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Digital Poster (no CME credit)

SMRT Ed Session

SMRT Poster Presentations  (no CME credit)

Saturday, 15 May Sunday, 16 May Monday, 17 May Tuesday, 18 May Wednesday, 19 May Thursday, 20 May

Saturday, 15 May 2021

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Tutorial

Tutorial: Software Demos for MRI I

Organizers: Justin Haldar, Florian Knoll
Concurrent 1
Saturday 7:00 - 8:00
Moderators:
: Maria Eugenia Caligiuri & Patricia Johnson & Rodrigo Lobos & Jonathan Tamir

: Justin Haldar & Florian Knoll
Parent Session: Tutorial: Software Demos for MRI I
(no CME credit)
7:00
TBD


Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: ASL MRI I

Concurrent 1
Saturday 9:00 - 10:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI I
(no CME credit)
9:00
How to Analyse Your Physiological MRI Data: Arterial Spin Labelling


Weekend Course

Simultaneous Multiparameter & Multidimensional Cardiovascular MRI

Organizers: Aleksandra Radjenovic, Anthony Christodoulou
Concurrent 1
Saturday 13:00 - 13:45
Moderators:
Background & Overview of Methods: Olivier Jaubert & Davide Piccini

State-of-the-Art Applications & Future Outlook: Matthias Stuber
Parent Session: Simultaneous Multiparameter & Multidimensional Cardiovascular MRI
13:00
Current Status of Quantitative CMR in the Clinic
Charlotte Manisty

13:30
Basics of Multicontrast/Multiparametric Imaging
Yuchi Liu

This presentation aims to introduce the scientific/technical basics of multi-contrast/multi-parametric imaging. The motivation of simultaneous multiparametric mapping will be introduced, followed by acquisition schemes and reconstruction approaches.

14:00
Panel + Q&A I
Yuchi Liu

This presentation aims to introduce the scientific/technical basics of multicontrast/multiparametric imaging. The motivations will be introduced, followed by acquisition schemes and reconstruction approaches. Specific examples in cardiovascular applications will also be discussed, including IR TrueFISP (CABIRIA) approach, cardiac MRF, and multicontrast imaging using multitasking.

14:30
Panel + Q&A I
Charlotte Manisty

15:00
Basics of Multidimensional Imaging
Li Feng

This educational talk aims to describe the basics of multidimensional imaging. The audience is expected to learn (1) what is multidimensional imaging, (2) what are the benefits and challenges of doing multidimensional imaging, (3) what are the key components in implementing multidimensional imaging, (4) how can one generate extra dimensions in cardiovascular MRI, (5) what extra dimensions can we have, and finally (6) what are current clinical applications of multidimensional imaging. Specifically, the talk will give examples of cardiovascular MRI with extra motion dimensions and/or extra contrast dimension for free-breathing comprehensive and quantitative MRI.

15:30
State-of-the-Art Vascular Applications
Yibin Xie

Multicontrast, multiparametric and multidimensional MRI is a group of emerging paradigm-shifting MRI techniques that provides unique advantages over conventional MRI method in imaging speed and motion-robustness. It also offers a powerful platform for quantitative imaging and opens new opportunities for probing various physiological dynamics. In this talk I will provide an overview of the state of the art of vascular imaging based on multicontrast, multiparametric and multidimensional MRI, as well as an outlook for future research directions and clinical translation.

16:00
State-of-the-Art Cardiac Applications
Liliana Ma

The field of multidimensional and multiparametric imaging has gained increasing traction and momentum with advances in hardware, sampling patterns, and reconstruction techniques. This talk aims to expand on some of the techniques introduced earlier in the session, with an emphasis on state-of-the-art cardiac applications in clinical and patient populations. Techniques covered will include free-running respiratory-resolved 3D cine imaging, 5D flow, MR fingerprinting, multiparametric SAturationg-recovery singleSHot Acquisition, and MR multitasking, as well as advances in multidimensional reconstruction techniques for clinical integration.

16:30
Future Outlook
Leon Axel

While much progress has been made in the development of methods for multiparameter & multidimensional cardiovascular (CV) MRI, there are many technical challenges remaining to be overcome in clinical applications of them, particularly the difficulties associated with handling the large associated data sets, from data acquisition and image reconstruction, to visualization and analysis. However, if these challenges can be overcome, these new imaging methods can potentially both improve the efficiency of CV MRI, and provide powerful new means for assessing the effect of disease on the cardiovascular system, through integrated and spatially registered displays of structure, function, and tissue properties.

17:00
Panel + Q&A II
Yibin Xie

Multicontrast, multiparametric and multidimensional MRI is a group of emerging paradigm-shifting MRI techniques that provides unique advantages over conventional MRI method in imaging speed and motion-robustness. It also offers a powerful platform for quantitative imaging and opens new opportunities for probing various physiological dynamics. In this talk I will provide an overview of the state of the art of vascular imaging based on multicontrast, multiparametric and multidimensional MRI, as well as an outlook for future research directions and clinical translation.

17:30
Panel + Q&A II
Liliana Ma

The field of multidimensional and multiparametric imaging has gained increasing traction and momentum with advances in hardware, sampling patterns, and reconstruction techniques. This talk aims to expand on some of the techniques introduced earlier in the session, with an emphasis on state-of-the-art cardiac applications in clinical and patient populations. Techniques covered will include free-running respiratory-resolved 3D cine imaging, 5D flow, MR fingerprinting, multiparametric SAturationg-recovery singleSHot Acquisition, and MR multitasking, as well as advances in multidimensional reconstruction techniques for clinical integration.

18:00
Panel + Q&A II
Leon Axel


Weekend Course

MRI in Sports Imaging: Lower Extremity

Organizers: Jan Fritz, Kimberly Amrami, Xiaojuan Li, Edwin Oei
Concurrent 2
Saturday 13:00 - 13:45
Moderators:
Section 1: Shivani Ahlawat & Richard Kijowski

Section 2: Garry Gold & Hiroshi Yoshioka
Parent Session: MRI in Sports Imaging: Lower Extremity
13:00
MRI of the Muscle-Tendon Unit
Joon-Yong Jung

The muscle-tendon unit is an axis to transmit force from muscle to skeleton, and its structural integrity is a prerequisite to preserve locomotion. Myotendinous injuries frequently occur not only in elite athletes, but also in the general population participating in recreational activity. This presentation reviews the microscopic and macroscopic anatomy of muscle-tendon unit in correlation with MR findings, the diagnostic approach to myotendinous injury in lower extremities using MRI, and imaging parameters associated with longer return to play or reinjury. Additionally, promising MR techniques for assessment of myotendinous injury will be briefly touched upon.

13:30
MRI of the Athletic Hip
Adam Johnson

MRI plays a vital role in the management of hip pain in active patients. Using several cases, we will illustrate the MRI findings in some common and less common causes of hip pain. We will dive a bit deeper into the various forms of hip impingement including both intra and extra-articular causes and their associated pathology. When appropriate, we will discuss the benefit of MR arthrography over standard MRI. We will also review the recommendations from the Society of Skeletal Radiology (SSR) Subchondral Bone Nomenclature Committee as they pertain to the hip.

14:00
MRI of the Athletic Knee
Erin Alaia

In this lecture, the viewer will learn about common pathology seen on MRI of the athletic knee. The lecture will cover the MRI appearance of anterior cruciate ligament tears, meniscal tears, and knee chondral defects, as well as commonly observed associated and ancillary imaging abnormalities. Basic anatomic and functional considerations will be highlighted, along with arthroscopic correlation, in order for the viewer to better understand the MRI imaging appearance and clinical implications.

14:30
MR imaging of Sports injuries of the Ankle & Foot
Jung-Ah Choi

In this lecture, we will learn about the biomechanics and injury patterns of the ankle and foot in sports injuries. We will learn how to diagnose common sports injuries of the ankle and foot on MRI, including medial and lateral, Lisfranc ligamentous injuries, Achilles tendon tears, stress fractures, and osteochondral lesions, with recognition of limitations and pitfalls of MRI.

15:00
Functional & Kinematic MRI in Sports Medicine
Christopher Burke

Pain due to patellofemoral maltracking and femoroacetabular impingement are common reasons for presentation to sports medicine clinics. These dynamic phenomena also both represent independent risk factors for early onset osteoarthritis. Patients are usually evaluated with clinical examination supported by radiographs and standard MRI with joint held in a static position.  In addition to standard MRI protocols, additional kinematic sequences can be used in everyday orthopedic practice to aid the clinical work up and assessment of these patients. The background and potential application of these techniques are presented. 

15:30
7-Tesla Applications in Sports Imaging
Reto Sutter

7T imaging can be a powerful tool for sports imaging. While for many athletes it is possible to obtain a correct diagnosis at lower field strengths, some athletes may benefit from higher spatial resolution, and it is possible to identify use cases for sports imaging at 7T. MRI at ultra-high field strengths comes with technical challenges such as field homogeneity and fat/water separation, but these can be successfully overcome to enable high resolution imaging. Most work has been done for knee imaging and muscle imaging, but pilot studies for hip and foot imaging at 7T are available.


Weekend Course

MR Physics: From Spins to Scanner I

Organizers: Mark Ladd, Lawrence Wald
Concurrent 3
Saturday 13:00 - 13:45
Moderators: Ed Wu & Claudia Hillenbrand
Parent Session: MR Physics: From Spins to Scanner I
13:00
Spins & Their Equations of Motion
Lars Hanson

The Bloch Equations underlying all MRI, describe the motion of the nuclear magnetization subject to magnetic fields. The spin dynamics are explored interactively directly in a browser to visualize important MR concepts. The connection between classical and quantum MR descriptions are discussed and common misunderstandings are addressed. The audience is encouraged to try the demonstrated software tools (the CompassMR and Bloch Simulators) to explore other MR techniques also. It requires no installation of software.

13:30
Adding RF: Pulse Design
V. Andrew Stenger

This lecture will cover the basic concepts needed to understand the theory and implementation of slice-select RF pulses. Excitation k-space and the Fourier picture for small tip angle RF pulses will be covered. Common k-space trajectories and pulse designs will be discussed. Examples of 2D and 3D spatially selective excitations as well as spectral spatial pulse designs will be presented. Parallel transmission will be covered as well. Lastly we will cover the basics of Shinnar-LeRoux pulse design for larger flip angle pulses such as for refocusing.

14:00
Generating Contrast in MRI
Penny Gowland

This talk will consider the basic sources of contrast in MRI and the contrast mechanisms. It will also consider how yo can calculate the dependency of MRI signal on relaxation times and how you can design sequences with different sensitivities to relaxation times.

14:30
A Trip Through k-Space
Jianhui Zhong

In this presentation, we will discuss how k-space can be explored to achieve different goals for imaging, and remedies for related issues and errors. First some basic of k-space and Cartesian scans will be presented, mostly on spin-warp and EPI that are commonly used in routine clinical practice. Then we will go to other trajectories such as spiral and radial, and use MRF and others as example. Finally strategies of undersampling to speed up and more advanced k-space methods are introduced. 

15:00
Basic Sequences: Forming Echoes
Klaus Scheffler

In spin echo techniques, the first rf-pulse acts as an excitation pulse that converts longitudinal magnetization into transverse magnetization, and a second rf-pulse after TE/2 is used as a refocusing pulse that (partially) inverts the accumulated phase between excitation and refocusing, and a spin echo is formed at TE. Only one excitation pulse is applied for gradient echo techniques. The echo is generated at TE after excitation by using a gradient reversal.

15:30
Trajectories Gone Wild!
Craig Meyer

This educational talk will introduce the audience to the fundamentals, properties, and applications of non-Cartesian k-space sampling. The fundamentals of non-Cartesian imaging include sampling principles, pulse sequence design, and image reconstruction methods. Practical considerations for implementing non-Cartesian pulse sequences include gradient waveform design, k-space trajectory estimation, and correction for non-idealities such as main field inhomogeneity.  Incorporating non-Cartesian trajectories into pulse sequences such as balanced SSFP and spin-echo train sequences involves interesting challenges and presents opportunities for faster and better imaging. Non-Cartesian sampling of 3D k-space enables highly-accelerated volumetric imaging. 

 



Weekend Course

Career Development & Public Engagement

Organizers: Thomas Okell, Ivana Drobnjak, Mark Chiew
Concurrent 4
Saturday 13:00 - 13:45
Moderators:
All Sections: Lars Kasper & Carinne Piekema
Parent Session: Career Development & Public Engagement
13:00
My Career Story: An Asian Perspective
Kaori Togashi

Paths to success is not a straight one like a jungle gym and climb steady and slowly. Environment around you is different for each person depending on your country and culture. In any difficult situation, keep positive by believing your own potential and looking for what you are expected to. Faults can be strengths and adversity brings you an opportunity. The people you met are all treasure and make yourselves a resourceful person who can give a lot to others. The publication can be passport to make new encounters.

13:30
My Career Story: An Australian Perspective
Shawna Farquharson

In this presentation I will provide an overview of my journey from Radiographer to Clinical-Researcher. I will highlight professional challenges and opportunities I was faced with over the past two decades, and highlight ten (10) important lessons learnt along the way.

14:00
My Career Story: A European Industry Perspective
Liesbeth Geerts-Ossevoort

When you're in academia, it is difficult to get a good view of what working in industry entails. In this presentation, I will provide some insight into what roles exist in industry, and why you should consider a career in industry. Aim of this presentation is to help you make a better choice between a career in academia versus a career in industry. 

14:30
My Career Story: A North American Perspective
Shella Keilholz

This talk describes one person's career pathway into academia in the US.  No warranties, no guarantees.  Enter at your own risk.   

15:00
Public Engagement Overview
Stuart Clare

Engaging with the public is vital to ensure trust in science.  It can improve our research and our communication skills, and also be rewarding and fun.  To best engage, we need to identify the specific audience we are intending to engage with and ensure that our message and our method match that audience.

15:30
Enthusing the Public About Science
David Lurie

Communicating our science to the public is a very important aspect of our work. When explaining our work to a general audience, it is important to tailor our communications to the specific audience (e.g. don’t use equations unless the audience members have a technical background). In this talk I will describe some of my own experiences of various kinds of public engagement. I will show some of the props and methods that I have found useful and will give some tips and hints.

16:00
Communicating Specific Findings
Lucina Uddin

While scientific publications in peer-reviewed journals are the coin of the realm in academia, to have maximal impact on society it is essential to also communicate specific findings to a broader audience outside of your specialized research area. In this talk we will discuss how one can communicate research findings to the public through blog posts, social media, newspaper op-eds, and other outlets. Key to all types of science communication is engaging with authenticity, authority, and enthusiasm. 

16:30
Discussing Ethical Issues with the Public
Jeff Dunn

Scientists are often called upon to discuss ethical issues. We have training in how to communicate to scientists, but little training in how to communicate to the public. Yet we become science communicators anytime we enter into a science related discussion. I will touch on basic concepts in science communication to assist you in discussing ethical issues. Tools include finding common ground, don’t preach, identify the audience (education, political bias etc), understand the bias that education can introduce, etc.. Ethical issues often bring political and emotional bias and so you need to gain trust to become an influencer.

17:00
Public & Patient Involvement
Hanneke Hulst

Although writing scientific articles and acquisition of research funding is the core business of a scientist, it might be beneficial for the researcher and the research itself to involve the ‘audience’ (e.g. general audience, patient populations) in research projects. Why do I think this is important? It is rewarding for you as a scientist, it enriches your view on the matter at hand and subsequently making you a better scientist. Here, I will discuss best practices of science communication and co-creation of research projects with patients, which will hopefully inspire you for your future research.


Weekend Course

Cardiovascular MRI: From Disease to Diagnosis

Organizers: Moriel Vandsburger, Dana Peters
Concurrent 1
Saturday 13:45 - 14:30
Moderators: Daniel Kim & Maria Drangova
Parent Session: Cardiovascular MRI: From Disease to Diagnosis
13:45
Cardiovascular Disease: Macro- & Micro-Vasculature
Christopher Francois

14:15
Myocardial Disease: Pathophysiology & Unmet Diagnostic Needs
Andrew Arai

14:45
Cardiac MRI of Myocardial Perfusion & Fibrosis - State of the Art
Graham Wright

Assessment of perfusion and fibrosis in the heart with MRI is central to a complete cardiac exam. The core clinical methods have focused on dynamic first pass of Gadolinium-based contrast for perfusion and late gadolinium enhancement for fibrosis. Newer methods have targeted improvements in spatial resolution and coverage with reductions in imaging time, and robustness in the presence of implanted devices. There is a growing emphasis on quantitatiion and the introduction of methods that do not require the injection of a contrast agent.  Clinical applications include management of ischemic and non-ischemic heart disease as well as complex arrhythmia management.

15:15
Measuring Ventricular Microstructure & Strain
Daniel Ennis

Cardiac structure and function are inextricably bound. MRI is an unrivaled technology for exploring and discovering the structure-function mechanisms of cardiac function and dysfunction. This talk reviews the basic microstructural constituents of the hearts (i.e. “myofibers” and “sheets”), two methods for measuring regional cardiac function (i.e. MRI tagging and cine DENSE), and the use of cardiac diffusion tensor MRI to measure microstructural organization in vivo. Methods to jointly integrate measures of structure and function to reveal microstructurally anchored measures of cardiac function (.e.g “myofiber” strain) are also described. 

15:45
Tissue Characterization: Relaxometry & Exchange
Weitian Chen

Relaxation time constant T1, T2, and T1rho are important parameters to characterize tissue properties. The spatial and temporary variation of the magnetic field due to dipolar coupling and molecular tumbling is a main source of the observed relaxation effect. Relaxation can also be affected by chemical exchange and magnetization transfer effect. These physical processes reflect the metabolites and macromolecules content in tissues. Thus, imaging methods based on the measurements of relaxation time can be used to probe the biochemical properties of tissues. 

16:15
Outcomes of Trials for Quantitative CMR Biomarkers
Michael Salerno


Weekend Course

MRI in Sports Imaging: Upper Extremity

Organizers: Jan Fritz, Hiroshi Yoshioka, Xiaojuan Li, Edwin Oei
Concurrent 2
Saturday 13:45 - 14:30
Moderators:
Section 1: Jan Fritz & Hollis Potter

Section 2: Kimberly Amrami & Robert Boutin
Parent Session: MRI in Sports Imaging: Upper Extremity
13:45
MR Neurography of the Upper Extremity in Athletes
Darryl Sneag

This presentation reviews general concepts related to acquisition and interpretation of magnetic resonance (MR) neurography exams. MR neurography is an important adjunct to both the physical exam and electrodiagnostic testing in the evaluation of peripheral nerve injuries in athletes. MR neurography is non-invasive and provides higher contrast resolution and access to deeper nerves/muscles, as compared to ultrasound, which is also highly operator-dependent. MR neurography of the upper extremity encompasses injuries extending from the brachial plexus to the fingers, but most athletic injuries in clinical practice that are referred for imaging are centered around the neck and shoulder regions.

14:15
Sports Injuries in Adolescents
Jie Nguyen

Increasing participation in youth sports has led to the growing incidence of acute and overuse injuries.  In skeletally immature children, growth plate is the weak link, producing a spectrum of findings ranging from reversible physeal widening to irreversible adaptive remodeling, physeal fracture, and premature physeal closure.  If undiagnosed and untreated, these changes can lead to deformity and premature osteoarthritis.  This presentation will review the normal growth plate complex and highlight physeal-specific pathologies that can occur in the shoulders and knees of youth athletes (proximal humeral epiphysiolysis, physeal and avulsion fractures, glenoid remodeling, osteochondritis dissecans, and transphyseal bar).    


14:45
Biomechanics of Sports Injuries
James Johnston

15:15
MRI of the Athletic Elbow, Wrist & Hand
Amanda Isaac

We will briefly touch upon the brachial plexus and main branches. We will focus on the major nerves in the upper extremity: which are the median, ulnar and the radial nerves and their main branches. With each of these nerves we will try to cover” ◆Modes & types of neural compromise ◆Their Anatomy ◆Common patterns of nerve compression & injuries of these nerves with particular focus on sports injuries  ◆ our Imaging protocols & pearls  And I will bring to your attention newly published books that you may find interesting for further reading.

15:45
MRI of the Athletic Shoulder
Júlio Guimarães

Shoulder disease is common in the athletic population. The unparalleled velocity achieved by overhead throwers subjects the shoulder to extreme forces, resulting in adaptive changes and pathologic findings that can be detected at imaging.A key biomechanical principle of throwing is achieving maximum external rotation, which initially leads to adaptive changes that may result in a pathologic cascade of injuries. Magnetic resonance imaging most important imaging modality to athletic shoulder pathologies and knowledge of injury patterns specific to throwing shoulder help radiologist identify the total spectrum of abnormalities and provide more relevant clinical insight to treating orthopedic surgeon.

16:15
MRI of Treatment & Recovery
C. Benjamin Ma


Weekend Course

MR Physics: From Spins to Scanner II

Organizers: Mark Ladd, Lawrence Wald
Concurrent 3
Saturday 13:45 - 14:30
Moderators: Nicolas Boulant & Priti Balchandani
Parent Session: MR Physics: From Spins to Scanner II
13:45
Simulating Pulses & Sequences
Maxim Zaitsev

This teaching presentation considers basic properties of the Bloch equation along with the practical and efficient methods of solving it. It shows how Bloch equation solvers for arbitrary drive fields can be converted into a core of an MR simulator. Several approaches to building such simulators are discussed along with the brief review of major open-source software packages implementing such functionality.

14:15
Contrast-topia: Flow & Diffusion
Jennifer McNab

This lecture will discuss how bipolar magnetic gradients can be used to encode diffusion and flow. We will describe diffusion MRI in terms of modeling diffusion, the effect of diffusion on the MRI signal and the effect of tissue microstructure on diffusive displacements. We will describe how diffusion encoding gradients can be specifically designed to enhance sensitivity to specific microstructural features. We talk about the use of phase contrast MRI to measure blood flow including the need to optimize gradient areas, the use of magnetic moment nulling and other approaches to gradient waveform optimization.  

14:45
Contrast-topia: Spectroscopy & Chemical Exchange
Anke Henning

This educational presentation introduces the basic physical principles of magnetic resonance spectroscopy (MRS) / magnetic resonance spectroscopic imaging (MRSI) and Chemical Exchange Saturation Transfer (CEST) imaging. The influence of the nucleus and chemical shift on the resonance frequency is discussed and J-coupling, Nuclear Overhauser Effect and Chemical Exchange are introduced. Confounding effects that need to be calibrated out to yield quantitative results are mentioned. Both methods are compared with each other with respect to their sensitivity and specificity. In addition, the metabolic information that can be extracted from MRS/MRSI and CEST is discussed and clinical and research applications are introduced. 

15:15
Contrast-topia: The Susceptibility-Based Methods
Sina Straub

Magnetic susceptibility in biological tissue is discussed and its influences in gradient echo imaging. Different imaging methods are explained to exploit tissue susceptibility differences as well as the use of blood-oxygen-level-dependent (BOLD) effect in fMRI and the use of paramagnetic contrast agents for dynamic susceptibility contrast perfusion imaging. Benefits of the use of ultra-high field MRI are highlighted and the choice of imaging parameters is briefly discussed.

15:45
Artifacts: What Could Possibly Go Wrong?
Richard Bowtell

There are many different types of artefacts in MRI – way too many to cover sensibly in a single educational talk – this presentation will therefore focus on a sub-set of artefacts and provide an explanation of the origin of each and introduce ways they can be ameliorated. Example artefact images will be shown, along with the results of simulations that allow the effects of varying imaging parameters on the artefact properties to be probed. We will consider artefacts resulting from: (i) errors in signal acquisition or processing; (ii) system hardware imperfections and (iii) the human subject of the scanning.

16:15
Putting It All Together: The Scanner
Thomas Foo

There are many considerations when designing a scanner. The purpose, clinical imaging needs, target performance, and complexity of the problem all need to be balanced, with trade-offs made along the way.  We will be putting it all together and look at assembling a brain MRI scanner  as an example.


Weekend Course

Statistics for MRI

Organizers: Daniel Gallichan, Fernando Calamante
Concurrent 4
Saturday 13:45 - 14:30
Moderators: Irena Zivkovic & Woojin Jung
Parent Session: Statistics for MRI
13:45
Designing Studies of Diagnostic Imaging
Susan Mallett

This session introduces key concepts in designing imaging studies to measure diagnostic test accuracy and how to put answering your clinical question at the heart of the study design.

14:15
Basic Concepts in Measurement Error
Alice Sitch

This session introduces the concept of measurement error and considers the key questions: What is ‘measurement error’? and Why do we need to estimate ‘measurement error'? An example of a liver fibrosis monitoring study is used to introduce the key information and the generic design for imaging studies is also considered.

 


14:45
Study Designs & Bias
Susan Mallett

This session introduces how you can use risk of bias checklists to help you identify key design features needed for your imaging study.

15:15
Monitoring Studies
Alice Sitch

This session follows on from introducing the concept of measurement error and considers the key questions: What are monitoring studies? How can tests impact patients? And how can monitoring strategies be planned?

This session introduces the concept of monitoring strategies and demonstrates how these can be planned with knowledge of the measurement error of tests.


15:45
Understanding Variability Including Interreader & Intrareader Studies
Alice Sitch

This session follows on from introducing the concept of measurement error and monitoring studies and considers the key questions: How are real variability studies conducted? And how can variability estimates help us plan test evaluation studies?

This session reviews the design and results of studies used to estimate inter and intra reader variability and the impact of these results on further test evaluation studies.


16:15
Advanced Methods & Reporting
Susan Mallett

This session helps you report your study so it is useful to others including: using reporting guidelines from the EQUATOR network website; usefulness of reporting raw study data, understanding which units are important in your analysis. Issues in test thresholds and ROC AUC are discussed, and reporting study results in natural numbers to aid comprehension.


Weekend Course

Vascular Pathology & Imaging

Organizers: Xihai Zhao, Anja van der Kolk, Tim Leiner
Concurrent 1
Saturday 14:30 - 15:15
Moderators: Toshimasa Clark & Chengcheng Zhu
Parent Session: Vascular Pathology & Imaging
14:30
Angiography: Non-Contrast-Enhanced
Ioannis Koktzoglou

This presentation overviews non-contrast-enhanced techniques for magnetic resonance angiography (MRA). Non-contrast-enhanced MRA can be performed using a variety of techniques. This presentation describes the main non-contrast-enhanced MRA techniques, their contrast mechanisms, as well as their clinical applications. Strengths and drawbacks of non-contrast-enhanced MRA will also be discussed. This presentation also reviews emerging methods that hold promise for expanding the role of non-contrast-enhanced MRA in the clinical setting.

15:00
Molecular targeting of inflammation in atherosclerotic vascular disease
Katey Rayner

Atherosclerosis is the disease that causes heart attack and stroke.  Although driven by excess cholesterol, atherosclerosis is a chronic inflammatory disease. Macrophages engage inflammatory pathways such as the inflammasome and activate NFkappa B transcriptional of cytokines to propagate inflammation, and new clinical data suggests that targeting these pathways therapeutically holds promise for patients with CVD. We will discuss new advances in inflammatory pathways in the advanced atherosclerotic plaque and how they may be leveraged for imaging of advanced atherosclerosis. 

15:30
Angiography: Contrast-Enhanced
Giles Roditi

This presentation focuses on the basic principles of contrast-enhanced magnetic resonance angiography with emphasis on these foundations:

 1 - Administration of intravenous contrast agent to provide contrast by shortening T1 of blood in the vessel lumen relative to background tissues

2 - Timing of the scan to coincide with contrast agent arrival in vascular bed of interest using bolus tracking or test bolus methods

3 - Scan parameters that influence image quality

CE-MRA can be performed in first pass, dynamically, in ’extended phase’ (equilibrium / steady state) or combinations thereof, the advantages and trade-offs involved in each will be explored. 


16:00
Markers of Vascular Function
Jos Westenberg

Vascular function testing may provide insight in early subclinical disease state. Understanding blood flow characteristics near the wall is relevant when testing vascular function for diagnosing and predicting future risk of cardiovascular disease. Phase Contrast MRI assesses blood flow velocity and provides unprecedented hemodynamic insight when extended to 4D Flow MRI. Relevant markers of vascular function assessed by 4D Flow MRI are: vascular wall stiffness (Pulse Wave Velocity), hemodynamic force on the wall (Wall Shear Stress) and eccentricity in blood flow pattern (Flow displacement).

16:30
Vessel Wall Imaging: Extracranial
Mahmud Mossa-Basha

Extracranial vasculopathy assessment, has primarily focused on carotid atherosclerotic disease, as this represents the most common extracranial vasculopathy. In the current lecture, we evaluate less frequently discussed extracranial vasculopathies, specifically blunt cerebral vascular injury and dissection and large artery inflammatory vasculopathies.  We discuss disease background, current limitations in imaging paradigms and the value of vessel wall MRI, represented through case examples. In addition, we briefly discuss carotid atherosclerotic disease, providing examples of pronounced plaque burden but with limited luminal stenosis, and discuss automated, quantitative algorithms for plaque evaluation, that may improve clinical adoption of vessel wall MRI in plaque characterization.

17:00
Vessel Wall Imaging: Coronaries
Reza Hajhosseiny

Coronary artery disease (CAD) remains a significant cause of mortality and morbidity worldwide. Conventional population derived risk stratification tools, coronary luminography and functional assessment of CAD all have significant limitations in identifying individual patients most at risk of major adverse cardiac events. Coronary vessel wall imaging is a promising tool for the timely detection of coronary atherosclerosis. Advantages include early individualised risk stratification, bespoke and targeted therapeutical intervention and monitoring the response to treatment and disease progression. Cardiovascular magnetic resonance, computed tomography and nuclear imaging are all at the forefront of non-invasive coronary vessel wall and vulnerable plaque imaging.

17:30
Vessel Wall Imaging: Intracranial
Jae Song

This lecture discusses intracranial vessel wall MR imaging and how to work towards translating evolving and innovative technologies into the clinical sphere. We highlight that it is important not only to design new technologies and showcase what the MR community can innovate but also to translate that technology into a stage of implementation and adoption. We discuss technical unmet needs and potential clinical applications. We review the importance of engagement and collaboration with clinicians to ensure longevity of the research by prioritizing relevant research questions in the context of feasibility.


Weekend Course

Neurodevelopmental Disorders

Organizers: Kader Oguz
Concurrent 2
Saturday 14:30 - 15:15
Moderators: Kader Oguz & Mai-Lan Ho
Parent Session: Neurodevelopmental Disorders
14:30
Neurodevelopmental Disorders: Genetics & Neurophysiology
Mai-Lan Ho

This talk will cover MRI of brain development, including age-related neurodevelopment, normal variants, and diagnostic pitfalls, and key findings in neurogenetic disorders. We will review key mechanisms of pediatric brain development based on major embryologic steps including dorsal induction, ventral induction, formation of midline commissures, migration, and organization. We will cover MRI of fetal, perinatal, and postnatal development, including myelination, sulcation, basal ganglia, pituitary, and ventricular findings. Multiple imaging examples of congenital brain malformations will be presented, linking MRI findings to underlying derangements of neurodevelopmental processes.

15:00
Autism & Sensory Over-Responsivity: Linking Structural & Functional Abnormalities
Susan Bookheimer

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15:30
Commissures of the Brain
Ajay Taranath

Bundles of white matter that connect homologous structures of the cerebral hemispheres are designated commissures. The hippocampal commissure anterior commissure and fornix are the other commissures. The corpus callosum has evolved as a response to the demand for a shorter connecting  route between the rapidly expanding cerebral hemispheres in placental mammals. It is the commissure of the neocortex. 

16:00
Brainstem & Cerebellar Malformations
Kshitij Mankad

In this brief presentation, we review how both embryological and environmental factors can create a diverse spectrum of malformations involving the posterior fossa of the brain. We first review entities where the neuroimaging phenotyping is strong and well evolved, matching these to the clinical phenotype as well as genetic bases (where known); We then look at some novel entities with distinct phenotypes, as well as new mechanistic insights and philosophies into existing conditions. Associated supratentorial malformations are discussed and described where relevant. In addition, we review the role of diffusion tensor imaging (DTI) in entities where the technique adds value.

16:30
Cortical Malformations: From Gene to Phenotype.
Alireza Radmanesh

Understanding cortical development and embryology is essential to have a deep understanding of cortical malformations. Cortical malformations are classically categorized based on the stage of cortical development that is impacted: Proliferation, migration, late migration/organization. With our increasing understanding of molecular pathways and genetics, it has come to light that many different genes can lead to a similar MRI appearance (phenotype) because they are parts of the same molecular pathway. Therefore, understanding molecular pathways is more helpful than memorizing genes in attempts to understand disease conditions.

17:00
Imaging Brain In Utero, Anatomical & Functional: Techniques, Problems & Solutions
Esra Abaci Turk

Although ultrasound is still the primary modality for monitoring developing brain in utero, MRI has become available for pregnant patients as a secondary screening tool increasing the diagnostic accuracy achievable by ultrasound. Clinical MRI protocols usually relies on fast acquisition techniques. Two main challenges in fetal MRI are motion artifacts and safety concerns.  Even though there are novel motion correction approaches, this topic continues to be a growing research area. There is no report on harmful effect of MRI to the growing fetus. However, fetal MRI safety at each gestational age, particularly the first trimester, is under investigation.

17:30
Neurophakomatoses
Matthew Whitehead

Neurophakomatoses comprise a diverse group of disorders affecting structures derived from ectoderm and/or mesoderm, leading to skin and intracranial abnormalities. MRI plays an important role in diagnosis, prognosis, and surveillance. Frequently, the imaging pattern is diagnostic or highly suggestive; the radiologist may be the first to suggest the diagnosis. In this lecture, I will attempt to strike a balance between depth and breadth, beginning with detailed examples of the 5 most common phakomatoses including neurofibromatosis type 1, Tuberous sclerosis, Sturge-Weber syndrome, Von-Hippel Lindau, and neurofibromatosis type 2, with a rapid review of rarer neurophakomatoses with specific neuroimaging patterns to follow. 


Weekend Course

RF Coils for Fun & Profit

Organizers: Ergin Atalar, Lawrence Wald
Concurrent 3
Saturday 14:30 - 15:15
Moderators: Ergin Atalar & J. Thomas Vaughan
Parent Session: RF Coils for Fun & Profit
14:30
RF Theory for Coil Making
Alireza Sadeghi-Tarakameh

First, radiofrequency (RF) transmit coils excite the nuclei of an imaging sample, and then, RF receive coils detect the MRI signal from excited nuclei during their relaxation. Both transmit and receive coils could be surface or volume coils as well as single-channel or multi-channel coils. In this presentation, we briefly discuss each category. We also present some fundamental theories and insights for coil making. Eventually, some recently published works about transmit and/or receive arrays are presented.

15:00
Coil-Building Demonstration
Boris Keil

In this educational video, we describe the step-by-step procedure for constructing and tuning highly parallel array coils: (1) the layout of the array elements, (2) creating and tuning a single loop element, (3) estimating the coil quality factor, (4) adjusting the single loop and match circuit to optimize preamplifier decoupling and (5) active PIN diode detuning circuitry, (6) placing the neighboring elements to allow them to be efficiently constructed and inductively decoupled, (7) assembling the array, (8) decoupling the array elements from one another, (9) tune and match the coil elements, and (10) performing final bench tests

15:30
Preamplifier Decoupling: Theory & Practice
Randy Duensing

Since the introduction of RF coil arrays (Roemer, et al), the dominant approach to RF coil matching has been to use a degree of freedom to produce a large impedance mismatch between coil and preamplifier while maintaining an approximate noise optimal impedance for each channel individually. In reality, an array of RF coils has shared impedances which means that this approach is suboptimal at all locations in the FOV, and, in optimal reconstruction algorithms the impedance mismatch is independent of SNR. Knowledge of the coupling matrix allows for optimization of local SNR via a system tune/match approach.

16:00
Preamplifier Decoupling: Theory & Practice
Christian Findeklee

16:30
Flexible Coils
Michael Lustig

Flexible coils provide comfort and fit to patients, improving image quality, SNR, acceleration and patient management. This talk discusses the challenges in designing and manufacturing flexible coils. And then goes through the different existing an emerging technologies for making the next generation flexible receiver arrays. 

17:00
Transmit Array Element Basics
Ehsan Kazemivalipour

A safe and efficient MRI test would rely on informed specification, design, implementation, assessment, and application of appropriately selected RF coils. Transmit array RF coils with multiple transmit elements provide the additional degrees of freedom that can be used to enhance field uniformity, accelerate acquisition time, enable RF shimming while intending to mitigate SAR hotspots, and increase power efficiency. Transmit array's performance can gain considerably from the parallel transmission technology when the array designs meet particular specifications, such as low coupling among individual array elements and appropriate interaction with subjects under test to provide a sufficient B1+ field efficiency.

17:30
EM Modelling of Coils
Bastien Guerin

I will present some key tools for simulation of RF coils. First, I will review the three main types of EM solver: Finite difference time domain, finite element modeling and integral equation. I will introduce the co-simulation method, a powerful method for tuning, matching and decoupling of coil that requires a minimum number of EM solves. I will then present a simulation study that aims to find the ideal pTx coil for 3T body and head imaging. Finally, I will present our recent work on ultra-fast SAR calculation as the patient lies in the scanner for individualized SAR prediction.


Weekend Course

Machine Learning: Everything You Wanted to Know but Were Afraid to Ask

Organizers: Daniel Rueckert, Carl-Fredrik Westin, Florian Knoll
Concurrent 4
Saturday 14:30 - 15:15
Moderators: Carl-Fredrik Westin & Demian Wassermann
Parent Session: Machine Learning: Everything You Wanted to Know but Were Afraid to Ask
14:30
How to Translate ML into the Clinic
Shreyas Vasanawala

Machine learning (ML) has the potential to impact strongly medical imaging.  Though much attention has been focused on image analysis, ML is poised to improve imaging at all steps of the medical imaging chain.  This presentation will provide an overview of the significant barriers to widespread translation of ML, the steps in the medical imaging chain at which ML can be applied, and examples of approaches that have enabled use in clinical settings.

15:00
How to Read/Write Machine Learning Papers in MRI
Alan McMillan

Machine and deep learning applications are taking our field by storm. Learn more about specific aspects that you should know about when reading and/or writing machine learning or deep learning papers. This talk covers existing reporting guidelines for AI papers and describes specific issues that should be considered by both readers and writers to ensure the development of robust and repeatable research.

15:30
Deep Learning in ML
Roger Tam

This lecture is an introduction to deep learning and will present the following topics: the components of a basic neural network, supervised training using backpropagation, basic features of a convolutional neural network, key considerations in the design and training of neural networks, and resources to get started.

16:00
Basic Introduction to ML
Jeffrey Fessler

Basic introduction to machine learning.

16:30
Adversarial Learning in ML
Elizabeth Cole

This talk motivates adversarial learning in ML from a MR researcher perspective. First, I’ll be briefly discussing some limitations of supervised learning. Next, I’ll be introducing a form of adversarial learning, generative adversarial networks – or GANs for short. Then, I’ll show how we can combine GANs with compressed sensing for the purpose of MRI reconstruction. Next, I’ll be showing some work on a fully unsupervised reconstruction method using GANs. Finally, I’ll discuss some practical considerations for those interested in training their own GAN.

17:00
Bayesian Approaches in ML
Archana Venkataraman

At its core, Bayesian ML is about making predictions from noisy and imperfect data. These predictions rely on the posterior distribution, which combines a priori assumptions about the unknown quantities with a likelihood model for the observed data. This tutorial introduces classical themes in Bayesian analysis. We will start with fundamentals of random variables and conditional distributions, building into the well-known “Bayes Rule”. From here, we will dive into hypothesis testing and parameter estimation, including how to perform inference in these setups. Finally, we will showcase a flexible and interpretable Bayesian model for functional connectomics.


Tutorial

Software Demos for MRI: 3-Minute Pitches

Concurrent 1
Saturday 15:15 - 16:00
Parent Session: Tutorial: Software Demos for MRI I
(no CME credit)

Weekend Course

Neurodegeneration & Movement Disorders

Organizers: Nivedita Agarwal, Susie Huang
Concurrent 2
Saturday 15:15 - 16:00
Moderators: Fang Yu & Remika Mito
Parent Session: Neurodegeneration & Movement Disorders
15:15
Imaging the Aging Brain: Changes Across the Lifespan
Meike Vernooij

This lecture will describe typical structural brain changes seen on imaging studies in ageing. There is considerable overlap between patterns of brain pathology in ageing and neurodegeneration. Knowledge on changes in brain ageing is indispensable as a background against which to evaluate neurodegenerative disease. The ageing brain is likely affected by an accumulation of processes, the summation of which will lead to inter-individual differences in brain  ageing, with some persons showing more ‘successful ageing’ than others. There is considerable research being conducted into understanding the biological basis for these differences.

15:45
Quantitative Imaging of the Aging Brain
Aviv Mezer

Quantitative MRI (qMRI) techniques provide biophysical parametric measurements that are useful in the investigation and diagnosis of brain agingqMRI measurements display sensitivity to microstructural properties such as lipid and protein composition, iron content and cellular organization, therefore qMRI is termed in-vivo histology. I will present novel qMRI approaches for disentangling molecular composition of lipid and iron samples and identify region-specific molecular signatures across the brain and as function of aging. I will argue that the ability to disentangle molecular alterations from water-related changes opens the door to a more specific characterization of age-realted neurodegenerative disorder in-vivo.

16:15
State-of-the-Art Structural & Functional Imaging of Alzheimer's Disease
Tammie Benzinger

In this program, we will review the critical role MRI plays in the the workup of patients with Alzheimer disease (AD), our understanding of the asymptomatic phases of disease progression, and the importance of an integrated spatial and temporal assessment of brain pathology with MRI and PET.  We will discuss current and future clinical applications and clinical trials for AD.

16:45
State-of-the-Art Imaging of the Brainstem (locus coeruleus) in Aging and Alzheimer’s Disease
Heidi Jacobs

Autopsy data suggests that several brainstem nuclei undergo morphological and molecular changes very early in life, making them an interesting target for the early detection of neurodegenerative diseases. However, imaging these nuclei is not easy, given their size and location. In this talk, I will review the methods that are currently available to structurally image some of these nuclei at the individual level, show some first results and its potential to improve the early detection of Alzheimer's disease. In addition, I will discuss approaches to functionally image these brainstem nuclei, as well the challenges for the future.

17:15
State-of-the-Art Imaging of Movement Disorders
Duygu Tosun

Neuroimaging offers a non-invasive approach to examining the potential utility of a vast number of functional and structural brain characteristics as biomarkers. Neuroimaging has been used in Parkinson disease research for 30 years, but no guidelines have yet endorsed its routine use in clinical settings. We will focus on the role of multimodal neuroimaging in differential diagnosis, monitoring disease progression, and monitoring non-motor cognitive dysfunction.  

17:45
Emerging Imaging Techniques in Dementia: The Role of PET-MRI & Novel Contrast Agents
Hongyu An

Various PET and MR imaging biomarkers provide complementary molecular, anatomical, physiological and functional information in studying dementia. As an example, we will demonstrate an association between PET measured neuroinflammation and MR measured white matter hyperintensity lesion burden. Moreover, we found that neuroinflammation predicted cognitive decline in a longitudinal follow-up study. Combined PET/MR imaging is well suited for studying dementia. Challenges in PET/MR attenuation correction (AC) have limited the inclusion of PET/MR in clinical trials. Recent deep-learning-based methods provide accurate PET/MR AC with high repeatability.

18:15
Emerging Imaging Techniques in Dementia: Evaluating the Glymphatic System
Laura Lewis

Waste clearance from the brain is important for maintaining healthy function, and disrupted clearance has been implicated in disorders such as Alzheimer’s disease. This educational lecture will focus on recent developments in MR techniques for imaging glymphatic function in the brain. It will highlight open scientific questions in this area and potential future applications in patients with neurodegenerative disorders.

18:45
Emerging Imaging Techniques in Movement Disorders
Maria Eugenia Caligiuri

In the last decades, MRI added value to diagnosing movement disorders has constantly increased. In this talk, the milestones and limitations of existing approaches are reviewed, emerging MR technologies for movement disorders are presented, and possible solutions to overcome existing limitations are proposed. The audience will learn to: i) describe the current status of imaging biomarkers in observational and interventional research of movement disorders; ii) describe advanced imaging techniques for diagnosis and management of movement disorders in a clinical and research environment/context; iii) identify appropriate imaging sequences to address given clinical questions in movement disorders


Weekend Course

Pushing the Limit with Emerging Gradient & Non-Linear Encoding Hardware

Organizers: Kawin Setsompop, Philipp Ehses
Concurrent 3
Saturday 15:15 - 16:00
Moderators: Maxim Zaitsev & David Feinberg
Parent Session: Pushing the Limit with Emerging Gradient & Non-Linear Encoding Hardware
15:15
Making a Gradient Coil
Brian Rutt

This course outlines the various considerations involved in designing, building, assembling and testing a gradient coil prototype, from the perspective of an academic researcher. The following topics are reviewed during the course:  1) Why would you want to make your own gradient coil; 2) electromagnetic design considerations; 3) Preliminary construction considerations; 4) Mechanical design considerations; 5) Choice of materials; 6) Construction methods; 7) Testing and tuning. The lecture ends with a video showing the actual procedure of inserting a head gradient into a clinical whole-body 3T scanner and demonstrating the successful implementation of many of the concepts during the course.

16:15
High-Performance Gradient Hardware
Matt Bernstein

This educational talk introduces basics of high-performance gradient hardware. Gradient slew rate and amplitude are defined, and related to gradient lobe duration. How gradient coil inductance and resistance, along with driver voltage and current, determine performance parameters is presented, as well as how inductance scales with coil radius. The efficiency of whole-body, insert, and compact (head-only) geometries is considered. Some effects of physiological and non-physiological limitations on gradient performance are discussed. Selected corrections methods are considered in the context of high-performance systems. Finally, a few representative examples of high-performance gradient hardware are discussed. 

16:45
The Role of PNS Simulation in Gradient Design
Mathias Davids

Peripheral Nervous Stimulation (PNS) has become the major limitation in many fast MRI sequences for state-of-the-art gradient systems. This educational talk provides an overview on how PNS modeling tools can inform the design phase of new gradient systems to maximize the safely usable image encoding performance.

17:15
Gradient Waveform Optimization & Applications
Daniel Ennis

Gradient waveform design is necessary for all MRI pulse sequences. While closed form (analytic) solutions exist for many useful problems and are wide implemented, there are a number of interesting problems for which numerical optimization methods are needed. This talk briefly distinguishes between the analytic and computational approaches to gradient waveform design, then describes a number of applications for which computational approaches provide added value. Four-dimensional phase-contrast (4D-flow) MRI is one example for which time-optimal gradient waveform design can improve overall sequence efficiency by ~20% or more. Diffusion weighted MRI can be optimized for SNR-efficiency and to mitigate eddy currents.

17:45
Non-Linear Encoding Fields & Integrated Shim Arrays
Gigi Galiana

There are several ways to understand the unique features of nonlinear spatial encoding, which has led to many different approaches and applications.  These include interpretations invoking warped image space, projections onto curved isocontours, dynamically modulated kspace sampling, and modifiers to the point spread function.  In addition to applications in accelerated imaging, these fields have found utility in improving slice excitation, as well as zoomed excitation and encoding.  Most nonlinear encoding studies have been performed with relatively traditional gradient hardware, but the additional degrees of freedom offered by gradient and gradient/RF arrays offer many new possibilities.

18:15
Dealing with System Imperfections
S. Johanna Vannesjo

Accurate spatial and temporal characteristics of the encoding magnetic fields are crucial for image quality. However, there will always be slight imperfections to the magnetic fields produced by gradient and shim systems. This educational lecture describes how to characterize the spatial and temporal magnetic field response of gradient and shim channels, and how to implement pre-emphasis based on an LTI model of the system.


Weekend Course

Relaxation: Principles & Measurement Techniques

Organizers: Florian Knoll, Mariya Doneva
Concurrent 4
Saturday 15:15 - 16:00
Moderators: Yun Jiang & Teresa Nolte
Parent Session: Relaxation: Principles & Measurement Techniques
15:15
Physical & Physiological Principles of Relaxation
Sean Deoni

The process of relaxation underlies the differential tissue contrast that allows us to identify pathological tissue, detect changes in brain activation, or quantify blood flow.  By understanding and exploiting relaxation differences between tissues, novel imaging sequences can be devised to  null particular signals, probe tissue microstructure, and generate novel tissue contrast.  In this presentation we will examine the biophysical and physiological bases of relaxation.  With this knowledge in hand, we will then examine how tissue contrast may be manipulated, and how they may be used to more vigorously examine aspects of tissue macro and micro-structure, organization, and physiology and function.

15:45
Methods for T1 & T1rho Mapping
Nikola Stikov

With advances in hardware and the growing availability of post-processing tools, it is becoming easier and faster to obtain accurate T1 and T1ρ maps in clinically feasible times. This course shines a light on the three basic types of T1 mapping techniques, exemplified by inversion recovery, variable flip angle, and MP2RAGE. The course will also introduce techniques for quantitative mapping of the spin-locked relaxation time (T1ρ). T1ρ is closely related to both T1 and T2, but sensitive to different properties of the tissue, and has therefore garnered interest in specialized applications (e.g., cartilage imaging).

Interactive tutorial available at: http://qmrlab.org/t1_book

16:15
Methods for T2 & T2* Mapping
Richard Dortch

Researchers have developed an array of methods for mapping T2 and T2* values in tissue. The choice of the method depends on numerous factors, including the signal model (single versus multi-compartment), scan time, SNR, and the tissue of interest. In all cases, care must be taken to optimize sequence parameters and minimize the impact of confounding features (B0 and B1 variations). Moving forward, it is likely that more efficient and robust methods for estimating T2 and T2* in tissue will continue to be developed, especially as multi-compartment models continue to illustrate their ability to quantify microstructural features (e.g., myelin content).

16:45
Methods for Multiparameter Mapping
Rahel Heule

This talk gives a technical overview about acquisition strategies suited to map longitudinal and transverse relaxation times simultaneously. Special focus is on fast joint T1 and T2 quantification based on three classes: multi-contrast steady-state free precession (SSFP) imaging, magnetization-prepared (MP) schemes with SSFP readout, and magnetic resonance fingerprinting (MRF) acquisitions. Possible acquisition strategies to enhance T2* sensitivity for simultaneous quantification of T1, T2, and T2* are introduced briefly as well.

17:15
Advanced Reconstruction Methods for Relaxation Parameter Mapping
Alessandro Sbrizzi

Classic relaxation parameter mapping sequences such as inversion-recovery (for T1) or multiple-echo spin-echo (for T2) are too long for clinical applications. By better exploiting structure and relationships (priors) in the spatial (or frequency) domain and in the sequence parameter domain it is possible to under-sample the acquisition thereby accelerating the scan times. More advanced modelling strategies (e.g. time-domain) leads to further acceleration. However, the reconstruction algorithms gets more complex and computationally demanding. Deep learning strategies could overcome these drawbacks.

17:45
Dedicated Cardiac Parameter Mapping Methods
René Botnar

Despite the current success of myocardial tissue characterization with parametric mapping approaches, the accuracy and precision of T1, T2, T2* and ECV mapping can be affected by many confounding factors such as B0 and B1 inhomogeneity, respiratory and cardiac motion, heart rate variability, magnetisation transfer and other parameters. Moreover, estimation of T1, T2 and T2* is usually done by pixel-wise fitting of the MR signal to simple exponential models that may be an oversimplification of the true MR signal evolution. Here we will review the basic myocardial mapping techniques, discuss their pros and cons and subsequently discuss potential solutions.


Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: ASL MRI II

Concurrent 1
Saturday 16:00 - 17:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI I
(no CME credit)
0:00
How to Analyse Your Physiological MRI Data: Arterial Spin Labelling


Tutorial

Member-Initiated Tutorial: Cardiovascular MR: From Theory to Practice I

Concurrent 2
Saturday 16:00 - 20:00
(no CME credit)

Tutorial

Tutorial: Diffusion I & II

Organizers: Dmitry Novikov, Markus Nilsson, Mark Does
Concurrent 1
Saturday 17:00 - 19:00
Moderators: Dmitry Novikov & Markus Nilsson
Parent Session: Tutorial: Diffusion I & II
(no CME credit)
17:00
Fundamentals of Diffusion
Marco Palombo

This lecture introduces key concepts behind the physics of dMRI signal contrast, and motivate why these concepts are relevant in the context of quantifying tissue microstructure. Following this lecture, researchers and clinicians who are interested in understanding the basics of molecular diffusion, will gain intuition on the diffusion process as conceptualised by random-walks of particles, familiarise with representing the diffusion process by the diffusion propagator, understand the regimes in which the diffusion can and cannot be considered Gaussian and understand how these concepts are relevant in the context of tissue microstructure. Hands-on exercises will give intuition into the concepts discussed.

17:30
Diffusion MRI: Acquisition
Jana Hutter

18:00
Diffusion MRI: Models & Representations
Chantal Tax

18:30
Microstructure Modeling
Hong-Hsi Lee

Diffusion MRI enables to estimate microstructural length scale in cell dimension. Here we introduce three common examples in biophysical modeling of diffusion MRI: (1) Considering diffusion dephasing as transverse relaxation due to field inhomogeneity of applied diffusion gradient, intra-cellular signals mainly depend on gradient pulse duration in wide pulse limit. (2) The diffusion time-dependence in a heterogeneous medium is a process of spatial homogenization of restrictions, leading to power-law tails in diffusivity time-dependence. (3) Directional average of signals for each diffusion weighting b and the analysis of its deviations from 1/√b scaling provides a rotationally invariant axon size estimation.


Tutorial

Tutorial: Software Demos for MRI I

Concurrent 1
Saturday 19:00 - 20:00
Parent Session: Tutorial: Software Demos for MRI I
(no CME credit)


Sunday, 16 May 2021

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Tutorial

Tutorial: Software Demos for MRI II

Concurrent 1
Sunday 7:00 - 8:00
Parent Session: Tutorial: Software Demos for MRI II
(no CME credit)

Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: CEST MRI I

Concurrent 1
Sunday 9:00 - 10:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI II
(no CME credit)
9:00
How to Analyse Your Physiological MRI Data: CEST


Weekend Course

Standardized & Quantitative Assessment in Body Imaging

Organizers: Daniel Margolis, Johannes Heverhagen, Hero Hussain, Masako Kataoka
Concurrent 1
Sunday 13:00 - 13:45
Moderators:
: Mustafa Shadi Bashir

: Silvia Chang & Evis Sala
Parent Session: Standardized & Quantitative Assessment in Body Imaging
13:00
Liver: Iron Quantification
Suraj Serai

Serial surveillance of liver iron concentration (LIC) provides guidance for chelation therapy in patients with iron overload. The diagnosis of iron overload traditionally relies on core liver biopsy, which is limited by invasiveness, sampling error, cost and general poor acceptance by patients and their family. Thus noninvasive diagnostic methods such as MRI are highly attractive for quantification of liver iron concentration (LIC). In this talk, we discuss and review the MRI based quantification methods of LIC.

13:30
Liver: Fibrosis Quantification
Verena Obmann

Plenty of etiologies of diffuse liver disease eventually result in liver fibrosis. Liver fibrosis is exceedingly common worldwide prompting the clinical need for objective noninvasive methods for disease characterization as an alternative or complement to gold-standard liver biopsy. The learning objectives of this educational session are •      To summarize qualitative imaging findings of liver fibrosis in US, CT and MRI •      To know the advantages and drawbacks of each modality •      To learn how to report the presence of liver fibrosis

14:00
Liver: Fat Quantification
S. Sendhil Velan

This presentation will cover the MRI/MRS-based techniques for the quantification of liver fat.   Specifically, this presentation will include relevant MRI/MRS techniques, types of pulse sequences utilized in a clinical setting, challenges, and finally, the state of the art of development and validation of MRI-based approaches for quantification of liver fat. 

14:30
Case Discussion: Liver
Mustafa Shadi Bashir

This talk will discuss the use of MRI-based quantitative biomarkers in the care of patients with liver diseases.

15:00
Bladder: VI-RADS
Valeria Panebianco

The purpose of the talk is to describe the newly developed VI-RADS scoring system aimed at standardization of MRI acquisition, interpretation, and reporting for urinary bladder cancer (BCa). An insight will be given on the BCa diagnostic issues, MRI applications for BCa local staging with assessment of muscle invasiveness, and clinical implications of the score for the disease management. In addition, future prospective of the score applicability will be provided, on its role in patients’ stratification for therapeutic planning, disease surveillance, and for the evaluation of response to therapy. Finally, a clinical series with multiple-choice questions will be shown.

15:30
Case Discussion: Genitourinary
Caroline Reinhold

16:00
Kidney: Bosniak
Matthew Davenport

Bosniak v.2019 is a classification of cystic renal masses that formally incorporates MRI, provides verbose specific definitions for imaging terms, and expands the number of masses to which the historic Bosniak classification applies. The intent of the classification update was to improve specificity for malignancy and improve inter-rater agreement, with the goal of reducing the harms of overdiagnosis and overtreatment.

16:30
Ovary: O-RADS
Isabelle Thomassin-Naggara

This lecture will present O-RADS MR score which was developed to predict malignancy of adnexal masses. This score is an accurate five level categories score that demonstrates a sensitivity and specificity higher than 90% and a good reproducibility (Kappa >0.8). In a multicentric european large validation cohort, only 2 borderline and no invasive cancer were quoted O-RADS MR score 2 (NPV = 98%). This score is mainly based on the analysis of solid tissue using morphological and functional criteria including T2W signal, DW signal and the analysis of time intensity curve on DCE MR sequence.


Weekend Course

Basic MR Spectroscopy

Organizers: Eva-Maria Ratai, Malgorzata Marjanska, Duan Xu
Concurrent 2
Sunday 13:00 - 13:45
Moderators: Erin MacMillan & Francesca Branzoli
Parent Session: Basic MR Spectroscopy
13:00
Basic Principles of MRS (Chemical Shift, J-Coupling, Relaxation & Field Strength Effects)
Ulrike Dydak

This lecture introduces the basic principles of MR Spectroscopy. Concepts such as chemical shift, J-coupling, the ppm-unit of the frequency axis, basic acquisition requirements and spectral resolution are explained. Furthermore, the effects of relaxation and field strength on the MR spectrum are discussed.  

13:30
Acquisition Methods (PRESS, STEAM, semi-LASER, MEGA-PRESS, MRSI)
Ralph Noeske

This lecture will cover the most common MRS volume localization techniques PRESS, STEAM and semi-LASER that are based on overlapping slices for improved volume selection. The design of techniques for unwanted signal suppression like an appropriate crusher scheme and phase cycling as well as how to address the chemical shift displacement error are explained. The principle of the MEGA extension of PRESS for selective metabolite editing will be shown. Following consensus recommendations, the implementation of a standardized semi-LASER sequence addressing the previously discussed requirements is demonstrated.    

14:00
Pre-Acquisition Ajustments (B0 Shimming, B1 Shimming & Water Suppression)
Ivan Tkac

Pre-acquisition adjustments in 1H MRS are essential precondition that directly affects the quality of acquired spectra, which is the key factor for reliable metabolite quantification. B1 shimming is used only for ultra-high magnetic fields (7T and above) to maximize the peak B1+ in the region of interest. B0 shimming is the adjustment of magnetic field spatial homogeneity, which is the key factor affecting the spectral resolution. Efficient water suppression (WS) is very important because the strong residual water signal may interfere with metabolite quantification. Two WS techniques are discussed: VAPOR and metabolite cycling.

14:30
Fitting & Quantification
Ashley Harris

This educational talk overviews some recommended preprocessing steps and then examines fitting and quantification for MR spectroscopy data. Preprocessing (or processing) aims to optimize the quality of acquired data. The next step is “fitting”. As we know the area under a peak is proportional to its concentration, fitting consists of modeling each peak in order to determine its area as well as the area of the reference metabolite or water. Once we have the data fit, quantification can be performed, typically using water as a reference and in the most complete approach accounts for relaxation in all tissue components.  

15:00
Quality Assessment for 1H MR spectroscopy of the brain: Artifacts, Solutions, and Criteria
Yan Li

The accuracy of measuring brain metabolite levels highly relies on spectral quality. Assurance of quality control is required for translating proton MR spectroscopy (1H MRS) technologies into clinical studies. This lecture focuses on the basics of MRS methodology, artifacts with their causes and possible solutions, and quality control for single and multi-voxel 1H MRS.

15:30
Field Dependence: Gains & Challenges of Ultra-High-Field MRS
Vincent Boer

There is a drive towards increasing magnetic field strength for MRI. In this lecture we cover the main gains at ultra-high field, specifically for MR spectroscopy. Also, the major drawbacks are discussed, including changes in relaxation time and difficulties with B0/B1 field homogeneity.

16:00
MRSI Readout Strategies (Echo-Planar [EPSI] & Spiral-MRSI)
Borjan Gagoski

This talk covers the basics of MRSI readout strategies, by first introducing the conventional, phase-encoded scheme, which requires long acquisition times to encode the (kx,ky,kz,kf) space. It then introduces the idea of simultaneous spectral-spatial encoding within the same TR, made possible by the fact that the brain metabolites span only limited spectral bandwidth (e.g. ~1000Hz @3T). It continues with a description of two classical readout schemes that accelerate PE MRSI using this concept: 1. echo-planar and 2. spiral spectroscopic imaging. Lastly it shows how these two can be further accelerated using standard parallel imaging reconstruction methods like SENSE and/or GRAPPA. 


Sunrise Session

Multinuclear Imaging & Spectroscopy

Organizers: Eva-Maria Ratai, Duan Xu, Xin Yu, Malgorzata Marjanska
Concurrent 2
Sunday 13:00 - 13:45
Moderators: Rita Schmidt
Parent Session: Basic MR Spectroscopy
13:00
Hyperpolarized 13C: Principles & Clinical Applications
Mary McLean

Hyperpolarization of 13C can transiently increase its signal around 100,000 fold. This enables tracer studies in vivo of 13C-labelled metabolites with high time resolution. The polarization decays with a T1 of around 30 s, necessitating innovations in hardware, sequences, and study design to capture the signal within its short longevity. The first tracer molecule taken into humans has been [1-13C]pyruvate. Metabolism to lactate, alanine, and bicarbonate has been shown in human brain, heart, muscle, and abdominal organs. Much interest has focused on studies in cancer, where elevations in lactate labelling related to the Warburg effect can be observed.

13:30
Basic Understanding & Clinical Applications of 23Na-MRI
Sandro Romanzetti

Sodium is the second most abundant MR active nucleus in the human body and it has a fundamental role in the physiology of human cells. Nevertheless, its low concentration and quick relaxation have limited its application in medicine for a very long time. Research from the last two decades has shown that sodium MRI is no longer a novel MR method. Most of the challenges associated with its application have been addressed. Furthermore, the increasing availability of ultra-high field MR systems (UHF-MRI) in clinical settings has opened new horizons for many medical applications of Sodium MRI.

14:00
Deuterium Metabolic Imaging (DMI)
Xiao-Hong Zhu

Metabolic imaging provides valuable tools for evaluating cellular metabolism under physiopathological conditions. Deuterium metabolic imaging (DMI) is a newly developed deuterium (2H) MRS imaging technology that can measure the steady-state signal and/or dynamic changes of deuterated metabolites in living organs or tissues after administration of deuterium-labeled substrate. DMI has been used to study various metabolic processes, especially the cerebral glucose metabolism in healthy brain and in brain tumor patients, and has shown its advantages over certain existing methods. This presentation will briefly introduce DMI technology - its past development, current capabilities and future prospects.


Weekend Course

Multimodal Preclinical Imaging

Organizers: Harish Poptani
Concurrent 3
Sunday 13:00 - 13:45
Moderators: Christoffer Laustsen & Harish Poptani
Parent Session: Multimodal Preclinical Imaging
13:00
Multimodal Imaging
Mangala Srinivas

This is a short introduction to multimodal imaging, covering the combination of MRI with other modalities, such as PET, SPECT and/or fluorescence. We will focus on cell tracking applications in a preclinical setting.

13:30
Imaging & Immune Cell Therapy in Cancer
Hai-Ling Cheng

Immune cell therapy is an important approach in the broader repertoire of cancer immunotherapy, a new treatment that uses the body’s immune system to fight cancer in a more personalized and effective manner. Injecting immune cells such as chimeric antigen receptor T cells has shown prolonged survival. However, in-vivo cell distribution and survival are often unknown and may underlie why immunotherapy sometimes fails. We will review current methods for tracking immune cells, their limitations, and a potentially larger role for MRI. We will also briefly discuss imaging assessment of tumor response to correctly identify pseudoprogression, an immunotherapy-specific phenotype.

14:00
Targeted Contrast Agents
Mark Pagel

This presentation will focus on targeted contrast agents for molecular imaging with MRI.  Key concepts include
* Targeting sensitivity; specificity; selectivity; active and passive mechanisms
*Heterobivalent binding
*A “size threshold” for imaging agents
*Timing for reaching a maximum contrast
*MRI contrast agents lack sensitivity for detecting cell receptors in less than best-case conditions.
*MRI can target abundant proteins.
*Amplification mechanisms can facilitate cell receptor detection.
*MRI has had more focus on responsive agents.
*Contrast agents for simultaneous PET/MRI
*If molecular imaging can provide more imaging features, MI can revolutionize our clinical radiology workforce.


14:30
Imaging Tissue Microstructure
Sungheon Gene Kim

Diffusion MRI is a unique imaging modality suitable for probing tissue microstructure. Unlocking the full potential of diffusion MRI for microstructural imaging requires an adequate diffusion encoding method in terms of diffusion time and gradient strength. dMRI Diffusivity is typically interpreted as a rough measure of the cell density and extracellular water fraction. However, diffusivity and other commonly used dMRI metrics remain non-specific markers, because a diffusion measurement at a fixed diffusion time is affected by multiple factors. The complex microstructural features of tumors and the brain can be probed by adequate sampling of the multi-dimensional space of diffusion encoding.

15:00
Imaging in Regenerative Medicine
Erik Shapiro

This educational lecture will provide a multimodal view of imaging in regenerative medicine. Indeed, the vastness of regenerative medicine requires a complete toolbelt to properly survey the completeness of research and development topics, and clinical methodologies for following treatments. This lecture will survey the uses of multimodal imaging in regenerative medicine, focusing on the benefits of individual imaging methodologies for probing specific research and development questions, and will provide my opinion on how these various imaging technologies might be used clinically.

15:30
Physiological & Metabolic Imaging
Kristine Glunde

Multimodality molecular imaging applies imaging modalities beyond visualizing anatomy and morphology to include the ability of imaging disease-specific biomolecules and pathways in cancer, cardiovascular disease, and inflammation, among others. Imaging modalities used in physiological and metabolic imaging are computed tomography (CT), magnetic resonance imaging (MRI), magnetic resonance spectroscopic imaging (MRSI), optical imaging, positron emission tomography (PET), single-photon-emission computerized tomography (SPECT), and ultrasound (US).

16:00
Artificial Intelligence & Machine Learning Methods in Preclinical Imaging
Simon Walker-Samuel


Weekend Course

Multiparametric Image Acquisition

Organizers: Krishna Nayak, Peng Hu, Susan Francis, Akshay Chaudhari
Concurrent 4
Sunday 13:00 - 13:45
Parent Session: Multiparametric Image Acquisition
13:00
Quantitative Imaging Biomarkers
Caroline Chung

This educational session will review the definition of a quantitative imaging biomarker and review clinical applications and opportunities for quantitative imaging biomarkers, including the utility for disease detection, biological and physiological characterization of tumor and normal tissues as well as treatment response assessment and prediction. The critical steps required for the development and deployment of quantitative imaging biomarkers will be reviewed using the oncology application as an example.

13:30
Perspectives on classification of 2D and 3D medical images
Krzysztof Geras

Although deep neural networks have already achieved a good performance in many medical image analysis tasks, their clinical implementation is slower than many anticipated a few years ago. One of the critical issues that remains outstanding is the lack of explainability of the commonly used network architectures imported from computer vision. In my talk, I will explain how we created a new deep neural network architecture, tailored to medical image analysis, in which making a prediction is inseparable from explaining it. I will demonstrate how we used this architecture to build strong networks for breast cancer screening exam interpretation.

14:00
Fat-Water Imaging: Fat Quantification
Houchun Hu

The quantification of body adiposity and organ fat has become an important tool in physiology, obesity, and metabolism research.  Proton-based MRI methods, namely chemical-shift-encoded water-fat imaging techniques, and the associated proton-density-fat-fraction biomarker, have emerged as popular methods in recent years.  These techniques generate informative visualizations of regional and whole-body fat distributions, yield measurements of fat volumes within specific body depots, quantify fat accumulation in abdominal organs and muscles, and even estimate unsaturation levels of triglycerides in adipose tissue. In this presentation, a summary of mainstream fat quantification will be given, highlighting common clinical applications in longitudinal and cross-sectional studies.  

14:30
Diffusion-Weighted Imaging
Benjamin Ellingson

Diffusion weighted imaging (DWI) is a magnetic resonance (MR) technique for estimating microstructural integrity and organization by quantifying the random, intravoxel incoherent motion of water protons. Restriction and/or alterations in water diffusion within the brain and other organs have been found useful for characterizing and monitoring disease processes and therapeutic responses to a number of pathologies and disorders. The current lecture will cover the fundamental physics, practical set-up, and quantification techniques using the basic DWI experiment, then end with a short discussion of clinical applications and advanced techniques at the cutting-edge of DWI research.

15:00
MR Relaxometry & Fingerprinting
Jesse Hamilton

This presentation will provide an introduction to relaxometry and Magnetic Resonance Fingerprinting (MRF). In the first half of the talk, we will cover conventional parameter mapping techniques and discuss several state-of-the-art non-fingerprinting approaches for multiparametric mapping. During the second half, we will provide an overview of MRF including pulse sequence design, k-space data sampling, dictionary generation, and pattern matching. Special topics will also be presented, including approaches to correct for confounding factors, dictionary compression, novel low-rank and deep learning reconstruction methods.

15:30
Dynamic Contrast-Enhanced MRI
Mirjam Broeckmann

Dynamic contrast enhanced MRI (DCE-MRI) is a completely established method for tumor assessment. Technically it is a series of T1w images acquired before and after contrast agent administration. DCE-MRI visualizes tumor vascularisation and neoangiogenesis. Trade-off between high spatial and high temporal resolution is crucial. Evaluation is made visually or in a semi-quantitative manner, for clinical trials also via a full quantitative model. Rapid wash in and early wash out are the most suspicious findings for malignancy. Possible alternatives are Dynamic Susceptibility Contrast (DSC), Arterial Spin Labeling (ASL) and Dynamic Contrast Enhanced Computer Tomography DCE-CT.

16:00
MR Spectroscopic Imaging
Michael Thomas

Since its validation in the 1980’s, numerous applications of Magnetic Resonance Spectroscopy (MRS) have been demonstrated in monitoring human tissue metabolites and lipids non-invasively. After recording the anatomical MR images, image-guided localization of volume-of-interest (VOI) and signal acquisition have been accomplished. Phase-encoding gradients can be included into the VOI localization techniques such as PRESS, STEAM, FID and more to record MR Spectroscopic Imaging (MRSI). Longer duration of MRSI can be shortened using echo-planar spectroscopic imaging (EPSI), SI using concentric ring trajectories (SI-CONCEPT), spiral and radial MRSI. In this presentation, we will review these historical developments in assessing tissue biochemistry non-invasively.


16:30
Multiparametric MRI of the Breast: Case Studies
Maria Adele Marino

MRI of the breast is a very important technique in breast imaging. The combination of multiple techniques, such as dynamic contrast-enhanced (DCE) MRI, T2-weighted and diffusion weighted imaging (DWI) within the same examination is called multi-parametric MRI (mpMRI).  mpMRI protocol interrogates different characteristics of breast tumor and with the combined information an improved diagnosis and characterization of breast tumors is facilitated. Advanced functional techniques are currently being investigated for its clinical value and potential integration in a multiparametric MRI protocols. A case-based presentation will be offered to let the audience familiarize with the most used multiparametric breast MRI protocols.


Weekend Course

Breast MRI Basics for Diagnosis & Screening

Organizers: Masako Kataoka, Johannes Heverhagen
Concurrent 1
Sunday 13:45 - 14:30
Moderators: Elizabeth Morris & Elisabetta Giannotti
Parent Session: Breast MRI Basics for Diagnosis & Screening
13:45
BI-RADS Mass
Pascal Baltzer

14:15
Breast MRI for Treatment Response
Fiona Gilbert

Neoadjuvant chemotherapy is standard of care in women who are found to have clinical stage T2-4 N0 breast cancer or any T1-3 with HER2 positive breast cancer. Although ultrasound is frequently used in clinical settings MRI has been shown to be the most accurate technique in monitoring response and is used in measurement of initial volume and for assessing response. Residual disease can be over or underestimated in around 20% of cases. DWI and ADC are used in early measures of response as well as pharmacokinetic measurements such as ktrans. 

14:45
Beyond BI-RADS
Laura Martincich

DWI when associated with DCE-MRI may improve the diagnostic accuracy of the examination.

15:15
Breast MRI for Screening
Ritse Mann

The use of breast MRI for screening enables earlier detection of relevant breast cancer than with other imaging techniques (particularly mammography). It has been initially tested in women with a very high (hereditary) risk for the development of breast cancer, but indications are expanding and now may include, for example, women with a personal history of breast cancer and women with very dense breasts. To optimize the value of MRI for screening the use of dedicated screening protocols and optimized hangings is required.    

15:45
Understanding the Commonly Used Sequences of Breast MRI
Min Sun Bae

This course will outline the commonly used sequences of breast MRI, along with emerging and novel techniques. Standard breast MRI includes T2-weighted imaging, precontrast T1-weighted imaging, and dynamic contrast-enhanced T1-weighted imaging. Abbreviated MRI of the breast includes one precontrast and one postcontrast T1-weighted sequences and maximum intensity projection. Abbreviated MRI shows promise for breast cancer screening, as it can reduce the examination time and the interpretation time as well as the cost associated with MRI studies. Multiparametric MRI, including DWI and ultrafast imaging, has a potential to improve diagnostic accuracy.


16:15
Management of High-Risk Patients & Implant Imaging
Wendy DeMartini

Breast MRI is an important tool, with applications including screening asymptomatic women at high risk for breast cancer, and assessment of silicone breast implants for rupture or other complications.  MRI use and outcomes for high risk screening and implant assessment will be reviewed. 

16:45
BI-RADS Non-Mass Enhancement
Masako Kataoka

This talk first explains the definition of non-mass enhancement (NME), as an area that is neither a mass nor a focus. Internal enhancing characteristics of NME are discrete from the normal surrounding background parenchymal enhancement. NME is described in terms of “distribution” and “internal enhancement patterns”. Linear and segmental distribution, with heterogeneous and clustered ring enhancement are associated with malignant lesions. Various lesions and conditions present as NME. Malignant lesions include ductal carcinoma in situ (DCIS), intraductal component of invasive carcinoma, and invasive lobular carcinoma. Benign lesions include fibrocystic change. These knowledge helps to diagnose lesions presenting as NME.

17:15
Category & Management Based on BI-RADS (Case-Based)
Maria Adele Marino

MRI of the breast has been established worldwide as a highly accurate imaging modality for breast cancer management in both the symptomatic and screening setting. The Breast Imaging Reporting and Data System (BI-RADS) lexicon contains a structured common language for interpretation and reporting of mammography, ultrasound, and MRI facilitating the communication among physicians through the use of a standardized terminology. The MRI BI-RADS lexicon includes a variety of features from lesion morphology, such as margins, to functional contrast enhancement kinetics. The aim of this talk is to show the basics of the use of BI-RADS on breast MRI.


Weekend Course

Molecular Imaging

Organizers: Hai-Ling Cheng, Eva-Maria Ratai
Concurrent 2
Sunday 13:45 - 14:30
Moderators: Michael McMahon
Parent Session: Molecular Imaging
13:45
Utility of MRI as a Molecular Imaging Modality
René Botnar

Molecular imaging promises to provide information on molecular and cellular alterations that precede anatomical or functional disease manifestation. Molecular imaging thus may help to detect pre-symptomatic sub-clinical disease, provide information on molecular markers for targeted drug treatment and improve monitoring of treatment response by visualising the effect of drugs or interventions both at the molecular and anatomical level. In this presentation I will discuss the potential of MR molecular and non-molecular imaging for the non-invasive detection of early and advanced atherosclerosis, and I will discuss the potential of non-molecular MRI and other imaging modalities for cardiovascular risk assessment and prediction.

14:15
Molecular Imaging Basics: Relaxation-Based Contrast Agents
Thomas Meade

14:45
Molecular Imaging Basics: CEST Contrast Agents
Kannie WY Chan

Chemical exchange saturation transfer (CEST) MRI has shown many promising biomedical applications. Many natural compounds and clinical agents have inherent CEST contrast. This course will cover the basic principles of CEST and CEST contrast agents, focusing on non-metallic exogenous contrast agents. Target audience: Students, researchers and physicians who are interested in using CEST contrast agents in their applications. 

15:15
Molecular Imaging Applications: Cancer
Michal Rivlin

Molecular Imaging is a growing biomedical research discipline that enables understanding complex pathological processes much earlier than they would be detected using conventional imaging techniques. Recent advances in molecular imaging technologies may assist in providing useful information regarding tumor metabolism and its microstructural changes. This presentation will discuss recent applications in molecular imaging of cancer, such as hyperpolarization, the use of nanoparticles, and CEST agents. The last is emerging as an attractive approach with the capability of generating quantitate contrast of tumors. Hence, useful CEST MRI applications such as APT, glucose and its analogs, pH imaging, etc., will be presented.

15:45
Molecular Imaging Applications: Cardiovascular
William Watson

There are many molecular applications emerging in cardiac MR which give us useful research and clinical insights. 31-phosphorus magnetic resonance spectroscopy demonstrates relative amounts of ATP and Phosphocreatine, showing energy metabolism. Proton spectra can demonstrate cardiac lipid build up or total creatine levels. 31-carbon spectroscopy can be used with dynamic nuclear polarisation to demonstrate metabolism of carbon containing compounds, typically pyruvate in showing up glucose metabolism. 31P MRS has demonstrated to us PCr depletion in heart failure and on exercise in states where energy supply is limiting. 13C shows reduced glycolysis and may be useful in ischaemia imaging.

16:15
Molecular Imaging Applications: Neurological
Robia Pautler

In this presentation, some important aspects to consider when performing Molecular Neuroimaging Studies will be presented.   The topics covered in this presentation range from anesthesia choices, awake mouse imaging, contrast agents, cell labeling, 19F studies, contrast agent delivery methods and also validation studies.  Clinical as well as preclinical aspects are covered for each topic.   The intended audience includes clinicians and basic researchers with a basic or intermediate level of understanding of molecular neuroimaging.    

16:45
Imaging Immune Cells
Paula Foster

17:15
Clinical Translation of Molecular MR Techniques
Uwe Himmelreich

When compared to other molecular imaging methods like PET, MRI/MRS-based techniques are less frequently used in clinical practice. This is partly due to the low sensitivity, in particular for MR spectroscopic methods. On the other hand, molecular MR imaging techniques that require contrast agents, depend on often lengthy regulatory procedures for their clinical approval. The application of hyperpolarized agents is still inhibited by its relatively complex procedure for daily use in the clinic. For a broad clinical use of molecular MRI and spectroscopy, it is necessary that the respective MR technique is without alternative to answer a particular clinical question.


Weekend Course

High-Field to Very- & Ultra-Low-Field MRI: What's Different?

Organizers: William Grissom, Adrienne Campbell-Washburn
Concurrent 3
Sunday 13:45 - 14:30
Moderators: Gigi Galiana & José Marques
Parent Session: High-Field to Very- & Ultra-Low-Field MRI: What's Different?
13:45
Why MRI Below 100 mT? Low-Cost, Portable & Application-Specific Systems
Andrew Webb

MRI systems are expensive to purchase, site, maintain and operate. This results in MRI playing a limited and last-stage role in healthcare in the developed world, and being essentially unavailable in the majority of developing countries. Lower total costs could change its fundamental role in healthcare, e.g. enabling MRI screening, portability increase the number of potential applications, and finally lower costs and more flexible designs enable systems which are application-specific, rather than one-size-fits-all, to be produced. This talk will discuss the design and performance of systems based on permanent magnets, with low-cost electronics and 3D printed components.

14:15
Breaking MRI Out of Radiology: Clinical Experience & Potential for Portable & Point-of-Care Low-Field MRI
Kevin Sheth

Over the past several years, we conducted the first known deployment of a portable low field MRI in the clinical care setting at the Yale Neuroscience Intensive Care unit. This experience is the first in portable, point-of-care MRI for acute brain injury. Doing so represents a change in paradigm – moving the scanner to the patient rather moving the patient to the scanner.

14:45
Contrast, Signal & Noise at Very- & Ultra-Low Versus High Field Strengths
David Lurie

In recent years, there has been renewed interest in low-field (0.2 T to 0.5 T) and very-low-field (<0.2T) MRI, for many reasons including lower cost, ease of siting, reduced hazard, portability, lower artefacts and enhanced endogenous contrast. The source of signal and its field dependence will be introduced, followed by the sources of noise (coil noise and patient noise), leading to the signal-to-noise ratio (SNR) and its dependence on magnetic field. Finally, the behaviour of contrast as a function of field will be explored, concentrating on contrast between brain grey and white matter.

15:15
Low-Field Versus High-Field Hardware: Magnets, Coils & Spectrometers
Yasuhiko Terada

  This talk will review the hardware of low-field MRI. The trend is to reduce the size, weight, and cost of the overall system, targeting point-of-care medicine. The Main magnet is either sparse Halbach array permanent magnet, which reduces the weight at the expensive of reduced homogeneity, or biplanar electromagnet, which have a relatively simple geometry. For pre-polarized MRI, a strong electromagnet is used for pre-polarization. For signal detection, an RF coil is preferred in the high frequency range, while SQUID sensors are used in the low frequency range. A customized, low-cost open-source console may be sufficient for low-field MRI.

15:45
Translating Advanced Sequences & Reconstructions from High-Field to Low-Field
Neha Koonjoo

MR Imaging at low field (LF) suffers from low SNR due to intrinsically low Boltzmann polarization. As a result, long acquisition times are needed to accommodate the additional signal averaging required to attain sufficient SNR. In the aim of improving SNR at LF, efficient pulse sequences, efficient radiofrequency (RF) coil designs and new image reconstruction methods are required. In this talk, we will discuss how refocused pulse sequences and have enabled high-quality LF imaging. On the reconstruction side, a noise-robust image reconstruction approach AUTOMAP was implemented with a deep neural network architecture so as to further increase sensitivity at LF.

16:15
SAR Is No Object: Alternative Spatial Encoding Strategies for Low-Field MRI
Gigi Galiana

Low field and portable scanners have spurred a broad reimagining of spatial encoding in MRI.  Many designs still use B0 variation as the primary source of spatial encoding, but these span a broader range of switchable and permanent magnet sources, with both linear and nonlinear spatial variation.  In addition, the enormous reduction in SAR at low field has opened many possibilities for RF encoding, including methods based on hardware geometry, complex RF waveforms, and Bloch-Siegert evolution with hardware that allows continuous frequency encoding.  Advanced reconstruction methods also play a larger role in low field imaging.

16:45
More Than Just Open Magnets: Resources & Opportunities for Open-Source Hardware & Software in Low-Field MRI
Lukas Winter

Open Source Soft- and Hardware development of scientific MR methods in the construction of low-field MR technology has gained tremendous speed over the last years. As of today, it is possible to build an entire low-field MR system mostly relying on Open Source Software and Hardware designs. This is encouraging, since transparency, reproducibility and non-exclusive sharing of results are the core scientific values driving innovations and impact. In this presentation the current progress of open source low-field MR development is displayed: From pulse sequence to pulse generation hardware, amplifiers, magnets, RF and gradient coils.

