Real-Time Magnetic Resonance Imaging

Real‐time magnetic resonance imaging (RT‐MRI) allows for imaging dynamic processes as they occur, without relying on any repetition or synchronization. This is made possible by modern MRI technology such as fast‐switching gradients and parallel imaging. It is compatible with many (but not all) MRI sequences, including spoiled gradient echo, balanced steady‐state free precession, and single‐shot rapid acquisition with relaxation enhancement. RT‐MRI has earned an important role in both diagnostic imaging and image guidance of invasive procedures. Its unique diagnostic value is prominent in areas of the body that undergo substantial and often irregular motion, such as the heart, gastrointestinal system, upper airway vocal tract, and joints. Its value in interventional procedure guidance is prominent for procedures that require multiple forms of soft‐tissue contrast, as well as flow information. In this review, we discuss the history of RT‐MRI, fundamental tradeoffs, enabling technology, established applications, and current trends

Cardiac magnetic resonance assessment of central and peripheral vascular function in patients undergoing renal sympathetic denervation as predictor for blood pressure response

Background: Most trials regarding catheter-based renal sympathetic denervation (RDN) describe a proportion of patients without blood pressure response. Recently, we were able to show arterial stiffness, measured by invasive pulse wave velocity (IPWV), seems to be an excellent predictor for blood pressure response. However, given the invasiveness, IPWV is less suitable as a selection criterion for patients undergoing RDN. Consequently, we aimed to investigate the value of cardiac magnetic resonance (CMR) based measures of arterial stiffness in predicting the outcome of RDN compared to IPWV as reference. Methods: Patients underwent CMR prior to RDN to assess ascending aortic distensibility (AAD), total arterial compliance (TAC), and systemic vascular resistance (SVR). In a second step, central aortic blood pressure was estimated from ascending aortic area change and flow sequences and used to re-calculate total arterial compliance (cTAC). Additionally, IPWV was acquired. Results: Thirty-two patients (24 responders and 8 non-responders) were available for analysis. AAD, TAC and cTAC were higher in responders, IPWV was higher in non-responders. SVR was not different between the groups. Patients with AAD, cTAC or TAC above median and IPWV below median had significantly better BP response. Receiver operating characteristic (ROC) curves predicting blood pressure response for IPWV, AAD, cTAC and TAC revealed areas under the curve of 0.849, 0.828, 0.776 and 0.753 (p = 0.004, 0.006, 0.021 and 0.035). Conclusions: Beyond IPWV, AAD, cTAC and TAC appear as useful outcome predictors for RDN in patients with hypertension. CMR-derived markers of arterial stiffness might serve as non-invasive selection criteria for RDN

Magnetic resonance imaging of the brain and vocal tract:Applications to the study of speech production and language learning

The human vocal system is highly plastic, allowing for the flexible expression of language, mood and intentions. However, this plasticity is not stable throughout the life span, and it is well documented that adult learners encounter greater difficulty than children in acquiring the sounds of foreign languages. Researchers have used magnetic resonance imaging (MRI) to interrogate the neural substrates of vocal imitation and learning, and the correlates of individual differences in phonetic “talent”. In parallel, a growing body of work using MR technology to directly image the vocal tract in real time during speech has offered primarily descriptive accounts of phonetic variation within and across languages. In this paper, we review the contribution of neural MRI to our understanding of vocal learning, and give an overview of vocal tract imaging and its potential to inform the field. We propose methods by which our understanding of speech production and learning could be advanced through the combined measurement of articulation and brain activity using MRI – specifically, we describe a novel paradigm, developed in our laboratory, that uses both MRI techniques to for the first time map directly between neural, articulatory and acoustic data in the investigation of vocalisation. This non-invasive, multimodal imaging method could be used to track central and peripheral correlates of spoken language learning, and speech recovery in clinical settings, as well as provide insights into potential sites for targeted neural interventions

Unveiling healthcare data archiving: Exploring the role of artificial intelligence in medical image analysis

