Phillip DiGiacomo1, Elizabeth Tong1, Julian Maclaren1, Murat Aksoy1, Roland Bammer1, Brian Rutt1, and Michael Zeineh1
1Stanford University, Stanford, CA, United States
Synopsis
The
advancements in signal to noise ratio (SNR), contrast, and resolution enabled
by high-field MR systems may visualize more nuanced brain anatomy and pathology.
In order to translate these advancements to the discovery and clinical
implementation of novel neuroimaging biomarkers, motion artifact resulting from
requisite long scan times must be addressed. Here, we demonstrate a novel
prospective optical motion tracking and correction system using a camera seamlessly
integrated into the 7T Tx/Rx head coil. The integrated camera allows tracking
of head motion by visualizing an optical marker on the forehead of human
subjects in a 7T MR system.
Introduction
High-field (7T) MRI systems can produce images with higher SNR and
spatial resolution than clinical MR systems (1.5, 3T). However, achieving both
high SNR and high resolution requires long scan-times, often resulting in image
artifacts due to subject motion. Addressing motion artifact is a pivotal step
in translating 7T systems to identify novel imaging-based biomarkers of
disease. Retrospective methods for motion correction are available1 but
require longer post-processing time and may degrade images from overlaps and
gaps in K-space.2 Prospective motion correction methods, which
compensate for motion in real-time, often rely on optical monitoring using a
camera to obtain the required tracking data. Several studies have successfully
used MR-compatible cameras mounted inside the bore of the magnet for optical
tracking at 7T. However, these studies have used mouthpieces to mount the tracking
marker and/or large bore-mounted cameras,3-4 limiting line-of-sight on systems utilizing close-caged head
coils. Our prior work implemented a proof-of-concept
prospective motion correction system at 7T with a coil-mounted camera external
to the coil pointing towards a marker attached to the subject’s cheek.5 The
goal of the present study was to fully integrate the camera by mounting between
Tx and Rx shells, allowing the optical marker to be placed on the subject’s
forehead, providing a more rigid coupling between the subject’s head and the
marker with much improved patient tolerance. This is expected to improve system
performance and enable prospective tracking at 7T in patients, facilitating
discovery of novel neuroimaging biomarkers.Methods
The prospective tracking system utilized here
consisted of an MR‐compatible camera, a marker, and a tracking computer. Utilizing a CAD model of the transmit and receive portions of a Nova
Medical 2 Tx/32 Rx head coil for a 7T GE MR950 scanner, a single MR-compatible
camera was designed and built to be mounted between the Tx and Rx coils (Figure
1), enabling direct line-of-sight to the checkerboard-marker placed with
adhesive on the subject’s left forehead. The location of the camera within the
MRI bore was calibrated as in our prior work.6 Initial validation of was conducted using a
‘papaya phantom’, with deliberate rotational (rotating ~45-degrees to the left
or right every 30 seconds) motion applied using a wooden rod. A T1-weighted whole-brain
3D-BRAVO sequence (0.94x0.94x1.5mm,
TE=3.12, TR=9.4, 4min) was acquired twice, once without and once with motion
correction. To test the system in vivo, the same 3D-BRAVO as well as 2D-GRE (6 slices at 0.31x0.31x1.2mm3,
TE=20, TR=300, 2.5min) sequences were each acquired four times on a single
subject: no motion with and without correction, with motion (discrete rotations
~45 degrees to the left or right every 30 seconds) with and without correction.
To then demonstrate the utility of this system in enabling high-quality
acquisitions of otherwise untenably long scans with ultra-high-resolution, a 2D
GRE sequence (6
slices at 0.14x0.14x1.0mm3, TE=20,
TR=300, 8NEX, 20min) was acquired with no deliberate motion and with correction.Results
The phantom validation study shows demonstrable
improvement of motion by prospective motion-correction (Fig. 2B).
On a volunteer without deliberate rotational motion,
the images are of similar quality without (Fig.
3A) or with (Fig. 3C)
motion-correction. Deliberate motion without correction resulted in poor and
almost unusable image quality (Fig. 3B,
4B). This was significantly improved with motion-correction (Fig. 3D, 4D), enabling visualization of
both gray-white differentiation (Fig. 3D)
and deep-gray and brainstem nuclei (Fig.
4D).
The ultra-high-resolution 2D GRE sequence with
motion correction demonstrated exquisite quality images despite a long scan
time and with high-resolution visualization of the hippocampus and remainder of
visualized brain (Fig. 5).
Discussion
Motion-correction for both deliberate and involuntary motion was
successfully demonstrated on human subjects, producing high-quality images,
without introducing significant spurious artifacts. This study demonstrates the
feasibility of a prospective optical motion-tracking system at 7T using a coil-integrated
camera and marker attached to the subject’s forehead.Conclusion
Our motion-correction
system demonstrates potential to overcome motion artifact at 7T, one of the
biggest challenges precluding the utilization of ultra-high-field MR in both
research and clinical settings. This practical and user-friendly design allows
longer scan-times and finer image resolution, which may facilitate discovery of
novel biomarkers of aging and disease in the brain. Acknowledgements
The
authors would like to acknowledge research support by GE Healthcare, NIH P41
EB015891, NIH S10 RR026351-01A1, and ASNR Boerger Alzheimer’s Fund.References
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