Joelle E Sarlls1, Francois Lalonde2, J Andrew Derbyshire3, Sean Marrett3, Patrick Hucker4, Maxim Zaitsev4, and S Lalith Talagala1
1NINDS/NMRF, National Institutes of Health, Bethesda, MD, United States, 2NIMH/DNU, National Institutes of Health, Bethesda, MD, United States, 3NIMH/fMRIF, National Institutes of Health, Bethesda, MD, United States, 4MR Development and Application Center, University Medical Center Freiburg, Freiburg, Germany
Synopsis
Subject motion during MRI results in poor image
quality and may cause bias in the morphormetric measures extracted from
segmentation algorithms. Prospective motion correction (PMC) techniques can
mitigate these effects by tracking brain motion and updating the scan
parameters in realtime. Here, we compared the accuracy of cortical thickness
and volume extracted from MPRAGE data of non-moving and intentionally moving
subjects when using a PMC method based on a Moire phase tracking marker and an optical
system. Data show that the PMC
method used here can greatly reduce image artifacts and provide more accurate
segmentation resuIts during intentional motion.
Introduction
Subject motion has a deleterious effect on
high-resolution structural MRI. The image artifacts from motion not only result
in poor image quality, but also can bias the anatomical morphormetric measures
extracted from segmentation algorithms1. Prospective motion correction (PMC) techniques
can mitigate these effects by tracking brain motion and updating the scan
parameters accordingly2. Head motion can be monitored either by
utilizing MR navigator data or by using external hardware. It has been shown
that the reproducibility and accuracy of cortical and subcortical measures can
be significantly improved when using navigator-based PMC techniques in the
presence of motion3-6. In this study, we compare morphometry
measures extracted from MPRAGE data of non-moving and intentionally moving
subjects when using a PMC method based on an optical motion tracking system.Methods
MPRAGE data were acquired
on healthy adults (n=3) at 3T (Skyra, Siemens Healthcare, Erlangen, Germany) with a 32-channel head coil using PMC with the following scan parameters:
TE/TR=2.2/2530ms, IR=1100ms, ESP=6.6ms, FA=7°, iPAT = 2, 1x1x1mm, scan time = 6 min 2 s. PMC was accomplished using a Moire phase
tracking marker and an optical system (KinetiCor, HI, USA)7. The marker
was affixed to a plastic rod (4 cm) glued to a sports mouth guard (ArmourShield,
Under Armour, MD, USA) customized for each subject by molding to fit the upper
teeth. The motion parameters generated by the camera were captured by the
scanner and used to update gradient amplitudes and frequency and phase of the RF pulses to maintain the scan
plane and FOV before acquisition of each k-space line.
Subjects
were instructed either not to move or perform alternating side-to-side and
nodding motions 3 times when cued, yielding about 20 seconds of movement 5
times (once every minute) during the scan.
The image
data were acquired under 4 different conditions i) No intentional motion and no
PMC (reference condition); ii) With intentional motion and with PMC; iii) No
intentional motion and with PMC; iv) With intentional motion and no PMC. Data
from each condition were acquired twice. Measurements of cortical
thickness and volume
were extracted using FreeSurfer 5.38 and values for each lobe were
calculated by combining the relevant regions. The accuracy of each morphometry measure was estimated for
each experimental condition as the normalized percent difference from the reference
condition averaged across subjects.Results
All
subjects completed the scans and none reported any discomfort due to the mouth
guard. Representative images from one subject are shown in Fig. 1.
Images show significant reduction in image artifacts during the intentional
motion condition with PMC compared to no PMC condition. In
addition, it can be seen that the images acquired in the no-move conditions
with and without PMC agree very well. Figure 2 shows the correponding
motion parameters of both runs (without and with PMC) when intentional motion
was performed. The within-subject motion was similar between the experimental
conditions (Figs. 2A and 2B). The translations and rotations during intentional
head motion were within +/-10mm and +/-5°, respectively. Figure 3 shows the segmentation results from
FreeSurfer for the same subject in Fig. 1.
Figure 3 A-C show that the artifacts from motion result in segmentation
errors, as indicated by yellow arrows.
These gross errors in segmentation are eliminated with PMC, as seen in
Fig. 3. D-F. Figure 4 shows the the calculated accuracy of cortical volume and thickness in the left
hemisphere. As expected, with subject motion and no PMC, morphometry measures
contain errors from 5-39%. When PMC is
applied, the data show very good agreement (within ~5%) with the reference
condition. Similar results were obtained for the right hemisphere lobes
(data not shown). Discussion
The accuracy
of morphometry measures extracted from FreeSurfer were significantly affected
by subject motion, with a bias towards decreased volume and thickness. In this
preliminary study, we observed that prospective motion correction using optical
tracking can be used to significantly reduce image artifacts and provide more
accurate segmentation resuIts during intentional motion. We believe the type of
mouth guard used here (attached to the upper teeth only) will be well tolerated
by most subjects. Image quality with PMC may be further improved by using a fat-saturated
MPRAGE protocol and rejecting echo trains during the onset of most rapid
movements to reduce residual ringing.
These refinements will be investigated in future studies with a larger
number of subjects.Acknowledgements
No acknowledgement found.References
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