54,305 research outputs found
Atherosclerotic carotid plaque composition: a 3T and 7T MRI-histology correlation study
Background and Purpose
Carotid artery atherosclerotic plaque composition may influence plaque stability and risk of
thromboembolic events, and non-invasive plaque imaging may therefore permit risk
stratification for clinical management. Plaque composition was compared using non-invasive
in-vivo (3T) and ex-vivo (7T) MRI and histopathological examination.
Methods
Thirty three endarterectomy cross sections, from 13 patients, were studied. The datasets
consisted of in-vivo 3T MRI, ex-vivo 7T MRI and histopathology. Semi-automated
segmentation methods were used to measure areas of different plaque components. Bland-
Altman plots and mean difference with 95% confidence interval were carried out.
Results
There was general quantitative agreement between areas derived from semi-automated
segmentation of MRI data and histology measurements. The mean differences and 95%
confidence bounds in the relative to total plaque area between 3T versus Histology were:
fibrous tissue 4.99 % (-4.56 to 14.56), lipid-rich/necrotic core (LR/NC) with haemorrhage -
1.81% (-14.11 to 10.48), LR/NC without haemorrhage -2.43% (-13.04 to 8.17), and
calcification -3.18% (-11.55 to 5.18). The mean differences and 95% confidence bounds in
the relative to total plaque area between 7T and histology were: fibrous tissue 3.17 % (-3.17
to 9.52), LR/NC with haemorrhage -0.55% (-9.06 to 7.95), LR/NC without haemorrhage -
12.62% (-19.8 to -5.45), and calcification -2.43% (-9.97 to 4.73).
Conclusions
This study provides evidence that semi-automated segmentation of 3T/7T MRI techniques
can help to determine atherosclerotic plaque composition. In particular, the high resolution of
ex-vivo 7T data was able to highlight greater detail in the atherosclerotic plaque composition.
High field MRI may therefore have advantages for in vivo carotid plaque MR imaging
High resolution in-vivo MR-STAT using a matrix-free and parallelized reconstruction algorithm
MR-STAT is a recently proposed framework that allows the reconstruction of
multiple quantitative parameter maps from a single short scan by performing
spatial localisation and parameter estimation on the time domain data
simultaneously, without relying on the FFT. To do this at high-resolution,
specialized algorithms are required to solve the underlying large-scale
non-linear optimisation problem. We propose a matrix-free and parallelized
inexact Gauss-Newton based reconstruction algorithm for this purpose. The
proposed algorithm is implemented on a high performance computing cluster and
is demonstrated to be able to generate high-resolution (
in-plane resolution) quantitative parameter maps in simulation, phantom and
in-vivo brain experiments. Reconstructed and values for the gel
phantoms are in agreement with results from gold standard measurements and for
the in-vivo experiments the quantitative values show good agreement with
literature values. In all experiments short pulse sequences with robust
Cartesian sampling are used for which conventional MR Fingerprinting
reconstructions are shown to fail.Comment: Accepted by NMR in Biomedicine on 2019-12-0
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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
MRI-only based radiotherapy treatment planning for the rat brain on a Small Animal Radiation Research Platform (SARRP)
Computed tomography (CT) is the standard imaging modality in radiation therapy treatment planning (RTP). However, magnetic resonance (MR) imaging provides superior soft tissue contrast, increasing the precision of target volume selection. We present MR-only based RTP for a rat brain on a small animal radiation research platform (SARRP) using probabilistic voxel classification with multiple MR sequences. Six rat heads were imaged, each with one CT and five MR sequences. The MR sequences were: T1-weighted, T2-weighted, zero-echo time (ZTE), and two ultra-short echo time sequences with 20 mu s (UTE1) and 2 ms (UTE2) echo times. CT data were manually segmented into air, soft tissue, and bone to obtain the RTP reference. Bias field corrected MR images were automatically segmented into the same tissue classes using a fuzzy c-means segmentation algorithm with multiple images as input. Similarities between segmented CT and automatic segmented MR (ASMR) images were evaluated using Dice coefficient. Three ASMR images with high similarity index were used for further RTP. Three beam arrangements were investigated. Dose distributions were compared by analysing dose volume histograms. The highest Dice coefficients were obtained for the ZTE-UTE2 combination and for the T1-UTE1-T2 combination when ZTE was unavailable. Both combinations, along with UTE1-UTE2, often used to generate ASMR images, were used for further RTP. Using 1 beam, MR based RTP underestimated the dose to be delivered to the target (range: 1.4%-7.6%). When more complex beam configurations were used, the calculated dose using the ZTE-UTE2 combination was the most accurate, with 0.7% deviation from CT, compared to 0.8% for T1-UTE1-T2 and 1.7% for UTE1-UTE2. The presented MR-only based workflow for RTP on a SARRP enables both accurate organ delineation and dose calculations using multiple MR sequences. This method can be useful in longitudinal studies where CT's cumulative radiation dose might contribute to the total dose
Quantification of Maceration Changes using Post Mortem MRI in Fetuses
BACKGROUND: Post mortem imaging is playing an increasingly important role in perinatal autopsy, and correct interpretation of imaging changes is paramount. This is particularly important following intra-uterine fetal death, where there may be fetal maceration. The aim of this study was to investigate whether any changes seen on a whole body fetal post mortem magnetic resonance imaging (PMMR) correspond to maceration at conventional autopsy. METHODS: We performed pre-autopsy PMMR in 75 fetuses using a 1.5 Tesla Siemens Avanto MR scanner (Erlangen, Germany). PMMR images were reported blinded to the clinical history and autopsy data using a numerical severity scale (0 = no maceration changes to 2 = severe maceration changes) for 6 different visceral organs (total 12). The degree of maceration at autopsy was categorized according to severity on a numerical scale (1 = no maceration to 4 = severe maceration). We also generated quantitative maps to measure the liver and lung T2. RESULTS: The mean PMMR maceration score correlated well with the autopsy maceration score (R(2) = 0.93). A PMMR score of ≥4.5 had a sensitivity of 91%, specificity of 64%, for detecting moderate or severe maceration at autopsy. Liver and lung T2 were increased in fetuses with maceration scores of 3-4 in comparison to those with 1-2 (liver p = 0.03, lung p = 0.02). CONCLUSIONS: There was a good correlation between PMMR maceration score and the extent of maceration seen at conventional autopsy. This score may be useful in interpretation of fetal PMMR
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