17:15
Coil Demo: What's Different About Low-Frequency Coils?
Charlotte Sappo

This talk gives an overview of some of the differences between high and low field coil considerations. The direction of the main magnetic field, often pointing either vertically or horizontally, allows us to use a solenoid, gaining a significant sensitivity boost. In this talk a demo is provided to show the winding, tuning and matching process, and general setup for constructing a solenoid. Additionally, examples of commercial and in-house built RF coils are shown that are in use on various low field systems.


Weekend Course

Image Reconstruction

Organizers: Mariya Doneva, Justin Haldar
Concurrent 4
Sunday 13:45 - 14:30
Moderators: Dong Liang & Teresa Correia
Parent Session: Image Reconstruction
13:45
Parallel Imaging
Kathleen Ropella-Panagis

Parallel imaging refers to a set of techniques used to accelerate MRI acquisitions. Parallel imaging experiments include (1) a reduced amount of acquired k-space data to decrease scan time, (2) multi-channel RF coils for spatial encoding, and (3) a reconstruction algorithm. This talk covers three common parallel imaging reconstruction algorithms: SENSE, GRAPPA, and SPIRiT. Acceleration factor and SNR are also discussed. This presentation includes a MATLAB app to explore parallel imaging.

14:15
Reconstruction of Non-Cartesian Data
Jakob Assländer

Today, most clinical scans are performed with Cartesian k-space sampling due to its robustness and ease to implement acquisition and reconstruction. However, there are numerous reasons to use non-Cartesian sampling methods, reasons that range from robustness to motion and flow, to less intrusive undersampling artifacts and more beneficial properties for advanced image reconstruction methods such as compressed sensing. This lecture covers the basics of image reconstruction with the non-uniform FFT. The talk itself discusses the concepts and the underlying theory and is accompanied by exercises that can be done online in a browser (see syllabus for details).


14:45
Compressed Sensing
Claudia Prieto

Compressed sensing MRI reconstruction techniques have transformed the field and have been investigated in many clinical applications during the last decade to speed up MRI scans. This talk introduces the three key components of Compressed Sensing - sparsity, incoherence and non-linear reconstruction - and discusses how these key components are implemented in MRI. The combination of Compressed sensing with parallel imaging is briefly discussed. Current challenges of Compressed sensing are summarised and more recent developments in deep learning based reconstruction (proposed to overcome some of these challenges) are briefly introduced.

15:15
Learned Representations: Dictionaries, Subspaces, Manifolds
Ukash Nakarmi

 Efficient representation is the key to reconstructing high-quality images from accelerated data acquisition in magnetic resonance imaging (MRI). In this talk, I will present the important paradigms in representation learning for accelerated MRI and how such representations can be used to solve ill-posed problems in MR image reconstruction.

15:45
Low-Rank & Structured Low-Rank Reconstruction Approaches
Mark Chiew

This talk will provide some intuition behind low-rank methods and an overview of the mechanics involved in reconstruction. We will first present some background on low-rank matrices, then cover general low-rank methods, and finally we will discuss structured low-rank methods.

16:15
Neural Networks in MR Image Reconstruction
Shanshan Wang


Weekend Course

Antenatal & Pediatric MRI Challenges

Organizers: Dianna Bardo, Mary-Louise Greer
Concurrent 1
Sunday 14:30 - 15:15
Moderators:
Antenatal & Pediatric Renal & Abdominal: Claudia Hillenbrand & Minhui Ouyang

Antenatal & Childhood Cardiac & Spinal: Julio Garcia Flores & Elka Miller
Parent Session: Antenatal & Pediatric MRI Challenges
14:30
Antenatal Hydronephrosis with Fetal Intervention
Mark Sugi

Antenatal urinary tract dilation (UTD) occurs in 1-2% of fetuses and may be caused by multiple genitourinary anomalies, although mild forms are often transient. UTD can be detected as early as the first trimester as megacystis. Differential diagnosis for fetal UTD can be refined via assessment of the kidneys, ureters, bladder, sex, and amniotic fluid volume. Early detection allows for potential interventions aimed at increasing amniotic fluid volume to allow for critical pulmonary development. While UTD is often detected by ultrasound, fetal MRI has a role in further characterizing renal function and delineating the anatomy of complex urinary tract anomalies.

15:00
Neonatal/Pediatric MR Urography with Renal Perfusion
Cara Morin

MRU provides a thorough anatomic and functional assessment of the urinary tract in children, allowing detailed evaluation of the renal parenchyma, collecting systems and ureters, and the bladder, while also providing both static and dynamic functional information. As such, MRU has the potential to be contributory to the evaluation of a wide variety of pediatric urologic abnormalities. With new motion-robust dynamic post-contrast sequences, quantitative assessment of renal perfusion is becoming increasingly accessible as a clinical technique.

15:30
Antenatal/Neonatal Cystic & Solid Masses
TBD

16:00
Pediatric Neuroblastoma: Diagnosis & Staging
Alexander Towbin

Neuroblastoma is the most common extracranial soft tissue malignancy in children.  In 2004, the International Neuroblastoma Risk Group (INRG)  published a new staging system designed to standardize the presurgical staging of neuroblastoma. The INRG staging system developed a series of 20 different image-defined risk factors (IDRF) that confer additional surgical risk and upstage a patient from L1 to L2 disease. Radiologists should be familiar with the different IDRFs and the standard definitions used assess patients with neuroblastoma. 

16:30
Antenatal MR Techniques: Congenital Heart Disease
David Lloyd

MR imaging of the fetal heart presents multiple challenges in terms of the small size of the heart and great vessels, fast fetal heart rate and uncontrolled fetal motion during acquisition. This presentation outlines the recent technical innovations designed to overcome these limitations, with referenced examples of static 2D and 3D imaging, as well as time resolved 3D data and even 4D flow sequences. Future developments are also discussed as well as current and future clinical applications.

17:00
Neonatal/Pediatric Cardiac 4D Flow & Fractional Flow Reserve
Joshua Robinson

17:30
Antenatal Spinal Pathology with Fetal Surgical Intervention
Usha Nagaraj

This talk will review the pathology of open spinal dysraphism and Chiari II malformation, the current surgical techniques for repair and the imaging criteria for fetal surgery.  Relevant imaging findings on fetal and postnatal MRI in this population will be reviewed.  

18:00
Neonatal/Pediatric Spinal Pathology
TBD


Weekend Course

Perfusion MRI

Organizers: Hai-Ling Cheng, Seung Hong Choi, Masaaki Hori
Concurrent 2
Sunday 14:30 - 15:15
Moderators: Jongho Lee & Toshinori Hirai
Parent Session: Perfusion MRI
14:30
ASL: Acquisition & Analysis in the Brain
David Thomas

ASL is a non-invasive MRI method for quantitative mapping of cerebral blood flow (CBF). In this talk, I describe the two main categories of ASL – pseudocontinuous (pCASL) and pulsed (PASL) – and explain how the images acquired using these different acquisition schemes can be converted into CBF maps, using a general tracer kinetic model. I describe how ASL data can be acquired with either single or multiple inflow delay times, and the pros/cons of these two approaches. Lastly, I discuss some practical considerations (imaging method, background suppression) which also affect the quality and accuracy of ASL CBF maps.

15:00
ASL: Acquisition & Analysis in the Body
Susan Francis

This lecture will outline Arterial Spin Labelling acquisition and analysis methods used in body applications. The considerations for ASL acquisition in terms of labelling schemes and post-label delay, image readout, and methods to reduce motion effects for body ASL are discussed. Analysis methods used in the body applications to account for transit delays and correct for motion will be discussed. The application of ASL MRI across various body organs will be outlined including the kidney, placenta, pancreas and liver, and heart, with clinical applications highlighted.

15:30
ASL: Clinical Applications of ASL
Jeff Winter

Arterial spin labeling (ASL) is emerging as a valuable tool for various clinical applications primarily in the brain, but also in the body. In this session, we will review key clinical applications, including stroke, cerebrovascular disease, neurodegeneration, neuro-oncology as well as renal applications. We will highlight how both cerebral blood flow as well as transit time effects can be used in different clinical applications. Lastly, we will highlight challenges and recent initiatives to increase adoption of ASL perfusion imaging in the clinic.

16:00
DCE-MRI: Acquisition
Caroline Chung

This educational session will review the workflow components of Dynamic Contrast-Enhanced MRI acquisition and will provide an overview of the recommendations and discussions included in the DCE-MRI Quantification Profile of the Quantitative Imaging Biomarker Alliance of the Radiological Society of North America, which has recently wrapped up its public comment phase. This version 2.0 profile update specifically aims to address issues and challenges to consider with 3T MRI and parallel imaging.

16:30
DCE-MRI: Analysis
Lucy Kershaw

Analysing DCE-MRI data can be time-consuming and complex. In this session, the process will be broken down into steps whilst highlighting potential pitfalls.  Analysis and acquisition are closely linked but we will start from the position of having acquired anatomical images, T1 maps and the dynamic series, and assume that analysis will be done using python, matlab etc.  We will then cover:

  • AIF extraction     
  • Signal intensity to contrast agent concentration conversion
  • Bolus arrival time determination
  • Model selection
  • Model fitting
  • Alternative simple analysis options 

17:00
DSC-MRI: Acquisition
Greg Cron

This short talk focuses on the bare-bones basics of DSC-MRI acquisition.  We will look at the relationship between MRI signal and Gadolinium concentration in a qualitative manner.  We will explain how preloading suppresses T1 weighting.  We will then show a schematic of a basic DSC-MRI acquisition protocol and provide recommended parameters.

17:30
DSC-MRI: Analysis
Linda Knutsson

Perfusion is the term applied to capillary blood flow in tissue. The study of brain perfusion has clinical applications due to the changes in perfusion associated with several neurological diseases.  Dynamic susceptibility contrast (DSC) MRI is a method for retrieving perfusion and perfusion-related parameters using an exogenous contrast agent.  The quantification of the perfusion and perfusion-related parameters from DSC-MRI is a two-step procedure. In the first step, the signal intensities are converted into contrast agent concentrations by employing MR signal theory. The second step aims to derive the relevant parameters from the time-resolved concentrations by means of tracer-kinetic theory. 


18:00
Clinical Application of DSC & DCE MRI
Shoko Hara

This lecture presents the clinical application of DSC and DCE MRI in various neurological disorders - acute ischemic stroke, chronic cerebrovascular diseases, brain tumors, and blood brain barrier dysfunction in neuroinflammatory and neurodegenerative diseases. For the listeners who are not clinicians, backgrounds of each neurological disorder are presented, to enhance understanding of why DSC and DCE MRI are clinically required and useful.


Weekday Course

MR Data Security in a Dangerous Era

Organizers: John Port, Fernando Calamante
Concurrent 3
Sunday 14:30 - 15:15
Moderators: Hanzhang Lu
Parent Session: MR Data Security in a Dangerous Era
14:30
Cloud Computing: Challenges & Opportunities
Michael Hansen

This presentation is an introduction to using cloud computing for image reconstruction and machine learning. We will introduce the concept of cloud computing and highlight the value it can bring to MRI research and clinical use. The presentation points to multiple open-source projects that can help you get started with cloud computing and also highlights some of the example use cases. Throughout the review we discuss the current challenges in the field and point to solutions that can be implemented.

15:00
Protecting MR Data: Practical Issues (Sharing, Anonymizing, Etc.)
Thomas Close

Ensuring privacy in MRI research is critical due to the sensitivity of medical data. In this education session, the risks of privacy breaches from MR data, and tips on how to minimise them, are explained with respect to the “Five Safes” of data privacy: Safe Output, Safe People, Safe Setting, Safe Data and Safe Output. The session touches on a wide range of security topics, from encryption of DICOM transfers and defacing of structural MRI scans, to disclosure risks in published outputs, to give an overview of the issues that need to be considered over the lifecycle of MR projects.

15:30
Protecting MRI Scanner & Peripheral Devices: Hackers
George Shih

16:00
Legal & Regulatory Issues in the Protection of MR Data: The Alphabet Soup (GDPR, HIPAA, FDA)
Yvonne Lui

In this presentation, we will review some of the legal and regulatory issues in the protection of MRI data that are pertinent to research in MRI including defining and discussing GDPA, HIPAA, and the role of the FDA. We will begin with an overview of the topic of medical imaging data ownership and what the rules are, the differences between legal definitions depending on location such as between Europe and North America. We will comment on what ownership means and review what HIPAA is, discuss issues of informed consent, issues surrounding deidentification, and the role of the FDA.


Weekend Course

MRI Artifact & Correction Strategies

Organizers: Carl-Fredrik Westin, Zhaolin Chen, Dong Liang
Concurrent 4
Sunday 14:30 - 15:15
Moderators: Vikas Gulani & Rita Nunes
Parent Session: MRI Artifact & Correction Strategies
14:30
History of EPI Ghost Correction
Miha Fuderer

Echo-Planar Imaging (EPI) is a technique devised around 1976 by the Nobel laureate Sir Peter Mansfield. In the 1980s it was a promising but challenging new MRI technique. By 1990, it got clinically (and commercially) useful, initially mainly via diffusion imaging. Issues became problems – having a problem, we come up with solutions. One of the most challenging problems is the “EPI ghost” (or half-FOV ghost). As of the 1990s, this was tackled by a reference-scan. In the 2000s, parallel imaging became an additional tool against the ghost, while the last decade brought deep-learning as an additional possibility.

15:00
Artifact Correction in Diffusion MRI
Hua Guo

DWI is widely used in MRI. Due to the application of diffusion encoding gradients and usage of EPI for signal sampling, diffusion images usually have two kinds of artifacts. The first kind is image sequence and system related artifacts, such as EPI artifacts and field inhomogeneity induced distortions. The second kind is subject related artifacts which come from either cardiac pulsation and respiration or bulk motion.   Various methods have been developed to reduce the first kind artifacts, while bulk motion and low SNR are less addressed.  This presentation will give a concise review about the artifacts and the correction.

15:30
Artifact Correction on Preclinical MRI Systems
Andrada Ianus

This lecture describes the most common artifacts found on preclinical MRI scanners related to acquisition, image formation, hardware, sequence specific issues and physiological properties. It starts with a brief review of k-space and image formation, then it describes the physical principles of various artifacts, provides examples of preclinical images specifically acquired to show them and discusses different strategies to mitigate artifacts, both at the acquisition and data post-processing level. Some of the artifacts covered in this lecture are aliasing, chemical shift, Gibbs ringing, field inhomogeneities, Eddy currents, ghosts, susceptibility artifacts and motion.

16:00
Gibbs-Ringing Artifact Removal
Elias Kellner

The gibbs-ringing (also known as "truncation artifact" or "spectral leakage" ) is a result from reconstruction if images from a finite (bounded) k-space. It results in oscillations according to the sinc function in the vicinity of sharp image gradients at tissue boundaries. In this presentation, examples of the artifact are illustrated and simulations are shown to understand it better. Finally, correction strategies are discussed.

16:30
Simulation of Artifacts for Validating Post-Processing Correction Techniques
Gary Zhang

This presentation reviews how simulation of MRI artifacts can help validate post-processing correction techniques.  First, typical artifacts that are routinely corrected via post-processing are presented.  Second, the strength of validation with MRI simulation over alternative validation approaches is discussed.  Finally, a range of practical examples of MRI artifact simulation development and their use for validation are detailed.


Weekend Course

Imaging Degradation & Inflammation

Organizers: Christopher Filippi
Concurrent 1
Sunday 15:15 - 16:00
Moderators: Jorge Davila Acosta & Liliana Ma
Parent Session: Imaging Degradation & Inflammation
15:15
Inflammatory Demyelinating Disease & Treatment Effects
Matilde Inglese

15:45
Idiopathic Lung Disease & Cystic Fibrosis
Sean Fain

Idiopathic pulmonary fibrosis (IPF) and cystic fibrosis are deadly chronic lung diseases that have recently had breakthroughs in targeted drug therapies. Image-based biomarkers of ventilation and gas exchange using hyperpolarized 129Xe MRI are well suited to sensitively identify patients with progressive disease and monitor response to these new drug therapies. Additionally, ultra-short echo time (UTE) MRI has made significant advances in visualizing clinically relevant disease structures in both IPF and CF and can complement HP 129Xe MRI for longitudinal studies without requiring ionizing radiation. This structure-function imaging capability of MRI makes earlier and more frequent disease assessment feasible. 

16:15
Non-Ischemic Cardiomyopathies
Ethan Rowin

Cardiovascular magnetic resonance (CMR) provides comprehensive characterization of the heart in patients with hypertrophic cardiomyopathy (HCM) including precise definition of left ventricular wall thickness and myocardial tissue characterization with late gadolinium enhancement (LGE).  CMR contributes to the identification of patients at risk for sudden death including high risk features of LV apical aneurysms and extensive LGE.  CMR in conjunction with current management strategies have resulted in a HCM becoming a treatable disease with low mortality rates.

16:45
Vasculitis
Subha Raman

17:15
Hepatic Inflammation & Fibrosis-MR Elastography
Frank Miller

Hepatic inflammation and fibrosis are important causes of cirrhosis and hepatocellular carcinoma.  The imaging findings of cirrhosis are often difficult to diagnosis on conventional imaging. MR elastography is the best method to assess for increased stiffness associated with fibrosis and inflammation. This talk will discuss the technique, interpretation and performance of MR elastography. Newer techniques including 3D MRE will be discussed.  In addition, the patterns of findings on MR elastography will be discussed in relationship to different disease processes.  Other causes of elevated stiffness will be demonstrated. Challenges such as iron overload will be discussed.

17:45
Acute & Chronic Kidney Diseases
Anna Caroli

Renal MRI has the potential to overcome the limitations of current renal disease markers and improve kidney disease management in both chronic and acute settings. Renal MRI offers a wide spectrum of techniques that could be combined in a multiparametric approach to gain the best insight into kidney pathophysiology. In this educational presentation, the most widely used renal MRI techniques (DWI, BOLD, ASL, Phase-contrast MRI, T1/T2 mapping) are presented along with their clinical applications and new advances in the field. Current challenges, recent achievements, and a roadmap for clinical translation of renal MRI biomarkers are also discussed.

18:15
Imaging in IBD - a clinical perspective
Tom Watson

MR Enterography forms the mainstay of imaging for inflammatory bowel disease in adults and children.  Ultrasound and CT are useful adjuncts in specific circumstances. Assessment of inflammation in IBD requires a multi-sequence approach using fluid-sensitive, diffusion-weighted and contrast enhanced sequences.  Currently it is difficult to assess accurately, the relative contributions of inflammation and fibrosis within a given area of disease though this is possible.  Newer techniques such as magnetisation transfer factor and quantified dynamic assessment of gut motility offer some promise in these areas.

18:45
Spondylarthropathy
Chiara Giraudo

This lecture is for radiologists and scientists working in the musculoskeletal field with a special interest in inflammatory rheumatic diseases.The classification of spondyloarthropathies including a brief overview of clinical and laboratory findings will be provided.The optimization of MR protocols according to international guidelines and the main MR signs will be discussed.Moreover, the role of qualitative and quantitative MR imaging including advanced techniques, such as machine learning will be addressed.At the end of this lecture, the audience will have gained new knowledge about the diagnostic process for spondyloarthropathies and the application of basic and advanced MR imaging in this field.


Weekend Course

Brain Microstructure

Organizers: Mark Does, Markus Nilsson, Noam Ben-Eliezer
Concurrent 2
Sunday 15:15 - 16:00
Moderators: Mark Does & Derek Jones
Parent Session: Brain Microstructure
15:15
Diffusion: Signal Representations
Emilie McKinnon

A typical diffusion experiment exists of images acquired at different gradient directions and diffusion weightings. These large datasets necessitate transformation into compact metrics which facilitate comparisons between subjects, brain regions, or experimental settings.  This conversion requires the fitting of mathematical functions called signal representations. Signal representations can be motivated by general diffusion physics, microstructural models, or simply by mathematical functions with convenient properties. Depending on the type of signal representation, the fitting parameters can have true physical meaning (e.g., diffusivity), biological meaning (e.g., axon diameter), or they can be a pure mathematical construct (e.g. spherical harmonic coefficients).  

15:45
Diffusion: Spectroscopy
Chloé Najac

Diffusion-weighted magnetic resonance spectroscopy (DW-MRS) offers a unique opportunity to probe tissue microstructure in vivo. Here we discuss the motivations behind DW-MRS  and the specificity of brain metabolites vs. water molecules. Some of the conventional sequences used in DW-MRS experiments are described. A "live" DW-MRS acquisition on a clinical MRI scanner is shown as well as some of the essential steps for processing DW-MRS data. We give some examples of the unique features that can be extracted, such as the length of neuronal and glial processes or the microscopic anisotropy of neurons and glial cells. Finally, take-home messages are summarized.

16:15
Diffusion: Physical Models
Santiago Coelho

This talk examines current diffusion MRI modeling approaches for brain tissue. Biophysical models and signal representations are contrasted. How diffusion coarse-graining facilitates modeling is explained. Emphasis is put on the identification of common modeling assumptions and examples on how to validate them. High diffusion weighting and long and short diffusion times are discussed together with state-of-the-art biophysical modeling techniques on each. Finally, future directions for modeling brain tissue are discussed.

16:45
Susceptibility
Richard Bowtell

Microstructural variation in magnetic susceptibility can have significant effects on signal magnitude and phase in GE images. The effect of microstructure on R2* and local frequency depends on the susceptibility, volume fraction, shape, orientation and ‘spin density’ of structures.   Myelin and non-haeme iron have largest effects in brain tissue. Measured R2*and susceptibility are strongly correlated with macroscopic iron content and show some sensitivity to microstructure.  WM tracts appear diamagnetic, with elevated R2* when perpendicular to B0. This behaviour is explained by the anisotropic susceptibility of lipid chains in the myelin which introduces complex dependence of GE signal on WM microstructure.

17:15
Brain Microstructure: Relaxation
Eva Alonso Ortiz

The most commonly used MRI sequences, T1-weighted, T2-weighted, and T2*-weighted are used to generate images whose contrast depends on T1, T2, and T2* relaxation values. However, the images themselves are not direct measures of T1, T2, and T2* which are physical characteristics of the tissues. T1-weighted, T2-weighted, and T2*-weighted images are used to identify areas of abnormally bright or dark signals, but they do not tell us anything specific about changes in tissue. In this presentation you will learn how relaxation arises, how it can be measured, and what it can tell us about the brain’s microstructure.

17:45
Magnetization Transfer
Olivier Girard

This lecture will cover the basic principles of magnetization transfer (MT) imaging techniques targeted toward immobile macromolecules in brain and describe how these techniques may inform on the local tissue microstructure.  Following this lecture, the attendees should 1/ understand the origin of the magnetization transfer signal within heterogeneous systems such as brain tissues, 2/ understand simplified biophysical modelling aiming at describing myelinated white matter in the context of MT imaging; and 3/ understand how the orientation of the myelinated axons may affect MT measurements and how this may influence other contrasts (T1, T2) measured in the brain.

18:15
Multi-dimensional methods for microstructure imaging based on diffusion MRI
Björn Lampinen

Microstructure imaging aims to infer brain tissue quantities using diffusion MRI. However, conventional diffusion MRI yields only a few observables with limited specificity. Multi-dimensional methods use additional acquisition dimensions to obtain new observables with higher specificity. Data acquired using multiple b-tensor shapes separate the effects of structural shape and variation in size. Data acquired using multiple echo times may separate the densities and T2 properties of tissue components. Microstructure modeling aims to increase specificity by interpreting the available data through a tissue model. Although modeling may complement multi-dimensional acquisitions, the approach stresses rather than replaces the need for independent data.

18:45
Critical Review
Matthew Budde

This talk will provide an overview of considerations and challenges to bringing Microstructure Imaging techniques to the clinical setting and issues concerning validation of methods to improve specificity and understanding of the MRI-pathology relationships.


Weekend Course

30 Years of Functional MRI

Organizers: Marta Bianciardi, Xin Yu, Susan Francis, Douglas Noll
Concurrent 3
Sunday 15:15 - 16:00
Moderators:
fMRI Basics: Gisela Hagberg

Mechanisms of Resting-State fMRI: Patricia Figueiredo & Jorge Jovicich
Parent Session: 30 Years of Functional MRI
15:15
30 Years of fMRI: Historical Perspective I
Kamil Ugurbil

The human fMRI experiments performed in CMRR, University of Minnesota, were motivated by the elucidation of the BOLD effect and the plan to establish a 4Tesla human imaging system in CMRR. These were the first experiments carried out on the 4T after it became operational. The effort produced several seminal papers in 1992 and 1993, reporting on successful functional mapping in the human brain, modeling of BOLD effect with implications on micro- versus macro-vascular contributions and the effect of the magnetic field strength, and experimental demonstration of the draining vein confound, leading to the development of 7 Tesla for fMRI.

15:45
30 Years of fMRI: Historical Perspective II
Bruce Rosen

The development of functional Magnetic Resonance Imaging (fMRI) has fundamentally changed our ability to study human brain function – it has become by far the dominant tool used by cognitive and translational neuroscientists to link brain activity with human behavior. This talk will present some of the key antecedent concepts that underlay the development of modern fMRI methodology, and build a narrative of discoveries and insights that led to the emergence of this remarkable tool in the early 1990’s. 

16:15
Haemodynamic Coupling & BOLD Biophysics
Nicholas Blockley

In this educational talk I will give a broad overview of haemodynamic coupling and BOLD biophysics. I talk about neurovascular coupling mechanisms including feedback versus feedforward mechanisms, vasodilation and vasodilators. From the perspective of the physiology of the BOLD signal I talk about the haemodynamic and metabolic contributions to the BOLD response. I then describe how these physiological changes translate into the measured BOLD signal including the effects of pulse sequence, vessel size and magnetic field strength.

16:45
fMRI Acquisition Methods
Wietske van der Zwaag

In this presentation, I give a brief overview of the fMRI acquisition methods developed between 1990 and 2020. The history of fMRI acquistions is a colourful one, going from MBEST and spirals to blipped CAIPIRINHA and alternative contrasts in 30 short years.

17:15
Non-BOLD: Imaging Blood Volume & Perfusion
Emmanuel Barbier

The relation between the BOLD signal and brain physiology is complex. Among the physiological determinants of BOLD, the cerebral blood volume (CBV) and the cerebral blood flow (CBF) appear of interest: they may be mapped using MRI. In fact, the first functional MRI paper ever published was based on the mapping of CBV changes, soon followed by a CBF-based fMRI paper. In this course, we will review the main fMRI methods based on blood volume and blood flow.

17:45
Resting-State fMRI
Bharat Biswal

18:15
Physiological Contributions
Rasmus Birn

Resting-state functional connectivity is sensitive to various sources of noise, particularly head motion and physiological fluctuations resulting from the heart beat and respiration. This noise can cause both false positives and false negatives. A variety of tools have been developed to reduce the influence of this noise. These techniques include image registration, censoring high-motion time points, nuisance regression (where noise is modeled as additional regressors in a general linear model) and data-driven approaches such as independent component analysis (ICA).

18:45
Arousal & Viscerosensory Contributions
Catie Chang

This talk discusses how arousal and brain-body interactions shape fMRI signals. We discuss ways in which fMRI signal characteristics and connectivity patterns have been found to change with fluctuations in arousal and during sleep. We also discuss the use of peripheral physiological recordings to study autonomic processing, as well as interactions between visceral signals and fMRI.

19:15
resting state fMRI: Neuronal Components
Silvina Horovitz

This lecture explores the neuronal contributions to the BOLD signal fluctuations and fMRI functional connectivity. We then provide an overview on electrophysiological and behavioral changes that alter fMRI functional connectivity. Finally, we discuss the implications in the understanding of resting state studies.



Weekday Course

Money, Money, Money

Organizers: Alexander Leemans
Concurrent 4
Sunday 15:15 - 16:00
Moderators: Alexander Leemans & Ivana Drobnjak
Parent Session: Money, Money, Money
15:15
Necessary Ingredients of a Research Proposal
P. Ellen Grant

If research is your passion, writing fundable research proposals is a necessary skill to master. Research proposals may go to a many different funding agencies. All expected a specific style. The focus of this session will be the NIH style research proposal but many of the ingredients are relevant to all research proposals. Tips and strategies for preparing proposals will discussed as will the personal skills that are needed to succeed. In particular, the need to persevere, keep trying and believe in your work as success on the first submission is now rare.

15:45
Why You?: Selling Yourself
Derek Jones

This second presentation in the 'Money, Money, Money' session will focus on 'selling yourself', including what and what not to include in your CV and how you can enhance your visibility and reputation. One theme is "Every Little Helps", and we'll discuss what you can do to enhance your CV. Another theme is "It's a Small World", emphasizing that the academic community is a small and tight-knit community, and so advice will be given both on exploiting this fact and some things to watch out for.  Finally, we'll talk about the right way to respond to a grant rejection.

16:15
Panel Discussion
Marion Smits

16:45
Panel Discussion
Meng Law

17:15
Panel Discussion
Anke Henning

17:45
Panel Discussion
Ching-Po Lin

18:15
Panel Discussion
Kei Yamada

18:45
Panel Discussion
Kim Butts Pauly


Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: CEST MRI II

Concurrent 1
Sunday 16:00 - 17:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI II
(no CME credit)
16:00
How to Analyse Your Physiological MRI Data: CEST


Tutorial

Tutorial: Resting-State fMRI: From Acquisition to Processing

Organizers: Rajan Jain, Marta Bianciardi
Concurrent 2
Sunday 16:00 - 20:00
Moderators: Jingyuan Chen & Andre Obenaus
Parent Session: Tutorial: Resting-State fMRI: From Acquisition to Processing
(no CME credit)
16:00
Basic Theory of rsfMRI-Derived Functional Connectivity
Haris Sair

16:30
A Primer on Data Analysis: Preprocessing Pipelines
Behroze Vachha

17:00
Seed- & ICA-Based Analysis: What It Is & How to Interpret Findings
Ann Choe

17:30
Seed- and ICA-Based Interpretation: Case Studies of CNS Disease
Mickael Tordjman

18:00
Brain Network Analysis: Theory & Interpretation
Shella Keilholz

Brain network analysis is widely used to characterize the structural and functional connectivity of the brain.  This tutorial gives step-by-step examples of how to use the Brain Connectivity Toolbox to calculate common network metrics, including degree, clustering, path length and modularity.  Null models and interpretation are touched upon briefly.

18:30
How to Interpret Brain Network Changes: Case Studies of CNS Disease
Maurizio Corbetta

19:00
What Is Dynamic Causal Modelling & How Can It Inform on Network Changes?
Rosalyn Moran

19:30
Static Versus Task-Based Dynamic Connectivity: What’s the Difference?
Catie Chang

20:00
How to Interpret Brain Network Changes: Case Studies of CNS Disease
TBD

20:30
What Is Dynamic Causal Modelling & How Can It Inform on Network Changes?
TBD


Tutorial

Tutorial: Machine Learning in Cardiovascular MRI I

Organizers: Pim van Ooij
Concurrent 3
Sunday 16:00 - 18:00
Moderators: Michael Markl & Matthan Caan
Parent Session: Tutorial: Machine Learning in Cardiovascular MRI I
(no CME credit)
16:00
Disentangled Representation Learning in Cardiac Image Analysis
Thomas Joyce

16:30
Learning to Map Genetics onto the Heart in Large Populations
Declan O'Regan

17:00
Machine Learning Segmentation of Heart/Aorta
Jelmer Wolterink


Tutorial

Tutorial: Diffusion III & IV

Concurrent 1
Sunday 17:00 - 19:00
Parent Session: Tutorial: Diffusion III & IV
(no CME credit)

Tutorial

Tutorial: Software Demos for MRI II

Concurrent 1
Sunday 19:00 - 20:00
Parent Session: Tutorial: Software Demos for MRI II
(no CME credit)

Plenary Session

Nurturing MR Innovators & Innovation

Organizers: Elizabeth Hecht, José Marques, Krishna Nayak, Lawrence Wald
Concurrent 1
Sunday 20:00 - 22:00
Moderators: Elizabeth Hecht & José Marques
Parent Session: Sunday Plenary
20:00
Introduction

20:15
Viribus Unitis

21:00
Nurturing Beyond Our Peers: Public Engagement & Outreach
Stuart Clare

Engaging with the public is vital to ensure trust in science.  It can improve our research and our communication skills, and also be rewarding and fun.  To best engage, we need to identify who we are engaging with and ensure that our message and our method match that audience.

21:20
Nurturing Talent: Training & Mentoring
Kaori Togashi

Based on my experience as a team leader and chairperson of Radiology department for 16 years, I learn that nurturing should be adjusted for each mentee’s stage. In the department I take care of medical student, residents, graduate students and faculties. What I value most in each stage differs. For example, early exposure and success stories are useful to get residents into research mindset, while graduate students need mentoring. For faculty level, help them to find the path to success with the consideration of diversity and leadership are important. Keywords common to all stages in nurturing future talents are discussed. 

21:40
Nurturing a Team: Healthy Team Science
Vivian Lee


Corporate Symposium

Canon Medical | Olea Medical Gold Corporate Symposium

Sunday 23:00 - 23:59
(no CME credit)


Monday, 17 May 2021

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Tutorial

Tutorial: Software Demos for MRI III

Concurrent 7
Monday 7:00 - 8:00
Parent Session: Tutorial: Software Demos for MRI III
(no CME credit)

Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: Cerebral Oxygenation I

Concurrent 7
Monday 9:00 - 10:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI III
(no CME credit)
9:00
How to Analyse Your Physiological MRI Data: Cerebral Oxygenation
  Nicholas Blockley
  University of Nottingham


Corporate Symposium

Philips Healthcare Gold Corporate Symposium

Concurrent 1
Monday 10:00 - 11:00
(no CME credit)

Oral

Novel Acquisitions

Concurrent 1
Monday 12:00 - 14:00
Moderators: Gareth Barker & Craig Meyer
Parent Session: Novel Acquisitions
0001
12:00
Magnetic Resonance Coherence Pathway Unraveling
Nikolai Mickevicius1 and Eric Paulson2

1Medical College of Wisconsin, Milwaukee, WI, United States, 2Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United States

The magnetic resonance coherence pathway unraveling (MR-CPU) method acquires primary and stimulated echoes simultaneously, and encodes them using CAIPIRINHA RF phase cycling such that they can be separated during image reconstruction. This initial study demonstrates the feasibility of unaliasing overlapped coherence pathway images, and future studies will investigate its use for quantitative T1, T2, and diffusion coefficient mapping. 


0002
12:00
VUDU: motion-robust, distortion-free multi-shot EPI
Jaejin Cho1,2, Avery JL Berman1,2, Borjan Gagoski2,3, Congyu Liao4, Jason Stockmann1,2, Jonathan R Polimeni1,2, and Berkin Bilgic1,2

1Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Boston, MA, United States, 4Radiological Sciences Laboratory, Stanford University, Palo Alto, CA, United States

We introduce VUDU (Variable flip, blip-Up and -Down Undersampling) for motion-robust, distortion-free multi-shot EPI (msEPI) acquisition. VUDU uses FLEET-ordering to acquire all shots of a given slice successively before proceeding to the next slice, and employs variable flip angle (vfa) excitation to maximize the signal. Phase encoding polarities are reversed between shots to estimate and eliminate distortions, and low-rank constraint mitigates shot-to-shot  inconsistencies. VUDU thus utilizes vfa-FLEET excitation and blip-up and -down acquisition (BUDA) to encode each slice in 250ms. We demonstrate VUDU with GRE, SE/diffusion contrasts in the brain, and expect that this will enable msEPI in the abdomen.

0003
12:00
Maxwell Compensation for Spiral Turbo-Spin-Echo Imaging
John P. Mugler1, Adrienne E. Campbell-Washburn2, Rajiv Ramasawmy2, Josef Pfeuffer3, and Craig H. Meyer1

1University of Virginia, Charlottesville, VA, United States, 2Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 3Siemens Healthcare GmbH, Erlangen, Germany

Spiral TSE imaging presents challenges for compensating concomitant (Maxwell) gradient effects because spiral waveforms vary along the echo train, as opposed to Cartesian imaging for which the same readout waveform is used for every echo.  Since Maxwell terms are proportional to 1/Bo, compensation is particularly important at low field strength.  An interleaved-spiral T2-weighted 2D-TSE pulse sequence was developed that incorporates gradient waveform modifications to achieve compensation of the self-squared Maxwell terms at both the echoes and over echo spacings.  This approach provided substantial improvement in image quality at 0.55T for degradation associated with self-squared concomitant-gradient effects.

0004
12:00
Low-Angle Combined-Echo (LACE) Imaging in Highly Inhomogeneous B0 Magnetic Fields
Sebastian Theilenberg1, Chathura Kumaragamage2, Scott McIntyre2, Terry W. Nixon2, Christoph Juchem1,3, and Robin A. de Graaf2

1Biomedical Engineering, Columbia University, New York, NY, United States, 2Department of Radiology and Biomedical Imaging, Magnetic Resonance Research Center, Yale University School of Medicine, New Haven, CT, United States, 3Radiology, Columbia University Medical Center, New York, NY, United States

In line with recent developments in scanner design for more cost effective and more accessible scanners, we propose a low-angle combined-echo sequence similar to a conventional spin echo sequence capable of producing high quality images in the presence of strong B0 inhomogeneity. We present simulation results investigating the signal dependence on the sequence’s timings and flip angles as well as image contrast for typical relaxation times of normal brain white and gray matter. The simulations were validated in vivo at 4 T. Lastly, we show the feasibility to utilize multi-coil generated image encoding fields for this sequence.

0005
12:00
Interleaved MRI and DMI on human brain in vivo
Yanning Liu1, Henk M. De Feyter1, Scott McIntyre1, Terence W. Nixon1, and Robin A. de Graaf1

1MRRC Yale University, New Haven, CT, United States

Deuterium metabolic imaging (DMI) is a powerful method to map metabolism in vivo. To integrate DMI with clinical MRI, we propose and demonstrate an interleaved MRI and DMI routine, including the necessary hardware and sequence modifications. Using interleaved FLAIR MRI+DMI as an example, we demonstrate that MR image quality and DMI sensitivity as well as information content are preserved, both in phantoms and in the human brain in vivo. The interleaved MRI+DMI technology provides full flexibility to extend any MRI protocol with DMI, thereby offering a metabolic component to the range of MR imaging contrasts.

0006
12:00
Accelerated diffusion and relaxation-diffusion magnetic resonance imaging using time-division multiplexing echo-planar imaging (TDM-EPI)
Yang Ji1,2, Borjan Gagoski 2,3, W. Scott Hoge 1,2, Yogesh Rathi 1,2, and Lipeng Ning 1,2

1Brigham and Women’s Hospital, Boston, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Boston Children’s Hospital, Boston, MA, United States

Recently, several studies have shown that brain tissue consists of microscopically heterogeneous components that are characterized by different T2 values and diffusivity. The joint relaxation-diffusion MRI technique has been developed to probe the intrinsic tissue microstructure that cannot be probed using standard dMRI. However, a major limitation of the relaxation-diffusion MRI technique is the long scan time for acquiring dMRI with multiple TEs. In order to significantly reduce the scan time, we propose a time-division multiplexing based echo-planar imaging (TDM-EPI) sequence, which can accelerate relaxation-diffusion MRI and standard dMRI by 2 or 3 folds.

0007
12:00
Fast 2D J-resolved MRSI combining echo planar imaging acquisition and turbo spin echo train evolution
Ke Dai1, Qingjia Bao2,3, Hao Chen1, Yiling Liu1, and Zhiyong Zhang1

1School of Biomedical Engineering, Shanghai, China, 2Wuhan United Imaging Life Science Instruments Co., Ltd, Wuhan, China, Wuhan, China, 3Department of Chemical and Biological Physics, Weizmann Institute of Science, Rehovot, Israel

J-resolved MRSI is a powerful tool for separating overlapping resonances and detecting coupled species such as GABA and glutamate, which are of great interest to brain studies. However, a major practical limitation of J-resolved MRSI lies in its long data acquisition time. In this work, we present a novel fast fully sampled 2D J-resolved MRSI, termed as J-resolved xSPEN spectroscopy, combining echo planar imaging acquisition and turbo spin echo train evolution. Our preliminary phantom results demonstrate the proposed method can achieve highly efficient fully sampled 2D J-resolved MRSI with increasing chemical shift separation and detection of coupled species.

0008
12:00
Dual Spin-Echo Proton Density-Weighted and T2-Weighted Knee Imaging with Asymmetric Spiral In-out Trajectories
Dinghui Wang1, Francis I. Baffour1, Daniel D. Borup2, Tzu-Cheng Chao1, and James G. Pipe1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2Royal Philips, MR R&D, Rochester, MN, United States

This work proposes a spiral dual echo spin-echo sequence with asymmetric in-out trajectories to increase the scan efficiency of the second echo. The sequence has been applied for simultaneous sagittal proton density-weighted and T2-weighted Dixon knee imaging. Volunteer scans have demonstrated the feasibility of using the proposed method to achieve up to 36% SNR improvement for T2-weighted images.  High quality water and fat images can be obtained with comparable total scan time as the conventional non-Dixon Cartesian fast (turbo) spin-echo sequences with SENSE factors from 1.5 to 2. T2 maps can also be estimated from proton density-weighted and T2-weighted images.

0009
12:00
Whole-heart CMRA non-rigid motion compensation with autofocus virtual 3D iNAV
Alina Psenicny1, Gastao Cruz1, Camila Munoz1, Reza Hajhosseiny1, Thomas Kuestner1, Karl P Kunze2, Radhouene Neji1,2, René M Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

3D whole-heart coronary MR angiography (CMRA) acquisition remains lengthy and can suffer from residual motion and/or undersampling related artifacts. 2D image-navigator based non-rigid respiratory motion compensation has been recently proposed to accelerate the CMRA scan. This framework combines 2D beat-to-beat translational and 3D bin-to-bin non-rigid motion correction. However, beat-to-beat anterior-posterior motion is not corrected for with this approach, which can result in significant residual motion. Here we propose a virtual 3D iNAV approach that exploits autofocus motion correction to further enable beat-to-beat anterior-posterior translational motion correction, assuming a linear relationship between the translational foot-head and anterior-posterior movement of the heart.

0010
12:00
Multi-Band Multi-Slab 3D Multi-Echo Acquisition for Simultaneous Time-of-Flight MR Angiography and Susceptibility-Weighted Imaging at 3T
Misung Han1, Brian L Burns2, Suchandrima Banerjee2, and Janine M Lupo1,3

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Applications and Workflow, GE Healthcare, Menlo Park, CA, United States, 3UCSF-UC Berkeley Graduate Program in Bioengineering, University of California, San Francisco and University of California, Berkeley, San Francisco, CA, United States

A single scan of multi-slab, multi-echo acquisition can simultaneously provide 3D time-of-flight (TOF) MR angiography and susceptibility-weighted imaging (SWI) MR venography, which allows for the assessment of vascular injury in the form of cerebral microbleeds in association with arteries and veins. However, the acquisition for high-resolution multi-slab 3D TOF-MRA/SWI with whole brain coverage takes over 10 minutes to acquire at 3T. In this work, we developed a 3D multi-slab, multi-echo acquisition for TOF-MRA/SWI with multi-band acceleration to reduce acquisition time and compared the resulting TOF-MRA and SWI images in patients with radiation-induced microbleeds.


Oral

Cancer: Contrast Agents & MRS

Concurrent 2
Monday 12:00 - 14:00
Moderators: Margarida Julia-Sape & Esin Ozturk-Isik
Parent Session: Cancer: Contrast Agents & MRS
0011
12:00
High-resolution T1 Mapping of High-grade Glioma
Zhibo Zhu1, Jay Acharya2, Yannick Bliesener1, R. Marc Lebel3,4, Richard Frayne3,5, and Krishna S. Nayak1,2

1Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, United States, 2Department of Radiology, University of Southern California, Los Angeles, CA, United States, 3Radiology and Clinical Neuroscience, Hotchkiss Brain Institute, University of Calgary, Calgray, AB, Canada, 4Global MR Applications & Workflow, GE Healthcare, Calgary, AB, Canada, 5Seaman Family MR Research Centre, Foothills Medical Centre, Calgary, AB, Canada

Native T1 mapping is necessary for quantitative DCE-MRI of brain tumor and may have independent predictive value. Previous investigations using coarse spatial resolution have found tumor to have longer T1 compared to normal white matter. In this work, we evaluate a recent millimeter-resolution whole-brain T1 mapping approach in patients with high-grade glioma. T1 values in tumor and peritumoral regions were higher than that of normal white matter, consistent with literature. We also observed T1 spatial heterogeneity in these regions, further supporting the need for high resolution pre-contrast T1 mapping for quantitative DCE-MRI.

0012
12:00
A nomogram combining T2WI-based radiomics features and clinical variables for prediction of neoadjuvant chemotherapy response in osteosarcoma
Chengxiu Zhang1, Jingyu Zhong2, Yangfan Hu3, Jing Zhang1, Liping Si2, Yue Xing2, Jia Geng3, Qiong Jiao4, Huizhen Zhang4, Weiwu Yao2, and Guang Yang1

1Shanghai Key Laboratory of Magnetic Resonance, East China Normal University, Shanghai, China, 2Department of Imaging, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China, 3Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China, 4Department of Pathology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China

Osteosarcoma is the most common malignant osseous tumor and neoadjuvant chemotherapy for osteosarcoma has significantly improved survival outcomes. However, not all patients benefit from the current treatment strategy. We constructed a nomogram combined radiomics features from routinely available T2WI images and clinical variables to predict the response to neoadjuvant chemotherapy. The nomogram achieved an AUC of 0.838 (95% CI, 0.700-0.958) and DCA suggested that it has the potential to be used for preoperational prediction of pathological NAC response in osteosarcoma patients.

0013
12:00
Using MR Radiomics to Improve Prediction of Local Tumor Control after Radiosurgery in Brain Metastases
Chien-Yi Liao1, Cheng-Chia Lee2,3,4, Huai-Che Yang2,3, Wen-Yuh Chung2,3, Hsiu-Mei Wu3,5, Wan-Yuo Guo3,5, Ren-Shyan Liu1,6,7, and Chia-Feng Lu1,8

1Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, Taipei, Taiwan, 2Department of Neurosurgery, Neurological Institute, Taipei Veteran General Hospital, Taipei, Taiwan, Taipei, Taiwan, 3School of Medicine, National Yang-Ming University, Taipei, Taiwan, Taipei, Taiwan, 4Brain Research Center, National Yang-Ming University, Taipei, Taiwan, Taipei, Taiwan, 5Department of Radiology, Taipei Veteran General Hospital, Taipei, Taiwan, Taipei, Taiwan, 6Department of Medical Imaging, Cheng-Hsin General Hospital, Taipei, Taiwan, Taipei, Taiwan, 7Molecular and Genetic Imaging Core, Taiwan Animal Consortium, Taipei, Taiwan, Taipei, Taiwan, 8Institute of Biophotonics, National Yang-Ming University, Taipei, Taiwan, Taipei, Taiwan

Patients with non-small cell lung cancer have a high probability to develop brain metastasis during the course of the disease. The prediction of treatment response after Gamma Knife stereotactic radiosurgery (GKRS) can benefit patient management. In addition to the clinically available information (Karnofsky performance status, number of tumors, tumor volume, and primary tumor control), we proposed an MR radiomics approach to provide added values to predict the local tumor control after GKRS. We suggested that imaging characteristics extracted from preradiosurgical MRIs combined with clinical information can effectively predict local tumor control.

0014
12:00
The power of field strength: a direct comparison of USPIO-enhanced MRI at 3 and 7T to detect suspicious lymph nodes in patients with prostate cancer
Ansje Fortuin1,2, Sjaak van Asten1, Andor Veltien1, Bart Philips1, Thomas Hambrock1, Stephan Orzada3,4, Harald Quick3,5, Jelle Barentsz1, Marnix Maas1, and Tom Scheenen1,3

1Radboudumc, Nijmegen, Netherlands, 2Radiology, Ziekenhuis Gelderse Vallei, Ede, Netherlands, 3Erwin L Hahn Institute for MR Imaging, Essen, Germany, 4University of Heidelberg, Heidelberg, Germany, 5University of Duisburg-Essen, Essen, Germany

Lymph node metastases in prostate cancer patients are mainly found in normal sized lymph nodes and detection is a major challenge. USPIO-enhanced MRI with ferumoxtran-10 discriminates between normal and suspicious lymph nodes. We examined 20 prostate cancer patients with high risk of advanced disease with USPIO-enhanced MRI at 3 and at 7 Tesla, and compared the amount, the level of suspicion, and the size of lymph nodes with two readers. More, but on average not larger suspicious nodes were annotated on 7T versus 3T MRI by both readers, with less interobserver variability at 7T. 

0015
12:00
Radiomics-based CEST image analysis for improved performance of brain tumor grading
Jibin Tang1, Hongxi Zhang2, Zhipeng Shen3, Wenqi Wang1, Xingwang Yong1, Junjie Wen1, Xinchun Chen2, Fengyu Tian2, Weibo Chen4, Dan Wu1, and Yi Zhang1

1Key Laboratory for Biomedical Engineering of Ministry of Education, Department of Biomedical Engineering, College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, Zhejiang, China, 2Department of Radiology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, 3Department of Neurosurgery, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, 4Philips Healthcare, Shanghai, China

CEST imaging can detect proteins and metabolites in vivo and has been successfully applied to brain tumor grading. In this work, we implemented a radiomic analysis of the APTw images, which were acquired from 40 patients with 20 confirmed high-grade brain tumors and 20 confirmed low-grade tumors. We established predictive models, assessed their performance, and compared them with conventional average APTw image intensities. The average sensitivity and AUC of the selected radiomic feature models for tumor grading were significantly higher than that of conventional mean APTw signals, demonstrating the advantage of radiomics for diagnosing brain tumors.

0016
12:00
Delayed mapping of 2H-labeled choline using Deuterium Metabolic Imaging (DMI) reveals active choline metabolism in rat glioblastoma.
Henk M. De Feyter1, Monique A. Thomas1, Kevan L. Ip1, Kevin L. Behar2, and Robin A. de Graaf3,4

1Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States, 2Department of Psychiatry, Yale University, New Haven, CT, United States, 3Department of Radiology and Biomedical Imaging, Yale University, NEW HAVEN, CT, United States, 4Department of Biomedical Engineering, Yale University, New Haven, CT, United States

Previously we reported high tumor uptake of exogenous choline in rodent brain tumor models when using Deuterium Metabolic Imaging (DMI) during intravenous infusion of [2H9]-choline. The small differences in chemical shifts of [2H9]-labeled choline, phosphocholine, glycerophosphocholine and betaine exclude accurate peak assignment, and therefore it is unclear whether blood-borne choline is metabolized intracellularly. Using different 2H-labeling strategies of choline and high resolution 2H NMR in tumor tissue extracts we identified the choline-containing metabolites observed during intravenous infusion, as well as after 24 hrs.

0017
12:00
Predictive Value of Myo-inositol Measured by MRSI during Anti-angiogenic Treatment in Recurrent Glioblastoma
Michael Wenke1, Jorg Dietrich2, Elizabeth Gerstner2, Otto Rapalino3, Julian He3, Daniel Kim1, Melanie Fu1, Pratik Talati4, Mohamed El Abtah1, Anna Vaynrub1, Sharif Natheir1, Mark Vangel3, Isabel Arrillaga-Romany2, Forst Deborah2, Yi-Fen Yen1, Ovidiu Andronesi1, Jayashree Kalpathy-Cramer1, Tracy Batchelor5, Bruce Rosen1, R. Gilberto Gonzalez3, and Eva-Maria Ratai1

1Radiology / Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Neurology / Cancer Center, Massachusetts General Hospital, Boston, MA, United States, 3Radiology, Massachusetts General Hospital, Boston, MA, United States, 4Neurosurgery, Massachusetts General Hospital, Boston, MA, United States, 5Neurology, Brigham and Women's Hospital, Boston, MA, United States

Patients with recurrent glioblastoma (rGBM) are commonly treated with anti-angiogenic agents such as bevacizumab (BEV), but not all benefit from this therapy. We examined whether MR spectroscopic imaging (MRSI) of myo-inositol (mI) could distinguish short-term survivors from longer term survivors (>9 month). We scanned twenty-two rGBM patients with MRSI at baseline prior to bevacizumab-based therapy, as well as 1-2 days, 4 weeks, 6-8 weeks and 16 weeks after treatment.  We found that low tumoral myo-inositol normalized by creatine (Cr) on the contralateral site (mI/c-Cr) prior to and during anti-angiogenic therapy is predictive of poor survival.

0018
12:00
Deuterium magnetic resonance spectroscopy using 2H-pyruvate allows non-invasive in vivo imaging of TERT expression in brain tumors
Georgios Batsios1, Celine Taglang1, Meryssa Tran1, Anne Marie Gillespie1, Joseph Costello2, Sabrina Ronen1, and Pavithra Viswanath1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2Neurological Surgery, UCSF, San Francisco, CA, United States

Telomerase reverse transcriptase (TERT) expression is essential for tumor proliferation. Since TERT is exclusively expressed in tumor cells, TERT is also an attractive therapeutic target. However, non-invasive methods of imaging TERT are lacking. Here, we show that TERT expression in preclinical patient-derived brain tumor models is associated with elevated steady-state levels of NADH, an effect that can be non-invasively visualized in vivo by deuterium metabolic imaging using [U-2H]pyruvate. Since 2H-MRS can be readily implemented on clinical MR scanners, our results provide an innovative, clinically translatable method of integrating information regarding a fundamental cancer hallmark, i.e. TERT, into glioma patient management.

0019
12:00
Early noninvasive metabolic biomarkers of mutant IDH inhibition in low-grade glioma models
Marina Radoul1, Donghyun Hong1, Anne Marie Gillespie1, Chloé Najac1, Pavithra Viswanath1, Russell O. Pieper2,3, Joseph Costello2, H. Artee Luchman4, and Sabrina M. Ronen1,3

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Neurological Surgery UCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, United States, 3Brain Tumor Research Center, University of California San Francisco, San Francisco, CA, United States, 4Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada

Targeting mutant IDH, which is present in ~80% of glioma, is being tested as a new therapeutic approach. In the current study, we investigated metabolic alterations in response to mutant IDH inhibition by either AG-881 or BAY-1436032 in orthotopic patient-derived glioma models. Using high resolution in vivo 1H MRS we detected, in addition to a decrease in 2HG, an early increase in glutamate and the combined glutamine/glutamate signals. These were associated with slowdown of tumor growth and ultimately longer animal survival. This identifies potential early metabolic biomarkers of glioma response to mutant IDH inhibition.

0020
12:00
Imaging response to radio-chemotherapy in brain tumor models using [2,3-2H2]fumarate and deuterium magnetic resonance spectroscopic imaging
Friederike Hesse1, Alan Wright1, Vencel Somai1,2, Flaviu Bulat1,3, and Kevin Brindle1,4

1Cancer Research UK Cambridge Institute, Cambridge, United Kingdom, 2Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 3Department of Chemistry, University of Cambridge, Cambridge, United Kingdom, 4Department of Biochemistry, University of Cambridge, Cambridge, United Kingdom

Metabolic imaging of brain tumor responses to radio-chemotherapy can give an early indication of treatment outcome. We show here that Deuterium Metabolic Imaging (DMI) with 2H-labeled fumarate can be used to detect early evidence of cell death following radio-chemotherapy in an orthotopic patient-derived glioblastoma model. 2H spectra were acquired from tumors, following an injection of 2H-labeled fumarate. Within one week of treatment the rate of tumor malate production increased significantly. Increased levels of labeled malate were also evident in spectroscopic images of the tumors. These measurements were compared with 13C MRSI measurements of [1,4-13C2]malate production from hyperpolarized [1,4-13C2]fumarate1.


Combined Educational & Scientific Session

Imaging of Heart Failure

Organizers: Tim Leiner, Aleksandra Radjenovic
Concurrent 3
Monday 12:00 - 14:00
Moderators: Bruno Quesson & Lixian Zou
Parent Session: Imaging of Heart Failure
(no CME credit)
12:00
What Is Heart Failure?: Overview of Pathophysiology & Epidemiology
Daniel R. Messroghli1

1German Heart Institute Berlin (DHZB), Berlin, Germany

12:30
Key Clinical Trials in Heart Failure
Matthew M. Y. Lee1

1University of Glasgow, Glasgow, United Kingdom

CMR has roles in the diagnosis and risk stratification of heart failure. CMR is the reference "gold" standard method of assessing cardiac structure and function. CMR reduces the sample size required in heart failure clinical trials. CMR has been used in several key heart failure trials to assess cardiac remodelling. 

13:00
The Role of MRI in Diagnosis & Management of Heart Failure
Kim-Lien Nguyen1,2,3

1Departments of Cardiology and Radiology, University of California, Los Angeles, Los Angeles, CA, United States, 2Departments of Cardiology and Radiology, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States, 3Physics and Biology in Medicine Graduate Program, University of California, Los Angeles, Los Angeles, CA, United States

Heart failure is a complex clinical syndrome with many causes. Although imperfect, the left ventricular ejection fraction (LVEF) serves as a surrogate marker for combined LV function and structural phenotyping of heart failure. Cardiac imaging provides information about structure, tissue composition, and function. As a diagnostic modality with high spatial resolution and no ionizing radiation exposure, cardiovascular MRI is valuable for accurate EF quantification and phenotypic characterization. However, several barriers exist for widespread implementation of quantitative MRI in  heart failure. Examples of challenges include accessibility to and standardization of cardiovascular imaging pulse sequences for probing myocardial tissue structure and function.

13:30
How Can MR Imaging Address Knowledge Gaps in Heart Failure?
Sebastian Kozerke1

1University and ETH Zürich, Zürich, Switzerland

Cardiac Magnetic Resonance offers a multitude of contrast mechanisms across spatiotemporal scales to further improve diagnosis, stratification and interventions in heart failure patients. In this presentation the focus is put on hyperpolarized metabolic and diffusion tensor imaging to unravel the interplay of energy supply and myofiber contractile reserve in conjunction with biophysical modeling of left-ventricular function and dysfunction. It is shown that statistical learning and, in particular, physics-informed neural networks offer approaches for rapid personalization, detection and prediction of failing hearts.

0021
12:00
Visualization of Post-Infarction Cardiac Tissue Remodeling at 7T using T2* contrast: Longitudinal Study in a  Pig Myocardial Infarction Model
Maxim Terekhov1, David Lohr1, Michael Hock1, Maya Bille1, Steffen Baltes1, Ibrahim A. Elabyad1, Florian Schnitter2, Julia Aures1, Theresa Reiter2, Wolfgang Bauer1,2, Ulrich Hofmann2, and Laura M. Schreiber1

1Chair of Molecular and Cellular Imaging, University Hospital Würzburg, Comprehensive Heart Failure Center, Wuerzburg, Germany, 2Department of Internal Medicine I, Cardiology, University Hospital Würzburg, Wuerzburg, Germany

Cardiac MRI at 7T is a developing methodology capable to increase physical sensitivity and spatial resolution of the cardiac MR-images. T2*-quantification at 7T  is of particular interest because it is highly sensitive to cardiac microstructure and has the potential to improve data quality on cardiac tissue remodeling in both acute and chronic cardiac diseases compared to clinical B0-field. In this work, we present the results of a pilot study correlating the multi-slice T2*-data with late-gadolinium-enhancement and first-pass-perfusion results in the large animal model of myocardial infarction.  8 pigs measured prior and at three dates after inducing myocardial infarction are analyzed. 

0022
12:00
Effect of doxorubicin treatment on myocardial metabolism in patients with breast cancer
Jae Mo Park1,2,3, Galen D Reed4, Jeff Liticker1, William C Putnam5, Alvin Chandra6,7, Katarina Yaros6, Aneela Afzal1,6, James MacNamara6, Ronald G Hall5, Crystal E Harrison1, Alagar Muthukumar6, Colby Ayers6, James de Lemos6, Craig R Malloy1,6, Hsiao-Ching Li6,7, Barbara Haley6,7, and Vlad G Zaha1,6

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Electrical and Computer Engineering, University of Texas at Dallas, Richardson, TX, United States, 4GE Healthcare, Dallas, TX, United States, 5Pharmacy Practice, Texas Tech University, Dallas, TX, United States, 6Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States, 7Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, United States

This study evaluates the feasibility of hyperpolarized 13C MRS for detection of early metabolic response in the myocardium of patients after anthracycline treatment. Patients with breast cancer were studied using hyperpolarized [1-13C]pyruvate before and after doxorubicin. Appearance of [13C]bicarbonate was significantly decreased after doxorubicin compared to the baseline exam while no change in [1-13C]lactate was detected. The reproducibility of hyperpolarized exams was examined by two injections of hyperpolarized [1-13C]pyruvate. The study demonstrates that hyperpolarized 13C spectra of the heart are sensitive to early injury of the mitochondria after doxorubicin therapy in patients with breast cancer in a reproducible manner.

0023
12:00
Increased Cardiac Pi in the Diabetic Heart Observed Using STEAM 31P MRS at 7T
Ladislav Valkovic1,2, Andrew Apps1, Jane Ellis1, Damian J Tyler1,3, Stefan Neubauer1, Albrecht Ingo Schmid4, Oliver J Rider1, and Christopher T Rodgers1,5

1Oxford Centre for Clinical Magnetic Resonance Research (OCMR), RDM Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom, 2Department of Imaging Methods, Institute of Measurement Science, Slovak Academy of Sciences, Bratislava, Slovakia, 3Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom, 4High Field MR Center, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 5Wolfson Brain Imaging Centre, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom

Impaired cardiac energetics are characterized by a reduced phosphocreatine to adenosine-triphosphate ratio (PCr/ATP), however, changes in inorganic phosphate (Pi) may impact the Gibbs energy of ATP hydrolysis earlier in the disease process. Quantifying this in the diabetic heart may help explain latent diastolic dysfunction. Therefore, we used STEAM 31P-MRS at 7T to measure Pi/PCr in a type 2 diabetic (T2DM) cohort, and demonstrated an increased Pi/PCr in the diabetic human heart in comparison to healthy subjects. No correlation between PCr/ATP and Pi/PCr hints that multiple mechanisms contribute to these perturbations with candidates including impairment of CK flux and substrate inflexibility.

0024
12:00
Left Ventricular Myocardial Stiffness Decreases after Stem Cell Therapy in Amyloidosis Patients: Monitored with Cardiac MR Elastography
Arvin Arani1, Jessica Magnuson1, Joshua D. Trzasko1, Yi Sui1, Kevin J. Glaser1, Armando Manduca1, Richard L. Ehman1, Sudhakar K. Venkatesh1, and Philip A. Araoz1

1Mayo Clinic, Rochester, MN, United States

Light chain (AL) cardiac amyloidosis is a disease where abnormal proteins are deposited in the heart tissue, commonly resulting in elevated myocardial stiffness. In cases with poor prognosis, autologous hematopoietic stem cell transplantation is used as a therapy.  However, organ response monitoring is currently limited and challenging.  The goal of this study is to evaluate the feasibility of using cardiac magnetic resonance elastography (MRE) to monitor changes in left ventricular (LV) myocardial stiffness after stem cell transplantation for treatment of AL amyloidosis. MRE detected a statistically significant (p=0.007) decrease in LV stiffness (mean decrease: 1.6±0.7 kPa, 17.0±7.4%) post therapy.

0025
12:00
Feasibility of single breath-hold CINE with combined Simultaneous Multi-Slice (SMS) and Region-Optimized Virtual (ROVir) coils
Daeun Kim1, Rodrigo A. Lobos1, Jaume Coll-Font2,3,4, Maaike van den Boomen2,3,4, John Conklin2,5,6, Jianing Pang7, Daniel Staeb8, Peter Speier9, Xiaoming Bi10, Brian Ghoshhajra5,6, Justin P. Haldar1, and Christopher T. Nguyen2,3,4

1Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, United States, 2A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 3Cardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Charlestown, MA, United States, 4Department of Medicine, Harvard Medical School, Boston, MA, United States, 5Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 6Department of Radiology, Harvard Medical School, Boston, MA, United States, 7Siemens Medical Solutions USA Inc., Chicago, IL, United States, 8Siemens Healthcare Pty Ltd, Melbourne, Australia, 9Siemens Healthcare GmbH, Erlangen, Germany, 10Siemens Medical Solutions USA Inc., Los Angeles, CA, United States

Conventional clinical cardiac MRI protocols use a large number (>20) of breath-holds for capturing cinemagraphic (CINE) scans of the heart in various views. We hypothesize simultaneous multi-slice (SMS) CINE can be further accelerated using a reduced FOV and a novel approach based on Region-Optimized Virtual (ROVir) coils, which can potentially achieve single breath-hold whole heart CINE. We demonstrated the feasibility of combining SMS and ROVir for highly accelerated CINE imaging (8-fold reduced scan time), enabling single breath-hold whole ventricular acquisition. Single breath-hold SMS+ROVir whole-heart CINE yielded cardiac function parameters with no significant bias when compared to SMS CINE.

0026
12:00
Low Rank Motion Correction for free breathing first pass myocardial perfusion
Gastao Cruz1, Alina Hua1, Camila Munoz1, Tevfik Ismail1, Amedeo Chiribiri1, René M. Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Conventional myocardial perfusion imaging requires free breathing acquisitions, with high spatial and temporal resolution. Leveraging the underlying redundant anatomic information to improve this multi-contrast application is challenging due to motion. Here a novel Low Rank Motion Corrected (LRMC) reconstruction is proposed to enable highly accelerated, motion corrected free breathing first pass myocardial perfusion imaging. This approach combines low rank subspace modelling (to resolve contrast) and non-rigid motion fields (to correct respiratory motion). The proposed approach successfully corrects respiratory motion and considerably improves image quality compared to conventional iterative SENSE reconstruction.


Oral

Elastography

Concurrent 4
Monday 12:00 - 14:00
Moderators: Jeong Lee & Ingolf Sack
Parent Session: Elastography
0027
12:00
About the origin of viscosity in MR-Elastography: tissue absorption or vascular scattering?
Giacomo Annio1,2, Omar Darwish2, Elijah Van Houten3, Knut Solna4, Sverre Holm5, and Ralph Sinkus1,2

1LVTS, INSERM U1148, Paris, France, 2Department of Biomedical Engineering, King's College London, London, United Kingdom, 3Département de Génie Mécanique, Université de Sherbrooke, Sherbrooke, QC, Canada, 4Department of Mathematics, University of California at Irvine, Irvine, CA, United States, 5Department of Physics, University of Oslo, Oslo, Norway

MRE is a novel tool to study in-vivo biomechanics. Recently, the diagnostic value of viscosity has been explored. However, its physical origin as intrinsic absorption or due to scattering is yet unknown. This work shows that the majority of viscosity at about 100Hz is apparent, thus originating mainly from scattering. Moreover, we observed that the classical springpot model fails to describe the dispersion properties of complex media containing scattering structures. We propose a nonlocal viscoelastic model that can ultimately disentangle intrinsic loss effects from scattering-induced ones. This changes dramatically the way we interpret viscous changes for therapies impacting on vasculature.

0028
12:00
A Multiphase Radial DENSE Sequence and harmonic motion based compressed sensing for fast magnetic resonance elastography
Runke Wang1, Suhao Qiu1, Zhiyong Zhang1, and Yuan Feng1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China

Accelerating magnetic resonance elastography (MRE) is desired for improved patient care and image quality. In this study, we proposed a multiphase radial DENSE MRE (MRD-MRE) sequence, and a compressed sensing based reconstruction algorithm using the sparsity of harmonic motion. A spatial modulation of magnetization (SPAMM) shot was applied for motion encoding together with a radial sampling scheme for acceleration. Reconstruction accuracy was improved by utilizing the temporal sparsity of harmonic motion. Phantom and brain imaging showed that an acceleration factor up to 4 could be reached.

0029
12:00
Respiratory Motion-Resolved Free-Breathing MR Elastography Of Liver
Yi Sui1, Jiahui Li1, Joshua D. Trzasko1, Arvin Arani1, Kevin Glaser1, Phillip J. Rossman1, Ziying Yin1, Meng Yin1, and Richard L. Ehman1

1Radiology, Mayo Clinic, Rochester, MN, United States

A free-breathing hybrid radial-cartesian 3D MRE technique (TURBINE-MRE) was developed for MR elastography of the liver. This technique provides motion-resolved wave images and stiffness maps in single 4-minute free breathing acquisition. The feasibility of the new technique was demonstrated in healthy volunteers and a NASH patient with hepatic cirrhosis.

0030
12:00
Prepared MR Elastography
Tanguy Boucneau1, Brice Fernandez2, Luc Darrasse1, and Xavier Maître1

1Université Paris-Saclay, CEA, CNRS, Inserm, BioMaps, Orsay, France, 2Applications & Workflow, GE Healthcare, Orsay, France

By decoupling motion and spatial encoding, magnitude contrast MR Elastography could be performed for the first time at ultrashort echo times (12 µs). On the basis of a motion-sensitizing magnetization preparation, the available total magnetic moment is sensitized to the motion induced in the tissues so the information can be efficiently carried over by the MR signal magnitude when the selected imaging pulse sequence is applied. The new paradigm allows also for shorter total acquisition times as demonstrated here in a set of homogeneous and heterogeneous phantoms with up to 5-fold acceleration factors.

0031
12:00
Regional Brain Mechanical Properties Throughout Maturation from Childhood to Adulthood
Grace McIlvain 1, Julie M Schneider2, Melanie A Matyi 3, Melissa S DiFabio1, Peyton L Delgorio1, Matthew DJ McGarry 4, Jeffrey M Spielberg3, Zhenghan Qi2, and Curtis L Johnson1

1Biomedical Engineering, University of Delaware, Newark, DE, United States, 2Department of Linguistics, University of Delaware, Newark, DE, United States, 3Department of Psychology, University of Delaware, Newark, DE, United States, 4Thayer School of Engineering, Dartmouth College, Hanover, NH, United States

Brain mechanical properties are markers of microstructural health and have been extensively studied in neurodegeneration using MR elastography. However, brain mechanical changes during maturation have yet to be comprehensively explored. Here we present preliminary findings from an ongoing study which uses OSCILLATE, a fast acquisition, high-resolution sequence to characterize brain mechanical properties in people ages 5-21. We present notable regional brain mechanical property differences during development and aim to categorize brain mechanical property developmental trajectories in major anatomical structures. This data will provide a platform for brain mechanical property comparison when studying atypical maturation.

0032
12:00
Quantification of in-vivo myocardial stiffness in the rat heart using transient mechanical waves
Anna Sophie Wittgenstein1, Marco Barbero Mota2, Giacomo Annio2, Guillaume Rucher2, Rachida Aid-Launais2, Rami Mustapha3, David Alexander Nordsletten1,4, and Ralph Sinkus1,2

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2INSERM-Université de Paris, Paris, France, 3chool of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom, 4Department of Biomedical Engineering and Cardiac Surgery, University of Michigan, Ann Habor, MI, United States

In vivo assessment of biomechanical properties in the left ventricle carries substantial promises for disease characterization. Its proper quantification, however, is far from straightforward. We propose an ECG-gated 3D CINE GRE sequence with motion encoding gradients (TR=7ms) and time-shifted mechanical excitation to quantify the propagation of transient shear waves at a temporal resolution of 0.7ms. In-vivo results in anesthetised rats show apparent shear waves speeds around 8m/s at mid diastole, compatible with recent human in-vivo data.

0033
12:00
Stiffness and Fluidity of Hepatic Fibrosis Elucidated by In Vivo Multifrequency MR Elastography
Rolf Reiter1, Mehrgan Shahryari1, Heiko Tzschätzsch1, Matthias Haas1, Christian Bayerl1, Britta Siegmund2, Bernd Hamm1, Patrick Asbach1, Jürgen Braun1, and Ingolf Sack1

1Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Gastroenterology, Charité - Universitätsmedizin Berlin, Berlin, Germany

We aimed to investigate the solid-fluid behavior of hepatic fibrosis and cirrhosis using multifrequency MR elastography. Despite the success of stiffness-based assessment of hepatic fibrosis, little is known about tissue’s solid-fluid behavior upon fibrosis. Although cirrhosis is associated with liver stiffening and, intuitively, transition towards more rigid material properties, the observed increases in fluidity and slope of shear-wave-speed-dispersion indicate abnormally high mechanical friction in cirrhotic livers. This biophysical signature might provide a prognostic imaging marker for the detection of end-stage fibrosis independent of stiffness. 

0034
12:00
Liver Stiffness Measurement by Magnetic Resonance Elastography is not Affected by Hepatic Steatosis
Jie Chen1,2, Alina Allen3, Terry Therneau4, Jun Chen2, Jiahui Li2, Jingbiao Chen2, Xin Lu2, Zheng Zhu2, safa Hoodeshenas2, Sudhakar Venkatesh2, Bin Song1, Richard Ehman2, and Meng Yin2

1Department of Radiology, West China Hospital, Sichuan University, Chengdu, China, 2Department of Radiology, Mayo Clinic, Rochester, MN, United States, 3Devision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States, 4Devision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States

In a cross-sectional study, we investigated the relationship between pathology-assessed hepatic steatosis, MRI-assessed PDFF, and LSM with MRE in a large NAFLD population. No significant differences in LSM was found between patients with S1, S2, and S3 steatosis, and between all steatosis grades after patients were grouped according to fibrosis stage. After adjusting with fibrosis stage and age, there was no statistically significant relationship between liver stiffness and PDFF in patients with diagnosed steatosis (i.e., PDFF≥5%). LSM by MRE is not biased by increased liver fat content.

0035
12:00
Tumor stiffness and stiffness change using 3D MR elastography are markers of tumor lymphocyte infiltration and immunotherapy response in HCC.
Paul Kennedy1, Muhammed Shareef1, Octavia Bane1, Guillermo Carbonell1, Elizabeth Miller2, Israel Lowy2, Stephen Ward1, M. Isabel Fiel1, Miriam Merad1, Thomas Marron1, and Bachir Taouli1

1Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Regeneron Pharmaceuticals Inc., Tarrytown, NY, United States

In this prospective study we correlated tumor stiffness measured in hepatocellular carcinoma with density of tumor infiltrating lymphocytes and  assessed the changes in tumor stiffness in patients undergoing neoadjuvant immunotherapy prior to liver resection. We found that tumor stiffness strongly correlates with grade of tumor infiltrating lymphocytes, and that changes in tumor stiffness correlate with histopathologic response.

0036
12:00
Value of Liver MR Elastography for Predicting Development of Cirrhosis and Decompensation in Patients with Alcohol-associated Liver Disease
Jingbiao Chen1, Mahmoud Adam Tahboub Amawi2, Xin Lu2, Jie Chen3, Jiahui Li2, Zheng Zhu2, Safa Hoodeshenas2, Jin Wang4, Douglas A Simonetto2, Vijay H Shah2, Richard L Ehman2, and Meng Yin2

1Radiology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China, 2Mayo Clinic, Rochester, MN, United States, 3West China Hospital, Chengdu, China, 4the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

Identifying those at high risk for the development of end-stage liver disease in patients with alcohol-associated liver disease (ALD) is of great clinical importance. We retrospectively investigated the role of MR elastography (MRE) in predicting cirrhosis or decompensated cirrhosis on a cohort of 182 ALD patients. Our preliminary results indicated that liver stiffness measured by 2D-MRE is a significant and independent prognostic factor for the future development of cirrhosis or decompensated cirrhosis. These results echoed the previous findings in other etiologies and reinforced the prognostic value of MRE in predicting advanced liver disease, which facilitates early intervention for ALD.


Oral

Epilepsy & TBI: Damaged Brains

Concurrent 5
Monday 12:00 - 14:00
Moderators: David Abbott & Cornelia Laule
Parent Session: Epilepsy & TBI: Damaged Brains
0037
12:00
Simultaneous 18F-FDG-PET and 1H-MRSI in Temporal Lobe Epilepsy Reveals Metabolic Alterations Concordant with SEEG Epileptogenicity
Hui Huang1, Jia Wang1, Miao Zhang2, Wei Liu3, Lihong Tang1, Yibo Zhao4,5, Rong Guo4,5, Yudu Li4,5, Zhi-Pei Liang4,5, Yao Li1, Biao Li2, and Jie Luo1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2Department of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China, 3Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China, 4Department of Electrical and Computer Engineering, University of Illinois at Urbana Champaign, Urbana, IL, United States, 5Beckman Institute for Advanced Sciences and Technology, University of Illinois at Urbana Champaign, Urbana, IL, United States

Both PET and MRSI could provide metabolic information of the epileptogenic zone, which could add value to presurgical planning of epilepsy patients. This study investigated metabolic alternations in patients with temporal lobe epilepsy (TLE) across their brain regions with different epileptogenicity, as defined using stereo-EEG (SEEG). Our experimental results showed FDG hypometabolism and NAA decrease in epileptogenic zone and propagation zone. These findings may lay a foundation for further investigation of tissue damage associated with epileptogenicity using high-resolution metabolic imaging.

0038
12:00
Highly Accelerated Wave-CAIPI 3D SPACE FLAIR Compared to Standard 3D SPACE FLAIR for Epilepsy Imaging at 3T
Augusto Lio M. Goncalves Filho1,2, Chanon Ngamsombat3, Stephen F. Cauley2, Wei Liu4, Daniel N. Splitthoff5, Wei-Ching Lo6, John E. Kirsch1, Pamela W. Schaefer1, Otto Rapalino1, Susie Y. Huang1,2, and John Conklin1,2

1Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Department of Radiology, Siriraj Hospital, Bangkok, Thailand, 4Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, 5Siemens Healthcare GmbH, Erlangen, Germany, 6Siemens Medical Solutions Inc., Boston, MA, United States

We performed a systematic comparison of highly accelerated Wave-CAIPI 3D SPACE FLAIR versus standard 3D SPACE FLAIR for the imaging evaluation of 77 patients with seizures or established epilepsy undergoing 3T MRI. There were no significant differences between the two sequences for the detection of lesions and overall diagnostic quality, despite a 2.5- to 4-fold decrease in acquisition time using Wave-CAIPI SPACE FLAIR. The application of highly accelerated 3D imaging using Wave-CAIPI technology may improve use of MRI resources while reducing motion artifacts and patient anxiety.

0039
12:00
Seizure frequency in relation to effective connectivity of the hippocampal–diencephalic–cingulate in temporal lobe epilepsy
Yao-Chia Shih1,2,3, Fa-Hsuan Lin4,5, Aeden Kuek Zi Cheng1, Horng-Huei Liou6,7, and Wen-Yih Isaac Tseng3,7,8,9

1Department of Diagnostic Radiology, Singapore General Hospital, Singapore, Singapore, 2Duke-NUS Medical School, Singapore, Singapore, 3Institute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei, Taiwan, 4Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 5Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 6Department of Neurology, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan, 7Graduate Institute of Brain and Mind Sciences, College of Medicine, National Taiwan University, Taipei, Taiwan, 8Department of Medical Imaging, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan, 9Molecular Imaging Center, National Taiwan University, Taipei, Taiwan

To seek neural correlates of seizure recurrence, the structural equation modeling (SEM) and resting-state functional MRI were performed to evaluate intrinsic effective connectivity (iEC) within the Papez circuit, hippocampal–diencephalic–cingulate (HDC) model, and simplified HDC model in patients with left and right temporal lobe epilepsy. We verified that the simplified HDC model was the best model to estimate iEC and found associations between seizure frequency and aberrant iEC on the paths connecting to the mammillary body. Our findings could facilitate the discovery of potential epilepsy pathways and the development of novel targeted therapies for unilateral temporal lobe epilepsy.

0040
12:00
Mild Traumatic Brain Injury Predisposes to Thalamic Reticular Nucleus Impairment and Thalamocortical Dysrhythmia
Yi-Tien Li1,2, Duen-Pang Kuo2,3, Yun-Ting Lee2, Yung-Chieh Chen2,3, Hsiao-Wen Chung4, and Cheng-Yu Chen2,3,5,6

1Neuroscience Research Center, Taipei Medical University, Taipei, Taiwan, 2Translational Imaging Research Center, Taipei Medical University Hospital, Taipei, Taiwan, 3Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan, 4Graduate Institute of Biomedical Electrics and Bioinformatics, Taipei, Taiwan, 5Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, 6Research Center for Artificial Intelligence in Medicine, Taipei Medical University, Taipei, Taiwan

This study is the first to provide strong evidence that thalamocortical dysrhythmia (TCD) is involved in mild traumatic brain injury (mTBI) and plays a crucial role in protracted symptoms. The  impaired cortical–thalamic tracts and thalamic reticular nuclei are recognized as two pathomechanisms of TCD in mTBI. TCD-induced thalamocortical disinhibition, such as within-thalamus hyperconnectivity, widespread low-frequency thalamocortical coherence, and thalamo-default-mode network disinhibition, are associated with patients’ prolonged symptoms, which were consistently presented at 1- and 2-year follow-ups. Our systematic analysis strengthens understanding of TCD involvement in mTBI and provides future directions for diagnosis, prognosis, and treatment of long-lasting symptoms in mTBI.

0041
12:00
Improvements in neuropsychological functioning and recoveries in brain structures and functions in inactive professional fighters
Xiaowei Zhuang1,2, Lauren Bennett3, Virendra Mishra1, Zhengshi Yang1,2, Karthik Sreenivasan1,2, Aaron Ritter1, Charles Bernick1,4, and Dietmar Cordes1,2,5

1Lou Ruvo Center For Brain Health, Cleveland Clinic, Las Vegas, NV, United States, 2University of Nevada, Las Vegas, Las Vegas, NV, United States, 3Hoag Memorial Hospital Presbyterian, Newport Beach, CA, United States, 4UW Medicine, Seattle, WA, United States, 5University of Colorado Boulder, Boulder, CO, United States

Longitudinal changes in fighters’ cognitive performance and brain structural (cortical thickness) and functional (seeded functional connectivity) measures following their transitions to inactive fighting status were investigated and compared with fighters who remain active. A linear mixed effect model was applied for each measure. When fighters transitioned to inactive status, improvements in cognitive performances, structural thickness measures and related functional connectivity measures are evident. In contrast, in fighters who continue to compete in professional matches, neuropsychological performances and structural and functional brain measures are observed to remain largely stable or reflect subtle declines across time points.

0042
12:00
MRI-based assessment of regional patterns of cortical strain in the human brain resulting from non-impact dynamic mechanical loading
Ziying Yin1, Matthew C. Murphy1, Yi Sui1, Armando Manduca2, Richard L. Ehman1, and John III Huston1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States

There is growing recognition of morbidity resulting from subconcussive repetitive head impact (RHI).  Mechanical interactions between the skull-brain interface (e.g., transmission and tethering) contribute significantly to the response of the brain to head impact. Local cortical strain concentrations would likely reflect the nearby tethering interactions at the skull-brain interface. In this study, we have developed  MR elastography (MRE)-based methods that enable in vivo visualization and quantification of 3D full-volume cortical strain in response to non-impact dynamic loading. We have found that the distribution of the cortical strain is region-dependent, constituting a possible mechanism for RHI vulnerability among individuals.

0043
12:00
Brain metabolic impairment after mild repetitive traumatic brain injury can be measured by hyperpolarized [1-13C]pyruvate and [13C]urea
Caroline Guglielmetti1,2, Kai Qiao1,2, Brice Tiret1,2, Karen Krukowski1,3, Amber Nolan3,4, Susanna Rosi1,3,5,6, and Myriam M. Chaumeil1,2

1Department of Physical Therapy and Rehabilitation Science, University of California San Francisco, San Francisco, CA, United States, 2Department of Radiology and Biomedical Sciences, University of California San Francisco, San Francisco, CA, United States, 3Brain and Spinal Injury Center, University of California San Francisco, San Francisco, CA, United States, 4Department of Pathology, University of California San Francisco, San Francisco, CA, United States, 5Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, United States, 6Weill institute for Neuroscience, University of California San Francisco, San Francisco, CA, United States

We used hyperpolarized 13C magnetic resonance spectroscopic imaging (HP 13C MRSI), T1- and T2-MRI to detect brain alterations in a mouse model of mild repetitive traumatic brain injury (rTBI). T1/T2-MRI did not detect brain damages. HP 13C MRSI detected metabolic changes in cortical areas, with decreased HP lactate/pyruvate and pyruvate dehydrogenase activity in rTBI. Interestingly, HP pyruvate and HP urea increased in rTBI, suggesting vascular and/or blood brain barrier alterations. Altogether, we demonstrated that HP 13C MRSI has potential to detect long-lasting metabolic alterations following rTBI and holds great potential for improving diagnosis and monitoring of rTBI in clinical practice.

