Suhao Qiu1, Zhao He1, Runke Wang1, Ruokun Li2, Fuhua Yan2, and Yuan Feng1
1the Institute for Medical Imaging Technology, Shanghai Jiao Tong University, Shanghai, China, 2the Department of Radiology, Ruijin Hospital, Shanghai, China
Synopsis
Effective actuators are crucial
for brain magnetic resonance elastography (MRE). In this
study, we designed, tested, and verified an electromagnetic actuator. With a grappler-shaped
design, the actuator was easy to use and comfortable to wear on head. Phantom and brain experiments indicated
that the proposed actuator did not interference with routine imaging sequences.
It generated stable shear waves with a full width at half maximum of 0.3 Hz in
the frequency spectrum. Phantom and brain MRE demonstrated that the actuator could carry out multi-frequency MRE with a high frequency accuracy.
Introduction
Magnetic resonance elastography (MRE) is one of the few non-invasive
methods that can measure the brain tissue in vivo. 1 Different from the clinical
application of MRE in liver tissue measurement, shear waves must be effectively
transmitted through the skull. 2,3 Therefore, an effective actuator
for brain MRE is desired.
Current clinically used actuator is pneumatically driven, but studies
have shown that it might produce extra peaks in the frequency spectrum. 4 The mechanical actuator can generate accurate frequency but may produce extra noise due to an external motor. 4,5 Electromagnetic actuator, like the
piezo-electric actuator, is convenient to control, and
the actuation frequency can be accurately tuned. 6 However, the challenge of
using an electromagnetic actuator is the electromagnetic compatibility. 6 In addition, a specific design
for convenient usage in clinical settings is also crucial. 7
In this study, we proposed an electromagnetic actuator for brain MRE. A
grappler design was used to transmit waves to the whole brain. The performances
of the actuation in terms of frequency accuracy, electromagnetic compatibility,
and wave generation were evaluated.Methods
With a splint-like
structure, a support frame holds the actuation coil in place on the top of the
MR head coil (Figure 1a). A transmission bar is designed to connect the
actuation coil to 5 vibration plates, transmitting the vibration from the
actuation coil to the plates. A curved design is adopted for all vibration
plates for better fitting of the head. Soft elastic bandages could be used to
wrap around the vibration plates to ensure that the plates hold the whole brain
firmly. The components that stand outside of the head coil have a height of 7.5
cm (Figure 1b). Therefore, the whole actuator could fit into the MR bore
easily.
We evaluated the
performance of frequency actuation of the proposed actuator and compared it
with that of a pneumatic actuator. Vibrations of the actuator during MRE were
recorded using an accelerometer with a gradient echo (GRE) based MRE sequence and
an echo planar imaging (EPI) based MRE sequence. A 3T MRI scanner (uMR 790,
United Imaging Healthcare, Shanghai, China) was used for the experiment and all following imaging.
To estimate the magnetic
field produced by the actuation coil more precisely, finite element simulations
were carried out using COMSOL. In addition, to evaluate the overall influence
of the metal components, we tested the electromagnetic compatibility by
measuring the signal-to-noise (SNR) ratio of a spherical liquid phantom with a T1
weighted (T1W) and T2 weighted (T1W) clinical sequence, respectively.
A 1:1 human skull
model was manufactured to evaluate the performance of the actuator. The brain
tissue was simulated by filling the skull with glycerol gelatin 8 and three cylindrical agar phantoms with different
concentrations as inclusions. In addition, three healthy volunteers were also
recruited for MRE imaging. A 2D GRE based MRE sequence was used for image
acquisition. After phase unwrapping and filtering, shear modulus map was
estimated using a local frequency estimation (LFE) method. 9Results and discussion
The
frequency spectra showed the full width at half maximum (FWHM) value of each
measured frequency was ~1 Hz for both actuators (Figure 2a). Compared with the
spectrum of the pneumatic actuator, we observed no significant off-center
frequency component for the electromagnetic actuator. In addition, the FWHM of
the vibration frequency was ~0.3 Hz with few off-central frequency peaks when without
applying any imaging sequence (Figure 2b). Compared with the GRE-based MRE
sequence, the FWHM of the EPI-based MRE sequence was smaller and less
background noise was also observed.
The
simulated magnetic flux density showed that the ROI of the MRE imaging was
outside the 3-G contour (Figure 3), which was less than one part in 10000
compared with the 3-T field.
Therefore, the interference of the fringe field produced by the actuator was at
a paltry level.
Images
of the SNR test showed no observable difference in both T1W and T2W images (Figure 4). Analysis of the SNR values from 6 different slices from each set of images
showed no significant differences. This indicated that the proposed actuator did
not interfere with the imaging.
For the phantom and volunteer
imaging, the real part of the first harmonic of the displacement components in three
encoding directions at 30 Hz were shown in Figure 5. The calculated elastogram
showed a clear distinguishing stiffness map between the three agar inclusions. Clear
wave patterns could be observed in three directions within the brain.Conclusion
In
this study, we proposed an electromagnetic actuator for brain MRE. The
vibration was transmitted into the brain via a grappler-shaped design. Simulation,
phantom, and human experiment results showed the proposed actuator could carry
out MRE measurements with multiple frequencies and high frequency accuracy.
Future studies include using the actuator in a couple of clinical
investigations.Acknowledgements
Funding support from
grant 31870941 from National Natural Science Foundation of China (NSFC) and
grant 1944190700 from Shanghai Science and Technology Committee (STCSM) are
acknowledged.References
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