Synopsis
This
work introduces a new visualization method called amplified Magnetic Resonance
Imaging (aMRI), which uses Eulerian Video Magnification to amplify subtle
spatial variations in cardiac-gated brain MRI scans and magnify brain motion. This approach reveals
deformations of brain structures
and displacements of arteries due to cardiac pulsatility, especially in the brainstem,
cerebellum, and spinal cord. aMRI has the
potential for widespread neuro- and non-neuro clinical application, because it
can amplify and characterize barely perceptible motion, and allows visualization
of biomechanical responses of tissues using the heartbeat as an endogenous
mechanical driver. Introduction
Intrinsic motion of
brain parenchyma, spinal cord and arteries can be altered by pathology or
natural factors as a result of changing tissue properties, vascular compliance,
and pressure and flow dynamics.
Conventional MRI has limited ability to image these changes, partly because
of its lack of sensitivity to small but macroscopic motion. Here, we introduce a new motion detection and
visualization method called amplified Magnetic Resonance Imaging (aMRI). aMRI uses the Eulerian Video Magnification
technique (EVM) method [1], originally developed for use in conventional
videography, to magnify cardiac-induced brain motion recorded by
retrospectively cardiac-gated MRI. The
heart is assumed to act as an endogenous mechanical driver, producing subtle changes
that can be amplified to reveal useful biomechanical information.
Methods
Image
acquisition: With IRB approval, we
scanned 4 healthy volunteers (2M/2F,
29-64 years old) using 3T GE MR750 Discovery MRI system (GE Healthcare,
Milwaukee, WI) and an 8-channel head coil. The
aMRI method is implemented with the cardiac-gated balanced steady-state
free precession (bSSFP) sequence [2] (
Fig. 1a) to produce cine MRI images. For all scans, a 2D
mid-sagittal slice of the brain was obtained (matrix size = 224
2,
flip angle = 45°, TR/TE = 3.6/1.3 msec; FOV = 24 mm
2;
slice-thickness = 4 mm, acceleration factor [R]= 2, peripheral cardiac gating, views/segment
[N
seg] = 1, retrospective re-binning of data to 150 cardiac phases, scan
time = 3:30 min). Phase-contrast cine MR images were acquired as a gold standard
[3] (matrix size = 224
2, 42 slices, flip angle = 15°, TR/TE = 5.5/12
ms; FOV = 24 cm
2; slthck = 4 mm, V
enc = 5 cm/sec in A/P and S/I directions, R
= 2, N
seg = 10, scan time = 5 min). To
test the hypothesis that aMRI reflects tissue compliance, we manipulated intracranial
pressure in three volunteers by performing a 20sec physiologic challenge called the
Valsalva maneuver [4]. Motion amplification:
Fig. 1b describe the EVM method: it takes cine MRI data as ‘video input’,
performs spatial decomposition, then temporal filtering and frequency-selective
amplification of the spatial components to synthesize a motion-amplified cine
data set. For
this study, we used: an ideal narrowband filter with a pass band of 0.5-1.5 Hz,
corresponding to a cardiac cycle of 30-90 beats per minute; a user-defined amplification parameter, α = 200; and spatial frequency cutoff, λ
c =
200. Normalized
variance maps (calculated over the cardiac cycle) and difference maps (amplified frames minus
corresponding unamplified/reference frames) were produced.
Results
Figure
2 and its associated movie
Video 1
illustrate a dataset where output images displayed amplified subtle motion of
brain structures arising from cardiac pulsatility. While movement of the brain
was barely perceptible in the input data, it was significantly amplified in the
output images, especially near the brainstem, cerebellum and spinal cord. This
motion is highlighted in a spatiotemporal x-t and y-t slice-time profile
through the brain (
Fig. 2a-c). Difference maps and variance maps (
Fig. 2d-e) also show amplified motion.
Figure 3 clearly demonstrates that
amplified displacement of aMRI produces better visualization of brain motion
than the subtle, unamplified displacement revealed by phase-contrast MRI. For the Valsalva experiment, participants showed considerably reduced
brain tissue displacement during the Valsalva maneuver compared
with that during free breathing (
Figure 4).
These findings support the expectation that increased intracranial pressure
induced by the Valsalva maneuver reduces brain tissue motion [5]. It
is important to note that there is no simple relationship
converting values of α and λ
c to
a physical amplification factor, as noted in the original EVM paper [1]. In our implementation, our heuristic focused
on achieving adequate motion amplification without the introduction of
confounding image artifacts and noise, by independently adjusting α
and λ
c.
Conclusion
Here we introduce a new MR-based method called aMRI, in which near-imperceptible
brain motion can be enhanced through spatio-temporal processing of dynamic
cardiac-gated MRI acquisitions. Using aMRI, one may observe important
biomechanical aspects of the brain and potentially other organs in a
non-invasive manner that may shed light on a large number of clinical
applications in medical imaging. This approach may enable the characterization of
brain tissue integrity in a wide range of neurological diseases in which
changes in the biomechanical properties of the brain can lead to dramatic
changes in pressure and flow dynamics, and hence tissue motion.
Acknowledgements
Helpful
discussions – Sam Cheshier, Thomas Christen, David Feinberg, Gary Glover,
Gerald Grant, Jürgen Hennig, Bronwen Holdsworth, Michael Iv, Rob Lober, Julian
Maclaren, Manoj Saranathan, Stefan Skare, Allan White, Kristen Yeom. Grant
support and other assistance: NIH 2RO1 NS047607-06, Stanford Interdisciplinary
Graduate Fellowship, Center of Advanced MR Technology at Stanford (P41
EB015891), and the Lucas Foundation.References
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