0044
12:00
Assessing the impact of cerebro-cerebellar and long association fibers in Temporal Lobe Epilepsy: a tractography based study
Nicolò Rolandi1, Fulvia Palesi1,2, Francesco Padelli3, Isabella Giachetti3, Domenico Acquino3, Paul Summers4, Giancarlo Germani4, Gerardo Salvato1,5,6, Valeria Mariani5, Pina Scarpa5,6, Egidio D'Angelo1,2, Gabriella Bottini1,5,6, Laura Tassi5, Paolo Vitali4,7, and Claudia Angela Michela Gandini Wheeler-Kingshott1,2,8

1Department of Brain and Behavioral Science, University of Pavia, Pavia, Italy, 2Brain Connectivity Center Research Deparment, IRCCS Mondino Foundation, Pavia, Italy, 3I.R.C.C.S. Istituto Neurologico Carlo Besta, Milano, Italy, 4Neuroradiology Unit, IRCCS Mondino Foundation, Pavia, Italy, 5Hospital Niguarda, Milano, Italy, 6Milan Center for Neuroscience, Milano, Italy, 7Department of Radiology, IRCCS Policlinico San Donato, Milano, Italy, 8NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, Faculty of brain Sciences, University College London (UCL), London, United Kingdom

Advance tractography were performed on cerebro-cerebellar and long association fibers, characterized with diffusion tensor imaging, diffusion kurtosis imaging and NODDI parameter maps. The aim of this work is investigate whether white matter alterations of specific tracts can be selectively related to disfunction of declarative long term memory. Our findings show how  relationship between microstructural alterations and neuropsychological scores should be investigated taking account in specific area of white matter restriced to tracts or bundle. 

0045
12:00
Evaluation of T1 and T2 from MR Fingerprinting as Markers for Predicting Patient Recovery in Mild Traumatic Brain Injury
TERESA GERHALTER1, Martijn Cloos2, Seena Dehkharghani1, Anna M. Chen1, Rosermary Peralta1, Fatemeh Adlparvar1, James S. Babb1, Tamara Bushnik3, Jonathan M. Silver4, Brian S. Im3, Stephen P. Wall5, Guillaume Madelin1, and Ivan Kirov1

1Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, NEW YORK, NY, United States, 2Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 3Department of Rehabilitation Medicine, New York University Grossman School of Medicine, NEW YORK, NY, United States, 4Department of Psychiatry, New York University Grossman School of Medicine, NEW YORK, NY, United States, 5Ronald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, NEW YORK, NY, United States

We analyzed brain MRI data including clinical imaging and MR fingerprinting (MRF) of 22 mild traumatic brain injury (mTBI) patients measured ~1 month after injury and 18 healthy controls. T1 and T2 values in mTBI were not significantly different from controls’. However, increased T1 of three brain regions enabled the identification of non-recovered patients at 3-months (AUC=0.80-0.88). This suggests that T1 quantification is more sensitive to mTBI damage than T2, and is a potential candidate to predict patient outcome.

0046
12:00
Alterations in Network Connectivity Within Special Forces Military Personnel: A Combined Resting-FMRI and DTI Study
Allen A Champagne1, Nicole S Coverdale2, Andrew Ross3, Christopher I Murray3, Isabelle Vallee4, and Douglas J Cook5

1School of Medicine, Queen's University, Kingston, ON, Canada, 2Center for Neuroscience Studies, Queen's University, Kingston, ON, Canada, 3Performance Phenomics, Toronto, ON, Canada, 4National Defence Headquarters, Ottawa, ON, Canada, 5Department of Surgery, Queen’s University, Kingston, ON, Canada

Chronic exposure to head trauma in Special Forces personnel may provide a mechanism for changes in connectivity making-up the architectural organization of functional hubs. Here, resting-state MRI and diffusion tensor imaging are integrated to highlight interdependent differences in functional and structural connectivity of Canadian military Special Operations Forces personnel, when compared to civilian. Changes in white matter integrity of fibers directly connecting functional nodes were observed, which may explain, at least in part, changes in functional markers within networks.  These findings suggest a potential structural compensatory relationship between axonal injury and neural recruitment following head trauma from high-exposure military duties.


Combined Educational & Scientific Session

Ebb & Flow: Perfusion & Permeability from Head to Toe

Organizers: Christopher Filippi
Concurrent 6
Monday 12:00 - 14:00
Moderators: Mami Iima & Ananth Madhuranthakam
Parent Session: Ebb & Flow: Perfusion & Permeability from Head to Toe
(no CME credit)
12:00
MR Perfusion in Glioma Management
Kentaro Akazawa1

1Radiology, Kyoto Prefectural University of Medicine, Kyoto, Japan

Magnetic resonance (MR) perfusion identifies tumor angiogenesis or the proliferation of abnormal vessels in tumors. Of the various techniques devised for evaluating cerebral perfusion imaging, the dynamic susceptibility contrast (DSC) method has been employed most widely in clinical practice. DSC perfusion is used to generate hemodynamic parameters such as relative cerebral blood volume (rCBV). CBF maps can be used to assess neovascularity in tumors, which is thought to correlate with tumor grade and malignant histology. This talk will provide knowledge on how DSC perfusion can be useful in the glioma management in a variety of clinical conditions.

12:30
Review of Perfusion & MR Placental Imaging
Oliver Wieben1

1Medical Physics & Radiology, University of Wisconsin-Madison, Madison, WI, United States

The placenta is immensely important, affecting not just pregnancy, but lifelong health.  Yet it is the least understood, and least studied, of all human organs. Quantitative MRI and particular perfusion MRI is well positioned to provide useful information in identifying placenta abnormalities, possibly even early in pregnancy. This presentation will review the unique challenges and opportunities for perfusion MRI in the placenta, including approaches with exogeneous and endogenous tracers.

13:00
DCE-MR
Sadhna Verma1

1University of Cinncinnati Medical Center, Cinncinnati, OH, United States

13:30
Cardiac MR Perfusion: Updates
Frederick H. Epstein1

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States

First-pass MRI utilizes ECG-gated saturation-recovery gradient-echo or SSFP imaging applied immediately upon intravenous injection of gadolinium, enabling the visual or quantitative assessment of myocardial perfusion.  For multislice coverage with high spatiotemporal resolution, acceleration is required.  While parallel imaging is standard, compressed sensing, multiband, and/or non-Cartesian trajectories provide improvements, and deep learning may facilitate rapid reconstruction.  Perfusion quantification is important in three-vessel and microvascular disease, and recent deep-learning-based pipelines promise to make quantification routine.  Clinically, while superiority compared to SPECT was demonstrated in 2012, recently noninferiority compared to fractional flow reserve for guiding coronary revascularization was shown, representing another major advance.    

0047
12:00
Measurement of Blood-Brain Barrier Disruption in Cats with an Inherited Neurodevelopmental Abnormality using Magnetization Transfer-ASL at 7T
Sultan Zaman Mahmud1,2, Emily C. Graff3,4, Douglas R. Martin4,5, Thomas S. Denney1,2, and Adil Bashir1,2

1Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 2Auburn University MRI Research Center, Auburn University, Auburn, AL, United States, 3Department of Pathobiology, Auburn University, Auburn, AL, United States, 4Scott-Ritchey Research Center, Auburn University, Auburn, AL, United States, 5Department of Anatomy, Physiology and Pharmacology, Auburn University, Auburn, AL, United States

The blood-brain barrier (BBB) plays a vital role in regulating nutrient transport and acts as a barrier to potentially harmful molecules. Disruption of the BBB alters normal neurodevelopment and neuronal function. Protein enriched in astrocytes 15-kDa (PEA15) is crucial in normal neurodevelopment of cats, and cats with a PEA15 loss-of-function (PEA15-/-) have structural brain abnormalities and behavioral defects. We have previously demonstrated a non-invasive MRI technique to measure BBB permeability in humans. The goal of this study is to investigate if this technique can detect differences in microvascular cerebral blood flow and BBB in PEA15-/- cats compared to PEA15+/+.

0048
12:00
MR Multitasking-based Dynamic Imaging for Cerebrovascular Evaluation (MT-DICE): Further Development and Feasibility Study on Brain Cancer
Zhehao Hu1,2, Anthony Christodoulou1,2, Nan Wang1, Yibin Xie1, Tianle Cao1,2, Marcel Maya3, Wensha Yang4, Debiao Li1,2, and Zhaoyang Fan1,4,5

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Department of Radiation Oncology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, 5Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States

DSC-MRI and DCE-MRI provide perfusion- and permeability-related parameters, respectively, and are evolving as increasingly common modalities for evaluating a variety of brain cancer diseases. Their different but complementary information may form a more complete basis for evaluation of the complex and heterogeneous tumor microenvironment. However, acquiring both in one exam requires two separate scans as well as two contrast injections. In this work, we propose an MR MultiTasking based Dynamic Imaging for Cerebrovascular Evaluation (MT-DICE) technique that provides DCE- and leakage-corrected DSC-MRI parameters simultaneously with one 7.6-minute scan and a single-dose contrast injection.

0049
12:00
Free-Breathing Motion-Informed Quantitative 3D Myocardial Perfusion Imaging
Tobias Hoh1, Valery Vishnevskiy1, Maximilian Fuetterer1, and Sebastian Kozerke1

1Institute for Biomedical Engineering (IBT), University and ETH Zurich, Zurich, Switzerland

Three-dimensional perfusion CMR requires acceleration methods to enable whole-heart coverage in short acquisition windows, which often rely on data correlation among adjacent time-frames. However, in free-breathing examinations, respiratory motion leads to inconsistencies in the shared data and compromises image quality. In this work, non-rigid organ motion is incorporated into a patch-based locally low-rank reconstruction algorithm as a transformation displacement field for each time frame. This motion-informed locally low-rank reconstruction, combined with Cartesian pseudo-spiral k-t undersampling, is proposed as a dual-sequence acquisition framework to enable quantitative free-breathing whole-heart perfusion CMR. Feasibility is demonstrated in simulations, and volunteers in rest and stress.

0050
12:00
Whole heart SMS-bSSFP perfusion imaging with high resolution at 1.5T
Sarah McElroy1, Giulio Ferrazzi2, Muhummad Sohaib Nazir1, Carl Evans1, Filippo Bosio1, Nabila Mughal1, Karl P Kunze3, Radhouene Neji3, Peter Speier4, Daniel Stäb5, Christoph Forman4, Pier Giorgio Masci1, Reza Razavi1, Amedeo Chiribiri1, and Sébastien Roujol1

1King's College London, London, United Kingdom, 2IRCCS San Camillo Hospital, Venice, Italy, 3Siemens Healthcare Limited, Frimley, United Kingdom, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Siemens Healthcare Ltd, Melbourne, Australia

First-pass cardiac magnetic resonance (CMR) perfusion imaging is widely used for non-invasive assessment of coronary artery disease (CAD). Conventional CMR perfusion sequences are limited in spatial coverage and resolution. We have developed a SMS-bSSFP sequence with a total acceleration factor of 16 (multiband (MB) acceleration of 3 x in-plane acceleration of 5.5) and compressed sensing reconstruction to enable 1.5 T CMR perfusion with whole-heart coverage and high (1.4 x 1.4 mm2) in-plane spatial resolution. The results from a preliminary study in 6 patients comparing the proposed acquisition against a conventional 3-slice acquisition are presented.

0051
12:00
Improved Dynamic Contrast Enhanced MRI Using Low Rank with Joint Sparsity Reconstruction
Jichang Zhang1, Faisal Najeeb2, Xinpei Wang1, Pengfei Xu1, Hammad Omer2, Penny Gowland 3, Sue Francis3, Paul Glover3, Richard Bowtell3, and Chengbo Wang1

1SPMIC, The University of Nottingham Ningbo China, Ningbo, China, 2COMSATS University Islamabad, Islamabad, Pakistan, 3SPMIC, The University of Nottingham, Nottingham, United Kingdom

This work presents a free breathing Dynamic Contrast Enhanced MRI (DCE-MRI) reconstruction method called L+S (Low rank plus sparse) with joint sparsity, which improved dynamic contrast performance through integrating an additional temporal Fast Fourier Transform (FFT) constraint by extending the standard L+S decomposition method. Fast Composite Splitting Algorithm (FCSA) is implemented to solve the L+S optimization problem in proposed method, and to minimize the computation complexity from joint sparsity constraints. The proposed method achieved high spatial-temporal resolution, high reconstruction efficiency and improved dynamic contrast simultaneously when comparing with other methods in reconstructing a simulated phantom dataset and a DCE-MRI dataset.

0052
12:00
Linear Time Invariant Model based Motion Compensation for Renal Function Estimation with DCE-MRI
Jaume Coll-Font1, Onur Afacan1, Jeanne Chow1, Richard S Lee1, Simon K Warfield1, and Sila Kurugol1

1Boston Children's Hospital and Harvard Medical School, Boston, MA, United States

Heavy breathing or large bulk motion of infants during acquisition of renal DCE-MRI causes misalignment between volumes, degrades image quality, and reduces the accuracy of estimated quantitative parameters of kidney function. We proposed a robust LTI model-based registration algorithm for motion correction, which improved the temporal stability of the concentration time curves, resulting in improved estimation of tracer kinetic model parameters such as renal filtration rate.


Oral

Breast: What's New

Concurrent 7
Monday 12:00 - 14:00
Moderators: Christopher Comstock & Rebecca Rakow-Penner
Parent Session: Breast: What's New
0053
12:00
Diffusion weighted and kurtosis breast cancer imaging for b=0-1800 s/mm2: Comparisons to dynamic contrast enhanced MRI
Martins Otikovs1, Noam Nissan2, Edna Furman-Haran1, Debbie Anaby2, Tanir M. Allweis3, Ravit Agassi4, Miri Sklair-Levy2,5, and Lucio Frydman1

1Weizmann Institute of Science, Rehovot, Israel, 2Sheba Medical Center, Ramat Gan, Israel, 3Kaplan Medical Center, Rehovot, Israel, 4Ben Gurion University Hospital, Beer Sheba, Israel, 5Tel Aviv University, Tel Aviv, Israel

Spatiotemporal encoding (SPEN) is an alternative ultrafast imaging technique which allows to overcome distortions otherwise observed along EPI’s phase-encoded dimension, and to perform self-referenced phase corrections in interleaved diffusion weighted imaging (DWI) scans. This study compares SPEN’s performance against multishot read-out segmented EPI (RESOLVE), with an emphasis on high-b-valued DWI and diffusion kurtosis imaging in the context of breast cancer imaging. The results show SPEN’s advantages for delivering kurtosis maps that provide a separation between cancerous and healthy tissues. The potential of using SPEN DW images acquired with high b-values as an alternative to DCE subtractions is also assessed.

0054
12:00
Impact of retrospective gradient nonlinearity correction on lesion ADCs and performance in the ECOG-ACRIN A6702 multicenter breast DWI trial
Debosmita Biswas1, Justin Romanoff2, Dariya Malyarenko3, Wesley Surrento4, Habib Rahbar1, Nola Hylton5, David C Newitt5, Thomas L Chenevert3, and Savannah C Partridge1

1Radiology, University of Washington, Seattle, WA, United States, 2Center for Statistical Sciences, Brown University, Providence, RI, United States, 3Radiology, University of Michigan, Ann Arbor, MI, United States, 4Biomedical and Health Informatics, University of Washington, Seattle, WA, United States, 5Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States

Gradient nonlinearity (GNL) correction shows potential to improve the accuracy of ADC values collected across different MRI platforms. Here, we retrospectively applied GNL correction to breast DWI datasets collected in the ECOG-ACRIN A6702 trial by pixel-wise scaling of the ADC map with correction factor map. Our findings confirm that GNL significantly impacts multicenter breast lesion ADC values, and that GNL-based ADC errors vary significantly across MRI vendors and gradient systems. Therefore, GNL correction is important for implementation of generalizable ADC thresholds for separating benign and malignant lesions. 

0055
12:00
Breast MRI functional tumor volume segmentation quality may impact the prediction of pathological complete response
Natsuko Onishi1, Jessica Gibbs1, Teffany Joy Bareng1, Wen Li1, Elissa R. Price1, Bonnie N. Joe1, Laura J. Esserman2, The I-SPY 2 Consortium3, David C. Newitt1, and Nola M. Hylton1

1Department of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Department of Surgery, University of California, San Francisco, San Francisco, CA, United States, 3Quantum Leap Healthcare Collaborative, San Francisco, CA, United States

In the I-SPY2 neoadjuvant breast cancer trial, functional tumor volume (FTV) derived from dynamic contrast-enhanced MRI serves as a key marker. Participants in I-SPY2 have the option to “de-escalate” therapy if achievement of pathological complete response (pCR) is highly likely at inter-regimen time point. A model combining FTV-based predictive probabilities with inter-regimen core-biopsy pathology is central to select candidates for this option. This retrospective study compared the performance of longitudinal FTVs in predicting pCR between optimal and non-optimal FTV segmentation groups. The results suggest that improvements to FTV segmentation can improve FTV’s ability to provide predictive guidance for treatment de-escalation.

0056
12:00
Evaluating pCR after neoadjuvant systemic treatment of invasive breast cancer using DWI in comparison to DCE-based kinetic analysis
Rie Ota1, Masako Kataoka1, Maya Honda1, Mami Iima1, Kanae Kwai Miyake1, Akane Ohashi2, Yosuke Yamada3, Masakazu Toi4, and Yuji Nakamoto1

1Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University graduate school of medicine, Kyoto, Japan, 2Kyoto Medical Center, Kyoto, Japan, 3Department of Pathology, Kyoto University Hospital, Kyoto, Japan, 4Department of Breast Surgery, Kyoto University Hospital, Kyoto, Japan

This study aimed to examine the performance of DWI in diagnosing pCR before surgery. Kinetic analysis from standard DCE-MRI were analyzed for comparison. ROC analysis for diagnosing pCR based on DWI score/Kinetic score by two readers was performed. Kinetic score showed slightly higher AUC while 95% confidence interval overlapped with that of DWI score. Both kinetic score and DWI score demonstrated excellent diagnostic performance among triple negative subtype compared to other subtypes.

0057
12:00
Multiparametric MRI signatures of immune response in patients with HER2+ breast cancer treated with trastuzumab
Bonny Chau1, Debosmita Biswas1, Anum S. Kazerouni1, Daniel S. Hippe1, Rebeca Alvarez1, Suzanne Dintzis1, Laura C. Kennedy2, Vijayakrishna Gadi3, and Savannah C. Partridge 1

1University of Washington, Seattle, WA, United States, 2Vanderbilt University, Nashville, TN, United States, 3University of Illinois, Chicago, IL, United States

We investigated the relationship between immune infiltration and imaging metrics derived from breast MRI in patients with HER2+ breast cancer treated with trastuzumab. Fourteen patients with localized HER2+ breast cancer were imaged with diffusion-weighted and dynamic contrast-enhanced (DCE-) MRI prior to and ~2 weeks after a run-in dose of trastuzumab. Pre-treatment ADC and change in DCE-MRI peak percent enhancement were both significantly associated with immune response as characterized by change in level of tumor infiltrating lymphocytes.

0058
12:00
BI-RADS Reading of Non-Mass Lesions on DCE-MRI and Differential Diagnosis Performed by Radiomics and Deep Learning
Jiejie Zhou1, Yan-Lin Liu2, Yang Zhang2, Jeon-Hor Chen2,3, Freddie J. Combs2, Ritesh Parajuli4, Rita S. Mehta4, Huiru Liu1, Zhongwei Chen1, Youfan Zhao1, Meihao Wang1, and Min-Ying Su2

1Department of Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China, 2Department of Radiological Sciences, University of California, Irvine, CA, United States, 3Department of Radiology, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan, 4Department of Medicine, University of California, Irvine, CA, United States

A total of 150 lesions, 104 malignant and 46 benign, presenting as non-mass-like enhancements were analyzed. Three radiologists performed BI-RADS reading for the morphological distribution and internal enhancement pattern. For each case, the 3D tumor mask was generated using Fuzzy-C-Means segmentation. Three DCE parametric maps were generated, and PyRadiomics was applied to extract features. The radiomics model was built using 5 different machine learning algorithms. ResNet50 was implemented using three parametric maps as input. SVM yielded the highest accuracy of 80.4% in training, 77.5% in testing datasets. ResNet50 had better diagnostic performance, 91.5% in training, and 83.3% in testing datasets.

0059
12:00
Radiomics based classification of breast mass with a multiparametric MRI protocol with DCE-MRI, T2, and DWI
Jing Zhang1, Chenao Zhan2, Tao Ai2, Xu Yan3, and Guang Yang1

1Shanghai key lab of magnetic resonance, shanghai, China, 2Tongji Medical College, Huazhong University of Science and Technology, Department of Radiology,Tongji Hospital, Wuhan, Hubei Province, China, 3Siemens Healthcare, MR Scientific Marketing, shanghai, China

    DCE is the most useful MRI sequence for breast cancer diagnosis, but it often suffers from a high rate of false positive. To overcome this problem, we combined radiomics features from DCE, T2W, and DWI images to build a new machine learning model for differentiation of breast cancer. Our model achieved an AUC of 0.948 in an internal test cohort and 0.944 in an external test cohort, and reduced the false positive rate effectively. It was also found, first-order and texture features from ADC map made significant contributions to the model, suggesting the value ADC in breast cancer classification.   

0060
12:00
Predicting Gadolinium Contrast Enhancement for Structural Lesion Analysis using DeepContrast
Dipika Sikka1,2, Nanyan Zhu3, Chen Liu4, Scott Small5, and Jia Guo6

1Department of Biomedical Engineering, Columbia University, New York, NY, United States, 2VantAI, New York, NY, United States, 3Department of Biological Sciences and the Taub Institute, Columbia University, New York, NY, United States, 4Department of Electrical Engineering and the Taub Institute, Columbia University, New York, NY, United States, 5Department of Neurology, the Taub Institute, the Sergievsky Center, Radiology and Psychiatry, Columbia University, New York, NY, United States, 6Department of Psychiatry, Mortimer B. Zuckerman Mind Brain Behavior Institute, Columbia University, New York, NY, United States

Gadolinium-based contrast agents (GBCAs) have facilitated an improved analysis and understanding of structural lesions, however, present safety risks due to the tissue retention of GBCAs. Here we optimize and apply the deep learning model, DeepContrast, to predict gadolinium uptake in brain and breast structural lesions for structural lesion enhancement. The optimized DeepContrast models predict gadolinium uptake that is comparable to ground-truth scans consisting of the uptake from the GBCAs, using a single T1-weighted pre-contrast scan.

0061
12:00
Multimodal magnetic resonance elastography and optical imaging of breast cancer
Bin Deng1,2,3, Mansi Saksena2,3, Steven Jay Isakoff3,4, Ralph Sinkus5, Samuel Patz3,6, and Stefan Alexandru Carp1,2,3

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Harvard Medical School, Boston, MA, United States, 4Cancer Center, Massachusetts General Hospital, Boston, MA, United States, 5Laboratory for Vascular Translational Science (LVTS), Institut National de la Santé et de la Recherche Médicale (INSERM), Paris, France, 6Department of Radiology, Brigham and Women’s Hospital, Boston, MA, United States

Breast cancers are complex, evolving systems characterized by profound spatial and temporal heterogeneity in their biological nature. A multimodal multiparametric approach is needed to synergistically use imaging methods with different biophysical basis to simultaneously quantify multiple aspects of tumor physiology. We built a custom breast coil to allow multimodal near-infrared diffuse optical tomography and MR elastography imaging of human breast. Results of a three-inclusion dual-contrast phantom showed clear contrasts in reconstructed mechanical and optical properties as expected. Data on a breast cancer patient showed collocated hemoglobin and stiffness contrast at the tumor location.

0062
12:00
Radiomics model based on MAGIC acquisition for predicting neoadjuvant systemic treatment response in triple-negative breast cancer.
Nabil Elshafeey1, Gaiane M. Rauch2, Aikaterini Kotrotsou3, Beatriz E. Adrada1, Rosalind P. Candelaria1, Abeer H. Abdelhafez1, Huiqin Chen4, Jia Sun4, Medine Boge1, Rania M. M Mohamed1, Benjamin C. Musall5, Jong Bum Son5, Shu Zhang6, Jason B. White7, Brandy Willis5, Elizabeth Ravenberg7, Wei Peng4, Stacy L. Moulder7, Wei Yang1, Mark D. Pagel6, Jingfei Ma5, and Ken-Pin Hwang5

1Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 2Breast and Abdominal imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 3The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 4Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 5Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 6Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 7Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

Early identification of treatment response to neoadjuvant systemic therapy (NAST) in Triple Negative Breast Cancer (TNBC) patients is important for appropriate treatment selection and response monitoring. In this study we evaluated the ability of a radiomic model extracted from a novel sequence, Magnetic Resonance Image Compilation (MAGIC), acquired before treatment initiation, to predict NAST response in TNBC. Our results showed that the radiomic signature derived from MAGIC maps (T1, PD and T2) can help differentiate responders from non-responders at baseline evaluation.


Member-Initiated Symposium

The Quest for Computational Brain Modelling: From Cell Physiology to Integrated Signals in Health & Pathology

Concurrent 8
Monday 12:00 - 12:30
Moderators: Xixi Yang
Parent Session: The Quest for Computational Brain Modelling: From Cell Physiology to Integrated Signals in Health & Pathology
(no CME credit)
12:00
Towards Unifying Models of Brain Architecture, Dynamics & Cognitive (Dys)function
  Michael Breakspear
  University of Newcastle

12:30
The Virtual Brain to Explain the Normal & Diseased Brain
  Viktor Jirsa
  AIX-Marseille University

13:00
Brain Computational Models: Integrating Micro- & Macro-Scale Phenomena
  Egidio D'Angelo
  University of Pavia


Other

SMRT Business Meeting

SMRT Session
Monday 12:00 - 14:00
(no CME credit)

Member-Initiated Symposium

MR Neurography: A Diagnostic & Interventional Tool in the Management of Patients with Peripheral Neuropathy

Concurrent 8
Monday 13:00 - 13:30
Moderators: Shivani Ahlawat
Parent Session: MR Neurography: A Diagnostic & Interventional Tool in the Management of Patients with Peripheral Neuropathy
(no CME credit)
13:00
MR Neurography: Technique
  Gustav Andreisek
  Cantonal Hospital Munsterlingen

13:30
Upper & Lower Extremity Peripheral Nerve Anatomy
  O. Kenechi Nwawka
  Hospital for Special Surgery

14:00
MR Imaging of Traumatic Peripheral Neuropathy
  Marcelo Bordalo
  University of São Paulo Medical School

14:30
Imaging of Infections/Inflammatory Peripheral Neuropathies
  Swati Deshmukh
  Northwestern University

15:00
Imaging of Sports-Related Peripheral Neuropathy
  Amanda Isaac
  King's College London

15:30
MRI of Peripheral Nerve Tumours: Approach to Diagnosis Using Basic to Advanced Imaging
  Laura Fayad
  Johns Hopkins University

16:00
Interventional MR Neurography-Applied Precision Medicine
  Jan Fritz
  New York University


Oral

Constrained & Model-Based Reconstructions

Concurrent 1
Monday 14:00 - 16:00
Moderators: Merry Mani & Haifeng Wang
Parent Session: Constrained & Model-Based Reconstructions
0063
14:00
Results of the 2020 fastMRI Brain Reconstruction Challenge
Bruno Riemenschneider1, Matthew Muckley2, Alireza Radmanesh1, Sunwoo Kim3, Geunu Jeong3, Jingyu Ko3, Yohan Jun4, Hyungseob Shin4, Dosik Hwang4, Mahmoud Mostapha5, Simon Arberet5, Dominik Nickel6, Zaccharie Ramzi7,8, Philippe Ciuciu7, Jean-Luc Starck7, Jonas Teuwen9, Dimitrios Karkalousos10, Chaoping Zhang10, Anuroop Sriram11, Zhengnan Huang1, Nafissa Yakubova2, Yvonne W. Lui1, and Florian Knoll1

1NYU School of Medicine, New York, NY, United States, 2Facebook AI Research, New York, NY, United States, 3AIRS Medical, Seoul, Korea, Republic of, 4Yonsei University, Seoul, Korea, Republic of, 5Siemens Healthineers, Princeton, NJ, United States, 6Siemens Healthcare GmbH, Erlangen, Germany, 7CEA (NeuroSpin) & Inria Saclay (Parietal), Université Paris-Saclay, Gif-sur-Yvette, France, 8Département d’Astrophysique, CEA-Saclay, Gif-sur-Yvette, France, 9Radboud University Medical Center, Nijmegen, Netherlands, 10Amsterdam UMC, Amsterdam, Netherlands, 11Facebook AI Research, Menlo Park, CA, United States

The next round of the fastMRI reconstruction challenge took place, this time using anatomical brain data. Submissions were ranked by SSIM and resulting finalists again by 6 radiologists. We observed the cases with clear SSIM separation achieving the highest radiologists’ rankings, in particular the winning reconstructions. Most 4x track reconstructions exhibit desirable image quality, with some exceptions that show anatomy-like hallucinations. Radiologist sentiment decreased for the 8x and Transfer tracks, indicating that these may require further investigation.

0064
14:00
Region-Optimized Virtual (ROVir) Coils: Application of Sensor-Domain Beamforming for Localizing and/or Suppressing Spatial Regions
Daeun Kim1, Stephen F. Cauley2, Krishna S. Nayak1, Richard M. Leahy1, and Justin P. Haldar1

1Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, United States, 2Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States

MRI acquisitions often incidentally excite spatial regions that are not interesting for the application. This unnecessary magnetization can lead to artifacts and/or prolonged acquisitions.  We propose a novel virtual-coil approach, called region-optimized virtual (ROVir) coils, that can localize signal from an ROI and/or suppress signal from unwanted spatial regions while also providing coil compression.  This is achieved using optimal beamforming principles (without requiring modification of pulse sequences or imaging hardware), and can be applied directly to k-space data, which enables simplified image reconstruction.  We illustrate ROVir with reduced-FOV imaging, demonstrating capabilities to suppress aliasing artifacts from outside the nominal FOV.   

0065
14:00
Compact Maps: A Low-Dimensional Approach for High-Dimensional Time-Resolved Coil Sensitivity Map Estimation
Shreya Ramachandran1, Frank Ong2, and Michael Lustig1

1Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States, 2Electrical Engineering, Stanford University, Stanford, CA, United States

Dynamic MRI reconstruction techniques often use static coil sensitivity maps, but physical sensitivities can change substantially with respiratory and other subject motion. However, time-resolved sensitivity maps occupy a very large amount of memory, and hence, directly employing these maps is often impractical, especially on memory-limited GPUs. Here, we introduce a technique that solves for a compact representation of time-resolved sensitivity maps by leveraging a temporal basis for sensitivity kernels. Our proposed Compact Maps are significantly cheaper (by ~1000x) to store in memory than conventional time-resolved maps and result in lower calibration error and reconstruction error than do time-averaged maps. 

0066
14:00
Coil Sketching for fast and memory-efficient iterative reconstruction
Julio A. Oscanoa1,2, Frank Ong3, Zhitao Li2,3, Christopher M. Sandino3, Daniel B. Ennis2,4, Mert Pilanci3, and Shreyas S. Vasanawala2

1Department of Bioengineering, Stanford University, Stanford, CA, United States, 2Department of Radiology, Stanford University, Stanford, CA, United States, 3Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 4Cardiovascular Institute, Stanford, CA, United States

Parallel imaging and compressed sensing reconstruction of large datasets has a high computational cost, especially for 3D non-Cartesian acquisitions. This work is motivated by the success of iterative Hessian sketching methods in machine learning. Herein, we develop Coil Sketching to lower computational burden by effectively reducing the number of coils actively used during iterative reconstruction. Tested with 2D radial and 3D cones acquisitions, our method yields considerably faster reconstructions (around 2x) with virtually no penalty on reconstruction accuracy.

0067
14:00
Fast Calibrationless Image-space Reconstruction by Structured Low-rank Tensor Estimation of Coil Sensitivity and Spatial Support
Zheyuan Yi1,2,3, Yujiao Zhao1,2, Yilong Liu1,2, Yang Gao1,2, Mengye Lyu4, Fei Chen3, and Ed X Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong SAR, China, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong SAR, China, 3Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China, 4College of Health Science and Environmental Engineering, Shenzhen Technology University, Shenzhen, China

In conventional parallel imaging, coil sensitivity information can be obtained from calibration data for reconstruction that inevitably prolongs MRI scan. In recent years, structured low-rank matrix completion methods implicitly exploit coil sensitivity that enables calibrationless k-space estimation while prohibitively increases the computational burden. This study presents a fast and calibrationless image-space alternative for reconstruction that derives high-quality coil sensitivity and spatial support maps by structured low-rank tensor estimation. The proposed approach was evaluated with multi-channel multi-contrast brain datasets. It achieves a high convergence rate with significantly reduced reconstruction time, making the calibrationless reconstruction approach more efficient in clinical practice.

0068
14:00
Data-driven motion-corrected brain MRI incorporating pose dependent B0 fields
Yannick Brackenier1,2, Lucilio Cordero-Grande1,2,3, Raphael Tomi-Tricot1,2,4, Tom Wilkinson1,2, Jan Sedlacik1,2, Philippa Bridgen1,2, Sharon Giles1,2, Shaihan Malik1,2, Enrico De Vita1,2, and Joseph V Hajnal1,2

1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 3Biomedical Image Technologies, ETSI Telecomunicación, Universidad Politécnica de Madrid and CIBER-BNN, Madrid, Spain, 4MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

A fully data-driven retrospective motion correction reconstruction for volumetric brain MRI at 7T that includes modelling of pose-dependent changes in polarising magnetic (B0) fields in the head has been developed. Building on the DISORDER framework, the use of a physics-based B0 model constrains the number of unknowns to be found, enabling motion correction based solely on data-consistency without requiring any additional probe- or navigator-data. The proposed reconstruction was validated on an in-vivo spoiled gradient echo acquisition in which the subject deliberately moved. Substantial removal of motion artefacts was achieved.

0069
14:00
Manifold learning via tangent space alignment for accelerated dynamic MR imaging with highly undersampled (k,t)-data
Yanis Djebra1,2, Isabelle Bloch2,3, Georges El Fakhri1, and Chao Ma1

1Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 2LTCI, Telecom Paris, Institut Polytechnique de Paris, Paris, France, 3LIP6, Sorbonne University, CNRS, Paris, France

Many unsupervised learning methods have been proposed to discover the structure of manifolds embedded in high-dimensional input spaces. However, image reconstruction requires mapping the learned low-dimension data in the feature space back to the input space, which can be challenging if the mapping function is implicit. This work presents an image reconstruction scheme closely related to machine learning methods learning manifolds via tangent space alignment. Here, the mapping transform is explicit and learned from the data. This model is a nonlinear generalization of the Low-Rank matrix/tensor model, reconstructing undersampled MR data with lower rank than the standard Low-Rank reconstruction.

0070
14:00
One-heartbeat cardiac CINE imaging via jointly regularized non-rigid motion corrected reconstruction
Gastao Cruz1, Kerstin Hammernik2,3, Thomas Kuestner1, Daniel Rueckert2,3, René M. Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Technical University of Munich, Munich, Germany, 3Department of Computing, Imperial College London, London, United Kingdom

Motion-resolved reconstructions are standard for cardiac CINE imaging by splitting data into multiple cardiac phases across several heartbeats. Consequently, the reconstruction of each phase is highly ill-posed, since only a subset of the data are used to reconstruct it. In this work a novel motion corrected framework is developed for highly accelerated cardiac CINE imaging. Each cardiac phase is reconstructed with a motion corrected reconstruction and jointly regularized with every other motion corrected cardiac phase via a non-rigidly aligned patch-based denoiser. This approach leads to a substantial improvement in image quality, enabling highly accelerated CINE images from a single heartbeat.

0071
14:00
Fourier-based decomposition approach for simultaneous acquisition of 1H spectra from two voxels in vivo at short echo times
Layla Tabea Riemann1, Christoph Stefan Aigner1, Ralf Mekle2, Sebastian Schmitter1,3, Bernd Ittermann1, and Ariane Fillmer1

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig und Berlin, Germany, 2Center for Stroke Research Berlin, Charité Universitätsmedizin, Berlin, Germany, 3Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

In this work, a Fourier-based technique for 1H MR spectroscopy based on split-slice-GRAPPA is introduced to decompose simultaneously acquired dual-voxel data. In contrast to the existing sensitivity-map-based approach, this technique does not need any additional image acquisitions. The autocalibration lines are derived by additional low SNR spectral data. 2SPECIAL was used to simultaneously acquire data from two voxels at short echo times. The proposed decomposition algorithm was first validated in a multi-compartment phantom, and its application was then demonstrated at 7T in vivo. 

0072
14:00
Optimized Subspace-Based J-Resolved MRSI for Simultaneous Metabolite and Neurotransmitter Mapping
Zepeng Wang1,2, Yahang Li1,2, and Fan Lam1,2

1Department of Bioengineering, University of Illinois Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, Urbana, IL, United States

J-resolved 1H-MRSI offers improved molecular specificity by encoding the J-coupling evolution of different molecules at multiple TEs. The addition of another encoding dimension poses both challenges and flexibility for optimizations in data acquisition and reconstruction. This work presents further optimized J-resolved MRSI acquisition and reconstruction strategies for high-resolution, 3D metabolite, and neurotransmitter mapping. Specifically, estimation-theoretic TE selection within a union-of-subspaces (UoSS) framework was analyzed for optimized separation of metabolite and neurotransmitter signals. Both simulation and in vivo studies have been conducted. Promising results in terms of simultaneously high-resolution mapping of major metabolites, Glx, and GABA are provided.


Oral

Contrast Agents & Preclinical Studies

Concurrent 2
Monday 14:00 - 16:00
Moderators: Giovanna Diletta Ielacqua & Zheng-Rong Lu
Parent Session: Contrast Agents & Preclinical Studies
0073
14:00
Altered pH in early Alzheimer’s disease detected by creatine chemical exchange saturation transfer magnetic resonance imaging
Lin Chen1,2, Peter C.M. van Zijl1,2, Zhiliang Wei1,2, Hanzhang Lu1,2, Wenzhen Duan3, Philip C. Wang4,5, Tong Li4,5, and Jiadi Xu1,2

1Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, MD, United States, 3Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, United States, 4Department of Pathology, Johns Hopkins University, Baltimore, MD, United States, 5Department of Neuroscience, Johns Hopkins University, Baltimore, MD, United States

We demonstrate the feasibility of creatine chemical exchange saturation transfer (CrCEST) MRI in detecting altered pH in Alzheimer’s disease (AD) mouse brain. In two early-stage AD models, namely Tau and APP mice, CrCEST contrast in the brain was significantly reduced compared to that of WT mice at 6-7 months (P<0.007). From MRS experiments, the brain creatine concentration between WT and AD mice was the same within error, which indicates that the reduced CrCEST contrast in the AD brain can be contributed mainly to pH reduction. Immunohistochemical analysis showed neuroinflammation in the APP mice, a potential factor for causing pH reduction. 

0074
14:00
DTI and gluCEST imaging reveal the key role of white matter alteration in the pathogenesis in a mouse model of Huntington’s Disease
Jean-Baptiste Perot1, Marina Célestine1, Marc Dhenain1, Sandrine Humbert2, Emmanuel Brouillet1, and Julien Flament1

1Université Paris-Saclay, Commissariat à l’Energie Atomique et aux Energies Alternatives (CEA), Centre National de la Recherche Scientifique (CNRS), Molecular Imaging Research Center (MIRCen), Laboratoire des Maladies Neurodégénératives, Fontenay-aux-Roses, France, 2Université Grenoble-Alpes, Grenoble Institute of Neurosciences (GIN), INSERM U1216, Grenoble, France

Huntington’s Disease (HD) is a neurodegenerative disorder caused by the expansion of CAG repeats on the exon 1 of the HTT gene. Although genetic origin of HD is well-established, early and predictive biomarkers of disease onset and progression are still lacking. In the present study, we performed a multiparametric longitudinal MRI study on a mouse model of HD. Our results in gluCEST, Magnetization Transfer, morphometry and Diffusion Tensor Imaging revealed early modifications of white matter followed by progressive functional and anatomical changes in HD mice. Such network seems to point out the central role of white matter in HD pathogenesis.  

0075
14:00
Multimodal MRI study of multiple sclerosis: the therapeutic role of complement system
Abdullah Althobity1,2, Nemat Khan3, Trent Woodruff3, Gary Cowin1,4, Ian Brereton1,4, and Nyoman Kurniawan1

1Centre for Advanced imaging, University of Queensland, Brisbane, Australia, 2Ministry of Education, Riyadh, Saudi Arabia, 3Faculty of Medicine, School of Biomedical Sciences, University of Queensland, Brisbane, Australia, 4National Imaging Facility, Brisbane, Australia

Multiple sclerosis (MS) is an autoimmune disease with uncertain aetiology. In this work, we used two genetically modified mice, each derived by gene ablation to complement protein C5aR1 and C5L2 receptors, designed to investigate their roles in mediating the disease model experimental autoimmune encephalomyelitis (EAE). MR spectroscopy and DTI were measured using a 9.4T MRI with cryoprobe at the level of lumbar spinal cord. Changes in metabolites and DTI parameters indicate that the ablation of C5L2, to a greater extent than the ablation of C5aR1, made these mice less susceptible to EAE induced neuronal damage compared to wild-type mice.

0076
14:00
In vivo methemoglobin modulation as an intravascular contrast agent for magnetic resonance imaging: Rabbit Model with T1 measurement
Seong-Eun Kim1, J Scott McNally1, Matthew Alexander1, Dennis L Parker1, Matthew S Zabriskie 1, and Ronald Day2

1UCAIR, Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, United States, 2Department of Pediatrics, University of Utah, Salt Lake City, UT, United States

After intravenous injection, gadolinium(GBCA), commonly used for MR contrast, distributes from intravascular to the extravascular space and rapidly cleaned by renal excretion. This pharmacologic behavior makes GBCA unfavorable as in blood pool agent. One potential alternative agent is endogenous intracellular methemoglobin (MetHb), a paramagnetic molecule in our blood cells. Intracellular levels of MetHb can be increased by exposing blood to sodium nitrite. We evaluated change of T1 of blood according to a transient increase in intracellular MetHb in in vivo animal model. Our results demonstrated that MetHb modulation resulted T1 shortening of blood and soft tissue enhancement.

0077
14:00
CEST-MRI guided sequential drug delivery using injectable hydrogel for local treatment in the brain
Xiongqi Han1, Jianpan Huang1, and Kannie Wai Yan Chan1,2,3

1Biomedical Engineering, City University of Hong Kong, Hong Kong, Hong Kong, 2Biomedical Engineering, Shenzhen Research Institute, City University of Hong Kong, Shenzhen, China, 3Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

Glioblastoma (GBM) is the most malignant brain tumor with notorious heterogeneous, infiltrative and chemoresistance. Here, we developed a hydrogel-based drug delivery system for sequential and sustainable local drug delivery with rheological properties that favor applications to the brain. We designed methotrexate (MTX) to release prior to gemcitabine (Gem). Using CEST, the multicomponent of hydrogel matrix could be detected at 3 T, including the contrast of loaded drugs (5.4%) at 2.2-2.4 ppm and liposomal hydrogel matrix at -3.6 ppm in vitro. Furthermore, it showed combined cytotoxicity on U87 cells, demonstrating its potential on CEST MRI guided local treatment.

0078
14:00
Fluorine Magnetic Resonance Imaging for Natural Killer Cell Tracking  with a Dual Tuned 1H/19F Torso Coil at 3T
Paul Begovatz1, Lawrence Lechuga1, Monica Cho2, Mallery Olsen2, Rachel McMahon3, David Vail3,4, and Sean Fain1,5,6

1Medical Physics, Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 2Pediatrics, Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 3Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States, 4Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, United States, 5Radiology, Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 6Biomedical Engineering, Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States

Fluorine magnetic resonance imaging (19F-MRI) has been demonstrated as a non-invasive method to track and quantify immune cells in vivo. However due to the low 19F spin density of immune cell labeling, these studies have been mostly conducted on ultra-high field MRI systems, or with small sensitive surface coils at clinical field strengths. This feasibility study found that concentrations of perfluoropolyether (PFPE), and phantoms consisting of fewer than one million PFPE labeled NK cells were reliably detected through 19F-MRI with the combination of a cartesian 3D fast spin echo imaging sequence, and a dual tuned 1H/19F torso coil at 3T.

0079
14:00
A Mn-based probe targeted towards organic-anion transporting polypeptides
Nivin N Nyström1, Hanlin Liu2, Francisco Martínez-Santiesteban1, Xiao-an Zhang2, Timothy J Scholl1, and John A Ronald1

1Robarts Research Institute, London, ON, Canada, 2University of Toronto, Toronto, ON, Canada

We have developed a manganese(III) porphyrin probe for targeted imaging of cells expressing organic-anion transporting polypeptides. OATP1 targeting and relaxation characteristics were evaluated in vitro in engineered cells, and in vivo and ex vivo in different organs in mice.

0080
14:00
MR Measurements of Placental Perfusion in Normal Sheep Pregnancies
Dimitra Flouri1,2, Jack RT Darby3, Stacey L Holman3, Sunthara R Perumal4, Anna L David5,6, Janna L Morrison3, and Andrew Melbourne2,7

1School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom, 2Department of Medical Physics & Biomedical Engineering, University College London, London, United Kingdom, 3Early Origins of Adult Health Research Group, University of South Australia, Adelaide, Australia, 4Preclinical Imaging and Research Laboratories, South Australian Health and Medical Research Institute, Adelaide, Australia, 5Elizabeth Garrett Anderson Institute for Women’s Health, University College London, London, United Kingdom, 6NIHR Biomedical Research Centre, University College London Hospitals, London, United Kingdom, 7School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

MRI techniques are considered to give additional placental information in vivo to support clinical decision-making. Preclinical models such as in pregnant sheep provide an invasive method to validate MRI measurements, as they allow for controlled experiments and analysis during pregnancy. Here we characterised diffusion and perfusion properties of normal sheep placenta such as apparent diffusion coefficient, T2 measurements and fractional anisotropy analysis.  We also presented the first application of multi-compartment MRI model to normal sheep placenta. 

0081
14:00
Detectable velocity range in single-cell tracking by time-lapse MRI
Enrica Wilken1, Felix Freppon1, Max Masthoff1, and Cornelius Faber1

1Translational Research Imaging Center, Clinic of Radiology, University Hospital Muenster, Muenster, Germany

Repetitive T2*-weighted image acquisition in vivo and contrast simulations were used to show that single iron oxide nanoparticle labeled cells can be resolved and tracked non-invasively by time-lapse MRI. Calculation of the velocity of intravascular moving immune cells in mice brain and velocity-dependent blurring of time-lapse contrast in simulations indicate that cell dynamics slower than 1 µm/s are detectable. Therefore, time-lapse MRI is able to reveal patrolling immune cells as hypointense spots and can be a suitable tool to study inflammatory diseases and the progression of cancer metastasis.

0082
14:00
Investigating the microglial metabolome with high resolution 1H NMR
Lydia M. Le Page1, Jayson Ball2, Linda Watkins2, and Myriam Chaumeil1

1Physical Therapy and Rehabilitation Science, Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2Department of Psychology & Neuroscience & the Center for Neuroscience, University of Colorado, Boulder, CO, United States

Microglia are an essential part of the brain’s immune system. In 2006, Frank et al. described a rapid isolation technique to obtain high-purity quiescent microglia from the rat brain, enabling study of their role in health and disease. Metabolomics via NMR is a robust, data-rich strategy for understanding cell metabolism. Given the central role of microglial metabolic reprogramming in numerous diseases, we investigated whether ultra-high-field 1H NMR could detect key metabolites in freshly isolated adult microglia. We optimized the isolation and extraction protocols and showed that several key microglia metabolites can be reliably quantified using high-resolution 1H NMR at 18.8Tesla.


Member-Initiated Symposium

Hand-in-Hand: Technology & Applications for Ultra-High Field MRI

Concurrent 3
Monday 14:00 - 16:00
Moderators: Karin Markenroth Bloch & Benedikt Poser
Parent Session: Hand-in-Hand: Technology & Applications for Ultra-High Field MRI
(no CME credit)
14:00
The Role of 7T MRI in Multiple Sclerosis: Understanding the Disease
  Caterina Mainero
  A. A. Martinos Center, Harvard Medical School

14:30
Moving to Higher Resolution: Ways Around the Limitations of Motion
  Vincent O. Boer
  DRCMR, Copenhagen University

15:00
Focusing on the Body: Technical Requirements & Advancements
  Tijl A. van der Velden
  UMC Utrecht

15:30
Going Weak in the Knees: What Can 7T Do?
  Vladimir Juras
  Medical University of Vienna

16:00
Understanding the Heart: Where 7T Makes All the Difference
  Chris Rodgers
  University of Cambridge


Oral

Novel & Multicontrast Approaches

Concurrent 4
Monday 14:00 - 16:00
Moderators: Ulrich Katscher & Elena Kleban
Parent Session: Novel & Multicontrast Approaches
0083
14:00
Comparison of inhomogeneous Magnetization Transfer (ihMT), R1 and MPF for myelin specific imaging
Andreea Hertanu1,2, Lucas Soustelle1,2, Arnaud Le Troter1,2, Julie Buron1,2,3, Julie Le Priellec3, Myriam Cayre3, Pascale Durbec3, Gopal Varma4, David C. Alsop4, Olivier M. Girard1,2, and Guillaume Duhamel1,2

1Aix Marseille Univ, CNRS, CRMBM, Marseille, France, 2APHM, Hôpital Universitaire Timone, CEMEREM, Marseille, France, 3Aix Marseille Univ, CNRS, IBDM, Marseille, France, 4Division of MR Research, Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States

We conducted a comparative study of ihMT metrics variably weighted in T1D, with R1 (1/T1) and MPF (macromolecular proton fraction) for myelin specific imaging. These MRI methods were compared with histology by fluorescence microscopy using transgenic plp-GFP (proteolipid protein-Green Fluorescent Protein) mice.

0084
14:00
Uncovering the specificity of quantitative MRI to different molecular forms of iron in the brain.
Shir Filo1, Rona Shaharabani1, and Aviv Mezer1

1The Edmond and Lily Safra Center for Brain Science, The Hebrew University of Jerusalem, Jerusalem, Israel

The main iron compounds, ferritin and transferrin, are distributed heterogeneously across the brain and are often implicated in neurodegenerative diseases. While quantitative MRI has been linked to brain tissue’s microstructure, non-invasive discrimination between iron forms still remains a challenge. We propose an in vivo approach for assessing brain iron forms, based on the dependency of R1 on R2*. We establish this approach in phantoms and validate it against histology. In the in vivo human brain, the dependency of R1 on R2*, rather than each parameter by itself, predicts the inhomogeneous distribution of iron-binding proteins with age and across brain regions.

0085
14:00
Improved spin-lock based detection of ultra-low-field electro-magnetic oscillations for direct fMRI
Maximilian Gram1,2, Markus Dippold2, Daniel Gensler1,3, Martin Blaimer4, Peter Nordbeck1,3, and Peter Michael Jakob2

1Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany, 2Experimental Physics 5, University of Würzburg, Würzburg, Germany, 3Comprehensive Heart Failure Center (CHFC), University Hospital Würzburg, Würzburg, Germany, 4Fraunhofer Institute for Integrated Circuits IIS, Würzburg, Germany

BOLD-based fMRI is currently the method of choice for the spatially resolved investigation of neuronal activity, although this technique only allows indirect measurements of activity by evaluating hemodynamic effects. Recently, a spin-lock-based technique for the direct measurement of neuro-electro-magnetic oscillations was presented, which impressively demonstrated imaging of the alpha activity. In the corresponding publication, however, elementary parameters of the spin-lock preparation were specified ad hoc. In the present work it is shown that the choice of these preparation parameters is of essential importance. For example, a clever choice of the spin-lock time can improve and stabilize the signal detection.

0086
14:00
Noninvasive Detection of Changes in Membrane Potential with MR Measurements
Kyeongseon Min1, Sungkwon Chung2, Phan Tan Toi3,4, Jongho Lee1, Seung‐Kyun Lee3,4,5, and Jang-Yeon Park3,4

1Laboratory for Imaging Science and Technology, Department of Electrical and Computer Engineering, Seoul National Univeristy, Seoul, Korea, Republic of, 2Department of Physiology, Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Suwon, Korea, Republic of, 3Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 4Department of Intelligent Precision Healthcare Convergence, Sungkyunkwan University, Suwon, Korea, Republic of, 5Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of

In this study, the relationships between changes in cell membrane potential and MR measurements of T1, T2, and qMT parameters were examined using a neuroblastoma cell line (SH-SY5Y) as an in vitro model. When the membrane potential was depolarized from -37.7 mV to −7.5 mV, the changes in MR parameters were: T1, +4.29%; T2, +21.2%; pool size ratio (PSR), −12.4%. Contrarily, when the membrane potential was hyperpolarized to −43.0 mV, the changes in MR parameters were: T1, −3.40%; T2, −10.0%; PSR, +6.97%. These observations are expected to be utilized to noninvasively detect changes in the membrane potential of cells.

0087
14:00
High temporospatial resolution MR imaging of neuronal activity in vivo
Phan Tan Toi1,2,3, Hyun Jae Jang4, Jeehyun Kwag4, and Jang-Yeon Park1,2,3

1Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 2Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of, 3Department of Intelligent Precision Healthcare Convergence, Sungkyunkwan University, Suwon, Korea, Republic of, 4Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea, Republic of

Advanced non-invasive functional imaging methods have been widely used, but with certain limitations in either temporal or spatial information. There has long been a demand for a noninvasive imaging method capable of capturing neuronal activity with high temporal and spatial resolution. Here, we demonstrate a novel imaging method (called DIANA-fMRI) for directly detecting neuronal activity with high temporal (=5ms) and spatial (=0.22mm) resolution. DIANA-fMRI was capable of capturing sensory responses in mice at 9.4T with statistically significant signal changes (~0.1-0.2%). Temporally sequential DIANA responses were also confirmed along the thalamocortical pathway, together with further validation by electrophysiological experiments.

0088
14:00
Diffuse axonal injury has a specific multidimensional MRI signature in traumatically injured corpus callosum
Dan Benjamini1, Diego Iacono2, Michal Komlosh1, Daniel Perl2, David Brody2, and Peter Basser1

1National Institute of Child Health and Human Development, Bethesda, MD, United States, 2Uniformed Services University of the Health Sciences, Bethesda, MD, United States

Can microscopic diffuse axonal injury lesions following trauma be seen non-invasively? We report that simultaneously integrating multiple MRI dimensions - T1, T2, and diffusion - can be targeted to image microscopic damage. Corpora Callosa derived from eight subjects that sustained TBI and three healthy control brain donors underwent post-mortem ex-vivo MRI at 7T. Multidimensional-, diffusion tensor-, and quantitative T1- and T2-MRI data were acquired and processed, along with corresponding pathohistological data. Although invisible using the conventional MRI modalities, multidimensional MRI provided images of the microscopic injuries, suggesting that it can be used for the detection of microscopic axonal injury.

0089
14:00
Single-shot simultaneous diffusion and T2 mapping based on overlapping-echo detachment planar imaging
Lingceng Ma1, Xinran Chen1, Jian Wu1, Lijun Bao1, Shuhui Cai1, Congbo Cai1, and Zhong Chen1

1Department of Electronic Science, Xiamen University, Xiamen, China

A single-shot simultaneous diffusion and T2 mapping method is developed based on overlapping-echo detachment planar imaging (DT2M-OLED) incorporating with deep-learning reconstruction. The method makes it possible to realize simultaneous diffusion and T2 mapping in around one hundred milliseconds for the first time, and owns an advantage in resisting motion artifacts. The accuracy of the proposed method was verified by numerical experiment and in vivo rat brain experiment. Dynamic diffusion and T2 mapping on rat recovering from deep anesthesia was also conducted to test the capability of the proposed method in real-time imaging.

0090
14:00
Deep learning based acceleration of multi-contrast MRI examinations by acquiring contrast and sharing inter-contrast structure information
Sudhanya Chatterjee1, Suresh Emmanuel Joel1, Sajith Rajamani1, Shaik Ahmed1, Uday Patil1, Ramesh Venkatesan1, and Dattesh Dayanand Shanbhag1

1GE Healthcare, Bangalore, India

We propose a method to accelerate multi-contrast MRI examination for a subject. We accelerate typically longer scans of MR exam such as FLAIR-T1, FLAIR-T2 by only acquiring its contrast information and sharing structure information from a reference scan from the same exam which is fully sampled (typically with the lowest acquisition time e.g. T2FSE). The resulting view-shared images have systematic artifacts which are then removed by a deep learning module trained on more than 200 cases. We observed high quality reconstruction (SSIM>0.9) for both healthy control and pathology cases with acceleration factors of 2x and 3x for FLAIR-T1 and FLAIR-T2.

0091
14:00
MULTI-Parametric MR imaging with fLEXible modular design (MULTIPLEX)
Yongquan Ye1, Jingyuan Lv1, Yichen Hu1, Zhongqi Zhang2, Jian Xu1, and Weiguo Zhang1

1UIH America, Inc., Houston, TX, United States, 2United Imaging Healthcare, Shanghai, China

We have developed a GRE based multi-parametric MR imaging method with flexible modular design, namely MULTIPLEX. Featuring a design of dual-TR, dual-FA and multi-echo, one single MULTIPLEX scan can provide multiple imaging contrasts and quantitative mappings with 3D high resolution within clinically friendly duration, including T1W, PDW, augmented T1W (aT1W), SWI and T1/T2*/PD/QSM maps, as well as optional MRA images.

0092
14:00
R2* mapping of the whole brain with 0.8 mm isotropic resolution at 7T in less than 7 minutes
Arun Joseph1,2,3, Tobias Kober4,5,6, and Tom Hilbert4,5,6

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Bern, Switzerland, 2Translational Imaging Center, Sitem-Insel, Bern, Switzerland, 3Departments of Radiology and Biomedical Research, University of Bern, Bern, Switzerland, 4Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 5Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 6LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland

T2*-weighted imaging is an important diagnostic tool to evaluate normal and pathological tissues due to its sensitivity to iron deposition. This comes with high sensitivity to magnetic field inhomogeneities within a voxel, resulting in susceptibility artifacts. These artefacts are largely reduced at higher resolutions; high-resolution protocols however lead to clinically unfeasible scan times with multi-echo gradient echo sequences. Here, we propose a compressed sensing multi-echo GRE acquisition for 7T to obtain 0.8 mm isotropic R2* maps of the whole brain in <7 minutes and with substantially reduced artefacts. Preliminary qualitative and quantitative validations are performed on healthy subjects.


Oral

Quantitative Neuroimaging

Concurrent 5
Monday 14:00 - 16:00
Moderators: Chaitra Badve & Dharmesh Tailor
Parent Session: Quantitative Neuroimaging
0093
14:00
Mapping of Thalamic Matrix and Core Nuclei using QSM at 9.4 Tesla
Vinod Jangid Kumar1, Klaus Scheffler1,2, Gisela E Hagberg1,2, and Wolfgang Grodd1

1Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Biomedical Magnetic Resonance, University Hospital and Eberhard-Karl’s University, Tuebingen, Germany

The thalamus is a central connectivity hub of the human brain that remains poorly understood concerning its anatomy. Since it houses both calcium-rich neurons and myelin-rich architecture, quantitative susceptibility mapping at the ultra-high-field may facilitate thalamic substructures' characterization. Consequently, we have acquired high-resolution QSM data at 9.4 Tesla in 21 subjects and analyzed human thalamic nuclei with respect to core and matrix neurons. We found a more substantial contribution of both diamagnetic and paramagnetic sources, like iron, myelin, and calcium, in the matrix nuclei in contrast to the relay specific core nuclei matrix nuclei.

0094
14:00
On Comparability and Reproducibility of Myelin Sensitive Imaging Techniques
Tom Hilbert1,2,3, Lucas Soustelle4, Gian Franco Piredda1,2,3, Thomas Troalen5, Stefan Sommer6,7, Arun Joseph8,9,10, Reto Meuli2, Jean-Philippe Thiran2,3, Guillaume Duhamel4, Olivier M. Girard4, and Tobias Kober1,2,3

1Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland, 2Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Aix Marseille Univ, CNRS, CRMBM, Marseille, France, 5Siemens Healthcare SAS, Saint-Denis, France, 6Siemens Healthcare, Zurich, Switzerland, 7Swiss Center for Musculoskeletal Imaging (SCMI), Balgrist Campus, Zurich, Switzerland, 8Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Bern, Switzerland, 9Translational Imaging Center, Sitem-Insel, Bern, Switzerland, 10Departments of Radiology and Biomedical Research, University of Bern, Bern, Switzerland

A reliable and non-invasive measurement of myelin content in the brain is of high importance for neurodegenerative diseases such as multiple sclerosis. To this end, various methods have been developed over the past years with different advantages and shortcomings. In this work, six widely used methods are compared and tested for reproducibility: (i) longitudinal relaxation rate, (ii) magnetization transfer ratio, (iii) macromolecular proton fraction, (iv) inhomogeneous magnetization transfer saturation, (v) myelin water fraction, and (vi) inversion recovery at ultra-short echo time. This comparison may facilitate an informed decision on which myelin imaging techniques should be used in future studies.

0095
14:00
Delineating perfusion and the effects of vascularisation patterns across the hippocampal subfields at 7T
Roy AM Haast1, Sriranga Kashyap2, Mohamed D Yousif1, Dimo Ivanov2, Benedikt A Poser2, and Ali R Khan1

1Centre for Functional and Metabolic Mapping, Western University, London, ON, Canada, 2Maastricht University, Maastricht, Netherlands

Intra-hippocampal perfusion patterns have remained unexplored so far but might carry important information to study disease pathogenesis. In this study we used arterial spin labeling (ASL) combined with time-of-flight angiography acquired at 7T to delineate perfusion and the effects of vascularisation patterns across the hippocampal subfields. We found that (i) imaging hippocampal perfusion in vivo is feasible using ASL at 7T, (ii) perfusion could serve as biomarker to differentiate hippocampal subfields, but that (iii) the impact of the dense macrovascular network varies based on characteristics such as distance and diameter.

0096
14:00
In vivo human T2* imaging at 0.35 mm reveals up to 15 ms of local variations within gray matter across depths at 7T
Omer Faruk Gulban1,2, Saskia Bollman3, Renzo Huber1, Kendrick Kay4, Benedikt Poser1, Federico De Martino1, and Dimo Ivanov1

1Department of Cognitive Neuroscience , Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands, 2Brain Innovation, Maastricht, Netherlands, 3Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 4Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

We measured in vivo human brain T2* values using 7T MRI at 0.35 × 0.35 × 0.35 mm3. We simultaneously targeted calcarine sulcus and Heschl’s gyrus. Our results show that gray matter T2* varies up to 15 ms (global range being mostly in between 25-45 ms) from deep to superficial layers. The stria of Gennari shows up as a major reduction of T2* within calcarine sulcus. However, a similar layering is not visible within Heschl’s gyrus. B0 alignment effects seem to be not as strong as the biological tissue composition effects that are observed across the visual and auditory regions.

0097
14:00
Construction of Spatiotemporal Cortical Surface Atlases for Fetal Brains
Zhengwang Wu1, Yuchen Pei1, Ya Wang1, Tao Zhong1, Fenqiang Zhao1, Li Wang1, He Zhang2, and Gang Li1

1Department of Radiology and BRIC, UNC-Chapel Hill, Chapel Hill, NC, United States, 2Department of Radiology, Obstetrics and Gynecology Hospital, Fu Dan University, Shanghai, China

We constructed a set of temporally-densely sampled cortical surface atlases for the fetal brain from 22 to 36 gestational weeks. This 4D fetal cortical surface atlas, which will be released to the public soon, together with the UNC 4D Infant Cortical Surface Atlas provide the longest temporally-consistent atlas chain from the prenatal 22 gestational weeks to the postnatal 7 years of age. 

0098
14:00
Combined blood flow and CO2-mediated effects underlie the tissue-specific response to hypercapnia: Insight from 7T MR-based imaging
Allen A Champagne1,2 and Alex A Bhogal3

1School of Medicine, Queen's University, Kingston, ON, Canada, 2Center for Neuroscience Studies, Queen's University, Kingston, ON, Canada, 3Radiology, University Medical Center Utrecht, Utrecht, Netherlands

Cerebrovascular reactivity (CVR) mapping is finding increasing clinical applications as a non-invasive probe for vascular health. Untangling physiological factors driving differences in temporal delays within the tissue-specific CVR response can help better understand the pathophysiological mechanisms associated with vascular impairments. Here, we combine hypercapnic and hyperoxic respiratory challenges with high resolution 7T MR-based imaging to gather insight about differences in the temporal response to CVR between grey- and white-matter tissues. Our findings support the hypothesis that differences in the physiological response to hypercapnia may be determined by compounding effects related to CO2 sensitivity and blood flow (re)distribution.

0099
14:00
7T QSM guided Histologically Consistent Thalamic Sub-nucleus Parcellation in 3T QSM Atlas Space
Weimin Zhang1, Chenyu He1, Xiaojun Guan2, Xiaojun Xu2, Hongjiang Wei3, and Yuyao Zhang1,4,5

1School of Information Science and Technology, ShanghaiTech University, Shanghai, China, 2Department of Radiology, The Second Affiliated Hospital, Zhejiang, China, 3Institute for Medical Imaging Technology, School of Biomedical Engineering, Shanghai, China, 4Shanghai Engineering Research Center of Intelligent Vision and Imaging, ShanghaiTech University, Shanghai, China, 5iHuman Institute, ShanghaiTech University, Shanghai, China

The thalamus is a relay station that routed and modulated brain signals from the deep gray-matter to the cortex. It can be divided into sub-nuclei that are highly related to various neurological disorders. However, those sub-nuclei are indistinguishable in standard T1 or T2 weighted MRI. We present a multi-atlas thalamic sub-nucleus parcellation framework guided by 7T QSM image, which provides histologically consistent contrast in thalamic sub-nuclei. Combining with a set of 3T QSM images, the thalamic parcellation in 7T image space is transferred into the 3T atlas space as a 64 sub-nucleus parcellation map.


0100
14:00
Whole-Brain 3D Quantitative BOLD Mapping With Preliminary Estimation of R2' and Venous Blood Volume
Hyunyeol Lee1 and Felix W Wehrli1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States

Quantitative BOLD (qBOLD) seeks to quantify voxel-wise deoxygenated blood volume (DBV) and venous blood oxygen saturation (Yv) based on R2′-sensitive signal acquisitions. A complication in qBOLD is the separation of signal contributions from R2, and R2′ from heme and non-heme iron sources, particularly in the deep brain structures. Here, we develop a new 3D qBOLD mapping method by tackling the confounding factors based on preliminary estimates of R2, R2’, and voxel susceptibility, along with cerebral venous blood volume. Results suggest feasibility of the proposed, prior-based qBOLD method for 3D mapping of DBV and Yv across the entire brain.

0101
14:00
10min Whole-Brain MRI Solution – Comprehensive Quantification of MR Relaxometry and Susceptibility Plus Synthetic Contrast-Weighted Images
Sen Ma1, Tianle Cao1,2, Nan Wang1, Anthony G. Christodoulou1, Zhaoyang Fan1, Yibin Xie1, and Debiao Li1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States

We propose an integrated and efficient solution to clinical whole-brain MRI in a single 10min sequence, producing co-registered, quantitative PD, T1, T2, T1ρ, T2*, QSM, and ΔB0 information plus clinically adopted, synthetic contrast-weighted images including PDw, T1w, T2w, T2*w, FLAIR, SWI, true-SWI, mIP, and true-SWI mIP simultaneously. Quantitative maps and contrast-weighted images are generated with good image quality and contrasts. Quantitative measurements agree with literature values. This method has the clinical potential for comprehensive risk assessment and disease evaluation, combining early detection, diagnosis, tissue characterization, and treatment monitoring of various brain diseases.

0102
14:00
Magnetic resonance recording of local neuronal firings (mrLNF) in the human brain: A proof of concept
Yongxian Qian1, Karthik Lakshmanan1, Anli Liu2, Yvonne W. Lui1, and Fernando E. Boada1

1Radiology, New York University, New York, NY, United States, 2Neurology, New York University, New York, NY, United States

Neurons are firing when emitting action potentials to communicate with each other. Action potentials generate fast electric currents (~2ms duration) across membrane and slow ones (~10–100ms) at postsynaptic side. These currents generate electric and magnetic fields detectable by scalp EEG and MEG, respectively. They detect the fields relatively far away (~20mm) from firing sources and are only sensitive to slow, easily-synchronized postsynaptic currents. Here we propose a new approach termed as magnetic resonance recording of local neuronal firings (mrLNF) that has a very high temporal resolution (0.25ms) and can non-invasively detect fast and slow neuronal currents at the firing sources.


Oral

Diffusion Acquisition & Post-Processing

Concurrent 6
Monday 14:00 - 16:00
Moderators: Itamar Ronen & Zhe Zhang
Parent Session: Diffusion Acquisition & Post-Processing
0103
14:00
Resolving to super resolution multi-dimensional diffusion imaging (Super-MUDI)
Vishwesh Nath1, Marco Pizzolato2,3, Marco Palombo4, Noemi Gyori4, Kurt G Schilling5, Colin Hansen6, Qi Yang6, Praitayini Kanakaraj6, Bennett A Landman6, Soumick Chatterjee7, Alessandro Sciarra7, Max Duennwald7, Steffen Oeltze-Jafra7, Andreas Nuernberger7, Oliver Speck7, Tomasz Pieciak 8, Marcin Baranek8, Kamil Bartocha8, Dominika Ciupek8, Fabian Bogusz8, Azam Hamidinekoo9, Maryam Afzali 10, Harry Lin4, Danny C Alexander4, Haoyu Lan11, Farshid Sepehrband11, Zifei Liang12, Tung-Yeh Wu13, Ching-Wei Su13, Qian-Hua Wu13, Zi-You Liu13, Yi-Ping Chao13, Enes Albay14, Gozde Unal14, Dmytro Pylypenko13, Xinyu Ye13, Fan Zhang15, and Jana Hutter16

1NVIDIA Corporation, Bethesda, MD, United States, 2Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark, 3École polytechnique fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4CMIC, University College London, London, United Kingdom, 5Institute of Imaging Science, Vanterbilt University, Nashville, TN, United States, 6Department of Computer Science, Vanterbilt University, Nashville, TN, United States, 7Otto von Guericke University, Magdeburg, Germany, 8AGH University of Science and Technology, Krakow, Poland, 9Institute of Cancer Research, London, United Kingdom, 10CUBRIC, Cardiff University, Cardiff, United Kingdom, 11University of Southern California, Los Angeles, CA, United States, 12NYU Langone, New York, NY, United States, 13Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, China, 14Istanbul Technical University, Istanbul, Turkey, 15Harvard Medical School, Boston, MA, United States, 16Centre for Medical Engineering, King's College London, London, United Kingdom

Diffusion-weighted magnetic resonance imaging (DW-MRI) is a critical modality that allows characterization of microstructure of the nervous tissue in the human brain. Recent multi-parametric acquisitions expand parameter space to b-values, gradient directions, inversion and echo times. The required long scanning time could be shortened by acquiring at lower resolutions while superesolving the images during post-processing. This work embodies the evaluation of an open challenge where the objective was to upsample multi dimensional data encoding simultaneously T1, T2* and diffusion contrast to the natively acquired voxel resolution from two different down-sampled sets of the data (isotropic down-sampled and anisotropic down-sampled).

0104
14:00
High-Fidelity Diffusion Tensor Imaging of the Thoracic Spinal Cord Using Point-Spread-Function Encoded EPI (PSF-EPI)
Sisi Li1, Yishi Wang2, Zhangxuan Hu3, Zhe Zhang4, Bing Wu3, and Hua Guo1

1Center for Biomedical Imaging Research, Beijing, China, 2Philips Healthcare, Beijing, China, 3GE Healthcare, MR Research China, Beijing, China, 4China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China

Diffusion tensor imaging (DTI) holds great potential to aid the diagnosis of spinal cord pathologies. Single shot EPI (SS-EPI) is mostly implemented for DTI but is significantly limited in clinics by susceptibility inhomogeneity-induced distortions. This is especially problematic in the thoracic region for increased inhomogeneities near lungs. To solve this problem, multi-shot EPI and reduced-FOV methods have been proposed. However, these methods cannot remove distortions completely. In this study, we achieved high-fidelity DTI of the thoracic spinal cord using a distortion-free MS-EPI technique, Point-Spread-Function Encoded EPI (PSF-EPI). Both the efficacy of PSF-EPI in distortion correction and quantitative reproducibility were evaluated.

0105
14:00
Nonparametric 6D D-R1-R2 distribution imaging of the human brain: Initial results on healthy volunteers
Jan Martin1, Alexis Reymbaut2, Michael Uder3, Frederik Bernd Laun3, and Daniel Topgaard1

1Lund University, Lund, Sweden, 2Random Walk Imaging AB, Lund, Sweden, 3Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany

Diffusion-relaxation correlation NMR methods have recently received attention from the medical MRI community for their ability to characterize microstructure and local chemical composition in complex tissues containing multiple subvoxel pools of water. We here implement 6D $$$\bf{D}$$$-$$$R_1$$$-$$$R_2$$$ distribution imaging of the human brain using a 20-min acquisition protocol combining EPI signal read-out and tensor-valued diffusion encoding with varying repetition- and echo times. Monte Carlo data inversion yields nonparametric distributions, statistical descriptors, and orientation-resolved diffusion and relaxation properties of white matter fiber bundles that are in good agreement with previous results from less exhaustive 4D and 5D protocols.

0106
14:00
Diffusion-Prepared Fast Spin Echo for Artifact-free Spinal Cord Imaging
Seung-Yi Lee1, Briana Meyer1, Shekar Kurpad2, and Matthew Budde2

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States

Sagittal diffusion and perfusion magnetic resonance imaging can provide unique contrast relevant to changes in the acute spinal cord injury. However, sagittal diffusion imaging with echo planar imaging often results in severe motion and susceptibility artifacts. To improve the quality of imaging, we propose a higher-order diffusion preparation combined with a fast spin echo readout. The proposed method demonstrates high quality imaging free from artifacts. Further optimization achieved more accurate diffusivity measurements independent from direction of the cord. Lastly, we show matching diffusion and perfusion maps of the injured cord, highlighting clear spatial differences in microstructure and vasculature injuries.

0107
14:00
Universal Sampling Denoising (USD) for noise mapping and noise removal of non-Cartesian MRI
Hong-Hsi Lee1, Els Fieremans1, Jiangyang Zhang1, and Dmitry S Novikov1

1New York University School of Medicine, New York, NY, United States

Non-Cartesian MRI enables efficient coverage in k-space and is leveraged to accelerate acquisitions of images in multiple contrasts. However, denoising such data is non-trivial, since the noise statistics is neither independent nor normally distributed in reconstructed images. Here, we propose a random-matrix-theory-based denoising and noise-mapping pipeline applicable to MRI of any non-Cartesian k-space sampling. We demonstrate the denoising pipeline on diffusion MRI data, including a numerical phantom and ex vivo mouse brain data in radial trajectories. The proposed pipeline robustly estimates the noise level, removes the noise, and corrects the bias in parametric maps of diffusion and kurtosis metrics.

0108
14:00
Patch2Self denoising reveals a new theoretical understanding of Diffusion MRI
Shreyas Fadnavis1, Joshua Batson2, and Eleftherios Garyfallidis3

1Intelligent Systems Engineering, Indiana University Bloomington, Bloomington, IN, United States, 2Chan Zuckerberg Biohub, San Francisco, CA, United States, 3Indiana University Bloomington, Bloomington, IN, United States

Diffusion MRI (dMRI) is a promising tool for evaluating the spinal cord in health and disease, however low SNR can impede accurate, repeatable, quantitative measurements. Here, we apply a recently proposed denoiser, Patch2Self, that strictly suppresses statistically independent random fluctuations in the signal originating from various sources of noise. Typical spinal cord dMRI scans have a smaller number of gradient directions (10-20) making PCA based 4D denoisers (require at least 30) inapplicable. Using self-supervised learning, Patch2Self addresses these issues which we quantitatively show with an improvement in repeatability and conspicuity of pathology in the spinal cord.

0109
14:00
High-resolution visualization of isotropically restricted diffusion in brain by strong spherical dMRI and super-resolution reconstruction
Geraline Vis1, Markus Nilsson1, and Filip Szczepankiewicz1

1Diagnostic Radiology, Clinical Sciences Lund, Lund University, Lund, Sweden

Strong spherical diffusion encoding enables visualization of isotropically restricted regions in the human brain, believed to resemble densely packed cells. As this forces imaging in a low SNR regime, visualization has been limited to a low resolution to avoid deleterious signal bias caused by the noise floor. In this work, we propose a novel method based on super-resolution reconstruction to enable high-resolution visualization of isotropically restricted diffusion in human brain in vivo. We show that our method is superior over conventional methods with acquisition times that are compatible with clinical routine.

0110
14:00
SNR efficiency and effectiveness of 7T high-b diffusion imaging with MESMERISED and PGSE
Alard Roebroeck1, Benedikt A Poser1, and Francisco J Fritz2

1Department of Cognitive Neuroscience, Faculty of Psychology & Neuroscience, Maastricht University, Maastricht, Netherlands, 2Department of Systems Neurosciences, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, Hamburg, Germany

We compare MESMERISED and standard PGSE for their signal-to-noise efficiency in b-value = 7000 s/mm2 (b7k) dMRI at 7T and their effectiveness in supporting microstructure modeling. At current state-of-the-art gradient performance, MESMERISED’s SAR and gradient duty cycle efficiency allows it to outperform PGSE for 7T high-b dMRI and provide highly efficient and effective microstructure modeling. Its added capacity to explore diffusion times, super-accelerate quantitative T1 mapping, and also perform qT2 and B1+ mapping, makes it highly useful for quantitative multi-contrast and diffusion MRI.

0111
14:00
Incoherent k-q Under-sampled Multi-shot EPI for Accelerated Multi-shell Diffusion MRI with Model-based Deep Learning Reconstruction
Merry Mani1, Vincent Magnotta2, and Mathews Jacob2

1Radiology, University of Iowa, Iowa City, IA, United States, 2University of Iowa, Iowa City, IA, United States

We propose a new acceleration and reconstruction method for under-sampled multi-shot multi-shell dMRI. The method makes use of incoherent under-sampling in the joint k-q domain to achieve high acceleration. We develop a new model-based reconstruction that jointly recovers missing q-space points, by utilizing a q-space manifold prior that is pre-learned using deep learning.  The proposed method is shown to accurately recover the DWIs from 8-fold accelerated multi-shell data. The reconstruction error is shown to be less than 3%. The proposed method enables utilization of multi-shot EPI trajectories for diffusion microstructure and connectivity studies requiring multi-shell coverage, without prolonging scan time.

0112
14:00
Combined spin echo and gradient echo slice-to-volume reconstruction in fetal diffusion MRI
Daan Christiaens1,2, Maximilian Pietsch1, Lucilio Cordero-Grande1, Anthony N Price1,3, Jana Hutter1,3, Emer Hughes1, Serena J Counsell1, Joseph V Hajnal1,3, and J-Donald Tournier1,3

1Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Department of Electrical Engineering (ESAT-PSI), KU Leuven, Leuven, Belgium, 3Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Modelling tissue microstructure during fetal and neonatal brain development relies on robustly sampling diverse, low-SNR image contrast in moving subjects. Here, we extend slice-to-volume reconstruction to multi-echo diffusion MRI, in order to correct subject motion across the combined diffusion-T2*-weighted signal. Our results suggest that the spin echo and gradient echo dMRI signal have different trends across gestational age. Tissue microstructure models could therefore leverage these multidimensional data to reveal new insights in brain development.


Weekday Course

MR Physics for Clinicians: Contrast Mechanisms

Organizers: Noam Ben-Eliezer, C. C. Tchoyoson Lim, Hai-Ling Cheng
Concurrent 7
Monday 14:00 - 14:30
Moderators: Noam Ben-Eliezer & C. C. Tchoyoson Lim
Parent Session: MR Physics for Clinicians: Contrast Mechanisms
14:00
Relaxation: T1
Assaf Tal1

1Weizmann Institute of Science, Rehovot, Israel

This talk will cover the physical origins of T1 relaxation, present biophysical models for it in tissue, and explain why it is an important biomarker for many pathologies. It will then present some common techniques and sequences for measuring it, the most common of which are saturation and inversion recovery. Finally, it will present some of how obtaining T1 maps can be used both clinically and, to a lesser extent, as a tool in more basic research.


14:30
From Biology to Radiology
Evgeniya P. Kirilina1

1Neurophysics, Max Plank Institute for Cognitive Brain Science, Leipzig, Germany

This presentation outlines how different tissue properties are reflected by Magnetic Resonance Imaging (MRI) parameters in health and disease. Physical, physiological and pathological origins of multiple MRI contrasts including proton density, longitudinal, transverse and effective transverse relaxation rates, susceptibility and contrast in diffusion-weighted imaging (DWI) are discussed. In addition, it is demonstrated how complementary information on pathological processes are obtained from multiple contrasts.

15:00
Relaxation: T2 & T2*
Burkhard Mädler1

1Philips Precision Diagnostics, Hamburg, Germany

We will discuss the basic physical concepts of T2-relaxation and its distinction from T2*-relaxation, learn how to measure and quantify T2-relaxation, hear about pitfalls and challenges to access T2-relaxtion, understand what makes T2-contrast in a clinical MR-image, and brief over some fundamental clinical applications for T2-relaxation contrast (weighted T2- and T2*-contrast, quantitative relaxation time measurements).


15:30
Diffusion
Galit Saar1

1BCF, Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel

This talk will cover the basic physics of diffusion MRI and how it can be used to study tissue microstructure. We will learn how to measure diffusion in MRI and the various parameters that effect diffusion measurements, such as b-value and diffusion gradient directions, and how to obtain DWI images and ADC maps. Finally, we will present the concept of diffusion tensor imaging and the information obtained by it.


Oral

Young Investigator Awards

Concurrent 8
Monday 14:00 - 15:00
Parent Session: Young Investigator Award
0113
14:00
Estimation of fractional myocardial blood volume and water exchange using ferumoxytol-enhanced MRI
Caroline Colbert1, Michael A. Thomas2, Ran Yan3, Aleksandra Radjenovic4, J. Paul Finn1,5, Peng Hu1,3,5, and Kim-Lien Nguyen1,2,5

1Physics and Biology in Medicine Graduate Program, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Division of Cardiology, UCLA David Geffen School of Medicine, Los Angeles, CA, United States, 3Department of Radiology, UCLA David Geffen School of Medicine, Los Angeles, CA, United States, 4Institute of Cardiovascular & Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom, 5Diagnostic Cardiovascular Imaging Laboratory, Department of Radiological Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA, United States

We optimized and tested a two-compartment water exchange model for fractional myocardial blood volume (fMBV) quantification. Nine healthy swine and one swine model with single-vessel coronary stenosis underwent MOLLI T1 imaging at 3.0 T following multiple individual ferumoxytol infusions. Healthy normal swine showed a mean mid-ventricular fMBV of 7.2 ± 1.4% and water exchange rate of 11.3 ± 5.1 s-1. In one swine model with artificially‑induced single-vessel coronary stenosis, quantitative pixel-wise fMBV showed regional differences in hypoperfused relative to perfused regions. This study demonstrates the feasibility of fMBV estimation using multi-dose ferumoxytol‑enhanced MRI with a two-compartment water exchange model.

