reference dataset. Optimization of CS parameters involved identifying an optimal sampling mask for CS-MRSI at each acceleration factor. It is envisioned that time-efficient MRSI realized with optimized CS acceleration would facilitate the clinical acceptance of routine MRSI exams for a quantitative mapping of important biomarkers.Dissertation/ThesisDoctoral Dissertation Bioengineering 201

A Study of Nonlinear Approaches to Parallel Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) has revolutionized radiology in the past four decades by its ability to visualize not only the detailed anatomical structures, but also function and metabolism information. A major limitation with MRI is its low imaging speed, which makes it difficult to image the moving objects. Parallel MRI (pMRI) is an emerging technique to increase the speed of MRI. It acquires the MRI data from multiple coils simultaneously such that fast imaging can be achieved by reducing the amount of data acquired in each coil. Several methods have developed to reconstruct the original image using the reduced data from multiple coils based on their distinct spatial sensitivities. Among the existing methods, Sensitivity Encoding (SENSE) and GeneRally Autocalibrating Partially Parallel Acquisition (GRAPPA) are commercially used reconstruction methods for parallel MRI. Both methods use linear approaches for image reconstruction. GRAPPA is known to outperform SENSE because no coil sensitivities are needed in reconstruction. However, GRAPPA can only accelerate the speed by a factor of 2-3. The objective of this dissertation is to develop novel techniques to significantly improve the acceleration factor upon the existing GRAPPA methods. Motivated by the success of recent study in our group which has demonstrated the benefit of nonlinear approaches for SENSE, in this dissertation, nonlinear approaches are studied for GRAPPA. Based on the fact that GRAPPA needs a calibration step before reconstruction, nonlinear models are investigated in both calibration and reconstruction using a kernel method widely used in machine learning. In addition, compressed sensing (CS), a nonlinear optimization technique will also be incorporated for even higher accelerations. In order to reduce the computation time, a nonlinear approach is proposed to reduce the effective number of coils in reconstruction. The imaging speed is expected to improve by a factor of 4-6 using the proposed nonlinear techniques. These new techniques will find many applications in accurate brain imaging, dynamic cardiac imaging, functional imaging, and so forth

An Empirical Study of the Maximum Degree of Undersampling in Compressed Sensing for T2*-weighted MRI

International audienceMagnetic Resonance Imaging (MRI) is one of the most dynamic and safe imaging modalities used in clinical routine today. Yet, one major limitation to this technique resides in its long acquisition times. Over the last decade, Compressed Sensing (CS) has been increasingly used to address this issue and offers to shorten MR scans by reconstructing images from undersampled Fourier data. Nevertheless, a quantitative guide on the degree of acceleration applicable to a given acquisition scenario is still lacking today, leading in practice to a trial-and-error approach in the selection of the appropriate undersampling factor. In this study, we shortly point out the existing theoretical sampling results in CS and their limitations which motivate the focus of this work: an empirical and quantitative analysis of the maximum degree of undersampling allowed by CS in the specific context of T2*-weighted MRI. We make use of a generic method based on retrospective undersampling to quantitatively deduce the maximum acceleration factor R max which preserves a desired image quality as a function of the image resolution and the available signal-to-noise ratio (SNR). Our results quantify how larger acceleration factors can be applied to higher resolution images as long as a minimum SNR is guaranteed. In practice however, the maximum acceleration factor for a given resolution appears to be constrained by the available SNR inherent to the considered acquisition. Our analysis enables to take this a priori knowledge into account, allowing to derive a sequence-specific maximum acceleration factor adapted to the intrinsic SNR of any MR pipeline. These results obtained on an analytical T2*-weighted phantom image were corroborated by prospective experiments performed on MR data collected with radial trajectories on a 7 Tesla scanner with the same contrast. The proposed framework allows to study other sequence weightings and therefore better optimize sequences when accelerated using CS