No Arabic abstract
A to-date unsolved and highly limiting safety concern for Ultra High-Field (UHF) magnetic resonance imaging (MRI) is the deposition of radiofrequency (RF) power in the body, quantified by the specific absorption rate (SAR), leading to dangerous tissue heating/damage in the form of local SAR hotspots that cannot currently be measured/monitored, thereby severely limiting the applicability of the technology for clinical practice and in regulatory approval. The goal of this study has been to show proof of concept of an artificial intelligence (AI) based exam-integrated real-time MRI safety prediction software (MRSaiFE) facilitating the safe generation of 3T and 7T images by means of accurate local SAR-monitoring at sub-W/kg levels. We trained the software with a small database of image as a feasibility study and achieved successful proof of concept for both field strengths. SAR patterns were predicted with a residual root mean squared error (RSME) of <11% along with a structural similarity (SSIM) level of >84% for both field strengths (3T and 7T).
In neuroimaging, MRI tissue properties characterize underlying neurobiology, provide quantitative biomarkers for neurological disease detection and analysis, and can be used to synthesize arbitrary MRI contrasts. Estimating tissue properties from a single scan session using a protocol available on all clinical scanners promises to reduce scan time and cost, enable quantitative analysis in routine clinical scans and provide scan-independent biomarkers of disease. However, existing tissue properties estimation methods - most often $mathbf{T_1}$ relaxation, $mathbf{T_2^*}$ relaxation, and proton density ($mathbf{PD}$) - require data from multiple scan sessions and cannot estimate all properties from a single clinically available MRI protocol such as the multiecho MRI scan. In addition, the widespread use of non-standard acquisition parameters across clinical imaging sites require estimation methods that can generalize across varying scanner parameters. However, existing learning methods are acquisition protocol specific and cannot estimate from heterogenous clinical data from different imaging sites. In this work we propose an unsupervised deep-learning strategy that employs MRI physics to estimate all three tissue properties from a single multiecho MRI scan session, and generalizes across varying acquisition parameters. The proposed strategy optimizes accurate synthesis of new MRI contrasts from estimated latent tissue properties, enabling unsupervised training, we also employ random acquisition parameters during training to achieve acquisition generalization. We provide the first demonstration of estimating all tissue properties from a single multiecho scan session. We demonstrate improved accuracy and generalizability for tissue property estimation and MRI synthesis.
Access to and availability of MRI scanners is typically limited by their cost, siting and infrastructure requirements. This precludes MRI diagnostics, the reference standard for neurological assessment, in patients who cannot be transported to specialized scanner suites. This includes patients who are critically ill and unstable, and patients located in low-resource settings. The scanner design presented here aims to extend the reach of MRI by substantially reducing these limitations. Our goal is to shift the cost-benefit calculation for MRI toward more frequent and varied use, including improved accessibility worldwide and point of care operation. Here, we describe a portable brain MRI scanner using a compact, lightweight permanent magnet, with a built-in readout field gradient. Our low-field (80 mT) Halbach cylinder design of rare-earth permanent magnets results in a 122 kg magnet with minimal stray-field, requiring neither cryogenics nor external power. The built-in magnetic field gradient reduces reliance on high-power gradient drivers, which not only lowers overall system power and cooling requirements, but also reduces acoustic noise. Imperfections in the encoding fields are mitigated with a generalized iterative image reconstruction technique, that uses prior characterization of the field patterns. Our system was validated using T1, T2 and proton density weighted in vivo brain images with a spatial resolution of 2.2 x 1.3 x 6.8 mm$^3$.
Multi-shot echo planar imaging (msEPI) is a promising approach to achieve high in-plane resolution with high sampling efficiency and low T2* blurring. However, due to the geometric distortion, shot-to-shot phase variations and potential subject motion, msEPI continues to be a challenge in MRI. In this work, we introduce acquisition and reconstruction strategies for robust, high-quality msEPI without phase navigators. We propose Blip Up-Down Acquisition (BUDA) using interleaved blip-up and -down phase encoding, and incorporate B0 forward-modeling into Hankel structured low-rank model to enable distortion- and navigator-free msEPI. We improve the acquisition efficiency and reconstruction quality by incorporating simultaneous multi-slice acquisition and virtual-coil reconstruction into the BUDA technique. We further combine BUDA with the novel RF-encoded gSlider acquisition, dubbed BUDA-gSlider, to achieve rapid high isotropic-resolution MRI. Deploying BUDA-gSlider with model-based reconstruction allows for distortion-free whole-brain 1mm isotropic T2 mapping in about 1 minute. It also provides whole-brain 1mm isotropic diffusion imaging with high geometric fidelity and SNR efficiency. We finally incorporate sinusoidal wave gradients during the EPI readout to better use coil sensitivity encoding with controlled aliasing.
Respiration causes time-varying frequency offsets that can result in ghosting artifacts. We propose a solution, which we term dynamic realtime z-shimming, wherein linear gradients are adjusted dynamically (slice-wise) and in real-time, to reflect magnetic field inhomogeneities that arise during image acquisition. In dynamic z-shimming, a method that is commonly used to reduce static frequency offsets in MR images of the spinal cord and brain, in-plane (static) frequency offsets are assumed to be homogeneous. Here we investigate whether or not that same assumption can be made for time-varying frequency offsets in the cervical spinal cord region. In order to explore the feasibility of dynamic realtime z-shimming, we acquired images using a pneumatic phantom setup, as well as in-vivo. We then simulated the effects of time-varying frequency offsets on MR images acquired with and without dynamic realtime z-shimming in different scenarios. We found that dynamic realtime z-shimming can reduce ghosting if the time-varying frequency offsets have an in-plane variability (standard deviation) of approximately less than 1 Hz. This scenario was achieved in our phantom setup, where we observed a 50.2% reduction in ghosting within multi-echo gradient echo images acquired with dynamic realtime z-shimming, compared to without. On the other hand, we observed that the in-plane variability of the time-varying frequency offsets is too high within the cervical spinal cord region for dynamic realtime z-shimming to be successful. These results can serve as a guideline and starting point for future dynamic realtime z-shimming experiments in which the in-plane variability of frequency offsets are minimized.
Multi-contrast Magnetic Resonance Imaging (MRI) acquisitions from a single scan have tremendous potential to streamline exams and reduce imaging time. However, maintaining clinically feasible scan time necessitates significant undersampling, pushing the limits on compressed sensing and other low-dimensional techniques. During MRI scanning, one of the possible solutions is by using undersampling designs which can effectively improve the acquisition and achieve higher reconstruction accuracy. However, existing undersampling optimization methods are time-consuming and the limited performance prevents their clinical applications. In this paper, we proposed an improved undersampling trajectory optimization scheme to generate an optimized trajectory within seconds and apply it to subsequent multi-contrast MRI datasets on a per-subject basis, where we named it OUTCOMES. By using a data-driven method combined with improved algorithm design, GPU acceleration, and more efficient computation, the proposed method can optimize a trajectory within 5-10 seconds and achieve 30%-50% reconstruction improvement with the same acquisition cost, which makes real-time under-sampling optimization possible for clinical applications.