0114
14:00
Brain oxygen extraction is differentially altered by Alzheimer’s and vascular diseases
Dengrong Jiang1,2, Zixuan Lin1,2, Peiying Liu1, Sandeepa Sur1, Cuimei Xu1, Kaisha Hazel1, George Pottanat1, Jacqueline Darrow3, Jay J. Pillai1,4, Sevil Yasar5, Paul Rosenberg6, Abhay Moghekar3, Marilyn Albert3, and Hanzhang Lu1,2,7

1The Russell H. Morgan Department of Radiology & Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 5Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 6Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 7F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, MD, United States

Alzheimer’s disease, vascular cognitive impairment and their concurrence represent the most common types of cognitive dysfunction. There exists a considerable overlap in their clinical symptoms and neuroimaging features, and we still lack effective tools for their differential diagnosis. This work demonstrated that cerebral oxygen-extraction-fraction (OEF) was differentially affected by Alzheimer’s (decrease OEF) and vascular (increase OEF) pathology. In individuals with low vascular risks, lower OEF was associated with worse cognitive performance and greater amyloid burden. In impaired patients, higher OEF was associated with great vascular risk factors. These findings suggest OEF can be useful in etiology-based diagnosis of cognitive impairment.

0115
14:00
Three-Dimensional Surface-Based Analysis of Cartilage MRI Data in Knee Osteoarthritis: Validation and Initial Clinical Application
James W. MacKay1,2, Joshua Kaggie1, Graham M. Treece3, Stephen M. McDonnell4, Wasim Khan4, Alexandra R. Roberts5,6, Rob L. Janiczek5, Martin J. Graves1, Tom D. Turmezei2,7, Andrew W. McCaskie4, and Fiona J. Gilbert1

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2Norwich Medical School, University of East Anglia, Norwich, United Kingdom, 3Department of Engineering, University of Cambridge, Cambridge, United Kingdom, 4Department of Surgery, University of Cambridge, Cambridge, United Kingdom, 5Clinical Imaging, GlaxoSmithKline, London, United Kingdom, 6Antaros Medical, Uppsala, Sweden, 7Department of Radiology, Norfolk & Norwich University Hospital, Norwich, United Kingdom

    Conventional MRI outcome measures for cartilage in knee osteoarthritis (OA) clinical studies lack responsiveness and require time-consuming manual analysis. Here we validate and clinically implement a semiautomatic surface-based approach termed 3D Cartilage Surface Mapping (3D-CaSM) which overcomes these issues. Validation data demonstrate comparable bias, precision, repeatability and reproducibility to expert manual segmentation (current standard) but with >10 fold reduction in analysis time. Clinical data indicate improved sensitivity to change in one observational and two interventional (exercise, knee joint distraction) studies.

0116
14:00
Simultaneous Multiple Resonance Frequency Imaging (SMURF): Fat‑water imaging using multi‑band principles
Beata Bachrata1,2, Bernhard Strasser1,3, Wolfgang Bogner1, Albrecht Ingo Schmid4, Radim Korinek5, Martin Krššák1,2,6, Siegfried Trattnig1,2, and Simon Daniel Robinson1,7,8

1High Field MR Centre, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 2Karl Landsteiner Institute for Clinical Molecular MR in Musculoskeletal Imaging, Vienna, Austria, 3Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 4High Field MR Centre, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 5Institute of Scientific Instruments of the CAS, Brno, Czech Republic, 6Department of Internal Medicine III, Division of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria, 7Centre of Advanced Imaging, University of Queensland, St. Lucia, Australia, 8Department of Neurology, Medical University of Graz, Graz, Austria

Imaging of body regions containing a significant amount of fat is adversely affected by chemical shift artefacts. We propose a new fat-water imaging method that uses spectrally selective dual-band excitation and CAIPIRINHA to generate separate images of fat and water simultaneously as well as chemical shift-corrected, recombined fat-water images. Gradient-echo and turbo spin-echo variants of this Simultaneous Multiple Resonance Frequency Imaging (SMURF) approach yielded fat-water separation which was similar to or better than state-of-the-art techniques in the knee, breasts and abdomen and generated recombined fat-water images in which chemical shift effects were fully eliminated.

0117
14:00
MRI of [2-13C]Lactate without J-coupling artifacts
Keshav Datta1 and Daniel Spielman1

1Department of Radiology, Stanford University, Stanford, CA, United States

Metabolic imaging using hyperpolarized [2-13C]Pyruvate has the potential to simultaneously probe glycolysis and Kreb’s cycle, but one of its major limitations is the difficulty in imaging [2-13C]Lactate. The peak-splitting induced by the J-coupling between the C2 carbon and its attached proton causes ghosting and blurring artifacts, depending on the k-space trajectory. We propose two novel techniques, the first a two-shot approach combining in-phase and quadrature images acquired at echo times differing by 1/2J and the second a single-shot method employing a highly narrowband radiofrequency excitation pulse that images a single peak from the doublet, to resolve the J-modulated artifacts.

0118
14:00
Five-Dimensional Quantitative Low-Dose Multitasking Dynamic Contrast- Enhanced MRI (LD-MT-DCE): Preliminary Study on Breast Cancer
Nan Wang1,2, Yibin Xie1, Zhaoyang Fan1,2, Sen Ma1,2, Rola Saouaf3, Yu Guo1,4, Stephen L. Shiao5,6, Anthony G. Christodoulou1,2, and Debiao Li1,2

1Biomedical Imaging Research Institute, Cedars Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Department of Imaging, Cedars Sinai Medical Center, Los Angeles, CA, United States, 4Department of Radiology, Tianjin First Central Hospital, Tianjin, China, 5Department of Radiation Oncology, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 6Biomedical Sciences, Division of Immunology, Cedars-Sinai Medical Center, Los Angeles, CA, United States

DCE MRI is an important technique for diagnosing breast cancer, but continues to face technical challenges and gadolinium deposition concerns. In this work, we proposed a low-dose Multitasking DCE (LD-MT-DCE) technique, enabling dynamic-T1-mapping based quantitative characterization of tumor blood flow and vascular properties with whole-breast coverage, a spatial resolution of 0.9×0.9×1.1mm3, and a temporal resolution of 1.4 s using only 20% gadolinium dose. An in vivo study showed excellent image quality and repeatability (ICC≥0.99) for LD-MT-DCE and consistent diagnosis to standard-dose clinical DCE. The kinetic parameters showed significant differences between normal breast tissue, and benign and malignant tumors.


Weekday Course

MR Physics for Clinicians: Hardware, Fields & Contrast Agents

Organizers: Maxime Guye, Mark Ladd
Concurrent 7
Monday 14:30 - 15:00
Moderators: Virginie Callot & Simon Robinson
Parent Session: MR Physics for Clinicians: Hardware, Fields & Contrast Agents
14:30
MR System Components & Safety Implications
Filiz Yetisir1

1Boston Children's Hospital, Boston, MA, United States

The magnetic fields produced by the main magnet, gradient coils and RF coils are essential in creating an MR image. They enable spin alignment and precession, spatial encoding, and spin excitation and signal reception respectively. On the other hand, the magnetic and electric fields generated by these MR system components pose certain risks such as projectile effect, nerve stimulation, hearing damage and tissue heating. The underlying physics of the function and the safety implications of the main magnet, gradient coils and RF coils are explained in this talk without mathematical detail. Additionally, increased safety risks due to implants are discussed.

15:00
High-Field Imaging: From Physics to Clinics
Anja G. van der Kolk1

1University Medical Center Utrecht, Utrecht, Netherlands

In this lecture, we will discuss the perks of high field MRI and how they can improve MR images and lesion detection, but also the costs and challenges we should accept and/or try to change. We will then translate these physics issues into practice: what quality and type of MR images can we acquire with high field MRI, and what limitations should we take into consideration? Equipped with this background in basic physics, we will then discuss how we can directly use high field MRI in clinical practice: the clear-cut clinical indications as well as promising avenues outside the brain.

15:30
Contrast Agents
Alexander Radbruch1

1University of Bonn, Bonn, Germany


Weekday Course

Standing Out: Contrast Mechanisms in Breast Imaging

Organizers: C. C. Tchoyoson Lim, Hai-Ling Cheng
Concurrent 7
Monday 15:00 - 16:00
Moderators: Hai-Ling Cheng & C. C. Tchoyoson Lim
Parent Session: Standing Out: Contrast Mechanisms in Breast Imaging
15:00
Perfusion Imaging of the Breast
Wei Huang1

1Oregon Health & Science University, United States

Perfusion imaging of the breast as measured by the most common method of DCE-MRI is reviewed in this lecture.  The three approaches for breast DCE-MRI data analysis, qualitative curve shape description, semi-quantitative analysis, and quantitative pharmacokinetic modeling, as well as their pros and cons, are discussed.  Examples of major applications in clinical care and research of breast cancer are demonstrated.  With quantitative pharmacokinetic modeling of DCE-MRI data increasingly used in clinical trial and research settings, major technical considerations that affect quantitative parameter accuracy and precision are discussed.

16:00
Spectroscopy in Breast Imaging
Uma Sharma1

1All India Institute of Medical Sciences, New Delhi, India

In-vivo proton proton MR spectroscopy (MRS) has emerged as a non-invasive tool for diagnosis and to provide an insight into the biochemistry of breast cancer. The elevated levels of choline containing compounds (tCho) have been identified as a non-invasive biomarker for differentiating malignant and benign breast lesions. Using in-vivo quantification of absolute tCho concentration, cut-off values for the differentiation of malignant, benign and normal breast tissues were estimated. Combined use of water-to-fat ratio (W-F), tCho and lipid resonances improved the diagnostic ability of breast MRS. Monitoring of tCho and W-F ratio has been useful in predicting therapeutic response of tumor.

16:30
HIFU & Breast Interventions
L. Wilbert Bartels1

1Image Sciences Institute/UMC Utrecht, Utrecht, Netherlands

Bioeffects provoked by ultrasound can be exploited for therapeutic use. For interventions in the breast, the thermal effects of high intensity focused ultrasound are of particular interest, both for thermal ablation of lesions, as well as for delivering long term mild hyperthermia treatments. MRI is well suited for image guidance of HIFU therapy, as it combines imaging with excellent soft-tissue contrasts with the ability to map and monitor temperature changes during therapy. Experiences with an MR-HIFU system specifically designed for breast applications will be discussed, with particular attention for challenges related to MRI for therapy planning, guidance, and evaluation.

17:00
Diffusion-Weighted Imaging of the Breast
Savannah Partridge1

1Radiology, University of Washington, Seattle, WA, United States

Diffusion-weighted imaging (DWI) holds promise to address shortcomings of routine clinical breast MRI and to expand imaging capabilities in breast cancer management. DWI reflects tissue microstructure and provides unique information to aid in detection and characterization of breast lesions. Potential applications include improving diagnostic accuracy, guiding treatment decisions, and non-contrast screening. DWI is increasingly being incorporated into breast MRI protocols, and results of multicenter trials and recent standardization efforts are helping to establish clinical guidelines. Advancements in DWI acquisition and modeling approaches are emerging to improve image quality and extract additional biologic information from breast DWI scans.


Member-Initiated Symposium

Motion in Minors Is No Small Thing

Concurrent 8
Monday 15:00 - 15:30
Moderators: Cara Morin & Dan Wu
Parent Session: Motion in Minors Is No Small Thing
(no CME credit)
15:00
Motion Compensation in Pediatric Neuroimaging
  Camilo Cobos
  Boston Children's Hospital

15:30
Motion Compensation in Fetal Imaging
  Usha Nagaraj
  Cincinnati Children's Hospital

16:00
Motion Compensation in Pediatric Body Imaging
  Susan Sutardi
  Children's Hospital of Philadelphia

16:30
Subject-Based Motion Mitigation
  Nancy Hill Beluk
  University of Pittsburgh

17:00
Acquisition-Based Motion Compensation
  Jo Hajnal
  King's College London

17:30
Post-Processing-Based Motion Compensation
  Hosung Kim
  University of Southern California


Oral

Motion Correction Strategies

Concurrent 1
Monday 16:00 - 18:00
Moderators: Tess Wallace & Xucheng Zhu
Parent Session: Motion Correction Strategies
0119
16:00
Motion-corrected 3D-EPTI with 4D navigator for fast and robust whole-brain quantitative imaging
Zijing Dong1,2, Fuyixue Wang1,3, Jie Xiang4, and Kawin Setsompop5,6

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States, 3Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 4Tsinghua University, Beijing, China, 5Department of Radiology, Stanford University, Stanford, CA, United States, 6Department of Electrical Engineering, Stanford University, Stanford, CA, United States

A motion-correction method is developed for the recently proposed 3D-EPTI to achieve fast and motion-robust quantitative imaging of the human brain. A 4D-navigator (x-y-z-echoes) is inserted into the relaxation-recovery dead-time of the sequence to provide accurate estimations of 3D-motion and B0-inhomogeneity changes at every TR (~2-3s), which are incorporated into a motion-and-phase corrected subspace reconstruction. The navigator utilizes an optimized spatiotemporal encoding to acquire central 3D k-space for accurate motion-estimation using just 4 small-flip-angle excitations, resulting in negligible signal-recovery reduction (<1%) to the 3D-EPTI acquisition. Simulation and in-vivo experiments preliminarily validate the accuracy of estimation and effectiveness of the reconstruction.

0120
16:00
MERLIN: Motion Insensitive Silent Neuroimaging
Emil Ljungberg1, Tobias Wood1, Ana Beatriz Solana2, Steven C.R. Williams1, Gareth J. Barker1, and Florian Wiesinger1,2

1Neuroimaging, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom, 2ASL Europe, GE Healthcare, Munich, Germany

In this work we present MERLIN (Motion Elimination in Radial acquisition Leveraging Interleaved Navigators): a new method for silent, motion insensitive, MRI using self-navigated zero echo time (ZTE) imaging. Using T1w ZTE neuroimaging as an example, we demonstrate that MERLIN can correct for rigid body motion and markedly improve image quality. Such a silent and motion insensitive neuroimaging protocol can save time and money in both clinical and research settings.

0121
16:00
Visualizing the cerebellar cortical layers with prospective motion correction
Nikos Priovoulos1, Mads Andersen2, Vincent O Boer3, and Wietske van der Zwaag1

1Spinoza Center, Amsterdam, Netherlands, 2Philips Healthcare, Copenhagen, Denmark, 3Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark

The cerebellar cortical microstructure is important for several functions, like motor control, but remain largely underexplored in vivo due to its small thickness. Here, we combined a susceptibility-weighted acquisition with in-plane resolution of just 0.2x0.2mm2 at 7Tesla along with a fat-navigator-based prospective motion correction. Using this setup, the cerebellar layers could be seen in the phase images of all 4 MRI-naive participants. Our results show that the cerebellar layers can be consistently visualized opening new neuroscientific and clinical dimensions.

0122
16:00
Motion Estimation for Brain Imaging at Ultra-High Field Using Pilot-Tone: Comparison with DISORDER Motion Compensation
Tom Wilkinson1,2, Felipe Godinez1,2, Yannick Brackenier1,2, Raphael Tomi-Tricot1,2,3, Lucilio Cordero-Grande1,2,4, Philippa Bridgen1,2, Sharon Giles1,2, Joseph V Hajnal1,2, and Shaihan J Malik1,2

1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, Kings College London, London, United Kingdom, 2Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, Kings College London, London, United Kingdom, 3MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom, 4Biomedical Image Technologies, ETSI Telecomunicación, Universidad Politécnica de Madrid and CIBER-BNN, Madrid, Spain

A ‘pilot-tone’ implementation for 7T head MRI was constructed by broadcasting RF at the appropriate frequency into the scanner room during data acquisition. This signal was demonstrated to enable motion estimation, when calibrated first by correlating measurements with motion estimates from image registration. Subsequently these estimates were compared with others obtained from the iterative DISORDER joint motion estimation & reconstruction method. These independent methods of motion estimation can potentially improve or replace other methods of motion correction at ultra-high field where motion-correction is particularly relevant. 

0123
16:00
PET/MR respiratory motion gating for free
Florian Wiesinger1, Timothy Deller2, Floris Jansen2, Jose de Arcos Rodriguez1, Ronny R Buechel3, Philipp A Kaufmann3, and Edwin EGW ter Voert3

1GE Healthcare, Munich, Germany, 2GE Healthcare, Waukesha, WI, United States, 3Department of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland

Respiratory motion correction is a long-standing problem in hybrid PET/MR imaging with many partial solutions.  Here we present a novel method based on extracting respiratory motion information from the PET data using the ultra-fast listmode reconstruction framework.  Doing so a highly accurate respiratory waveform derived from the inside of the body (i.e. lung liver interface) is obtained for free without requiring an extra motion sensor or complicating the PET/MR imaging workflow.  


0124
16:00
Separable motion estimation and correction for 2D TSE imaging using a rapid 3D volumetric scout acquisition
Daniel Polak1,2, Daniel Nicolas Splitthoff1, Berkin Bilgic2,3,4, Lawrence L. Wald2,3,4, Kawin Setsompop5, and Stephen F. Cauley2,3,4

1Siemens Healthcare GmbH, Erlangen, Germany, 2Department of Radiology, A. A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Department of Radiology, Harvard Medical School, Boston, MA, United States, 4Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 5Department of Radiology, Stanford, Stanford, CA, United States

SAMER is a navigation-free retrospective motion-correction technique which achieves rapid motion estimation using an ultra-fast, low-resolution scout scan as an image prior. In this work, the SAMER framework is extended to 3D volumetric reconstructions of 2D TSE imaging data. The optimized 3D volumetric scout scan is combined with a distributed 2D TSE slice ordering for fully separable motion estimation with negligible added scan time. The motion correction performance was evaluated in-vivo for representative motion trajectories and compatibility to highly accelerated Simultaneous Multi-Slice acquisitions is demonstrated.

0125
16:00
Automated motion correction of multi-slice fetal brain MRI using a deep recursive framework
Wen Shi1,2,3, Jiwei Sun1, Yamin Li3, Cong Sun4, Tianshu Zheng1, Yi Zhang1, Guangbin Wang4, and Dan Wu1

1Key Laboratory for Biomedical Engineering of Ministry of Education, Department of Biomedical Engineering, College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, China, 22. Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 4Department of Radiology, Shandong Medical Imaging Research Institute, Cheeloo College of Medicine, Shandong University, Jinan, China

Prenatal MRI of fetal brain is vulnerable to unpredictable fetal motion and maternal movement. The conventional registration-based motion correction methods sometimes fail in excessive motion. In this work, we proposed a learning-based scheme to estimate fetal brain motion using a deep recursive framework, which replicated the iterative slice-to-volume registration and 3D volumetric reconstruction process. The network outperformed the previous learning-based methods and with good computational efficiency compared to traditional method. It also achieved high super-resolution reconstruction accuracy on simulated motion-corrupted slices, and therefore, is promising for fetal brain MRI analysis. 

0126
16:00
LAPNet: Deep-learning based non-rigid motion estimation in k-space from highly undersampled respiratory and cardiac resolved acquisitions
Thomas Küstner1,2, Jiazhen Pan3, Haikun Qi2, Gastao Cruz2, Kerstin Hammernik3,4, Christopher Gilliam5, Thierry Blu6, Sergios Gatidis1, Daniel Rueckert3,4, René Botnar2, and Claudia Prieto2

1Department of Radiology, Medical Image and Data Analysis (MIDAS), University Hospital of Tübingen, Tübingen, Germany, 2School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 3AI in Medicine and Healthcare, Klinikum rechts der Isar, Technical University of Munich, München, Germany, 4Department of Computing, Imperial College London, London, United Kingdom, 5RMIT, University of Melbourne, Melbourne, Australia, 6Chinese University of Hong Kong, Hong Kong, Hong Kong

Estimation of non-rigid motion is an important task in respiratory and cardiac motion correction. Usually, this problem is formulated in image space via diffusion, parametric-spline or optical flow methods. However, image-based registration can be impaired by aliasing artefacts or by estimating in low image resolution in cases of highly accelerated acquisitions. In this work, we propose a novel deep learning-based non-rigid motion estimation directly in k-space, named LAPNet. The proposed method, inspired by optical flow, is compared against registration in image space and tested for respiratory and cardiac motion as well as different acquisition trajectories providing a generalizable diffeomorphic registration.

0127
16:00
Nonrigid Motion-corrected Reconstruction Using Image-space Gridding for Free-breathing Cardiac MRI
Kwang Eun Jang1,2, Mario O. Malavé1, Dwight G. Nishimura1, and Shreyas S. Vasanawala3

1Magnetic Resonance Systems Research Lab (MRSRL), Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 2Department of Bioengineering, Stanford University, Stanford, CA, United States, 3Department of Radiology, Stanford University, Stanford, CA, United States

Motion remains a major challenge in MRI. Many motion-corrected reconstruction methods are available, yet models are often simplified. We propose image-space gridding that resamples images onto arbitrary grids, which provides a pair of operators that represents the forward and adjoint of a nonrigid transform. This allows existing nonrigid image registration techniques to be incorporated into model-based reconstructions. We apply this method to correct for respiratory motion in free-breathing cardiac MRI. Data from individual heartbeats are binned to reconstruct image-based self-navigators. Nonrigid motion is estimated using a diffeomorphic demons algorithm, and corrected by solving an optimization problem with image-space gridding operators.

0128
16:00
Forward-Fourier Motion-Corrected Reconstruction for Free-Breathing Liver DCE-MRI
Sihao Chen1, Cihat Eldeniz1, Weijie Gan1, Ulugbek Kamilov1, Tyler Fraum1, and Hongyu An1

1Washington University in St. Louis, Saint Louis, MO, United States

Dynamic contrast-enhanced MRI (DCE-MRI) of the liver offers structural and functional information for assessing the contrast uptake visually. However, respiratory motion and the requirement of high temporal resolution make it difficult to generate high-quality DCE-MRI. In this study, we proposed a novel forward-Fourier motion-corrected reconstruction utilizing deep learning based 3D motion information on severely undersampled DCE-MRI. With no need to use view-sharing or DCE contrast smoothness constraint, this approach avoids enhancement spillover from adjacent DCE contrasts and reconstructs high-quality motion-free DCE images with reduced artifacts and enhanced sharpness.


Oral

RF Design I

Concurrent 2
Monday 16:00 - 18:00
Moderators: Zhipeng Cao & Irena Zivkovic
Parent Session: RF Design I
0129
16:00
Enhanced Ultra-High Field Brain MRI Using a Wireless Radiofrequency Sheet
Akbar Alipour1, Alan C Seifert1, Bradley Delman1, Raj Shrivastava2, Gregor Adriany3, Zahi Adel Fayad1, and Priti Balchandani1

1Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Radiology, University of Minnesota-Medical School, Minneapolis, MN, United States

Ultra-high field (UHF) MRI, such as 7T can visualize the brain in significantly improved detail through enhanced signal-to-noise ratio and contrast mechanisms. However, when the wavelength becomes comparable with the body dimensions, excitation radiofrequency (RF) field homogeneity at UHF systems is impaired by wavelength effects. Here we report a novel RF resonator sheet design with a simple circuit structure that couples inductively to the RF coil to enhance RF transmit homogeneity, efficiency, and signal sensitivity. In-vivo human experiment results demonstrate the feasibility and effectiveness of this method in brain MRI at 7T.

0130
16:00
Unshielded Bent Folded-End Dipole 9.4 T Human Head Transceiver Array Decoupled Using Modified Passive Dipoles.
Nikolai Avdievich1, Georgiy Solomakha2, Loreen Ruhm1, Anke Henning1,3, and Klaus Scheffler1

1High-field Magnetic Resonance, Max Planck Institute for Bilogical Cybernetics, Tübingen, Germany, 2Physics and Engineering, ITMO University, St. Petersburg, Russian Federation, 3Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States

Dipole antennas have been used for human imaging at ultra-high field (UHF, >7T). However, for head imaging, dipoles must be substantially shortened, which often cause poor (~ -10dB) decoupling. Common decoupling methods are difficult to use due to distant location of dipoles. Alternatively, adjacent transmit dipoles can be decoupled using passive dipole antennas placed parallel between them. Such passive dipoles may interact destructively with the RF field of the transmit array. In this work, we developed a novel decoupling method of adjacent transmit dipoles by using modified perpendicular passive dipole antennas. The constructed array demonstrated good decoupling and whole-brain coverage.

0131
16:00
Novel Intraoral Dipole Antenna for Dental Applications
Ali Caglar Özen1,2, Djaudat Idiyatullin3, Gregor Adriany3, Steve Jungst3, Naoharu Kobayashi3, Beth R. Groenke4, Michael Bock1, Michael Garwood3, and Donald R. Nixdorf4,5

1Deptartment of Radiology, Medical Physics, University Medical Center Freiburg, University of Freiburg, Freiburg, Germany, 2German Consortium for Translational Cancer Research Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany, 3Center for Magnetic Resonance Research and Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 4Division of TMD & Orofacial Pain, School of Dentistry, University of Minnesota, Minneapolis, MN, United States, 5Department of Neurology and Radiology, Medical School, University of Minnesota, Minneapolis, MN, United States

Previous studies showed that in dental MRI intraoral loop coils provide higher signal-to-noise ratio (SNR) than extraoral coils. An intraoral dipole that fits the dental arch can be used for reduced FOV and high transmit efficiency. Besides, dipoles do not restrict tongue movement. The design approach is based on comparative FDTD field simulations. The best transmit efficiency and homogeneity was achieved with a multi-wire curved dipole antenna. Additional high-permittivity cap further improved the transmit field inhomogeneity. When combined with extraoral flexible shielded loop resonators, SNR was increased and the coupling between the coils was less than -32dB.

0132
16:00
Wearable knee receive array coil for imaging at different flexion angles
Syed Saad Siddiq1,2, Justin Ho2,3, Billie Wang2,3, Jerzy Walczyk2,3, Karthik Lakshmanan2,3, and Ryan Brown2,3

1Department of Electrical & Computer Engineering, New York University Tandon School of Engineering, Brooklyn, NY, United States, 2Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States, 3Center for Advanced Imaging Innovation and Research, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States

Weight-bearing and kinetic MRI are important for measuring tibialfemoral joint dynamics, but are difficult to carry out using rigid knee coils that are typically designed to restrict, rather than enable, flexion motion. We explored off-the-shelf components and constructed a six-channel flexible knee coil with an elastic shell to maintain critical geometric overlap between neighbor coils. The array enables MRI during knee flexion while providing similar SNR compared to a state-of-the-art rigid commercial coil. We anticipate that the coil will be useful for weight-bearing or kinetic knee imaging in which rigid coils provide suboptimal SNR and/or severely restrict the desired posture.

0133
16:00
Inductively coupled detectors for optogenetic-driven focal and multiregional fMRI signal enhancement
Yi Chen1, Qi Wang1,2, Hang Zeng1,2, Kengo Takahashi1,2, Sangcheon Choi1,2, Chunqi Qian3, and Xin Yu1,4

1Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Graduate Training Centre of Neuroscience, University of Tuebingen, Tuebingen, Germany, 3Department of Radiology, Michigan State University, East Lansing, MI, United States, 4Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States

To improve MR detection sensitivity of multi-modal fMRI platform, we present inductive coil which could relay locally detected MR signals to the external surface coil. Under sensory stimulation, evoked whole brain EPI-based fMRI and enhanced focal laminar-specific fMRI signals were acquired with high spatiotemporal resolution (100 μm and 100 ms) using a single experimental setup. Moreover, embedding inductive coil beneath the glue-secured optical fiber and the projection-mirrored cortex on the other hemisphere boosted multiregional fMRI sensitivity to investigate the interhemispheric connectivity with laminar-specificity. This is particularly helpful to study the optogenetic-driven brain connectivity with circuit specificity at multi-modal fMRI platform.

0134
16:00
Metasurface for B1+ homogenization in abdominal MRI at 3T
Vsevolod Vorobyev1, Alena Shchelokova1, Aleksander Efimtcev1,2, Juan Domingo Baena3, Pavel Belov1, and Stanislav Glybovski1

1ITMO University, Saint-Petersburg, Russian Federation, 2Federal Almazov North-West Medical Research Center, Saint-Petersburg, Russian Federation, 3Universidad Nacional de Colombia, Bogota, Colombia

A novel approach for improving B1+ homogeneity in the abdominal area at 3T MRI is proposed and demonstrated numerically and experimentally. The approach is implemented via the ultralight and thin metasurface. The metasurface consists of metal wires loaded with capacitors printed on a flexible dielectric substrate of polyimide.  Numerical studies and imaging of a volunteer covered with the proposed metasurface showed the same homogeneity of the transmit radiofrequency field distribution at the region-of-interest as the conventional dielectric pads.

0135
16:00
A novel type of radiofrequency antenna for multi-regional 7T MRI
Aurelien Destruel1, Ewald Weber1, Mingyan Li1, Jin Jin1,2, Craig Engstrom3, Feng Liu1, and Stuart Crozier1

1School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia, 2Siemens Healthcare Pty Ltd, Brisbane, Australia, 3School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia

A novel radiofrequency coil element, named integrated multi-modal antenna with coupled radiating structures (I-MARS), is presented in numerical simulations and experiments for 7T MRI. Simulated comparisons of two variations of the proposed design with fractionated dipoles show I-MARS elements have advantageous robustness to load changes, inter-element isolation and are optimizable for power and SAR efficiency. Imaging of volunteers and phantom in different configurations (unilateral hip, prostate and shoulder imaging) did not require adjustments to tuning and matching, showing excellent stability and high performance for multi-anatomy 7T MRI.

0136
16:00
Self-tuning stretchable RF receive coil concept using liquid metal encapsulated within an elastic polymer
Elizaveta Motovilova1,2, Jana Vincent3, Victor Taracila3, Fraser Robb3, Ek Tsoon Tan2, James Shin1, Hollis G. Potter2, Darryl B. Sneag2, and Simone Angela Winkler1

1Radiology, Weill Cornell Medicine, New York, NY, United States, 2Radiology, Hospital for Special Surgery, New York, NY, United States, 3GE Healthcare, Aurora, OH, United States

Commercial coils, built to accommodate a wide range of anatomical dimensions, are rigid and of fixed size, thus yielding sub-optimal SNR and patient comfort. Existing flexible/stretchable solutions suffer from resonance detuning due to inductance changes under stretch/deformation. In this work, we propose an alternative coil concept using liquid metal microchannel conductors encapsulated in a stretchable polymer matrix. We developed a self-tuning coil using a stretchable, adaptively compensating, interdigital capacitor. We observed a <0.5% of frequency stability in silico and in vitro. In vivo results were demonstrated on 3T wrist imaging.

0137
16:00
An RF Coil for  a Head-Only MR System
J. Thomas Vaughan1, Brandon Tramm2, Scott Schillak2, Michael Garwood3, Michael Mullen4, Lance DelaBarre4, Djaudat Idiyatullin4, and Matt Waks4

1Biomedical Engineering, Radiology, Columbia University, New York, NY, United States, 2Virtumed, LLC, Minneapolis, MN, United States, 3University of Minnesota, Minneaoplis, MN, United States, 4University of Minnesota, Minneapolis, MN, United States

A new RF coil and frontend for a head-only, 1.5T fMRI system was designed, built and demonstrated.  This coil features the ability for single and multichannel transceiver operation for transmit-receive switched and simultaneous transmit and receive (STAR) operation.  It includes a window and an integrated shield.  First applications will be for voluntary motor control studies in humans.

0138
16:00
A non-resonant leaky-wave coil for UHF body imaging
Georgiy Solomakha1, Jan Taro Svejda2,3, Carel van Leeuwen4, Rustam Balafendiev1, Andreas Rennings2,3, Alexander Raaijmakers4,5, Stanislav Glybovski1, and Daniel Erni2,3

1The Department of Physics and Engineering, ITMO University, Saint Petersburg, Russian Federation, 2General and Theoretical Electrical Engineering (ATE), Faculty of Engineering and General and Theoretical Electrical Engineering (ATE), Faculty of Engineering, University of Duisburg-Essen, Duisburg, Germany, 3Center for Nanointegration Duisburg-Essen, Duisburg, Germany, 4Imaging Division, UMC Utrecht, Utrecht, Netherlands, 5Medical Image Analysis, Biomedical Engineering, Technical University of Eindhoven, Eindhoven, Netherlands

Ultra-high field (field strength higher than 7 Tesla) body imaging is an extensively developing field. Since at such Larmor frequencies of 298 MHz or higher volume (birdcage or TEM) coils are not efficient due to interference effects, surface or volume transmit arrays are commonly used. To obtain homogenous filed in ROI so-called RF-shimming procedure is commonly used. In this work, we present a new radiative RF-coil array for UHF MRI of the human body, based on a wideband non-resonant leaky wave antenna.


Combined Educational & Scientific Session

Breast MRI as a Problem-Solving Tool

Organizers: Masako Kataoka, Johannes Heverhagen
Concurrent 3
Monday 16:00 - 18:00
Moderators: Linda Moy & Naoko Mori
Parent Session: Breast MRI as a Problem-Solving Tool
(no CME credit)
16:00
When to Use Advanced Sequences & AI
Katja Pinker-Domenig1

1Memorial Sloan Kettering Cancer Center, New York, NY, United States

This presentation will explain the concept and methodology of AI-enhanced multiparametric MRI, summarize the current applications in breast cancer and address its challenges and limitations.

16:30
Difficult Cases the Breast Radiologist Should Know
Silvia Perez1

1MD Anderson Cancer Center Madrid, Madrid, Spain

17:30
Approach to High-Risk Screening
Eun Sook Ko1

1Samsung Medical Center, Seoul, Korea, Republic of

High-risk women can be identified by genetic testing, mathematical risk prediction models and risk factor assessment. Reasons supporting the use of MRI for breast cancer screening may be summarized in two ways: the performance of MRI and the biologic characteristics of MRI-detected cancer. In general, annual screening is recommended by the ACS for BRCA mutation, any untested first degree relative of a known mutation carrier, anyone with a > 20% lifetime risk of developing breast cancer, history of thoracic radiation, or a known syndrome (Li-Fraumeni or Cowden’s). Abbreviated MRI, ultrafast MRI, or DWI could be additional option for high-risk screening. 

 


18:00
How to Evaluate Treatment Response
Nola M. Hylton1

1University of California, San Francisco, San Francisco, CA, United States

0139
16:00
A Hybrid DWI Approach for Simultaneous Assessment of Cellularity, Vascularity, and Heterogeneity of Breast Lesions
Muge Karaman1,2, Yangyang Bu3,4, Guangyu Dan1,2, Zheng Zhong1,2, Qingfei Luo1, Shiwei Wang3,4, Changyu Zhou3,4, Weihong Hu3,4, X. Joe Zhou1,2,5, and Maosheng Xu3,4

1Center for Magnetic Resonance Research, University of Illinois at Chicago, Chicago, IL, United States, 2Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 3The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China, 4Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China, 5Departments of Radiology and Neurosurgery, University of Illinois at Chicago, Chicago, IL, United States

Breast cancer is the second most common cancer among women. Breast tissue has a variety of structural features leading to different tissue properties which are collectively linked to the pathologic state of the breast lesions. In this study we demonstrate a hybrid DWI approach for simultaneous assessment of tissue cellularity, vascularity, and heterogeneity (DISMANTLE) based on intravoxel incoherent motion (IVIM) and continuous-time random walk (CTRW) diffusion models. Our results have shown that DISMANTLE improved the differentiation among benign and malignant breast lesions compared to the classical implementation of either IVIM or CTRW model. 

0140
16:00
Quantitative DCE and DW-MRI to Evaluate Suspicious Mammographic Calcifications: Results from a Single Institution Prospective Clinical Trial
Janis M. Yee1, Daniel S. Hippe1, Michael Hirano1, Bonny Chau1, Debosmita Biswas1, Anum S. Kazerouni1, Mary Lynn Bryant1, Isabella Li1, Jennifer Xiao1, Wei Huang2, Savannah C. Partridge1, and Habib Rahbar1

1Radiology, University of Washington, Seattle, WA, United States, 2Oregon Health & Science University, Portland, OR, United States

Mammographic calcifications remain a diagnostic dilemma with low positive predictive value for malignancy. Our study investigated the use of quantitative DCE and DW-MRI metrics to problem solve suspicious calcifications prior to biopsy. In patients with a suspicious enhancing MRI correlate, malignant lesions exhibited higher peak PE, peak SER, functional tumor volume, and Ktrans. Basic and advanced 3D DW-MRI parameters did not yield statistically significant discriminatory values in this small pilot study. Use of quantitative MRI features shows potential to reduce the number of unnecessary biopsies for suspicious mammographic calcifications among the subset that demonstrate suspicious enhancement.

0141
16:00
Deregulation of lipid composition in peri-tumoural adipose tissue in postmenopausal patients with breast cancer
Sai Man Cheung1, Vasiliki Mallikourti1, Tanja Gagliardi2,3, Ehab Husain4,5, Yazan Masannat5,6, Steven D Heys6, and Jiabao He1

1Institute of Medical Sciences, University of Aberdeen, Aberdeen, United Kingdom, 2Clinical Radiology, Aberdeen Royal Infirmary, Aberdeen, United Kingdom, 3Radiology, Royal Marsden Hospital, London, United Kingdom, 4Pathology Department, Aberdeen Royal Infirmary, Aberdeen, United Kingdom, 5School of Medicine, University of Aberdeen, Aberdeen, United Kingdom, 6Breast Unit, Aberdeen Royal Infirmary, Aberdeen, United Kingdom

Deregulation of lipid metabolism has been shown in BRCA1/2 genetic mutation carriers. Mammary adipose tissues in postmenopausal women are the primary sites of oestrogen production linked to tumour initiation and progression. Therefore, lipid composition in postmenopausal breast plays a key role in breast cancer monitoring and subsequent development of prevention strategies. Previous studies focused on cell or animal models and invasive lipid extraction methods, while conventional MRS is inadequate in complete lipid composition measurement. We hypothesised that lipid composition in peri-tumoural breast adipose tissue is affected by the presence of tumour in postmenopausal women, using a non-invasive 2D MRS approach.

0142
16:00
Ultrafast DCE MRI for post-NST evaluation of breast cancer
Maya Honda1, Masako Kataoka1, Rie Ota1, Mami Iima1,2, Akane Ohashi3, Kanae Kawai Miyake1, Marcel Dominik Nickel4, Yosuke Yamada5, Masakazu Toi6, and Yuji Nakamoto1

1Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Institute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan, 3Department of Radiology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan, 4MR Application Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany, 5Department of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan, 6Department of breast surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

The study evaluated the accuracy for predicting pathologic complete response (pCR) after neo-adjuvant systemic therapy (NST) using ultrafast dynamic contrast-enhanced (UF-DCE) MRI. The receiver operating characteristics (ROC) analysis for the presence of residual lesion revealed higher diagnostic performance of UF-DCE MRI compared with conventional dynamic contrast-enhanced (DCE) MRI overall and in the group of triple negative subtype. The deviation from pathology was smaller for UF-DCE MRI derived sizes compared to conventional DCE MRI overall and in luminal group. UF-DCE MRI potentially assesses the post-NAC status in breast cancer patients accurately in a shorter acquisition time.

0143
16:00
Effect of enhancement segmentation thresholds on predicting neoadjuvant response in breast cancer patients using DCE-MRI textural features
Deep K Hathi1, Rohan Nadkarni1, Natsuko Onishi1, Alex Anh-Tu Nguyen1, Wen Li1, Efstathios D Gennatas2, Bonnie N Joe1, Elissa R Price1, I-SPY 2 Consortium3, David C Newitt1, Ella F Jones1, and Nola M Hylton1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, United States, 3Quantum Leap Healthcare Collaborative, San Francisco, CA, United States

This study explores the prediction of pathologic complete response (pCR) using tumor-derived textural features in breast cancer patients receiving neoadjuvant chemotherapy. Textural features were generated from increasingly restricted tumor masks applied on DCE-MRI signal enhancement ratio maps. Elastic net and random forests models were trained on features from baseline and early treatment timepoints, resulting in minimal differences in AUC between percent enhancement segmentation thresholds and a mean AUC of 0.68 (range 0.60-0.75). Our analysis suggests that, for the prediction of pCR, textural features derived from strongly enhancing regions dominate over those from regions of lower enhancement.

0144
16:00
Predicting malignancy in additional lesion in breast cancer: A machine learning approach combining radiomics and clinical imaging analysis
Tien Anh Nguyen1, Hyo Jae Lee2, Luu-Ngoc Do1, Hyo-Soon Lim2,3, and Ilwoo Park3,4,5

1Radiology, Chonnam National University, GWANGJU, Korea, Republic of, 2Radiology, Chonnam National University Hwasun Hospital, Hwasun, Korea, Republic of, 3Radiology, Chonnam National University, Gwangju, Korea, Republic of, 4Radiology, Chonnam National University Hospital, GWANGJU, Korea, Republic of, 5Artificial Intelligence Convergence, Chonnam National University, Gwangju, Korea, Republic of

The purpose of this study was to investigate the feasibility of machine learning classifiers combining radiomics and clinical imaging interpretation for predicting malignancy in additional MR-detected enhancing lesions on multiparametric breast MRI. Machine learning algorithms trained with the combination of radiomics features extracted from breast MRI and clinical imaging interpretation what was obtained by an experienced breast radiologist demonstrated the maximal accuracy and AUC of 86.2% and 92.6%, respectively. The results from this study suggest that our approach may provide a noninvasive assisting tool to guide proper management that can reduce the use of unnecessary US or biopsy.


Oral

CEST, MT & T1ρ

Concurrent 4
Monday 16:00 - 18:00
Moderators: Shaihan Malik
Parent Session: CEST, MT & T1ρ
0145
16:00
Elucidating the compartmental origin of glucoCEST signal using glucose analogues
Yohann Mathieu-Daudé1, Mélissa Vincent1, Julien Valette1, and Julien Flament1

1Université Paris-Saclay, Commissariat à l’Energie Atomique et aux Energies Alternatives (CEA), Centre National de la Recherche Scientifique (CNRS), Molecular Imaging Research Center (MIRCen), Laboratoire des Maladies Neurodégénératives, Fontenay-aux-Roses, France

The compartmental origin of glucoCEST signal is still an ongoing debate. To address this crucial question, we proposed in this study to intravenously inject natural D-glucose and several metabolizable and non-metabolizable glucose analogues to compare their relative glucoCEST signal kinetics. The accurate measurements of glucoCEST signal kinetics provided deeper insights into the origin of glucoCEST signal and constitute a major step toward quantitative measurement of glucose metabolism using CEST imaging method. This could provide a new non-invasive tool to study brain energy metabolism defects observed in numerous neurodegenerative disorders.

0146
16:00
Motion correction for 3D CEST imaging without direct water saturation artefacts
Johannes Breitling1, Andreas Korzowski1, Neele Kempa1, Philip S. Boyd1, Mark E. Ladd1, Peter Bachert1, and Steffen Goerke1

1Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

In CEST-MRI, motion correction is compromised by the drastically changing image contrast at different frequency offsets and particularly at the direct water saturation. In this study, a simple extension for conventional image registration algorithms is proposed, enabling a robust and accurate motion correction of CEST-MRI data. Performance of different approaches was investigated using a ground truth dataset, generated from repeated 3D in vivo measurements at 3 T, corrupted with realistic random rigid motion patterns and noise. In comparison to the conventional image registration and a cutting-edge algorithm specifically developed for CEST-MRI, the proposed method achieved more accurate and robust results.

0147
16:00
Diffusion-weighted Chemical Exchange Saturation Transfer Imaging at 7T Human MRI
Yujin Jung1, Jaeseok Park2, Seong-Gi Kim2, and Sung-Hong Park1

1Department of Bio and Brain engineering, Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of, 2Department of Global Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

CEST is a useful method to diagnose tumor or stroke, but lacks physical information such as compartments with different diffusivities. In this study, we developed a new diffusion-weighted steady-state CEST sequence using 3D EPI at 7T. The technique was tested in phantom and human brain, and the preliminary CEST-weighted apparent diffusion coefficient maps provided both CEST and diffusion information. Further study is required to clearly understand the signal source and the potential as a new biomarker.

0148
16:00
Deep Learning Enables A Half Z-spectrum Sampling-based B0 Inhomogeneity Correction for CEST MRI
Yiran Li1, Danfeng Xie1, Dushyant Kumar2, Abigail Cember2, Ravi Prakash Reddy Nanga2, Hari Hariharan2, John A. Detre3, Ravinder Reddy2, and Ze Wang1

1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States, 2Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States, 3Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States

This study presents a DL based framework for correcting B0 inhomogeneity for GluCEST imaging using fewer acquisitions. Based on 3 or 5 positive offset CEST images, the proposed method can save >80% of CEST imaging acquisition time as compared to current 26 pairs of double site z-spectrum irradiations based protocol. This approach can be applied to other CEST imaging as well.

0149
16:00
Quasi-steady-state (QUASS) CEST for robust quantification of tumor MT and APT effects by correction of saturation time and relaxation delay
Xiao-Yong Zhang1, Botao Zhao1, Zhe Phillip Sun2, and Yin Wu3

1Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China, 2Yerkes National Primate Research Center, Emory University, Atlanta, GA, United States, 3Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China

To reduce CEST measurement’s dependence on long RF saturation duration (Ts) and relaxation delay (Td), we developed a post-processing strategy to derive the quasi-steady-state (QUASS) CEST from apparent measurements. The simulation and in-vivo experiment results show that the apparent MT and APT effects and their contrast substantially depend on Ts and Td. In comparison, the QUASS MT and APT effects and their difference between contralateral normal tissue and tumor exhibit little dependence on Ts and Td. To conclude, the QUASS CEST algorithm enables robust CEST quantification and offers a straightforward approach to standardize CEST measurements.

0150
16:00
Non-invasive mapping of cerebral glucose transport and metabolism using glucoCESL MRI
Ben R Dickie1,2, Tao Jin3, Rainer Hinz4, Geoff JM Parker5,6, Laura M Parkes1,2, and Julian Matthews1,2

1Division of Neuroscience and Experimental Psychology, Faculty of Biology Medicine and Health, The University of Manchester, Manchester, United Kingdom, 2Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Manchester, United Kingdom, 3Department of Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 4Division of Informatics, Imaging, and Data Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, United Kingdom, 5Centre for Medical Image Computing, Department of Computer Science and Department of Neuroinflammation, University College London, London, United Kingdom, 6Bioxydyn Ltd, Manchester, United Kingdom

Chemical-exchange spin-lock (CESL) MRI can detect uptake and clearance of intravenously administered glucose into the brain at high spatial resolution. We apply quantitative modelling to describe glucoCESL kinetics in tumour-bearing and healthy rats. Parameters relating to glucose transport (Tmax, Kt, kd), metabolism (MRglu) and blood volume (vb) were estimated and compared between tumour and cortical tissue.  Kinetic modelling of glucoCESL MRI data yields meaningful estimates of glucose transport and metabolism, and our modelling approach holds great promise to probe glucose transport and metabolism at high spatial resolution.

0151
16:00
Inhomogeneous Magnetization Transfer Steady State Imaging at 0.5T: Exploring SAR and B1+RMS envelope.
Andrew T Curtis1 and Chad T Harris1

1Research and Development, Synaptive Medical, Toronto, ON, Canada

A balanced steady state sequence with multiband saturation pulses was implemented on a 0.5T scanner to assess the potential for additional inhomogeneous magnetization transfer contrast generation from the higher SAR and B1+RMS limits. Volumes were acquired with B1+RMS saturation less than 15uT.  Initial results are promising with ihMT contrast scaling nearly linearly with applied B1+ as expected, achieving contrast levels of 12-16% in white matter for B1+RMS of 15uT. This linear contrast increase could directly offset losses in polarization efficiency from mid-field as compared to high field, providing an interesting application area with competitive CNR.

0152
16:00
Motion corrected magnetization transfer-mediated fingerprinting (MT-MRF) using DISORDER.
Daniel J. West1, Lucilio Cordero-Grande1,2,3, Rui P. A. G. Teixeira1,2, Giulio Ferrazzi4, Joseph V. Hajnal1,2, and Shaihan J. Malik1,2

1Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Centre for the Developing Brain, King's College London, London, United Kingdom, 3Biomedical Image Technologies, ETSI Telecomunicación, Universidad Politécnica de Madrid & CIBER-BNN, Madrid, Spain, 4IRCCS San Camilo Hospital, Venice, Italy

ihMT is a promising approach for myelin imaging due to its specificity to substances with non-zero dipolar order. However, tissue model quantification requires high resolution acquisitions in excess of twenty minutes in length and so necessitates the use of motion correction methods to prevent artefacts. In this work we combine our recent MT-mediated MRF sequence with the DISORDER retrospective motion correction method. This new framework can acquire and reconstruct high resolution motion-compensated 3D time-resolved data from fingerprinting sequences. Semi‑quantitative MT and ihMT ratio maps as well as quantitative maps of tissue parameters can be obtained from the resulting images.

0153
16:00
Formalism of the T1ρ* relaxation pathway: Correction of quantification errors for rapid myocardial T1ρ mapping in mice
Maximilian Gram1,2, Daniel Gensler1,3, Patrick Winter1,2, Fabian Gutjahr2,3, Michael Seethaler2,3, Peter Michael Jakob2, and Peter Nordbeck1,3

1Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany, 2Experimental Physics 5, University of Würzburg, Würzburg, Germany, 3Comprehensive Heart Failure Center (CHFC), University Hospital Würzburg, Würzburg, Germany

The rapid quantification of T using fast gradient echo sequences for data acquisition leads to a contamination of the T relaxation pathway. Analogous to the T1* relaxation occurring in snapshot flash sequences, a relaxation pathway T* is effectively observed. As a consequence, quantification errors can arise depending on T1 and the sequence parameters used for imaging. In this work we introduce a formalism for the description of T* and present a method that can be applied for the subsequent correction of study results in the field of cardiac MRI.

0154
16:00
Utility of Adiabatic T1ρ and T2ρ Mapping to Detect Ischemic Injury to the Femoral Head: An In Vivo Piglet Model Study at 3T MRI
Casey P. Johnson1,2, Sampada Bhave1, Alexandra R. Armstrong1, and Ferenc Toth1

1Department of Veterinary Clinical Sciences, University of Minnesota, Saint Paul, MN, United States, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

Adiabatic T1ρ and T2ρ are potentially advantageous relaxation time mapping techniques for in vivo imaging of the musculoskeletal system. In this work, we compared adiabatic T1ρ and T2ρ mapping to T2 and continuous-wave T1ρ mapping in a piglet model of osteonecrosis of the femoral head. We found that adiabatic T2ρ had a robust increase in response to ischemic injury to the bone marrow, bone, and epiphyseal cartilage of the ischemic femoral head compared to the contralateral healthy femoral head. Adiabatic T2ρ may be a useful technique to detect early-stage injury in ischemic bone and joint disorders.


Oral

fMRI: Applications with Clinical Relevance & Beyond

Concurrent 5
Monday 16:00 - 18:00
Moderators: Baxter Rogers & Yu-Feng Zang
Parent Session: fMRI: Applications with Clinical Relevance & Beyond
0155
16:00
Functional network degeneration is associated with blood neurofilament light and cognitive decline in autosomal dominant Alzheimer disease
Muriah D Wheelock1, Patricia Mansfield2, Jeremy F Strain1, Beau M Ances1, Oliver Preische3, John C Morris1, Randall J Bateman1, Mathias Jucker3, Tammie L.S. Benzinger1, Adam T Eggebrecht1, and Brian A Gordon1

1Washington University in St. Louis, St. Louis, MO, United States, 2St. Louis University, St. Louis, MO, United States, 3University of Tubingen, Tubingen, Germany

Research suggests that serum neurofilament light (NfL), an indirect measure of neuronal cell death, is associated with volumetric and white matter changes, and is predictive of cognitive decline in Alzheimer disease (AD). We report that NfL is associated with default mode network (DMN) functional connectivity as well as DMN connectivity with control networks. DMN connectivity with control networks is additionally associated with concurrent cognition. Hierarchical regression demonstrates NfL, DMN, and Aβ-amyloid each contribute to predicting cognition. These findings suggest NfL is an indirect marker of functional network degeneration and both NfL and DMN connectivity are distinct biomarkers of AD progression.

0156
16:00
Mapping functional connectivity of thalamus subdivisions in obsessive-compulsive disorder
Lingxiao Cao1, Hailong Li1, Jing Liu1, Xue Li2, Suming Zhang1, Xinyu Hu1, Qiyong Gong1, and Xiaoqi Huang1

1Huaxi MR Research Center (HMRRC), Functional and molecular imaging Key Laboratory of Sichuan Province, Department of Radiology, West China Hospital, Sichuan University, Chengdu, China, 2Sichuan University, Chengdu, China

Using connectivity-based parcellation technique, we segmented thalamus into two distinct subdivisions comprising superior thalamus and inferior thalamus based on their similarity in resting-state functional connectivity properties. We then compared the functional connectivity profiles of each thalamic subdivisions between the obsessive-compulsive disorder (OCD) patients and healthy control (HC), and revealed the disturbances of the superior/inferior thalamo-cortical and inferior thalamo-cerebellar circuitry in OCD patients. These findings suggested that thalamus subdivisions play different role in motor, cognitive, affective processes in OCD, which may underlie the pathophysiology of the disorder.

0157
16:00
Abnormal cerebrovascular reactivity in human immunodeficiency virus-infected patients with or without smoking: a resting-state fMRI study
Lincoln Kartchner1, Linda Chang2, Thomas Ernst2, Huajun Liang2, Yuangi Shang2, and Peiying Liu1

1Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States

Human immunodeficiency virus (HIV) infection is associated with neurodegeneration, but its effect on cerebrovascular function is not well understood.  In a cohort of 160 participants, we investigated the effects of HIV and smoking on cerebrovascular reactivity (CVR) measured with standard resting-state blood oxygenation level dependent (BOLD)-fMRI. Across four participant groups (HIV+/HIV- x smokers/nonsmokers), both HIV-infection and smoking status altered CVR, but their effects were different across brain regions. Furthermore, lower nadir CD4 predicted lower thalamus CVR.

0158
16:00
Resting-State fMRI Frequency Change During Brain Aging
Xiaole Zhong1 and J. Jean Chen1,2

1Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada, 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada

Frequency features of the resting-state functional magnetic resonance imaging (rs-fMRI) signal can be crucial metrics that reveal patterns of brain aging. However, how the frequency shift during brain aging is still unclear. In this study, we examined the peak frequency and standard deviation of the rs-fMRI signal in healthy aging adults, divided into (0-0.1 Hz) and (0.1-0.3 Hz) bands. We found that in older adults, rs-fMRI fluctuation amplitude is lower but fluctuation frequency is higher in older adults, and these effects depend on the fMRI frequency range.

0159
16:00
The effect of scan length on reliability of resting-state fMRI in patients with drug-resistant epilepsy (DRE) in awake and under anesthesia
Faezeh Vedaei1,2, Mahdi Alizadeh1, Sara Thalheimer1, Victor Romo3, Feroze Mohamed4, and Chengyuan Wu1

1Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, United States, 2Department of Bioengineering, Temple University, Philadelphia, PA, United States, 3Department of Anesthesiology, Thomas Jefferson University, Philadelphia, PA, United States, 4Department of Radiology, Thomas Jefferson University, Philadelphia, PA, United States

Resting-state fMRI suffers from poor test-retest reliability because of between-subject and within-subject variability. Scan duration is one the main factors affects the reliability of rs-fMRI studies. We showed that under anesthesia, the time needed to optimize ICC of rs-fMRI metrics including ALFF, fALFF, functional connectivity, and ReHo is lower compare with awake state. The optimum scan duration that satisfies good reliability is 14-20 min and 8-17 min in awake and under anesthesia, respectively. Also, variability of ICCs is lower under anesthesia than in awake.

0160
16:00
Disrupted Topological Organization of Structural and Functional Brain Connectomes in Type-2 Diabetes Patients
Ying Xiong1, Qiang Zhang2, and Wenzhen Zhu1

1Radiology, Tongji Hospital Tongji Medical College Huazhong University of Science and Technology, Wuhan, China, 2Neurology, Tongji Hospital Tongji Medical College Huazhong University of Science and Technology, Wuhan, China

The T2DM patients with cognitive impairment showed altered global efficiency(Eg), local efficiency(Eloc), clustering-coefficient(Cp), shortest-path-length(Lp) as well as nodal efficiencies in both structural and functional networks, compared to those with normal cognition and healthy controls. Some network metrics were correlated with neuropsychological assessments and disease severity. The disrupted topological organization of structural and functional connectomes (measured by Eg, Eloc, Cp and Lp) were found in T2DM with cognitive impairment, while these topological properties in T2DM with normal cognition were preserved equally to controls. The structural and functional connectomes research shows potential feasibility in characterizing intrinsic alterations of diabetic encephalopathy.

0161
16:00
Neuroimaging and obesity in adults with pre-diabetes or diabetes: results from the UK Biobank
Christopher R. Kouyoumdjian1, Kayley Marchena2,3, Masud Hussain3, and Bradley J. MacIntosh2,3

1University of Toronto, Scarborough, ON, Canada, 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Sunnybrook Research Institute, Toronto, ON, Canada

Glycated haemoglobin and body mass index (BMI) are implicated in neurodegeneration and diabetes. Diabetes-related changes in T2* estimates and fractional amplitude of low frequency fluctuations (fALFFs) are less understood. We investigated these neuroimaging estimates within the thalamic nuclei, hippocampi, and caudate nuclei of the UK Biobank-derived pre-diabetes and diabetes adult groups. Multiple regression analyses elucidated BMI as the robust predictor of hippocampal T2* estimates in both subgroups. These metrics extracted from two pulse sequences were helpful in understanding the brain and BMI associations, which is important in the assessment of diabetes and pre-diabetes as a risk factor for neurodegenerative disorders.

0162
16:00
Altered brain functional network dynamics in obsessive-compulsive disorder
Lekai Luo1, Qian Li1, Wanfang You1, Yuxia Wang1, Yanchun Yang2, Qiyong Gong1, and Fei Li1

1Huaxi MR Research Centre (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China, 2Psychiatry, West China Hospital of Sichuan University, Chengdu, China

Dynamic functional connectivity (dFC) and dynamic topological analyses were used to investigate the whole brain resting-state dynamic property abnormalities in patients with obsessive-compulsive disorder (OCD). Our results provide evidence of clinically relevant aberrant dynamic brain activity in OCD. Increased functional segregation among networks and impaired functional flexibility in connections among brain regions in default mode network (DMN) and salience network (SAN) may play important roles in the neuropathology of OCD.

0163
16:00
Cerebrovascular reactivity changes in glaucoma patients using resting-state fMRI
Russell W. Chan1,2, Ji Won Bang2, Vivek Trivedi2, Peiying Liu3, Gadi Wollstein2, Joel S. Schuman2, and Kevin C. Chan1,2,4

1Neuroscience Institue, New York University Grossman School of Medicine, New York, NY, United States, 2Department of Ophthalmology, New York University Grossman School of Medicine, New York, NY, United States, 3Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States

Cerebrovascular reactivity (CVR) is the response of cerebral blood vessels to vasoactive stimuli. Dampened CVR can precede and contribute to neuropathology. However, CVR assessments in glaucoma patients have been lacking at the whole-brain scale. Here, we applied relative CVR (rCVR) mapping using resting-state fMRI to investigate vascular reserve changes in glaucoma patients. Our results show that visual cortical rCVR decreases with severity and is coupled with clinical ophthalmic assessments. Interestingly, rCVR in both basal forebrain and hippocampus increase with severity indicating their involvements in glaucoma. Together, resting-state fMRI derived rCVR can potentially be used for studying, diagnosing and monitoring glaucoma.

0164
16:00
Altered dynamic functional connectivity in subjects with cerebral glioma
Siqi Cai1,2, Zhifeng Shi3, Yuchao Liang4, Chunxiang Jiang1,2, Shihui Zhou1,2, and Lijuan Zhang*1

1Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2University of Chinese Academy of Sciences, Beijing, China, 3Huashan Hospital of Fudan University, Shanghai, China, 4Neurosurgery, Beijing Tiantan Hospital of Capital Medical University, Beijing, China

This study investigated the impact of cerebral glioma on the dynamic properties of functional connectivity (dFC). Cerebral gliomas induce alteration in dFC featuring more frequent strengthened connectivity and state transition between strong and sparse functional connectivity, indicating an extensive disturbance of functional segregation. As alterations in the dFC were reported to be associated with the progression of brain diseases, dFC variation induced by glioma may entail additional information to interpret the clinical profiles that are not ascribed to the lesion topology and serve as a new biomarker for the tumor characterization of glioma.


Member-Initiated Symposium

Five Shades of Gray: Cutting-Edge & Clinically Relevant Diffusion MRI Techniques in Gray Matter

Concurrent 6
Monday 16:00 - 18:00
Moderators: Thijs Dhollander & Ileana Jelescu
Parent Session: Five Shades of Gray: Cutting-Edge & Clinically Relevant Diffusion MRI Techniques in Gray Matter
(no CME credit)
16:00
Gray Matter Cytoarchitecture: What Are We Looking at & What Are We Looking For?
  Timothy Shepherd
  New York University School of Medicine

16:30
Acquisitions Tailored for Gray Matter: Sub-mm Resolution Techniques for Sub-mm Structures
  Congyu Liao
  Massachusetts General Hospital

17:00
Overcoming Messy Neurites: Microscopic Anisotropy & Diffusion Tensor Encoding Techniques
  Chantal Tax
  Cardiff University

17:30
Diffusion Kurtosis Imaging & Emerging Biophysical Models in Gray Matter
  Hao Huang
  University of Pennsylvania

18:00
Water Exchange in Gray Matter: More Challenges & Opportunities for Diffusion MRI
  Ruiliang Bai
  Zhejiang University


Sunrise Session

Preclinical MRI: Small Is Beautiful: Opportunities & Challenges at Ultra-High Field

Organizers: Alan Koretsky, Christoffer Laustsen, Harish Poptani
Concurrent 7
Monday 16:00 - 17:00
Parent Session: Preclinical MRI
16:00
Horizontal Ultra-High Field Preclinical MRI
Luisa Ciobanu

16:30
Vertical Ultra-High Field Preclinical MRI
Samuel Grant


Sunrise Session

Preclinical MRI: Advantages of High-Performance Gradients on Preclinical Systems

Organizers: Alan Koretsky, Christoffer Laustsen, Harish Poptani
Concurrent 7
Monday 16:00 - 17:00
Moderators: Yen-Yu Ian Shih
Parent Session: Preclinical MRI

Sunrise Session

Preclinical MRI: Animal Handling & Monitoring in Preclinical MR

Organizers: Christoffer Laustsen, Alan Koretsky, Harish Poptani
Concurrent 7
Monday 16:00 - 17:00
Moderators: Kerstin Timm & Shella Keilholz
Parent Session: Preclinical MRI

Sunrise Session

Preclinical MRI: MR Histology: A New Frontier

Organizers: Alan Koretsky, Christoffer Laustsen, Harish Poptani
Concurrent 7
Monday 16:00 - 17:00
Moderators: Lotte Bertelsen
Parent Session: Preclinical MRI
16:00
MR Histology in Animal Models
G. Allan Johnson

16:30
MR Histology in Humans
Govind Nair


Member-Initiated Symposium

Thinking Hyperpolarization: A Multinuclear Window into the Brain

Concurrent 8
Monday 16:00 - 16:30
Moderators: Petra Hüppi & N. Jon Shah
Parent Session: Thinking Hyperpolarization: A Multinuclear Window into the Brain
(no CME credit)
16:00
Imaging the Brain: What’s Missing?
  Javier Villanueva-Meyer
  University of California, San Francisco

16:30
Imaging Beyond Brain Perfusion Using 129Xe MRI
  Madhwesha Rao
  University of Sheffield

17:00
Detecting Metabolic Abnormalities in the Diseased Brain by HP 13C MRI
  Myriam Chaumeil
  University of California, San Francisco

17:30
HP 13C MRI of Brain Metastases: New Frontiers
  Charles Cunningham
  University of Toronto


Sunrise Session

Software Engineering for MRI: How to Get onto the Cloud

Organizers: Michael Lustig, Daniel Gallichan
Concurrent 7
Monday 17:00 - 18:00
Moderators: Michael Lustig & Daniel Gallichan
Parent Session: Software Engineering for MRI: How to Get onto the Cloud
17:00
How to Get onto the Cloud
Andrey Fedorov


Member-Initiated Symposium

MRI Advances Within the Co-Clinical Cancer Trials Network: Informing Cancer Clinical Trials Through Preclinical Imaging

Concurrent 8
Monday 17:00 - 17:30
Moderators: Joseph Ackerman & Rong Zhou
Parent Session: MRI Advances Within the Co-Clinical Cancer Trials Network: Informing Cancer Clinical Trials Through Preclinical Imaging
(no CME credit)
0:00
Solving Fundamental Challenges in Preclinical MRI to Improve Cancer Clinical Trials
  Thomas Yankeelov
  University of Texas at Austin

0:00
MR Imaging of Mice Tibia for Co-Clinical Studies of Myelofibrosis
  Ghoncheh Amouzandeh
  University of Michigan

0:00
Improving Murine Abdominal DWI by Radial k-Space Sampling & Deep Learning
  Yong Fan1, Steven Pickup2
  University of Pennsylvania1, University of Pennsylvania2

0:00
Increased Rigor & Reproducibility in Hyperpolarized 13C with Mouse Cancer Models
  Renuka Sriram
  University of California, San Francisco

0:00
Promises, Challenges & Real-World Experience with PET/MR Imaging of Small-Animal Models in Co-Clinical Cancer Research
  Charles Manning1, Kooresh Shoghi2
  The University of Texas MD Anderson Cancer Center1, Washington University in St. Louis2

0:00
Advances in Validation of Imaging Markers: Connecting 3D Multi-Modal MR Imaging & 2D Pathology in a Mouse Model of Sarcoma
  Stephanie Blocker
  Duke University

0:00
Predicting Therapeutic Response via Quantitative MRI
  Anum Kazerouni
  University of Washington

0:00
The NCI Co-Clinical Imaging Research Resource Program (CIRP)
  Huiming Zhang
  National Cancer Institute


Oral

Advances in MR Fingerprinting

Concurrent 1
Monday 18:00 - 20:00
Moderators: Christian Guenthner & Mark Lowe
Parent Session: Advances in MR Fingerprinting
0165
18:00
Myelin Water Fraction Mapping in developing children using Magnetic Resonance Fingerprinting
Matteo Cencini1,2, Marta Lancione2,3, Laura Biagi1,2, Jan W Kurzawski1,2, Rosa Pasquariello1, Graziella Donatelli2,4, Claudia Dosi1,5, Chiara Ticci1,5, Roberta Battini1,5, Guido Buonincontri1,2, and Michela Tosetti1,2

1IRCCS Stella Maris, Pisa, Italy, 2Imago7 Foundation, Pisa, Italy, 3IMT School for Advanced Studies Lucca, Lucca, Italy, 4Neuroradiology Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy, 5Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

Magnetic Resonance Fingerprinting (MRF) has been used to obtain Myelin Water Fraction (MWF) estimates in a cohort of developing children by using a three-component signal model. Here, we used a recent approach in which we perform sub-voxel tissue characterization without assumptions on the number and properties of the model components. We then used this signal model to study the myelination process in the developing brain on a 2D MRF dataset. Finally, we measured MWF on a set of subjects acquired with 3D MRF scan and compared the results to the 2D experiment.

0166
18:00
Simultaneous morphometry and relaxometry of the human brain using three-dimensional MR fingerprinting at 1.5 and 3T
Shohei Fujita1,2, Matteo Cencini3,4, Guido Buonincontri3,4, Naoyuki Takei5, Rolf F. Schulte6, Wataru Uchida1, Akifumi Hagiwara1, Koji Kamagata1, Osamu Abe2, Michela Tosetti3,4, and Shigeki Aoki1

1Department of Radiology, Juntendo University, Tokyo, Japan, 2Department of Radiology, The University of Tokyo, Tokyo, Japan, 3Imago7 Foundation, Pisa, Italy, 4IRCCS Stella Maris, Pisa, Italy, 5MR Applications and Workflow, GE Healthcare, Tokyo, Japan, 6GE Healthcare, Munich, Germany

Magnetic resonance fingerprinting (MRF) permits simultaneous acquisition of T1 and T2 maps perfectly aligned to the anatomy, allowing morphometry and relaxometry analysis of the brain in a single scan. Here, we examined the reproducibility and repeatability of simultaneous morphology and relaxometry of brain structures in healthy volunteers using three-dimensional MRF at multiple field strengths. Scan-rescan tests of three-dimensional MRF were performed at 1.5 and 3T. The local thickness, volume, T1, and T2 values were calculated for each representative neuroanatomical structure using automatic brain segmentation software. These results can help establish imaging biomarkers using MRF for clinical use.

0167
18:00
3D Magnetic Resonance Fingerprinting at 50 mT
Thomas O`Reilly1, Peter Börnert1,2, Andrew Webb1, and Kirsten Koolstra1

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Philips Research Hamburg, Hamburg, Germany

In vivo MR relaxation times, their inter-subject variations, and changes in different diseases have not been widely studied at very low magnetic fields (<100 mT). In this work, we implemented a 3D MRF sequence on a 50 mT Halbach permanent magnet system to efficiently measure relaxation times in vivo. We used a short flip angle train and further accelerate the scans by using random undersampling and matrix completion reconstruction. Initial in vivo and phantom data show good agreement with relaxation time values measured with less efficient conventional techniques.

0168
18:00
Learning-based Optimization of Acquisition Schedule for Magnetization Transfer Contrast MR Fingerprinting
Beomgu Kang1, Byungjai Kim1, Hye-Young Heo2,3, and Hyunwook Park1

1Department of Electrical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of, 2Russell H Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

Magnetization transfer contrast MR fingerprinting (MTC-MRF) is a novel quantitative imaging method that simultaneously quantifies free bulk water and semisolid macromolecule parameters using pseudo-randomized scan parameters. Here, we propose a framework for learning-based optimization of the acquisition schedule (LOAS), which optimizes RF saturation-encoded MRF acquisitions with a minimum number of acquisitions for tissue parameter estimation. Unlike the optimization methods based on indirect measurements, the proposed approach can optimize scan parameters by directly computing quantitative errors in tissue parameters.

0169
18:00
Sequence Design for Fast and Robust MR Fingerprinting Scans using Quantum Optimization
Siyuan Hu1, Ignacio Rozada2, Rasim Boyacioglu3, Stephen Jordan4, Sherry Huang3, Matthias Troyer4, Mark Griswold3, Debra McGivney3, and Dan Ma3

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 21Qbit, Vancouver, BC, Canada, 3Case Western Reserve University, Cleveland, OH, United States, 4Microsoft, Redmond, WA, United States

MR Fingerprinting is able to quantify multiple tissue properties simultaneously. Here we propose an advanced MR Fingerprinting optimization framework that computes and minimizes the quantitative random errors, undersampling errors and background phase errors in MRF maps simultaneously in the cost function. The optimization is solved by quantum-inspired algorithms. The proposed framework could provide accelerated MRF scans that are robust to undersampling and system imperfections, and outperform the human-designed sequence on the tradeoff between duration and precision.

0170
18:00
Accelerating Submillimeter 3D MR Fingerprinting with Whole-Brain Coverage via Dual-Domain Deep Learning Reconstruction
Feng Cheng1, Yong Chen2, and Pew-Thian Yap3

1Department of Computer Science, University of North Carolina, Chapel Hill, NC, United States, 2Case Western Reserve University, Cleveland, OH, United States, 3Department of Radiology and Biomedical Research Imaging Center, University of North Carolina, Chapel Hill, NC, United States

We accelerate submillimeter 3D MRF using a dual-domain deep learning reconstruction approach that utilizes a graph convolutional network for k-space and a U-Net for image space acceleration. Our preliminary results show that a total of 16x acceleration can be achieved, reducing the acquisition time for whole-brain-coverage at 0.8 mm isotropic resolution to less than 5 mins.

0171
18:00
Simultaneous comprehensive T1, T2, T2*, T1ρ and Fat Fraction characterization with Magnetic Resonance Fingerprinting
Carlos Velasco1, Gastao Cruz1, René M. Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Quantitative T1, T2, T2* and fat fraction maps are promising imaging biomarkers for the assessment and follow-up of liver disease, while T1⍴ mapping has been reported to be a valuable tool for contrast-free assessment of liver fibrosis. However, these multiple scans are usually performed sequentially during separate breath-holds, leading to long scan times and potentially mis-registered maps. In this study we propose an 8-echo T1, T2 and T1⍴ prepared liver MRF sequence that allows for quantitative T1, T2, T2*, T1⍴ and FF liver tissue characterization in a single breath-hold scan. The proposed approach has been investigated in healthy subjects.

0172
18:00
Towards optimizing MR vascular fingerprinting
Aurélien Delphin1, Fabien Boux1,2, Clément Brossard1, Jan M Warnking1, Benjamin Lemasson1, Emmanuel Luc Barbier1, and Thomas Christen1

1Univ. Grenoble Alpes, Inserm, U1216, Grenoble Institut Neurosciences, GIN, 38000, Grenoble, France, 2Univ. Grenoble Alpes, Inria, CNRS, G-INP, 38000, Grenoble, France

MR vascular fingerprinting aims at mapping cerebral vascular properties. We propose to improve the method on two levels: (1) by testing new acquisitions patterns using a Monte-Carlo based method  that assesses the encoding capacity of MRF sequences; and (2) by testing new geometrical models that represent vascular networks during dictionary simulations. We obtained results suggesting that new MRF-type sequences can be tailored for vascular exploration and should be tested in vivo. We also showed the clear influence of geometry in the simulations and the possibility to include realistic vascular networks.

0173
18:00
Optimized multi-axis spiral projection MRF with subspace reconstruction for rapid 1-mm isotropic whole-brain MRF in 2 minutes
Xiaozhi Cao1,2, Congyu Liao1,2, Siddharth Srinivasan Iyer3,4, Gilad Liberman3, Zijing Dong3,4, Ting Gong5, Zihan Zhou5, Hongjian He5, Jianhui Zhong5,6, and Berkin Bilgic3,7

1Department of Rdiology, Stanford university, Stanford, CA, United States, 2Department of Electrical Engineering, Stanford university, Stanford, CA, United States, 3Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 4Department of Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States, 5Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, China, 6Department of Imaging Sciences, University of Rochester, Rochester, NY, United States, 7Department of Radiology, Harvard Medical School, Cambridge, MA, United States

To improve the quality and speed of 3D MRF, we applied spatiotemporal subspace reconstruction to 3D MRF and further modified its spiral-projection spatiotemporal encoding scheme. When compared to conventional sliding-window iNUFFT reconstruction, the subspace reconstruction provided markedly improved quantitative maps, with lower artifacts and higher SNR. The optimized spiral-projection encoding scheme, which was designed to increase spatiotemporal incoherency, was also validated to be more robust to artifacts, particularly at high accelerations. The proposed method enables high-quality whole-brain T1, T2, and proton density mapping with 1-mm isotropic resolution in 2 minutes and 0.8-mm isotropic resolution in ~4minutes.

0174
18:00
Fast acquisition of 31-P creatin kinease chemical exchange rate and relaxation rates of γ-ATP and PCr in vivo human brain at 7T using MRS-FP
Mark Stephan Widmaier1, Song-I Lim2, and Lijing Xin2

1Laboratory for Functional and Metabolic Imaging, CIBM, EPFL, Lausanne, Switzerland, 2Animal Imaging and Technology, CIBM, EPFL, Lausanne, Switzerland

 This study shows preliminary results of the feasibility using MRS-FP to measure the relaxation parameters of γ-ATP and PCr as well as the chemical exchange rate kCK. All results were in good agreement with literature values enabling a fast and robust 31 P multi parameter estimation in vivo human brain at 7T .


Oral

RF Design II

Concurrent 2
Monday 18:00 - 20:00
Moderators: Ehsan Kazemivalipour & Alexander Raaijmakers
Parent Session: RF Design II
0175
18:00
Coil Design Impacts Image Encoding: Optimized 64-Channel Array Configurations for Diffusion-Weighted Imaging in 3T Cardiac MRI
Robin Etzel1,2, Choukri Mekkaoui3, Ekaterina S Ivshina4, Alina Scholz1, Markus W May1, Nicolas Kutscha1, Matthäus Poniatowski1, Chaimaa Chemlali1, Anpreet Ghotra1, Sam-Luca JD Hansen1, Timothy G Reese3, Lawrence L Wald3, Andreas H Mahnken2, and Boris Keil1

1Institute of Medical Physics and Radiation Protection, Department of Life Science Engineering, TH Mittelhessen University of Applied Sciences, Giessen, Germany, 2Philipps-University of Marburg, Department of Diagnostic and Interventional Radiology, Marburg, Germany, 3Harvard Medical School, Massachusetts General Hospital, Department of Radiology, A.A. Martinos Center for Biomedical Imaging, Boston, MA, United States, 4Princeton University, Princeton, NJ, United States

To determine the optimum configuration of a 64-channel array coil for highly accelerated in vivo cardiac diffusion-weighted imaging (DWI), the encoding capability and sensitivity of three 64-channel arrays were designed, constructed, and evaluated. Simultaneous multi-slice (SMS) acceleration enabled enhanced efficiency of the diffusion acquisitions. The array configuration with a non-uniformly distributed loop density showed the most favorable cardiac imaging performance in both SNR and SMS encoding power. Cardiac DWI of a healthy volunteer mirrors the findings from phantom evaluation and testing. Such technically advanced coils are an important component for translation of cardiac DWI to clinical settings.

0176
18:00
A 128-Channel head coil array for Cortical Imaging at 7 Tesla
Bernhard Gruber1,2, Jason P. Stockmann1, Azma Mareyam1, Boris Keil3, Anpreet Ghotra3, David A. Feinberg4, and Lawrence L. Wald1

1Department of Radiology, A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2High Field MR Center, Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria, 3Department of Life Science Engineering, Institute of Medical Physics and Radiation Protection, Mittelhessen University of Applied Science, Giessen, Germany, 4Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley, CA, United States

A 128-channel receive array for cortical brain imaging at 7T was simulated and constructed. The tight-fitting brain-only coil was designed for use with a recently constructed head gradient system (Gmax = 200 mT/m and Smax = 900mT/m/s) for use with either a single channel birdcage Tx or a 24-channel pTx coil. The goal was to maximize cortical SNR and achieve the high acceleration needed for single-shot EPI based fMRI at high sub-millimeter isotropic resolution.

0177
18:00
A 128-channel receive array for 10.5T human head imaging
Russell Luke Lagore1, Steve Jungst1, Jerahmie Radder1, Edward J Auerbach1, Steen Moeller1, Andrea Grant1, Lance DelaBarre1, Matthew Waks1, Pierre-Francois Van de Moortele1, Gregor Adriany1, and Kamil Ugurbil1

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

A 128-channel receive array has been designed and prototyped for human head imaging at 10.5T. The coil employs miniaturized electronics and flexible PCB laminates for loop conductors. Bench measurements and MR experimental results for an 8-channel cluster of loops are presented which show low coil coupling and good stability during echo-planar imaging. Electromagnetic simulations will provide an estimate for the SNR gain that can be expected from this 128-channel receive array over a 64-channel receive array tuned to the same frequency. This simulation estimate will be verified with experimental results which will include intrinsic SNR and g-factor maps.

0178
18:00
A Quintuple-Tuned RF Coil for Whole Brain Multi-Nuclei Magnetic Resonance Imaging and Spectroscopy at 7T
Jiying Dai1,2, Tijl A. van der Velden1, Johannes M. Hoogduin1, Fabian Bartel2, Ettore F Meliadò1,2, Mark van Uden2, Catalina S. Arteaga de Castro2, Evita C. Wiegers1, Martijn Froeling1, Mark Gosselink1, Alexander J. E. Raaijmakers1,3, and Dennis W. J. Klomp1,4

1Radiology, UMC Utrecht, Utrecht, Netherlands, 2Tesla Dynamic Coils, Zaltbommel, Netherlands, 3Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 4Tesla Engineering Ltd, West Sussex, United Kingdom

Multi-nuclei magnetic resonance imaging and spectroscopy are interesting techniques to study metabolism, treatment efficacy tracking, and early diagnoses of many diseases. However, there are challenges to acquire high-quality MR images or spectra of nuclei other than proton, for example, much lower signal level, as well as the inconvenience of switching RF hardware in between scans, which leads to repositioning of the subject and extra preparation time. To overcome the above issues, we developed a quintuple-tuned RF coil for sensitive whole-brain scans, targeting five nuclei: 1H, 19F, 31P, 23Na and 13C. Bench tests and in-vivo scans have shown promising SNR. 

0179
18:00
A Self-decoupled 64 Channel Receive Array for Human Brain MRI at 10.5T
Nader Tavaf1, Steve Jungst1, Russell L. Lagore1, Jerahmie Radder1, Steen Moeller1, Andrea Grant1, Edward Auerbach1, Kamil Ugurbil1, Gregor Adriany1, and Pierre-Francois Van de Moortele1

1Center for Magnetic Resonance Research (CMRR), University of Minnesota Twin Cities, Minneapolis, MN, United States

Receive arrays play a major role in capturing the signal-to-noise ratio (SNR) and parallel imaging performance improvements at ultrahigh-field MRI. A novel self-decoupled 64-channel receive array was built for human brain imaging and compared to a 32-channel receive array at 10.5T/447MHz. Experiments demonstrated a maximum noise correlation of 0.31 in the 64-channel receiver. Experimental SNR comparisons showed 1.95 times more SNR averaged over the sample relative to the 32-channel array at 10.5T. The 10.5T 32 channel receiver was previously shown to have 1.81 times more average SNR gain over the industry standard 32 channel array at 7T.

0180
18:00
Development of Two Antisymmetric 16-Element Transceiver Coil Arrays for Parallel Transmit Cardiac MRI in Humans at 7T
Ibrahim A. Elabyad1, Maxim Terekhov1, and Laura M. Schreiber1

1Chair of Molecular and Cellular Imaging, Comprehensive Heart Failure Center (CHFC), University Hospital Wuerzburg, Wuerzburg, Germany

Two antisymmetric, 16-elements, transceiver RF-coil arrays were developed for improved $$${B_1^+}$$$-shimming and parallel imaging for cardiac-MRI in humans at 7T. The first array (Design1) comprised of an 8-loops for both anterior and posterior sections. The second array (Design2) was composed of 12-loops for the anterior section and 4-loops for the posterior section. Electromagnetic-field (EMF) simulations were carried out for both arrays loaded with an elliptical phantom and two human models (Duke and Ella). Static-phase $$${B_1^+}$$$-shimming has been carried out for both arrays with two different optimization cost functions to maximize the transmit-efficiency and weighted combination of $$${B_1^+}$$$-field homogeneity and transmit-efficiency.

0181
18:00
A Patient-Friendly 16ch Tx / 64ch Rx Array for Combined Head and Neck Imaging at 7 Tesla
Markus W. May1, Sam-Luca J.D. Hansen1, Nicolas Kutscha1, Gurinder Kaur Multani1, Mirsad Mahmutovic1, Matthäus Poniatowski1, Rene Gumbrecht2, Ralph Kimmlingen2, Markus Adriany2, Yulin Chang3, Bastien Guerin4, Christina Triantafyllou2, Lawrence L. Wald4, and Boris Keil1

1Institute of Medical Physics and Radiation Protection (IMPS), TH Mittelhessen University of Applied Sciences, Giessen, Germany, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Siemens Medical Solutions USA, Inc., Malvern, PA, United States, 4A.A. Martinos Center for Biomedical Imaging, Dept of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

A 16chTx / 64chRx head-neck array coil was designed, constructed, and validated at 7T ultra-high field (UHF) MRI. The clinical benefits of UHF neuroimaging were increased by extending coil coverage from the brain region to include the cervical spine. To increase patient compliance, the commonly employed separated transmit and receive coil array functionalities at UFH were combined into one anatomically shaped close-fitting housing which is fully splitable for patient access.

0182
18:00
A 16-channel transmit 96-channel receive head coil for NexGen 7T scanner
Shajan Gunamony1,2, Roland Müller3, Paul McElhinney1, Sydney Nicole Williams1, Nicolas Groß-Weege3,4, Nikolaus Weiskopf3,5, Harald E Möller3, and David Feinberg6

1Imaging Centre of Excellence, University of Glasgow, Glasgow, United Kingdom, 2MR CoilTech Limited, Glasgow, United Kingdom, 3Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Faculty of Physics and Earth Sciences, Felix Bloch Institute for Solid State Physics, Leipzig, Germany, 6Helen Wills Neuroscience Institute, University of California, Berkeley, CA, United States

The NexGen 7T scanner has been designed to reach an unprecedented microscale resolution in fMRI studies of the cerebral cortex. A radiofrequency coil setup with a high density receive array is essential to capture the promised benefits. The coil design, which is already constrained by the limited space on the patient table inside the head gradient, must be robust, allow routine scanning and offer a visual field to support fMRI studies. We have developed a compact 16-channel transmit 96-channel receive head coil for the NexGen 7T scanner. In this abstract, we present the coil development and preliminary phantom results.