Gli archivi sanitari digitali possono essere considerati dei moderni database progettati per immagazzinare e gestire ingenti quantità di informazioni mediche, dalle cartelle cliniche dei pazienti, a studi clinici fino alle immagini mediche e a dati genomici. I dati strutturati e non strutturati che compongono gli archivi sanitari sono oggetto di scrupolose e rigorose procedure di validazione per garantire accuratezza, affidabilità e standardizzazione a fini clinici e di ricerca. Nel contesto di un settore sanitario in continua e rapida evoluzione, l’intelligenza artificiale (IA) si propone come una forza trasformativa, capace di riformare gli archivi sanitari digitali migliorando la gestione, l’analisi e il recupero di vasti set di dati clinici, al fine di ottenere decisioni cliniche più informate e ripetibili, interventi tempestivi e risultati migliorati per i pazienti. Tra i diversi dati archiviati, la gestione e l’analisi delle immagini mediche in archivi digitali presentano numerose sfide dovute all’eterogeneità dei dati, alla variabilità della qualità delle immagini, nonché alla mancanza di annotazioni. L’impiego di soluzioni basate sull’IA può aiutare a risolvere efficacemente queste problematiche, migliorando l’accuratezza dell’analisi delle immagini, standardizzando la qualità dei dati e facilitando la generazione di annotazioni dettagliate. Questa tesi ha lo scopo di utilizzare algoritmi di IA per l’analisi di immagini mediche depositate in archivi sanitari digitali. Il presente lavoro propone di indagare varie tecniche di imaging medico, ognuna delle quali è caratterizzata da uno specifico dominio di applicazione e presenta quindi un insieme unico di sfide, requisiti e potenziali esiti. In particolare, in questo lavoro di tesi sarà oggetto di approfondimento l’assistenza diagnostica degli algoritmi di IA per tre diverse tecniche di imaging, in specifici scenari clinici: i) Immagini endoscopiche ottenute durante esami di laringoscopia; ciò include un’esplorazione approfondita di tecniche come la detection di keypoints per la stima della motilità delle corde vocali e la segmentazione di tumori del tratto aerodigestivo superiore; ii) Immagini di risonanza magnetica per la segmentazione dei dischi intervertebrali, per la diagnosi e il trattamento di malattie spinali, così come per lo svolgimento di interventi chirurgici guidati da immagini; iii) Immagini ecografiche in ambito reumatologico, per la valutazione della sindrome del tunnel carpale attraverso la segmentazione del nervo mediano. Le metodologie esposte in questo lavoro evidenziano l’efficacia degli algoritmi di IA nell’analizzare immagini mediche archiviate. I progressi metodologici ottenuti sottolineano il notevole potenziale dell’IA nel rivelare informazioni implicitamente presenti negli archivi sanitari digitali

Aumento de Resolução Temporal de Sequências de Imagens do Trato Vocal por meio de Registro das Imagens

O imageamento por ressonância magnética tem sido bastanteutilizado no estudo da produção da fala. Sequências de imagens do trato vocal adquiridas durante a emissão de palavras e fonemas permitem a identificação dinâmica das formas assumidas por este tubo acústico. Entretanto, é importante ressaltar que as resoluções espacial e temporal necessárias para a identificação do movimento dos articuladores da fala variam de acordo com a velocidade e localidade desse movimento, e tal informação não é conhecida a priori. Abordagens existentes procuram aprimorar a resolução das sequências de imagens melhorando o processo de aquisição ou utilizando meios de aquisição mais potentes, o que pode ser financeiramente inviável. O método proposto neste artigo procura melhorar a resolução temporal por meio de um método de registro não-rígido proposto na literatura. O movimento identificado pelo registro permite o aumento de resolução temporal por meio de uma técnica de interpolação por compensação de movimento. O movimento presente em toda a sequência é considerado na geração de cada imagem intermediária. Dessa forma, o movimento dos articuladores da fala nessas imagens é coerente com o movimento presente em toda a sequência. Os resultados indicam a eficiência do método proposto

