Fetal whole-heart 4D imaging using motion-corrected multi-planar real-time MRI

Purpose: To develop a MRI acquisition and reconstruction framework for volumetric cine visualisation of the fetal heart and great vessels in the presence of maternal and fetal motion. Methods: Four-dimensional depiction was achieved using a highly-accelerated multi-planar real-time balanced steady state free precession acquisition combined with retrospective image-domain techniques for motion correction, cardiac synchronisation and outlier rejection. The framework was evaluated and optimised using a numerical phantom, and evaluated in a study of 20 mid- to late-gestational age human fetal subjects. Reconstructed cine volumes were evaluated by experienced cardiologists and compared with matched ultrasound. A preliminary assessment of flow-sensitive reconstruction using the velocity information encoded in the phase of dynamic images is included. Results: Reconstructed cine volumes could be visualised in any 2D plane without the need for highly-specific scan plane prescription prior to acquisition or for maternal breath hold to minimise motion. Reconstruction was fully automated aside from user-specified masks of the fetal heart and chest. The framework proved robust when applied to fetal data and simulations confirmed that spatial and temporal features could be reliably recovered. Expert evaluation suggested the reconstructed volumes can be used for comprehensive assessment of the fetal heart, either as an adjunct to ultrasound or in combination with other MRI techniques. Conclusion: The proposed methods show promise as a framework for motion-compensated 4D assessment of the fetal heart and great vessels

Adaption in Dynamic Contrast-Enhanced MRI

In breast DCE MRI, dynamic data are acquired to assess signal changes caused by contrast agent injection in order to classify lesions. Two approaches are used for data analysis. One is to fit a pharmacokinetic model, such as the Tofts model, to the data, providing physiological information. For accurate model fitting, fast sampling is needed. Another approach is to evaluate architectural features of the contrast agent distribution, for which high spatial resolution is indispensable. However, high temporal and spatial resolution are opposing aims and a compromise has to be found. A new area of research are adaptive schemes, which sample data at combined resolutions to yield both, accurate model fitting and high spatial resolution morphological information. In this work, adaptive sampling schemes were investigated with the objective to optimize fitting accuracy, whilst providing high spatial resolution images. First, optimal sampling design was applied to the Tofts model. By that it could be determined, based on an assumed parameter distribution, that time points during the onset and the initial fast kinetics, lasting for approximately two minutes, are most relevant for fitting. During this interval, fast sampling is required. Later time points during wash-out can be exploited for high spatial resolution images. To achieve fast sampling during the initial kinetics, data acquisition has to be accelerated. A common way to increase imaging speed is to use view-sharing methods, which omit certain k-space data and interpolate the missing data from neighboring time frames. In this work, based on phantom simulations, the influence of different view-sharing techniques during the initial kinetics on fitting accuracy was investigated. It was found that all view-sharing methods imposed characteristic systematic errors on the fitting results of Ktrans. The best fitting performance was achieved by the scheme ``modTRICKS'', which is a combination of the often used schemes keyhole and TRICKS. It is not known prior to imaging, when the contrast agent will arrive in the lesion or when the wash-out begins. Currently used adaptive sequences change resolutions a fixed time points. However, missing time points on the upslope may cause fitting errors and missing the signal peak may lead to a loss in morphological information. This problem was addressed with a new automatic resolution adaption (AURA) sequence. Acquired dynamic data were analyzed in real-time to find the onset and the beginning of the wash-out and consequently the temporal resolution was automatically adapted. Using a perfusion phantom it could be shown that AURA provides both, high fitting accuracy and reliably high spatial resolution images close to the signal peak. As alternative approach to AURA, a sequence which allows for retrospective resolution adaption, was assesses. Advantages are that adaption does not have to be a global process, and can be tailored regionally to local sampling requirements. This can be useful for heterogeneous lesions. For that, a 3D golden angle radial sequence was used, which acquires contrast information with each line and the golden angles allow arbitrary resolutions at arbitrary time points. Using a perfusion phantom, it could be shown that retrospective resolution adaption yields high fitting accuracy and relatively high spatial resolution maps

Proceedings of the second "international Traveling Workshop on Interactions between Sparse models and Technology" (iTWIST'14)