0183
18:00
Whole-body Metamaterial Liner RF Coil for 1H at 4.7 T with Reduced SAR Compared to Birdcage Coil
Adam Maunder1, Ashwin Iyer2, and Nicola De Zanche1

1Oncology, Medical Physics, Cross Cancer Institute, University of Alberta, Edmonton, AB, Canada, 2Electrical and Computer Engineering, University of Alberta, Edmonton, AB, Canada

The maximum local specific absorption rate relative to B1+ field produced increases with B0 field strength. This relationship greatly constrains the parameter space in sequence optimization due to safety limits. The metamaterial liner simulated here produces lower SAR for the same transmit excitation compared to conventional birdcage coils for whole body imaging, thereby permitting more power-intensive scan parameters to be used. The transmit efficiency and homogeneity is found to be similar between the metamaterial liner and comparable birdcage coil, while the metamaterial liner produces only 41% of the 10g localized SAR for the same transmit field.

0184
18:00
Novel Setup for 31P MRSI of the Human Tongue In Vivo at 7T
Ria Forner1, Kyung Min Nam1, Tijl van der Velden1, and Dennis Klomp1

1UMC Utrecht, Utrecht, Netherlands

Here we present the very first 31P MRS data in the human tongue at 7T. Three different receive coils were designed and evaluated to compare their performance: two each inside the mouth: a loop and also a saddle coil and a 3-channel loop array positioned externally. The transmit setup consists of an integrated 31P body birdcage coil for 31P transmit and an array of 8 1H dipoles for image registration. The loop coil seems to outperform the other two coils albeit that signals may originate from jaw. For voxels inside the tongue, relatively high phosphomonoesters were observed in all volunteers.


Oral

MR Angiography & Vessel Wall

Concurrent 3
Monday 18:00 - 20:00
Moderators: Nicholas Burris & Michael Schar
Parent Session: MR Angiography & Vessel Wall
0185
18:00
Assessing the Prognosis of Acute Deep Vein Thrombosis Using Magnetic Resonance Black-blood Thrombus Imaging
Guoxi Xie1, Hanwei Chen2, Chen Huang3, Xueping He2, Yueyuan Xie4, Xiaoyong Zhang5, Tianjing Zhang6, Yi Sun5, Debiao Li7, and Zhaoyang Fan8

1Department of Biomedical Engineering, Guangzhou Medical University, Guangzhou, China, 2Department of Radiology, Guangzhou Panyu Central Hospital, Guangzhou, China, 3Department of Minimally Invasive Interventional Radiology, Guangzhou Panyu Central Hospital, Guangzhou, China, 4Department of Anesthesiology, Mindong Hospital, Ningde, China, 5MR Collaborations, Siemens Healthcare Ltd, Shenzhen, China, 6Philips Healthcare, Guangzhou, China, 7Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 8Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States

Patients with acute deep vein thrombosis (DVT) can be characterized as iso- or hyper-intense thrombus signals using a T1-weighted black-blood magnetic resonance imaging (BTI) technique. Patients with hyper-intense thrombus signals demonstrated a significant higher incidence of post-thrombotic syndrome (PTS) than those with iso-intense thrombus signals, regardless of the patient’s age, gender, the severity of DVT, and the treatment strategy of catheter-directed thrombolysis or conventional anticoagulant therapy. The results suggest that the thrombus signal characteristics obtained on BTI imaging are valuable for assessing the prognosis of acute DVT and may aid in guiding the clinical treatment plan.

0186
18:00
Ferumoxytol-enhanced Pulmonary MRA in Pregnancy: Evaluation of Initial Safety and Image Quality
Jitka Starekova1, Scott K Nagle1, Mark L Schiebler1, Scott B Reeder1,2,3,4,5, and Venkata N Meduri1

1Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Medicine, University of Wisconsin-Madison, Madison, WI, United States, 3Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 5Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

Ferumoxytol (Feraheme®, AMAG Pharmaceuticals, Waltham) is an injectable iron micro particle-solution approved by the FDA for treatment of iron-deficiency anemia. This medication also has favorable properties as intravascular blood pool agent (off-label) for contrast-enhanced MRA (Fe-MRA). Fe-MRA is an alternative modality for the assessment of pulmonary embolism without the need for ionizing radiation or gadolinium in pregnant patients. The purpose of this study was to summarize our clinical experience with 70 Fe-MRA exams in 66 pregnant patients. We aimed to demonstrate the safety and efficacy of Fe-MRA and provide guidance in establishing a clinical service. 

0187
18:00
SIMBA 2.0: An enhanced SImilarity-driven Multi-dimensional Binning Algorithm for free-running ferumoxytol-enhanced whole-heart MRI
John Heerfordt1,2, Aurélien Bustin2,3,4, Ludovica Romanin1,2, Estelle Tenisch2, Milan Prsa5, Tobias Rutz6, Christopher W. Roy2, Jérôme Yerly2,7, Juerg Schwitter6,8, Matthias Stuber2,7, and Davide Piccini1,2

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 3IHU LIRYC, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, Pessac-Bordeaux, France, 4Department of Cardiovascular Imaging, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Pessac, France, 5Division of Pediatric Cardiology, Department Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 6Division of Cardiology, Cardiovascular Department, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 7CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 8Cardiac MR Center, Lausanne University Hospital, Lausanne, Switzerland

A SImilarity-driven Multi-dimensional Binning Algorithm (SIMBA) was recently proposed for fast reconstruction of motion-consistent clusters for free-running whole-heart MRA acquisitions. Originally, only the most populated cluster was used for the reconstruction of a motion-suppressed image. In this work we investigated whether the redundancy of information among the clusters can be exploited to improve image quality. Specifically, an adapted XD-GRASP reconstruction and a multidimensional patch-based low-rank denoising algorithm were compared. Four different reconstructions were quantitatively evaluated and compared using ferumoxytol-enhanced free-running datasets from 10 pediatric and adult CHD patients. Information sharing resulted in significantly sharper anatomical features and increased image quality.

0188
18:00
Focused navigation (fNAV) for cardiac and respiratory motion-compensated free-running 3D whole-heart coronary MRA
Giulia MC Rossi1, Nemanja Masala1, Jessica AM Bastiaansen1, Aurelien Bustin1,2, Jérôme Yerly1,3, John Heerfordt1,4, Davide Piccini1,4, Matthias Stuber1,3, and Christopher W Roy1

1Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2LIRYC (Electrophysiology and Heart Modeling Institute), Bordeaux, France, 3CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 4Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare AG, Lausanne, Switzerland

A novel method for reconstructing motion-compensated 3D CMRA images from free-running data is proposed. We extend the use of a recent method for non-rigid respiratory motion correction called focused navigation (fNAV) to also encompass cardiac motion compensation that accounts for beat-to-beat heart-rate variability. Our combined fNAV approach is compared to the previously established cardiac and respiratory motion-resolved 5D imaging in vivo and is shown to provide overall similar image quality and comparable right coronary artery visualizations to 5D imaging in significantly shorter reconstruction times.  

0189
18:00
Preliminary study on free respiratory navigation whole-heart coronary magnetic resonance angiography based on Dixon at 3.0 T
Xin Li1, Di Tian1, Qingwei Song1, Ailian Liu1, and Zhiyong Li1

1The First Affiliated Hospital of Dalian Medical University, Dalian, China, Dalian, China

In comparison with the traditional whole-heart coronary magnetic resonance angiography (WH-CMRA) based on the spectral pre-saturation with inversion recovery (SPIR), the advanced WH-CMRA based on Dixon with non-contrast-enhanced free respiratory navigation is associated with advantages of improved image quality, increased blood signal-to-noise ratio, and the extra fat image. This study proved that it is feasible to visualize the coronary artery (image quality scores met the requirement of clinical diagnosis) using the Dixon based WH-CMRA without increasing scan time.

0190
18:00
Gadolinium-free Multi-contrast 3D whole-heart MRI for improved anatomical assessment in patients with Congenital Heart Disease
Anastasia Fotaki1,2, Karl Kunze1, Harith Alam2, Yasodhara Emmanuel2, Alessandra Frigiola2, Kuberan Pushparajah1,2, René Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Adult Congenital Heart Disease Department, Guy’s and St Thomas’s Hospital, London, United Kingdom

Bright- and black-blood MRI sequences provide complementary information on anatomical assessment for patients with Congenital Heart Disease(CHD).A free-breathing 3D whole-heart sequence (MTC-BOOST) has been recently proposed for simultaneous bright and black-blood high quality depiction of cardiac and vascular structures waiving the need for contrast agent injection. In this study, we clinically validated this sequence in a cohort of 35 patients with CHD against the conventional T2-prep bSSFP sequence. Quantitative and qualitative image quality assessment demonstrates that MTC-BOOST enhances pulmonary venous depiction, mitigates flow-related artefacts and has comparable image quality for intracardiac and vascular structures, promising potential integration into clinical workflow.

0191
18:00
MR Multitasking based Multidimensional Assessment of Cardiovascular System (MT-MACS) with Extended Spatial Coverage and Water-Fat Separation
Zhehao Hu1,2, Jiayu Xiao1, Xianglun Mao1, Yibin Xie1, Alan Kwan1,3, Xiaoming Bi4, Shlee Song5, Alison Wilcox6, Debiao Li1,2, Anthony Christodoulou1,2, and Zhaoyang Fan1,6,7

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Siemens Medical Solutions USA, Inc., Los Angeles, CA, United States, 5Department of Neurology, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 6Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, 7Department of Radiation Oncology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States

Non-invasive imaging of cardiac anatomy plays an important role in diagnosis, risk stratification, and planning of procedures in patients with cardiovascular disease. MR imaging has the potential to provide a comprehensive evaluation of cardiac chambers and thoracic vessels. However, the clinical workflow for the acquisition of conventional cardiac MR imaging is complex and time-consuming. MR MultiTasking based 3D Multi-dimensional Assessment of Cardiovascular System (MT-MACS) technique has recently been demonstrated in thoracic aortic diseases without need for ECG- and navigator-gating. In this work, we further extend the application of MT-MACS to the assessment of the whole heart and great thoracic vessels.

0192
18:00
Quantitative Time-of-Flight (qTOF) and Quiescent Interval Slice-Selective (qQISS) Intracranial MR Angiography
Ioannis Koktzoglou1,2, Rong Huang1, Nondas Leloudas1, and Robert R Edelman1,3

1Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 2University of Chicago Pritzker School of Medicine, Chicago, IL, United States, 3Northwestern University Feinberg School of Medicine, Chicago, IL, United States

Time of flight (TOF) and quiescent interval slice selective (QISS) magnetic resonance angiography (MRA) provide accurate anatomic evaluation blood vessels but do not readily quantify blood velocity or flow. Addressing this deficiency, we report two multi-echo stack-of-stars variants of TOF and QISS MRA (which we refer to as “quantitative TOF” (qTOF) and “quantitative QISS” (qQISS) MRA) that provide for simultaneous high-resolution anatomic and hemodynamic evaluation of the intracranial arteries.

0193
18:00
The Heterogeneity of Intramural Hematoma is Associated with Acute Ischemic Stroke in Patients with Proven Cervical Artery Dissection
Yuehong Liu1, Fang Wu2, Xiuqin Jia3, Haibin Li4, Xunming Ji5, and Qi Yang1

1Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China, 2Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, 3Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China, 4Epidemiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China, 5Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China

This study investigates the relation between the heterogeneity of intramural hematoma (IMH) on three-dimensional vessel wall MRI (3D-VWMRI) images and acute ischemic stroke in patients with proven cervical artery dissection (CAD). We found the high heterogenous IMH on 3D-VWMRI was associated with acute ischemic stroke in proven and non-occluded CAD. The heterogeneous signal of an IMH on 3D-VWMRI may indicate the asynchronous progress of CAD, possibly leading to thrombosis or hemodynamic instability, therefore results in ischemic stroke. The current finding may hold promise to better elucidate the pathophysiological mechanisms and occurrence risk of ischemic stroke for patients with CAD.

0194
18:00
3D Multi-Contrast Blood Imaging with a Single Acquisition: Simultaneous Non-Contrast-Enhanced MRA and Vessel Wall imaging
Yoshihiko Tachikawa1, Hiroshi Hamano2, Hikaru Yoshikai1, Kento Ikeda1, Yasunori Maki1, Yukihiko Takahashi1, and Kunishige Matake1

1Karatsu Red Cross Hospital, Saga, Japan, 2Philips Japan, Tokyo, Japan

Assessment of vessel lumen and wall and plaques lesions is important in management of patients with atherosclerosis. Conventional MR imaging typically requires long scan times to acquire MRA and vessel wall imaging (VWI), respectively. In this work, we present a new multi-contrast blood imaging method named BRIDGE (bright and dark blood images with multi-shot gradient-echo-planar imaging), which simultaneously acquires MRA and VWI in a single acquisition. Initial results with volunteers and patients showed that comparable image quality to conventional methods could be acquired in a short time, allowed simultaneous assessment of luminal changes and vulnerable plaques in a single acquisition.


Oral

Psychiatric Neuroimaging: Towards Grounding Clinical Diagnosis in Biology

Concurrent 4
Monday 18:00 - 20:00
Moderators: Chuan Huang
Parent Session: Psychiatric Neuroimaging: Towards Grounding Clinical Diagnosis in Biology
0195
18:00
Three-Compartment IVIM Model Applied to Psychotic Spectrum Disorders
Faye McKenna1, Yu Veronica Sui1, Hillary Bertisch1, Donald Goff1, and Mariana Lazar1

1New York University School of Medicine, New York, NY, United States

We applied a three compartment intravoxel incoherent motion (IVIM) technique that estimated the perfusion fraction (PF), free water (FW), and anisotropic diffusion of tissue (FAt) to detect microvascular and microstructural changes in a cohort of 54 psychotic spectrum disorder (PSD) patients compared to 35 healthy controls (HC). We found significantly increased PF, FW and FAt in PSD and PSD subtypes compared to HC, primarily in the frontal and temporal lobes and cingulate and insular cortices at multiple comparisons correction level. In patients, IVIM metrics were found to be associated with the duration of psychosis and performance on several cognitive tests.

0196
18:00
VAE deep learning model with domain adaptation and harmonization for diagnostic classification from multi-site neuroimaging data
Bonian Lu1, Rangaprakash Deshpande2, Madhura Ingalhalikar3, and Gopikrishna Deshpande1

1Electrical and Computer Engineering, AU MRI Research Center, Auburn University, Auburn, AL, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Medical School and Harvard-MIT Health Sciences and Technology, Charlestown, MA, United States, 3Symbiosis Center for Medical Image Analysis, Symbiosis International University, Pune, India

In large public multi-site fMRI datasets, the sample characteristics, data acquisition methods and pre-processing approaches vary across sites and datasets, leading to poor diagnostic classification. Domain adaptation aims to improve the classification performance in target domain data by utilizing the knowledge learned from the source domain, and making the distributions of data in source and target domains as similar as possible. In this sense, domain adaptation is one method that can be used to achieve and optimize transfer learning by using different datasets.

0197
18:00
Data-driven clustering differentiates subtypes of major depressive disorder with distinct connectivity-symptom association
Yanlin Wang1, Shi Tang1, Xinyu Hu1, Yongbo Hu1, Weihong Kuang2, Zhiyun Jia1, Xiaoqi Huang1, and Qiyong Gong1

1Department of Radiology, West China Hospital, Sichuan University, Huaxi MR Research Center (HMRRC), Functional and molecular imaging Key Laboratory of Sichuan Province, Chengdu, China, 2Department of Psychiatry, Sichuan University West China Hospital, Chengdu, China

Major depressive disorder (MDD) is a clinically heterogeneous syndrome and commonly co-occur alongside symptoms of other psychiatric domains. It is challenging to identify the correspondence between these clinical heterogeneous and relevant neurobiological substrates and define neurophysiological subtypes of MDD. We used regularized canonical correlation analysis (rCCA) to assess a two-dimensional mapping between the intrinsic connectivity networks (ICNs) and clinical symptoms and thus aid in defined MDD subtypes. We then compared potential symptom severity and neural features alterations between these subtypes and further assess the association between these features.

0198
18:00
Glutamatergic responses to a color-word Stroop task in first-episode schizophrenia: A 7-Tesla functional MRS study
Peter Jeon1, Michael MacKinley2, Kara Dempster3, Dickson Wong4, Lena Palaniyappan1,2,5,6, and Jean Theberge1,5,7

1Medical Biophysics, Western University, London, ON, Canada, 2Neuroscience, Western University, London, ON, Canada, 3Psychiatry, Dalhousie University, Halifax, NS, Canada, 4Schulich School of Medicine and Dentistry, Western University, London, ON, Canada, 5Psychiatry, Western University, London, ON, Canada, 6Robarts Research Institute, London, ON, Canada, 7Lawson Health Research Institute, London, ON, Canada

Dynamic behaviour of neurometabolites require tools that are able to capture such temporal information. Functional MRS can track metabolite level changes in response to external stimuli, providing valuable observations for illnesses such as schizophrenia. This study employed a 7-Tesla fMRS technique to study the anterior cingulate cortex glutamate, glutamine, and glutathione dynamic behaviours in 38 first-episode schizophrenia and 27 healthy controls. In response to a color-word Stroop task, significant differences were observed in resting and dynamic glutathione levels, supporting abnormal neurometabolite behaviour or circuitry in the early stages of schizophrenia.

0199
18:00
Positive emotional training with real-time functional MRI amygdala neurofeedback increased hippocampal volume for PTSD
Masaya Misaki1, Beni Mulyana1,2, Vadim Zotev1, Brent E Wurfel3, Frank Krueger4, Matthew Feldner5, and Jerzy Bodurka1,6

1Laureate Institute for Brain Research, Tulsa, OK, United States, 2Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, United States, 3Laureate Psychiatric Clinic and Hospital, Tulsa, OK, United States, 4Neuroscience Department, George Mason University, Fairfax, VA, United States, 5Department of Psychological Science, University of Arkansas, Fayetteville, AR, United States, 6Stephenson School of Biomedical Engineering, University of Oklahoma, Norman, OK, United States

While small hippocampal volume is a prevalent neurostructural abnormality in posttraumatic stress disorder (PTSD), whether hippocampal atrophy is a reversible alteration or a permanent trait is unclear. This study examined a volume change among hippocampal subfields due to positive emotion training with left amygdala (LA) fMRI neurofeedback (LA-NF) in PTSD participants. A significant volume increase was seen in the left CA1-head region after the training. This indicates that the small hippocampus in PTSD is a reversible alteration in a part of the subfields and that positive emotion training with LA-NF could induce a hippocampal volume recovery.

0200
18:00
Reductions of fibre-specific white matter metrics in autism are determined by the level of intellectual functioning: a fixel-based analysis
Chun-Hung Yeh1,2, Rung-Yu Tseng1, Susan Shur-Fen Gau3, and Hsiang-Yuan Lin4

1Institute for Radiological Research, Chang Gung University and Chang Gung Memorial Hospital, Taoyuan, Taiwan, 2Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, 3Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan, 4Azrieli Adult Neurodevelopmental Centre and Adult Neurodevelopmental and Geriatric Psychiatry Division, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto, ON, Canada

Based on the multi-band multi-shell diffusion MRI data acquisition and fixel-based analysis, the purpose of our study is to provide more insights into neurobiological accounts of autism, inclusive of understudied low functioning individuals. Preprocessed DWI data of 38 TD and 65 autistic participants were analysed. We found reduced fibre density in the splenium of the corpus callosum in autisitic individuals. This autism-associated alteration appears to be mainly driven by those autistic individuals with developmental disabilities. Our findings suggest studies inclusive of autistic people comorbid with developmental disabilities using the novel models may bridge some heterogeneity noted in the literature.

0201
18:00
Cerebral hemodynamic alterations associated with an in-scanner drug trial in adults with bipolar depression
William S.H. Kim1,2, Mikaela K. Dimick3,4, Danielle Omrin4, Beverley A. Orser4,5, Benjamin I. Goldstein4,6, and Bradley J. MacIntosh1,2

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Sunnybrook Research Institute, Toronto, ON, Canada, 3Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada, 4Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 5Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada, 6Department of Psychiatry, University of Toronto, Toronto, ON, Canada

Multiple post-label delay (multi-PLD) arterial spin labeling (ASL) magnetic resonance imaging is one approach to monitor cerebral hemodynamic drug responses. In addition to cerebral blood flow (CBF), it is possible to map arterial transit time (ATT) and arterial cerebral blood volume (aCBV). Here, we investigate multi-PLD ASL-derived CBF, ATT, and aCBV responses to a single treatment of either: 1) nitrous oxide or 2) midazolam among adults with treatment-resistant bipolar depression. Between baseline and post-treatment timepoints, we report treatment effects on CBF change in the temporal lobe and on ATT change in the frontal and parietal lobes.

0202
18:00
Disparate Cognitive Patterns Captured by Subcortical Profiles in Schizophrenia
Qiannan Zhao1, Hengyi Cao1,2,3, Yuan Xiao1, Qiyong Gong1, and Su Lui1

1Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital, Sichuan University, Chengdu, China, 2Division of Psychiatry Research, Zucker Hillside Hospital, Glen Oaks, NY, United States, 3Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, NY, United States

Subcortical morphological abnormalities are associated with cognitive impairment in schizophrenia. We hypothesized that patients with different degree of cognitive impairment might be separated by subcortical morphological abnormalities. Here we identified two distinct clusters in patients with schizophrenia based on their regional subcortical volume. Different degree of regional subcortical volume, global brain volume and cognitive impairment were observed between two clusters of patients, with more severe cognitive impairment in the more severe morphological deficit cluster. These findings indicate critical relationships between subcortical structures and cognition in schizophrenia, and suggest that subcortical morphological abnormalities could help to capture cognitive profiles in schizophrenia.

0203
18:00
Age-dependent effects of methylphenidate on emotional dysregulation: an RCT in stimulant treatment-naïve male ADHD patients
Antonia Kaiser1, Marco A. Bottelier1,2, Michelle M. Solleveld1, Hyke G.H. Tamminga1,3, Cheima Bouziane1, Ramon J.L. Lindauer4,5, Paul J. Lucassen6, Michiel B. de Ruiter1,7, Anouk Schrantee1, and Liesbeth Reneman1

1Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands, 2Child Study Center, Accare, Groningen, Netherlands, 3Dutch Autism and ADHD research center, University of Amsterdam, Amsterdam, Netherlands, 4Department of Child and Adolescent Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands, 5De Bascule, Academic Centre for Child and Adolescent Psychiatry, Amsterdam, Netherlands, 6Brain Plasticity Group, Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Amsterdam, Netherlands, 7Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, Netherlands

Emotional dysregulation (ED) is an important outcome moderator of Attention-Deficit/Hyperactivity Disorder (ADHD). We previously found that acute administration of methylphenidate age-dependently modulated neural mechanisms underlying ED, i.e., amygdala reactivity, but effects of chronic methylphenidate administration remain unknown. Following randomization to 16 weeks of methylphenidate or placebo treatment, we here report a lasting improvement in ED, depressive and anxiety symptoms in ADHD children, whereas a transient improvement of ED and depressive symptoms occurred in adults, independent of treatment condition. Although depressive and anxiety symptoms at baseline negatively predicted ADHD symptom change in adults, age-dependent effects on amygdala reactivity were absent.

0204
18:00
Application of graph theory across multiple frequency bands in obsessive-compulsive disorder
Xue Li1, Hailong Li2, Lingxiao Cao2, Jing Liu2, Haoyang Xing1, and Xiaoqi Huang2

1Department of Physics, Sichuan university, chengdu, China, 2Huaxi Magnetic Resonance Research Centre (HMRRC), West China Hospital of Sichuan University, chengdu, China

Graph theoretical approaches across multiple frequency bands were adopted to investigate whether there exist specific frequency band-related changes of brain functional connectome in OCD patients. We found significant between-group differences of global metrics only at slow-3 band (.074–0.198 Hz), On local metrics, we observed a frequency-dependent characteristic. The results suggested that multiband measurement indeed provided some new insight about the nature of brain functional connectome changes in OCD, future studies should take the different frequency bands into account when measure brain’s spontaneous activity.


Oral

Diffusion in the Brain

Concurrent 5
Monday 18:00 - 20:00
Moderators: Tim Dyrby & Camilo Jaimes
Parent Session: Diffusion in the Brain
0205
18:00
Characterization of Apparent Exchange Rate in Human Brain White Matter
Zhaoqing Li1,2, Yi-Cheng Hsu3, and Ruiliang Bai1,2

1Interdisciplinary Institute of Neuroscience and Technology (ZIINT), School of Medicine, Zhejiang University, Hangzhou, China, HangZhou, China, 2College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China, HangZhou, China, 3MR Collaboration, Siemens Healthcare, Shanghai, China, ShangHai, China

Filter exchange imaging (FEXI) is a non-invasive method to measure water exchange among diffusion compartments by apparent exchange rate (AXR). However, in human white matter, it is still controversial whether the diffusion-encoding gradient direction will affect AXR measurement. In this study, we performed FEXI on human brain with 20 diffusion gradient directions to explore features of AXR in white matter. We found that AXR measured with diffusion direction perpendicular to fiber (~ 0.47 s-1) is significantly larger than that parallel to fiber (~ 0.15 s-1), suggesting FEXI at different directions might measure exchanges between different biological compartments in white matter.

0206
18:00
Evaluation of White Matter Microstructure in an HIV Population at Risk of Cerebral Small Vessel Disease using Microscopic Fractional Anisotropy
Md Nasir Uddin1, Abrar Faiyaz2, and Giovanni Schifitto1,3

1Department of Neurology, University of Rochester, Rochester, NY, United States, 2Electrical & Computer Engineering, University of Rochester, Rochester, NY, United States, 3Imaging Sciences, University of Rochester, Rochester, NY, United States

White matter microstructural abnormalities are well documented in HIV-infected individuals. DTI derived fractional anisotropy (FA) is frequently used to assess the abnormalities but it has some limitations. In this work, we compared FA and microscopic fractional anisotropy (μFA) in an HIV cohort, and our results indicate that μFA seems to provide better sensitivity than the conventional FA for detecting white matter microstructure changes associated with HIV infection, especially in the areas with crossing fibers.

0207
18:00
Human brain in vivo correlation tensor MRI on a clinical 3T system
Lisa Novello1, Rafael Neto Henriques2, Andrada Ianuş2, Thorsten Feiweier3, Noam Shemesh2, and Jorge Jovicich1

1Center for Mind/Brain Sciences - CIMeC, University of Trento, Rovereto, Italy, 2Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal, 3Siemens Healthcare GmbH, Erlangen, Germany

Resolving the underlying sources of kurtosis in biological systems is emerging as a promising strategy for non-invasive quantitative characterization of tissue microstructure. Recently, a novel framework termed Correlation Tensor Imaging (CTI), based on double-diffusion-encoding MRI, was shown to disentangle anisotropic, isotropic, and microscopic kurtosis sources in mouse brains. Here, we implemented CTI on a clinical 3T MRI system and scanned normal humans for the first time. The ensuing CTI-driven non-Gaussian inter/intra-compartmental estimates are promising and agree with expectations: positive intra-compartmental kurtosis for gray and white matter, larger for gray than white matter, and around zero for cerebrospinal fluid.

0208
18:00
Feasibility of Filter-exchange Imaging (FEXI) in Measuring Different Exchange Processes in Human Brain
Zhaoqing Li1,2, Chaoliang Sun1,2, Yi-Cheng Hsu3, Hui Liang4, Peter Basser5, and Ruiliang Bai1,2

1Interdisciplinary Institute of Neuroscience and Technology (ZIINT), School of Medicine, Zhejiang University, Hangzhou, China, HangZhou, China, 2College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China, HangZhou, China, 3MR Collaboration, Siemens Healthcare, Shanghai, China, ShangHai, China, 4Department of Neurology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China, HangZhou, China, 5Section on Quantitative Imaging and Tissue Sciences, NICHD, National Institutes of Health, Bethesda, MD, USA, Bethesda, MD, United States

In this study, we aim to explore the feasibility of Filter-exchange imaging (FEXI) in measuring different water exchange processes in human brain by modulating the diffusion filter (bf) and detection (b) blocks. We found the apparent exchange rate (AXR) estimated from a FEXI protocol with bf=250s/mm2 are significantly larger than those with bf=900s/mm2. Besides, the filter efficiency of FEXI with bf=250s/mm2 shows a strong correlation with vascular density estimated as the fraction of water exhibiting intravoxel incoherent motion (IVIM). Collectively, our current results demonstrate that FEXI targeting the vascular water could help characterize the intra-to-extravascular water exchange process.

0209
18:00
Is the inversion time important? A study of the reciprocal influence of inversion time and b-value on diffusion and longitudinal relaxation in MRI
Tomasz Pieciak1,2, Maryam Afzali3, Fabian Bogusz1, Dominika Ciupek1, Derek K. Jones3, and Marco Pizzolato4,5

1AGH University of Science and Technology, Kraków, Poland, 2LPI, ETSI Telecomunicación, Universidad de Valladolid, Valladolid, Spain, Valladolid, Spain, 3Cardiff University Brain Research Imaging Centre (CUBRIC), School of Psychology, Cardiff University, Cardiff, United Kingdom, 4Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark, 5Signal Processing Lab (LTS5), École polytechnique fédérale de Lausanne (EPFL), Lausanne, Switzerland

The nervous tissue microstructure can be characterized by sensitizing the MRI signal to diffusion. The advent of multi-parametric sequences enabled the collection of diffusion data at different echo and inversion times. While the link between diffusion and transverse relaxation has undergone several investigations, in this work we characterize the relationship between the diffusion and longitudinal relaxation, and quantify the reciprocal influence of b-values and inversion time on the quantification of T1 and of diffusion metrics, interpreting our findings on in vivo data in the light of numerical simulations, and showing evidence that longitudinal relaxation locally modifies the diffusion contrast.

0210
18:00
Unique insights into visual network development over childhood and adolescence from microstructure informed tractography
Simona Schiavi1, Sila Genc2, Maxime Chamberland2, Chantal M.W. Tax2,3, Erika P. Raven4, Alessandro Daducci1, and Derek K Jones2,5

1Department of Computer Science, University of Verona, Verona, Italy, 2CUBRIC, School of Psychology, Cardiff University, Cardiff, United Kingdom, 3Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 4Department of Radiology, Bernard and Irene Schwartz Center for Biomedical Imaging, New York University School of Medicine, New York, NY, United States, 5Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia

We employed the Convex Optimization Modeling for Microstructure Informed Tractography (COMMIT) approach to construct microstructure-informed connectomes and study the distinct patterns of age-related development in structural whole-brain network and sub-networks using global graph metrics. Whole brain analyses showed that with the new edge-weighting, the shortest-path length between all pairs of nodes decreases with age and thus efficiency increases. This reduction in shortest-path length is probably driven by previously reported age-related increases in the intra-axonal signal fraction. Sub-networks analyses revealed unique visual network characteristics over development and confirmed previously observed maturational pattern of posterior regions across childhood and adolescence.

0211
18:00
Infant cerebrospinal fluid dynamics assessed by low b-value diffusion tensor imaging and association with visible Virchow–Robin spaces
Xianjun Li1, Congcong Liu1, Mustafa Salimeen1, Miaomiao Wang1, Mengxuan Li1, Chao Jin1, Xiaocheng Wei1, and Jian Yang1

1Department of Radiology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

Cerebrospinal fluid (CSF) and interstitial fluid exchange via Virchow Robin space (VRS). It is reasonable to infer that VRS may be related to CSF dynamics. To investigate the association between CSF dynamics and VRS on infants, this work assessed CSF dynamics on infants by DTI with b values of 200 and 1000 s/mm2 and segmented VRS on T2WI images. Results suggest that the ratio between diffusivities derived from low and high b-value DTI could provide complementary information for assessing infant cerebrospinal fluid dynamics. There may exist potential association between Virchow–Robin space volume and cerebrospinal fluid dynamics.

0212
18:00
3t++ temporally consistent 3 tissue HARDI decomposition of neonatal brain tissue
Maximilian Pietsch1,2, Daan Christiaens2,3, Jana Hutter2,4, Lucilio Cordero-Grande2, Anthony N. Price2,4, Emer Hughes2, A. David Edwards2, Joseph V. Hajnal2,4, Serena J. Counsell2, Jonathan O'Muircheartaigh1,2,5,6, and J-Donald Tournier2,4

1Forensic & Neurodevelopmental Sciences, King's College London, London, United Kingdom, 2Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King’s College London, Kings Health Partners, St. Thomas Hospital, London, SE1 7EH, UK, King's College London, London, United Kingdom, 3Department of Electrical Engineering (ESAT/PSI), KU Leuven, Leuven, Belgium, 4Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 5Department of Perinatal Imaging & Health, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 6MRC Centre for Neurodevelopmental Disorders, King's College London, London, United Kingdom

We decompose neonatal HARDI signal into four components that together capture the orientation dependency and temporal dependency of signal in neonatal white and grey matter and CSF. We show that the voxel-wise volume fractions of the associated components exhibit distinct sigmoid-shaped time dependencies between 33 to 44 weeks gestational age and clearly delineate anatomical structures in developing white and grey matter, allowing detailed characterisation of microstructural properties of developing white and grey matter.

0213
18:00
Redefining the architecture of white matter damage in paediatric concussions and their relationship with symptoms
Guido I. Guberman1, Sonja Stojanovski2,3, Alain Ptito1, Danilo Bzdok4, Anne Wheeler2,3, and Maxime Descoteaux5

1Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada, 2Neuroscience and Mental Health Program, Hospital for Sick Children, Toronto, ON, Canada, 3Department of Physiology, University of Toronto, Toronto, ON, Canada, 4Department of Biomedical Engineering, McGill University, Montreal, QC, Canada, 5Department of Computer Science, Université de Sherbrooke, Sherbrooke, QC, Canada

Concussion heterogeneity remains a major challenge for clinical and scientific research. Yet, most studies continue to employ group comparison approaches that assume consistent one-to-one relationships between brain structure and symptoms. To parse concussion heterogeneity, we employed a double-multivariate approach using diffusion MRI of children with histories of concussion. Multivariate white-matter structural features captured more information about symptoms than all individual features. Results also revealed how different white-matter abnormalities led to similar symptom profiles. Lastly, multivariate features significantly predicted adverse psychiatric outcomes. These results suggest that concussion heterogeneity arising from complex structure/symptom relationships can be well captured by our double-multivariate approach.

0214
18:00
Chenonceau:  an entire ex vivo human brain 11.7T anatomical and diffusion MRI dataset at the mesoscopic scale
Alexandros Popov1, Raïssa Yebga Hot1, Justine Beaujoin1, Ivy Uszynski1, Fawzi Boumezbeur1, Fabrice Poupon1, Christophe Destrieux2, and Cyril Poupon1

1NeuroSpin (CEA), Paris, France, 2Université de Tours, Tours, France

In this study, we present the Chenonceau dataset : a novel 11.7T MRI dataset of the entire human brain, combining an ultra-high resolution anatomical scan at 100μm with diffusion scans at 200μm using strong diffusion sensitizations. To obtain this dataset, a unique acquisition protocol has been established : a fixed ex vivo brain has been cut into blocks compatible in size with a Bruker 11.7T MRI system. The blocks were scanned individually over an extended period of time. The collection of datasets was then registered back to a reference blockface acquired at 3T, thus resulting in a unique high resolution brain dataset.


Combined Educational & Scientific Session

SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: When SARS-CoV-2 Attacks

Organizers: Christopher Filippi
Concurrent 6
Monday 18:00 - 20:00
Moderators: Meiyun Wang & Christopher Filippi
Parent Session: MRI in COVID-19
(no CME credit)
18:00
When SARS-CoV-2 Attacks (Pathophysiology/Immunology/Vaccine)
Amit Mahajan1

1Yale School of Medicine, New Haven, CT, United States

COVID-19 has created havoc in communities around the world, ever since the start of the pandemic in December 2019. The causative agent, SARS-CoV-2 is a novel Coronavirus, that produces a diversity of manifestations ranging from asymptomatic infections to fatal infections characterized by viral pneumonia, ARDS, systemic inflammation and thromboembolism. The current presentation aims to summarize the pathogenesis and immunology of COVID-19 and its impact on vaccinations and the newly discovered viral variants. 

18:30
Brain MR & SARS-CoV-2: Imaging Findings, Complications & Outcomes
Simonetta Gerevini1

1ASST Papa Giovanni XXIII, Bergamo, Italy

A relevant number of COVID-19 patients may present with neurological symptoms in the acute/subacute phase of the disease. Neuroimaging can reveal a wide spectrum of CNS abnormalities, from ischemic lesions to microhemorrhages as well as meningoencephalitis and extensive white matters lesions. Advanced imaging techniques (DWI, DTI, f-MRI) may reveal underlining “inflammation of the brain” in case of persistent neurological symptoms and an unremarkable MRI examination.Long term neurological and neuropsychological sequelae are reported up to 30–40% in COVID-19 survivors, includingfatigue, myalgia, headache, dysautonomia and cognitive impairment (“brain fog”). A complete understanding of these manifestations is mandatory.

19:00
SARS-CoV-2 in the Lungs & the Role of MRI
Bhavin Jankharia1

1Jankharia Imaging, Mumbai, India

Imaging has an important role to play in the diagnosis, management and follow-up of patients with Covid-19.

CT scan is an important modality. There are typical findings that allow a diagnosis of Covid-19 with high specificity. There are some unique signs due to the presence of angiopathy such as vascular "tree-in-bud" and target sign and perfusion defects without thrombosis.

Follow-up of patients in the medium term usually shows regression of lesions. Some show persistent perfusion defects.

MRI may show Covid-19 findings but cannot used routinely. Hyperpolarized Xe and O2 enhanced UTE MRI are being explored as options for follow-up.


19:30
Emerging MRI Data & Controversies of Cardiac Complications Related to SARS-CoV-2
Yuchi Han1

1University of Pennsylvania, Philadelphia, PA, United States

There is increasing data describing abnormalities present on patients who have had CMR post SARS-CoV2 infection, especially in patients with troponin elevation and/or cardiac symptoms. These findings include infarct and myocarditis pattern late gadolinium enhancement, elevated T1, T2, and extracellular fraction levels.  Controversy exists regarding whether or not these findings can be attributed to SARS-CoV2. Thus, we began by describing the definitions of myocarditis, the updated Lake Louise criteria for CMR for myocardial inflammation, and autopsy evidence of myocarditis associated with SARS-CoV2, and then go into the findings in the current literature.

0215
18:00
Evaluation for Myocarditis in Competitive Athletes Recovering from COVID-19 using Cardiac MRI
Jitka Starekova1, David A Bluemke1,2, William S Bradham1,2, Lee L Eckhardt2, Thomas M Grist1,3,4, Joanna E Kusmirek1, Christopher S Purtell2, Mark L Schiebler1, and Scott B Reeder1,2,3,4,5

1Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Medicine, University of Wisconsin-Madison, Madison, WI, United States, 3Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 4Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 5Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

Recent reports of COVID-19-associated myocarditis have raised safety concerns for athletes returning to training after recovering from COVID-19. As a result, our institution initiated a comprehensive screening program for all student athletes recovering from COVID-19, to screen for myocarditis using non-invasive diagnostic tests, including cardiac MRI. In this retrospective study we describe our institutional experience, including the prevalence and severity of MRI findings of myocarditis in student athletes recovering from COVID-19. Patients had mild (73/149;49%) or moderate symptoms (40/149;27%), or were asymptomatic (26/149;17%). Only 2/149 patients had MRI findings consistent with updated Lake Louise criteria for myocarditis (1.3%, 95%CI 0.4%,4.8%). 

0216
18:00
Ex vivo quantitative MR characterization of brain lesions induced by SARS-COV-2 infection
Mathieu David Santin1,2, Isabelle Plu3, Lydia Chougar1,2,3, Nadya Pyatigorskaya1,2,3, Roberto Toro4, Stéphane Lehéricy1,2,3, and Danielle Seilhean2,3

1Center for NeuroImaging Research - CENIR, Paris Brain Institute - ICM, Paris, France, 2ICM, Sorbonne University, UPMC Univ Paris 06, Inserm U1127, CNRS UMR 7225, Paris, France, 3Hôpital Pitié-Salpêtrière, AP-HP, Paris, France, 4Institut Pasteur, Paris, France

Our study aims to link ex vivo brain MRI signal abnormalities with neuropathological findings relative to the SARS-CoV-2 infection. MRI offers a “big picture” image on the whole organ compared to histology alone, which can be limited to blindly sampled small sections, when recent imagery is not available. The objective is to characterize the brain lesions linked to the viral infection. Our project should produce a new description of the anatomical structures affected by the infection in the central nervous system, and in particular those related to the brain vascular system.

0217
18:00
Examining cerebral blood flow in adults with COVID-19
William S.H. Kim1,2, Xiang Ji2, J. Jean Chen1,3, Asaf Gilboa3, Eugenie Roudaia3, Allison Sekuler3, Aravinthan Jegatheesan4, Mario Masellis2, Benjamin Lam2, Robert Fowler5, Chris Heyn2, Sandra E. Black2, Simon J. Graham1,4, and Bradley J. MacIntosh1,2

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, ON, Canada, 3Rotman Research Institute, Toronto, ON, Canada, 4Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 5Evaluative Clinical Sciences, Trauma, Emergency & Critical Care, Sunnybrook Research Institute, Toronto, ON, Canada

The relationship between coronavirus disease 2019 (COVID-19) and cerebral blood flow (CBF) is not well understood. Here, we report on CBF measured by pseudo-continuous arterial spin labeling among adults that weeks prior had experienced flu-like symptoms with either a positive or negative COVID-19 diagnosis. Recruitment is ongoing, but at present we report no group differences in CBF across brain grey matter. However, subsequent regional analyses point to possible CBF abnormalities in those with a positive COVID-19 diagnosis.

0218
18:00
Characterization of brain susceptibility changes in post-hospitalisation COVID-19 patients at 7 Tesla
Catarina Rua1,2, Christopher T Rodgers2,3, Virginia F J Newcombe2,4, Anne Manktelow4, Doris A Chatfield4, Stephen J Sawcer3, Joanne G Outtrim4, Victoria C Lupson2, Emmanuel A Stamatakis2,3,4, Guy B Williams2,3, William T Clarke5, Karen D Ersche6,7, Kyle Pattinson5, Edward T Bullmore6,7, David K Menon2,4,8, and James B Rowe1,9

1Department of Clinical Neurosciences and University of Cambridge Centre for Parkinson-plus, University of Cambridge, Cambridge, United Kingdom, 2Wolfson Brain Imaging Centre, University of Cambridge, Cambridge, United Kingdom, 3Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom, 4Division of Anaesthesia, University of Cambridge, Cambridge, United Kingdom, 5Welcome Centre for Integrative Neuroimaging (FMRIB), University of Oxford, Oxford, United Kingdom, 6Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom, 7Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom, 8on behalf of the Cambridge NeuroCOVID group (www.wbic.cam.ac.uk/neuro-covid/) and the CITIID-NIHR COVID-19 BioResource Collaboration, Cambridge, United Kingdom, 9Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, United Kingdom

Patients hospitalized with the new coronavirus disease (COVID-19) have shown severe changes in the central nervous system (CNS), particularly microhaemorrhages and encephalitis. However, long-term effects on the CNS haven not yet been fully characterised. In this study we scanned a group of 14 recently hospitalized COVID-19 patients at ultra-high field (7T) and analysed the microstructural changes measured by quantitative susceptibility mapping (QSM) from both subcortical nuclei and brainstem, which are thought to be targeted by the virus.  

0219
18:00
Low-Field Non-Contrast Cardiopulmonary MRI for Morphologic and Functional Assessment in Post-Covid Patients
Lea Azour1, William H Moore1, Larry Latson1, Mary Bruno1, Mahesh Bharath Keerthivasan2, Rany Condos3, Derek Mason1, Anna Shmukler1, Terlika Sood1, Adrienne Campbell-Washburn4, and Hersh Chandarana1

1Radiology, NYU Langone Health, New York, NY, United States, 2Siemens Medical Solutions, New York, NY, United States, 3Pulmonary Medicine, NYU Langone Health, New York, NY, United States, 4National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, United States

Low-field (.55T) non-contrast MRI was performed in 15 post-Covid patients for combined cardiac and pulmonary evaluation, allowing for derivation of cardiac function in terms of left ventricular ejection fraction, as well as assessment for presence of persisting pulmonary parenchymal abnormalities. As the number of post-Covid patients increases, a radiation and contrast-free mode of cardiopulmonary imaging is of increasing relevance; low-field MRI in particular is a promising tool for high-performance lung imaging.

0220
18:00
Assessing pulmonary findings of COVID-19 with ultrashort TE magnetic resonance imaging
Shuyi Yang1, Yunfei Zhang2, Fei Shan1, and Yongming Dai2

1Shanghai Public Health Clinical Center, Shanghai, China, 2Central Research Institute, United Imaging Healthcare, Shanghai, China

Chest computed tomography (CT) has played significant role in assessing the pulmonary findings of COVID-19. However, MRI, a radiation-free imaging technique has hardly been applied for assessing the pulmonary abnormalities of patients with COVID-19. Ultra shot echo time MRI (UTE-MR) is broadly regarded as a valuable tool for pulmonary imaging. This research, hence, aims to evaluate the COVID-19 with UTE-MR. The results indicated that there was no significant difference of image quality between the UTE-MR and CT for identifying the representative abnormalities. Besides, the intermethod agreement of UTE-MR and CT for assessing the pulmonary abnormalities were all determined excellent.


Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: Cerebral Oxygenation II

Concurrent 7
Monday 18:00 - 19:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI III
(no CME credit)
18:00
How to Analyse Your Physiological MRI Data: Cerebral Oxygenation
  Nicholas Blockley
  University of Nottingham


Member-Initiated Symposium

Frontiers & Challenges in Small Animals Resting-State Functional MRI

Concurrent 8
Monday 18:00 - 20:00
Moderators: Joanes Grandjean
Parent Session: Frontiers & Challenges in Small-Animal Resting-State Functional MRI
(no CME credit)
18:00
Multicentre Resting-State fMRI Analysis: Towards Recommendation for Optimized Image Acquisition & Analysis
  Francesca Mandino
  The University of Manchester

18:30
Resting-State Cerebral Networks Across Species: An Evolutionary Perspective
  Clément Garin
  Wake Forest School of Medicine

19:00
Impairments of Cerebral Networks in Animal Models of Psychiatry
  Laura Harsan
  University of Strasbourg

19:30
A Novel Oscillatory Activity of the Thalamic Reticular Nucleus & Its Relation to Resting-State Networks of the Brain
  Norio Takata
  Keio University School of Medicine

20:00
Multimodal Approach to Image Cortical Calcium Activity Concurrently with fMRI: New Tools to Understand the Impact of Neuronal Activity on Resting-State Organization
  Evelyn Lake
  Yale School of Medicine


Tutorial

Tutorial: Software Demos for MRI III

Concurrent 7
Monday 19:00 - 20:00
Parent Session: Tutorial: Software Demos for MRI III
(no CME credit)

Plenary Session

CEST-MRI Challenges & Promises

Organizers: Noam Ben-Eliezer, Kannie WY Chan, Hai-Ling Cheng, Eva-Maria Ratai, Tony Stoecker, Moriel Vandsburger
Concurrent 1
Monday 20:00 - 22:00
Moderators: Rachelle Crescenzi & Noam Ben-Eliezer
Parent Session: Monday Plenary
20:00
ISMRM Awards

20:30
CEST: Overcoming the Challenges
Elena Vinogradov1

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States

20:45
CEST Imaging: Clinical Applications
Daniel Paech1

1German Cancer Research Center (DKFZ), Heidelberg, Germany

21:00
NextCEST: Leveraging Fingerprinting/ML for Accelerated CEST
HyunWook Park1

1Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of

21:15
Making CEST a Quantitative & Standardized Methodology
Mark D. Pagel1

1MD Anderson Cancer Center, Houston, TX, United States



Tuesday, 18 May 2021

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Tutorial

Tutorial: Software Demos for MRI IV

Concurrent 7
Tuesday 7:00 - 8:00
Parent Session: Tutorial: Software Demos for MRI IV
(no CME credit)

Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: DSC MRI I

Concurrent 7
Tuesday 9:00 - 10:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI IV
(no CME credit)
9:00
How to Analyse Your Physiological MRI Data: Dynamic Susceptibility Contrast (DSC) MRI
  Amit Mehndiratta
  Indian Institute of Technology Delhi


Corporate Symposium

Siemens Healthineers Gold Corporate Symposium

Tuesday 10:00 - 11:00
(no CME credit)

Oral

Machine Learning for Data Acquisition & Image Reconstruction

Concurrent 1
Tuesday 12:00 - 14:00
Moderators: Mingrui Yang & Yunyan Zhang
Parent Session: Machine Learning for Data Acquisition & Image Reconstruction
0221
12:00
On Instabilities of Conventional Multi-Coil MRI Reconstruction To Small Adversarial Perturbations
Chi Zhang1,2, Jinghan Jia3, Burhaneddin Yaman1,2, Steen Moeller2, Sijia Liu4, Mingyi Hong1, and Mehmet Akçakaya1,2

1Electrical and Computer Engineering, University of Minnesota, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3University of Florida, Gainesville, FL, United States, 4MIT-IBM Watson AI Lab, IBM Research, Cambridge, MA, United States

Although deep learning (DL) has received much attention in accelerated MRI, recent studies suggest small perturbations may lead to instabilities in DL-based reconstructions, leading to concern for their clinical application. However, these works focus on single-coil acquisitions, which is not practical. We investigate instabilities caused by small adversarial attacks for multi-coil acquisitions. Our results suggest that, parallel imaging and multi-coil CS exhibit considerable instabilities against small adversarial perturbations.

0222
12:00
Subtle Inverse Crimes: Naively using Publicly Available Images Could Make Reconstruction Results Seem Misleadingly Better!
Efrat Shimron1, Jonathan Tamir2, Ke Wang1, and Michael Lustig1

1Electrical Engineering and Computer Sciences, UC Berkeley, Berkeley, CA, United States, 2Electrical and Computer Engineering, The University of Texas at Austin, Austin, TX, United States

This work reveals how naively using publicly available data for training and evaluating reconstruction algorithms may lead to artificially improved algorithm performance. We observed such practice in the “wild” and aim to bring this to the attention of the community. The underlying cause is common data preprocessing pipelines which are often ignored: k-space zero-padding in clinical scanners and JPEG compression in database storage. We show that retrospective subsampling of such preprocessed data leads to overly-optimistic reconstructions. We demonstrate this phenomenon for Compressed-Sensing, Dictionary-Learning and Deep Neural Networks. This work hence highlights the importance of careful task-adequate usage of public databases.

0223
12:00
Motion-resolved B1+ prediction using deep learning for real-time pTx pulse-design.
Alix Plumley1, Luke Watkins1, Kevin Murphy1, and Emre Kopanoglu1

1Cardiff University Brain Research Imaging Centre, Cardiff, United Kingdom

Motion in parallel-transmit (pTx) causes flip-angle error due to dependence of channels' B1-sensitivities on head position. Real-time pTx pulse-design could mitigate motion-induced flip-angle error, but requires real-time, motion-resolved B1+ distributions (not measurable). A deep learning method is presented to estimate motion-resolved B1+ maps via a system of conditional generative adversarial networks. Using simulations, we demonstrate that estimated maps can be used to design tailored pTx pulses which yield similar flip-angle profiles to those without motion, reducing maximum observed flip-angle error from 79% to 25%. Importantly, networks can be run sequentially to accurately predict B1+ for arbitrary displacements incorporating multiple directions.

0224
12:00
Robust Multi-shot EPI with Untrained Artificial Neural Networks: Unsupervised Scan-specific Deep Learning for Blip Up-Down Acquisition (BUDA)
Tae Hyung Kim1,2,3, Zijing Zhang1,2,4, Jaejin Cho1,2, Borjan Gagoski2,5, Justin Haldar3, and Berkin Bilgic1,2

1Athinoula A. Martinos Center for Biomedical Imaging, Boston, MA, United States, 2Radiology, Harvard Medical School, Boston, MA, United States, 3Electrical Engineering, University of Southern California, Los Angeles, CA, United States, 4State Key Laboratory of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, China, 5Boston Children's Hospital, Boston, MA, United States

Blip Up-Down Acquisition (BUDA) has been successful in generating distortion-free multi-shot EPI (msEPI) without navigators, utilizing a fieldmap and structured low-rank constraints. Recently, a scan-specific artificial neural network (ANN) motivated by structured low-rank modeling, named LORAKI, has been proposed for refined MRI reconstruction, where its training employed fully-sampled autocalibrated signal (ACS). Although applying LORAKI framework to BUDA is beneficial, acquiring fully-sampled ACS for msEPI is not practical. We propose scan-specific unsupervised ANNs for improved BUDA msEPI without training data. Experiment results indicate that the proposed BUDA-LORAKI exhibits advantages, with up to 1.5x reduction in NRMSE compared to standard BUDA reconstruction.

0225
12:00
Deep Low-rank plus Sparse Network for Dynamic MR Imaging
Wenqi Huang1,2, Ziwen Ke1,2, Zhuo-Xu Cui1, Jing Cheng2,3, Zhilang Qiu2,3, Sen Jia3, Yanjie Zhu3, and Dong Liang1,3

1Research Center for Medical AI, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2Shenzhen College of Advanced Technology, University of Chinese Academy of Sciences, Shenzhen, China, 3Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China

In dynamic MR imaging, L+S decomposition, or robust PCA equivalently, has achieved stunning performance. However, the selection of parameters of L+S is empirical, and the acceleration rate is limited, which are the common failings of iterative CS-MRI reconstruction methods. Many deep learning approaches were proposed to address these issues, but few of them used the low-rank prior. In this paper, a model-based low-rank plus sparse network, dubbed as L+S-Net, is proposed for dynamic MR reconstruction. Experiments on retrospective and prospective cardiac cine dataset show that the proposed model outperforms the state-of-the-art CS and existing deep learning methods.

0226
12:00
Joint Reconstruction of MR Image and Coil Sensitivity Maps using Deep Model-based Network
Yohan Jun1, Hyungseob Shin1, Taejoon Eo1, and Dosik Hwang1

1Electrical and Electronic Engineering, Yonsei University, Seoul, Korea, Republic of

We propose a Joint Deep Model-based MR Image and Coil Sensitivity Reconstruction Network (Joint-ICNet), which jointly reconstructs an MR image and coil sensitivity maps from undersampled multi-coil k-space data using deep learning networks combined with MR physical models. Joint-ICNet has two blocks, where one is an MR image reconstruction block that reconstructs an MR image from undersampled k-space data and the other is a coil sensitivity reconstruction block that estimates coil sensitivity from undersampled k-space data. The desired MR image and coil sensitivity maps can be obtained by sequentially estimating them with two blocks based on the unrolled network architecture.

0227
12:00
Ungated time-resolved cardiac MRI with temporal subspace constraint using SSA-FARY SE
Sebastian Rosenzweig1,2 and Martin Uecker1,2

1Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany, 2Partner Site Göttingen, German Centre for Cardiovascular Research (DZHK), Göttingen, Germany

SSA-FARY SE is a simple yet powerful novel method to estimate a suitable temporal basis for subspace reconstructions of time-series data from a potentially very small auto-calibration region. Here, we first describe the general strategy of subspace constraint time-series reconstruction. Then, we show how SSA-FARY SE can be used to estimate a suiteable temporal basis. Finally, we demonstrate its functionality by estimating temporal basis functions from the DC-components of radial spokes in single-slice and Simultaneous Multi-Slice free-breathing cardiac MRI acquisitions.

0228
12:00
A unified model for simultaneous reconstruction and R2* mapping of accelerated 7T data using the Recurrent Inference Machine
Chaoping Zhang1, Dirk Poot2, Bram Coolen1, Hugo Vrenken3, Pierre-Louis Bazin4,5, Birte Forstmann4, and Matthan W.A. Caan1

1Biomedical Engineering & Physics, Amsterdam UMC, Amsterdam, Netherlands, 2Biomedical Imaging Group Rotterdam, Erasmus MC, Rotterdam, Netherlands, 3Radiology, Amsterdam UMC, Amsterdam, Netherlands, 4Integrative Model-based Cognitive Neuroscience research unit, University of Amsterdam, Amsterdam, Netherlands, 5Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

Quantitative MRI often relies on the acquisition of multiple images  with different scan settings. Therefore, data redundancy can be exploited to further accelerate imaging by deep learning. We propose a unified model for joint reconstruction and $$$R_2^*$$$-mapping from sparse data and embed this in a Recurrent Inference Machine, an iterative inverse problem solving network. Applied to high-resolution multi-echo gradient echo data of a cohort study covering the entire adult life span, the error in $$$R_2^*$$$ significantly decreases. With increasing acceleration factor, an increasing reduction in error is observed, pointing to a larger benefit for sparser data.

0229
12:00
Joint Data Driven Optimization of MRI Data Sampling and Reconstruction via Variational Information Maximization
Cagan Alkan1, Morteza Mardani1, Shreyas S. Vasanawala1, and John M. Pauly1

1Stanford University, Stanford, CA, United States

We propose a framework for learning the sampling pattern in MRI jointly with reconstruction in a data-driven manner using variational information maximization. We enable optimization of k-space samples via continuous parametrization of the sampling coordinates in the non-uniform FFT operator. Experiments with knee MRI shows improved reconstruction quality of our data-driven sampling over the prevailing variable-density sampling, highlighting possible benefits that can be obtained by learning data sampling patterns.

0230
12:00
Design of slice-selective RF pulses using deep learning
Felix Krüger1, Max Lutz1, Christoph Stefan Aigner1, and Sebastian Schmitter1

1Physikalisch-Technische Bundesanstalt, Braunschweig and Berlin, Germany

We utilize a residual neural network for the design of slice-selective RF and gradient trajectories. The network was trained with 300k SLR RF pulses. The network predicts the RF pulse and the gradient for a desired magnetization profile. The aim is to evaluate the feasibility and dependence on different parameter variations of this new approach. This method is validated comparing the prediction of the neural network with Bloch simulations and with phantom experiments at 3T. These insights serve as a basis for more general and complex pulses for future neural network design.


Oral

Molecular Imaging & X-Nuclei

Concurrent 2
Tuesday 12:00 - 14:00
Moderators: Myriam Chaumeil
Parent Session: Molecular Imaging & X-Nuclei
0231
12:00
Deuterium Echo-Planar Spectroscopic Imaging (DEPSI) to Dynamically Monitor Deuterated Glucose in the Liver at 7T
Kyung Min Nam1, Ayhan Gursan1, Alex Bhogal1, Jannie Wijnen1, Dennis Klomp1, Jeanine Prompers1, and Arjan D. Hendriks1

1University of Medical Center Utrecht, Utrecht, Netherlands

Deuterium Echo-Planar Spectroscopic Imaging (DEPSI) is proposed as a way to increase the spatial and temporal resolution of deuterium metabolic imaging (DMI) at 7T. Typically, DMI uses traditional, slow MRSI sequences, which cannot capture rapid dynamic metabolic processes in large organs with sufficient spatial and/or temporal resolution. With DEPSI, in vivo glucose metabolism of the liver could be monitored after intake of [6,6′-2H2]-glucose with 20 mm nominal voxel size, full liver coverage, and a scan time of less than 10 minutes. DEPSI was combined with Hamming weighted acquisition in the phase encoding directions to maximize SNR.

0232
12:00
Deuterium metabolic imaging (DMI) of glucose metabolism in pregnant preeclamptic mice at 15.2 tesla.
Stefan Markovic1, Tangi Roussel2, Michal Neeman3, and Lucio Frydman1

1Department of Chemical and Biological Physics, Weizmann Institute of Science, Rehovot, Israel, 2Center for Magnetic Resonance in Biology and Medicine, Marseille, France, 3Department of Biological Regulation, Weizmann Institute of Science, Rehovot, Israel

Deuterium Metabolic Imaging (DMI) was used to follow metabolism in wildtype and l-NAME induced preeclamptic pregnant mice, after intravenous administration of 2H6,6’-glucose. Maps for 2H6,6’-glucose and its metabolic products 2H3,3’-lactate and 2H-water were measured over 2 hours by 2H CSI at 15.2 tesla. 2H-water was generated as main metabolic product in fetoplacental units; placentas and fetal organs also generated 2H3,3’-lactate, but this was not detected in other maternal organs. Lactate levels were more elevated and its clearance was slower in preeclamptic fetuses than in healthy controls. DMI thus may aid in development and monitoring of future intervention for early preeclampsia.

0233
12:00
Hyperpolarized [2-13C]Pyruvate Molecular Imaging with Whole Brain Coverage
Yaewon Kim1, Brian T. Chung1, Jeremy W. Gordon1, Adam W. Autry1, Chou T. Tan2, Chris Suszczynski2, Susan M. Chang3, Yan Li1, Duan Xu1, and Daniel B. Vigneron1,3

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States, 2ISOTEC Stable Isotope Division, MilliporeSigma, Merck KGaA, Miamisburg, OH, United States, 3Department of Neurological Surgery, University of California, San Francisco, CA, United States

Hyperpolarized (HP) [2-13C]pyruvate MRI has great clinical potential for monitoring pyruvate-to-glutamate conversions through the TCA cycle in addition to pyruvate-to-lactate glycolytic metabolism. This new method for human molecular imaging has enabled whole brain acquisitions with sufficient signal-to-noise. Using a specialized multi-slice EPI sequence, volumetric, dynamic images of HP [2-13C]pyruvate and its downstream metabolites [5-13C]glutamate and [2-13C]lactate were acquired from healthy brain volunteers. The downfield and upfield lactate signals were acquired separately with no artifacts arising from J-coupling were observed. This work demonstrated the capability of volumetric and dynamic [2-13C]pyruvate EPI to interrogate both glycolytic and oxidative cerebral energy metabolism simultaneously.

0234
12:00
Clinical translation of simultaneous metabolic and perfusion imaging with hyperpolarized [1-13C]pyruvate and [13C, 15N2]urea
Hecong Qin1,2, Shuyu Tang1, Andrew Riselli1, Robert A. Bok1, Romelyn Delos Santos1, Mark Van Criekinge1, Jeremy W. Gordon1, Rahul Aggarwal3, Evelyn Escobar1, Rui Chen4, Chunxin Tracy Zhang5, Gregory Goddard5, Albert Chen4, Galen Reed4, Ruscitto M. Daniel5, Renuka Sriram1, James Slater1, Peder E.Z. Larson1,2, Daniel B. Vigneron1,2, and John Kurhanewicz1,2

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Graduate Program in Bioengineering, UC Berkeley – UCSF, San Francisco, CA, United States, 3Medicine, University of California, San Francisco, San Francisco, CA, United States, 4GE Healthcare, Waukesha, WI, United States, 5GE Research, Niskayuna, NY, United States

Altered metabolism and perfusion are implicated in cancer’s underlying pathophysiology. Prior preclinical and clinical studies have shown that metabolic and perfusion imaging could provide a sensitive and specific evaluation of tumor grade and therapeutic response. We aim to develop a dual-agent hyperpolarized 13C MR technique for simultaneous metabolic and perfusion imaging in humans. Here, we report the technical developments towards its clinical translation: 1) formulation and co-polarization system of 13C pyruvate and urea, 2) imaging probe characterization, 3) safety-related studies, and 4) multi-probe imaging sequence. Upon FDA approval, this work would lead to the first-in-human dual-agent hyperpolarized MR study. 

0235
12:00
High-resolution 3D Phosphorus Metabolic Imaging of the Human Brain at 7T using SPICE
Hannes Michel Wiesner1, Rong Guo2,3, Yudu Li2,3, Yibo Zhao2,3, Zhi-Pei Liang2,3, Xiao-Hong Zhu1, and Wei Chen1

1CMRR, Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Departments of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

In vivo 31P MRS imaging (MRSI) is unique to study brain energy metabolism including ATPase and creatine kinase metabolic rates, and the NAD redox ratio especially at ultrahigh field (UHF) with significant improvements in detection sensitivity and spectral resolution. Nevertheless it is still challenging to achieve high spatial resolution even at UHF, owing to extremely low concentration of phosphorus metabolites. In this study, we employed the subspace‐based image reconstruction method called SPICE to largely reduce spectral noise and increase the signal-to-noise ratio (SNR) for achieving high-resolution 3D 31P MRSI covering the entire human brain at 7T.

0236
12:00
Assessment of sensitivity, resolution, and quantification of Synomag-D labeled dendritic cells with magnetic particle imaging
Julia J Gevaert1,2, Corby Fink3,4, Jimmy D Dikeakos3, Gregory A Dekaban3,4, and Paula J Foster1,2

1Department of Medical Biophysics, University of Western Ontario, London, ON, Canada, 2Cellular and Molecular Imaging Group, Robarts Research Institute, London, ON, Canada, 3Department of Microbiology and Immunology, University of Western Ontario, London, ON, Canada, 4Biotherapeutics Research Laboratory, Robarts Research Institute, London, ON, Canada

The purpose of this study was to explore magnetic particle imaging (MPI), which directly detects superparamagnetic iron oxide nanoparticles (SPIOs) as a novel technique for tracking dendritic cells (DCs). DCs were labeled using Vivotrax, a commonly used MPI-SPIO, and Synomag-D, a tailored MPI-SPIO, with and without transfection agents. Vivotrax with TAs showed high levels of extracellular iron, overestimating iron content and cellular sensitivities. The use of TAs improved cellular sensitivity of Synomag-D to as few as 6k cells with 1min 2D images. Signal from 250k and 25k cells could be resolved at a distance of 2cm with 3D imaging.

0237
12:00
First in vivo detection of carnosine using CEST
Solène Bardin1,2, Michele Lecis1,3, Davide Boido1,2, Fawzi Boumezbeur1,2, and Luisa Ciobanu1,2

1NeuroSpin, CEA, Gif-sur-Yvette, France, 2Paris-Saclay University, Saclay, France, 3Technical University of Munich, Munich, Germany

Accelerated CEST acquisitions using a linescan sequence coupled with an ultra-high magnetic field allows, for the first time, the detection of carnosine in vivo.

0238
12:00
Quantitative Sodium MRI of the Human Kidney at 7T Applying Respiratory Sorting
Anna K. Scheipers1, Johanna Lott1, Armin M. Nagel1,2, Peter Bachert1, Mark E. Ladd1, and Tanja Platt1

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2University Hospital Erlangen, Institute of Radiology, Friedrich‐Alexander‐Universität Erlangen‐Nürnberg (FAU), Erlangen, Germany

Sodium (23Na) plays an important role in many cellular processes, making it an interesting nuclei to investigate using MRI. Low in-vivo signals and short relaxation times require high magnetic field strengths, dedicated hardware and pulse sequences as well as correction methods to obtain reliable tissue sodium concentrations. Therefore we compare the influence of different correction methods on 23Na concentration investigations in the human kidney and validate our methods with phantom measurements. We employ retrospective respiratory self‐gating for the quantitative 23Na images as well as for the acquired B1+ maps to reduce the influence of image blurring due to motion artifacts.


0239
12:00
Quantitative sodium and diffusion imaging of mild traumatic brain injury: regional analysis findings
Anna M Chen1, Teresa Gerhalter1, Seena Dehkharghani1,2, Rosemary Peralta1, Fatemeh Adlparvar1, James S Babb1, Tamara Bushnik3, Jonathan M Silver4, Brian S Im3, Stephen P Wall5, Ryan Brown1,6, Steven Baete1,6, Ivan I Kirov1,2,6, and Guillaume Madelin1

1Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States, 2Department of Neurology, New York University Grossman School of Medicine, New York, NY, United States, 3Department of Rehabilitation Medicine, New York University Grossman School of Medicine, New York, NY, United States, 4Department of Psychiatry, New York University Grossman School of Medicine, New York, NY, United States, 5Ronald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York, NY, United States, 6Center for Advanced Imaging Innovation and Research, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States

27 mTBI patients and 19 controls were scanned at 3T. Total sodium concentration (TSC), fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were measured with voxel averaging in 12 grey and white matter regions-of-interest (ROIs). Patients had lower mean TSC than controls across all ROIs, however, statistical significance was only reached in the caudate. Statistically significant FA differences also occurred in only one region, frontal white matter (WM), while none were observed for ADC. TSC changes existed in mTBI and occurred with similar frequency as FA, but the FA finding had a higher effect size, and correlated with symptoms.

0240
12:00
Optimized simultaneous 3D proton MRF and sodium MRI
Zidan Yu1,2, Olga Dergahyova1, Daniel K. Sodickson1,2, Guillaume Madelin1,2, and Martijn A. Cloos3,4

1Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Vilcek Institute of Graduate Biomedical Sciences, NYU Langone Health, New York, NY, United States, 3Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 4ARC Training Centre for Innovation in Biomedical Imaging Technology, The University of Queensland, Brisbane, Australia

In this work, we present an optimized 3D technique that can simultaneously acquire quantitative 1H density, T1, T2, B1+ maps and a 23Na image of the whole head in a reasonable scan time (~20 min).


Oral

Current Trends in MRI Contrast Mechanisms

Concurrent 3
Tuesday 12:00 - 14:00
Moderators: Anahita Fathi Kazerooni & Stephan Kaczmarz
Parent Session: Current Trends in MRI Contrast Mechanisms
0241
12:00
Heavily T2-weighted Imaging with Phase-Based RF Modulated GRE Imaging
Soudabeh Kargar1, Daiki Tamada1, Ruvini Navaratna1, Jayse Merle Weaver1, and Scott B Reeder1

1Radiology, University of Wisconsin - Madison, Madison, WI, United States

Heavily T2-weighted imaging is used for a variety of fluid sensitive imaging such as MRCP. However, these fast spin-echo-based methods suffer from long acquisition duration. In this work we apply a novel strategy using RF phase modulated gradient echo (GRE) with small RF phase increments to encode T2 information into the phase of the signal. In this work, we optimize this strategy for long T2 species to achieve heavily T2-weighted imaging, including the introduction of a novel cross-product strategy to highlight signal in tissues with long T2 and suppress signal in tissues with shorter T2 values.

0242
12:00
Deuterium metabolic imaging (DMI) of Water, Glucose and Lactate using spectroscopic multi-echo bSSFP: A higher Signal to Noise Approach
Dana C. Peters1, Stefan Markovic2, Qingjia Bao2, Dina Preise2, Keren Sasson2, Lilach Agemy2, Avigdor Scherz2, and Lucio Frydman2

1Radiology and Biomed Eng., Yale University, New Haven, CT, United States, 2Weizmann Institute of Science, Rehovot, Israel

Deuterium metabolic imaging (DMI) maps the individual in vivo fate of 2H-enriched metabolites. Upon injecting 2H6,6’-glucose, DMI images a 2H-water peak, and a small but diagnostic 2H3,3’-lactate signature, highlighting tumors and their aberrant metabolism.  DMI faces major sensitivity challenges, that can be alleviated by a multi-echo balanced SSFP approach. When suitably tuned, multi-echo bSSFP yields good spectral isolation of all metabolites, and thanks to the relatively large T2/T1 ratios of deuterated compounds, several-fold increases in SNR vs. chemical shift imaging are then obtained.   This is demonstrated in phantoms, and in in vivo mice studies of orthotopic pancreatic tumors. 

0243
12:00
Detection of ionic bonding using IMMOBILISE MRI and theoretical description of the relayed NOE transfer mechanism
Yang Zhou1, Peter van Zijl2,3, Chongxue Bie2,3,4, Jiadi Xu2,3, Xin Liu1, and Nirbhay N. Yadav2,3

1Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Shenzhen, China, 2The Russell H. Morgan Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 4Department of Information Science and Technology, Northwest University, Xian, China

Saturation transfer MRI has previously been applied to study transient molecular binding using the IMMOBILISE MRI approach, yet the multiple mechanisms of magnetization transfer during such binding are still under investigation. We studied electrostatic-interaction-mediated molecular binding of small substrates (choline and arginine) to ion-exchange column media. A theoretical model using relayed NOEs to exchangeable protons in the bound substrate is proposed to quantitatively describe the saturation transfer during such binding. 

0244
12:00
The combination of ITSS and R2* in quantitatively and automatically evaluating histological grade of HCC using ESWAN: A feasibility study
Dahua Cui1, Ailian Liu1, Hongkai Wang2, Mingrui Zhuang2, and Qingwei Song1

1The First Affiliated Hospital of Dalian Medical University, Dalian, China, 2Dalian University of Technology, Dalian, China

The aim of this study was to investigate the feasibility of intratumoral susceptibility signal intensities (ITSS) combined with R2* values obtained from T2 star-weighted angiography (ESWAN) in quantitatively and automatically evaluating histological grading of hepatocellular carcinoma (HCC). The results showed that the combination of quantitative ITSS and R2* was feasible to evaluate the histological grading of HCC performance (AUC = 0.856, P < 0.0001, sensitivity of 88.89%, specificity of 69.44%) automatically. 

0245
12:00
Improved T2' Mapping in Simultaneous Neurometabolic and Oxygenation Imaging Experiments
Tianxiao Zhang1, Rong Guo2,3, Yudu Li2,3, Yibo Zhao2,3, Zhi-Pei Liang2,3, and Yao Li1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

Simultaneous MRSI and T2* mapping has been demonstrated recently using SPICE. With a T2 map, T2' values could be calculated, which reflects tissue oxygenation. However, the accuracy of T2* and T2 measurements suffers from system imperfections. In this work, we improved T2' mapping by overcoming signal dephasing in T2* mapping and estimation bias in T2 mapping. The signal dephasing in T2* caused by B0 inhomogeneity was corrected utilizing high-resolution field map and pre-learned subspaces, and the estimation bias in T2 caused by B1inhomogeneity was corrected with a dictionary-based estimation. The proposed method provided improved T2' mapping in SPICE experiments.

0246
12:00
Evaluation of an Iron-Oxide Nanoparticle Contrast Agent for Vascular Suppression in Magnetic Resonance Neurography
Sophie Queler1, Ek Tsoon Tan1, Martin Prince2, John Carrino1, and Darryl Sneag1

1Radiology and Imaging, Hospital for Special Surgery, New York, NY, United States, 2Weill Cornell Medicine, New York, NY, United States

In this study, we investigated the use of ferumoxytol, an iron-oxide nanoparticle, for vascular signal suppression in 3 Tesla magnetic resonance neurography of the brachial plexus. A 3D, T2-weighted STIR sequence was prospectively acquired of 19 normal brachial plexi in 10 volunteers (1 unilateral; 9 bilateral) before and after ferumoxytol infusion. Independent assessment of anonymized exams by two radiologists demonstrated overall improved vascular suppression as well as improved visualization of the suprascapular nerve with increased diagnostic confidence. Improvements in nerve-, fat-, and blood-to-muscle contrast were supported by signal simulations.

0247
12:00
Susceptibility artifact correction in MR thermometry for monitoring of mild RF hyperthermia using total field inversion
Christof Boehm1, Marianne Goeger-Neff2, Hendrik T. Mulder3, Benjamin Zilles2, Lars H. Lindner2, Gerard C. van Rhoon3, Dimitrios C. Karampinos4, and Mingming Wu1

1Technical University of Munich, Munich, Germany, 2Department of Medicine III, University Hospital, LMU Munich, Munich, Germany, 3Erasmus MC Cancer Institute, Rotterdam, Netherlands, 4Department of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany

Motion-induced susceptibility changes induce field variations, leading to large errors during MR thermometry based on the linear proton resonance frequency shift. These artefacts aggravate temperature quantification in the face of both the long treatment duration and the mild temperature change during mild RF hyperthermia treatments. We show with the help of simulations, a phantom heating experiment, volunteer scans and mild hyperthermia treatment of a patient with cervical cancer and a sarcoma patient how to correct for this artefact source by methods known from quantitative susceptibility mapping. The recently introduced total field inversion shows advantages over the background field removal methods.

0248
12:00
Fast MR thermometry based on propeller echo‐planar time‐resolved imaging with dynamic encoding (PEPTIDE)
Zhehong Zhang1, Fair Merlin2, Fuyixue Wang3,4, Zijing Dong3,5, Wending Tang1, Menghan Li1, Danna Wei6, Kawin Setsompop2,7, and Kui Ying1

1Department of Engineering Physics, Tsinghua University, Beijing, China, 2Department of Radiology, School of Medicine, Stanford University, Stanford, CA, United States, 3Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 4Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 5Department of Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States, 6Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, 7Department of Electrical Engineering, Stanford University, Stanford, CA, United States

Echo‐planar time‐resolved imaging (EPTI) is a multi-shot EPI technique capable of rapidly obtaining distortion‐free and blurring‐free time-resolved multi-contrast images across the EPI readout. PROPELLER is an extension to EPTI, which incorporates PROPRELLER-like acquisition, to enable shot-to-shot motion toleration. In this work, PEPTIDE was applied to the MR thermometry application, where an image reconstruction framework that leveraged sparsity across blades of PEPTIDE rawdata was proposed. The potential in using PEPTIDE to provide distortion- and blurring-free temperature mapping at high temporal resolution was then demonstrated via simulated human brain PEPTIDE data with various temperature profiles.

0249
12:00
Motion-robust, multi-slice, real-time MR PRFS Thermometry for MR-guided ultrasound thermal therapy in abdominal organs
Kisoo Kim1, Chris Diederich2, and Eugene Ozhinsky1

1Department of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Department of Radiation Oncology, University of California, San Francisco, San Francisco, CA, United States

MR temperature monitoring during ultrasound thermal therapy of abdominal organs is challenging due to respiratory motion. It is especially important for hyperthermia therapy, which requires accurate temperature measurements to ensure therapeutic heating within a narrow temperature window (37-45 °C). In this study we developed a motion-robust, multi-slice, real-time MR thermometry sequence and reconstruction pipeline for the monitoring of temperature in hyperthermia or thermal ablation therapy in abdominal organs. This technique was implemented in RTHawk and evaluated in simulated acquisitions, phantom experiments with a custom-made motion phantom, and in-vivo healthy volunteer experiment without heating.

0250
12:00
Calibrationless B1 Mapping for Accurate Macromolecular Proton Fraction Mapping Using Relaxometry Constraints
Alexey Samsonov1

1University of Wisconsin-Madison, Madison, WI, United States

Macromolecular proton fraction (MPF) is an established myelin marker with confirmed clinical relevance, but with sensitivity to technological variations such as B1 field errors.  We propose a method to derive B1 map for MPF correction from MPF data itself. The method is based on standard two-pool MT formalism enhanced with improved relaxometry constraints. 


Member-Initiated Symposium

Real-Time MRI of Neuromodulation in the Human Brain

Concurrent 4
Tuesday 12:00 - 14:00
Moderators: Jia-Hong Gao
Parent Session: Real-Time MRI of Neuromodulation in the Human Brain
(no CME credit)
12:00
MR Electrical Impedance Tomography (MREIT) of Transcranial Direct Current Stimulation (tDCS)
  Rosalind Sadleir
  Arizona State University

12:30
Concurrent Mapping of Electromagnetic Field & Neurophysiological Effects of tDCS Using MRI
  Mayank Jog
  University of California, Los Angeles

13:00
Understanding TMS Effects on the Brain: Simultaneous TMS & MRI
  Yihong Yang
  National Institute of Drug Abuse (NIDA)

13:30
Functional Network Neuromodulation of the Motor System: MRI-Based Connectivity Analysis Can Reveal Clinical, Behavioral & Neural Consequences of DBS in Parkinson’s Disease
  Wolf-Julian Neumann
  Charité - University Medicine Berlin


Oral

Digestive, Diabetes & Pancreas

Concurrent 5
Tuesday 12:00 - 14:00
Moderators: Tanya Chawla & Jürgen Machann
Parent Session: Digestive, Diabetes & Pancreas
0251
12:00
Phase synchronization of resting-state brain networks with the intrinsic electrical rhythm of the stomach
Ann S Choe1,2,3, Bohao Tang4, Kimberly R. Smith5, Hamed Honari6, Martin A. Lindquist4, Brian S. Caffo4, and James J. Pekar1,3

1F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 2International Center for Spinal Cord Injury, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Radiology, Johns Hopkins Medicine, Baltimore, MD, United States, 4Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States, 5Department of Psychiatry and Behavioral Sciences, Johns Hopkins Medicine, Baltimore, MD, United States, 6Department of Electrical and Computer Engineering, Johns Hopkins University, Baltimore, MD, United States

Combining concurrent cutaneous electrogastrography (EGG) with resting-state fMRI (rsfMRI), we estimated resting-state brain networks from the rsfMRI data using independent component analysis, then used the amplitude-weighted Phase-Locking Value to assess whether those networks were synchronized with the intrinsic gastric rhythm estimated from the EGG data. We found 18 resting-state brain networks, of which 11 were found to be partially but significantly phase synchronized with the gastric rhythm. Disruptions to the gut-brain axis are thought to be involved in various disorders; manifestation of the infra-slow rhythm of the stomach in brain rsfMRI data could be useful for studies in clinical populations.

0252
12:00
Deep learning based fully automatic analysis of gastric motility from contrasty-enhanced MRI
Xiaokai Wang1, Jiayue Cao1, Minkyu Choi2, and Zhongming Liu3

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 2Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI, United States, 3Biomedical Engineering, Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI, United States

Contrast-enhanced gastrointestinal MRI serves as a non-invasive tool for studying and assessing gastric functions. Previous studies generally have their home-brewed semi-automatic algorithm for assessing gastric motility. This process is time-consuming and susceptible to errors. Here, we used deep learning to establish a fully automatic pipeline for assessing gastric motility with contrast-enhanced gastrointestinal MRI in rats. We cross-validated our analysis against simultaneously recorded electrogastrogram indicating gastric myoelectrical activity. Results from this analysis are consistent with electrogastrogram in terms of time, frequency, and power, and in addition, shed light on more detailed spatial characteristics of gastric motility. 

0253
12:00
To quantify liver and pancreatic fat content in subjects with and without type 2 diabetes as measured by MRI-PDFF-observational study
Sonal Krishan1, Aparajita Pradhan2, and Shafi Kuchay3

1Radiology, Medanta Hospital, Gurgaon, India, 2Medanta Hospital, Gurgaon, India, 3Endocrinology, Medanta Hospital, Gurgaon, India

Aim of this study was to quantify liver (LFC)  and pancreatic fat content  (PFC) in subjects with and without type 2 diabetes (DM) as measured by MRI-PDFF. 25 adult patients who had recently diagnosed DM were compared with control group of 37 without DM. All underwent MRI PDFF for evaluation of LFC and PFC. The mean LFC in DM group was more: 12.1 % (8-20) vs Non-DM 6.7% (4.2-10.7).The overall prevalence of NAFLD in our study, was 72.6% (45/62 patients).In DM subgroup the NAFLD prevalence was more-88.0%. MRI PDFF can be a screening tool for NAFLD in patients with DM. 

0254
12:00
Quantitative MRI measurements of ectopic fat and body composition as predictors of T2D remission after bariatric surgery
Naomi S Sakai1, Kusuma Chaiyasoot1, Alan Bainbridge2, Margaret Hall-Craggs1, Rachel L Batterham1, and Stuart A Taylor1

1University College London, London, United Kingdom, 2University College London Hospitals, London, United Kingdom

Bariatric surgery can lead to rapid and substantial improvements in glycaemic control, often before significant weight loss has occurred. However, a proportion of patients do not achieve type 2 diabetes (T2D) remission after surgery despite significant post-surgical weight loss. Ectopic fat deposition and alterations in body composition are implicated in T2D pathoaetiology. Quantitative MRI (qMRI) can provide non-invasive measurements of ectopic organ fat and body composition which may have roles as predictors of T2D remission after bariatric surgery. This study aimed to assess the relationship between T2D remission status and qMRI-derived measurements of ectopic fat and body composition.

