Navid Samavati1,2, Clara Körting1, Toni Drießle3, Stefan Wintzheimer3, Jing Guo1, Florian Dittmann1, Ingolf Sack1, and Jürgen Braun2
1Department of Radiology, Charité University Medicine, Berlin, Germany, 2Department of Medical Informatics, Charité University Medicine, Berlin, Germany, 3Pure Devices GmbH, Würzburg, Germany
Synopsis
A fully integrated tabletop MR elastography (MRE) system based on a
0.5-T permanent magnet for investigations of small tissue samples is
introduced. A 3D spin echo MRE sequence allows control of all MRE parameters
including frequency and amplitude of a piezoelectric actuator. The device
enables fully automated measurements of maps of viscoelastic parameters in soft
tissue samples by 3D multifrequency MRE. Initial results are in good agreement to
published data and demonstrate the great potential of the system as a
preclinical research unit in histopathological laboratories and operating
rooms.Background
Magnetic resonance elastography (MRE) [1] enables
non-invasive measurement of viscoelastic parameters of biological tissues for diagnosis
of various diseases [2] with high spatial resolution [3]. The correlation
between MRE measured tissue properties with disease related changes in the underlying
viscoelastic network is an active area of research [4-8]. To better understand
the relationship between gross mechanical properties and tissue micro-structure,
investigations of fresh specimens by MRE and histological methods are needed -
ideally at the same bench. We here introduce a compact and fully automated
tabletop MRE system which can be placed in the operating room where fresh
tissue samples are obtained or near the histopathologist's desk in order to
facilitate a one-to-one correlation between MRE and clinical tissue
characterization.
Method
In a previous work,
tabletop MRI (Pure Devices GmbH, Würzburg, Germany) with a 0.5T permanent magnet
and a loudspeaker-based actuator was used to perform 2D-MRE [9]. We revised
this system by an external gradient amplifier (DC 600, Pure Devices GmbH,
Würzburg, Germany), an integrated MRI system-controlled piezoelectrical driver (Piezosystem
Jena GmbH, Jena, Germany) and 3D spin-echo based wave image acquisition.
Components of the compact MRE system are shown in Fig. 1. Since the piezoelectric
actuator is controlled by the pulse sequence (Fig. 2), MRE-related parameters
including drive frequency and mechanical deflection amplitude can be
pre-adjusted along with the imaging parameters in order to facilitate fully
automated mechanical tests.
To demonstrate the system, ultrasound gel as used in [9] and a
calf-liver sample of approximately 0.5 ml volume were investigated. Vibration
frequencies were 500, 750 and 1000Hz with frequency-synchronized motion
encoding gradients (MEGs) of 4, 6, and 8 cycles, respectively. MEG amplitude was 1.2
T/m. Further imaging parameters: 4-8 transverse slices with either 0.2×0.2×1.6
mm
3 or 0.2×0.2×0.8 mm
3 resolution and 64×64×4 or 64×64×8
matrix size, 8 wave dynamics, full field acquisition, 1 average, TR = 200 msec,
TE = 10-20 msec, total acquisition time from 33 to 67 min depending on the
number of slices. To ensure the comparability of values, the post processing
pipeline was identical to the method described in [9] including phase
unwrapping, bandpass filtering and algebraic Helmholtz inversion retrieving
complex shear modulus (G*) maps.
Results
The system was validated
by the ultrasound gel sample. |G*| values were 1.3, 2.2, and 4.5 kPa for
vibration frequencies of 500, 750, and 1000 Hz, respectively, which are in good
agreement with the average value of 2.9 kPa reported in [9]. Fig. 3 shows wave
images for a central slice of the 3D volume of the calf-liver sample for all
motion components for vibration frequencies of 500, 750, and 1000 Hz. Due to
the setup of the system, the main motion component is out of plane
(y-direction), which is the direction of the vibrations produced by the piezoelectric
actuator. The in-plane components are approximately six times smaller. |G*| values
for the y-component were 2.3, 4.9, and 6.4 kPa for vibration frequencies of 500,
750, and 1000 Hz, respectively, and were not comparable with the ones reported in [9] possibly due to different specimen storage conditions. Eight consecutive
slices of the same sample are shown in Fig. 4 indicating uniform shear wave
patterns along the y-direction.
Discussion and Conclusion
The proposed tabletop
MRE system is capable of acquiring fully automated multi-frequency 3D shear wave
images and related viscoelastic parameters. Although the MRE setup is capable
of acquiring full 3D data, it may be possible to consider only the dominant
in-plane motion component. In combination with adapted elasticity
reconstruction algorithms, it would then be possible to shorten the acquisition
time and to further enhance the quality of the viscoelastic parameter maps.
Such technology provides a portable, low cost, and highly sensitive
elastography modality which fosters research in tissue mechanics in a preclinical and clinical environment.
Acknowledgements
No acknowledgement found.References
[1] Muthupillai R, et al. Magnetic resonance elastography by direct visualization of
propagating acoustic strain waves. Science. 1995, 269:1854-7.
[2] Glaser KJ, et al. Review of MR elastography applications and recent
developments. J Magn Reson Imaging. 2012; doi: 10.1002/jmri.23555.
[3] Braun J, et al. High-resolution
mechanical imaging of the human brain by three-dimensional multifrequency
magnetic resonance elastography at 7T. Neuroimage. 2014, 90:308-14.
[4] Reiter R, et al. Wideband MRE and static mechanical indentation of
human liver specimen: Sensitivity of viscoelastic constants to the alteration
of tissue structure in hepatic ?brosis. J Biomech, 2014, 47:1665-74. [5]
Millward J, et al. Tissue structure and inflammatory processes shape
viscoelastic properties of the mouse brain. NMR Biomed, 2015, 28:831-9.
[6] Sack
I, et al. Structure-sensitive elastography: on the viscoelastic powerlaw
behavior of in vivo human tissue in health and disease. Soft Matter. 2013; 9:
5672-80.
[7] Klein C, et al. Enhanced Adult Neurogenesis Increases Brain
Stiffness: In Vivo Magnetic Resonance Elastography in a Mouse Model of Dopamine
Depletion. PLoS One, 2014, 25:e92582.
[8] Freimann F, et al. MR elastography in
a murine stroke model reveals correlation of macroscopic viscoelastic
properties of the brain with neuronal density. NMR Biomed, 2013, 26:1534-9.
[9]
Ipek-Ugay S, et al. Tabletop Magnetic Resonance Elastography for the
Measurement of Viscoelastic Parameters of Small Tissue Samples. J Magn Reson,
2015, 251:13-8.