Real-time Feedback of B0 Shimming at Ultra High Field MRI

Magnetic resonance imaging(MRI) is moving towards higher and higher field strengths. After 1.5T MRI scanners became commonplace, 3T scanners were introduced and once 3T scanners became commonplace, ultra high field (UHF) scanners were introduced. UHF scanners typically refer to scanners with a field strength of 7T or higher. The number of sites that utilise UHF scanners is slowly growing and the first 7T MRI scanners were recently CE certified for clinical use. Although UHF scanners have the benefit of higher signal-to-noise ratio (SNR), they come with their own challenges. One of the many challenges is the problem of inhomogeneity of the main static magnetic field(B0 field). This thesis addresses multiple aspects associated with the problem of B0 inhomogeneity. The process of homogenising the field is called "shimming". The focus of this thesis is on active shimming where extra shim coils drive DC currents to generate extra magnetic fields superimposed on the main magnetic field to correct for inhomogeneities. In particular, we looked at the following issues: algorithms for calculating optimal shim currents; global static shimming using very high order/degree spherical harmonic-based (VHOS) coils; dynamic slice-wise shimming using VHOS coils compared to a localised multi-coil array shim system; B0 field monitoring using an NMR field camera; characterisation of the shim system using a field camera; and designing a controller based on the shim system model for real-time feedback

Robotic System Development for Precision MRI-Guided Needle-Based Interventions

This dissertation describes the development of a methodology for implementing robotic systems for interventional procedures under intraoperative Magnetic Resonance Imaging (MRI) guidance. MRI is an ideal imaging modality for surgical guidance of diagnostic and therapeutic procedures, thanks to its ability to perform high resolution, real-time, and high soft tissue contrast imaging without ionizing radiation. However, the strong magnetic field and sensitivity to radio frequency signals, as well as tightly confined scanner bore render great challenges to developing robotic systems within MRI environment. Discussed are potential solutions to address engineering topics related to development of MRI-compatible electro-mechanical systems and modeling of steerable needle interventions. A robotic framework is developed based on a modular design approach, supporting varying MRI-guided interventional procedures, with stereotactic neurosurgery and prostate cancer therapy as two driving exemplary applications. A piezoelectrically actuated electro-mechanical system is designed to provide precise needle placement in the bore of the scanner under interactive MRI-guidance, while overcoming the challenges inherent to MRI-guided procedures. This work presents the development of the robotic system in the aspects of requirements definition, clinical work flow development, mechanism optimization, control system design and experimental evaluation. A steerable needle is beneficial for interventional procedures with its capability to produce curved path, avoiding anatomical obstacles or compensating for needle placement errors. Two kinds of steerable needles are discussed, i.e. asymmetric-tip needle and concentric-tube cannula. A novel Gaussian-based ContinUous Rotation and Variable-curvature (CURV) model is proposed to steer asymmetric-tip needle, which enables variable curvature of the needle trajectory with independent control of needle rotation and insertion. While concentric-tube cannula is suitable for clinical applications where a curved trajectory is needed without relying on tissue interaction force. This dissertation addresses fundamental challenges in developing and deploying MRI-compatible robotic systems, and enables the technologies for MRI-guided needle-based interventions. This study applied and evaluated these techniques to a system for prostate biopsy that is currently in clinical trials, developed a neurosurgery robot prototype for interstitial thermal therapy of brain cancer under MRI guidance, and demonstrated needle steering using both asymmetric tip and pre-bent concentric-tube cannula approaches on a testbed

Multi-Coil MRI Reconstruction Challenge -- Assessing Brain MRI Reconstruction Models and their Generalizability to Varying Coil Configurations