0255
12:00
Optimizing T2-weighted MRI and DWI of the Esophagus
Jitka Starekova1, Lloyd Estkowski2, Ruiqi Geng1,3, Yuxin Zhang1,3, Diego Hernando1,3, and Scott B Reeder1,3,4,5,6

1Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Global MR Applications and Workflow GE Healthcare, Madison, WI, United States, 3Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 5Medicine, University of Wisconsin-Madison, Madison, WI, United States, 6Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

Esophageal MRI is emerging alternative to endoscopic ultrasound (EUS) and computed tomography (CT) for the detection and staging of cancer. Esophageal MRI has great potential for screening, active surveillance post-neodjuvant therapy and ruling out surgery for patients with higher stage cancer. The major challenges in esophageal imaging are the spatial resolution, as the esophageal wall is only approximately 3mm thick, and cardiac related motion artifacts. This prospective study aimed to address these challenges by developing a protocol for high-resolution T2-weighted and motion-robust diffusion-weighted imaging of the esophagus and periesophageal tissue. 

0256
12:00
Using texture analysis to detect changes in intestinal contents in people with cystic fibrosis
Neele S Dellschaft1,2, Caroline Hoad1,2, Christabella Ng2,3, Luca Marciani2,4, Robin Spiller2,4, Alan Smyth2,3, Giles Major2,4, and Penny Gowland1,2

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Nottingham NIHR Biomedical Research Centre, University of Nottingham, Nottingham, United Kingdom, 3Division of Child Health, Obstetrics and Gynaecology, University of Nottingham, Nottingham, United Kingdom, 4Nottingham Digestive Diseases Centre, University of Nottingham, Nottingham, United Kingdom

Cystic Fibrosis (CF) is a genetic disease leading to sticky mucus, slower small bowel transit and maldigestion. We used MRI to characterize gastrointestinal function in CF. Changes in the image texture suggested increased bacterial load in the small bowel, which we have now quantified applying Haralick texture analysis. The difference in texture observed between small bowel and colon chyme in healthy subjects was less distinct in people with CF (Control median 2.11 a.u. [IQR 0.71, 3.30] v.CF 0.90 a.u. [0.38, 1.67], Wilcoxon P=0.010). This compared well to subjective analysis. These findings probably indicate overgrowth of colonic bacteria and maldigestion.

0257
12:00
Noninvasive Assessment of Healthy People, New-onset and Long Standing Male T2DM Patients on Skeletal Muscle With T1ρMRI of Calf Muscle
Yufei Zhao1,2, Yang Jiang1,2, Jingyue Dai1,2, Honghong Wu1,2, Ying Cui1,2, Xinxiang Li1,2, and Xingui Peng1,2

1Jiangsu Key Laboratory of Molecular and Functional Imaging, Southeast University, Nanjing, China, 2Radiology, Zhongda Hospital Southeast University, Nanjing, China

T1ρ magnetic resonance can non-invasively assess the changes in the distribution of myofiber in male T2DM patients and this changes is gradually obvious as the course of the disease progresses.

0258
12:00
Deep Learning Based Segmentation and Fat Fraction Assessment of the Calf in Diabetic Subjects and Non-Diabetic Controls
Jill T Shah1, Katherine Medina2,3, Haresh R Rajamohan2,4, Justin Ho2,3, Cem M Deniz2,3, and Ryan Brown2,3

1New York University Grossman School of Medicine, New York, NY, United States, 2Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States, 3Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States, 4Center for Data Science, New York University, New York, NY, United States

Diabetes mellitus, muscular dystrophies, and other pathologies are characterized by metabolic impairment that can lead to lower extremity muscle degeneration. While MRI provides access to quantitative biomarkers to characterize muscle quality, analysis requires time-consuming manual image segmentation. To address this problem, we developed an automated segmentation algorithm based on a convolutional neural network that provided high dice similarity coefficient scores (>0.92) in the gastrocnemius medial, gastrocnemius lateral, and soleus muscles. We utilized the automatic segmentations to show volumetric fat fraction was elevated in individuals with diabetic peripheral neuropathy compared to controls in the soleus and gastrocnemius medial muscles (P<0.05).

0259
12:00
Evaluation of muscle oxygen extraction fraction in response to 15 weeks of exercise training: Comparison of people with and without type 2 diabetes
Erin K Englund1, Deirdre Rafferty2, Jie Zheng3, Hongyu An3, Judith G Regensteiner2,4, Alex J Barker1,5, and Jane EB Reusch2,4

1Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 2Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 3Department of Radiology, Washington University in St. Louis, St. Louis, MO, United States, 4Center for Women’s Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 5Department of Bioengineering, University of Colorado Anschutz Medical Campus, Aurora, CO, United States

Oxygen extraction fraction (OEF) provides insight into muscle oxygen consumption. As part of a larger exercise training study, 16 sedentary participants (12 controls, 4 with diabetes) underwent an MRI scan to determine OEF before and after 15 weeks of supervised exercise training. Pilot MRI data were acquired at rest with an asymmetric spin echo sequence and used to calculate OEF in the medial gastrocnemius muscle. Cardiovascular exercise capacity, measured as VO2Peak, was reduced in people with diabetes. MRI-measured OEF did not differ between groups, however a decrease in OEF was observed in all participants in response to exercise training.

0260
12:00
Dermal sodium space in controls and Type 2 Diabetes Mellitus patients characterised at histological length scales using 1H/23Na MRS and MRI at 9.4T
Galina E Pavlovskaya1,2, Christopher J Philp1, Thomas Meersmann1, Petra Hanson3,4, Harpal S Randeva4,5, Paul Paul O’Hare4,5, and Thomas Barber4,5

1SPMIC/Medicine, Univeristy of Nottingham, Nottingham, United Kingdom, 24Nottingham NIHR Biomedical Research Centre, Nottingham, United Kingdom, 3Warwick Medical School, University of Warwick, Warwick, United Kingdom, 42Warwickshire Institute for the Study of Diabetes Endocrinology and Metabolism, University Hospitals Coventry and Warwickshire, Coventry, United Kingdom, 5Warwick Medical School, University of Warwick, Coventry, United Kingdom

We reveal intriguing experimental results providing the evidence for dermal space storage for sodium,  and how dynamics of the space changes in patients with Type2 Diabetes Mellitus.


Oral

Aging & Dementia

Concurrent 6
Tuesday 12:00 - 14:00
Moderators: Frederik Barkhof
Parent Session: Aging & Dementia
0261
12:00
Cumulative effects of a statin cocktail on cerebral blood flow and cognitive function in patients with Alzheimer’s Disease
Mohammed Salman Shazeeb1, Elizabeth Degrush2,3, Zeynep Vardar1, Clifford Lindsay1, Matthew Gounis1, and Nils Henninger2,3

1Department of Radiology, University of Massachusetts Medical School, Worcester, MA, United States, 2Department of Neurology, University of Massachusetts Medical School, Worcester, MA, United States, 3Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, United States

Decreased cerebral metabolism has been implicated in pathogenesis of Alzehimer’s disease. The endothelial nitric oxide synthase (eNOS) pathway plays a major role in cerebral blood flow regulation. This study used DSC-MRI in 10 patients treated with a drug regimen for supporting the eNOS pathway to investigate how perfusion patterns were associated with treatment response based on clinical psychometrics. Regional analysis on rCBF maps showed significant signal changes in the cognitively improved cohort based on ADAS-cog scores while patients that showed cognitive deterioration or no change based on ADAS-cog scores did not show significant rCBF changes.

0262
12:00
The aging quantitative brain: a multiparametric qMRI study
Ana-Maria Oros-Peusquens*1, Jonas Kielmann*1, and N. Jon Shah1,2,3,4

1INM-4, Research Centre Juelich, Juelich, Germany, 2Faculty of Medicine, JARA, RWTH Aachen University, Aachen, Germany, 3INM-11, JARA, Research Centre Juelich, Juelich, Germany, 4Department of Neurology, RWTH Aachen University, Aachen, Germany

Quantitative MRI parameters are determined by the properties of tissue on a microscopic scale and can be expected to reflect microstructural changes created by aging. Here, we investigate a multiparametric qMRI signature of healthy ageing on 26 healthy volunteers, characterised in a high-dimensional parametric space (water content, relaxometry, qMT). Changes with age in the mean values and correlations between parameters are observed and interpreted.

0263
12:00
Alterations in dynamic functional connectivity in individuals with subjective cognitive decline
Qian Chen1, Jiaming Lu2, Xin Zhang2, Jilei Zhang3, and Bing Zhang1

1Department of Radiology, Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China, 2Department of Radiology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China, 3Philips Healthcare, Shanghai, China

Subjective cognitive decline (SCD) is considered a clinically-based approach for the detection of potential Alzheimer’s disease patients. We observed altered temporal properties of fractional windows, mean dwell time, and the number of transitions by dynamic functional connectivity (DFC) analysis in SCD individuals compared to the control subjects. The altered DFC parameters showed significant associations with cognitive performance. Our findings shed light on the role of DFC in the early detection of subjects with potential Alzheimer’s disease, and the alterations in DFC may suggest the neural basis underlying early cognitive decline in the SCD stage. 

0264
12:00
Age-related alterations in cortical myelin profile using the Human Connectome Project Aging dataset
Yu Veronica Sui1 and Mariana Lazar1

1Radiology, New York University Grossman School of Medicine, New York, NY, United States

Demyelination is recognized as a major process in both normal aging and neurodegenerative diseases. Using the Human Connectome Project Aging dataset, we investigated intracortical demyelination in normal aging using T1w/T2w maps. To capture the fine changes across cortical layers, we employed a surface-based approach in contrast to the commonly used volumetric approach by constructing a cortical myelin profile for each region, which was then quantified using a nonlinearity index. We showed that the nonlinearity of cortical myelin profile exhibits a steeper decline with aging than cortical thickness and therefore presents the potential of a unique marker of age-related microstructural changes.

0265
12:00
Brain instability is a biomarker of Alzheimer’s disease progression
Mohammad S. E. Sendi1, Robyn L Miller2, Elizabeth Mormino3, David H Salat4, and Vince D Calhoun5

1Georgia Institute of Technology/Emory University, ATLANTA, GA, United States, 2Georgia State University, Atlanta, GA, United States, 3Stanford University, Stanford,, GA, United States, 4Harvard University, Cambridge, MA, United States, 5Georgia Institute of Technology, Atlanta, GA, United States

Finding a biomarker predicting the Alzheimer’s disease (AD) progression from a healthy stage to mild dementia is an essential step toward early medical intervention. In recent years, dynamic functional network connectivity (dFNC) from resting state-fMRI, which estimates brain states during the scan, uncovered excellent knowledge about AD progression's underlying mechanism. This study explored whether the AD brain produces similar and stable dFNC states across different scanning sessions and introduced dFNC state (or brain) instability as a potential biomarker of AD progression. Our finding suggests a need for multiple sessions scanning in analyzing rs-fMRI data in this group of patients.

0266
12:00
Association of age-related neuropathologies with shape of subcortical structures in a large community cohort of older adults
Nazanin Makkinejad1, Ashish A. Tamhane2, David A. Bennett2, Julie A. Schneider2, Boris Gutman1, and Konstantinos Arfanakis1,2

1Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States, 2Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States

Age-related neuropathologies have devastating effects on subcortical brain structures. MRI can be used to explore patterns of atrophy associated with various diseases, however, definitive diagnosis of age-related neuropathologies is only possible at autopsy. Therefore, this work combined ex-vivo MRI and detailed pathologic assessment (gold standard) in a large (N=814) community cohort of older adults to investigate the link between age-related neuropathologies and the shape of different subcortical brain structures. The resulting patterns of deformation may contribute towards development or enhancement of in-vivo classifiers of these neuropathologies.

0267
12:00
Assessment of Cerebrovascular Disease and White Matter Neurite Density in Alzheimer’s Disease
Grant S Roberts1, Leonardo A Rivera-Rivera2, Kevin M Johnson1,3, Sterling C Johnson2, Douglas C Dean III1,4, Andrew L Alexander1,5, Oliver Wieben1, and Laura B Eisenmenger3

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Medicine, University of Wisconsin - Madison, Madison, WI, United States, 3Radiology, University of Wisconsin - Madison, Madison, WI, United States, 4Pediatrics, University of Wisconsin - Madison, Madison, WI, United States, 5Psychiatry, University of Wisconsin - Madison, Madison, WI, United States

White matter (WM) microstructural alterations have been shown to occur in Alzheimer’s disease (AD) and may be partially mediated by cerebrovascular disease (CVD). The objective of this study is to use neurite orientation dispersion and density imaging (NODDI) to assess differences in neurite density (NDI) and its relationship to measures of CVD from 4D flow MRI in cognitively normal (CN) and AD subjects. Our results showed differences in NDI between groups in various WM tracts and found correlations between NDI and cerebral blood flow in CN subjects in several WM structures.

0268
12:00
Visual interpretation of brain MRE exams using non-parametric statistical mapping to diagnose normal pressure hydrocephalus
Matthew Christopher Murphy1, Petrice M Cogswell1, Joshua D Trzasko1, Armando Manduca2, Matthew L Senjem1, Clifford R Jack, Jr.1, Fredric B Meyer3, Richard L Ehman1, and John Huston, III1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States, 3Neurosurgery, Mayo Clinic, Rochester, MN, United States

A non-parametric statistical framework is outlined to display the result of brain MRE exams in terms of an effect size. This approach is built upon a neural network-based MRE inversion that estimates the posterior cumulative distribution function at each voxel, and accounts for age, sex, spatial variation in stiffness, and uncertainty in property estimation. Using these effect size maps but no summary statistics, neuoradiologists were able to diagnose normal pressure hydrocephalus with 70% sensitivity and 100% positive predictive value.

0269
12:00
Limbic-predominant age-related TDP-43 encephalopathy neuropathological change (LATE-NC) is associated with lower R2 relaxation rate
Mahir Tazwar1, Arnold M Evia Jr.2, Ashish A Tamhane2, David A Bennett2, Julie A Schneider2, and Konstantinos Arfanakis1,2

1Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States, 2Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States

Limbic-predominant age-related TDP-43 encephalopathy neuropathological change (LATE-NC) is now recognized as a common age-related neuropathology that has been linked to cognitive decline and dementia. In this work, the spatial pattern of R2 alterations associated with LATE-NC was investigated in a large (N=797) community cohort of older adults. Voxel-wise analysis revealed a pattern of lower R2 for greater LATE-NC burden, controlling for all other neuropathologies and demographics. This pattern involved mainly the temporal, frontal, occipital lobes and basal ganglia. To our knowledge this is the first R2 investigation in LATE-NC.

0270
12:00
Tau correlates with tissue susceptibility and microstructure in APOE-ε4+ mild cognitive impairment
Jason Langley1, Daniel E Huddleston2, Sumanth Dara3, Ilana Bennett4, and Xiaoping P Hu1,3

1Center for Advanced Neuroimaging, University of California Riverside, Riverside, CA, United States, 2Department of Neurology, Emory University, Atlanta, GA, United States, 3Department of Bioengineering, University of California Riverside, Riverside, CA, United States, 4Department of Psychology, University of California Riverside, Riverside, CA, United States

We examine the impact of APOE-ε4 carrier status on cortical iron, gray matter microstructure, and tau-PET signal in mild cognitive impairment. We found significant increases in susceptibility (p=0.01), tau-PET SUVR (p=0.01), and MD (p=0.046) in the temporal lobe of APOE-ε4 positive compared to APOE-ε4 negative participants. Significant correlations were seen between tau-PET SUVR and susceptibility (r=0.717), FA (r=-0.431), and MD (r=0.435) in the temporal lobe of APOE-ε4 positive participants. Taken together, these findings suggest that APOE-ε4 allele increases the risk of developing AD pathology and accumulating iron, which in turn leads to degradation of cortical tissue microstructure.


Weekday Course

SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Disparities & Misdirection in a Pandemic

Organizers: Christopher Filippi
Concurrent 7
Tuesday 12:00 - 12:30
Moderators: Elizabeth Hecht & Chris Kokkinos
Parent Session: SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Disparities & Misdirection in a Pandemic
12:00
Bedside MRI - Disruptions & Opportunities in Clinical Imaging Due to SARS-CoV-2
Justin Glavis-Bloom1, Brian Yep1, Lu-Aung Yosuke Masudathaya1, Jennifer Soun1, Edward Kuoy1, Lori Norrick1, Sara Stern-Nezer2, Wengui Yu3, John Fox4, and Daniel S. Chow1

1Radiological Sciences, University of California, Irvine, Irvine, CA, United States, 2Neurology & Neurological Surgery, University of California, Irvine, Irvine, CA, United States, 3Neurology, University of California, Irvine, Irvine, CA, United States, 4Emergency Medicine, University of California, Irvine, Irvine, CA, United States

Point-of-care, bedside MRI represents a promising new technology for imaging emergent and critical care patients. Whereas in the past, resources were needed to assemble teams that included critical care nurses, respiratory therapists, and transport teams to bring patients to and from radiology departments, there is a dramatic reduction in personnel for POC imaging. This feature was especially important during the COVID pandemic to improve availability of our respiratory therapists and nurses.  More studies are needed in the future to ascertain its diagnostic sensitivity and specificity for neurologic findings.

12:30
Disruptions & Opportunities in Training & Early Career During a Pandemic
Mahmud Mossa-Basha1

1University of Washington, Seattle, WA, United States

COVID-19 has resulted in significant disruption to training and early career development for academic faculty and trainees alike, with disproportionate impact on females, parents with young children, and underrepresented minorities. In this talk, we highlight the obstacles faced by these groups in general and the way in which the pandemic has exacerbated these disparities. We also highlight potential programs and approaches academic departments can take to mitigate these disparities. The lecture also discusses the general impact on research, training, and education, as well as opportunities that have developed through COVID funding mechanisms and research.

13:00
Healthcare Disparities & Public Health Policy Exposed by the Pandemic
Anand Kumar Narayan1

1Massachusetts General Hospital, Boston, MA, United States

13:30
Separating Fact Versus Fiction in a Pandemic: Social Responsibilities of Clinicians & Researchers?
Joseph R. Osborne1

1Radiology, Weill Cornell Medicine, New York, NY, United States

Over the last year, hospitals and Radiology departments -- particularly in New York City are  -- have been inundated with cases of COVID-19 from the SARS-CoV-2 virus. This period of time has been very difficult, but has also forced introspection to discover where we as imagers can participate in solutions in this accelerated healthcare environment. This includes those who develop imaging probes, design imaging devices as well as those involved in direct patient care.


Member-Initiated Symposium

A Fully Connected Network: Emerging Techniques & Applications of Flow Imaging in the Head & Body

Concurrent 8
Tuesday 12:00 - 12:30
Moderators: Kevin Johnson & Susanne Schnell
(no CME credit)
14:30
4D Flow in Aging & Dementia
  Leonardo Rivera-Rivera
 

15:00
Imaging Complex Flow in AVM Malformations
  Maria Aristova
  Northwestern University

15:30
Imaging Hemodynamics in the Fetus
  Christopher Macgowen
 

16:00
Turbulence & Flow Disorder in & the Round the Heart
  Hannes Dillinger1, Sebastian Kozerke2
  1, 2

16:30
Turbulence & Flow Disorder in Pulsatile Tinnitus
  Henrik Haraldsson
  University of California, San Francisco


Weekday Course

SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Recovery, Resilience & Strategic Planning

Organizers: Christopher Filippi
Concurrent 7
Tuesday 12:30 - 13:00
Moderators: Ona Wu & Shigeki Aoki
Parent Session: SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Recovery, Resilience & Strategic Planning
12:30
Short- & Long-Term Effects of SARS-CoV-2 on Healthcare Workers
Carolyn C. Meltzer1

1Emory University, Atlanta, GA, United States

 The COVID-19 pandemic wrought unprecedented challenges for healthcare workers. Initial goals  focused on the urgency of COVID-19 while delaying non-essential care, and ensuring the safety of staff, conserving PPE.  As the pandemic wore on, we pivoted to caring for all patients – particularly those who deferred medical attention – in an already maximally stressed healthcare system. The blurring of work and home life, social isolation, shared grief, childcare/eldercare stresses, and superimposed racial strife has left our healthcare workforce exhausted and burned out.  We must leverage lessons learned from this pandemic to reimagine healthcare systems.

13:00
The Promise of AI for Triage & Prediction Analytics in SARS-CoV-2
Jayashree Kalpathy-Cramer1

1Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States

There are numerous opportunities for AI to assist in the COVID-19 pandemic. In radiology, AI can be used for image interpretations, prognostication as well as for resource management, disparities research and epidemiological studies. We will review some of the promise of AI while also highlighting some of the challenges. AI algorithms can be brittle and may not generalize well. 

13:30
Post Pandemic, What Is the New Normal, What Does the Future Look Like?
Bien Soo Tan1

1Singapore General Hospital, Singapore, Singapore

As we ponder the new normal for Radiology post-pandemic, we should learn from past experiences. At Singapore General Hospital, we learned bitter lessons from the SARS outbreak to better prepare for the next epidemic.   We need to understand the future perspectives of our patients and our workforce. Patients will expect the highest level of infection prevention practices, and a ‘just-in-time’ service, with reduced physical contact. Healthcare institutions will need to design facilities that can pivot in function during disease outbreaks. Our workforce is our most precious resource, and organizations need to understand how to better support and care for staff.  


Sunrise Session

Novel DWI Applications

Organizers: Johannes Heverhagen, Mustafa Shadi Bashir
Concurrent 7
Tuesday 13:00 - 14:00
Moderators: Harrison Kim & Nandita deSouza
Parent Session: Hot Topics in Body MRI

Sunrise Session

Lung MRI: You Can Do It!

Organizers: Mustafa Shadi Bashir, Johannes Heverhagen
Concurrent 7
Tuesday 13:00 - 14:00
Moderators: Adrienne Campbell-Washburn & Talissa Altes
Parent Session: Hot Topics in Body MRI

Sunrise Session

Abbreviated Liver & Prostate MRI Protocols

Organizers: Hero Hussain, Johannes Heverhagen
Concurrent 7
Tuesday 13:00 - 14:00
Moderators: Bachir Taouli & Takeshi Yokoo
Parent Session: Hot Topics in Body MRI

Sunrise Session

The Future Is Now: Artificial Intelligence for Body Imaging

Organizers: Daniel Margolis, Johannes Heverhagen, Mustafa Shadi Bashir
Concurrent 7
Tuesday 13:00 - 14:00
Moderators: Piotr Kozlowski & KyungHyun Sung
Parent Session: Hot Topics in Body MRI

Oral

Machine Learning for Image Reconstruction

Concurrent 1
Tuesday 14:00 - 16:00
Moderators: Thomas Küstner & Efrat Shimron
Parent Session: Machine Learning for Image Reconstruction
0271
14:00
Can Un-trained Networks Compete with Trained Ones for Accelerated MRI?
Mohammad Zalbagi Darestani1 and Reinhard Heckel1,2

1Electrical and Computer Engineering, Rice University, Houston, TX, United States, 2Electrical and Computer Engineering, Technical University of Munich, Munich, Germany

Convolutional Neural Networks (CNNs) are highly effective tools for image reconstruction problems. Typically, CNNs are trained on large amounts of images, but, perhaps surprisingly, even without any training data, CNNs such as the Deep Image Prior and Deep Decoder achieve excellent imaging performance. Here, we build on those works by proposing an un-trained CNN for accelerated MRI along with performance-enhancing steps including enforcing data-consistency and combining multiple reconstructions. We show that the resulting method i) achieves reconstruction performance almost on par with baseline as well as state-of-the-art trained CNNs, but without any training, and ii) significantly outperforms competing sparsity-based approaches.

0272
14:00
Learning data consistency for MR dynamic imaging
Jing Cheng1, Wenqi Huang1, Zhuoxu Cui1, Ziwen Ke1, Leslie Ying2, Haifeng Wang1, Yanjie Zhu1, and Dong Liang1

1Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2University at Buffalo, The State University of New York, Buffalo, Buffalo, NY, United States

Existing deep learning-based methods for MR reconstruction employ deep networks to exploit the prior information and integrate the prior knowledge into the reconstruction under the explicit constraint of data consistency, without considering the real distribution of the noise. In this work, we propose a new DL-based approach termed Learned DC that implicitly learns the data consistency with deep networks, corresponding to the actual probability distribution of system noise. We evaluated the proposed approach with highly undersampled dynamic cardiac cine data. Experimental results demonstrate the superior performance of the Learned DC.

0273
14:00
eRAKI: Fast Robust Artificial neural networks for K‐space Interpolation (RAKI) with Coil Combination and Joint Reconstruction
Heng Yu1, Zijing Dong2,3, Yamin Arefeen2, Congyu Liao4, Kawin Setsompop4,5, and Berkin Bilgic3,6,7

1Department of Automation, Tsinghua University, Beijing, China, 2Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 3Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 4Radiological Sciences Laboratory, Stanford University, Stanford, CA, United States, 5Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 6Harvard Medical School, Boston, MA, United States, 7Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States

RAKI can perform database-free MRI reconstruction by training models using only auto-calibration signal (ACS) from each specific scan. As it trains a separate model for each individual coil, learning and inference with RAKI can be computationally prohibitive, particularly for large 3D datasets. In this abstract, we accelerate RAKI by more than 200 times by directly learning a coil-combined target and further improve the reconstruction performance using joint reconstruction across multiple echoes together with an elliptical-CAIPI sampling approach. We further deploy these improvements in quantitative imaging and rapidly obtain T2 and T2* parameter maps from a fast EPTI scan.

0274
14:00
Compressed Sensing MRI Revisited: Optimizing $$$\ell_{1}$$$-Wavelet Reconstruction with Modern Data Science Tools
Hongyi Gu1,2, Burhaneddin Yaman2,3, Kamil Ugurbil2, Steen Moeller2, and Mehmet Akcakaya2,3

1Electrical Engineering, University of Minnesota, Minneapolis, MN, United States, 2Center for magnetic resonance research, Minneapolis, MN, United States, 3University of Minnesota, Minneapolis, MN, United States

Deep learning (DL) has shown great promise in improving the reconstruction quality of accelerated MRI. These methods are shown to outperform conventional methods, such as parallel imaging and compressed sensing (CS). However, in most comparisons, CS is implemented with ~2-3 empirically-tuned hyperparameters. On the other hand, DL methods enjoy a plethora of advanced data science tools. In this work, we revisit l1                                           -regularized CS using these modern tools. Using an unrolled ADMM approach, we show that classical l1-wavelet CS can achieve comparable quality to DL reconstructions, with only 116 parameters compared to hundreds of thousands for the DL approaches.

0275
14:00
XPDNet for MRI Reconstruction: an application to the 2020 fastMRI challenge
Zaccharie Ramzi1,2,3, Jean-Luc Starck2, and Philippe Ciuciu1,3

1Neurospin, Gif-Sur-Yvette, France, 2Cosmostat team, CEA, Gif-Sur-Yvette, France, 3Parietal team, Inria Saclay, Gif-Sur-Yvette, France

We present a new neural network, the XPDNet, for MRI reconstruction from periodically under-sampled multi-coil data. We inform the design of this network by taking best practices from MRI reconstruction and computer vision. We show that this network can achieve state-of-the-art reconstruction results, as shown by its ranking of second in the fastMRI 2020 challenge.

0276
14:00
Estimating Uncertainty in Deep Learning MRI Reconstruction using a Pixel Classification Image Reconstruction Framework
Kamlesh Pawar1,2, Gary F Egan1,2,3, and Zhaolin Chen1,4

1Monash Biomedical Imaging, Monash University, Melbourne, Australia, 2School of Psychological Sciences, Monash University, Melbourne, Australia, 3ARC Centre of Excellence for Integrative Brain Function, Monash University, Melbourne, Australia, 4Department of Electrical and Computer Systems Engineering, Monash University, Melbourne, Australia

Data-driven deep learning (DL) image reconstruction from undersampled data has become a mainstream research area in MR image reconstruction. The generalization of the model on unseen data and out of sample data distribution is still a concern for the adoption of the DL reconstruction. In this work, we present a method of risk assessment in DL MR image reconstruction by generating an uncertainty map along with the reconstructed image. The proposed method re-casts image reconstruction as a classification problem and the probability of each voxel intensity in the reconstructed image can be used to efficiently estimate its uncertainty.

0277
14:00
DSLR+: Enhancing deep subspace learning reconstruction for high-dimensional MRI
Christopher Michael Sandino1, Frank Ong2, Ke Wang3, Michael Lustig3, and Shreyas Vasanawala2

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States, 3Electrical Engineering and Computer Sciences, UC Berkeley, Berkeley, CA, United States

Unrolled neural networks (UNNs) have enabled state-of-the-art reconstruction of dynamic MRI data, however, they remain limited by GPU memory hindering applications to high-resolution, high-dimensional imaging. Previously, we proposed a deep subspace learning reconstruction (DSLR) method to reconstruct low-rank representations of dynamic imaging data. In this work, we present DSLR+, which improves upon DSLR by leveraging a locally low-rank model and a more accurate data consistency module. We demonstrate improvements over state-of-the-art UNNs with respect to 2D cardiac cine image quality and reconstruction memory footprint, which is greatly reduced by reconstructing compressed representations of the data instead of the data itself.

0278
14:00
Anomaly-aware multi-contrast deep learning model for reduced gadolinium dose in contrast-enhanced brain MRI - a feasibility study
Srivathsa Pasumarthi1, Enhao Gong1, Greg Zaharchuk1, and Tao Zhang1

1Subtle Medical Inc., Menlo Park, CA, United States

Deep learning (DL) has recently been proven to be effective in addressing the safety concerns of Gadolinium-based Contrast Agents (GBCAs). Recent studies have shown that DL-based algorithms are able to reconstruct contrast-enhanced MRI images with only a fraction of the standard dose. This work investigates the feasibility of improving the performance of such DL algorithms using multi-contrast MRI data, combined with an unsupervised anomaly detection based attention mechanism.

0279
14:00
Blind Primed Supervised (BLIPS) Learning for MR Image Reconstruction
Anish Lahiri1, Guanhua Wang2, Saiprasad Ravishankar3, and Jeffrey A. Fessler1

1Electrical and Computer Engineering, University of Michigan, Ann Arbor, MI, United States, 2Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 3Computational Mathematics, Science and Engineering, and Biomedical Engineering, Michigan State University, East Lansing, MI, United States

This work examines a combined supervised-unsupervised framework involving dictionary-based blind learning and deep supervised learning for MR image reconstruction from under-sampled k-space data. A major focus of the work is to investigate the possible synergy of learned features in traditional shallow reconstruction using sparsity-based priors and deep prior-based reconstruction. Specifically, we propose a framework that uses an unrolled network to refine a blind dictionary learning based reconstruction. We compare the proposed method with strictly supervised deep learning-based reconstruction approaches on several datasets of varying sizes and anatomies.

0280
14:00
Joint estimation of coil sensitivities and image content using a deep image prior
Guanxiong Luo1, Xiaoqing Wang1, Volkert Roeloffs1, Zhengguo Tan1, and Martin Uecker1,2

1Institute for Diagnostic and Interventional Radiology, University Medical Center Göttingen, Germany, Göttingen, Germany, 2Campus Institute Data Science (CIDAS), University of Göttingen, Germany, Göttingen, Germany

Parallel imaging for reduction of scanning time is now routinely used in clinical practice. The spatial information from the coils’ profiles are exploited for encoding. The nonlinear inversion reconstruction is a calibrationless parallel imaging technique, which jointly estimate coil sensitivities and image content. In this work, we demonstrate how to combine such a calibrationless parallel imaging technique with an advanced neural network based image prior for efficient MR imaging. 


Oral

Spectroscopy: Acq/Recon/Analysis

Concurrent 2
Tuesday 14:00 - 16:00
Moderators: Yao Li & John Port
Parent Session: Spectroscopy: Acq/Recon/Analysis
0281
14:00
xSPEN spectroscopy: a self-navigated fast chemical shift encoded echo planar imaging acquisition
Ke Dai1, Hao Chen1, Hongda Shao2, Jianjun Liu2, and Zhiyong Zhang1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2Departments of Nuclear Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

xSPEN is a single-shot echo-planar imaging-based MRI approach with exceptional resilience to chemical shifts and field inhomogeneities. We introduce a time increasing (t1) evolution as chemical shift encoding to fast obtain multiple-voxel spectroscopy. The new method endows a 2D self-navigated motion correction and a unique J-decoupled spectrum by splitting the t1 evolution into τ-t1/2 and t1/2 on two sides of π pulse, which results a constant-τ J coupling evolution. We present in vitro results, demonstrating an alternative fast MRSI and increasing chemical shift separation and detection with the robustness to the in-plane motion and the unique J-decoupled spectrum capability.

0282
14:00
Fast Adiabatic Spin-Echo MRSI Sequence for Whole-Brain 5mm-isotropic metabolic imaging
Antoine Klauser1,2, Sebastien Courvoisier1,2, Michel Kocher1,2, and François Lazeyras1,2

1Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland, 2CIBM Center for Biomedical Imaging, Geneva, Switzerland

A fast 1H 3D Adiabatic Spin-Echo (ADISE) MRSI sequence was implemented to measure metabolite distributions over the whole brain with 5mm isotropic resolution. MRSI data were measured on volunteers and compared with FID-MRSI sequence. ADISE-MRSI and FID-MRSI acquisitions were accelerated with compressed-sensing and reconstructed with a Low-Rank TGV-constrained model.

0283
14:00
Diffusion-weighted Echo Planar Spectroscopic Imaging Using semi‐LASER Localization at 3T: A Pilot Study
Manoj Kumar Sarma1,2, Andres Saucedo3, and M. Albert Albert Thomas3

1Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 2Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 3Radiology, UCLA School of Medicine, Los Angeles, CA, United States

Diffusion-weighted spectroscopy (DW-MRS) is an excellent tool to explore the compartment specific assessment of tissue microstructure. Although there has been growing interest in DW-MRS for clinical applications, most of the studies involving human brain metabolites so far have used single-voxel methods, which limit its application to specific white matter tracts or arbitrarily selected regions of interest. There has been only a few attempts to evaluate the diffusion properties of brain metabolites with DW-MRSI. Here, we propose an echo planar-based diffusion-weighted spectroscopic imaging using semi-LASER localization and bipolar diffusion gradients. Initial results show good spectral quality and spatial localization.

0284
14:00
Quantification of Human Brain Metabolites using Two-Dimensional J-Resolved Metabolite-Cycled semiLASER at 9.4 T
Saipavitra Murali-Manohar1,2, Tamas Borbath1,2, Andrew Martin Wright1,3, and Anke Henning1,4

1High Field Magentic Resonance, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Faculty of Science, University of Tuebingen, Tuebingen, Germany, 3IMPRS for Cognitive Neuroscience, Tuebingen, Germany, 4Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

Crowded proton spectra with severely overlapped J-coupled resonances pose a challenge in the reliable quantification of metabolites in the human brain. Several advanced techniques such as editing methods, multi-dimensional spectroscopy methods, sophisticated processing or quantification pipelines were proposed in the past. In this work, we present a two-dimensional metabolite-cycled semiLASER technique at 9.4 T with maximum echo sampling scheme. This method helps well resolve the J-coupled peaks and clearly distinguish them. 2D spectral fitting is performed using ProFit2.0 and the metabolites are quantified using internal water referencing after correcting the fitted concentration for tissue content and relaxation effects.

0285
14:00
GABA measurement at 7T: short-TE or MEGA editing?
Song-I Lim1,2 and Lijing Xin1,2

1CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 2Animal Imaging and Technology, EPFL, Lausanne, Switzerland

The purpose of the study is to compare short-TE and MEGA editing methods and verify reproducibility of GABA measurement in the motor cortex at 7T. The measured average GABA/Cr and GABA/NAA ratios were 0.121 ± 0.034 and 0.057 ± 0.019 respectively for short-TE sSPECIAL measurement and 0.083 ± 0.014 and 0.052 ± 0.008 respectively for MEGA-sSPECIAL sequence. 6 healthy volunteers were scanned two times and average coefficient of variances were 21.2 ± 11.8 % for short-TE measurement and 4.5 ± 3.9 for MEGA-sSPECIAL sequence.

0286
14:00
Using selective RF pulses in diffusion-weighted MRS for lactate diffusion measurements with minimal J-modulation
Eloïse Mougel1, Sophie Malaquin1, Melissa Vincent1, and Julien Valette1

1Université Paris-Saclay, Commissariat à l'Energie Atomique et aux Energies Alternatives (CEA), Centre National de la Recherche Scientifique (CNRS), Molecular Imaging Research Center (MIRCen), Laboratoire des Maladies Neurodégénératives, Fontenay aux Roses, France

Brain lactate compartmentation is an important but debated neuroscience question. By assessing local microstructure where lactate is diffusing in, diffusion-weighted MRS has unique potential to non-invasively assess lactate compartmentation. We propose to increase lactate signal using selective pulses (SP) to cancel J-modulation. We compare lactate signal behavior in diffusion-weighted experiments performed in vivo, using either spin echo or stimulated echo sequence relying on selective pulses. We verify here that the signal increases in both cases, compared to conventional cases using broad pulses. Spin echo using SP appears the most valuable option to measure lactate diffusion at high b-values.

0287
14:00
Short-TE ECLIPSE for Macromolecular-Nulled MRSI in the Human Brain
Chathura Kumaragamage1, Anastasia Coppoli1, Peter B Brown1, Scott McIntyre1, Terence W Nixon1, Henk M De Feyter1, Graeme Mason1, and Robin A de Graaf1

1Department of Radiology and Biomedical Imaging, Magnetic Resonance Research Center, Yale University, New Haven, CT, United States

An ECLIPSE-IVS based MRSI method was developed utilizing 3 ms GOIA-WURST RF pulses (BW = 15 kHz), operating at an RF amplitude B1(95%) = 0.87 kHz.  The ECLIPSE-IVS method was preceded with a water suppression module incorporating an optional inversion recovery (IR) component, to achieve macromolecule-nulled acquisitions. MRSI in vivo demonstrate robust extracranial lipid suppression with reliable, artifact-free metabolic maps generated with peak integration and LCModel fitting.

0288
14:00
T2* of human brain metabolites estimated from a single proton MRS acquisition
Chloé Najac1, Marjolein Bulk1, Hermien E. Kan1, Andrew G. Webb1, and Itamar Ronen1

1C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands

We propose a method to calculate T2* values of brain metabolites from a series of time-shifted datasets obtained from a single 1H magnetic resonance spectroscopy acquisition. T2* values from five brain metabolites were measured in the posterior cingulate cortex. Robust T2* values were obtained for all five metabolites, including J-coupled metabolites such as glutamate and myo-inositol, for which T2* estimation is otherwise not possible. We show in a subsequent reproducibility study that the water linewidth within the same volume can be used to account for variability in local B0 inhomogeneity and reduce the associated variability across measurements.

0289
14:00
A method for high quality magnetic resonance spectroscopy of discs during normal breathing
Frida Johansson1,2, Helena Brisby2,3, Hanna Hebelka2,4, Maria Ljungberg1,2, and Kerstin Lagerstrand1,2

1Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden, 2Institute of Clinical Sciences, Gothenburg University, Gothenburg, Sweden, 3Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden, 4Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden

This study aimed to evaluate the effect of respiratory motion on disc MRS and propose an MRS-method that improves the signal-to-noise-ratio. Findings showed that the phase signal of the disc changes substantially between expiration and inspiration. With the proposed postprocessing method, all spectra gave a higher signal-to-noise-ratio (largest gain=30%). Present study shows that respiratory motion affects the disc phase signal and should be taken into consideration when evaluating the disc using MRS. The proposed method improved the quality of the MRS-spectrum and, thus, showed feasibility in measuring the molecular disc content non-invasively during normal breathing.


0290
14:00
NIfTI MRS: A standard format for spectroscopic data
William T Clarke1, Tiffany Bell2,3,4, Uzay Emir5,6, Mark Mikkelsen7,8, Georg Oeltzschner7,8, Benjamin C Rowland9, Amirmohammad Shamaei10,11, Brian J Soher12, Sofie Tapper7,8, and Martin Wilson13

1Wellcome Centre for Integrative Neuroimaging, NDCN, University of Oxford, Oxford, United Kingdom, 2Department of radiology, University of Calgary, Calgary, AB, Canada, 3Hotchkiss brain institute, University of Calgary, Calgary, AB, Canada, 4Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada, 5School of Health Sciences, Purdue University, West Lafayette, IN, United States, 6Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, United States, 7Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 8F. M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 9Division of Cancer Science, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom, 10Institute of Scientific Instruments of the CAS, Brno, Czech Republic, 11Department of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, Brno, Czech Republic, 12Center for Advanced MR Development, Department of Radiology, Duke University Medical Center, Durham, NC, United States, 13Centre for Human Brain Health and School of Psychology, University of Birmingham, Birmingham, United Kingdom

We propose a flexible data format for the storage of multidimensional MRS data. The lack of a single widely used data format in MRS hinders widespread use, consistent analyses, and open dissemination of data. Here, we adapt the widely adopted NIfTI format to store MRS data, extending NIfTI to include the additional meta-data required for MRS data interpretation. We present a pipeline for end-to-end analysis of MRS data and an open-source conversion tool. The community is encouraged to contribute to the format.


Oral

Brain Microstructure: Application & Validation Across Species

Concurrent 3
Tuesday 14:00 - 16:00
Moderators: Manisha Aggarwal & Farshid Sepehrband
Parent Session: Brain Microstructure: Application & Validation Across Species
0291
14:00
Multi-modal, multi-resolution imaging of a single mouse brain
Sean Foxley1, Vandana Sampathkumar1, Vincent De Andrade2, Scott Trinkle1, Anstasia Sorokina1, Katrina Norwood1, Patrick La Riviere1, and Narayanan Kasthuri1

1University of Chicago, Chicago, IL, United States, 2Advanced Photon Source, Argonne National Laboratory, Lamont, IL, United States

Mammalian neurons operate at length scales spanning many orders of magnitude; micron-scale-diameter myelinated axons project millimeters across brain regions, forming nanometer scale synapses. Capturing these disparately sized anatomical features requires imaging samples with multiple independent imaging modalities. Directly correlating features across modalities requires that all imaging is performed in the same brain. Here, we imaged the same postmortem mouse brain over five orders of spatial resolution using MRI, synchrotron x-ray tomography (μCT), and electron microscopy. This pipeline provides an unprecedented look across a single brain's multi-scaled organization and a vehicle for studying the brain’s multi-scaled pathologies.

0292
14:00
Pre- and post-neonatal in vivo DTI on mice: Targeting brain microstructures at 15.2T
Odélia Jacqueline Chitrit1, Qingjia Bao1, Maxime Yon1, and Lucio Frydman1

1Department of Chemical and Biological Physics, Weizmann institute of Science, Rehovot, Israel

DTI is a well-established technique for mapping brain microstructure. Brain’s microstructural features derive from white matter and change over the course of maturation; hence methods that can acquire DTI in utero and immediately post-partum, are of interest. The present study explores the use of a customized 3D phase-encoded Spatiotemporal Encoding (SPEN) MRI approach that can be used to overcome the motional and susceptibility challenges arising in such instances, delivering quality DTI volumetric data at 15.2T. Maps of ADC, MDD and FA could thus be collected for mice fetal brains in utero, as well as within the first week post-partum.

0293
14:00
Measuring apparent water exchange using Filter Exchange Imaging and diffusion time dependent kurtosis imaging in post-mortem mouse brains
Chenyang Li1,2, Els Fieremans1, Dmitry S. Novikov1, Yulin Ge1, and Jiangyang Zhang1

1Department of Radiology, Center for Biomedical Imaging, NYU Grossman School of Medicine, New York, NY, United States, 2Vilcek Institute of Graduate Biomedical Sciences, NYU Grossman School of Medicine, New York, NY, United States

Filter exchange imaging (FEXI) and diffusion time dependent diffusion kurtosis imaging (DKI(t)) are two techniques that are sensitive to water exchange between tissue compartments. However, built on different theoretical frameworks and models, many questions remain on the interpretations of FEXI and (DKI(t)) results in the brain. In this study, we measured water exchange effects in post-mortem mouse brains using FEXI and (DKI(t)) and observed a correlation between them, suggesting that they are sensitive to similar exchange processes.

0294
14:00
Exploring the epileptic rat hippocampus using oscillating gradients, 3D electron microscopy and Monte Carlo simulations
Jonathan Scharff Nielsen1, Alejandra Sierra2, Ilya Belevich3, Eija Jokitalo3, and Manisha Aggarwal1

1Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2A.I. Virtanen Institute of Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 3Institute of Biotechnology, University of Helsinki, Helsinki, Finland

Oscillating gradient spin-echo (OGSE) diffusion MRI (dMRI) is sensitive to small-scale restrictions and may provide a sensitive probe of gray matter microstructural changes in brain disorders such as temporal lobe epilepsy. However, relating the OGSE spectral changes to specific microstructural features is a difficult challenge. Here, we combined OGSE-dMRI with serial block-face electron microscopy volumes of healthy and status epilepticus exhibiting rat hippocampi. From tissue parameters extracted from these volumes, we generated 3D digital substrates for Monte-Carlo random-walk simulations, which allowed us to elucidate the relative contributions of underlying gray matter microstructural features to the OGSE measurements.

0295
14:00
Towards differentiation of white matter pathologies through B-tensor encoding.
Ricardo Rios-Carrillo1, Ricardo Coronado-Leija2, Hiram Luna-Munguía1, Alonso Ramírez-Manzanares3, and Luis Concha1

1Instituto de Neurobiología, Universidad Nacional Autónoma de México, Querétaro, Mexico, 2Radiology, New York University School of Medicine, New York, NY, United States, 3Centro de Investigación en Matemáticas, Guanajuato, Mexico

This work explores the ability of B-tensor encoding methods to disentangle axonal degeneration and inflammation through DW-MRI. In particular, we tested Q-space trajectory encoding and diffusion tensor distribution imaging. Both methods clearly differentiated between damaged and intact nerves, and showed moderately different diffusion characteristics between the two experimental conditions.

0296
14:00
g-Ratio in the common marmoset: a comparison across different myelin-sensitive MRI metrics with b-tensor encoded diffusion
Christopher D Rowley1,2, Ilana R Leppert2, Jennifer SW Campbell2, Filip Szczepankiewicz3,4, Stephen Nuara5, Markus Nilsson3, G Bruce Pike6, and Christine L Tardif1,2,7

1Neurology and Neurosurgery, McGill University, Montreal, QC, Canada, 2McConnell Brain Imaging Centre, Montreal Neurological Institute and Hospital, Montreal, QC, Canada, 3Diagnostic Radiology, Clinical Sciences Lund, Lund University, Lund, Sweden, 4Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 5Comparative Medicine and Animal Resources Center, McGill University, Montreal, QC, Canada, 6Hotchkiss Brain Institute and Departments of Radiology and Clinical Neuroscience, University of Calgary, Calgary, AB, Canada, 7Department of Biomedical Engineering, McGill University, Montreal, QC, Canada

The g-ratio quantifies the relative thickness of the myelin sheath and can be estimated from myelin volume fraction (MVF) and axonal volume fraction (AVF) maps. The best MRI methods for deriving these metrics are still under investigation. This study examines the use of inhomogeneous magnetization transfer (ihMTsat) along with other myelin-sensitive metrics, and diffusion MRI with b-tensor encoding for calculating the g-ratio in a marmoset brain. We find that while the different myelin-sensitive metrics and diffusion microstructural models produce different MVF and AVF maps, the g-ratio values follow similar trends across the white matter.

0297
14:00
The spectral tilt plot (STP) – new microstructure signatures from spectrally anisotropic b-tensor encoding
Samo Lasic1,2, Filip Szczepankiewicz3, Markus Nilsson3, Tim B. Dyrby1,4, and Henrik Lundell1

1Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark, 2Random Walk Imaging, Lund, Sweden, 3Clinical Sciences, Lund University, Lund, Sweden, 4Department of Applied Mathematics and Computer Science, Technical University of Denmark, Copenhagen, Denmark

Tensor-valued diffusion encoding can probe diffusion tensor distribution unconfounded by orientation and heterogeneity. Since different cell morphologies may yield similar apparent diffusion tensors, inferring specific microstructural features remains challenging. Further information can be accessed by considering time-dependent diffusion. We show that rotational dependence of spherical tensor encoding, caused by spectral anisotropy, can be prominent on a preclinical scanner. The presented analysis may reveal different microstructural signatures depending on cell shape, which could be relevant for tissue modelling. Our results on fixed monkey brain suggest that brain cells exhibit anisotropic restricted diffusion along all directions, unlike in the cylindrical diffusion model. 

0298
14:00
Tensor-valued Diffusion MRI Shows Elevated Microscopic Anisotropy and Tissue Heterogeneity in White and Grey Matter of Acute Ischemic Stroke
Mi Zhou1, Robert Stobbe1, Filip Szczepankiewicz2,3, Mar Lloret4, Brian Buck4, Paige Fairall4, Ken Butcher4, Ashfaq Shuaib4, Derek Emery5, Markus Nilsson2, Carl-Fredrik Westin3, and Christian Beaulieu1

1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 2Clinical Sciences Lund, Lund University, Lund, Sweden, 3Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, 4Neurology, University of Alberta, Edmonton, AB, Canada, 5Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada

Novel diffusion encoding modalities, such as tensor-valued encoding, can disentangle the effects of intra-voxel orientation dispersion and diffusion anisotropy, thereby resolving the fiber density from tissue heterogeneity. A rapid 2.5-minute protocol for tensor-valued diffusion MRI was applied for the first time to acute stroke. Microscopic anisotropy (µFA and MKA) and tissue heterogeneity (MKI) were higher in lesions of white and grey matter, in contrast to reduced DTI-derived fractional anisotropy at the voxel level. Elevated microscopic anisotropy in acute stroke may reflect increased trapped water in swollen axons, a measure independent of tract orientation dispersion.

0299
14:00
Column-based cortical depth analysis of the diffusion anisotropy in submillimeter whole-brain DTI of the human gray matter
Yixin Ma1,2, Trong-Kha Truong1,2, Iain P. Bruce1, Chun-Hung Yeh3, Jeffrey R. Petrella1,2, and Allen W. Song1,2

1Brain Imaging and Analysis Center, Duke University, Durham, NC, United States, 2Medical Physics Graduate Program, Duke University, Durham, NC, United States, 3Institute for Radiological Research, Chang Gung University and Chang Gung Memorial Hospital, Taoyuan, Taiwan

High-resolution diffusion tensor imaging (DTI) can noninvasively probe the microstructural integrity of cortical gray matter in vivo. We propose a column-based method that samples submillimeter isotropic whole-brain DTI data along radially oriented cortical columns to achieve a quantitative analysis of the fractional anisotropy and radiality index dependence on the cortical depth, curvature, and brain regions across the whole brain. This method is robust across repeated scans and healthy subjects, and can capture characteristic diffusion anisotropy and radiality patterns in the cortical gray matter, potentially providing quantitative biomarkers for various neurological disorders. 

0300
14:00
Ex-vivo whole human brain high b-value diffusion MRI at 550 micron with a 3T Connectom scanner
Gabriel Ramos-Llordén1, Chiara Maffei1, Qiyuan Tian1, Berkin Bilgic1,2, Thomas Witzel3, Boris Keil4, Anatasia Yendiki1, and Susie Huang1,2

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Masachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States, 2Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 3Q Bio Inc, San Carlos, CA, United States, 4Institute of Medical Physics and Radiation Protection, Mittelhessen University of Applied Sciences, Giessen, Germany

We demonstrate high quality, high b-value diffusion MRI (up to 10 000 s / mm2)  in an ex-vivo human brain at ultra-high spatial resolution (550 micrometer). The high signal quality allows us to obtain high diffusion contrast and delineate fine structures that cannot be resolved within in vivo acquisitions. We present DTI and DKI results of the whole brain, show diffusivity on the primary somatosensory, auditory, and visual cortex  areas as well as illustrate tractography of the hippocampus and thalamus structures, revealing internal connectivity at a high level of detail. 


Oral

Velocity & Flow

Concurrent 4
Tuesday 14:00 - 16:00
Moderators: Petter Dyverfeldt & Eva Peper
Parent Session: Velocity & Flow
0301
14:00
Does the internal carotid artery attenuate blood-flow pulsatility in small vessel disease? A 7T 4D-flow MRI study.
Rick J. van Tuijl1, Ynte M. Ruigrok2, Irene C. van der Schaaf1, Lennart J. Geurts1, Gabriël J. E. Rinkel2, Birgitta K. Velthuis1, and Jaco J. M. Zwanenburg1

1Radiology, UMC Utrecht, Utrecht, Netherlands, 2Neurology, UMC Utrecht, Utrecht, Netherlands

We studied blood-flow pulsatility and arterial distensibility along the internal carotid artery (ICA) in cerebral small vessel disease (CSVD) patients and healthy controls using 7Tesla MRI. 4D-flow measurements (0.8 mm isotropic resolution), were analyzed in 17 patients with lacunar infarcts or deep intracerebral hemorrhage (CSVD) and 17 age and sex matched healthy controls. Pulsatility was significantly higher and arterial distensibility significantly lower in CSVD patients compared to controls. Velocity pulsatility was attenuated between the extracranial ICA and the circle of Willis in controls, but increased in CSVD. Higher calcification in CSVD patients correlated with reduced distensibility and increased velocity pulsatility. 

0302
14:00
Phase-contrast MR angiography at 7 Tesla revealed reduced lenticulostriate artery blood flow velocity in patients with small vessel disease
Yue Wu1,2,3, Chengyue Sun4, Qingle Kong5, Zhixin Li1,2,3, Dongbiao Sun1,2,3, Chen Ling4, Jing An6, Rong Xue1,2,3, Yan Zhuo1,2,3, Yun Yuan4, and Zihao Zhang1,2,3

1State Key Laboratory of Brain and Cognitive Science, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, 2The Innovation Center of Excellence on Brain Science, Chinese Academy of Sciences, Beijing, China, 3University of Chinese Academy of Sciences, Beijing, China, 4Department of Neurology, Peking University First Hospital, Beijing, China, 5MR Collaboration, Siemens Healthcare Ltd, Beijing, China, 6Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China

In this study, we demonstrated a technique that could non-invasively quantify lenticulostriate artery (LSA) flow velocities in cerebral small vessel disease (CSVD). With phase-contrast magnetic resonance angiography (PC-MRA) at 7T, LSA blood flow velocities were detected in patients with CADASIL (a hereditary CSVD). LSA flow velocities decreased in patients compared with healthy individuals. We also found good associations between velocities and clinical characteristics among patients with CADASIL. These results suggest that PC-MRA at 7T is a valuable technique to assess small arterial dysfunction in patients with CSVD.

0303
14:00
Background Phase Error Reduction in Phase-Contrast MRI based on Acoustic Noise Recordings
Hannes Dillinger1, Eva Peper1, Christian Guenthner1, and Sebastian Kozerke1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

This work identifies mechanical resonances of the gradient coil system as a source of increased spatially linear and quadratic phase offsets. Mechanical resonance frequencies were identified by mobile phone audio recordings from inside the scanner room and compared to the gradient modulation transfer function. Results demonstrate that optimal TE reduces phase ramps by a factor of 15 and optimal TR removes the spatially quadratic phase offset.

0304
14:00
Correcting vs resolving respiratory motion in accelerated free-running whole-heart radial flow MRI using focused navigation (fNAV)
Mariana Baginha da Lança Falcão1, Giulia M. C. Rossi1, Liliana Ma2,3, John Heerfordt1,4, Davide Piccini1,4, Jérôme Yerly1,5, Milan Prša6, Tobias Rutz7, Estelle Tenisch1, Michael Markl2,3, Matthias Stuber1,5, and Christopher W. Roy1

1Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 3Department of Biomedical Engineering, Northwestern University, Chicago, IL, United States, 4Advanced clinical imaging technology, Siemens Healthcare AG, Lausanne, Switzerland, 5Center for Biomedical Imaging (CIBM), Lausanne, Switzerland, 6Woman-Mother-Child Department, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 7Service of Cardiology, Centre de resonance magnétique cardiaque (CRMC), Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland

In this work, a free-running radial whole-heart flow sequence was acquired in five congenital heart disease patients and images were reconstructed using a) a previously developed 5D flow framework for respiratory and cardiac resolved images, and b) a novel framework for respiratory motion corrected and cardiac resolved 4D flow (fNAV). Image and flow differences were measured across a range of acceleration factors. We showed that the free-running acquisition, which is already undersampled, can be even further accelerated with less signal degradation if it is reconstructed with fNAV 4D flow, compared to using 5D flow.

0305
14:00
Impact of respiratory Gating on hemodynamic parameters from 4D flow MRI
Esteban Jorge Denecken-Campaña1,2,3, Julio Sotelo1,3,4, Cristobal Arrieta1,3, Pablo Irarrazaval1,2,3, Cristián Tejos1,2,3, Marcelo E. Andia1,3,5, and Sergio Uribe1,3,5

1Biomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile, 2Electrical Engineering Department, School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile, 3ANID – Millennium Science Initiative Program – Millennium Nucleus for Cardiovascular Magnetic Resonance, Santiago, Chile, 4School of Biomedical Engineering, Universidad de Valparaíso, Valparaíso, Chile, 5Department of Radiology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile

Hemodynamic parameters from 4D flow datasets derived in the last years have shown promising diagnostic value in different cardiovascular pathologies. However, we know little about the behavior of these parameters when the 4D flow data is corrupted by respiratory motion. The purpose of this work is to perform a quantitative comparison between hemodynamic parameters computed from 4D flow Cardiac MRI with and without respiratory self-gating. We found significant variability of the hemodynamic parameters in the ascending aorta of healthy volunteers when comparing both methods. Hemodynamic parameters measured with self-gating acquisition showed statistically significant differences compared to those measured without self-gating.

0306
14:00
Novel Stochastic 4D Flow Signatures of time-resolved 3D left atrial flow-field alterations in atrial fibrillation
Thara Nallamothu1,2, Amanda L. DiCarlo1, Daniel C. Lee3, Daniel Kim1, Rishi Arora3, Michael Markl1,2, Phillip Greenland4, Rod Passman3, and Mohammed S.M. Elbaz1

1Radiology, Northwestern University, Chicago, IL, United States, 2Biomedical Engineering, Northwestern University, Chicago, IL, United States, 3Medicine (Cardiology), Northwestern University, Chicago, IL, United States, 4Preventative Medicine, Northwestern University, Chicago, IL, United States

4D Flow MRI studies have shown an association between atrial fibrillation (AF) with altered left atrial (LA) blood flow. Nevertheless, LA flow dynamics changes can be complex (vortex flow, jets, stagnations, etc.). Existing quantitative 4D flow metrics only characterize parts of the overall complex interacting LA flow dynamics. Here, we propose a novel stochastic 4D Flow signature technique to quantify the unique composition of normal and altered LA flow dynamics utilizing the entire 4D three-directional velocity-field from 4D Flow MRI. We demonstrate the excellent reproducibility and the feasibility of the technique in quantifying distinctly altered LA signatures in AF patients.

0307
14:00
Insight of right ventricular dysfunction and impaired efficiency via 4D flow CMR in repaired tetralogy of Fallot
Xiaodan Zhao1, Liwei Hu2, Ru-San Tan1,3, Ping Chai4, Marielle Fortier3,5, Rong Zhen Ouyang2, Shuo Zhang6, Wen Ruan1, Ting Ting Low4, Shuang Leng1, Jun-Mei Zhang1,3, Bryant Jennifer1, Lynette Teo4, Rob van der Geest7, Teng Hong Tan3,5, James W. Yip4, Ju Le Tan1,3, Yumin Zhong2, and Liang Zhong1,3

1National Heart Centre Singapore, Singapore, Singapore, 2Shanghai Children’s Medical Centre, Shanghai, China, 3Duke-NUS Medical School, Singapore, Singapore, 4National University Hospital Singapore, Singapore, Singapore, 5KK Women’s and Children’s Hospital, Singapore, Singapore, 6Philips Germany, Humburg, Germany, 7Leiden University Medical Center, Leiden, Netherlands

4D flow CMR enables qualitative and quantitative assessment of intra-cardiac flow. Kinetic energy (KE) and pathline-derived four flow components for left ventricular (LV) and right ventricular (RV) were analyzed and compared in repaired tetralogy of Fallot (rTOF) and age-matched controls. For RV, rTOF had increased peak systolic, systolic and peak E-wave KE normalized to end-diastolic volume while decreased efficiency index. RV direct flow decreased while RV residual volume increased from controls to rTOF with preserved RVEF (rTOFpEF) to rTOF with reduced RVEF. ROC analysis showed RV direct flow and efficiency index were sensitive markers to detect RV dysfunction in rTOFpEF.

0308
14:00
Sildenafil Administration Improves Right Ventricular Function on 4D Flow MRI in Young Adults Born Premature
Philip A Corrado1, Gregory P Barton2, Christopher J François3, Oliver Wieben1, and Kara N Goss2

1University of Wisconsin-Madison, Madison, WI, United States, 2University of Texas Southwestern, Dallas, TX, United States, 3Mayo Clinic, Rochester, MN, United States

We used 4D flow MRI before and during acute pharmacological intervention to reduce either afterload or heart rate in young adults born very to extremely premature, finding improved overall cardiac function and shifted intraventricular flow in the RV towards direct flow after RV afterload reduction with sildenafil. We interpret these findings to mean that intrinsic morphologic differences as well as increased RV afterload are stronger drivers of cardiac dysfunction in the preterm heart than decreased filling time. This study design may serve as a blueprint for future studies investigating the effects of acute hemodynamic pharmacological interventions with 4D flow MRI.

0309
14:00
Abnormal aortic kinetic energy and viscous energy loss in patients with repaired tetralogy of Fallot
Yu-Ru Yang1, Meng-Chu Chang1, Ming-Ting Wu2, Ken-Pen Weng3, and Hsu-Hsia Peng1

1Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 3Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

We aim to evaluate aortic kinetic energy (KE) and viscous energy loss (EL) in repaired tetralogy of Fallot (rTOF) patients with different degrees of aortic regurgitation fraction (RF). The rTOF1 group (RF<2%) demonstrated decreased systolic KE in arch and descending aorta, suggesting the mild altered aortic flow. The rTOF2 group (RF≧2%) presented significantly elevated RF in arch and descending aorta, increased systolic KE from distal ascending aorta to proximal descending aorta, and decreased systolic EL in ascending aorta and distal arch. In conclusion, the systolic KE may provide earlier evidence of abnormal aortic flow before serious aortic regurgitation.

0310
14:00
Abnormal aortic hemodynamics at predilection sites for dissection in Marfan patients: a 4D flow study
Pim van Ooij1, Mitzi van Andel2, Lukas M. Gottwald1, Aart J Nederveen1, and Maarten Groenink1

1Radiology & Nuclear Medicine, Amsterdam University Medical Centers, location AMC, Amsterdam, Netherlands, 2Cardiology, Amsterdam University Medical Centers, location AMC, Amsterdam, Netherlands

In this study we use 4D flow MRI techniques to investigate abnormal magnitude and direction of blood flow velocity and wall shear stress in patients with Marfan syndrome, a congenital disease that may cause aortic dissection. We found that patients that underwent aortic root repair have significantly more abnormal hemodynamics and that abnormally elevated hemodynamics were associated with blood pressure chracteristics. Abnormally directed hemodynamics were not associated with any patient characteristics, but showed a distinct regional increase at the inner proximal descending aorta,  awell-know predilection site for aortic dissection in Marfan patients.


Oral

Liver

Concurrent 5
Tuesday 14:00 - 16:00
Moderators: Johannes Heverhagen & Jin Wang
Parent Session: Liver
0311
14:00
Diagnostic Performance of Multiparametric Models Using Fat Fraction, Liver Stiffness, and T1 for Detection of Nonalcoholic Steatohepatitis
Xin Lu1, Jiahui Li1, Zheng Zhu1, Alina Allen2, Taofic Mounajjed3, Kevin J Glaser1, Jinhang Gao 4, Jingbiao Chen1, Jie Chen1, Safa Hoodeshenas1, Armando Manduca1, Richard L Ehman1, and Meng Yin1

1Department of Radiology, Mayo Clinic, Rochester, MN, United States, 2Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States, 3Anatomic Pathology, Mayo Clinic, Rochester, MN, United States, 4Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States

NASH is traditionally diagnosed by liver biopsy,  limited by subjective scoring and sampling error. This motivates identifying imaging-based biomarkers that might quantitatively characterize the pathophysiologic features of NASH. This prospective study established a streamlined imaging protocol for acquiring three candidate biomarkers ( fat fraction, liver stiffness, and T1 ) in a cohort of 66 patients with suspected NASH who underwent biopsy.  The results indicate that a two-parameter model using fat fraction and liver stiffness has superior accuracy in diagnosing NASH, including ones that include the T1 relaxation time, which was found to have high collinearity with the fat fraction.

0312
14:00
Physics-informed deep neural network for tri-exponential intravoxel incoherent motion fitting in non-alcoholic fatty liver disease.
Marian A. Troelstra1, Julia J. Witjes2, Anne-Marieke van Dijk2, Anne Linde Mak2, Jurgen H. Runge1, Joanne Verheij3, Max Nieuwdorp2, Adriaan G. Holleboom2, Aart J. Nederveen1, and Oliver J. Gurney-Champion1

1Department of Radiology and Nuclear Medicine, Amsterdam UMC, location AMC, Amsterdam, Netherlands, 2Department of Internal and Vascular Medicine, Amsterdam UMC, location AMC, Amsterdam, Netherlands, 3Department of Pathology, Amsterdam UMC, location AMC, Amsterdam, Netherlands

In this study we have developed an unsupervised physics-informed deep neural network (IVIM3-NET) to fit a tri-exponential model to intravoxel incoherent motion (IVIM) data from 35 non-alcoholic fatty liver disease (NAFLD) patients. Diagnostic performance was compared to a tri-exponential least squares (LSQ) fit. Visually, IVIM3-NET showed high-quality parameter maps with less noise than the LSQ-fit. IVIM3-NET showed slightly higher correlations between fit parameters and histology and more significant differences between levels of fibrosis and inflammation than the LSQ-fit. Correlations between f2 and fibrosis and inflammation grade, potentially highlighting NAFLD-induced vascular changes, warrant further investigation of the IVIM3-NET in NAFLD patients.

0313
14:00
High-risk Esophageal Varices Screening with MR Elastography in Patients with Cirrhosis
Safa Hoodeshenas1, Mahmoud Adam Tahboub Amawi2, Jingbiao Chen1,3, Nimish Thakral2, Kevin J. Glaser1, Bogdan Dzyubak1, Jiahui Li1, Xin Lu1, Jie Chen1, Zheng Zhu1, Patrick S. Kamath2, Vijay Shah2, Richard L. Ehman1, Sudhakar K. Venkatesh1, Douglas A. Simonetto2, and Meng Yin1

1Department of Radiology, Mayo Clinic, Rochester, MN, United States, 2Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States, 3The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

In patients with end-stage chronic liver diseases, esophageal varices can be a life-threatening complication of portal hypertension because of bleeding risk. In this study, we explored the role of MR elastography (MRE) in stratifying portal hypertension severity and predicting high-risk varices by using upper gastrointestinal endoscopy as the reference standard. We concluded that a composite model including spleen size and stiffness plus liver stiffness and platelet count more accurately predicts the presence of high-risk varices, and thus could reduce unnecessary endoscopies more precisely than using liver stiffness and platelet count alone.

0314
14:00
Macromolecular proton fraction mapping based on spin-lock for the non-invasive diagnosis of early stage liver fibrosis
Jian Hou1, Vincent Wai-Sun Wong2, Grace Lai-Hung Wong2, Baiyan Jiang1, Yi-Xiang Wang1, Anthony Wing-Hung Chan3, Winnie Chiu-Wing Chu1, and Weitian Chen1

1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 2Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 3Department of Anatomical and Cellular Pathology, The Chinese University of Hong Kong, Hong Kong, Hong Kong

Liver fibrosis is characterized by excessive accumulation of extracellular matrix proteins, such as collagen. Macromolecular Proton Fraction (MPF) is an indicator of the relative amount of macromolecular content. It was reported recently that MPF map can be obtained based on spin-lock (MPF-SL). In this work, we investigated the diagnostic value of MPF-SL for detecting early stage liver fibrosis on a clinical study.

0315
14:00
Partial Fourier Reconstruction in Liver DWI using a Recurrent Convolutional Network
Fasil Gadjimuradov1,2, Thomas Benkert2, Marcel Dominik Nickel2, and Andreas Maier1

1Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Magnetic Resonance, Siemens Healthcare GmbH, Erlangen, Germany

Partial Fourier (PF) acquisition allows to reduce TE in single-shot echo-planar imaging in order to increase signal-to-noise ratio (SNR) in diffusion-weighted imaging (DWI). However, when applying it to motion-prone liver DWI, conventional PF reconstruction methods fail since they rely on smoothness priors of the phase. This work proposes to use an unrolled network architecture which aims to estimate a more appropriate regularization by learned recurrent convolutions. It can be shown that reconstructions produced by the network are superior in terms of quantitative measures as well as qualitative impression compared to conventional methods which tend to introduce artifacts.

0316
14:00
Motion-Resolved Four-Dimensional Abdominal Diffusion-Weighted Imaging using Propeller Echo-Planar Imaging (4D-DW-Propeller-EPI)
lu wang1, Tian Li2, Jing Cai2, and Hing-Chiu Chang1

1Department of Diagnostic Radiology, The University of Hong Kong, HongKong, China, 2Department of Health Technology and Informatics, The Hong Kong Polytechnic University, HongKong, China

Motion-resolved four dimensional diffusion-weighted echo-planar imaging (4D-DW-EPI) may better characterize the respiratory-induced motion of tumor than 4D-MRI with conventional T1 and T2 image contrasts. However, the existing 4D-DW-EPI technique can only provide limited geometric accuracy and low sampling rate over respiratory cycles. Thus, we proposed an advanced 4D-DW-Propeller-EPI technique with golden angle acquisition for improving the geometric accuracy and data sampling rate. Simulation study and in-vivo study were conducted to evaluate the performance of 4D-DW-Propeller-EPI. Our results demonstrate that 4D-DW-Propeller-EPI showed superior image quality to 4D-DW-EPI and had a potential for the application of MRI-guided abdominal radiotherapy.

0317
14:00
Improvement of Left Hepatic Lobe Diffusion Weighted Imaging using Double Triggering with Motion Sensitive CINE Imaging
Hiroshi Hamano1, Masami Yoneyama1, Akihiro Nishie2, Keisuke Ishimatsu2, Chiaki Tokunaga3, Hiroaki Watanuki3, Tatsuhiro Wada3, Isao Shiina4, Michinobu Nagao5, Yasuhiro Goto4, Kazuo Kodaira4, Yutaka Hamatani4, Takumi Ogawa4, Takashi Namiki1, and Kenji Iinuma1

1Philips Japan, Tokyo, Japan, 2Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 3Division of Radiology, Department of Medical Technology, Kyushu University Hospital, Fukuoka, Japan, 4Department of Radiological Services, Tokyo Women’s Medical University, Tokyo, Japan, 5Department of Diagnostic Imaging and Nuclear Medicine, Tokyo Women’s Medical University, Tokyo, Japan

In the Liver DWI, the respiratory and cardiac motion induce signal loss and artificially increase ADC of the left hepatic lobe. On the other hand, Motion-Sensitive (MoSe) CINE imaging, based on T2FFE (also known as PSIF) sequence, could directly visualize the motion-insensitive cardiac timing thanks to that of motion sensitivity. We assumed that it is useful for determining optimal cardiac trigger delay (TD) in the liver DWI. We demonstrated that the respiratory and cardiac trigged DWI with optimal cardiac TD using MoSe CINE imaging leads to the robustness of image quality in DWI and ADC of the left hepatic lobe.

0318
14:00
Repeatability of Liver Apparent Diffusion Coefficient Measurement Using Free-Breathing Diffusion-Weighted Propeller Echo-Planar Imaging
Hing-Chiu Chang1, Lu Wang1, Guangtao Chen1, Liyuan Liang1, Keith Wan-Hang Chiu1, Yi-Jui Liu2, Chun-Jung Juan3,4,5, and Hsiao-Wen Chung6,7

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Automatic Control Engineering, Feng Chia University, Taichung, Taiwan, 3Department of Medical Imaging, China Medical University Hsinchu Hospital, Hsinchu, Taiwan, 4Department of Radiology, School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan, 5Department of Medical Imaging, China Medical University Hospital, Taichung, Taiwan, 6Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, 7Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan

The current limitations of liver DWI mainly relate to the image quality and the repeatability/reproducibility of ADC measurement using single-shot DW echo-planar imaging (DW-EPI). The discrepancy of ADC measurement can substantially cause difficulty in cross-sectional or longitudinal liver DW-EPI. A preliminary study reported that a free-breathing liver DW-Propeller-EPI technique can provide superior image quality to conventional liver DW-EPI methods. In this study, we further improved the robustness of free-breathing liver DW-Propeller-EPI by incorporating velocity-compensation (VC) diffusion gradient into data acquisition, and then evaluated the repeatability of liver ADC measurement for free-breathing DW-Propeller-EPI by comparing to three routine liver DW-EPI methods.

0319
14:00
Characterization of Arterial and Portal Venous Contributions to Metabolic Imaging of the Human Liver Using Hyperpolarized 13C-pyruvate MRI
Philip Meng-en Lee1, Jeremy W Gordon1, Zhen J Wang1, Zihan Zhu1, Hsin-Yu Chen1, Pamela N Munster2, Rahul Aggarwal2, Daniel B Vigneron1, and Michael A Ohliger1

1Department of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Department of Medicine, University of California, San Francisco, San Francisco, CA, United States

Analysis of the delivery and metabolism of hyperpolarized 13C pyruvate within the liver is complicated by the organ’s unique dual blood supply. Distinguishing the hepatic arterial and portal venous contributions of pyruvate delivery would improve real-time acquisition triggering and kinetic modeling. Three healthy subjects and two metastatic cancer subjects underwent hyperpolarized 13C MRI on a clinical 3 T MR scanner. We observed differential arrival of [1-13C]pyruvate signal in the aorta, inferior vena cava, portal vein, healthy liver, and metastases matching physiologic expectations. Consistencies were observed within subject groups, which is crucial for accurate timing and modelling of metabolic hyperpolarized signals.

0320
14:00
Intraindividual comparison of stack-of-stars acquisition for arterial phase imaging with and without breath-holding on dynamic MRI of the liver
Shintaro Ichikawa1, Utaroh Motosugi2, Tetsuya Wakayama3, Satoshi Funayama1, Daiki Tamada1, Sagar Mandava4, Ty A Cashen5, and Hiroshi Onishi1

1Department of Radiology, University of Yamanashi, Chuo, Japan, 2Kofu Kyoritsu Hospital, Kofu, Japan, 3GE Healthcare, Hino, Japan, 4GE Healthcare, Atlanta, GA, United States, 5GE Healthcare, Madison, WI, United States

We performed intra-individual comparison of arterial phase (AP) images between differential subsampling with Cartesian ordering (DISCO) and stack-of-stars acquisition without breath-holding (DISCO-Star) on dynamic magnetic resonance imaging of the liver. Patients showing inadequate scan timing of AP in DISCO and DISCO-Star (12 s/phase) dataset were 4.9% and 21.2%, respectively. One advantage of DISCO-Star was that the adequate scan timing of AP can be obtained by using additional high frame rate reconstruction (3 s/phase) in the patient with inadequate scan timing in routine reconstruction. DISCO-Star was useful to obtain adequate AP imaging in all patients.


Combined Educational & Scientific Session

Amyloid-Related Imaging Abnormalities

Organizers: Nivedita Agarwal, Susie Huang, Anja van der Kolk
Concurrent 6
Tuesday 14:00 - 16:00
Moderators: Giuseppe Barisano & Nivedita Agarwal
Parent Session: Amyloid-Related Imaging Abnormalities, Alzheimer's & Dementia
(no CME credit)
14:00
Amyloid-Related Imaging Abnormalities: What Are They?
Fabrizio Piazza1

1School of Medicine, University of Milano-Bicocca, Monza, Italy

This lecture aims to gain an understanding of ARIA-E and ARIA-H, including identification, risk factors, clinical relevance, management, and the theoretical and practical implications of the proposed ARIA PARADOX model. 

14:30
Cerebral Amyloid Angiopathy: failure of intramural periarterial drainage?
Roxana Octavia Carare1

1University of Southampton, Southampton, United Kingdom

15:00
Imaging Biomarkers of Cerebral Amyloid Angiopathy
Steven M. Greenberg1

1Massachusetts General Hospital, Boston, MA, United States

Cerebral amyloid angiopathy (CAA), deposition of ß-amyloid in small cortical and leptomeningeal vessels, is a common age-related pathology associated with lobar hemorrhage and cognitive impairment. Among MRI-based markers of CAA are lobar hemorrhages and microbleeds, convexity subarachnoid hemorrhage and cortical superficial siderosis, microinfarcts, altered structural connectivity on diffusion-tensor imaging, dilated perivascular spaces in centrum semiovale, multi-spot pattern white matter hyperintensities, and impaired vascular reactivity to visual stimulation. Current diagnosis of CAA per the Boston Criteria depends on detection of multiple strictly lobar hemorrhagic lesions. Ongoing studies suggest that incorporation of emerging white matter markers may improve sensitivity without compromising specificity. 

15:30
ARIA in Alzheimer Clinical Trials
Clifford R. Jack, Jr.1

1Mayo Clinic, Rochester, MN, United States

0321
14:00
Cortical ß-amyloid plaque load detection using QSM in Alzheimer’s patients at 9.4T
Elisa Tuzzi1,2, Rolf Pohmann3, Alexander Loktyushin3, Christoph Laske4,5, Klaus Scheffler3,6, and Gisela Elisabeth Hagberg3,6

1Department for Biomedical Magnetic Resonance, Eberhard Karl’s University and University Hospital, Tuebingen, Germany, 2Department for High Field Magnetic Resonance, Max Planck Institute for Biological Cybernetic, Tuebingen, Germany, 3Department for High Field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 4German Center for Neurodegenerative Diseases (DZNE), Tuebingen, Germany, 5Section for Dementia Research, Hertie Institute for Clinical Brain Research and Department of Psychiatry and Psychotherapy, Tuebingen, Germany, 6Department for Biomedical Magnetic Resonance, Eberhard Karl’s University, Tuebingen and University Hospital, Tuebingen, Germany

Beta-amyloid (Aβ) plaques are characteristic of Alzheimer’s Disease (AD) brain and cause effects which can be detected by QSM. It has been shown that cortical plaque-load could be used to distinguish AD patients from healthy controls (HC) using ultra-high spatial resolution QSM at ultra-high-field (9.4 and 14.1T), in-vivo and ex-vivo. We aimed to extend these observations to a larger cohort of patients and controls at two different spatial resolutions. We found a significative (p<0.05) increase in plaque-load in AD compared to HC at both resolutions. Interestingly, some cortical regions also showed greater (p<0.05) diamagnetic effects in AD compared to HC.

0322
14:00
Iron deposits estimated by QSM MRI: a biomarker of depressive symptoms in cognitively normal and impaired adults with vascular problems
Sandeepa Sur1,2, Lin Chen1, Danyang Yu3, Leah H Rubin2,4, Yanxun H Xu5, Zixuan Lu1, Sevil Yasar6, Paul Rosenberg7, Rita Kalyani6, Kaisha H HAzel1, George H Pottanat8, Peter van Zijl9, Marilyn Albert2, Hanzhang Lu1, and Xu Li9

1Radiology, Johns Hopkins University, Baltimore, MD, United States, 2Neurology, Johns Hopkins University, Baltimore, MD, United States, 3Engineering, Johns Hopkins University, Baltimore, MD, United States, 4Epidemiology, Johns Hopkins University, Baltimore, MD, United States, 5Whitting School of Engineering, Johns Hopkins University, Baltimore, MD, United States, 6Medicine, Johns Hopkins University, Baltimore, MD, United States, 7Psychiatry and Behavorial Sciences, Johns Hopkins University, Baltimore, MD, United States, 8Johns Hopkins University, Baltimore, MD, United States, 9Kirby Center, Kennedy Krieger Institute, Baltimore, MD, United States

This study explored whether brain iron deposits in gray matter, measured as increased magnetic susceptibility, is a good biomarker for depressive symptoms in older adults with normal and impaired cognition, and vascular comorbidities. In a cross-sectional study(n=73) of normal, mild-cognitive-impairment (MCI), and mild-dementia participants with vascular comorbidities, increased susceptibility in brain-regions (frontal, temporal, parietal, occipital, hippocampus and thalamus) was associated with depressive symptoms (Geriatric Depression Scale, GDS) after adjusting for age, sex, diagnosis, and structural-volume loss, suggesting its potential use as biomarker for depressive symptoms in normal and impaired older adults.

0323
14:00
PVS enlargement preferentially influences regional cortical thickness across the normative lifespan
Kirsten Mary Lynch1, Arthur W Toga1, and Farshid Sepehrband1

1USC Mark and Mary Stevens Institute for Neuroimaging and Informatics, USC Keck School of Medicine, Los Angeles, CA, United States

Perivascular spaces (PVS) are an important structural feature of the glymphatic system. PVS enlargement is associated with impaired glymphatic functionality and has been observed in both normative aging and neurodegenerative disorders; however, it is unclear how white matter PVS alterations affect neighboring cortical morphology in cognitively normal subjects. In the present study, we explore the relationship between PVS enlargement and cortical thickness across the normative lifespan. We found PVS enlargement preferentially influences cortical thickness of frontal regions, and this association is observed in children, adults and the elderly.

0324
14:00
White matter shape and microstructure across the adult lifespan
Kurt G Schilling1, Fang-Cheng Yeh2, Leon Cai3, Colin Hansen3, Qi Yang3, Andrea T Shafer4, Susan Resnick4, Adam W Anderson3, and Bennett A Landman3

1Vanderbilt University Medical Center, Nashville, TN, United States, 2University of Pittsburgh Medical Center, Pittsburgh, PA, United States, 3Vanderbilt University, Nashville, TN, United States, 4National Institute on Aging, Baltimore, MD, United States

Here, we examine brain white matter diffusion magnetic resonance imaging data from a mixed longitudinal and cross-sectional dataset of 892 subjects and 1991 sessions of people aged 22.4-102.0 years from the Baltimore Longitudinal Study of Aging. Quantifying 7 microstructural features and, for the first time, 11 shape-based features across 49 white matter pathways, we document large age associations with white matter. Microstructure and shape measures are associated with age, although features of white matter shape do not show uniform trends across all pathways. Results from this study provide a comprehensive characterization of white matter pathways in the human brain. 

0325
14:00
Alterations of Structural-Functional Coupling in Amyloid-Positive and Negative Mild Cognitive Impairment Patients
Hui Zhang1,2, Sai Kam Hui3, Peng Cao1, and Henry K.F. Mak1,2,4

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Alzheimer's Disease Research Network, The University of Hong Kong, Hong Kong, Hong Kong, 3Department of Rehabilitation Science, The Hong Kong Polytechnic University, Hong Kong, Hong Kong, 4State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong

To identify the structural and functional abnormalities in mild cognitive impairment (MCI) amyloid positive patients, combined resting state fMRI (rs-fMRI) and diffusion kurtosis imaging (DKI) were applied in this study. Graph theory metrics of subgroups were calculated and compared. In the results, MCI amyloid positive had impaired structural connectivity (SC) but not functional connectivity (FC) matrices and demonstrated significant SC-FC decoupling. We postulated that structural damage preceded functional reorganization. The pathological effects of fibrillar amyloid plaque toxicity occur in anatomical pathways, and functional reorganization might happen beyond the confines of structural pathways.

0326
14:00
Associations in Alzheimer’s disease between Intracranial Vascular Metrics from 4D-Flow MRI and β-Amyloid and Tau PET
Leonardo A Rivera-Rivera1,2, Karly A Cody1, Tobey Betthauser1, Robert V Cadman1, Thomas Reher3, Howard A Rowley3, Cynthia M Carlsson1, Laura Eisenmenger3, Sterling C Johnson1, and Kevin M Johnson2,3

1Department of Medicine, University of Wisconsin-Madison, Madison, WI, United States, 2Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 3Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States

Cerebrovascular disease (CVD), has been linked with mild cognitive impairment and dementia stages of Alzheimer’s disease (AD); however, the question of whether CVD is associated with underlying AD pathophysiology remains unresolved. There remain many questions regarding CVD/AD pathophysiology interactions and whether related clinical AD dementia is enhanced by CVD. In this study, we investigated the relationship between cardiac and low frequency flow oscillations from 4D-Flow, white matter hyperintensities (WMHs) from T2 FLAIR MRI, and AD pathology assessed using β-amyloid (Aβ) and tau PET imaging data.


