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Register a new userUnraveling the Effect of Spatial Resolution and Scan Acceleration on 3D Image-Based Navigators for Respiratory Motion Tracking in Coronary MR Angiography
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Purpose: To study the accuracy of motion information extracted from beat-to-beat 3D image-based navigators (3D iNAVs) collected using a variable-density cones trajectory with different combinations of spatial resolutions and scan acceleration factors. Methods: Fully sampled, breath-held 4.4 mm 3D iNAV datasets for six respiratory phases are acquired in a volunteer. Ground truth translational and nonrigid motion information is derived from these datasets. Subsequently, the motion estimates from synthesized undersampled 3D iNAVs with isotropic spatial resolutions of 4.4 mm (acceleration factor = 10.9), 5.4 mm (acceleration factor = 7.2), 6.4 mm (acceleration factor = 4.2), and 7.8 mm (acceleration factor = 2.9) are assessed against the ground truth information. The undersampled 3D iNAV configuration with the highest accuracy motion estimates in simulation is then compared with the originally proposed 4.4 mm undersampled 3D iNAV in six volunteer studies. Results: The simulations indicate that for navigators beyond certain scan acceleration factors, the accuracy of motion estimates is compromised due to errors from residual aliasing and blurring/smoothening effects following compressed sensing reconstruction. The 6.4 mm 3D iNAV achieves an acceptable spatial resolution with a small acceleration factor, resulting in the highest accuracy motion information among all assessed undersampled 3D iNAVs. Reader scores for six volunteer studies demonstrate superior coronary vessel sharpness when applying an autofocusing nonrigid correction technique using the 6.4 mm 3D iNAVs in place of 4.4 mm 3D iNAVs. Conclusion: Undersampled 6.4 mm 3D iNAVs enable motion tracking with improved accuracy relative to previously proposed undersampled 4.4 mm 3D iNAVs.
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The MR-Linac is a combination of an MR-scanner and radiotherapy linear accelerator (Linac) which holds the promise to increase the precision of radiotherapy treatments with MR-guided radiotherapy by monitoring motion during radiotherapy with MRI, and adjusting the radiotherapy plan accordingly. Optimal MR-guidance for respiratory motion during radiotherapy requires MR-based 3D motion estimation with a latency of 200-500 ms. Currently this is still challenging since typical methods rely on MR-images, and are therefore limited by the 3D MR-imaging latency. In this work, we present a method to perform non-rigid 3D respiratory motion estimation with 170 ms latency, including both acquisition and reconstruction. The proposed method called real-time low-rank MR-MOTUS reconstructs motion-fields directly from k-space data, and leverages an explicit low-rank decomposition of motion-fields to split the large scale 3D+t motion-field reconstruction problem posed in our previous work into two parts: (I) a medium-scale offline preparation phase and (II) a small-scale online inference phase which exploits the results of the offline phase for real-time computations. The method was validated on free-breathing data of five volunteers, acquired with a 1.5T Elekta Unity MR-Linac. Results show that the reconstructed 3D motion-field are anatomically plausible, highly correlated with a self-navigation motion surrogate (R = 0.975 +/- 0.0110), and can be reconstructed with a total latency of 170 ms that is sufficient for real-time MR-guided abdominal radiotherapy.
Purpose: To develop a respiratory-resolved motion-compensation method for free-breathing, high-resolution coronary magnetic resonance angiography using a 3D cones trajectory. Methods: To achieve respiratory-resolved 0.98 mm resolution images in a clinically relevant scan time, we undersample the imaging data with a variable-density 3D cones trajectory. For retrospective motion compensation, translational estimates from 3D image-based navigators (3D iNAVs) are used to bin the imaging data into four phases from end-expiration to end-inspiration. To ensure pseudo-random undersampling within each respiratory phase, we devise a phyllotaxis readout ordering scheme mindful of eddy current artifacts in steady state free precession imaging. Following binning, residual 3D translational motion within each phase is computed using the 3D iNAVs and corrected for in the imaging data. The noise-like aliasing characteristic of the combined phyllotaxis and cones sampling pattern is leveraged in a compressed sensing reconstruction with spatial and temporal regularization to reduce aliasing in each of the respiratory phases. Results: In a volunteer and 5 patients, respiratory motion compensation using the proposed method yields improved image quality compared to non-respiratory-resolved approaches with no motion correction and with 3D translational correction. Qualitative assessment by two cardiologists indicates the superior sharpness of coronary segments reconstructed with the proposed method (P < 0.01). Conclusion: The proposed method better mitigates motion artifacts in free-breathing, high-resolution coronary angiography exams compared to translational correction.