The implicit objective of the biennial "international - Traveling Workshop on Interactions between Sparse models and Technology" (iTWIST) is to foster collaboration between international scientific teams by disseminating ideas through both specific oral/poster presentations and free discussions. For its second edition, the iTWIST workshop took place in the medieval and picturesque town of Namur in Belgium, from Wednesday August 27th till Friday August 29th, 2014. The workshop was conveniently located in "The Arsenal" building within walking distance of both hotels and town center. iTWIST'14 has gathered about 70 international participants and has featured 9 invited talks, 10 oral presentations, and 14 posters on the following themes, all related to the theory, application and generalization of the "sparsity paradigm": Sparsity-driven data sensing and processing; Union of low dimensional subspaces; Beyond linear and convex inverse problem; Matrix/manifold/graph sensing/processing; Blind inverse problems and dictionary learning; Sparsity and computational neuroscience; Information theory, geometry and randomness; Complexity/accuracy tradeoffs in numerical methods; Sparsity? What's next?; Sparse machine learning and inference.Comment: 69 pages, 24 extended abstracts, iTWIST'14 website: http://sites.google.com/site/itwist1

Adaption in Dynamic Contrast-Enhanced MRI

In breast DCE MRI, dynamic data are acquired to assess signal changes caused by contrast agent injection in order to classify lesions. Two approaches are used for data analysis. One is to fit a pharmacokinetic model, such as the Tofts model, to the data, providing physiological information. For accurate model fitting, fast sampling is needed. Another approach is to evaluate architectural features of the contrast agent distribution, for which high spatial resolution is indispensable. However, high temporal and spatial resolution are opposing aims and a compromise has to be found. A new area of research are adaptive schemes, which sample data at combined resolutions to yield both, accurate model fitting and high spatial resolution morphological information. In this work, adaptive sampling schemes were investigated with the objective to optimize fitting accuracy, whilst providing high spatial resolution images. First, optimal sampling design was applied to the Tofts model. By that it could be determined, based on an assumed parameter distribution, that time points during the onset and the initial fast kinetics, lasting for approximately two minutes, are most relevant for fitting. During this interval, fast sampling is required. Later time points during wash-out can be exploited for high spatial resolution images. To achieve fast sampling during the initial kinetics, data acquisition has to be accelerated. A common way to increase imaging speed is to use view-sharing methods, which omit certain k-space data and interpolate the missing data from neighboring time frames. In this work, based on phantom simulations, the influence of different view-sharing techniques during the initial kinetics on fitting accuracy was investigated. It was found that all view-sharing methods imposed characteristic systematic errors on the fitting results of Ktrans. The best fitting performance was achieved by the scheme ``modTRICKS'', which is a combination of the often used schemes keyhole and TRICKS. It is not known prior to imaging, when the contrast agent will arrive in the lesion or when the wash-out begins. Currently used adaptive sequences change resolutions a fixed time points. However, missing time points on the upslope may cause fitting errors and missing the signal peak may lead to a loss in morphological information. This problem was addressed with a new automatic resolution adaption (AURA) sequence. Acquired dynamic data were analyzed in real-time to find the onset and the beginning of the wash-out and consequently the temporal resolution was automatically adapted. Using a perfusion phantom it could be shown that AURA provides both, high fitting accuracy and reliably high spatial resolution images close to the signal peak. As alternative approach to AURA, a sequence which allows for retrospective resolution adaption, was assesses. Advantages are that adaption does not have to be a global process, and can be tailored regionally to local sampling requirements. This can be useful for heterogeneous lesions. For that, a 3D golden angle radial sequence was used, which acquires contrast information with each line and the golden angles allow arbitrary resolutions at arbitrary time points. Using a perfusion phantom, it could be shown that retrospective resolution adaption yields high fitting accuracy and relatively high spatial resolution maps

Quantitative PET image reconstruction employing nested expectation-maximization deconvolution for motion compensation

Bulk body motion may randomly occur during PET acquisitions introducing blurring, attenuation-emission mismatches and, in dynamic PET, discontinuities in the measured time activity curves between consecutive frames. Meanwhile, dynamic PET scans are longer, thus increasing the probability of bulk motion. In this study, we propose a streamlined 3D PET motion-compensated image reconstruction (3D-MCIR) framework, capable of robustly deconvolving intra-frame motion from a static or dynamic 3D sinogram. The presented 3D-MCIR methods need not partition the data into multiple gates, such as 4D MCIR algorithms, or access list-mode (LM) data, such as LM MCIR methods, both associated with increased computation or memory resources. The proposed algorithms can support compensation for any periodic and non-periodic motion, such as cardio-respiratory or bulk motion, the latter including rolling, twisting or drifting. Inspired from the widely adopted point-spread function (PSF) deconvolution 3D PET reconstruction techniques, here we introduce an image-based 3D generalized motion deconvolution method within the standard 3D maximum-likelihood expectation-maximization (ML-EM) reconstruction framework. In particular, we initially integrate a motion blurring kernel, accounting for every tracked motion within a frame, as an additional MLEM modeling component in the image space (integrated 3D-MCIR). Subsequently, we replaced the integrated model component with a nested iterative Richardson-Lucy (RL) image-based deconvolution method to accelerate the MLEM algorithm convergence rate (RL-3D-MCIR). The final method was evaluated with realistic simulations of whole-body dynamic PET data employing the XCAT phantom and real human bulk motion profiles, the latter estimated from volunteer dynamic MRI scans. In addition, metabolic uptake rate Ki parametric images were generated with the standard Patlak method. Our results demonstrate significant improvement in contrast-to-noise ratio (CNR) and noise-bias performance in both dynamic and parametric images. The proposed nested RL-3D-MCIR method is implemented on the Software for Tomographic Image Reconstruction (STIR) open-source platform and is scheduled for public release