Weekday Course

MR Physics for Clinicians: Spins & Sequences

Organizers: Maxime Guye, Mark Ladd
Concurrent 7
Tuesday 14:00 - 14:30
Moderators: Patrick Cozzone & Ivan Jambor
Parent Session: MR Physics for Clinicians: Spins & Sequences
14:00
Spin Gymnastics
Walter Kucharczyk1

1University of Toronto, Toronto, ON, Canada

SYNOPSIS: “SPIN GYMNASTICS”     There are two main principles in the MRI process: the basic physics of NMR, and spatial encoding of signal. The basic physics deals with spin, angular momentum, resonance, bulk magnetization, excitation and signal detection. The second describes the application of magnetic field gradients in three dimensions for encoding the location of the signal. 3D animations are used to illustrate complex concepts in a graphically intuitive manner. The overall goal is to provide a working knowledge of the basic physics of MRI in a way that is both intuitive and true to the physics of MRI.

14:30
Basic Pulse Sequences: Gradient & Spin Echo Imaging
Jana Hutter1

1King's College London, London, United Kingdom

MRI techniques are often classified into Spin and Gradient echo sequences. This talk will introduce the basic concepts and elements of both sequences, highlight differences in terms of contrast, such as the T2 signal decay in Spin echo sequences and the T2* signal decay in Gradient echo sequences. It will introduce and motivate the concepts of gradient and RF spoiling, balanced sequences and magnetization preparation and finish with a short outlook on accelerating spin and gradient echo sequences using echo trains.

15:00
Multicontrast Approaches
Stanislas Rapacchi1

1CNRS Aix-Marseille University, Marseille, France

This presentation presents an overview of multi-contrasts approaches in MRI, from a simple but technical point of view. The presentation starts from two simple examples of multi-contrasts approaches and continues with quantitative multi-contrast approaches. The presentation compares all these approaches in 3 points: 1/ the acquisition schemes that allows to probe multiple contrasts at once, 2/ the underlying model that maps MR signal onto multiple contrasts and allows to disentangle them and 3/ the output contrasts that are eventually provided by the approach of interest. Finally, we will review extensions of multi-contrast approaches with synthetic imaging, segmentation, and standardized reporting.


Member-Initiated Symposium

How to Benchmark Your Cancer Biomarker for the Clinic

Concurrent 8
Tuesday 14:00 - 16:00
Moderators: Laura Bell & Janine Lupo
Parent Session: How to Benchmark Your Cancer Biomarker for the Clinic
(no CME credit)
14:00
Overview of Benchmarking for Clinical Translation: From Technique Development to Clinical Tool
  Michael Boss
  American College of Radiology

14:20
Benchmarking: Back to Basics
  Kathryn Keenan
  National Institute of Standards & Technology

14:40
Technical Benchmarking & Standardization of Novel Diffusion-Based Biomarker Technologies
  Thomas Chenevert
  University of Michigan

15:00
Technical Benchmarking for Image Analysis/Prediction Tools
  Jayashree Kalpathy-Cramer
  Massachusetts General Hospital, Harvard Medical School

15:20
From Clinical Trials to Clinical Use: Neuro-Oncologic Imaging
  Benjamin Ellingson
  University of California, Los Angeles


Weekday Course

MR Physics for Clinicians: Fast Imaging Techniques

Organizers: Anthony Christodoulou, Peng Hu, Mariya Doneva
Concurrent 7
Tuesday 14:30 - 15:00
Moderators: Vera Keil & Taylor Chung
Parent Session: MR Physics for Clinicians: Fast Imaging Techniques
14:30
Fast Pulse Sequences: Acquiring Data More Quickly
Craig H. Meyer1

1University of Virginia, Charlottesville, VA, United States

 This talk will cover the physical principles of acquiring data rapidly and introduce commonly-used fast pulse sequences. Gradient-recalled echo and balanced SSFP pulse sequences reduce scan time by reducing the repetition time. Spin-echo-train pulse sequences reduce scan time by acquiring a series of k-space lines interspersed between refocusing pulses. A third way to reduce scan time is to collect more than a single line of k-space during a single readout, as in echo-planar imaging and spiral scanning. The audience will learn the fundamentals and applications of these fast pulse sequences.

 


15:00
Parallel Imaging: Modelling the System to Acquire Less Data
Julia V. Velikina1

1University of Wisconsin - Madison, Madison, WI, United States

The objective of this presentation is to provide an overview of parallel MR imaging methods and their applications in clinical practice. We will start with discussing image formation for reduced data acquisition and ways to compensate for the missing data with parallel MRI techniques. We will discuss the limitations of parallel MRI such as noise amplification and sensitivity to calibration and their effect on achievable acceleration and image artifacts.  We will finish with review of some clinical applications that can benefit from the use of parallel imaging.

15:30
Sparse Reconstruction: Modelling the Image to Acquire Less Data
Shreyas Vasanawala1

1Stanford University, Stanford, CA, United States

Sparsity is ubiquitous in medical images and can be exploited to scan faster.  In this presentation, the concept of sparsity and the related concept of compressibility are reviewed.  This is followed by an overview of how these concepts can be leveraged to scan faster, and conditions under which imaging speed can be pushed further.


Member-Initiated Symposium

Diffusion-Weighted Imaging of the Breast: State of the Art & Beyond

Concurrent 7
Tuesday 15:00 - 15:30
Moderators: Mami Iima & Denis Le Bihan
Parent Session: Diffusion-Weighted Imaging of the Breast: State of the Art & Beyond
(no CME credit)
15:00
DWI of the Breast: Concepts for Clinical Practice
  Ritse Mann
  Department of radiology and nuclear medicine, Radboud University Medical Centre, Nijmegen, and Depar

15:30
DWI of the Breast: Technical Optimization & QC
  Savannah Partridge
  Department of Radiology, University of Washington, Seattle, Washington, USA

16:00
DWI-Based Screening for Breast Cancer
  Taro Takahara
  Department of Biomedical Engineering, Tokai University School of Engineering, Kanagawa, Japan

16:30
DWI of the Breast: Clinical Implementation
  Katja Pinker-Domenig
  Department of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, NY, New Yor

17:00
Translational Advanced DWI of the Breast
  Mami Iima
  Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine,

17:30
Frontiers of Advanced DWI of the Breast
  Eric Sigmund
  Department of Radiology, NYU Langone Health, New York, New York, USA


Oral

Machine Learning for Quantitative Imaging

Concurrent 1
Tuesday 16:00 - 18:00
Moderators: Anahita Fathi Kazerooni & Frank Zöllner
Parent Session: Machine Learning for Quantitative Imaging
0327
16:00
BUDA-STEAM: A rapid parameter estimation method for T1, T2, M0, B0 and B1 using three-90° pulse sequence
Seohee So1, Byungjai Kim1, HyunWook Park1, and Berkin Bilgic2

1Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of, 2Martinos Center for Biomedical Imaging, Charlestown, MA, United States

An MR parameter estimation method using spin- and stimulated-echo signals is proposed. Three-90° pulse sequence is introduced to simultaneously acquire spin and stimulated echo signals. These signals contain rich information that allow for estimation of T1, T2, M0, B0 and B1 maps. We utilize Blip Up-Down Acquisition (BUDA) to eliminate geometric distortion incurred by rapid EPI readout. In order to estimate the parameter maps from the spin- and stimulated-echo signals with high fidelity, two parameter estimation methods, analytic fitting and a novel unsupervised deep neural network method, are developed.

0328
16:00
DeepTSE-T2: Deep learning-powered T2 mapping with B1+ estimation using a product double-echo Turbo Spin Echo sequence
Hwihun Jeong1, Hyeong-Geol Shin1, Sooyeon Ji1, Jinhee Jang2, Hyun-Soo Lee3, Yoonho Nam4, and Jongho Lee1

1Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, Republic of, 3Siemens healthineers Ltd, Seoul, Korea, Republic of, 4Division of Biomedical Engineering, Hankuk University of Foreign Studies, Yongin, Korea, Republic of

We developed DeepTSE-T2, a deep learning-based T2 mapping algorithm with retrospective B1+ estimation for a product double-echo TSE sequence. DeepTSE-T2 enables T2 mapping by retrospectively estimating B1+ information, reconstructing T2 in high-accuracy (NRMSE = 8.26 ± 0.30%). The proposed method is useful in a clinical setting since it utilizes a fast imaging product sequence. The training dataset consists of simulation-based data, providing flexibility in parameter setting. Applications to χ-separation and an MS patient are included.

0329
16:00
Fast and Accurate Modeling of Transient-state Sequences by Recurrent Neural Networks
Hongyan Liu1, Oscar van der Heide1, Cornelis A.T. van den Berg1, and Alessandro Sbrizzi1

1Computational Imaging Group for MR diagnostics & therapy, Center for Image Sciences, UMC Utrecht, Utrecht, Netherlands

Fast and accurate modeling of transient-state sequences are required for various quantitative MR applications. We present here a surrogate model based on Recurrent Neural Network (RNN) architecture, to quickly compute large-scale MR signals and derivatives. We demonstrate that the trained RNN model works with different sequence parameters and tiussue parameters without the need of retraining.  We prove that the RNN model can be used for computing large-scale MR signals and derivatives within seconds, and therefore achieves one to three orders of magnitude acceleration for different qMRI applications.


0330
16:00
Unsupervised physics-informed deep learning (N=1) for solving inverse qMRI problems – Relaxometry and field mapping from multi-echo data
Ilyes Benslimane1, Thomas Jochmann2, Robert Zivadinov1,3, and Ferdinand Schweser1,3

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, Buffalo, NY, United States, 2Department of Computer Science and Automation, Technische Universität Ilmenau, Ilmenau, Germany, Jena, Thuringia, Germany, 3Center for Biomedical Imaging, Clinical and Translational Science Institute at the University at Buffalo, Buffalo, NY, USA, Buffalo, NY, United States

Modeling the non-linear relationship of the Magnetic Resonance (MR) signal and biophysical sources is computationally expensive and unstable using conventional methods. We develop an unsupervised physics-informed deep learning algorithm that quantifies MR parameters from multi-echo GRE data in a single computational pass. The algorithm produced accurate B0 and R2* field maps without phase wrapping artifacts and with typical contrast variations. The success of this network demonstrates the feasibility of physics-informed quantitative MRI (qMRI) without the need for ground truth training data, typically required by similar networks. This developed tool could provide fast and comprehensive tissue characterization in qMRI.

0331
16:00
MoG-QSM: A Model-based Generative Adversarial Deep Learning Network for Quantitative Susceptibility Mapping
Ruimin Feng1, Yuting Shi1, Jie Feng1, Yuyao Zhang2, and Hongjiang Wei1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2School of Information Science and Technology, ShanghaiTech University, Shanghai, China

We proposed a model-based generative adversarial network for quantitative susceptibility mapping. Total 30 scans from six healthy subjects, acquired at five different head orientations, were employed for network training. The trained network provided superior image quality and accuracy quantification compared to recently developed QSM reconstruction methods. The proposed method showed excellent tissue susceptibility contrast and artifact suppression on the QSM images of patients with hemorrhage and multiple sclerosis, demonstrating potential clinical application in the future.

0332
16:00
Self-supervised Deep Learning for Rapid Quantitative Imaging
Fang Liu1 and Li Feng2

1Radiology, Harvard Medical School, Boston, MA, United States, 2Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States

The purpose of this work was to develop a model-guided self-supervised deep learning MRI reconstruction framework called REference-free LAtent map eXtraction (RELAX) for rapid quantitative MR parameter mapping. RELAX eliminates the need for full sampled reference datasets that are required in standard supervised learning. Meanwhile, RELAX also enables direct reconstruction of MR parameter maps from undersampled k-space. Our results demonstrated that the proposed framework produced accurate and robust T1/T2 mapping in accelerated and low-SNR MRI. The good quantitative agreement to the reference method suggests that RELAX allows accelerated quantitative imaging without training with reference data.

0333
16:00
MRzero with dAUTOMAP reconstruction– automated invention of MR acquisition and neural network reconstruction
Hoai Nam Dang1, Simon Weinmüller1, Alexander Loktyushin2,3, Felix Glang2, Arnd Dörfler1, Andreas Maier4, Bernhard Schölkopf3, Klaus Scheffler2,5, and Moritz Zaiss1,2

1Neuroradiology, University Clinic Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Erlangen, Germany, 2Magnetic Resonance Center, Max-Planck Institute for Biological Cybernetics, Tübingen, Germany, 3Empirical Inference, Max-Planck Institute for Intelligent Systems, Tübingen, Germany, 4Pattern Recognition Lab, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Erlangen, Germany, 5Department of Biomedical Magnetic Resonance, Eberhard Karls University Tübingen, Tübingen, Germany

We present an end-to-end optimized T1 mapping utilizing MRzero - a fully differentiable Bloch-equation-based MRI sequence invention framework. A convolutional neural network is employed for combined image reconstruction and parameter mapping. The pipeline performs a joint optimization of sequence parameters and neural network parameters to create a full autoencoder for T1 mapping. We demonstrate for in vivo measurements at 3T, that the CNN based reconstruction and T1 mapping outperformes a conventional reconstruction with pixelwise neural network based T1 quantification.

0334
16:00
Bidirectional Translation Between Multi-Contrast Images and Multi-Parametric Maps Using Deep Learning
Shihan Qiu1,2, Yuhua Chen1,2, Sen Ma1, Zhaoyang Fan1,2, Anthony G. Christodoulou1,2, Yibin Xie1, and Debiao Li1,2

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, UCLA, Los Angeles, CA, United States

Multi-contrast MRI and multi-parametric maps provide complementary qualitative and quantitative information for disease diagnosis. However, due to limited scan time, a full array of images is often unavailable in practice. To provide both qualitative weighted images and quantitative maps using a weighted-only or mapping-only acquisition, in this work, we propose to perform bidirectional translation between conventional weighted images and parametric maps. We developed a combined training strategy of two convolutional neural networks with cycle consistency loss. Our preliminary results show that the proposed method can translate between contrast-weighted images and quantitative maps with high quality and fidelity.

0335
16:00
Accelerating perfusion quantification using ASL-MRI with a neural network based forward model
Yechuan Zhang1 and Michael A Chappell1,2,3

1Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford, United Kingdom, 2Sir Peter Mansfield Imaging Centre, School of Medicine, University of Nottingham, Nottingham, United Kingdom, 3Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

Arterial Spin Labelling is established as a quantitative technique to measure perfusion and other hemodynamic properties of the cerebral vasculature. This application of ASL requires multiple post label delays and parameter estimation via a kinetic model. However, the computational cost of the post-processing can be an issue, especially with sophisticated kinetic models. In this work, we propose a rapid method to perform perfusion estimation by replacing kinetic models with pre-trained neural networks. Two neural networks were trained to replace the kinetic model with or without gamma dispersion effects. The dispersion neural network is shown to achieve a lower computational cost.

0336
16:00
Track-To-Learn: A general framework for tractography with deep reinforcement learning
Antoine Théberge1, Christian Desrosiers2, Maxime Descoteaux1, and Pierre-Marc Jodoin1

1Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, 2Département de génie logiciel et des TI, École de technologie supérieure, Montréal, QC, Canada

Supervised machine learning algorithms have been proposed to learn tractography algorithms implicitly from data, without relying on hard-to-develop anatomical priors. However, supervised learning methods rely on labelled data that is very hard to obtain. To remove the need for such data but still leverage the expressiveness of neural networks, we introduce and implement Track-To-Learn, a general framework to pose tractography as a deep reinforcement learning problem. We show that competitive results can be obtained on known data and that the learned algorithms are able to generalize far better to new, unseen data, than prior supervised learning-based tractography algorithms.


Oral

Spectroscopy: Neuro

Concurrent 2
Tuesday 16:00 - 18:00
Moderators: Mark Brown & Sikandar Shaikh
Parent Session: Spectroscopy: Neuro
0337
16:00
High Resolution Volumetric Diffusion-Weighted MRSI Using A Subspace Approach
Zepeng Wang1,2 and Fan Lam1,2

1Department of Bioengineering, University of Illinois Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, Urbana, IL, United States

Diffusion-weighted MRSI (DW-MRSI) promises to significantly expand the capability of in vivo tissue microstructural imaging by simultaneously measuring the diffusion properties of several molecules other than water. However, the applications of DW-MRSI have been mostly limited to either single voxels or 2D experiments with very low resolutions due to several fundamental technical challenges. We describe here a novel method to achieve 3D DW-MRSI with an unprecedented combination of speed, resolution and SNR, by synergizing a special fast sequence and subspace-based processing. We successfully demonstrated high-SNR DW-MRSI of the brain and metabolite-specific ADC maps with the highest ever resolution (3.4×3.4×5.3 mm3).

0338
16:00
3D-CRT-FID-MRSI in the brain at 7T: Evaluation of regional concentration estimates
Gilbert Hangel1,2, Benjamin Spurny3, Philipp Lazen2, Cornelius Cadrien1,2, Sukrit Sharma2, Zoe Käfer2, Nikolaus Doblinger2, Lukas Hingerl2, Eva Hečková2, Bernhard Strasser2, Stanislav Motyka2, Alexandra Lipka2, Stephan Gruber2, Christoph Brandner4, Rupert Lanzenberger3, Karl Rössler1, Siegfried Trattnig2,5, and Wolfgang Bogner2

1Department of Neurosurgery, Medical University of Vienna, Vienna, Austria, 2High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 3Division of General Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria, 4High Field MR Centre, Centre for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 5Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

Applying a 3D-MRSI sequence with ~3 mm isotropic resolution and 15 min measurement time at 7T to a cohort of 24 healthy subjects, we successfully estimated the concentrations of 13 brain metabolites in 44 regions using internal water referencing. We established inter-subject coefficients of variation in the range of 10-20%. The resulting concentration estimates corresponded well to previous research except for GSH.

0339
16:00
Simultaneous Detection of Metabolite Concentration Changes, Water BOLD Signal and pH Changes during Visual Stimulation in the Human Brain at 9.4T
Johanna Dorst1, Tamas Borbath1, and Anke Henning1,2

1High-Field MR Center, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

Previous studies investigated relationships between the BOLD signal and metabolite concentration changes during visual stimulation by sequential or interleaved fMRI/fMRS measurements. The purpose of this study was to simultaneously investigate the dynamics of BOLD signal and metabolite levels in the activated human brain at 9.4T using the metabolite-cycling (MC) technique. A correlation between the MC water dynamics and concentration increases of lactate and glutamate during activation could be verified. Besides, it could be shown that the high spectral quality of fMRS at 9.4T facilitates separate fitting of creatine and phosphocreatine thereby enabling the calculation of pH dynamics during visual stimulation.

0340
16:00
In Vivo Measurement of 13C Labeling of Glutamate and Glutamine in the Human Brain Using 1H MRS
Li An1, Shizhe Li1, Maria Ferraris Araneta1, Milalynn Victorino1, Christopher Johnson1, and Jun Shen1

1National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States

A recently developed single-step spectral editing 1H MRS technique that induces intense Glu and Gln H4 singlets at TE = 56 ms was used to measure fractional enrichments of glutamate and glutamine in the dorsal anterior cingulate cortex (dACC) of five healthy volunteers after oral administration of [U-13C]glucose. This technique offers the ability to measure glutamate neurotransmission in the human brain with the high sensitivity and spatial resolution of 1H MRS using standard commercial equipment.  

0341
16:00
Fast High-Resolution 19F-MRSI of Perfluorocarbon Nanoemulsions for MRI Cell Tracking Using SPICE with Learned Subspaces
Yibo Zhao1,2, T. Kevin Hitchens3,4, Michele Herneisey5, Jelena M. Janjic5, Rong Guo1,2, Yudu Li1,2, and Zhi-Pei Liang1,2

1Department of Electrical and Computer Engineering, University of Illinois, Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois, Urbana-Champaign, Urbana, IL, United States, 3Animal Imaging Center, University of Pittsburgh, Pittsburgh, PA, United States, 4Department of Neurobiology, University of Pittsburgh, Pittsburgh, PA, United States, 5Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, PA, United States

19F-MRSI has the potential to track multiple perfluorocarbon  nanoemulsions simultaneously, but existing 19F-MRSI schemes have been limited to CSI, which provides a poor tradeoff between resolution and scan time. In this work, a novel method is proposed to enable fast high-resolution 19F-MRSI. In the proposed method, (k,t)-space is sampled rapidly in EPSI trajectories; data processing is accomplished using a union-of-subspaces model with pre-learned spectral basis. The proposed method has been evaluated using simulation and experimental data, producing encouraging results. The proposed method may open up new opportunities for simultaneous tracking of different labeled cell populations in vivo.

0342
16:00
Diffusion-weighted magnetic resonance spectroscopy in the cerebellum of a rat model of hepatic encephalopathy at 14.1T
Jessie Mosso1,2,3, Julien Valette4, Katarzyna Pierzchala1,2, Dunja Simicic1,2,3, Ileana Ozana Jelescu1,2, and Cristina Cudalbu1,2

1CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 2Animal Imaging and Technology, EPFL, Lausanne, Switzerland, 3LIFMET, EPFL, Lausanne, Switzerland, 4Commissariat à l'Energie Atomique (CEA), Institut d'Imagerie Biomédicale (I2BM), Molecular Imaging Research Center (MIRCen), Fontenay-aux-Roses, France

Chronic hepatic encephalopathy (cHE) is a severe brain condition arising from chronic liver disease. Microstructural changes occurring due to toxins accumulation in the brain are still unexplored in vivo, especially in cerebellum, and of key interest for disease early detection. Using the STE-LASER sequence, we measured a decreased diffusion coefficient for glutamine and increased for taurine and glutamate in the cerebellum of a rat model of cHE, associated with cell-specific morphological changes measured ex vivo. These preliminary results need to be confirmed by increasing the sample size but they shed light on new aspects in the pathophysiology of HE.

0343
16:00
Validation of dynamic Deuterium Metabolic Imaging (DMI) for the measurement of cerebral metabolic rates of glucose in rat.
Claudius Sebastian Mathy1,2,3, Monique A. Thomas1, Graeme F. Mason1,4,5, Robin A. de Graaf1,5, and Henk M. De Feyter1

1Department of Radiology and Biomedical Imaging, Magnetic Resonance Research Center, Yale University, New Haven, CT, United States, 2Institute of Physical and Theoretical Chemistry, University of Bonn, Bonn, Germany, 3Department of Diagnostic and Interventional Radiology, RWTH Aachen, Aachen, Germany, 4Department of Psychiatry, Yale University, New Haven, CT, United States, 5Department of Biomedical Engineering, Yale University, New Haven, CT, United States

Deuterium metabolic imaging (DMI) is a novel metabolic imaging technique where 2H MRSI is combined with administration of 2H-labeled substrates. DMI data acquired at metabolic steady-state reveal the relative activities of metabolic pathways, whereas dynamically acquired DMI also provides the metabolic pathway activity rates. The analysis of dynamic DMI data is complicated by the presence of deuterium label loss between deuterated products and water. Here we validated metabolic rates obtained with dynamic DMI with those established using more traditional, 13C-based MR methods.

0344
16:00
Combining 1H MRS and deuterium labeled glucose for mapping of neural metabolism in humans
Abigail T.J. Cember1, Laurie J. Rich1, Puneet Bagga1, Neil E. Wilson2, Ravi Prakash Reddy Nanga1, Deepa Thakuri1, Mark Elliott1, Mitchell D. Schnall3, John A. Detre4, and Ravinder Reddy1

1Center for Magnetic Resonance and Optical Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Siemens Medical Solutions, USA, Malvern, PA, United States, 3Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 4Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States

Here we present spectroscopic and chemical shift imaging data from the brains of healthy human subjects acquired using a novel method termed qMRS, which enables tracking of metabolic turnover with the inherent sensitivity of 1H MRS and widespread applicability using standard 1H-based clinical MRI scanners. We demonstrate the feasibility of using qMRS and its corollary chemical shift imaging technique (qCSI) to monitor the temporal and spatial dynamics of metabolite labelling in the human brain following oral consumption of deuterium-labeled glucose. Unlike the related technique of deuterium metabolic imaging (DMI), qMRS does not require implementation of multinuclear MR spectroscopy. 

0345
16:00
The Macromolecular Background Spectrum Does Not Change with Age in Healthy Participants
Steve C.N. Hui1,2, Tao Gong3, Helge J. Zöllner1,2, Yulu Song3, Yufan Chen3, Muhammad G. Saleh4, Mark Mikkelsen1,2, Georg Oeltzschner1,2, Sofie Tapper1,2, Weibo Chen5, Richard A.E. Edden1,2, and Guangbin Wang3

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Imaging and Nuclear Medicine, Shandong Medical Imaging Research Institute, Cheeloo College of Medicine, Shandong University, Jinan, China, 4Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States, 5Philips Healthcare, Shanghai, China

The aim of this project was to investigate the time course of macromolecular (MM) background spectrum during healthy aging. Recruiting a structured, cross-sectional cohort of 100 participants (10 male and 10 female subject per decade: 20s; 30s; 40s; 50s; and 60s), we acquired metabolite-nulled short-TE PRESS data and modeled the MM spectrum as a series of Gaussian signals at literature-defined chemical shifts. Linear regression of water-scaled MM signal areas revealed no significant relationship between age and MM signal areas, suggesting the MM spectrum may be more stable than has been suggested in the literature.

0346
16:00
Ultra high-field, high-resolution, multi-voxel MRS in pre-manifest and early-manifest Huntington's Disease
Yan Li1, Huawei Liu1, Angela Jakary1, Sivakami Avadiappan1, Melanie Morrison1, Ralph Noeske2, Peder E.Z. Larson1, Alexandra Nelson3, Katherine Possin3, Michael Geschwind3, Christopher Hess1, and Janine M Lupo1

1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2GE Healthcare, Munich, Germany, 3Department of Neurology, University of California San Francisco, San Francisco, CA, United States

In this study of Huntington's Disease (HD), we evaluated brain metabolites from pre-manifest HD (PM) and early-manifest HD (EM), as well as their relationship to disease burden and motor disturbances. We used multi-voxel MRS at ultra-high field strength (7T), in order to improve the reliability and sensitivity of detecting focal metabolic changes that are related to HD. We found metabolic alterations in the thalamus and insula and changes in choline, mI, glutathione and glutamate that were correlated with clinical measures of disease severity. 


Oral

Pediatric MRI

Concurrent 3
Tuesday 16:00 - 18:00
Moderators: Cristina Cudalbu
Parent Session: Pediatric MRI
0347
16:00
Rapid fetal HASTE imaging using variable flip angles and simultaneous multislice wave-LORAKS
Yamin Arefeen1, Tae Hyung Kim2, Justin Haldar3, Ellen Grant4,5, Borjan Gagoski6,7, Berkin Bilgic2,7, and Elfar Adalsteinsson1,8,9

1Massachusetts Institute of Technology, Cambridge, MA, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Department of Electrical Engineering, University of Southern California, Los Angeles, CA, United States, 4Boston Children’s Hospital, Boston, MA, United States, 5Harvard Medical School, Boston, MA, United States, 6Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children’s Hospital, Boston, MA, United States, 7Department of Radiology, Harvard Medical School, Cambridge, MA, United States, 8Harvard-MIT Health Sciences and Technology, Cambridge, MA, United States, 9Institute for Medical Engineering and Science, Cambridge, MA, United States

Fetal MRI utilizes Half-Fourier-acquisition-single-shot-turbo-spin-echo (HASTE) for rapid T2-weighted imaging to mitigate motion.  However, specific-absorption-rate (SAR) constraints from the refocusing pulse train reduce acquisition efficiency. Variable refocusing flip angle (VFA) acquisitions can improve efficiency, but may suffer from low signal-to-noise ratios (SNR).  Here, we propose a VFA scheme and incorporate a rapid, low-SAR calibration scan.  We simulate and prospectively evaluate the SNR and SAR properties of the VFA scheme and utilize the calibration scan for LORAKS parallel imaging and retrospective evaluation of wave-encoded simultaneous-multislice (SMS).  VFA prospectively reduces acquisition time by ~2.3-2.5x and incorporating SMS could further improve efficiency.

0348
16:00
Motion Compensated Free-Running 3D Fetal Magnetic Resonance Imaging: Initial Feasibility
Christopher W Roy1, Leonor Alamo1, Estelle Tenisch1, John Heerfordt1,2, Milan Prsa3, Meritxell Bach Cuadra1,4,5, Davide Piccini1,2, Jérôme Yerly1,4, and Matthias Stuber1,4

1Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2Advanced Clinical Imaging Technology, Siemens Healthcare, Lausanne, Switzerland, 3Division of Pediatric Cardiology, Department Woman-Mother-Child, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 4Center for Biomedical Imaging (CIBM), Lausanne, Switzerland, 5Signal Processing Laboratory 5 (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland

A novel framework for 3D MRI of the fetus with retrospective motion compensation is developed and its initial feasibility demonstrated. This approach enables imaging with high isotropic resolution and allows for retrospective evaluation of the complex fetal anatomy in arbitrary scan planes, setting the stage for new possibilities in the assessment of fetal diseases in utero.

0349
16:00
Clinical fetal cardiovascular MRI based on Doppler ultrasound gating at 3T and 1.5T: On a technical aspect of imaging pulse sequence optimization
Shuo Zhang1, Janine Knapp2, Roland Cronenberg3, Björn Schönnagel2, Manuela Tavares de Sousa4, Barbara Ulm5, Daniela Prayer3, Vanessa Berger-Kulemann3, and Fabian Kording2,6

1Philips, Hamburg, Germany, 2Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Hospital Hamburg-Eppendorf, Hamburg, Germany, 3Department of Biomedical Imaging and Image-Guided Therapy, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Vienna, Austria, 4Department of Obstetrics and Fetal Medicine, University Hospital Hamburg-Eppendorf, Hamburg, Germany, 5Department of Gynecology and Obstetrics, Division of Feto-Maternal Medicine, Medical University of Vienna, Vienna, Austria, 6northh medical GmbH, Hamburg, Germany

Cardiovascular MRI is considered a valuable diagnostic tool for studying congenital abnormalities in children and adults. However, simple, high-quality imaging of the fetal heart is challenging due to lack of direct in-utero cardiac gating. We aimed to employ a recently introduced Doppler ultrasound (DUS) device and combine with optimized routine imaging techniques for structural and functional studies of the fetal heart and to establish a standard acquisition approach for high-quality fetal cardiovascular MRI in the clinical practice.

0350
16:00
Early Non-Contrast Biomarkers of Left Ventricular Cardiomyopathy in Children with Duchenne Muscular Dystrophy
ZHAN-QIU LIU1, Nyasha Maforo2, Seraina Dual3, Ashley Prosper4, Pierangelo Renella4, Nancy Halnon5, Holden Wu4, and Daniel Ennis3

1Cardiovascular Institute, Stanford University, Stanford, CA, United States, 2Physics and Biology in Medicine Interdepartmental Program, University of California, Los Angeles, Los Angeles, CA, United States, 3Department of Radiology, Stanford University, Stanford, CA, United States, 4Department of Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 5Department of Pediatrics, University of California, Los Angeles, Los Angeles, CA, United States

Left ventricular(LV) peak mid-wall circumferential strain (Ecc) is a sensitive early biomarker for evaluating the subtle and highly variable onset and progression of cardiomyopathy in pediatric subjects with Duchenne muscular dystrophy (DMD). Cine Displacement Encoding with Stimulated Echoes (DENSE) has proven sensitive to changes in Ecc. Using cine DENSE we show a significantly decreased septal Ecc in LGE negative(-) boys with DMD absent identifiable focal fibrosis compared with controls. A binomial logistic regression model that combines septal Ecc, LV pre-contrast T1, and LV ejection fraction can sensitively distinguish LGE(-) boys with DMD from healthy boys without the need for contrast.

0351
16:00
Evaluating the Risk of Pediatric Neuroblastoma in the Abdomen with Amide Proton Transfer Imaging
Wenqi Wang1, Xuan Jia2, Jiawei Liang2, Xiaohui Ma2, Weibo Chen3, Dan Wu1, Can Lai2, and Yi Zhang1

1Key Laboratory for Biomedical Engineering of Ministry of Education, Department of Biomedical Engineering, College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, Zhejiang, China, 2Department of Radiology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China, 3Philips Healthcare, Shanghai, China

Neuroblastoma (NB) most often occurs in young children, and accurate diagnosis of NB with anatomical MRI remains challenging. Here, we explored the potential of amide proton transfer (APT) imaging in evaluating the risk of pediatric abdominal NB. A total of 25 patients were enrolled, including 12 with low-risk NB and 13 with high-risk NB. An automatic shrinkage algorithm was applied to the initial region of interest delineated by an experienced radiologist to focus on the most aggressive part of tumors. We obtained an AUC of 0.917 for stratifying the risk of NB with APT, demonstrating the potential of clinical application.

0352
16:00
Liver Stiffness in a Single Breath-hold Using Wave Polarity-Inversion Motion Encoding and Compressed SENSE: Coverage Equivalent to 5 Slices
Amol Pednekar1, Deep B. Gandhi2, Hui Wang3, Jean A. Tkach1, Andrew T. Trout1, and Jonathan R. Dillman1

1Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Imaging Research Center, Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 3MR Clinical Science, Philips, Cincinnati, OH, United States

2D GRE MRE liver images acquired at 4 transverse levels in breath-hold times >13s per slice is currently standard of care (SC_2D_4BH). The combination of wave polarity-inversion motion encoding and compressed-SENSE enables volumetric three-dimensional (3D) MRE data acquisition in a single breath-hold of <16 s, with identical spatial resolution and 5 slice equivalent coverage (3D_5Sl_SBH). In 19 participants, mean liver shear stiffness values estimated with SC_2D_4BH and 3D_5sl_SBH correlated very strongly (ICC=0.96) with a mean bias of 0.13 kPa (<5 %). 3D_5sl_SBH MRE provides similar stiffness estimates as SC_2D_4BH with increased coverage in a single breath-hold compared to 4 breath-holds.

0353
16:00
Maternal Obesity during Pregnancy is Associated with Lower Cortical Thickness in the Newborn Brain
Xiaoxu Na1, Natalie E. Phelan1, Marinna R. Tadros1, Aline Andres2,3, Thomas M. Badger2,3, Charles M. Glasier1, Raghu H. Ramakrishnaiah1, Amy C. Rowell1, Li Wang4, Gang Li4, Zhengwang Wu4, David K. Williams5, and Xiawei Ou1,3,6

1Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, United States, 2Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States, 3Arkansas Children's Nutrition Center, Little Rock, AR, United States, 4Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 5Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, United States, 6Arkansas Children's Research Institute, Little Rock, AR, United States

This study examined the relationships between maternal obesity during pregnancy and newborn’s brain cortical development. Healthy normal weight or obese pregnant women were recruited at early pregnancy and their newborns underwent a brain MRI examination at 2 weeks of age. Structural MR images of the brain were post-processed to reconstruct cortical surfaces, and mean cortical thickness in different brain regions was measured. Significant differences in cortical thickness between infants born to normal weight vs. obese mothers were found in multiple brain regions, and negative correlations between maternal body fat mass percentage and infant cortical thickness were also observed.

0354
16:00
Using Free-Breathing MRI to Characterize Heterogeneity of Pancreatic Fat in Children with Nonalcoholic Fatty Liver Disease
Jacob Story1, Sevgi Gokce Kafali2,3, Shu-Fu Shih2,3, Kara L. Calkins4, Shahnaz Ghahremani3, and Holden H. Wu2,3

1David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, 2Department of Bioengineering, University of California Los Angeles, Los Angeles, CA, United States, 3Department of Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 4Department of Pediatrics, University of California Los Angeles, Los Angeles, CA, United States

Metabolic dysfunction in children is a major health issue. Pancreatic fat is a potential biomarker of metabolic dysfunction, but methodological difficulties have limited research on its role in at-risk children. This work used free-breathing abdominal MRI to quantify pancreatic fat and to characterize its heterogeneity in children with and without nonalcoholic fatty liver disease (NAFLD). Children with NAFLD had increased pancreatic fat that was heterogeneously distributed and predominantly located in the superior region. A simple region-of-interest-based measurement method failed to account for this heterogeneity, and thus underestimated pancreatic fat. Full segmentation pancreatic fat measurements correlated with markers of metabolic dysfunction.

0355
16:00
Regional changes in brain development and cognitive outcome in infants with Congenital Heart Disease
Alexandra F Bonthrone1, Ralica Dimitrova1,2, Andrew Chew1, Christopher J Kelly1, Lucilio Cordero-Grande1,3, Olivia Carney1, Alexia Egloff1, Emer Hughes1, Katy Vecchiato1,2, John Simpson4, Joseph V Hajnal1,5, Kuberan Pushparajah4, Suresh Victor1, Chiara Nosarti1,6, Mary A Rutherford1, A. David Edwards1, Jonathan O’Muircheartaigh1,2, and Serena J Counsell1

1Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Department for Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom, 3Biomedical Image Technologies, ETSI Telecomunicación, Universidad Politécnica de Madrid and CIBER-BBN, Madrid, Spain, 4Paediatric Cardiology Department, Evelina London Children's Healthcare, London, United Kingdom, 5Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 6Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom

Infants with Congenital Heart Disease (CHD) are at high risk of neurodevelopmental disorders. We acquired presurgical neonatal T2-weighted MRI (N=66), cerebral oxygen delivery (CDO2; N=53), and 22-month cognitive and motor scores (N=44). Atypicality indices, representing the degree of deviation of a regional brain volume from the normative neonatal mean for a given gestational age, sex and postnatal age, were calculated. Reduced CDO2 was indirectly associated with lower cognitive scores through the mediating effect of negative bilateral caudate and thalami atypicality indices. The aetiology of cognitive impairments in CHD may encompass poor CDO2 leading to impaired caudate and thalamus growth.

0356
16:00
Transcriptomic decoding of the human brain structural connectome through the 3rd trimester and early childhood
Chenying Zhao1,2, Gabriel Santpere3, Minhui Ouyang1, David Andrijevic4, Nenad Sestan4, and Hao Huang1,5

1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, United States, 3Neurogenomics group, Research Programme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), DCEXS, Universitat Pompeu Fabra, Barcelona, Spain, 4Department of Neuroscience and Kavli Institute for Neuroscience, Yale School of Medicine, New Haven, CT, United States, 5Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

Transcriptome, the set of gene expression, is spatiotemporally heterogeneous across brain development. Under its regulation, dramatic changes in brain connectivity estimated through diffusion MRI is observed in early childhood. However, the association between the macroscopic structural connectome and microscopic transcriptome across early postnatal years is not clear. Here, we revealed this dynamic association between structural connectome and gene expression from a large cohort of 200 neonates and children through the 3rd trimester and early childhood. The changes of associated genes’ enrichment in cell types and biological processes across different ages shed light into the dynamic transcriptomic roles in connectome development.


Oral

Safety: That Implant Is Hot!

Concurrent 4
Tuesday 16:00 - 18:00
Moderators: Kelvin Chow & Ozlem Ipek
Parent Session: Safety
0357
16:00
Effect of transmit frequency on RF heating of metallic implants
Bart R. Steensma1, Janot P. Tokaya2, Peter R. S. Stijnman1, M. Arcan Erturk3, Cornelis A. T. van den Berg1, and Alexander J. E. Raaijmakers4

1Center for Image Sciences - Computational Imaging Group, University Medical Center Utrecht, Utrecht, Netherlands, 2TNO, Utrecht, Netherlands, 3Medtronic, Minneapolis, MN, United States, 4Biomedical Engineering - Medical Imaging Analysis, Eindhoven University of Technology, Eindhoven, Netherlands

The effect of transmit frequency on the risk of RF heating for elongated metallic implants was investigated through simulations in a phantom and a human model for 21, 64, 128 and 300 MHz. We demonstrate that for uniform E-field exposure, worst-case E-field enhancement at the tip reduces with increasing transmit frequency. However, for realistic E-field exposures, E-field enhancement increases with transmit frequency for similar B1+  levels. For similar head SAR levels, E-field enhancement for worst-case implant length is roughly equal for all transmit frequencies. In all cases implant length is the main determinant of RF heating.

0358
16:00
Demystifying the effect of field strength on RF heating of conductive leads: A simulation study of SAR in DBS lead models during MRI at 1.5 T - 10.5 T
Ehsan Kazemivalipour1,2,3, Alireza Sadeghi-Tarakameh4, Boris Keil5, Yiğitcan Eryaman4, Ergin Atalar1,2, and Laleh Golestanirad3,6

1Electrical and Electronics Engineering Department, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 3Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 4Center for Magnetic Resonance Research (CMRR), University of Minnesota, Minneapolis, MN, United States, 5Institute of Medical Physics and Radiation Protection, Mittelhessen University of Applied Sciences, Giessen, Germany, 6Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, United States

We examined the effect of magnetic field strength, and by proxy RF resonance frequency, on RF heating of deep brain stimulation (DBS) lead models during RF exposure covering frequencies from 64MHz (1.5T) to 447MHz (10.5T). We report 1g-SAR at the tips of a cohort of 33 DBS implant models with realistic trajectories when the input power of RF coils was adjusted to impose safety limits based on either B1+ or global head SAR. We observed that coils with higher resonance frequency generated a lower 1g-SAR around implanted leads when the global head SAR was kept constant across different coils.

0359
16:00
An Investigation of SAR Values Induced Near an Orthopedic Implant at 7T Relative to Lower Fields: A Simulation Study
Paul S Jacobs1 and Andrew J Fagan1

1Radiology, Mayo Clinic, Rochester, MN, United States

Electromagnetic simulations were performed to investigate the maximum local 1g-averaged SAR induced in tissue adjacent to orthopedic screws of varying lengths across field strengths ranging from 3T to 7T. Simulated input power values were initially normalized to a constant transmitted power of 1W and further normalized to ensure a constant background B1+ value. SARmax was approximately 36% lower than the peak near 4T. The results demonstrate that RF-induced tissue heating near implants can, in certain circumstances, be lower at higher fields.

0360
16:00
Safe 7T MRI of tissues neighboring Mg-based biodegradable implants using parallel transmission
Mostafa Berangi1,2, Andre Kuehne1, and Thoralf Niendorf1,2

1MRI.TOOLS GmbH, Berlin, Germany, 2Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany

Bio-degradable implants have the benefit of eliminating implant removal surgery. Yet, it’s essential to monitor the implant and tissue\bone after implementation. MRI monitoring in the vicinity of the implant might be compromised by tissue heating and transmission field inhomogeneities. To address these challenges here an RF transceiver array is designed, manufactured and evaluated aiming to facilitate 7T MRI in the vicinity of implants. For this purpose, EMF simulations are performed to derive an optimum excitation vector that reduces local RF power deposition while ensuring a proper B1+-field. The RF array is evaluated in phantom experiments and benchmarked with the simulations.

0361
16:00
Combined heating of hip joint implant by radiofrequency and switched-gradient fields during MRI examination
Alessandro Arduino1, Umberto Zanovello1, Jeff Hand2, Luca Zilberti1, Rüdiger Brühl3, Mario Chiampi1, and Oriano Bottauscio1

1Istituto Nazionale di Ricerca Metrologica, Torino, Italy, 2School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom, 3Physikalisch-Technische Bundesanstalt, Braunschweig and Berlin, Germany

Local heating effects in patients carrying orthopaedic implants have been studied mostly as a consequence of radiofrequency fields and, to a less extent, to gradient coil fields, separately. In this study the heating produced by the combined effects of both fields during realistic clinical sequences is numerically simulated in an anatomical human model carrying a CoCrMo hip implant. Risky situations have been identified, also showing that, sometimes, the gradient field heating can be most significant. The analysis suggests that criteria, based on whole-body SAR only, may not be sufficient to ensure patients’ safety.

0362
16:00
Safe scanning of elongated implants with the sensor matrix QS: Comparison of orthogonal projection and null mode based pTx mitigation
Berk Silemek1, Frank Seifert1, Bernd Ittermann1, and Lukas Winter1

1Physikalisch-Technische Bundesanstalt (PTB) Braunschweig and Berlin, Berlin, Germany

The sensor Q Matrix ($$$Q_S$$$) concept is introduced for safe MRI of elongated implants without compromising imaging quality. For this purpose, small and low-cost sensors, parallel transmission (pTx) and the orthogonal projection method are sufficient without the need to perform simulations, safety testing or additional MR imaging. The $$$Q_S$$$  can also be implemented along with other pTx mitigation methods such as null modes. The $$$Q_S$$$ based orthogonal projection method and the null modes method are demonstrated in testbed and MRI experiments.

0363
16:00
Safe-MRI with stereo-electroencephalography (sEEG) for epilepsy patients
Flora Guarnotta1, Jeremie Clement1, Rachel Sparks1, and Özlem Ipek1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Epileptic seizure investigations with sEEG electrodes are limited to regions sampled and this may exclude relevant seizure network areas. Simultaneous EEG/fMRI may better elucidate the relationship whole-brain interactions and sEEG connectivity. However, excessive radiofrequency(RF) heating of implanted electrodes is showstopper. We investigated the role of parallel-transmit(pTx) RF coil arrays at 3 Tesla to control the RF-heating and local signal increases near the electrodes using computational field simulations. The pTx coils more specifically the 16ch was more efficient than the birdcage in terms of controlling the RF-field steering in the brain, which indicated less RF-heating near the contacts of the electrodes.

0364
16:00
MR Safety Assessments of Active Implantable and Interventional Devices in a Single Measurement Setup
Ali Caglar Özen1,2, Simon Reiss1, Thomas Lottner1, Dursun Korel Yildirim3,4, Ozgur Kocaturk3,5, and Michael Bock1

1Deptartment of Radiology, Medical Physics, University Medical Center Freiburg, University of Freiburg, Freiburg, Germany, 2German Consortium for Translational Cancer Research Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany, 3Institute of Biomedical Engineering, Bogazici University, Istanbul, Turkey, 4Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 5Transmural Systems, Andover, MA, United States

Interventional devices such as actively visualized catheters or guidewires have a long conductive line between the source and the probe at the tip. Long conductive wires can interract with the electromagnetic fields generated by the transmit coils resulting in RF-induced heating of surrounding tissue. Existing standards do not cover partial immersion and dynamic motion of such devices.  In this study, we propose an automated electric field detection and mapping system that is capable of performing hotspot detection, transfer function(TF) measurement and TF validation using different dipole antennae. RF-induced heating can be evaluated without moving the device, thus eliminating positioning errors.


0365
16:00
MRI Implant Safety: Method for RF Heating In-Vivo-Transfer Required from ASTM Standard F2182
Manuel Murbach1, Thomas Doering2, and Gregor Schaefers2,3

1Murbach EMConsulting, Zurich, Switzerland, 2MR:comp GmbH, Gelsenkirchen, Germany, 3MRI-STaR - Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany

This study aims at exploring an alternative method (Tier 2.5) to estimate realistic in vivo E-fields at implant locations by including the directivity and length of the implants, which neglects non-relevant E-field components and too localized averaging schemes. The latest revision of the ASTM standard F2182-19e2 requires establishing a relation of the temperature increase near a metallic implant between A) the experimental measurement and B) the in vivo estimation in a representative patient population. The usage of currently standardized methods results in presumably overly conservative estimations, causing implant labels to be up to a factor 10 more restrictive.

0366
16:00
Radiofrequency-Induced Heating of Broken, Damaged, and Abandoned Leads
Aiping Yao1, Tolga Goren1, Theodoros Samaras2, Niels Kuster1,3, and Wolfgang Kainz4

1IT'IS Foundation, Zurich, Switzerland, 2Department of Physics, Aristotle University of Thessaloniki, Thessaloniki, Greece, 3ITET, ETH Zurich, Zurich, Switzerland, 4FDA, Silver Spring, MD, United States

To demonstrate the potential enhanced heating of abandoned (capped), damaged, or broken leads, we estimated in-vitro the deposited lead-tip power for a generic active implantable medical device (AIMD), intact and with wire breaks at regular intervals. We studied break size, a cut and capped lead, and a second wire parallel to the broken wire. The deposited lead-tip power enhancement was up to 30-fold over the intact lead. The presence of a nearby intact, or even broken, wire reduced this enhancement factor to ~3-fold. This shows the risk of extending MR-conditional labeling to broken, damaged, abandoned, or cut AIMD leads.


Oral

Cancer in the Body

Concurrent 5
Tuesday 16:00 - 18:00
Moderators: Hina Arif-Tiwari & Scott Reeder
Parent Session: Cancer in the Body
0367
16:00
Hyperpolarized 13C-Pyruvate MRSI in Prediction of Response to Tyrosine Kinase Inhibition Therapy in Gastric Cancer
Shadi A Esfahani 1, Cody Callahan2, Nicholas M Rotile1, Peter D Caravan 1, Aaron K Grant 2, and Yi-Fen Yen1

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA, United States

Personalized treatment of gastric cancer remains a major challenge mainly due to lack of an optimal imaging method for detection of early response to treatment. We evaluated the role of Hyperpolarized [1-13C] Pyruvate Magnetic Resonance Spectroscopic Imaging (HP-13C MRSI) for quantitative measurement of early changes in glycolytic metabolism of gastric cancer models upon initiation of afatinib, a pan-receptor tyrosine kinase inhibitor. We showed that HP-13C MRSI is more sensitive for detection of early metabolic changes in gastric cancer after starting treatment with afatinib compared to 18F-FDG PET/MRI, and therefore can be used for early prediction of response to targeted therapies.

0368
16:00
Hyperpolarized 13C Metabolic Imaging of Patients with Pancreatic Ductal Adenocarcinoma
Jeremy W Gordon1, Hsin-Yu Chen1, Philip Lee1, Robert Bok1, Michael Ohliger1, Andrew Ko2, Eric Collisson2, Margaret Tempero2, Pelin Cinar2, Peder Larson1,3, and Zhen Jane Wang1,3

1Department of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Department of Medicine, University of California, San Francisco, San Francisco, CA, United States, 3UC Berkeley-UCSF Graduate Program in Bioengineering, San Francisco, CA, United States

Metabolic imaging of hyperpolarized [1-13C]pyruvate was performed in four patients with pancreatic ductal adenocarcinoma prior to chemotherapy. Compared to the normal appearing pancreas, higher lactate/pyruvate and lower alanine/pyruvate ratios were seen in the primary tumors. The alanine/lactate ratio, which reflects the relative enzymatic activity and metabolite pool sizes, was reduced 2- to 20-fold in the tumors and provided improved contrast between tumor and normal appearing pancreas over either the lactate/pyruvate or alanine/pyruvate ratio. These results indicate the potential for HP 13C MRI to be a novel tool to stage disease and assess treatment response in pancreatic cancer patients

0369
16:00
Zoomed Diffusion-Weighted Echo-Planar Imaging for the Evaluation of Periampullary Carcinomas
Jingjing Liu1, Jingliang Cheng1, and Jinxia Zhu2

1Department of MR Imaging, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China, 2MR Collaboration, Siemens Healthcare Ltd, Beijing, China

We evaluated the efficacy of a zoomed diffusion-weighted echo-planar imaging (z-EPI) sequence to diagnose periampullary carcinoma compared with a conventional single-shot EPI (c-EPI) sequence. Better delineation of lesion conspicuities and margins were observed, as well as enhanced diagnostic confidence with z-EPI. The diagnostic accuracy increased by combining magnetic resonance cholangiopancreatography (MRCP) and z-EPI together. These findings showed remarkable image quality improvements for periampullary carcinomas using z-EPI. The ability to detect and delineate lesions using z-EPI was superior to that of c-EPI. Diagnostic accuracy was also attained, especially for small lesions. 

0370
16:00
Assessment of pancreatic tumour response on LDE225, gemcitabine and nab-paclitaxel using Intravoxel Incoherent Motion MRI
Nienke P.M. Wassenaar1, Esther N. Pijnappel2, Remy Klaassen2, Femke Struik1, Jaap Stoker1, Jurgen H. Runge1, Hanneke W.M. van Laarhoven2, Johanna W. Wilmink2, Aart J. Nederveen1, and Oliver J. Gurney-Champion1

1Department of Radiology and Nuclear Medicine, Cancer Center Amsterdam, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands, 2Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

Stromal deposition can become a physical and biological barrier that prevents chemotherapy from reaching pancreatic ductal adenocarcinoma (PDAC). In this study, 34 patients were treated with LDE225, which specifically targets tumour stroma, gemcitabine and nab-paclitaxel. Pancreatic tumour response was assessed using intravoxel incoherent motion (IVIM) MRI. We found that the diffusion in PDAC increased after chemotherapy, which may be explained by reduction of stroma or tumour necrosis. Furthermore, a positive correlation was found between overall survival and the change in tumour perfusion, underlining the fact that reperfusion of PDAC by LDE225 improves prognosis.

0371
16:00
Ex Vivo Radiologic-Histologic Correlation of Pancreas Adenocarcinoma: A Feasibility Study
Alexandra W. Acher1, Joseph Krenzer1, Krisztian Kovacs1, Soudabeh Kargar1, Ali Pirasteh1, Jitka Starekova1, TJ Colgan1, Victoria Rendell1, Daniel E. Abbott1, Erin Brooks1, Rashmi Agni1, Emily Winslow2, and Scott B. Reeder1

1University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 2Georgetown University, Washington DC, MD, United States

The purpose of this study was to assess the feasibility of a novel radiologic-histologic correlation device RHCD and ex vivo MRI to facilitate direct correlation of radiologic and histologic features of pancreas cancer. Our approach is based on previous radiologic-histologic correlation of pancreatic anatomy using cadaveric pancreas specimens. The final protocol was applied to co-localize pancreas cancer margins radiologically and histologically, as well as nodal burden in pancreaticoduodenectomy specimens.

0372
16:00
Prediction of Overall Survival in Patients with Pancreatic Cancer: Texture Analysis of ADC Value and Correlation with Intratumoral Necrosis
Yoshifumi Noda1, Nobuyuki Kawai1, Hiroyuki Tomita2, Takuma Ishihara3, Yoshiki Tsuboi3, Masaya Kawaguchi1, Tetsuro Kaga1, Fuminori Hyodo4, Akira Hara2, and Masayuki Matsuo1

1Department of Radiology, Gifu University, Gifu, Japan, 2Department of Tumor Pathology, Gifu University, Gifu, Japan, 3Innovative and Clinical Research Promotion Center, Gifu University Hospital, Gifu, Japan, 4Department of Frontier Science for imaging, Gifu University, Gifu, Japan

The use of texture analysis in clinical images can provide surrogate information on tumor microenvironment and predict the prognosis of patients. In this study, we evaluate the utility of texture analysis of tumor ADC values to predict the overall survival in patients with pancreatic cancer and to correlate with pathological evaluated massive intratumoral necrosis. Our results showed that the kurtosis of tumor ADC values obtained from texture analysis is correlated with massive intratumoral necrosis and is associated with poor prognosis in patients with pancreatic cancer.

0373
16:00
Noise reduction in diffusion weighted MRI of the pancreas using an L1-regularized iterative SENSE reconstruction
Omar Kamal1,2, Sean McTavish1, Felix Harder1, Anh T. Van1, Johannes M. Peeters3, Kilian Weiss4, Marcus R. Makowski1, Dimitrios C. Karampinos1, and Rickmer F. Braren1

1Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 2Department of Radiology, South Egypt Cancer Institute, Assiut, Egypt, 3Philips Healthcare, Best, Netherlands, 4Philips GmbH, Hamburg, Germany

DWI plays a growing role in the imaging of the pancreas. Current abdominal DWI scans have a large field of view with limited resolution. Approaches for a higher resolution single-shot DW-EPI with SENSE often suffer from g-factor-induced noise band-like artifacts from which the pancreas is significantly affected due to its central location. We use an L1-regularized iterative SENSE reconstruction to obtain high resolution single shot DW-EPI with reduced noise in patients with pancreatic cancer. The employed method reduces the noise band-like artifacts over the pancreas and eliminates the noise bias from the ADC measurements without lengthening scan times.

0374
16:00
High-precision neural-network discrimination of human plasma samples to detect pancreatic cancer using specialized data-augmentation method
Meiyappan Solaiyappan1, Santosh Kumar Bharti1, Paul T Winnard Jr1, Mohamad Dbouk2, Michael G Goggins2,3,4, and Zaver M Bhujwalla1,3,5

1Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Department of Oncology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 5Department of Radiation Oncology and Molecular Radiation Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

The insidious growth of pancreatic cancer is a major factor contributing to its lethality.  Only ~20% of pancreatic cancers are resectable by the time they are detected.  Early detection of pancreatic cancer through routine screening is clearly an unmet clinical need.  Here we have applied neural-network analysis to 1H magnetic resonance spectra of human plasma samples to differentiate between healthy subjects (control), subjects with benign lesions, and subjects with pancreatic ductal adenocarcinoma (PDAC).  Our data support developing a neural-network approach to identify PDAC from 1H MRS of plasma samples.

0375
16:00
Application of APTw imaging in prediction of lymph node metastasis in rectal cancer
Mingxiao Wang1, AIlian Liu1, Yuhui Liu1, Anliang Chen1, wan Dong1, Xinao Wang1, Qingwei Song1, Xinru Zhang1, Liangjie Lin2, and Jiazheng Wang2

1The First Affiliated Hospital of Dalian Medical University, Dalian, China, Dalian, China, 2Philips Healthcare,Beijing,China, Beijing, China

The purpose of this study was to evaluate the value of amide proton transfer weighted (APTw) imaging in the identification of lymph node metastasis in rectal cancer. Results showed that, for patients with rectal cancer, the APTw value in group with lymph node metastasis was significantly lower than those in group without lymph node metastasis. APTw imaging can be used as a promising non-invasive method to predict the lymph node metastasis in rectal cancer.

 


0376
16:00
Prognostic significance of MRI-detected mesorectal fat thickness in rectal cancer; a risk factor for distance metastasis
Pratik Tripathi1, Zhen Li1, Yaqi Shen1, Xuemei Hu1, and Daoyu Hu1

1Department of Radiology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China

Our study got a step closer to probable cause of the poor prognosis in rectal cancer in obese patients. The correlation of the area within mesorectum with BMI and also the correlation between the mesorectal fat thickness and distant metastasis signifies the need of selection of optimum treatment modality for obese patients in rectal cancer. This preliminary study may shed some light on the current scenario and show probable direction for the solution. Selection of different treatment modalities and new surgical techniques may be required to improve the prognosis.


Oral

Neurofluids & Brain Waste Clearance Imaging

Concurrent 6
Tuesday 16:00 - 18:00
Moderators: Petrice Cogswell & Kristina Sonnabend
Parent Session: Neurofluids & Brain Waste Clearance Imaging
0377
16:00
Blood-CSF Barrier Imaging in the Human Brain with Arterial Spin Labeling
Leonie Petitclerc1,2, Lydiane Hirschler1, Jack A. Wells3, David L. Thomas4,5,6, and Matthias J.P. van Osch1,2

1C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Leiden Institute for Brain and Cognition (LIBC), Leiden, Netherlands, 3UCL Centre for Advanced Biomedical Imaging, Division of Medicine, University College London, London, United Kingdom, 4Neuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 5Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 6Wellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

In order to measure the function of the blood-CSF barrier (BCSFB), a modified ASL experiment is introduced. This is accomplished with multiple time-points, including long labeling duration and post-labeling delay, and an echo train of 8 TEs from 10-1837ms. Long-T2 ASL signal, attributable to the CSF, was found both in the choroid plexus and around the cortex. Fitting of this signal to two models (a simple triexponential and a dynamic compartmental model) reveals an amount of CSF signal about 5 times lower than the perfusion. The transfer time of water across the BCSFB is estimated at around 100s.

0378
16:00
Arterial, venous and cerebrospinal fluid flow oscillations in real-time phase contrast MRI: type of breathing matters
Maria Marcella Lagana1, Noam Alperin2, Laura Pelizzari1, Ning Jin3, Domenico Zaca4, Marta Cazzoli1, Giuseppe Baselli5, and Francesca Baglio1

1CADiTeR, IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy, 2University of Miami, Miami, FL, United States, 3MR R&D Collaborations, Siemens Medical Solutions USA, Inc., Cleveland, OH, United States, 4Siemens Healthcare, Milan, Italy, 5Department of Electronics, Information, and Bioengineering, Politecnico di Milano, Milan, Italy

We used real-time phase contrast MRI for assessing the cardiac and respiratory influence on the neck arterial and venous flows, and on the cervical cerebrospinal fluid (CSF) flow. Changes due to the type of breathing were investigated acquiring six healthy volunteers for 60s during normal and deep breathing. The power spectra were computed from the flow rates. Two main peaks, corresponding to the breathing rate (BR) and the heart rate (HR), were found. Comparing deep breathing to normal breathing, we observed the following trends: decrement of average blood flow rates; reversal of average CSF flow rate; increment of BR power.

0379
16:00
Phase contrast MRI analysis of neurofluids in patients with Meniere’s disease and jugular venous stenosis.
Nivedita Agarwal1, Olivier Baledent2, Giuseppe Nicolò Frau3, and Sabino Walter Della Sala1

1Radiology, APSS Ospedale Santa Maria del Carmine, Rovereto, Italy, 2University of Amiens, Amiens, France, 3Otorhinolaryngology, APSS Ospedale Santa Maria del Carmine, Rovereto, Italy

Meniere’s disease patients have a high incidence of abnormal neck venous vessels. An inefficient intracranial venous outflow would disturb global neurofluids dynamics and alter intracranial pressure. We used phase contrast MRI to correlate the dynamics of total arterial, total venous and CSF with morphological alterations in internal jugular veins (IJV). Our results show that although >80% of  patients have IJV stenosis and isolated CSF and/or blood flow  abnormalities, the global neurofluid dynamics remained unhampered. These results underscore the optimal compensation provided by collateral venous pathways and suggests that PC-MRI is an important adjunct clinical tool to to study neurofluids dynamics.  

0380
16:00
Visually-evoked cerebrospinal fluid flow in the human brain during wakefulness
Stephanie D Williams1, Nina E Fultz2, Nicole Tacugue3, Zenia Valdiviezo3, and Laura D Lewis2

1Psychological and Brain Sciences, Boston University, Boston, MA, United States, 2Biomedical Engineering, Boston University, Boston, MA, United States, 3Boston University, Boston, MA, United States

Cerebrospinal fluid (CSF) flow is essential for brain health, and previous studies have shown that it is driven by systemic physiological factors, such as breathing. Recent work has shown that neural activity is coupled to CSF flow during sleep, but whether this relationship reflects a causal link has not been tested. Here we investigated whether driving neural activity can induce changes in CSF flow. We found that we could induce CSF flow in the human brain during the awake state by manipulating hemodynamics with stimulus-evoked neural activity.

0381
16:00
Upright vs. Supine MRI: Effects of body position on craniocervical CSF flow
Marco Muccio1, David Chu2, Lawrence Minkoff2, Neeraj Kukarni2, Brianna Damadian2, Raymond Damadian2, and Yulin Ge1

1Department of Radiology, New York University Grossman School of Medicine, New York City, NY, United States, 2FONAR Corporation, Melville, NY, United States

CSF exchange between the spinal cord and the cranium increases in asymptomatic human subjects when body position is shifted from upright to supine. This appears to be caused by an increase in CSF flow during diastole, in the caudo-cranial direction, and systole, in cranio-caudal direction. Extrapolation of the results showed that within a 24 hour timescale, the more time spent in the supine position (asleep) correlated with more CSF exchanged between the spinal cord and the intracranial space. These alterations can therefore play a major role in brain waste clearance, and possibly many neurodegenerative diseases as well as age-related ailments.

0382
16:00
Fast whole brain MR imaging of dynamic susceptibility contrast changes in the CSF (cDSC MRI)
Di Cao1,2, Ningdong Kang1, Jay J. Pillai1, Xinyuan Miao1,2, Adrian Paez2, Xiang Xu1,2, Jiadi Xu1,2, Xu Li1,2, Qin Qin1,2, Peter C.M. Van Zijl1,2, Peter Barker1, and Jun Hua1,2

1Johns Hopkins University, Baltimore, MD, United States, 2Kennedy Krieger Institute, Baltimore, MD, United States

The circulation of cerebrospinal fluid (CSF) influences various aspects of brain physiology. This study aims to develop and optimize MRI sequences that can detect dynamic signal changes in the CSF after Gd administration with a sub-millimeter spatial resolution, temporal resolution of <10s, and whole brain coverage. Bloch simulations were performed to determine optimal imaging parameters. Simulations were validated with phantom scans. An optimized turbo-spin-echo (TSE) sequence was performed on healthy volunteers on 3T and 7T.  In human scans, dynamic signal changes after Gd injection in the CSF were detected at location where cerebral lymphatic vessels were identified in previous studies.

0383
16:00
The association of intracranial arterial pulsatility with enlarged perivascular spaces
M. van den Kerkhof1,2, M.M. van der Thiel1,2, I.H.G.B. Ramakers2,3, R.J. van Oostenbrugge2,4,5, A.A. Postma1, A.A. Kroon5,6, J.F.A. Jansen1,2,7, and W.H. Backes1,2,5

1Department of Radiology & Nuclear Medicine, Maastricht University Medical Center, Maastricht, Netherlands, 2School for Mental Health & Neuroscience, Maastricht University, Maastricht, Netherlands, 3Department of Psychiatry & Neuropsychology, Maastricht University, Maastricht, Netherlands, 4Department of Neurology, Maastricht University Medical Center, Maastricht, Netherlands, 5School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands, 6Department of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands, 7Department of Electrical Engineering, Eindhoven University of Technology, Maastricht, Netherlands

Intracranial vessel wall alterations may lead to an increased blood flow pulsatility and the enlargement of perivascular spaces (ePVS). To examine the relationship between these measures, this 7T MRI study applied phase contrast MRI to measure blood flow velocity in the middle cerebral artery and lenticulostriate arteries (LSAs) and obtained ePVS visual rating scores. An increased LSA pulsatility index was found to be related to a higher number of ePVS in the basal ganglia and centrum semiovale. These findings are in support of underlying alterations of the cerebral small vessel wall, which influence both the ePVS and the pulsatility.

0384
16:00
In vivo characterization of the optic nerve glymphatic system
Muneeb A Faiq1, Vishnu Adi1, Anoop Sainulabdeen1, Sophia Khoja1, Carlos Parra1, Giles Hamilton-Fletcher1, Choong H Lee2, Jiangyang Zhang2, Gadi Wollstein1, Joel S Schuman1, and Kevin C Chan1,2

1Department of Ophthalmology, New York University Grossman School of Medicine, New York, NY, United States, 2Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States

To date, it remains unclear if a functional glymphatic system exists in the optic nerve (ON), partly because of limited in vivo methods for characterizing the cerebrospinal fluid (CSF) dynamics in the deeper brain regions. Here, we measured the spatiotemporal profiles in the ON using contrast-enhanced MRI after intrathecal gadolinium infusion, and observed indications for the existence of a molecular size-dependent and aquaporin-4 (AQP4) modulated glymphatic-like system in the ON. These findings may provide imperative insights into the waste clearance mechanisms of the visual system in health and disease.

0385
16:00
Cardiac disease may exacerbate age-related white matter disruptions: improvements are feasible after cardiac rehabilitation
Stefan E. Poirier1,2, Neville Suskin3, Keith S. St. Lawrence1,2, J. Kevin Shoemaker4, and Udunna C. Anazodo1,2,5,6

1Lawson Imaging, Lawson Health Research Institute, London, ON, Canada, 2Medical Biophysics, Western University, London, ON, Canada, 3Cardiology, Western University, London, ON, Canada, 4School of Kinesiology, Western University, London, ON, Canada, 5Clinical Neurological Sciences, Western University, London, ON, Canada, 6Research Centre for Studies in Aging, McGill University, Montreal, QC, Canada

White matter (WM) degeneration is associated with cognitive impairment in coronary artery disease (CAD). We used diffusion tensor imaging to assess WM integrity in brains of CAD patients before and after cardiac rehabilitation (CR) and in young and old healthy controls (HC). Widespread WM changes were observed between older and younger HC, while robust WM changes were observed in WM regions linked to cognition in CAD patients at baseline with improvements following CR. In CAD, disease manifestation and brain aging may contribute to changes in brain WM macrostructure with potential influence on cognition, and these may be quelled by CR.

0386
16:00
An interstitial fluid proxy of altered glymphatics in Alzheimer’s disease: the necessity of three-directional intravoxel incoherent motion
Merel M. van der Thiel1,2, Whitney M. Freeze2,3,4, Joost de Jong1,2, Inez H.G.B. Ramakers2,4, Walter H. Backes1,2,5, and Jacobus F.A. Jansen1,2,6

1Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, Netherlands, 2School for Mental Health & Neuroscience, Alzheimer Center Limburg, Maastricht, Netherlands, 3Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 4Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Netherlands, 5School for Cardiovascular Disease, Maastricht University, Maastricht, Netherlands, 6Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands

The interstitial fluid fraction assessed with spectral analysis in intravoxel-incoherent motion MRI can be a potential, non-invasive method to identify tissue damage on a microscopic level and to investigate glymphatic alterations within different disease states. The current multi-dimensional approach has a long acquisition time, thereby lowering the feasibility of IVIM as a measurement of ISF in clinical practice. This study simultaneously investigates potential group differences in the ISF-fraction in Alzheimer’s disease, mild cognitive impairment, and controls, and explores the possibility to shorten acquisition time drastically by examining the contribution of individual primary directions.


Member-Initiated Symposium

Clinical MR Physics: An Alternative Career Pathway

Concurrent 7
Tuesday 16:00 - 16:30
Moderators: Matt Bernstein & Xiaohong Joe Zhou
Parent Session: Clinical MR Physics: An Alternative Career Pathway
(no CME credit)
16:00
Introduction
  Matt Bernstein
 

16:30
Expanding Roles of Clinical MR Scientists Around the Globe: Europe
  Michael Bock
  University Medical Center Freiburg

17:00
Expanding Roles of Clinical MR Scientists Around the Globe: North America
  John Hazle
  University of Texas M.D. Anderson Cancer Center

17:30
Expanding Roles of Clinical MR Scientists Around the Globe: The Rest of the World
  Yiping Du
  Shanghai Jiaotong University

18:00
Board Certifications for Clinical MR Scientists
  Sachin Jambawalikar
  Columbia University

18:30
MR Safety
  Heidi Edmonson
  Mayo Clinic

19:00
MR Siting & Acceptance Testing
  Yong Zhou
  Spectrum Health

19:30
Clinical Protocols, Quality Assurance & MR Accreditation
  Chen Lin
  Mayo Clinic

20:00
Panel Discussion
  H. Doug Morris
  The Jackson Laboratory

20:30
Panel Discussion
  Xiaohong Joe Zhou
  University of Illinois at Chicago

21:00
Panel Discussion
  Matt Bernstein
  Mayo Clinic

21:30
Panel Discussion
  Peter Hardy
  University of Kentucky


Member-Initiated Symposium

Macromolecular Proton Fraction (MPF): An Emerging Quantitative Myelin Biomarker for Preclinical & Clinical Studies

Concurrent 8
Tuesday 16:00 - 18:00
Moderators: Anna Naumova & Vasily Yarnykh
Parent Session: Macromolecular Proton Fraction (MPF): An Emerging Quantitative Myelin Biomarker for Preclinical & Clinical Studies
(no CME credit)
0:00
Magnetization Transfer Contrast: Historical Perspective
  Greg Stanisz
  Sunnybrook Research Institute

0:00
Fast Macromolecular Proton Fraction Mapping: Physical Principles & Clinical Applications
  Alexey Samsonov
  University of Wisconsin – Madison

0:00
Histological Validation & Preclinical Applications of MPF as Myelin Biomarker
  Marina Khodanovich
  Tomsk State University

0:00
High-Resolution 3D Macromolecular Proton Fraction Mapping of the Human Brain: A New Tool for Quantitative Neuroscience
  Neva Corrigan
  University of Washington


Sunrise Session

Software Engineering for MRI: Open-Source Software

Organizers: Michael Lustig, Daniel Gallichan
Concurrent 7
Tuesday 17:00 - 18:00
Moderators: Michael Lustig & Daniel Gallichan
Parent Session: Software Engineering for MRI: Open-Source Software

Oral

Machine Learning for Image Analysis

Concurrent 1
Tuesday 18:00 - 20:00
Moderators: Sila Kurugol & Yunyan Zhang
Parent Session: Machine Learning for Image Analysis
0387
18:00
Deep-Learning-Based Motion Correction For Quantitative Cardiac MRI
Alfredo De Goyeneche1, Shuyu Tang1, Nii Okai Addy1, Bob Hu1, William Overall1, and Juan Santos1

1HeartVista, Inc., Los Altos, CA, United States

We developed a deep-learning-based approach for motion correction in quantitative cardiac MRI, including perfusion, T1 mapping, and T2 mapping. The proposed approach consists of a segmentation network and a registration network. The segmentation network was trained using 2D short-axis images for each of the three sequences, while the same registration network was shared between all three sequences. The proposed approach was faster and more accurate than a popular traditional registration method. Our work is beneficial for building a faster and more robust automated processing pipeline to obtain CMR parametric maps.

0388
18:00
Self-supervised Cardiac MRI Denoising with Deep Learning
Junshen Xu1 and Elfar Adalsteinsson1

1Massachusetts Institute of Technology, Cambridge, MA, United States

Image denoising is of great importance for medical imaging system, since it can improve image quality for disease diagnosis and further image processing. In cardiac MRI, images are acquired at different time frames to capture the cardiac dynamic. The correlation among different time frames makes it possible to improve denoising results with information from other time frames. In this work, we propose a self-supervised deep learning framework for cardiac MRI denoising. Evaluation on in vivo data with different noise statistics shows that our method has comparable or even better performance than other state-of-the-art unsupervised or self-supervised denoising methods.

0389
18:00
Multi-task Deep Learning for Late-activation Detection of Left Ventricular Myocardium
Jiarui Xing1, Sona Ghadimi2, Mohammad Abdi2, Kenneth C Bilchick3, Frederick H Epstein2, and Miaomiao Zhang1

1Electrical and Computer Engineering, University of Virginia, Charlottesville, VA, United States, 2Department of Biomedical Engineering, University of VIrginia, Charlottesville, VA, United States, 3School of Medicine, University of Virginia, Charlottesville, VA, United States

Implantation of the left ventricular pacing lead at the area with delayed activation is critical to Cardiac Resynchronization Therapy (CRT) response. Current approaches of detecting late-activated regions of left ventricles (LV) are slow with unsatisfied accuracy, particularly in cases where scar tissues exist in the patient’s heart. This work presents a multi-task deep learning algorithm to automatically identify late-activated regions of LV, as well as estimating the Time to the Onset of circumferential Shortening (TOS) using spatio-temporal cardiac DENSE MR images. Experimental results show that our algorithm provides ultra-fast identification of late-activated regions and estimated TOS with increased accuracy.  

0390
18:00
HDnGAN: High-fidelity ultrafast volumetric brain MRI using a hybrid denoising generative adversarial network
Ziyu Li1, Qiyuan Tian2, Chanon Ngamsombat2,3, Samuel Cartmell4, John Conklin2,4, Augusto Lio M. Gonçalves Filho2,4, Wei-Ching Lo5, Guangzhi Wang1, Kui Ying6, Kawin Setsompop7,8, Qiuyun Fan2, Berkin Bilgic2, Stephen Cauley2, and Susie Y Huang2,4

1Department of Biomedical Engineering, Tsinghua University, Beijing, China, 2Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States, 3Department of Radiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand, 4Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 5Siemens Medical Solutions, Boston, MA, United States, 6Department of Engineering Physics, Tsinghua University, Beijing, China, 7Department of Radiology, Stanford University, Stanford, CA, United States, 8Department of Electrical Engineering, Stanford University, Stanford, CA, United States

Highly accelerated high-resolution volumetric brain MRI is intrinsically noisy. A hybrid generative adversarial network (GAN) for denoising (entitled HDnGAN) consisting of a 3D generator and a 2D discriminator was proposed to improve the SNR of highly accelerated images while preserving realistic textures. The novel architecture benefits from improved image synthesis performance and increased training samples for training the discriminator. HDnGAN's efficacy is demonstrated on 3D standard and Wave-CAIPI T2-weighted FLAIR data acquired in 33 multiple sclerosis patients. Generated images are similar to standard FLAIR images and superior to Wave-CAIPI and BM4D-denoised images in quantitative evaluation and assessment by neuroradiologists.

0391
18:00
Deep learning-based thoracic cavity segmentation for hyperpolarized 129Xe MRI
Suphachart Leewiwatwong1, Junlan Lu2, David Mummy3, Isabelle Dummer3,4, Kevin Yarnall5, Ziyi Wang1, and Bastiaan Driehuys1,2,3

1Biomedical Engineering, Duke University, Durham, NC, United States, 2Medical Physics, Duke University, Durham, NC, United States, 3Radiology, Duke University, Durham, NC, United States, 4Bioengineering, McGill University, Montréal, QC, Canada, 5Mechanical Engineering and Materials Science, Duke University, Durham, NC, United States

Quantifying hyperpolarized 129Xe MRI of pulmonary ventilation and gas exchange requires accurate segmentation of the thoracic cavity. This is typically done either manually or semi-automatically using an additional proton scan volume-matched to the gas image. These methods are prone to operator subjectivity, image artifacts, alignment/registration issues, and SNR. Here we demonstrate using a 3D convolutional neural network (CNN) to automatically and directly delineate the thoracic cavity from 129Xe MRI alone. This 3D-CNN uses a combination of Dice-Focal, perceptual loss, and training with template-based data augmentation to demonstrate thoracic cavity segmentation with a Dice score of 0.955 vs. expert readers.

0392
18:00
Learning-based non-linear registration robust to MRI-sequence contrast
Malte Hoffmann1,2, Benjamin Billot3, Juan Eugenio Iglesias1,2,3,4, Bruce Fischl1,2,4, and Adrian V Dalca1,2,4

1Department of Radiology, Harvard Medical School, Boston, MA, United States, 2Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Centre for Medical Image Computing, University College London, London, United Kingdom, 4Computer Science and Artificial Intelligence Laboratory, MIT, Cambridge, MA, United States

We introduce a novel strategy for learning deformable registration without acquired imaging data, producing networks robust to MRI contrast. While classical methods repeat an optimization for every new image pair, learning-based methods require retraining for accurate registration of unseen image types. To address these inefficiencies, we leverage a generative strategy for diverse synthetic label maps and images that enable training powerful networks that generalize to a broad spectrum of MRI contrasts. We demonstrate robust and accurate registration of arbitrary unseen MRI contrasts with a single network, thereby eliminating the need for retraining models.

0393
18:00
Image domain Deep-SLR for Joint Reconstruction-Segmentation of Parallel MRI
Aniket Pramanik1 and Mathews Jacob1

1Electrical and Computer Engineering, The University of Iowa, Iowa City, IA, United States

We present a novel framework for the joint reconstruction and segmentation of parallel MRI (PMRI) brain data. We introduce an image domain deep network for calibrationless recovery of undersampled PMRI data. It is deep-learning based generalization of local low-rank approaches for uncalibrated PMRI recovery including CLEAR. The image domain approach exploits additional annihilation relations compared to k-space based approaches and hence offers improved performance. To minimize segmentation errors resulting from undersampling artifacts, we combined the proposed scheme with a segmentation network and trained it end-to-end. It offers improved reconstruction with reduced blurring and sharper edges than independently trained reconstruction network. 

0394
18:00
MRI-Based Response Prediction to Immunotherapy of Late-Stage Melanoma Patients Using Deep Learning
Annika Liebgott1,2, Louisa Fay1, Viet Chau Vu2, Bin Yang1, and Sergios Gatidis2

1Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany, 2Department of Radiology, University Hospital of Tuebingen, Tuebingen, Germany

The treatment of malignant melanoma with immunotherapy is a promising approach to treat advanced stages of the disease. However, the treatment can cause serious side effects and not every patient responds to it, which means crucial time may be wasted by an ineffective treatment. Assessment of the possible therapy response is hence an important research issue. The research presented in this study focuses on the investigation of the potential of medical imaging and machine learning to solve this task. To this end, we trained and compared different deep learning models on multi-modal PET/MR images to differentiate non-responsive from responsive patients.

0395
18:00
Fat-Saturated MR Image Synthesis with Acquisition Parameter-Conditioned Image-to-Image Generative Adversarial Network
Jonas Denck1,2,3, Jens Guehring3, Andreas Maier1, and Eva Rothgang2

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany, 2Department of Industrial Engineering and Health, Technical University of Applied Sciences Amberg-Weiden, Weiden, Germany, 3Siemens Healthcare, Erlangen, Germany

We trained an image-to-image GAN that incorporates the sequence parameterizations in terms of the acquisition parameters repetition time and echo time into the image synthesis. We trained our model on the generation of synthetic fat-saturated MR knee images from non-fat-saturated MR knee images conditioned on the acquisition parameters, enabling us to synthesize MR images with varying image contrast. Our approach yields an NMSE of 0.11 and PSNR of 23.64, and surpasses the performance of a pix2pix [1] benchmark method. It can potentially be used to synthesize missing/additional MR contrasts and for customized data generation to support AI training.

0396
18:00
Image Registration of Perfusion MRI Using Deep Learning Networks
Zongpai Zhang1, Huiyuan Yang1, Yanchen Guo1, Lijun Yin1, David C. Alsop2, and Weiying Dai1

1State University of New York at Binghamton, Binghamton, NY, United States, 2Beth Israel Deaconess Medical Center & Harvard Medical School, Boston, MA, United States

Convolutional neural network (CNN) has demonstrated its accuracy and speed in image registration of structural MRI. We designed an affine registration network (ARN), based on CNN, to explore its feasibility on image registration of perfusion fMRI. The six affine parameters were learned from the ARN using both simulated and real perfusion fMRI data and the transformed images were generated by applying the transformation matrix derived from the affine parameters. The results demonstrated that our ARN markedly outperforms the iteration-based SPM algorithm both in simulated and real data. The current ARN is being extended for deformable fMRI image registration.


Member-Initiated Symposium

Magnets & Microscopes: Can Novel MRI Techniques Replace Myocardial Biopsy?

Concurrent 2
Tuesday 18:00 - 20:00
Moderators: Michael Markl & David Sosnovik
Parent Session: Magnets & Microscopes: Can Novel MRI Techniques Replace Myocardial Biopsy?
(no CME credit)
18:00
What I Look for in a Myocardial Biopsy: A Pathologist's View
  Richard Mitchell
  Brigham & Women's Hospital, Harvard University

18:30
What Can Diffusion Tensor MRI Detect?
  Elizabeth Tunnicliffe
  University of Oxford

19:00
The Potential of CEST
  Moriel Vandsburger
  University of California, Berkeley

19:30
MRI Relaxometry: Standard & Emerging Techniques
  Walter Witschey
  University of Pennsylvania

20:00
All We Need Is Blood: The Case for Omics
  Hannah Valantine
  National Institutes of Health, Stanford University


Oral

Diffusion: Encoding & Estimation

Concurrent 3
Tuesday 18:00 - 20:00
Moderators: Guillaume Gilbert & Sjoerd Vos
Parent Session: Diffusion: Encoding & Estimation
0397
18:00
How do we know we measure tissue parameters, not the prior?
Santiago Coelho1, Els Fieremans1, and Dmitry S. Novikov1

1Center for Biomedical Imaging and Center for Advanced Imaging Innovation and Research (CAI$^2$R), Department of Radiology, New York University School of Medicine, New York, NY, United States

In the machine-learning (ML) era, we are transitioning from max-likelihood parameter estimation to learning the mapping from measurements to model parameters. While such maps look smooth, there is danger of them becoming too smooth: At low SNR, ML estimates become the mean of the training set. Here we derive fit quality (MSE) as function of SNR, and show that MSE for various ML methods (regression, neural-nets, random forest) approaches a universal curve interpolating between Cramér-Rao bound at high SNR, and variance of the prior at low SNR. Theory is validated numerically and on white matter Standard Model in vivo.