With the recent introduction of the MR-LINAC, an MR-scanner combined with a radiotherapy LINAC, MR-based motion estimation has become of increasing interest to (retrospectively) characterize tumor and organs-at-risk motion during radiotherapy. To this extent, we introduce low-rank MR-MOTUS, a framework to retrospectively reconstruct time-resolved non-rigid 3D+t motion-fields from a single low-resolution reference image and prospectively undersampled k-space data acquired during motion. Low-rank MR-MOTUS exploits spatio-temporal correlations in internal body motion with a low-rank motion model, and inverts a signal model that relates motion-fields directly to a reference image and k-space data. The low-rank model reduces the degrees-of-freedom, memory consumption and reconstruction times by assuming a factorization of space-time motion-fields in spatial and temporal components. Low-rank MR-MOTUS was employed to estimate motion in 2D/3D abdominothoracic scans and 3D head scans. Data were acquired using golden-ratio radial readouts. Reconstructed 2D and 3D respiratory motion-fields were respectively validated against time-resolved and respiratory-resolved image reconstructions, and the head motion against static image reconstructions from fully-sampled data acquired right before and right after the motion. Results show that 2D+t respiratory motion can be estimated retrospectively at 40.8 motion-fields-per-second, 3D+t respiratory motion at 7.6 motion-fields-per-second and 3D+t head-neck motion at 9.3 motion-fields-per-second. The validations show good consistency with image reconstructions. The proposed framework can estimate time-resolved non-rigid 3D motion-fields, which allows to characterize drifts and intra and inter-cycle patterns in breathing motion during radiotherapy, and could form the basis for real-time MR-guided radiotherapy.
Magnetic resonance-electrical properties tomography (MR-EPT) is a technique used to estimate the conductivity and permittivity of tissues from MR measurements of the transmit magnetic field. Different reconstruction methods are available, however all these methods present several limitations which hamper the clinical applicability. Standard Helmholtz based MR-EPT methods are severely affected by noise. Iterative reconstruction methods such as contrast source inversion-EPT (CSI-EPT) are typically time consuming and are dependent on their initialization. Deep learning (DL) based methods require a large amount of training data before sufficient generalization can be achieved. Here, we investigate the benefits achievable using a hybrid approach, i.e. using MR-EPT or DL-EPT as initialization guesses for standard 3D CSI-EPT. Using realistic electromagnetic simulations at 3 T and 7 T, the accuracy and precision of hybrid CSI reconstructions are compared to standard 3D CSI-EPT reconstructions. Our results indicate that a hybrid method consisting of an initial DL-EPT reconstruction followed by a 3D CSI-EPT reconstruction would be beneficial. DL-EPT combined with standard 3D CSI-EPT exploits the power of data driven DL-based EPT reconstructions while the subsequent CSI-EPT facilitates a better generalization by providing data consistency.
Purpose: To rapidly reconstruct undersampled 3D non-Cartesian image-based navigators (iNAVs) using an unrolled deep learning (DL) model for non-rigid motion correction in coronary magnetic resonance angiography (CMRA). Methods: An unrolled network is trained to reconstruct beat-to-beat 3D iNAVs acquired as part of a CMRA sequence. The unrolled model incorporates a non-uniform FFT operator to perform the data consistency operation, and the regularization term is learned by a convolutional neural network (CNN) based on the proximal gradient descent algorithm. The training set includes 6,000 3D iNAVs acquired from 7 different subjects and 11 scans using a variable-density (VD) cones trajectory. For testing, 3D iNAVs from 4 additional subjects are reconstructed using the unrolled model. To validate reconstruction accuracy, global and localized motion estimates from DL model-based 3D iNAVs are compared with those extracted from 3D iNAVs reconstructed with $textit{l}_{1}$-ESPIRiT. Then, the high-resolution coronary MRA images motion corrected with autofocusing using the $textit{l}_{1}$-ESPIRiT and DL model-based 3D iNAVs are assessed for differences. Results: 3D iNAVs reconstructed using the DL model-based approach and conventional $textit{l}_{1}$-ESPIRiT generate similar global and localized motion estimates and provide equivalent coronary image quality. Reconstruction with the unrolled network completes in a fraction of the time compared to CPU and GPU implementations of $textit{l}_{1}$-ESPIRiT (20x and 3x speed increases, respectively). Conclusion: We have developed a deep neural network architecture to reconstruct undersampled 3D non-Cartesian VD cones iNAVs. Our approach decreases reconstruction time for 3D iNAVs, while preserving the accuracy of non-rigid motion information offered by them for correction.
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