Respiratory organ motion in interventional MRI : tracking, guiding and modeling

Respiratory organ motion is one of the major challenges in interventional MRI, particularly in interventions with therapeutic ultrasound in the abdominal region. High-intensity focused ultrasound found an application in interventional MRI for noninvasive treatments of different abnormalities. In order to guide surgical and treatment interventions, organ motion imaging and modeling is commonly required before a treatment start. Accurate tracking of organ motion during various interventional MRI procedures is prerequisite for a successful outcome and safe therapy. In this thesis, an attempt has been made to develop approaches using focused ultrasound which could be used in future clinically for the treatment of abdominal organs, such as the liver and the kidney. Two distinct methods have been presented with its ex vivo and in vivo treatment results. In the first method, an MR-based pencil-beam navigator has been used to track organ motion and provide the motion information for acoustic focal point steering, while in the second approach a hybrid imaging using both ultrasound and magnetic resonance imaging was combined for advanced guiding capabilities. Organ motion modeling and four-dimensional imaging of organ motion is increasingly required before the surgical interventions. However, due to the current safety limitations and hardware restrictions, the MR acquisition of a time-resolved sequence of volumetric images is not possible with high temporal and spatial resolution. A novel multislice acquisition scheme that is based on a two-dimensional navigator, instead of a commonly used pencil-beam navigator, was devised to acquire the data slices and the corresponding navigator simultaneously using a CAIPIRINHA parallel imaging method. The acquisition duration for four-dimensional dataset sampling is reduced compared to the existing approaches, while the image contrast and quality are improved as well. Tracking respiratory organ motion is required in interventional procedures and during MR imaging of moving organs. An MR-based navigator is commonly used, however, it is usually associated with image artifacts, such as signal voids. Spectrally selective navigators can come in handy in cases where the imaging organ is surrounding with an adipose tissue, because it can provide an indirect measure of organ motion. A novel spectrally selective navigator based on a crossed-pair navigator has been developed. Experiments show the advantages of the application of this novel navigator for the volumetric imaging of the liver in vivo, where this navigator was used to gate the gradient-recalled echo sequence

Resting-state Connectivity Dynamics in the Human Brain using High-speed fMRI

Resting-state fMRI using seed-based connectivity analysis (SCA) typically involves regression of the confounding signals resulting from movement and physiological noise sources. This not only adds additional complexity to the analysis but may also introduce possible regression bias. We recently introduced a computationally efficient real-time SCA approach without confound regression, which employs sliding-window correlation analysis with running mean and standard deviation (meta-statistics). The present study characterizes the confound tolerance of this windowed seed-based connectivity analysis (wSCA), which combines efficient decorrelation of confounding signal events with high-pass filter characteristics that reduce sensitivity to drifts. The confound suppression and the strength of resting-state network (RSN) connectivity were characterized for a range of confounding signal profiles as a function of sliding-window width and scan duration, using simulation and in vivo data. The connectivity strength in six resting-state networks (RSNs) and artifactual connectivity in white matter were compared between wSCA and conventional regression-based SCA (cSCA). The wSCA approach demonstrated scalable confound suppression that increased with decreasing sliding-window width and increasing scan duration in both simulations and in vivo. The confound suppression for sliding-window widths ≤ 15 s was comparable to that of cSCA. Twenty-eight RSNs that were previously reported in a group-ICA study were detected in real-time at scan durations as short as 30 s and with sliding-window widths as short as 4 s. The inter- and intra- network connectivity dynamics of the 28 resting-state networks were studied in real-time and self-repeating connectivity patterns were identified. The wSCA is further investigated offline to study the strength and temporal fluctuations in connectivity using 28 single-region seeds and 28 multi-region seed clusters to measure inter-regional connectivity (IRC) in 140 functional brain regions and inter-network connectivity (INC) among the hubs of 28 RSNs. Multi-region seed IRC maps displayed smaller temporal fluctuations and stronger resting-state connectivity compared with single-region seed IRC maps. Dual thresholding of the meta-statistics maps demonstrated higher spatio-temporal IRC stability in auditory, sensorimotor, and visual cortices compared to other brain regions. The group averaged INC matrices for single-region seeds were consistent with the functional network connectivity matrices (FNCMs) presented in the aforementioned group-ICA study. Furthermore, we extended the mapping of functional connectivity to the whole-brain connectivity fingerprints. In combination with novel brain parcellation methods and advanced machine learning algorithms, wSCA can aid in studying the spatial and temporal connectivity dynamics of the resting-state connectivity. The robust confound tolerance, high temporal resolution, and compatibility with real-time high-speed fMRI, make this approach suitable for monitoring data quality, neurofeedback, and clinical research studies involving disease related changes in functional connectomics