Echo Planar Time-Resolved Imaging (EPTI) with Subspace Reconstruction and Optimized Spatiotemporal Encoding

Purpose: To develop new encoding and reconstruction techniques for fast multi-contrast quantitative imaging. Methods: The recently proposed Echo Planar Time-resolved Imaging (EPTI) technique can achieve fast distortion- and blurring-free multi-contrast quantitative imaging. In this work, a subspace reconstruction framework is developed to improve the reconstruction accuracy of EPTI at high encoding accelerations. The number of unknowns in the reconstruction is significantly reduced by modeling the temporal signal evolutions using low-rank subspace. As part of the proposed reconstruction approach, a B0-update algorithm and a shot-to-shot B0 variation correction method are developed to enable the reconstruction of high-resolution tissue phase images and to mitigate artifacts from shot-to-shot phase variations. Moreover, the EPTI concept is extended to 3D k-space for 3D GE-EPTI, where a new temporal-variant of CAIPI encoding is proposed to further improve performance. Results: The effectiveness of the proposed subspace reconstruction was demonstrated first in 2D GESE EPTI, where the reconstruction achieved higher accuracy when compared to conventional B0-informed GRAPPA. For 3D GE-EPTI, a retrospective undersampling experiment demonstrates that the new temporal-variant CAIPI encoding can achieve up to 72x acceleration with close to 2x reduction in reconstruction error when compared to conventional spatiotemporal-CAIPI encoding. In a prospective undersampling experiment, high-quality whole-brain T2* and QSM maps at 1 mm isotropic resolution was acquired in 52 seconds at 3T using 3D GE-EPTI with temporal-variant CAIPI encoding. Conclusion: The proposed subspace reconstruction and optimized temporal-variant CAIPI encoding can further improve the performance of EPTI for fast quantitative mapping

High-resolution diffusion-weighted imaging at 7 Tesla: single-shot readout trajectories and their impact on signal-to-noise ratio, spatial resolution and accuracy

Diffusion MRI (dMRI) is a valuable imaging technique to study the brain in vivo. However, the resolution of dMRI is limited by the low signal-to-noise ratio (SNR) of this technique. Various acquisition strategies have been developed to achieve high resolutions, but they require long scan times. Imaging at ultra-high fields (UHF) could further increase the SNR of single-shot dMRI; however, the shorter T2* and the greater field non-uniformities will degrade image quality. In this study, we investigated the trade-off between the SNR and resolution of different k-space trajectories, including echo planar imaging (EPI), partial Fourier EPI, and spiral, over a range of resolutions at 7T. The effective resolution, spatial specificity and sharpening effect were measured from the point spread function (PSF) of the simulated diffusion sequences for a nominal resolution range of 0.6-1.8 mm. In-vivo scans were acquired using the three readout trajectories. Field probes were used to measure dynamic magnetic fields up to the 3rd order of spherical harmonics. Using a static field map and the measured trajectories image artifacts were corrected, leaving T2* effects as the primary source of blurring. The effective resolution was examined in fractional anisotropy (FA) maps. In-vivo scans were acquired to calculate the SNR. EPI trajectories had the highest specificity, effective resolution, and image sharpening effect, but also had substantially lower SNR. Spirals had significantly higher SNR, but lower specificity. Line plots of the in-vivo scans in phase and frequency encode directions showed ~0.2 units difference in FA values between the different trajectories. The difference between the effective and nominal resolution is greater for spirals than for EPI. However, the higher SNR of spiral trajectories at UHFs allows us to achieve higher effective resolutions compared to EPI and PF-EPI trajectories