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Register a new userIn utero diffusion MRI: challenges, advances, and applications
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In utero diffusion MRI provides unique opportunities to non-invasively study the microstructure of tissue during fetal development. A wide range of developmental processes, such as the growth of white matter tracts in the brain, the maturation of placental villous trees, or the fibres in the fetal heart remain to be studied and understood in detail. Advances in fetal interventions and surgery furthermore increase the need for ever more precise antenatal diagnosis from fetal MRI. However, the specific properties of the in utero environment, such as fetal and maternal motion, increased field-of-view, tissue interfaces and safety considerations, are significant challenges for most MRI techniques, and particularly for diffusion. Recent years have seen major improvements, driven by the development of bespoke techniques adapted to these specific challenges in both acquisition and processing. Fetal diffusion MRI, an emerging research tool, is now adding valuable novel information for both research and clinical questions. This paper will highlight specific challenges, outline strategies to target them, and discuss two main applications: fetal brain connectomics and placental maturation.
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Head motion is inevitable in the acquisition of diffusion-weighted images, especially for certain motion-prone subjects and for data gathering of advanced diffusion models with prolonged scan times. Deficient accuracy of motion correction cause deterioration in the quality of diffusion model reconstruction, thus affecting the derived measures. This results in either loss of data, or introducing bias in outcomes from data of different motion levels, or both. Hence minimizing motion effects and reutilizing motion-contaminated data becomes vital to quantitative studies. We have previously developed a 3-dimensional hierarchical convolution neural network (3D H-CNN) for robust diffusion kurtosis mapping from under-sampled data. In this study, we propose to extend this method to motion-contaminated data for robust recovery of diffusion model-derived measures with a process of motion assessment and corrupted volume rejection. We validate the proposed pipeline in two in-vivo datasets. Results from the first dataset of individual subjects show that all the diffusion tensor and kurtosis tensor-derived measures from the new pipeline are minimally sensitive to motion effects, and are comparable to the motion-free reference with as few as eight volumes retained from the motion-contaminated data. Results from the second dataset of a group of children with attention deficit hyperactivity disorder demonstrate the ability of our approach in ameliorating spurious group differences due to head motion. This method shows great potential for exploiting some valuable but motion-corrupted DWI data which are likely to be discarded otherwise, and applying to data with different motion level thus improving their utilization and statistic power.
Computational models of biophysical tissue properties have been widely used in diffusion MRI (dMRI) research to elucidate the link between microstructural properties and MR signal formation. For brain tissue, the research community has developed the so-called Standard Model (SM) that has been widely used. However, in clinically applicable acquisition protocols, the inverse problem that recovers the SM parameters from a set of MR diffusion measurements using pairs of short pulsed field gradients was shown to be ill-posed. Multidimensional dMRI was shown to solve this problem by combining linear and planar tensor encoding data. Given sufficient measurements, multiple choices of b-tensor sets provide enough information to estimate all SM parameters. However, in the presence of noise, some sets will provide better results. In this work, we develop a framework for optimal experimental design of multidimensional dMRI sequences applicable to the SM. This framework is based on maximising the determinant of the Fisher information matrix, which is averaged over the full SM parameter space. This averaging provides a fairly objective information metric tailored for the expected signal but that only depends on the acquisition configuration. The optimisation of this metric can be further restricted to any subclass of desirable design constraints like, for instance, hardware-specific constraints. In this work, we compute the optimal acquisitions over the set of all b-tensors with fixed eigenvectors.
The rise of blockchain technology within a few years has attracted researchers across the world. The prime reason for worldwide attention is undoubtedly due to its feature of immutability along with the decentralized approach of data protection. As this technology is progressing, lots of developments in terms of identifying new applications, blockchain-based platforms, consensus mechanisms, etc are taking place. Hence, in this article, an attempt has been made to review the recent advancements in blockchain technology. Furthermore, we have also explored the available blockchain platforms, highlighted and explored future research directions and challenges.
Purpose: Diffusion MRI (dMRI) suffers from eddy currents induced by strong diffusion gradients, which introduce artefacts that can impair subsequent diffusion metric analysis. Existing retrospective correction techniques that correct for diffusion gradient induced eddy currents do not account for eddy current decay, which is generally effective for traditional Pulsed Gradient Spin Echo (PGSE) diffusion encoding. However, these techniques do not necessarily apply to advanced forms of dMRI that require substantial gradient slewing, such as Oscillating Gradient Spin Echo (OGSE). Methods: An in-house algorithm (TVEDDY), that for the first time retrospectively models eddy current decay, was tested on PGSE and OGSE brain images acquired at 7T. Correction performance was compared to conventional correction methods by evaluating the mean-squared error (MSE) between diffusion-weighted images acquired with opposite polarity diffusion gradients. As a ground truth comparison, images were corrected using field dynamics up to third order in space measured using a field monitoring system. Results: Time-varying eddy currents were observed for OGSE, which introduced blurring that was not reduced using the traditional approach but was diminished considerably with TVEDDY and model-based reconstruction. No MSE difference was observed between the conventional approach and TVEDDY for PGSE, but for OGSE TVEDDY resulted in significantly lower MSE than the conventional approach. The field-monitoring-informed model-based reconstruction had the lowest MSE for both PGSE and OGSE. Conclusion: This work establishes that it is possible to estimate time-varying eddy currents from the diffusion data itself, which provides substantial image quality improvements for gradient-intensive dMRI acquisitions like OGSE.
Diffusion tractography is routinely used to study white matter architecture and brain connectivity in vivo. A key step for successful tractography of neuronal tracts is the correct identification of tract directions in each voxel. Here we propose a fingerprinting-based methodology to identify these fiber directions in Orientation Distribution Functions, dubbed ODF-Fingerprinting (ODF-FP). In ODF-FP, fiber configurations are selected based on the similarity between measured ODFs and elements in a pre-computed library. In noisy ODFs, the library matching algorithm penalizes the more complex fiber configurations. ODF simulations and analysis of bootstrapped partial and whole-brain in vivo datasets show that the ODF-FP approach improves the detection of fiber pairs with small crossing angles while maintaining fiber direction precision, which leads to better tractography results. Rather than focusing on the ODF maxima, the ODF-FP approach uses the whole ODF shape to infer fiber directions to improve the detection of fiber bundles with small crossing angle. The resulting fiber directions aid tractography algorithms in accurately displaying neuronal tracts and calculating brain connectivity.
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