Technical advancements and protocol optimization of diffusion-weighted imaging (DWI) in liver

An area of rapid advancement in abdominal MRI is diffusion-weighted imaging (DWI). By measuring diffusion properties of water molecules, DWI is capable of non-invasively probing tissue properties and physiology at cellular and macromolecular level. The integration of DWI as part of abdominal MRI exam allows better lesion characterization and therefore more accurate initial diagnosis and treatment monitoring. One of the most technical challenging, but also most useful abdominal DWI applications is in liver and therefore requires special attention and careful optimization. In this article, the latest technical developments of DWI and its liver applications are reviewed with the explanations of the technical principles, recommendations of the imaging parameters, and examples of clinical applications. More advanced DWI techniques, including Intra-Voxel Incoherent Motion (IVIM) diffusion imaging, anomalous diffusion imaging, and Diffusion Kurtosis Imaging (DKI) are discussed

VALIDATION, OPTIMIZATION, AND IMAGE PROCESSING OF SPIRAL CINE DENSE MAGNETIC RESONANCE IMAGING FOR THE QUANTIFICATION OF LEFT AND RIGHT VENTRICULAR MECHANICS

Recent evidence suggests that cardiac mechanics (e.g. cardiac strains) are better measures of heart function compared to common clinical metrics like ejection fraction. However, commonly-used parameters of cardiac mechanics remain limited to just a few measurements averaged over the whole left ventricle. We hypothesized that recent advances in cardiac magnetic resonance imaging (MRI) could be extended to provide measures of cardiac mechanics throughout the left and right ventricles (LV and RV, respectively). Displacement Encoding with Stimulated Echoes (DENSE) is a cardiac MRI technique that has been validated for measuring LV mechanics at a magnetic field strength of 1.5 T but not at higher field strengths such as 3.0 T. However, it is desirable to perform DENSE at 3.0 T, which would yield a better signal to noise ratio for imaging the thin RV wall. Results in Chapter 2 support the hypothesis that DENSE has similar accuracy at 1.5 and 3.0 T. Compared to standard, clinical cardiac MRI, DENSE requires more expertise to perform and is not as widely used. If accurate mechanics could be measured from standard MRI, the need for DENSE would be reduced. However, results from Chapter 3 support the hypothesis that measured cardiac mechanics from standard MRI do not agree with, and thus cannot be used in place of, measurements from DENSE. Imaging the thin RV wall with its complex contraction pattern requires both three-dimensional (3D) measures of myocardial motion and higher resolution imaging. Results from Chapter 4 support the hypothesis that a lower displacement-encoding frequency can be used to allow for easier processing of 3D DENSE images. Results from Chapter 5 support the hypothesis that images with higher resolution (decreased blurring) can be achieved by using more spiral interleaves during the DENSE image acquisition. Finally, processing DENSE images to yield measures of cardiac mechanics in the LV is relatively simple due to the LV’s mostly cylindrical geometry. Results from Chapter 6 support the hypothesis that a local coordinate system can be adapted to the geometry of the RV to quantify mechanics in an equivalent manner as the LV. In summary, cardiac mechanics can now be quantified throughout the left and right ventricles using DENSE cardiac MRI

Linear motion correction in three dimensions applied to dynamic gadolinium enhanced breast imaging

