User-initialized active contour segmentation and golden-angle real-time cardiovascular magnetic resonance enable accurate assessment of LV function in patients with sinus rhythm and arrhythmias.

BackgroundData obtained during arrhythmia is retained in real-time cardiovascular magnetic resonance (rt-CMR), but there is limited and inconsistent evidence to show that rt-CMR can accurately assess beat-to-beat variation in left ventricular (LV) function or during an arrhythmia.MethodsMulti-slice, short axis cine and real-time golden-angle radial CMR data was collected in 22 clinical patients (18 in sinus rhythm and 4 patients with arrhythmia). A user-initialized active contour segmentation (ACS) software was validated via comparison to manual segmentation on clinically accepted software. For each image in the 2D acquisitions, slice volume was calculated and global LV volumes were estimated via summation across the LV using multiple slices. Real-time imaging data was reconstructed using different image exposure times and frame rates to evaluate the effect of temporal resolution on measured function in each slice via ACS. Finally, global volumetric function of ectopic and non-ectopic beats was measured using ACS in patients with arrhythmias.ResultsACS provides global LV volume measurements that are not significantly different from manual quantification of retrospectively gated cine images in sinus rhythm patients. With an exposure time of 95.2 ms and a frame rate of > 89 frames per second, golden-angle real-time imaging accurately captures hemodynamic function over a range of patient heart rates. In four patients with frequent ectopic contractions, initial quantification of the impact of ectopic beats on hemodynamic function was demonstrated.ConclusionUser-initialized active contours and golden-angle real-time radial CMR can be used to determine time-varying LV function in patients. These methods will be very useful for the assessment of LV function in patients with frequent arrhythmias

Doctor of Philosophy

dissertationCine phase contrast (PC) magnetic resonance imaging (MRI) is a useful imaging technique that allows for the quantitative measurement of in-vivo blood velocities over the cardiac cycle. Velocity information can be used to diagnose and learn more about the mechanisms of cardio-vascular disease. Compared to other velocity measuring techniques, PC MRI provides high-resolution 2D and 3D spatial velocity information. Unfortunately, as with many other MRI techniques, PC MRI su ers from long acquisition times which places constraints on temporal and spatial resolution. This dissertation outlines the use of temporally constrained reconstruction (TCR) of radial PC data in order to signi cantly reduce the acquisition time so that higher temporal and spatial resolutions can be achieved. A golden angle-based acquisition scheme and a novel self-gating method were used in order to allow for exible selection of temporal resolution and to ameliorate the di culties associated with external electrocardiogram (ECG) gating. Finally, image reconstruction times for TCR are signi cantly reduced by implementation on a high-performance computer cluster. The TCR algorithm is executed in parallel across multiple GPUs achieving a 50 second reconstruction time for a very large cardiac perfusion data set

An Augmented Lagrangian Based Compressed Sensing Reconstruction for Non-Cartesian Magnetic Resonance Imaging without Gridding and Regridding at Every Iteration

Background: Non-Cartesian trajectories are used in a variety of fast imaging applications, due to the incoherent image domain artifacts they create when undersampled. While the gridding technique is commonly utilized for reconstruction, the incoherent artifacts may be further removed using compressed sensing (CS). CS reconstruction is typically done using conjugate-gradient (CG) type algorithms, which require gridding and regridding to be performed at every iteration. This leads to a large computational overhead that hinders its applicability. Methods: We sought to develop an alternative method for CS reconstruction that only requires two gridding and one regridding operation in total, irrespective of the number of iterations. This proposed technique is evaluated on phantom images and whole-heart coronary MRI acquired using 3D radial trajectories, and compared to conventional CS reconstruction using CG algorithms in terms of quantitative vessel sharpness, vessel length, computation time, and convergence rate. Results: Both CS reconstructions result in similar vessel length (P = 0.30) and vessel sharpness (P = 0.62). The per-iteration complexity of the proposed technique is approximately 3-fold lower than the conventional CS reconstruction (17.55 vs. 52.48 seconds in C++). Furthermore, for in-vivo datasets, the convergence rate of the proposed technique is faster (60±13 vs. 455±320 iterations) leading to a ∼23-fold reduction in reconstruction time. Conclusions: The proposed reconstruction provides images of similar quality to the conventional CS technique in terms of removing artifacts, but at a much lower computational complexity

Perturbed spiral real-time phase-contrast MR with compressive sensing reconstruction for assessment of flow in children

PURPOSE: we implemented a golden‐angle spiral phase contrast sequence. A commonly used uniform density spiral and a new ‘perturbed’ spiral that produces more incoherent aliases were assessed. The aim was to ascertain whether greater incoherence enabled more accurate Compressive Sensing reconstruction and superior measurement of flow and velocity. METHODS: A range of ‘perturbed’ spiral trajectories based on a uniform spiral trajectory were formulated. The trajectory that produced the most noise‐like aliases was selected for further testing. For in‐silico and in‐vivo experiments, data was reconstructed using total Variation L1 regularisation in the spatial and temporal domains. In‐silico, the reconstruction accuracy of the ‘perturbed’ golden spiral was compared to uniform density golden‐angle spiral. For the in‐vivo experiment, stroke volume and peak mean velocity were measured in 20 children using ‘perturbed’ and uniform density golden‐angle spiral sequences. These were compared to a reference standard gated Cartesian sequence. RESULTS: In‐silico, the perturbed spiral acquisition produced more accurate reconstructions with less temporal blurring (NRMSE ranging from 0.03 to 0.05) than the uniform density acquisition (NRMSE ranging from 0.06 to 0.12). This translated in more accurate results in‐vivo with no significant bias in the peak mean velocity (bias: −0.1, limits: −4.4 to 4.1 cm/s; P = 0.98) or stroke volume (bias: −1.8, limits: −9.4 to 5.8 ml, P = 0.19). CONCLUSION: We showed that a ‘perturbed’ golden‐angle spiral approach is better suited to Compressive Sensing reconstruction due to more incoherent aliases. This enabled accurate real‐time measurement of flow and peak velocity in children

Doctor of Philosophy

dissertationDynamic contrast enhanced magnetic resonance imaging (DCE-MRI) is a powerful tool to detect cardiac diseases and tumors, and both spatial resolution and temporal resolution are important for disease detection. Sampling less in each time frame and applying sophisticated reconstruction methods to overcome image degradations is a common strategy in the literature. In this thesis, temporal TV constrained reconstruction that was successfully applied to DCE myocardial perfusion imaging by our group was extended to three-dimensional (3D) DCE breast and 3D myocardial perfusion imaging, and the extension includes different forms of constraint terms and various sampling patterns. We also explored some other popular reconstruction algorithms from a theoretical level and showed that they can be included in a unified framework. Current 3D Cartesian DCE breast tumor imaging is limited in spatiotemporal resolution as high temporal resolution is desired to track the contrast enhancement curves, and high spatial resolution is desired to discern tumor morphology. Here temporal TV constrained reconstruction was extended and different forms of temporal TV constraints were compared on 3D Cartesian DCE breast tumor data with simulated undersampling. Kinetic parameters analysis was used to validate the methods