Deep-learning-based brain magnetic resonance imaging (MRI) reconstruction methods have the potential to accelerate the MRI acquisition process. Nevertheless, the scientific community lacks appropriate benchmarks to assess MRI reconstruction quality of high-resolution brain images, and evaluate how these proposed algorithms will behave in the presence of small, but expected data distribution shifts. The Multi-Coil Magnetic Resonance Image (MC-MRI) Reconstruction Challenge provides a benchmark that aims at addressing these issues, using a large dataset of high-resolution, three-dimensional, T1-weighted MRI scans. The challenge has two primary goals: 1) to compare different MRI reconstruction models on this dataset and 2) to assess the generalizability of these models to data acquired with a different number of receiver coils. In this paper, we describe the challenge experimental design, and summarize the results of a set of baseline and state of the art brain MRI reconstruction models. We provide relevant comparative information on the current MRI reconstruction state-of-the-art and highlight the challenges of obtaining generalizable models that are required prior to broader clinical adoption. The MC-MRI benchmark data, evaluation code and current challenge leaderboard are publicly available. They provide an objective performance assessment for future developments in the field of brain MRI reconstruction

Accomplishments and challenges in stem cell imaging in vivo.

Stem cell therapies have demonstrated promising preclinical results, but very few applications have reached the clinic owing to safety and efficacy concerns. Translation would benefit greatly if stem cell survival, distribution and function could be assessed in vivo post-transplantation, particularly in patients. Advances in molecular imaging have led to extraordinary progress, with several strategies being deployed to understand the fate of stem cells in vivo using magnetic resonance, scintigraphy, PET, ultrasound and optical imaging. Here, we review the recent advances, challenges and future perspectives and opportunities in stem cell tracking and functional assessment, as well as the advantages and challenges of each imaging approach

Radioterapija raka prostate vođena magnetskom rezonancom: nova paradigma liječenja

Radiotherapy is one of the key treatment modalities for primary prostate cancer. During the last decade, significant advances were made in radiotherapy technology leading to increasing both physical and biological precision. Being a loco-regional treatment approach, radiotherapy requires accurate target dose deposition while sparing surrounding healthy tissue. Conventional radiotherapy is based on computerized tomography (CT) images both for radiotherapy planning and image-guidance, however, shortcomings of CT as soft tissue imaging tool are well known. Nowadays, our ability to further escalate radiotherapy dose using hypofractionation is limited by uncertainties in CT-based image guidance and verification. Magnetic resonance imaging (MRI) is a well established imaging method for pelvic organs. In prostate cancer specifically, MRI accurately depicts prostate zonal anatomy, rectum, bladder, and pelvic floor structures with previously unseen precision owing to its sharp soft tissue contrast. The advantages of including MRI in the clinical workflow of prostate cancer radiotherapy are multifold. MRI allows for true adaptive radiotherapy to unfold based on daily MRI images taken before, during and after each radiotherapy fraction. It enables accurate dose escalation to the prostate and intraprostatic tumor lesions. Technically, MRI high-strength magnetic field and linear accelerator high energy electromagnetic beams are hardly compatible, and important efforts were made to overcome these technical challenges and integrate MRI and linear accelerator into one single treatment device, called MRI-linac. Different systems are produced by two leading vendors in the field and currently, there are around 100 MRI-linacs worldwide in clinical operations. In this narrative review paper, we discuss historical perspective of image guidance in radiotherapy, basic elements of MRI, current clinical developments in MRI-guided prostate cancer radiotherapy, and challenges associated with the use of MRI-linac in clinical practice.Radioterapija je temelj liječenja raka prostate. Radioterapija je zadnjih godina značajno napredovala što je omogućilo njenu preciznost. Radioterapija zahtjeva točnu isporuku radioterapijske doze na tumor uz maksimalnu poštedu okolnog zdravog tkiva. Konvencionalna radioterapija se bazira na slikama kompjuterizirane tomografije (CT) za sve faze radioterapijskog procesa, iako su slike CT-a slabe rezolucije za prikaz mekih tkiva. Danas je naša sposobnost da još više podižemo radioterapijsku dozu limitirana nedovoljnom jasnoćom CT slika. Magnetska rezonanca (MR) za razliku od CT-a ima odličan kontrast za meka tkiva zdjelice te odlično oslikava prostatu i zdjelične strukture. Mnoge su prednosti uključenja MR u radioterapijski proces raka prostate. MR omogućava pravu adaptivnu radioterapiju na osnovi MR slika uzetih prije, tijekom i nakon radioterapije. Omogućuje eksalaciju doze na intraprostatičke tumorske strukture. Napredak tehnike je omogućio integraciju snažnog magnetskog polja MR-a i visokoenergetskih X-zraka linearnog akceleratora u jedan jedinstveni uređaj - MRI-linac. Dva su MR-linac komercijalna sustava dostupna na tržištu, a u svijetu ima instalirano preko 100 ovakvih uređaja. U ovom preglednom članku razmatramo razvoj slikovnog vođenja u radioterapiji, trenutno stanje magnetom vođene radioterapije raka prostate, kao i izazove u primjeni ove inovativne metode