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134776/1/mp8576.pd

Multi-contrast atherosclerosis characterization (MATCH) of carotid plaque with a single 5-min scan: technical development and clinical feasibility

BACKGROUND: Multi-contrast weighted imaging is a commonly used cardiovascular magnetic resonance (CMR) protocol for characterization of carotid plaque composition. However, this approach is limited in several aspects including low slice resolution, long scan time, image mis-registration, and complex image interpretation. In this work, a 3D CMR technique, named Multi-contrast Atherosclerosis Characterization (MATCH), was developed to mitigate the above limitations. METHODS: MATCH employs a 3D spoiled segmented fast low angle shot readout to acquire data with three different contrast weightings in an interleaved fashion. The inherently co-registered image sets, hyper T1-weighting, gray blood, and T2-weighting, are used to detect intra-plaque hemorrhage (IPH), calcification (CA), lipid-rich necrotic core (LRNC), and loose-matrix (LM). The MATCH sequence was optimized by computer simulations and testing on four healthy volunteers and then evaluated in a pilot study of six patients with carotid plaque, using the conventional multi-contrast protocol as a reference. RESULTS: On MATCH images, the major plaque components were easy to identify. Spatial co-registration between the three image sets with MATCH was particularly helpful for the reviewer to discern co-existent components in an image and appreciate their spatial relation. Based on Cohen’s kappa tests, moderate to excellent agreement in the image-based or artery-based component detection between the two protocols was obtained for LRNC, IPH, CA, and LM, respectively. Compared with the conventional multi-contrast protocol, the MATCH protocol yield significantly higher signal contrast ratio for IPH (3.1 ± 1.3 vs. 0.4 ± 0.3, p < 0.001) and CA (1.6 ± 1.5 vs. 0.7 ± 0.6, p = 0.012) with respect to the vessel wall. CONCLUSIONS: To the best of our knowledge, the proposed MATCH sequence is the first 3D CMR technique that acquires spatially co-registered multi-contrast image sets in a single scan for characterization of carotid plaque composition. Our pilot clinical study suggests that the MATCH-based protocol may outperform the conventional multi-contrast protocol in several respects. With further technical improvements and large-scale clinical validation, MATCH has the potential to become a CMR method for assessing the risk of plaque disruption in a clinical workup

Advances in image acquisition and filtering for MRI neuroimaging at 7 tesla

Performing magnetic resonance imaging at high magnetic field strength promises many improvements over low fields that are of direct benefit in functional neuroimaging. This includes the possibility of improved signal-to-noise levels, and increased BOLD functional contrast and spatial specificity. However, human MRI at 7T and above suffers from unique engineering challenges that limit the achievable gains. In this thesis, three technological developments are introduced, all of which address separate issues associated with functional magnetic resonance neuroimaging at very high magnetic field strengths. First, the image homogeneity problem is addressed by investigating methods of RF shimming — modifying the excitation portion of the MRI experiment for use with multi-channel RF coils. It is demonstrated that in 2D MRI experiments, shimming on a slice-by slice basis allows utilization of an extra degree of freedom available from the slice dimension, resulting in significant gains in image homogeneity and reduced RF power requirements. After acceptable images are available, we move to address complications of high field imaging that manifest in the fMRI time series. In the second paper, the increased physiological noise present in BOLD time series at high field is addressed with a unique data-driven noise regressor scheme based upon information in the phase component of the MRI signal. It is demonstrated that this method identifies and removes a significant portion of physiological signals, and performs as good or better than other popular data driven methods that use only the magnitude signal information. Lastly, the BOLD phase signal is again leveraged to address the confounding role of veins in resting state BOLD fMRI experiments. The phase regressor technique (previously developed by Dr. Menon) is modified and applied to resting state fMRI to remove macro vascular contributions in the datasets, leading to changes in spatial extent and connectivity of common resting state networks on single subjects and at the group level

MR venography of the fetal brain using susceptibility weighted imaging

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/108687/1/jmri24476.pd