High-resolution full-vocal-tract dynamic speech magnetic resonance imaging

Dynamic magnetic resonance imaging (MRI) holds great promise for speech-related studies because of its potential to investigate velopharyngeal motion and physiological properties jointly in real time. However, many applications of dynamic speech MRI are limited by the technical trade-offs in imaging speed, spatial coverage, spatial resolution and clinical interpretation. In particular, high-resolution dynamic speech MRI with full-vocal-tract coverage and phonetically meaningful interpretation remains a challenging goal for many speech researchers. This dissertation develops novel model-based dynamic speech MRI approaches to enable high-resolution, full-vocal-tract 3D dynamic speech MRI with quantitative characterization of the articulatory motion. Our approaches include technical developments in imaging models, data acquisition strategies and image reconstruction methods: (a) high-spatiotemporal-resolution speech MRI from sparsely sampled data is achieved by employing a low-rank imaging model that leverages the spatiotemporal correlations in dynamic speech motion; (b) a self-navigated sampling strategy is developed and employed to acquire spatiotemporal data at high imaging speed, which collects high-nominal-frame-rate cone navigators and randomized Cartesian imaging data within a single TR; (c) quantitative interpretation of speech motion is enabled by introducing a deformation-based sparsity constraint that not only improves image reconstruction quality but also analyzes articulatory motion by a high-resolution deformation field; and (d) accurate assessment of subject-specific motion as opposed to generic motion pattern is realized by using a low-rank plus sparse imaging model jointly with a technique to construct high-quality spatiotemporal atlas. Regional sparse modeling is further introduced to assist effective motion analysis in the regions of interest. Our approaches are evaluated through both simulations on numerical phantoms and in vivo validation experiments across multiple subject groups. Both simulation and experimental results allow visualization of articulatory dynamics with a frame rate of 166 frames per second, a spatial resolution of 2.2 mm x 2.2 mm x 5.0 mm, and a spatial coverage of 280 mm x 280 mm x 40 mm covering the entire upper vocal tract across 8 mid-sagittal slices. Deformation fields yielded from our approaches share an identical spatiotemporal resolution that characterizes accurate soft-tissue motion. With a high-quality atlas, the low-rank and the sparse components are reconstructed to reveal both subject-specific motion and generic speech motion across a specific subject group. The effectiveness of our approaches is demonstrated through practical phonetics investigations that include (a) integrative imaging and acoustics analysis of velopharyngeal closure; (b) understanding the formation and variation in a variety of languages, American English, North Metropolitan French, Brazilian Portuguese and Levantine Arabic; and (c) analyzing motion variability of a particular subject with respect to a specific subject group. The capabilities of our method have the potential for precise assessment of the oropharyngeal dynamics and comprehensive evaluation of speech motion

Recent Advances in Signal Processing

The signal processing task is a very critical issue in the majority of new technological inventions and challenges in a variety of applications in both science and engineering fields. Classical signal processing techniques have largely worked with mathematical models that are linear, local, stationary, and Gaussian. They have always favored closed-form tractability over real-world accuracy. These constraints were imposed by the lack of powerful computing tools. During the last few decades, signal processing theories, developments, and applications have matured rapidly and now include tools from many areas of mathematics, computer science, physics, and engineering. This book is targeted primarily toward both students and researchers who want to be exposed to a wide variety of signal processing techniques and algorithms. It includes 27 chapters that can be categorized into five different areas depending on the application at hand. These five categories are ordered to address image processing, speech processing, communication systems, time-series analysis, and educational packages respectively. The book has the advantage of providing a collection of applications that are completely independent and self-contained; thus, the interested reader can choose any chapter and skip to another without losing continuity

Registration and statistical analysis of the tongue shape during speech production

This thesis analyzes the human tongue shape during speech production. First, a semi-supervised approach is derived for estimating the tongue shape from volumetric magnetic resonance imaging data of the human vocal tract. Results of this extraction are used to derive parametric tongue models. Next, a framework is presented for registering sparse motion capture data of the tongue by means of such a model. This method allows to generate full three-dimensional animations of the tongue. Finally, a multimodal and statistical text-to-speech system is developed that is able to synthesize audio and synchronized tongue motion from text.Diese Dissertation beschäftigt sich mit der Analyse der menschlichen Zungenform während der Sprachproduktion. Zunächst wird ein semi-überwachtes Verfahren vorgestellt, mit dessen Hilfe sich Zungenformen von volumetrischen Magnetresonanztomographie- Aufnahmen des menschlichen Vokaltrakts schätzen lassen. Die Ergebnisse dieses Extraktionsverfahrens werden genutzt, um ein parametrisches Zungenmodell zu konstruieren. Danach wird eine Methode hergeleitet, die ein solches Modell nutzt, um spärliche Bewegungsaufnahmen der Zunge zu registrieren. Dieser Ansatz erlaubt es, dreidimensionale Animationen der Zunge zu erstellen. Zuletzt wird ein multimodales und statistisches Text-to-Speech-System entwickelt, das in der Lage ist, Audio und die dazu synchrone Zungenbewegung zu synthetisieren.German Research Foundatio