Loop radiofrequency coils for clinical magnetic resonance imaging at 7 TESLA

To date, the 7 T magnetic resonance imaging (MRI) scanner remains a pure research system and there is still a long way ahead till full clinical integration. Key challenges are the absence of a body transmit radiofrequency (RF) coil as well as of dedicated RF coils in general, short RF wavelengths of the excitation field in the order of the dimensions of a human body leading to signal inhomogeneities, and severe limitations with respect to the specific absorption rate. They all result in a strong need for RF engineering and sequence optimization to explore the potential of MRI at 7 T, and to pave the way for its future clinical application. In this thesis, high-resolution MRI with a rather small field-of-view (FOV) in the head and neck region (parotid gland/duct and carotid arteries), and of the musculoskeletal system as well as with a very large FOV in the abdomen (spine) were presented. Therefore, a variety of RF coils were used: from a commercially available single-loop coil to novel, specially developed phased array coils each consisting of eight loop elements. Methods to thoroughly characterize and test the developed RF coils were presented, including numerical simulations, bench and MRI measurements. Characterization with respect to performance for parallel acquisition techniques and an extensive compliance testing for patient safety were described in detail. All aspects of the engineering part, from design to optimization, and finally, to the in vivo application in volunteers and patients were covered. Since clinical applicability has always been the purpose, optimized imaging protocols along with a discussion on the clinical relevance was included in each study. The presented RF loop coils widely expand the options for clinical research at 7 T and advance the integration of this technology in a clinical setting

Troubleshooting Arterial-Phase MR Images of Gadoxetate Disodium-Enhanced Liver.

Gadoxetate disodium is a widely used magnetic resonance (MR) contrast agent for liver MR imaging, and it provides both dynamic and hepatobiliary phase images. However, acquiring optimal arterial phase images at liver MR using gadoxetate disodium is more challenging than using conventional extracellular MR contrast agent because of the small volume administered, the gadolinium content of the agent, and the common occurrence of transient severe motion. In this article, we identify the challenges in obtaining high-quality arterial-phase images of gadoxetate disodium-enhanced liver MR imaging and present strategies for optimizing arterial-phase imaging based on the thorough review of recent research in this field

The Integration of Positron Emission Tomography With Magnetic Resonance Imaging

A number of laboratories and companies are currently exploring the development of integrated imaging systems for magnetic resonance imaging (MRI) and positron emission tomography (PET). Scanners for both preclinical and human research applications are being pursued. In contrast to the widely distributed and now quite mature PET/computed tomography technology, most PET/MRI designs allow for simultaneous rather than sequential acquisition of PET and MRI data. While this offers the possibility of novel imaging strategies, it also creates considerable challenges for acquiring artifact-free images from both modalities. This paper discusses the motivation for developing combined PET/MRI technology, outlines the obstacles in realizing such an integrated instrument, and presents recent progress in the development of both the instrumentation and of novel imaging agents for combined PET/MRI studies. The performance of the first-generation PET/MRI systems is described. Finally, a range of possible biomedical applications for PET/MRI are outlined