0398
18:00
Gradient waveform design for cross-term-compensated diffusion MRI: Demonstration of tensor-valued encoding in phantom and simulations
Filip Szczepankiewicz1 and Jens Sjölund2

1Clinical Sciences Lund, Lund University, Lund, Sweden, 2Department of Information Technology, Uppsala University, Uppsala, Sweden

Diffusion weighted imaging is perturbed by the presence of background gradients, or so-called 'cross-terms,' causing bias in estimated parameters and fiber orientations. In this work, we present a novel gradient waveform design that removes the cross-term sensitivity entirely. This design is valuable for diffusion MRI methods that are otherwise corrupted by background gradients, and it also facilitates arbitrary sequence timing, b-tensor shapes and suppression of concomitant gradient effects.

0399
18:00
Improved unsupervised physics-informed deep learning for intravoxel-incoherent motion modeling
Misha P. T. Kaandorp1,2,3, Sebastiano Barbieri4, Remy Klaassen5, Hanneke W.M. van Laarhoven5, Hans Crezee6, Peter T. While2,3, Aart J. Nederveen1, and Oliver J. Gurney-Champion1

1Department of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, Netherlands, 2Department of Radiology and Nuclear Medicine, St. Olav's University Hospital, Trondheim, Norway, 3Department of Circulation and Medical Imaging, NTNU: Norwegian University of Science and Technology, Trondheim, Norway, 4Centre for Big Data Research in Health, UNSW, Sydney, Australia, 5Department of Medical Oncology, Amsterdam UMC, Amsterdam, Netherlands, 6Department of Radiation Oncology, Amsterdam UMC, Amsterdam, Netherlands

We implemented an improved unsupervised physics-informed deep neural network approach for intravoxel-incoherent motion modeling to DWI data by exploring several hyperparameters. Whereas the original IVIM-NETorig showed high dependency between the predicted IVIM parameters, our optimized approach resolved this high dependency, produced better accuracy and was more consistent. In simulations, IVIM-NEToptim outperformed least-squares and Bayesian fitting approaches. In patients with pancreatic ductal adenocarcinoma, IVIM-NEToptim produced substantially less noisy parameter maps and lower intersession within-subject standard deviations than the alternatives. IVIM-NEToptim also detected the most individual patients with significant parameter changes in the group of patients who received chemoradiotherapy.

0400
18:00
Training Data Distribution Significantly Impacts the Estimation of Tissue Microstructure with Machine Learning
Noemi G. Gyori1,2, Marco Palombo1, Christopher A. Clark2, Hui Zhang1, and Daniel C. Alexander1

1Centre for Medical Image Computing, University College London, London, United Kingdom, 2Great Ormond Street Institute of Child Health, University College London, London, United Kingdom

The performance of supervised machine learning tools is only as good as the data used to train them. In this work, we investigate the impact of training data distribution on tissue microstructure estimates in the human brain. We focus on two strategies: uniform sampling from the entire parameter space and sampling from parameter combinations observed using traditional model fitting. We demonstrate that training on previously observed combinations may be advantageous for detecting small variations in healthy tissue. However, for detecting atypical tissue abnormalities, our results favour uniform training data sampling in which all plausible parameter combinations are represented. 

0401
18:00
On the use of neural networks to fit high-dimensional microstructure models
João Pedro de Almeida Martins1,2, Markus Nilsson1, Björn Lampinen3, Marco Palombo4, Carl-Fredrik Westin5,6, and Filip Szczepankiewicz1,5,6

1Department of Clinical Sciences, Radiology, Lund University, Lund, Sweden, 2Department of Radiology and Nuclear Medicine, St. Olav's University Hospital, Trondheim, Norway, 3Department of Clinical Sciences, Medical Radiation Physics, Lund University, Lund, Sweden, 4Centre for Medical Image Computing and Dept of Computer Science, University College London, London, United Kingdom, 5Radiology, Brigham and Women’s Hospital, Boston, MA, United States, 6Harvard Medical School, Boston, MA, United States

The application of function fitting neural networks in microstructural MRI has so far been restricted to lower-dimensional biophysical models. Moreover, the data sufficiency requirements of learning-based approaches remain unclear. Here, we use supervised learning to vastly accelerate the fitting of a high-dimensional relaxation-diffusion model of tissue microstructure and develop analysis tools for assessing the accuracy and sensitivity of model fitting networks. The developed learning-based fitting pipelines were tested on relaxation-diffusion data acquired with optimal and sub-optimal protocols. We found no evidence that machine-learning algorithms can correct for a degenerate fitting landscape or replace a careful design of the acquisition protocol.

0402
18:00
b-M1-Optimized Waveforms for Improved Stability of Quantitative Intravoxel Incoherent Motion DWI
Gregory Simchick1,2, Ruiqi Geng1,2, Yuxin Zhang1,2, and Diego Hernando1,2,3

1Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 3Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

Multiple studies have demonstrated the potential utility of intravoxel incoherent motion (IVIM) DWI in the evaluation of liver disease. However, IVIM estimates obtained using conventional monopolar diffusion gradient waveforms often suffer from high variability and instability. In this work, Cramer-Rao lower bound (CRLB) optimization was performed to determine the optimal sampling of b-M1-space based on noise performance. Then, based on this optimized sampling, b-M1-optimized waveforms were designed and employed in order to obtain IVIM estimates with improved stability in the right lobe of the liver in volunteers in comparison to conventional monopolar waveforms.

0403
18:00
Resolving the underlying sources of diffusion kurtosis in focal ischemia by Correlation Tensor MRI
Rita Alves1, Rafael Neto Henriques1, Sune Nørhøj Jespersen2,3, and Noam Shemesh1

1Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal, 2Center of Functionally Integrative Neuroscience (CFIN) and MINDLab, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark, 3Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark

Correlation Tensor MRI (CTI) has been recently introduced for resolving the underlying sources of diffusional kurtosis. Here, we aimed to resolve the underlying kurtosis sources in ischemic tissue. Ex and in vivo CTI experiments in a mouse model of ischemia revealed enhanced sensitivity and specificity compared to their conventional counterparts. Our results suggest that microscopic kurtosis – associated with restricted diffusion and structural disorder – substantially contributes to the total kurtosis excess likely reflecting excitotoxic properties. Kurtosis associated with diffusion magnitude variance better reflected edema and free water. These first results are promising for elucidating biological factors in ischemia.

0404
18:00
Enforcing positivity constraints in Q-space Trajectory Imaging (QTI) allows for reduced scan time
Deneb Boito1,2, Magnus Herberthson3, Tom Dela Haije4, and Evren Özarslan1,2

1Department of Biomedical Engineering, Linköping University, Linköping, Sweden, 2Center for Medical Image Science and Visualization, Linköping University, Linköping, Sweden, 3Department of Mathematics, Linköping University, Linköping, Sweden, 4Department of Computer Science, University of Copenhagen, Copenhagen, Denmark

We explore the feasibility of reducing scan time while retaining interpretable results when analysing multidimensional diffusion MRI data. The methods commonly employed for the estimation of the QTI model parameters might suffer severely from data under-sampling, making their use limited in clinical practice where acquisition time is limited. We show that by imposing relevant positivity constraints in the estimation of the mean, covariance, and moment tensors, the QTI+ framework strongly improves the quality of the derived maps, particularly so for data acquisition protocols featuring few number of volumes.

0405
18:00
Random matrix theory denoising minimizes cross-scanner,-protocol variability and maximizes repeatability of higher-order diffusion metrics
Benjamin Ades-Aron1, Santiago Coelho1, Jelle Veraart1, Gregory Lemberskiy1, Genevieve Barroll1, Steven Baete1, Timothy Shepherd1, Dmitry S. Novikov1, and Els Fieremans1

1Radiology, NYU School of Medicine, New York, NY, United States

Translation of diffusion MRI-derived quantitative biomarkers into clinical decision making has been hampered by within-scanner and cross-scanner variability. We compare intra-scan, cross-scan, and cross-protocol variability of multi-shell diffusion MRI for three subjects and evaluated two Random Matrix Theory (RMT)-based denoising techniques to enhance repeatability. Without denoising, best scan-rescan repeatability was found for intra-scanner measurements with the highest SNR (shortest TE), RMT-based denoising greatly reduced variability across scanners and TE, resulting in coefficients of variation about 5% for all comparisons. Increased precision across scanners and protocols should increase statistical power and further enable clinical trials of quantitative higher-order diffusion MRI.

0406
18:00
A time-efficient OGSE sequence with spiral readout for an improved depiction of diffusion dispersion
Eric Seth Michael1, Franciszek Hennel1, and Klaas Paul Pruessmann1

1Institute for Biomedical Engineering, ETH Zurich and University of Zurich, Zurich, Switzerland

Oscillating gradient spin-echo (OGSE) sequences typically suffer low diffusion sensitization and long echo times, thereby compromising the diffusion-to-noise ratio (DNR). To address these issues, recently proposed OGSE shapes providing increased diffusion sensitization were combined with single-shot spiral readout trajectories using a high-performance gradient system. This implementation was used to study the frequency dependence of diffusivity in the in-vivo human brain for OGSE frequencies up to 125 Hz and b-values up to 1000 s/mm2, yielding an improved depiction of diffusion dispersion. The results indicate the significance of higher b-values in characterizing this relationship.


Oral

Safety: Hitting a Nerve?

Concurrent 4
Tuesday 18:00 - 20:00
Moderators: Christoph Aigner & Natalia Gudino
Parent Session: Safety & Multinuclear/Preclinical RF
0407
18:00
Going Below The Neck:  Physiological limits on use of 300 mT/m gradients in the human body
Malwina Molendowska1, Fabrizio Fasano2,3, Umesh Rudrapatna1, Ralph Kimmlingen3, Derek K. Jones1,4, Slawomir Kusmia1, Chantal M. W. Tax1,5, and C. John Evans1

1Cardiff University Brain Research Imaging Centre (CUBRIC), Cardiff University, Cardiff, United Kingdom, 2Siemens Healthcare Ltd, Camberly, United Kingdom, 3Siemens Healthcare GmbH, Erlangen, Germany, 4Mary McKillop Institute for Health Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia, 5Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands

Increasing-available ultra-strong gradient systems introduce a new challenge in MRI: the unknown interaction of time-varying magnetic fields with the human body. We characterise the physiological effects of deploying 300 mT/m gradients Siemens Connectom system when imaging regions below the neck (i.e., heart and prostate). We show gradient amplitude thresholds for PNS (ramp times < 2ms) are first reached on the Y-gradient. Moreover, landmarking on the heart gives the highest probability of generating magnetophosphenes (all gradient-axes). This study establishes: (i) limitations in greatest system performance; and (ii) that the so-far head-only Connectom system can be safely used in ‘below-the-neck’ applications.

0408
18:00
Fast PNS characterization of MRI gradient coils using a Huygens’ PNS model: Application to multiple patient positions and orientations
Mathias Davids1,2,3, Bastien Guerin1,2, and Lawrence L Wald1,2,4

1Martinos Center for Biomedical Imaging, Boston, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Computer Assisted Clinical Medicine, Mannheim, Germany, 4Harvard-MIT, Division of Health Sciences and Technology, Cambridge, MA, United States

We apply a fast PNS model evaluated on a Huygens’ surface to characterize PNS performance as a function of patient position and pose in previously described PNS optimized gradients. The coils were initially PNS-optimized for a female body model in a standard brain imaging position. The Huygens’ approach allows us to assess other body positions and demonstrate the PNS benefits/penalties associated with other imaging applications and in both a female and male body model by dramatically speeding up the PNS characterization (to a couple of seconds per body position/orientation). The findings support a broad benefit from the PNS optimized windings.

0409
18:00
Enhancement of PNS risk in the presence of a metallic knee prosthesis
Luca Zilberti1, Alessandro Arduino1, Riccardo Torchio2, Umberto Zanovello1, Fabio Baruffaldi3, Paolo Bettini2, Piergiorgio Alotto2, Mario Chiampi1, and Oriano Bottauscio1

1Istituto Nazionale di Ricerca Metrologica, Torino, Italy, 2Dipartimento Ingegneria Industriale, Università degli Studi di Padova, Padova, Italy, 3Istituto Ortopedico Rizzoli, Bologna, Italy

Peripheral nerve stimulation is a typical source of concern in MRI, which, in principle, could be significantly affected by the presence of a foreign object, like an orthopaedic prosthesis, in the body. This work investigates this possibility through a computational approach, making use of a human model where a knee implant has been placed, realistically, through a “virtual surgery”. Results indicate that the presence of the prosthesis can give rise to local enhancement of the electric field induced by the operation of the gradient coils, hence increasing the risk.

0410
18:00
Exploiting Nerve Membrane Dynamics to Reduce Peripheral Nerve Stimulation using Asymmetric Readout Gradient Waveforms
Natalie G Ferris1,2, Mathias Davids3,4,5, Valerie Klein3,5, Bastien Guérin3,4, and Lawrence L Wald3,4

1Harvard Graduate Program in Biophysics, Harvard University, Cambridge, MA, United States, 2Harvard-MIT Division of Health Sciences and Technology, MIT, Cambridge, MA, United States, 3A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 4Harvard Medical School, Boston, MA, United States, 5Computer Assisted Clinical Medicine, Heidelberg University, Heidelberg, Germany

Peripheral Nerve Stimulation (PNS) limits the use of high-performance gradient systems. We exploit nerve membrane hyperpolarization and depolarization in readout gradient waveform design to achieve a higher gradient moment (area) in a given time without initiating PNS.  In a typical symmetric trapezoidal readout waveform, the slew ramps have identical rise times but opposite dB/dt (E-field sign). Asymmetrizing the waveform enables achieving the same gradient moment while emphasizing membrane hyperpolarization over depolarization. The disparate effects of hyperpolarizing and depolarizing pulses are sufficient to impact the nerve’s PNS threshold, potentially increasing the spatial resolution.

0411
18:00
Numerical Body Model Inference for Personalized RF Exposure Prediction in Neuroimaging at 7T
Wyger Brink1, Sahar Yousefi1,2, Prernna Bhatnagar1, Marius Staring2, Rob Remis3, and Andrew Webb1

1C.J. Gorter Center, dept. of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Division of Image Processing, dept. of Radiology, Leiden University Medical Center, Leiden, Netherlands, 3Circuits and Systems, dept. of Microelectronics, Delft University of Technology, Delft, Netherlands

Compliance with RF exposure limits in ultra-high field MRI is typically based on “one-size-fits-all” safety margins to account for the intersubject variability of local SAR. In this work we have developed a semantic segmentation method based on deep learning, which is able to generate a subject-specific body model for personalized RF exposure prediction at 7T.

0412
18:00
SAR Management in pTx Sequence Design: The Impact of Electromagnetic-Field-Derived Virtual Observation Points
Sydney Nicole Williams1, Jürgen Herrler2, Patrick Liebig3, Paul McElhinney1, Shajan Gunamony1,4, Armin M. Nagel5, and David A. Porter1

1Imaging Centre of Excellence, University of Glasgow, Glasgow, United Kingdom, 2Department of Neuroradiology, University Hospital Erlangen, Erlangen, Germany, 3Siemens Healthineers, Erlangen, Germany, 4MR CoilTech Limited, Glasgow, United Kingdom, 5Institute of Radiology, University Hospital Erlangen, Erlangen, Germany

We compare two methods for estimating local SAR with virtual observation points (VOPs) in a commercial and a self-built 8Tx/32Rx head coil, respectively. The commercial coil relies on a constant safety factor that reduces the hardware power limits in each transmit channel, where the self-built coil derives the VOPs from coil electromagnetic field (EMF) simulations. We show the use of both coils in vivo with MPRAGE using Universal and subject-specific pTx pulses. The EMF-based VOPs, used with the self-built coil, resulted in a lower local SAR estimate for a similar image quality, providing more flexibility in pulse sequence design.

0413
18:00
Uncertainty Estimation of subject-specific Local SAR assessment by Bayesian Deep Learning
E.F. Meliadò1,2,3, A.J.E. Raaijmakers1,2,4, M. Maspero2,5, M.H.F. Savenije2,5, P.R. Luijten1, and C.A.T. van den Berg2,5

1Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Computational Imaging Group for MR diagnostics & therapy, Center for Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 3Tesla Dynamic Coils BV, Zaltbommel, Netherlands, 4Biomedical Image Analysis, Dept. Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 5Department of Radiotherapy, Division of Imaging & Oncology, University Medical Center Utrecht, Utrecht, Netherlands

Residual error/uncertainty is always present in the estimated local SAR, therefore it is essential to investigate and understand the magnitude of the main sources of error/uncertainty. Last year we presented a Bayesian deep learning approach to map the relation between subject-specific complex B1+-maps and the corresponding local SAR distribution, and to predict the spatial distribution of uncertainty at the same time. The preliminary results showed the feasibility of the proposed approach. In this study, we show its ability to reliably capture the main sources of uncertainty and detect deviations in the MR examination scenario not included in the training samples.

0414
18:00
Implant-Friendly Excitation Strategies for Imaging DBS Electrodes at 7T
Alireza Sadeghi-Tarakameh1, Lance DelaBarre1, Nur Izzati Huda Zulkarnain1, Noam Harel1, and Yigitcan Eryaman1

1Center for Magnetic Resonance Research (CMRR), University of Minnesota, Minneapolis, MN, United States

We mitigated the radiofrequency heating at the contacts of a DBS electrode by utilizing an implant-friendly (IF) excitation scenario at 7T. IF modes of a 16-channel transmit/receive coil are calculated by minimizing electrode-shaft current close to the contacts. An IF excitation is calculated by shimming the B1+ field in an ROI using individual IF modes of the array. The proposed approach is able to mitigate the shaft current and RF heating at the contacts. 

0415
18:00
Open-bore vertical MRI scanners generate significantly lower RF heating around DBS implants: A Simulation study with experimental validation
Bhumi Bhusal1, Ehsan Kazemivalipour2, Jasmine Vu1, Stella LIn1, Bach Thanh Nguyen1, John Kirsch3, Elizabeth Nowac4, Julie Pilitsis5, Joshua Rosenow1, Ergin Atalar2, and Laleh Golestanirad1

1Northwestern University, Chicago, IL, United States, 2Bilkent University, Ankara, Turkey, 3Massachusetts General Hospital, Charlestown, MA, United States, 4Illinois Bone and Joint Institute, Wilmette, IL, United States, 5Albany Medical College, Albany, NY, United States

Though there are many studies reporting RF heating of implants in horizontal MRI scanners, there is almost no literature on vertical scanners that have 90° rotated transmit coils and a fundamentally different distribution of RF fields. Here we evaluate RF heating of deep brain stimulation (DBS) implants during MRI in a 1.2T open-bore vertical scanner compared to a 1.5T horizontal system with both numerical simulations and experimental measurements. We found a significant reduction in RF heating using vertical vs horizontal RF coils which are attributable to the orthogonal orientation of RF electric fields.

0416
18:00
The Feasibility of Radiofrequency Rhizotomy Lesion Visualization in the Trigeminal Ganglion using 7.0-Tesla MRI
Kellen Mulford1, David Darrow2, Sean Moen2, Samuel Ndoro2, Bharathi D. Jagadeesan3, Andrew W. Grande2, Donald R. Nixdorf4, and Pierre-Francois Van de Moortele1

1Center for Magnetic Resonance Imaging, University of Minnesota, Minneapolis, MN, United States, 2Department of Neurosurgery, University of Minnesota, Minneapolis, MN, United States, 3Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 4Department of Diagnostic and Biological Science, University of Minnesota, Minneapolis, MN, United States

Pain recurrence following invasive treatments for trigeminal neuralgia is common, yet the treatment decisions in these situations lack objective guidance. The goal of this work was to establish the feasibility of using 7.0-Tesla MRI to visualize treatment related effects from percutaneous radiofrequency rhizotomy procedures. We scanned two patients with trigeminal neuralgia and one human cadaver specimen at 7.0-Tesla after radiofrequency rhizotomy procedures. Both acute and long-term treatment related effects were successfully visualized by our protocol. Future work will recruit a large cohort of trigeminal neuralgia patients to correlate imaging findings with clinical outcomes.


Oral

Renal

Concurrent 5
Tuesday 18:00 - 20:00
Moderators: Durgesh Dwivedi & Steven Sourbron
Parent Session: Renal
0417
18:00
Harmonisation of Multiparametric Renal MRI for Multi-Centre Studies
Charlotte E Buchanan1, Hao Li2, Fabio Nery3, Alexander J Daniel1, Joao De Sousa4, Steven Sourbron4, Andrew Priest2,5, David Thomas6,7,8, and Susan T Francis1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 3Great Ormond Street Institute of Child Health, University College London, London, United Kingdom, 4University of Sheffield, Sheffield, United Kingdom, 5Department of Radiology, Addenbrooke's Hospital, Cambridge, United Kingdom, 6Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, UCL, London, United Kingdom, 7Dementia Research Centre, UCL Queen Square Institute of Neurology, UCL, London, United Kingdom, 8Wellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, UCL, London, United Kingdom

Standardisation and multicentre evaluation of renal MRI measures is crucial for clinical translation. Here we present a multiparametric renal MRI protocol comprising of B0 and B1 mapping, diffusion weighted imaging (DWI), T1, T2 and T2* mapping, phase contrast (PC-MRI) and volumetric T1- and T2-weighted scans that has been harmonised across GE, Philips and Siemens 3T scanners.

0418
18:00
Multiparametric Renal MRI in Chronic Kidney Disease: Changes in MRI and Clinical Measures Over Two Years
Charlotte E Buchanan1, Rebecca Noble2, Eleanor Cox1, Huda E Mahmoud2, Isma Kazmi2, Benjamin Prestwich1, Nicholas Selby2, Maarten Taal2, and Susan T Francis1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Centre for Kidney Research and Innovation, University of Nottingham, Derby, United Kingdom

We use multi-parametric renal MRI to assess structural and haemodynamic changes in CKD patients and assess these changes after one and two years to investigate the ability of MRI measures to predict and monitor progression of CKD. At baseline, higher renal cortex T1 and a reduction in renal cortex perfusion are associated with subsequent progression of CKD over 2 years suggesting that these MRI parameters may be predictors of progression. Renal cortex T1 and total kidney volume changed more in ‘progressors’  than in ‘stable’ participants over time compared to baseline suggesting these to be useful MRI measures to monitor progression.

0419
18:00
Multiparametric Renal MRI in Children and Young Adults: Comparison between Healthy Participants and Patients with Chronic Kidney Disease
Deep B. Gandhi1, Jonathan R. Dillman2, Andrew T. Trout2, Jean A. Tkach2, Prasad Devarajan3, and Stephanie W Benoit4

1Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Imaging Research Center, Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 3Department of Nephrology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 4Department off Nephrology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States

Multiparametric renal MRI might be used as a non-invasive biomarker of pediatric chronic kidney disease (CKD). 20 pediatric and young adult healthy controls and 12 patients with CKD underwent quantitative renal MRI consisting of MR elastography (MRE), T1 mapping, T2 mapping, and diffusion-weighted imaging (DWI). Whole kidney and cortical T1 values were greater in patients than healthy controls (p=0.018 and p<0.0001, respectively), whereas whole kidney, cortical, and medullary DWI ADC values were lower in patients than healthy controls (p=0.017, whole kidney). No differences in T2 or stiffness measurements between the two groups were observed.

0420
18:00
Renal perfusion imaging with free-breathing pCASL MRI in persons with salt-sensitive blood pressure
Michael Pridmore1, Maria Garza1, Laura Jones2, Cassandra Reynolds2, Deepak Gupta2, Manus Donahue1, and Rachelle Crescenzi1

1Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, United States

Salt sensitive blood pressure is a major independent risk factor for cardiovascular disease, with estimated 50% prevalence in adults for which no imaging biomarker exists. We evaluated persons for salt sensitivity and applied a quantitative magnetic resonance imaging strategy in the kidneys for measuring renal blood flow using free-breathing pseudo-continuous arterial spin labeling. Group comparisons showed renal blood flow is reduced in subjects with salt-sensitivity, which may be linked to renal mechanisms of sodium handling. Additionally, image acquisition protocols were compared between 20x and 4x acquisitions, revealing 4x acquisitions were robust to motion and favored a clinically feasible scan time.

0421
18:00
Imaging renal fibrosis in an oxalate induced chronic kidney disease model
Luke Xie1, Aaron K Wong2, Rohan S. Virgincar1, Patrick Caplazi3, Vineela D. Gandham1, Alex J. De Crespigny4, Robby M. Weimer1, and Hans D. Brightbill2

1Biomedical Imaging, Genentech, South San Francisco, CA, United States, 2Translational Immunology, Genentech, South San Francisco, CA, United States, 3Pathology, Genentech, South San Francisco, CA, United States, 4Clinical Imaging Group, Genentech, South San Francisco, CA, United States

Chronic kidney disease (CKD) is a significant global health problem with fibrosis being a common pathway of disease progression. While MRI is sensitive to fibrosis, the relationship to ultrastructural underpinnings is not well understood. In this study, we evaluate an oxalate induced CKD model and determine the correlation of MRI metrics with high-resolution terminal endpoints. We find that FA and AD in the medulla are most correlated with fibrosis pathologies, new hydroxyproline, and inflammatory and fibrotic gene expression. These results show that MRI can detect fibrosis and that the signal change is related to interstitial fibrosis and nephron ultrastructure.

0422
18:00
MR imaging of tuberous sclerosis complex in kidneys
Shubhangi Agarwal1, Emilie Decavel-Bueff1, Yung-Hua Wang1, Hecong Qin1, Romelyn Delos Santos1, Michael Evans1, and Renuka Sriram1

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

There is a critical need for the development of non-invasive imaging strategies for tuberous sclerosis (TSC) derived tumor lesions in order to monitor the progression and therapeutic efficacy of this multi-system genetic disease. In this study, we investigated the ability of multiparametric 1H MRI (morphological T2-weighted and functional diffusion-weighted) to meet this need in a preclinical murine model of TSC treated with everolimus. Results indicated that proton MR imaging was able to capture the changes in cellularity and tumor size, post treatment.

0423
18:00
High-resolution kidney MRI in mice for longitudinal tracking of kidney volume and cyst burden
Florian Schmid1, Geogios Koukos1, Yi Liu1, Matt Sooknah1, Sandip Chatterjee1, Adam Freund1, and Johannes Riegler1

1Calico Life Sciences LLC, South San Francisco, CA, United States

We present an improved imaging and data analysis strategy for kidney MRI in mouse models of polycystic kidney disease. By registering multiple high resolution datasets at lower SNR, slow movement is compensated for and high resolution datasets with high quality and fine detail are achieved, allowing for detection and longitudinal tracking of kidney volume as well as cyst number and size. We established automatic cyst detection and are developing automatic kidney segmentation, for accurate and reliable assessment of polycystic kidney disease in mouse models.

0424
18:00
Motion-insensitive DTI of Kidney using Prospective Acquisition Motion Correction Triggering
Arun Joseph1,2,3, Laila-Yasmin Mani4, Tom Hilbert5,6,7, Thomas Benkert8, Tobias Kober5,6,7, Bruno Vogt4, and Peter Vermathen3

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Bern, Switzerland, 2Translational Imaging Center, Sitem-Insel, Bern, Switzerland, 3Departments of Radiology and Biomedical Research, University of Bern, Bern, Switzerland, 4Department of Nephrology and Hypertension, University Hospital Bern, Inselspital, Bern, Switzerland, 5Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 6Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 7LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 8Application Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany

Diffusion tensor imaging (DTI) of the kidney provides important functional information such as diffusion and micro-perfusion of the tissue and additionally estimates anisotropic diffusion of water in renal tubuli. However, these measurements are highly sensitive to respiration-induced motion artifacts which bias the obtained functional information. Here, we propose to use prospective acquisition motion correction (PACE) in combination with free-breathing acquisitions for motion-insensitive diffusion measurements of the kidney. A preliminary qualitative and quantitative validation is performed on healthy subjects comparing results from conventional respiratory-triggered to PACE-triggered DTI.

0425
18:00
Mask R-CNN for Segmentation of Kidneys in Magnetic Resonance Imaging
Manu Goyal1, Junyu Guo1, Lauren Hinojosa1, Keith Hulsey1, and Ivan Pedrosa1

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States

Automated segmentation of kidneys in Magnetic Resonance Imaging (MRI) exams are important for enabling radiomics and machine learning analysis of renal disease. In this work, we propose to use a deep learning method called Mask R-CNN for the segmentation of kidneys in 2D coronal T2W FSE images of 94 MRI exams. With 5-fold cross-validation data, the Mask R-CNN is trained and validated on 66 and 9 MRI exams and then evaluated on the remaining 19 exams. Our proposed method achieved an average dice score of 0.839 and an average IoU of 0.763.

0426
18:00
Volumetric Renal ASL MRI using 3D TSE Cartesian Acquisition with Variable Density Sampling (VD-CASPR)
Yiming Wang1, Limin Zhou1, Ivan Pedrosa1,2,3, and Ananth J. Madhuranthakam1,2

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 3Urology, UT Southwestern Medical Center, Dallas, TX, United States

3D Cartesian turbo spin echo (TSE) is a promising acquisition method for renal ASL because of its improved SNR and compatibility with optimal background suppression (BGS). However, 3D Cartesian TSE with single average can limit its SNR and robustness. In this study, we applied a variable density sampling approach to renal ASL imaging, which acquires the center of the k-space with higher signal averages and improves SNR and robustness without significantly prolonging scan time. We combined this with partial k-space acquired M0 images to compensate for increased scan time, but without compromising perfusion quantification.


Oral

Hot Topics in Preclinical Models of CNS Disease

Concurrent 6
Tuesday 18:00 - 20:00
Moderators: Sanam Assili & Po-Wah So
Parent Session: Hot Topics in Preclinical Models of CNS Disease
0427
18:00
Viral-CEST: Exploiting AAV capsids as endogenous CEST agents for tracking of viral cell transduction
Mark Velasquez1, Laurel Nelson1, Bonnie Lam1, Kevin Godines1, Soo Hyun Shin1, and Moriel Vandsburger1

1Department of Bioengineering, University of California, Berkeley, Berkeley, CA, United States

Viral vectors, including adeno-associated viruses (AAV), are increasingly used for therapies that utilize somatic cell gene editing. Validation of successful delivery of gene editing machinery requires biopsy, which is a fundamental barrier to development of gene therapy. Research into chemical exchange saturation transfer (CEST)-MRI contrast agents has yielded numerous targeted and pH sensitive exogenous agents for diagnostic purposes. In this study we demonstrated that CEST-MRI can detect the abundant serine, threonine, and lysine residues on AAV capsid surfaces across serotypes that are responsible for targeted receptor binding; further that transduction of cells by AAV2 can be detected by CEST.

0428
18:00
Grey matter atrophy measured in-vivo with 9.4T MRI in the cuprizone mouse model of demyelination
A. Max Hamilton1,2,3,4, Qandeel Shafqat1,2,3,4, Nils D. Forkert1,2,3, Ying Wu1,2,3,4, and Jeff F. Dunn1,2,3,4

1Department of Radiology, University of Calgary, Calgary, AB, Canada, 2Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 3Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada, 4Experimental Imaging Center Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

Grey matter atrophy is a marker of progressive disability in multiple sclerosis (MS). To better study atrophy in MS, mouse models that display grey matter loss are needed. A possible candidate is the cuprizone mouse model, which exhibits demyelination, gliosis, and axonal injury. We used high-resolution MRI (37.5x37.5x250μm3) and atlas-based volumetrics to measure volumes of 62 structures in the brains of cuprizone mice following acute (6-weeks) and chronic (12-weeks) demyelination. We found no atrophy associated with acute demyelination but identified atrophy in 7 regions following chronic demyelination including the corpus callosum, internal capsule, striatum, and thalamus.

0429
18:00
Optogenetic fMRI Reveals Distinct Response Characteristics of Sensory and Limbic Thalamic Spindle-like Activities
Xunda Wang1,2, Alex T. L. Leong1,2, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong SAR, China, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong SAR, China

Spindle-like activities constitute one of the most critical brain-wide oscillatory activities for memory consolidation. Spindle-like activities with different temporal characteristics have been associated with heterogeneous distribution patterns. Studies postulated that such heterogeneous distribution and differences in temporal characteristics of spindle-like activities were determined by differences in corresponding spindle-generation thalamo-cortical circuits. However, no direct evidence has been shown. In this study, we demonstrate distinct brain-wide targets but similar temporal-characteristics dependent cross-modal recruitment property of limbic and sensory thalamically-evoked spindle-like activities. Our work provides direct evidence that spindle-like activities initiated from distinct thalamic nuclei can recruit distinct brain-wide targets 

0430
18:00
Polarity of BOLD fMRI as a function of balance between excitation and inhibition
Kostiantyn Cherkas1, G. H. Im1, and S.G. Kim2

1Cener for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon 16419, Republic of Korea, Suwon, Korea, Republic of, 2Cener for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon 16419, Republic of Korea, Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Suwon, Korea, Republic of

To investigate neural source of positive and negative BOLD signals, we modulated a balance of excitatory and inhibitory activity (EI) within the same somatosensory area to determine whether the polarity of evoked BOLD response is reversed. We measured BOLD fMRI at 15.2T and calcium photometry of ketamine/xylazine-anesthetized mice in response to frequency dependent whisker pad stimulation.  At 4 Hz, positive BOLD and increased calcium activity were observed in the barrel cortex, whereas at 20 Hz stimulation, negative BOLD and decreased calcium activity were detected.  This indicates that the BOLD polarity closely links to the EI balance. 

0431
18:00
Validation of MRI Measurements of Myelination Changes in an Absence Epilepsy Mouse Model
Gustavo Chau Loo Kung1, Juliet Knowles2, Lijun Ni2, John Huguenard2, Michelle Monje2, and Jennifer McNab3

1Bioengineering Department, Stanford University, Stanford, CA, United States, 2Neurology Department, Stanford University, Stanford, CA, United States, 3Radiology Department, Stanford University, Stanford, CA, United States

Maladaptive myelination may contribute to both the predisposition to seizures and cognitive impairment in diseases such as absence epilepsy. To support this hypothesis, we performed MRI microstructural measurements in ex vivo mouse brains from the  Scn8amed+/- model of absence epilepsy and validated them against matching Electron Microscopy (EM) quantifications. Our MRI g-ratio results strongly agree with these measurements and both show a statistically significant decrease in g-ratio of the genu in seizure mice. Future work will look to continue the current analysis in longitudinal studies to probe the previously unknown effects of dynamic myelination on the progression of absence epilepsy. 

0432
18:00
fMRI connectivity mapping in the awake mouse brain reveals state-dependent network reconfiguration
Neha Atulkumar Singh1, Daniel Gutierrez-Barragan1, Elizabeth de Guzman1, Mauro Uboldi2, Ludovico Coletta1, and Alessandro Gozzi1

1Functional Neuroimaging Laboratory, Istituto Italiano di Tecnologia, Rovereto, Italy, 2Ugo Basile S.r.L., Gemonio, Italy

Resting state fMRI mapping in the mouse is typically carried out under light anesthesia, preventing a full characterization of how the ensuing functional architecture compares to awake conditions. Leveraging a novel protocol for fMRI connectivity mapping in awake mice, we provide a fine-grained description of the network structure and dynamic organization of brain-wide functional connectivity in this species. Notably, by comparing network features across brain states, we identify a robust set of state-dependent network changes, including a distinctive dynamic signature of consciousness. These results open the way to the implementation of awake rsfMRI in the mouse.

0433
18:00
Sensitive imaging schemes for dynamic glucose enhanced (DGE) MRI to detect glucose uptake and clearance in mouse brain at 3T
Jianpan Huang1, Joseph H. C. Lai1, Xiongqi Han1, Zilin Chen1, Yang Liu1, Peng Xiao1, Lin Chen2,3, Jiadi Xu2,3, and Kannie W. Y. Chan1,3,4

1Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, MD, United States, 3Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4City University of Hong Kong Shenzhen Research Institute, Shenzhen, China

We developed a high-sensitivity dynamic glucose enhanced (DGE) MRI acquisition and post-processing scheme for sensitive monitoring glucose uptake and clearance in both brain parenchyma and cerebrospinal fluid (CSF) at 3T. By investigating Carr-Purcell-Meiboom-Gill sequence (CPMG), on-resonance variable delay multi-pulse (onVDMP) and on-resonance spin-locking (onSL), a high-sensitivity DGE MRI scheme composed of CPMG method for monitoring parenchyma and onVDMP method for monitoring CSF was proposed. We incorporated the multilinear singular value decomposition (MLSVD) based denoising method in post-processing, which enables the detection of DGE signals from the brain parenchyma and CSF at low concentration of D-glucose (12.5% w/w) injection.

0434
18:00
Quantitative neuroimaging biomarkers using 3D UTE MRI and ferumoxytol
Codi Gharagouzloo1, Praveen Kulkarni2, Joshua Leaston1, Kevin Johnson3, Jonathan Polimeni4, Ju Qiao5, Misung Han6, Peder Larson6, and Craig Ferris2

1Imaginostics, Inc., Cambridge, MA, United States, 2Center for Translational Neuroimaging, Northeastern University, Boston, MA, United States, 3Medical Physics, University of Wisconsin–School of Medicine and Public Health, Madison, WI, United States, 4Martinos Center, Massachusetts General Hospital and Athinoula A. Martinos Center for Biomedical Imaging, Boston, MA, United States, 5Massachusetts General Hospital, Boston, MA, United States, 6University of California, San Francisco, San Francisco, CA, United States

New quantitative vascular neuroimaging biomarkers are made possible by the combination of optimized 3D UTE MRI and ferumoxytol for contrast enhancement. Here, we have shown that this method, QUTE-CE MRI, can be used to image both the vascular and perivascular space. The small vessel density biomarker demonstrated sensitivity to hyper-to-normal microvascularization from 8-24 months of age in an ApoE4 genetic knock-in rat model. Disruption in the blood brain barrier was detected in individual animals and groups after even a single mild hit to the head. Finally, feasibility of QUTE-CE MRI is demonstrated on clinical scanners for human imaging.

0435
18:00
CEST MRI of temporal changes of hematoma in Intracerebral Hemorrhage (ICH) mouse at 3T
Joseph H. C. Lai1, Jiaxin Liu2, Jianpan Huang1, Yang Liu1, Zilin Chen1, Peng Xiao1, Gilberto K. K. Leung2, and Kannie W. Y. Chan1,3,4

1Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, Hong Kong, 2Division of Neurosurgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong, 3Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4City University of Hong Kong Shenzhen Research Institute, Shenzhen, China

CEST MRI in hematoma could be challenging depending on the involvement of iron. This study examined the feasibility of CEST in monitoring ICH and its progression over two weeks. The AREX data supported that the iron-overloading pathology might not significantly attenuate CEST contrast as demonstrated both in vitro and in vivo at 3T. We observed the most significant decrease in rNOE (37%) and APT (47%) contrast in lesions were on day7 and day3, respectively, when compared to contralateral side. This could indicate neuropathologies related to lipid and amide, which could be valuable for ICH diagnosis and treatment planning at 3T.

0436
18:00
Abnormal Oxidative Metabolism in the Gray Matter of Cuprizone Mouse Model: An in-vivo NIRS-MRI Study
Mada Hashem1,2,3,4,5, Ying Wu1,3,4,5, and Jeff F. Dunn1,2,3,4,5

1Department of Radiology, University of Calgary, Calgary, AB, Canada, 2Biomedical Engineering Graduate Program, University of Calgary, Calgary, AB, Canada, 3Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 4Experimental Imaging Centre, University of Calgary, Calgary, AB, Canada, 5Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

Non-invasive quantitative imaging of cerebral oxygen consumption is crucial to understand the involvement of oxidative metabolism in neurological diseases. We are applying a novel multimodal technique combining near-infrared spectroscopy and high-field MRI to study the mitochondrial status as well as oxygen delivery and consumption in the cortex of the cuprizone mouse model. In this study, multiple physiological parameters controlling oxidative metabolism were investigated in the cuprizone mice exhibiting demyelination. A mitochondrial impairment and a reduced oxygen consumption rate were found in the gray matter of cuprizone mice, emphasizing the association between abnormal oxidative metabolism and the observed demyelination.


Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: DSC MRI II

Concurrent 7
Tuesday 18:00 - 19:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI IV
(no CME credit)
18:00
How to Analyse Your Physiological MRI Data: Dynamic Susceptibility Contrast (DSC) MRI
  Amit Mehndiratta
  Indian Institute of Technology Delhi


Tutorial

Tutorial: Software Demos for MRI IV

Concurrent 7
Tuesday 19:00 - 20:00
Parent Session: Tutorial: Software Demos for MRI IV
(no CME credit)

Plenary Session

Specialized High-Performance Systems

Organizers: Peng Hu, José Marques, Krishna Nayak
Concurrent 1
Tuesday 20:00 - 22:00
Moderators: Peng Hu & José Marques
Parent Session: Tuesday Plenary
20:00
NIBIB New Horizons: Precision MRI of the Breast: Reality or Utopia?

20:20
Opportunities & Challenges of Specialized Systems
Stuart Crozier1

1University of Queensland, Brisbane, Australia

20:40
Whole-Body Systems for Interventional, Lung & Cardiac MRI
Adrienne E. Campbell-Washburn1

1National Institutes of Health, Bethesda, MD, United States

21:00
Compact Systems for Brain, Extremity & Pediatric/Neonatal MRI
John Huston1

1Mayo Clinic, Rochester, MN, United States


Corporate Symposium

Bruker Bronze Corporate Symposium

Tuesday 22:00 - 23:00
(no CME credit)

Corporate Symposium

FUJIFILM Healthcare Bronze Corporate Symposium

Tuesday 22:00 - 23:00
(no CME credit)


Wednesday, 19 May 2021

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Evening Event

ISMRM for All: An Asia-Pacific Perspective

Concurrent 1
Wednesday 0:30 - 2:00
(no CME credit)

Tutorial

Tutorial: Software Demos for MRI V

Concurrent 7
Wednesday 7:00 - 8:00
Parent Session: Tutorial: Software Demos for MRI V
(no CME credit)

Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: CVR I

Concurrent 7
Wednesday 9:00 - 10:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI V
(no CME credit)
9:00
How to Analyse Your Physiological MRI Data: Cerebrovascular Reactivity
  Joana Pinto
  University of Oxford


Corporate Symposium

GE Healthcare Gold Corporate Symposium

Wednesday 11:00 - 11:59
(no CME credit)

Oral

Optimized Signal Representation for Acquisition & Reconstruction

Concurrent 1
Wednesday 12:00 - 14:00
Moderators: Dana Peters & Martin Uecker
Parent Session: Optimized Signal Representation for Acquisition & Reconstruction
0437
12:00
Rapid dynamic speech imaging at 3Tesla using combination of a custom airway coil, variable density spirals and manifold regularization
Rushdi Zahid Rusho1, Wahidul Alam1, Abdul Haseeb Ahmed2, Stanley J. Kruger3, Mathews Jacob2, and Sajan Goud Lingala1,3

1Roy J. Carver Department of Biomedical Engineering, The University of Iowa, Iowa City, IA, United States, 2Department of Electrical and Computer Engineering, The University of Iowa, Iowa City, IA, United States, 3Department of Radiology, The University of Iowa, Iowa City, IA, United States

We propose a novel rapid dynamic speech MRI scheme that leverages multi-coil acquisitions from a dedicated 16 channel airway coil, variable density spirals, and manifold regularization. The variable density spirals enables self-navigation to extract the Laplacian manifold matrix from low spatial but high temporal resolution data. Our scheme  allows for efficient exploitation of similarities between image frames that are distant in time without the need of explicit binning. We demonstrate robust reconstructions on free running speech data containing complex spatio-temporal dynamics at a temporal resolution of 15 ms/frame.

0438
12:00
An open dataset for speech production real-time MRI: raw data, synchronized audio, and images
Yongwan Lim1, Asterios Toutios1, Yannick Bliesener1, Ye Tian1, Krishna S. Nayak1, and Shrikanth Narayanan1

1University of Southern California, Los Angeles, CA, United States

We introduce the first-ever public domain real-time MRI raw dataset for the study of human speech production. The dataset consists of raw, multi-receiver-coil MRI data with non-Cartesian, spiral sampling trajectory and reconstructed images derived using a reference reconstruction method along with synchronized audio for 72 subjects performing 32 linguistically motivated speech tasks. This dataset can be used to develop traditional and machine learning / artificial intelligence approaches for dynamic image reconstruction in the context of fast aperiodic motion, which is currently an unsolved problem, as well as for artifact correction, feature extraction, and direct extraction of linguistically relevant biomarkers.

0439
12:00
Denoising of Hyperpolarized 13C MR Images of the Human Brain Using Patch-based Higher-order Singular Value Decomposition
Yaewon Kim1, Hsin-Yu Chen1, Adam W. Autry1, Javier Villanueva-Meyer1, Susan M. Chang2, Yan Li1, Peder E. Z. Larson1, Jeffrey R. Brender3, Murali C. Krishna3, Duan Xu1, Daniel B. Vigneron1,2, and Jeremy W. Gordon1

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States, 2Department of Neurological Surgery, University of California, San Francisco, CA, United States, 3Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States

Quantifying metabolism in hyperpolarized (HP) 13C MRI can be challenging because of low signal-to-noise ratio for downstream metabolites. To overcome this limitation, we investigated a new patch-based singular value decomposition method to denoise dynamic imaging data and tested it in numerical simulations and on 6 HP [1-13C]pyruvate EPI human brain datasets. The sensitivity enhancement provided by denoising significantly improved quantification of metabolite dynamics. With denoising, [1-13C]pyruvate and its metabolites [1-13C]lactate and [13C]bicarbonate had ≥5-fold sensitivity gain, improving the number of quantifiable voxels for mapping pyruvate-to-bicarbonate conversion rates (kPB) by 2-fold, and providing whole-brain coverage for mapping pyruvate-to-lactate conversion rates (kPL).

0440
12:00
k-Space Weighted Image Average (KWIA) for ASL-based Dynamic MRA and Perfusion Imaging
Chenyang Zhao1, Xingfeng Shao1, Lirong Yan1, and Danny JJ Wang1

1Laboratory of Functional MRI Technology (LOFT), Mark & Mary Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, United States

The intrinsically low SNR of ASL techniques is a main limitation that hinders their clinical translations. This work presented a novel denoising algorithm for dynamic MRI termed KWIA and evaluated its use in multi-delay ASL and ASL-based 4D dMRA. KWIA improves SNR without compromising spatial and temporal resolution by progressively increasing the neighboring time frames for view-shared averaging for more distal k-space regions. Experimental results showed that KWIA can provide significant SNR improvement that enables better visualization and quantification for both multi-delay ASL and ASL-based 4D dMRA as well as other dynamic MRI techniques.

0441
12:00
MR image super-resolution using attention mechanism: transfer textures from external database
Mengye Lyu1, Guoxiong Deng1, Yali Zheng1, Yilong Liu2,3, and Ed X. Wu2,3

1College of Health Science and Environmental Engineering, Shenzhen Technology University, Shenzhen, China, 2Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, China, 3Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, China

Super-resolution (SR) is useful to reduce scan time and/or enhance MR images for better visual perception. High-resolution reference images may improve super-resolution quality, but most previous studies focused on using references from the same subject. Here, we use an image search module to find similar images from other subjects and use transformer based neural networks to learn and transfer the relevant textures to the output. We demonstrate that this approach can outperform single-image super-resolution, and is feasible to achieve high-quality super-resolution at large factors. As the reference images are not limited within a subject, it potentially has wide applications.

0442
12:00
A regularized joint water/fat separation and B0 map estimation for 2D-navigated interleaved EPI based diffusion MRI
Yiming Dong1, Kirsten Koolstra2, Malte Riedel3, Matthias J.P. van Osch1, and Peter Börnert1,4

1C.J. Gorter Center for High Field MRI, Department of Radiology, LUMC, Leiden, Netherlands, 2Division of Image Processing, Department of Radiology, LUMC, Leiden, Netherlands, 3University of Lübeck, Lübeck, Germany, 4Philips Research Hamburg, Hamburg, Germany

Multi-shot EPI enables high-resolution diffusion-weighted imaging with reduced geometric distortions. However, fat is often a confounding factor in EPI, especially in regions with severe B0 inhomogeneities. For the proposed method, data is acquired using TE-shifted interleaved EPI and 2D-navigators to sense the motion-induced shot phases. The reconstruction includes a multi-peak fat model and corrects for the fat frequency-specific chemical shift displacements in phase-encoding direction by a time-efficient image-space formulation. In-vivo results show that the proposed algorithm provides improved water/fat separation compared with the conventional technique and fat-suppressed acquisition.

0443
12:00
On quantification errors of R2* and PDFF mapping in trabecularized bone marrow induced by the static dephasing regime
Sophia Kronthaler1, Christof Boehm1, Kilian Weiss2, Marcus R. Makowski1, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany, 2Philips Healthcare, Hamburg, Germany

Chemical shift encoding-based (CSE) water-fat separation techniques are becoming more common in the study of bone marrow changes as they allow the simultaneous assessment of tissue fat-fraction and R2*. A typical acquisition strategy in CSE-MRI aims to minimize the first TE to increase SNR. However, the R2* decay in the presence of trabecular bone microstructure is known to be nontrivial due to the occurrence of the static dephasing regime. The present work investigates, with the help of UTE acquisitions, the quantification errors of R2* and PDFF maps in trabecularized bone marrow due to the presence of the static dephasing regime.

0444
12:00
Algebraic reconstruction of missing data in zero echo time MRI with pulse profile encoding (PPE-ZTE)
Romain Froidevaux1, Markus Weiger1, and Klaas Paul Pruessmann1

1Institute for Biomedical Engineering, ETH Zurich and University of Zurich, Zurich, Switzerland

Short-T2 imaging needs immediate and rapid encoding, as provided by zero echo time (ZTE) MRI. However, in ZTE, excitation and early encoding occur simultaneously and preclude data acquisition in the k-space center, leading to local undersampling or gap. One way of retrieving the missing data involves algebraic reconstruction, but it is limited to small gaps and thus requires short RF pulses that restrain achievable SNR and contrast options. Here, we demonstrate a method for algebraic reconstruction of large gaps, based on the knowledge of excitation pulses. It enables the use of longer pulses and overcomes ZTE flip angle limitations.

0445
12:00
Simultaneous optimisation of MP2RAGE UNI and FLAWS brain images at 7T using Extended Phase Graph (EPG) Simulations
Ayse Sila Dokumaci1, Fraser R. Aitken1, Jan Sedlacik1, Philippa Bridgen1, Raphael Tomi-Tricot1,2, Tom Wilkinson1, Ronald Mooiweer1, Sharon Giles1, Joseph V. Hajnal1, Shaihan Malik1, Jonathan O'Muircheartaigh1, and David W. Carmichael1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

The MP2RAGE sequence is typically used at 7T to produce UNI image with maximised contrast between WM-GM and GM-CSF while mitigating B1- field variability. It can also be optimised to obtain Fluid and White Matter Suppression (FLAWS) images but this is typically done separately.  Here, the Extended Phase Graph formalism was used to optimise both FLAWS and UNI images at 7T within one acquisition while minimising B1+ sensitivity. Different combinations were tested in healthy subjects with 0.65mm isotropic resolution demonstrating that UNI and FLAWS images could be obtained together while largely maintaining image quality.  

0446
12:00
Frobenius optimization of tensor-valued diffusion sampling schemes
Alexis Reymbaut1

1Random Walk Imaging AB, Lund, Sweden

Tensor-valued diffusion encoding has allowed for increased specificity in diffusion MRI, probing the diffusion patterns of water molecules in vivo along new dimensions. From an intuitive standpoint, a versatile sampling scheme should be sensitive to a diverse set of diffusion profiles in any given voxel. However, while optimization strategies based on electrostatic repulsion achieve this for conventional diffusion sampling scheme, no equivalent optimization exists for tensor-valued diffusion data. In this work, we derive an optimization strategy based on maximizing the Frobenius distance between b-tensors. Its evaluation in silico demonstrates that it increases the accuracy of diffusion tensor distribution imaging.


Oral

Machine Learning Applications in CV Imaging

Concurrent 2
Wednesday 12:00 - 14:00
Moderators: Aurelien Bustin & Kelvin Chow
Parent Session: Machine Learning Applications in CV Imaging
0447
12:00
Improving deep unrolled neural networks for radial cine cardiac image reconstruction using memory-efficient training, Conv-LSTM based network
Kanghyun Ryu1, Christopher M. Sandino1, Zhitao Li1, Xucheng Zhu2, Andrew Coristine3, Martin Janich4, and Shreyas S. Vasanawala1

1Stanford University, Stanford, CA, United States, 2GE Healthcare, Menlo Park, CA, United States, 3GE Healthcare, Montreal, QC, Canada, 4GE Healthcare, Munich, Germany

Recently, unrolled neural networks (UNNs) have been shown to improve reconstruction over conventional Parallel Imaging Compressed Sensing (PI-CS) methods for dynamic MR image reconstruction. In this work we propose two methods to improve UNN for Non-Cartesian cardiac cine image reconstruction, namely memory efficient training and Convolutional LSTM based network architecture.The proposed method can significantly improve conventional UNN with higher image quality.

0448
12:00
Development, Validation, and Application of an Automated Deep Learning Workflow for Strain Analysis based on cine-MRI
Manuel A. Morales1,2, Maaike van den Boomen2,3,4, Christopher Nguyen2,4, Jayashree Kalpathy-Cramer2, Bruce R. Rosen1,2, Collin Stultz 1,5,6, David Izquierdo-Garcia1,2, and Ciprian Catana2

1Health Sciences & Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Radiology, Athinoula A. Martinos Center for Biomedical Imaging, MGH, HMS, Charlestown, MA, United States, 3Radiology, University Medical Center Groningen, Groningen, Netherlands, 4Cardiovascular Research Center, MGH, HMS, Charlestown, MA, United States, 5Cardiology, Massachusetts General Hospital, Boston, MA, United States, 6Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States

Myocardial strain analysis from cinematic magnetic resonance imaging (cine-MRI) data is a promising technique for earlier detection of subclinical dysfunction prior to reduction in left-ventricular ejection fraction (LVEF), but sources of discrepancies including user-related variations have limited its wide clinical adoption. Using healthy and cardiovascular disease (CVD) subjects (n=150) we developed a fast, user-independent deep-learning-based workflow for strain analysis from cine-MRI data. Relative to a reference tagging-MRI method, there was no significant difference in end-systolic global strain based on subject-paired cine-MRI data from 15 heathy subjects. Applications in CVD subjects without reduced LVEF showed both global and asymmetric strain abnormalities.

0449
12:00
MyoMapNet: A Deep Neural Network for Accelerating the Modified Look-Locker Inversion Recovery Myocardial T1 Mapping to 5 Heart Beats
Hossam El-Rewaidy1,2, Rui Guo1, and Reza Nezafat1

1Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States, 2Graduate School of Bioengineering, Department of Computer Science, Technical University of Munich, Munich, Germany

In this work, we developed and evaluated a rapid (4-5 heartbeats) myocardial T1 mapping approach by estimating voxel-wise T1 values from one look-locker (LL) experiment of MOLLI sequence using a fully-connected neural network (MyoMapNet). MyoMapNet consists of 5 hidden layers that map the input 4-5 T1-weighted samplings and their inversion times into T1 values. MyoMapNet was trained and evaluated on a large dataset of native MOLLI-5(3)3 T1 in 717 subjects and post-contrast MOLLI-4(1)3(1)2 in 535 subjects. MyoMapNet showed similar T1 estimations to MOLLI-5(3)3 and MOLLI-4(1)3(1)2 T1 (mean difference=1±17ms, and -3±18ms, respectively, p-value >0.1 for both).

0450
12:00
Deep-learning based super-resolution reconstruction for 3D isotropic coronary MR angiography in a one-minute scan
Thomas Küstner1,2, Alina Psenicny1, Camila Munoz1, Niccolo Fuin3, Aurelien Bustin4, Haikun Qi1, Radhouene Neji1,5, Karl P Kunze1,5, Reza Hajhosseiny1, Claudia Prieto1, and René M Botnar1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Department of Radiology, Medical Image and Data Analysis (MIDAS), University Hospital of Tübingen, Tübingen, Germany, 3Ixico, London, United Kingdom, 4IHU LIRYC, Electrophysiology and Heart Modeling Institute, Université de Bordeaux, INSERM, Centre de recherche Cardio-Thoracuique de Bordeaux, Bordeaux, France, 5MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

3D whole‐heart coronary MR angiography (CMRA) has shown significant potential for the diagnosis of coronary artery disease. Undersampled motion corrected reconstruction approaches have enabled free-breathing isotropic 3D CMRA in ~5-10min scan time. However, spatial resolution is still limited compared to coronary CT angiography and scan time remains relatively long. In this work, we propose a deep-learning based super-resolution (SR) framework, combined with non-rigid respiratory motion compensation (SR-CMRA), to shorten the acquisition time to <1min. A 16-fold increase in spatial resolution is achieved by reconstructing a high-resolution CMRA (1.2mm3) from a low-resolution acquisition (1.2x4.8x4.8mm3, 50s scan).

0451
12:00
Fully automated aortic 4D flow MRI large-cohort analysis using deep learning
Michael B Scott1, Haben Berhane1, Justin Baraboo1, Cynthia K Rigsby2, Joshua D Robinson2, Patrick M McCarthy1, S Chris Malaisrie1, Ryan J Avery1, Bradley D Allen1, Alexander Barker3, and Michael Markl1

1Northwestern University, Chicago, IL, United States, 2Lurie Children's Hospital of Chicago, Chicago, IL, United States, 3University of Colorado, Anschutz Medical Campus, Aurora, CO, United States

A fully automated pipeline using four convolutional neural networks was designed to perform analysis of aortic 4D flow MRI, including preprocessing (eddy current correction, noise masking, and antialiasing), 3D segmentation of the aorta, quantification of mean flow-time curves and peak velocities. The analysis pipeline was run on a total of 2084 4D flow MRI studies and compared against manual analysis in a subset of 69 studies. Median segmentation Dice score for the ascending aorta was 0.93 [0.90 – 0.95]. Pipeline-based quantification of ascending aortic peak velocities demonstrated bias of -0.05 m/s versus manual analysis [LOA: -0.26 to 0.15 m/s].

0452
12:00
Validation of a Deep Learning based Automated Myocardial Inversion Time Selection for Late Gadolinium Enhancement Imaging in a Prospective Study
Seung Su Yoon1,2, Michaela Schmidt2, Manuela Rick2, Teodora Chitiboi3, Puneet Sharma3, Tilman Emrich4,5, Christoph Tilmanns6, Ralph Waßmuth6, Jens Wetzl2, and Andreas Maier1

1Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Magnetic Resonance, Siemens Healthcare GmbH, Erlangen, Germany, 3Siemens Medical Solutions USA, Inc., Princeton, NJ, United States, 4Department of Radiology, University Medical Center, Johannes Gutenberg-University Mainz, Mainz, Germany, 5Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, United States, 6Diagnostikum Berlin, Berlin, Germany

In cardiac MRI using the Late Gadolinium Enhancement technique, inversion recovery sequences are acquired for the correct myocardial nulling for optimal image contrast. In clinical practice, the selection of the proper inversion time to null healthy myocardium is manually performed by visual inspection. To standardize the process, we propose an automated deep-learning-based system which selects the “null inversion time” where the myocardium signal is darkest, and “contrast inversion time” where the contrast between the myocardium and blood pool is highest. We validated the system on a prospective study on different scanners. The system achieved high accuracy in observers’ annotation range.

0453
12:00
Voxel-wise Tracking of Grid Tagged Cardiac Images using a Neural Network Trained with Synthetic Data
Michael Loecher1,2, Luigi E Perotti3, and Daniel B Ennis1,2,4,5

1Radiology, Stanford University, Stanford, CA, United States, 2Radiology, Veterans Affairs Health Care System, Palo Alto, CA, United States, 3Mechanical and Aerospace Engineering, University of Central Florida, Orlando, FL, United States, 4Maternal & Child Health Research Institute, Stanford University, Stanford, CA, United States, 5Cardiovascular Institute, Stanford University, Stanford, CA, United States

This work introduces a neural network for tracking myocardial motion in cine grid tagged MR images on a voxel-wise basis. This is achieved with the use a synthetic training dataset that includes comprehensive motion patterns. Synthetic training allows for a known ground truth motion to be included in training. The network was tested against a previous network that tracked only tag line intersections. Displacements and strain maps were generated and compared. The voxel tracking network shows qualitatively better spatial localization of strain, and better radial strain values compared to tracking only tag lines.

0454
12:00
Prediction of aneurysm stability using a machine learning model based on 4D-Flow MRI and Black Blood MRI
Miaoqi Zhang1, Mingzhu Fu1, Hanyu Wei1, Shuo Chen1, and Rui Li1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, China

The rupture of intracranial aneurysm (IA) is the most common cause of subarachnoid hemorrhage (SAH), resulting in patient death and disability. Recently, the morphology of the aneurysm, wall condition as well as hemodynamic factors were found to have kind of relationship with the stability of the aneurysm. In this project, we extracted clinical characteristics, morphology parameters, wall condition and hemodynamic parameters together to predict aneurysm stability using a machine learning model based on 4D-Flow MRI and black blood MRI. Among the two models, the Support Vector Machines model performed well, and the multi-parameter prediction result was greater than 95%.

0455
12:00
Intracranial Vessel Wall Segmentation with 2.5D UNet++ Deep Learning Network
Hanyue Zhou1, Jiayu Xiao2, Debiao Li1,2, Dan Ruan1,3, and Zhaoyang Fan2,4,5

1Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 2Cedars-Sinai Medical Center, Los Angeles, CA, United States, 3Radiation Oncology, University of California, Los Angeles, Los Angeles, CA, United States, 4Radiology, University of Southern California, Los Angeles, CA, United States, 5Radiation Oncology, University of Southern California, Los Angeles, CA, United States

Intracranial vessel wall segmentation is an essential step for the intracranial atherosclerosis quantification. We have developed an automated intracranial vessel wall segmentation method based on deep learning that utilized a 2.5D UNet++ network structure with a loss function consists of both soft Dice coefficient loss and the approximated Hausdorff distance loss. We show that we have achieved significant improvements over our previous segmentation model based on a 2D UNet structure across various quantitative measures, as well as a better visual resemblance to the ground truth segmentation.

0456
12:00
Machine Learning aided k-t SENSE for fast reconstruction of highly accelerated PCMR data
Grzegorz Tomasz Kowalik1, Javier Montalt-Tordera1, Jennifer Steeden1, and Vivek Muthurangu1

1Institute of Cardiovascular Science, University College London, London, United Kingdom

The Machine Learning aided k-t SENSE for the reconstruction of highly undersampled GASperturbed PCMR data is validated. We introduce a modified version of the u-net Convolutional Neural Network (u-net M) that utilises the spatial signal distribution information to improve removal of the MR image magnitude aliases. The high resolution magnitude predictions enable creation of regularisation priors used in the k-t SENSE for the final reconstruction of the PCMR data. 20 patients were scanned in the in-vivo validataion. The technique enabled ~3.6x faster processing than the CS reconstruction with no statistical difference in the measured peak mean velocity and stroke volumes.


Oral

fMRI Data Acquisition & Analysis

Concurrent 3
Wednesday 12:00 - 14:00
Moderators: Benedikt Poser & Olivia Viessmann
Parent Session: fMRI Data Acquisition & Analysis
0457
12:00
Improved Accelerated fMRI Reconstruction using Self-supervised Deep Learning
Omer Burak Demirel1,2, Burhaneddin Yaman1,2, Steen Moeller2, Logan Dowdle2, Luca Vizioli2, Kendrick Kay2, Essa Yacoub2, John Strupp2, Cheryl Olman2, Kâmil Uğurbil2, and Mehmet Akçakaya1,2

1Electrical and Computer Engineering, University of Minnesota, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

There are significant benefits to HCP-style fMRI acquisitions, which acquires high spatial and temporal resolution across the whole brain in an effort to better understand the human brain. This can be achieved through simultaneous multi-slice (SMS)/Multiband (MB) imaging, which provides rapid whole-brain coverage using high acceleration rates albeit with increased noise amplification. Deep learning reconstruction techniques have recently gained substantial interest in improving accelerated MRI. Here we utilize a physics-guided self-supervised deep learning reconstruction on a 5-fold SMS and 2-fold in-plane accelerated whole brain 7T fMRI acquisition to reduce the reconstruction noise without altering the subsequent fMRI result.     

0458
12:00
Extreme Looping Star: Quiet fMRI at high spatiotemporal resolution
Andrew Palmera Leynes1,2, Nikou Louise Damestani3, David John Lythgoe3, Ana Beatriz Solana4, Brice Fernandez5, Brian Burns1,6, Steven Charles Rees Williams3, Fernando Zelaya3, Peder E.Z. Larson1,2, and Florian Wiesinger3,4

1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2UC Berkeley - UC San Francisco Joint Graduate Program in Bioengineering, Berkeley and San Francisco, CA, United States, 3King's College London, London, United Kingdom, 4GE Healthcare, Munich, Germany, 5GE Healthcare, Paris, France, 6GE Healthcare, Menlo Park, CA, United States

The Looping Star pulse sequence was recently introduced as an acoustically silent alternative to EPI-based fMRI pulse sequences. In this abstract, we present improvements to the spatiotemporal resolution of Looping Star using the “extreme MRI” approach, without sacrificing functional sensitivity. We demonstrate the application of silent fMRI with increased temporal resolution and increased spatial resolution using extreme Looping Star, in comparison with standard Looping Star, on a motor task and a visual task across two sites.

0459
12:00
Beyond BOLD: in search of genuine diffusion fMRI contrast in human brain
Wiktor Olszowy1,2 and Ileana O Jelescu1,2

1CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 2Animal Imaging and Technology, EPFL, Lausanne, Switzerland

Diffusion fMRI (dfMRI) is an alternative to BOLD fMRI. Here, we present the first dfMRI study in humans attempting to minimize all sources of BOLD contamination and comparing functional responses at two field strengths, both for task and resting-state fMRI. Our study benefits from unprecedented high spatiotemporal resolution. We observed task-induced water diffusivity decreases in the perfusion-free b-value regime. Furthermore, we found that positive correlations were largely preserved while anti-correlations were suppressed in dfMRI functional connectivity compared to BOLD. We conclude that dfMRI contrast is genuine and distinct from BOLD mechanisms.

0460
12:00
Respiratory fluctuations in 3D fMRI from inter-shot phase variations can be reduced by low-rank reconstruction of segmented CAIPI sampling
Xi Chen1, Wenchuan Wu1, and Mark Chiew1

1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

Multi-shot 3D EPI is one of the most popular 3D imaging techniques for fMRI, which can provide higher SNR than 2D single-shot EPI. However, the vulnerability to inter-shot signal variations arising from physiological fluctuations, like respiration-related phase variations, has limited the tSNR benefits of 3D multi-shot acquisitions. To improve the temporal stability of 3D multi-shot EPI for fMRI at 7T, we investigated both the optimization of sampling trajectories which show varying vulnerabilities to the inter-shot inconsistencies, and the use of a low-rank annihilating filter constrained reconstruction which can reduce unwanted temporal variance induced by the inter-shot phase inconsistencies.

0461
12:00
Combined active and passive shimming of the temporal lobes using graphite-silicone earplugs and a multi-coil B0 shim array
Andrew Lithen1,2, Albert Tamashausky3, Berkin Bilgic1,4, Kawin Setsompop5, Bryan Kennedy1, Lilianne Mujica-Parodi1,2, Lawrence Wald1,4, Shahin Nasr1,4, and Jason Stockmann1,4

1A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Dept. of Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 3Asbury Carbons, Asbury, NJ, United States, 4Harvard Medical School, Boston, MA, United States, 5Dept. of Electrical Engineering, Stanford University, Stanford, CA, United States

Neuroimaging of the human brain temporal lobes has long been impeded by severe B0 inhomogeneity arising from air-tissue susceptibility interfaces around the ear canals and temporal bone. Here, we propose localized passive shimming using graphite-embedded silicone ear plugs, which replace standard ear plugs used during MRI. We further synergistically combine the passive shims with active multi-coil B0 shimming to boost shim performance.  Our results show improvements in B0 homogeneity as assessed using field maps and signal loss and distortion in gradient-echo EPI slices.  

0462
12:00
A Paradigm Change in Functional Brain Mapping: Suppressing the Thermal Noise in fMRI
Luca Vizioli1,2, Steen Moeller1, logan T Dowdle1, Mehmet Akcakaya1, Federico De Martino3, Essa Yacoub1, and Kamil Ugurbil1

1CMRR, University of Minnesota, minneapolis, MN, United States, 2Department of Neurosurgery, University Of Minnesota, minneapolis, MN, United States, 3University Of Maastricht, Maastricht, Netherlands

Functional imaging with the BOLD contrast is an essential tool to investigate human brain functions, however the contribution of thermal noise compromises the signal, particularly at higher resolutions. A recently developed technique, NORDIC, aims to suppress this noise source. Here we show that NORDIC produces data with substantially higher signal-to-noise and functional contrast to noise ratios, resulting in improved detection of functional activation with no change in spatial precision. One run of denoised data is equivalent to combining 3 to 5 runs of conventional data. These effects create new opportunities for functional neuroimaging, while reducing participant or patient burden.

0463
12:00
Unsupervised Correction of Sub-TR Physiological Noise using Phase and Magnitude fMRI data
David Bancelin1, Beata Bachrata1,2, Pedro Lima Cardoso1, Siegfried Trattnig1,2, and Simon Daniel Robinson1,3,4

1High-Field MR Centre, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Department of Neurology, Medical University of Graz, Graz, Austria, 4Centre for Advanced Imaging, University of Queensland, Queensland, Australia

External physiological recordings can be used to filter out cardiac and respiration fluctuations in fMRI data but these can be unreliable. We propose an unsupervised method which derives physiological noise regressors, including cardiac fluctuations with a period much less than the volume TR, from phase and magnitude fMRI data. We compare its efficacy with a correction method which uses external recordings (RETROICOR), and a rival physiological data-free method (PESTICA).

0464
12:00
fMRI deconvolution with synthesis-based Paradigm Free Mapping and analysis-based Total Activation operate identically
Eneko Uruñuela1, Stefano Moia1, and César Caballero-Gaudes1

1Basque Center on Cognition, Brain and Language, Donostia - San Sebastián, Spain

Functional MRI deconvolution algorithms are gaining popularity to study the dynamicss of functional brain activity and connectivity at short timescales. This work sheds light on our understanding of two state-of-the-art approaches based on L1-norm regularized estimators: Paradigm Free Mapping (synthesis model) and Total Activation (analysis model). Through simulations with varying signal-to-noise ratios, and an experimental motor task dataset, we demonstrate that both formulations produce identical estimates of the innovation and activity-inducing signals underlying BOLD events when identical hemodynamic response and regularization parameters are used. These observations open up the possibility for future developments without questioning their core formulation and performance.

0465
12:00
Brain function induces alteration in the autocorrelation of the fMRI signal
Ali Golestani1, Nichole R Bouffard1, Morgan D Barense1,2, and Morris Moscovitch1,2

1Department of Psychology, University of Toronto, Toronto, ON, Canada, 2Rotman Research Institute at Baycrest, Toronto, ON, Canada

The autocorrelation (AC) of the fMRI signal is assumed irrelevant to the brain function and is eliminated by fMRI preprocessing. Recent findings have suggested that the brain function may alter the AC value of the fMRI signal. We used fMRI data acquired during cognitive processes of working memory (WM), mathematical computations, video watching, and resting-state, and showed that cognitively demanding tasks decrease the AC values in functionally related brain regions. Decrease in AC is related to performance on the target tasks. The AC of the fMRI signal is affected by cognitive processes and can provide complementary information about brain function.

0466
12:00
LayNii: A software suite for layer-fMRI
Renzo Huber1, Benedikt Poser1, Peter A Bandettini2, Kabir Arora1, Konrad Wagstyl3, Shinho Cho4, Jozien Goense5, Andrew T Morgan2,5, Nils Nothnagel5, Anna K Mueller6, Job van den Hurk7, Richard C Reynolds2, Daniel R Glen2, Rainer Goebel1,8, and Omer Faruk Gulban8

1Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands, 2NIH, Bethesda, MD, United States, 3UCL, London, United Kingdom, 4CMRR, Minneapolis, MN, United States, 5University of Glasgow, Glasgow, United Kingdom, 6Uni Mainz, Mainz, Germany, 7Scannexus, Maastricht, Netherlands, 8Brain Innovation, Maastricht, Netherlands

  • A new software toolbox is introduced for layer-specific functional MRI: LayNii.
  • LayNii is a suite of command-line executable C++ programs. It can be easily installed via source code and binaries for Linux, Windows, and macOS.
  • LayNii is designed for layer-fMRI data that suffer from SNR and coverage constraints and facilitates user-dependent parameter tweaking.
  • LayNii performs layerification, columnar distance estimation, and cortical unfolding in the native voxel space of functional data.
  • LayNii performs layer-smoothing, GE-BOLD deveining, fMRI quality assessment, and VASO analysis.


Oral

Arterial Spin Labelling

Concurrent 4
Wednesday 12:00 - 14:00
Moderators: Jan Petr & Lena Vaclavu
Parent Session: Arterial Spin Labelling
0467
12:00
Layer-dependent 7T ASL reveals sensory input and motor output perfusion activity in human primary motor cortex
Xingfeng Shao1, Fanhua Guo2, Qinyang Shou1, Kai Wang1, Lirong Yan1,3, Kay Jann1,3, Peng Zhang2, and Danny JJ Wang1,3

1Laboratory of FMRI Technology (LOFT), Mark & Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, 2State Key Laboratory of Brain and Cognitive Science, Beijing MRI Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, 3Department of Neurology, University of Southern California, Los Angeles, CA, United States

High-resolution (iso-1mm) 7T ASL scans were performed on the primary motor cortex (M1) to characterize layer-dependent resting CBF, and perfusion activity to sensory input/motor output. Finger tapping (FT)-induced CBF increase shows a clear ‘double-peak’ pattern, consistent with the hypothesis that FT engaged neural activity of somatosensory input in the superficial layers and motor output in the deep layers. Finger brushing (FB)-induced CBF increase was overall smaller, and mainly peaked in superficial layers (somatosensory input and minimal motor output). These results demonstrate the high spatial specificity of 7T ASL, capable of resolving layer-dependent input and output activity in human M1.

0468
12:00
Joint Estimation and Correction of Motion and Geometric Distortion in Segmented 3D Arterial Spin Labeling
Jörn Huber1, Daniel Hoinkiss1, and Matthias Günther1,2

1Fraunhofer MEVIS, Bremen, Germany, 2University of Bremen, Bremen, Germany

Assessement of CBF using Arterial Spin Labeling (ASL) can yield valuable functional information regarding different neuropathological diseases like tumors and stroke without exogenous contrast agents. However, being a subtractive technique, ASL shows high sensitivity to motion artifacts. ASL in combination with a 3D GRASE PROPELLER (3DGP) readout allows self-navigated retrospective motion correction but motion estimates using the standard reconstruction are inaccurate due to geometric distortion. In this work, a novel 3DGP reconstruction algorithm is therefore demonstrated which jointly estimates the distortion field as well as motion parameters without the need for additional reference scans.

0469
12:00
Regulating labeling efficiency in arterial spin labeling using a multi-coil B0 shim array: Application to territory mapping
Lincoln Craven-Brightman1, Yulin Chang2, Thomas Witzel3, Nicolas S. Arango4, Meher R. Juttukonda1,5, Luis Hernandez-Garcia6, Marta Vidorreta7, John A. Detre8,9, Lawrence L. Wald5,10, and Jason Stockmann5,10

1Massachusetts General Hospital, Charlestown, MA, United States, 2Siemens Medical Solutions USA, Inc., Malvern, PA, United States, 3Qbio Inc, San Carlos, CA, United States, 4Dept. of Electrical Engineering, Massachusetts Institute of Technology, Cambridge, MA, United States, 5Harvard Medical School, Boston, MA, United States, 6Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 7Siemens, S.A., Madrid, Spain, 8Neurology, University of Pennsylvania, Philadelphia, PA, United States, 9Radiology, University of Pennsylvania, Philadelphia, PA, United States, 10A.A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States

We apply dynamic local B0 field control with a multi-coil (MC) shim array to improve ASL labeling. Labeling efficiency can be regulated by dynamically shimming the labeling plane during a pCASL tagging pulse train. We demonstrate this capability through territory mapping with an unspecialized MC head shim array – Through shimming, we shift target arteries relative to the labeling pulse bandwidth. Implementation takes less than 10 minutes during a scan, without previous subject information. We also simulate the improvement possible with a specialized MC neck shim array, which enables regulation in more inferior labeling planes and higher field control efficiency.

0470
12:00
Quantification of blood-brain barrier water permeability and arterial blood volume with multi-slice multi-delay diffusion-weighted ASL
Hyun-Seo Ahn1, Jaeseok Park2, Chul Ho Sohn3, and Sung-Hong Park1

1Department of Bio and Brain Engineering, Korea Advnaced Institute of Science and Technology, Daejeon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 3Department of Radiology, Seoul National University Hospital, Seoul, Korea, Republic of

Measurement of changes in blood-brain barrier permeability is important for early diagnosis of brain diseases. In this study, we propose multi-slice multi-delay diffusion-weighted arterial spin labeling for simultaneous acquisition of various quantitative perfusion estimates including the water exchange rate and the permeability surface area product, which are known to be closely related to BBB permeability, and blood perfusion and arterial blood volume. The water exchange rate in 4 Alzheimer patients were smaller than that in 6 normal subjects, opposed to common knowledges on BBB permeability. The proposed approach may work as a new biomarker for early diagnosis of Alzheimer disease.

0471
12:00
phMRI with Simultaneous Measurement of Cerebral Perfusion and Blood-Cerebrospinal Fluid Barrier Function using Interleaved Echo-Time ASL
Charith Perera1, Jack Wells1, Ian Harrison1, David Thomas2,3,4, and Mark Lythgoe1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 2Neuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 3Leonard Wolfson Experimental Neurology Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 4Wellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

We employed an interleaved short/long echo-time ASL sequence to better understand the differential response of vessels associated with the blood brain barrier (BBB), and the relatively understudied blood-cerebrospinal fluid barrier (BCSFB) to pharmacological perturbation in the healthy and aged brain. We measured changes in both cortical perfusion and the BCSFB-ASL signal in response CO­2, caffeine, and vasopressin. Additionally, we demonstrated a marked decrease in BCSFB reactivity towards vasopressin in the aged vs adult brain. Together, these novel data highlight the value of this translational approach to capture simultaneous and differential pharmacological modulation of vessel tone at the BBB and BCSFB.

0472
12:00
Venous Oxygenation Mapping using Fourier-Transform based Velocity-Selective Pulse Trains
Wenbo Li1,2, Peter van Zijl1,2, and Qin Qin1,2

1Radiology Department, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Kirby Image Center, Kennedy Krieger Institute, Baltimore, MD, United States

A T2-oximetry method is proposed to map the venous oxygenation by using Fourier-transform based velocity-selective inversion plus non-selective inversion to null the arterial blood signal while using Fourier-transform based velocity-selective saturation to suppress the tissue signal. Compared to previous schemes, the proposed method has the benefit of high SNR and insensitivity to arterial transit delays. Using this method, the venous oxygenation values obtained from two volunteers at 3T are similar between gray matter and white matter and comparable to the values measured globally.  

0473
12:00
VESPA ASL: VElocity and SPAtially selective Arterial Spin Labeling
Joseph G Woods1, Eric C Wong1, Emma Boyd2, and Divya S Bolar1

1Radiology, UCSD, La Jolla, CA, United States, 2Neurosciences, UCSD, La Jolla, CA, United States

Velocity-selective ASL (VSASL) accurately depicts cerebral perfusion, even in regions of severely prolonged arterial transit time (ATT). In contrast, spatially-selective ASL, such as pulsed or pseudo-continuous ASL (PCASL), preserves macrovascular signal of blood flowing to these regions. Recent work highlights the importance of using both methods in a complementary way to more completely assess cerebrovascular pathology. In this study, we describe a novel ASL pulse sequence, dubbed VESPA ASL, in which VSASL and PCASL data are simultaneously acquired within a single scan. We further describe a signal model to quantify cerebral blood flow and ATT from these two data sets.

0474
12:00
Faster regional cerebral blood flow increases in infant heteromodal cortex with 2.5mm3 resolution 3D multi-shot, stack-of-spirals pCASL
Minhui Ouyang1, John Detre2, Chenying Zhao1,3, Samantha Lam1, J. Christopher Edgar1,2, and Hao Huang1,2

1Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, United States

During early infancy, rapid increases of regional cerebral blood flow (rCBF) supports the metabolic needs for the dramatic maturation of infant brains. In this study, we delineated the developmental pattern of infant’s rCBF from 0-18months, with an optimized 3D multi-shot, stack-of-spirals pCASL sequence for high-resolution rCBF at isotropic 2.5mm. Significant age-related rCBF increases were found during this period. The rCBF growth rates were inhomogeneous across the cortex, with faster maturation rates in the heteromodal association cortex and slower in unimodal sensorimotor cortices. Cortical regions with more rapid rCBF growth were associated with faster microstructural maturation of adjacent white matter. 

0475
12:00
Spatiotemporal characteristics of longitudinal changes in cerebral blood flow across the adult lifespan
Hualu Han1,2, Zixuan Lin2,3, Melissa Rundle4, Anja Soldan5, Corinne Pettigrew5, Joshua F. Betz6, Kumiko Oishi7, Yang Li2, Binu P. Thomas8, Peiying Liu2, Marilyn Albert5, Denise Park4, and Hanzhang Lu2,3,9

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, 2The Russell H. Morgan Department of Radiology & Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Center for Vital Longevity, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, TX, United States, 5Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 6Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States, 7Center for Imaging Science, Johns Hopkins University, Whiting School of Engineering, Baltimore, MD, United States, 8Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 9F.M. Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

Characterization of age-related changes in blood supply is important in understanding brain aging. The present work reports longitudinal studies of age-related changes in cerebral blood flow (CBF) in two separate cognitively-healthy cohorts using complementary MRI techniques. We found that CBF decreased with age and the longitudinal rate of decline was faster than that from the cross-sectional data. The rate of CBF reduction was faster in younger than in older individuals, in contrast to the temporal pattern of brain volume atrophy. There were also significant spatial differences and hemispheric asymmetry in CBF decline rates.

0476
12:00
Quantification of arterial obstruction in pediatric patients with pulmonary embolism using arterial spin labeled perfusion MRI of the lungs
Joshua S Greer1,2,3, Mubeena Abdulkarim1, Gerald F Greil1,3, Ayesha Zia1, Ananth J Madhuranthakam2,3, and Tarique Hussain1,2

1Pediatrics, UT Southwestern Medical Center, Dallas, TX, United States, 2Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 3Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

In this study, pulmonary perfusion imaging using arterial spin labeling (ASL) was demonstrated in pediatric patients with pulmonary embolism. A method to quantify pulmonary vascular obstruction was proposed using ASL to estimate improvements in pulmonary perfusion following treatment, which moderately agreed with obstruction measured by CTA. Perfusion defects were successfully detected in all patients. A follow-up ASL scan also showed significantly improved perfusion in a patient following treatment, and a few patients had residual perfusion defects in ASL images that were not seen by CTA, suggesting that perfusion to the microvasculature was not immediately restored following resolution of the emboli.


Combined Educational & Scientific Session

Biliary MR Imaging: Single Shot or Not

Organizers: Johannes Heverhagen, Mustafa Shadi Bashir
Concurrent 5
Wednesday 12:00 - 14:00
Moderators: William Masch & Bin Song
Parent Session: Improved Body Imaging: Biliary, Liver & Pancreas
(no CME credit)
12:00
Difficult Choices in Biliary Imaging: MRCP & Contrast Agents
JeongHee Yoon1

1Seoul National University Hospital, Seoul, Korea, Republic of

MRI including MRCP is a non-invasive modality to evaluate the bile duct. 

12:30
Differential Diagnosis in Biliary MRI
Federica Vernuccio1

1University of Palermo, Palermo, Italy

Biliary MRI has a 95% sensitivity and 97% specificity for the detection of biliary dilatation. The purposes of this presentation are:–  to describe imaging features of various obstructive and non-obstructive biliary diseases, providing tips for distinction between dilated bile duct pathologies;– to demonstrate the spectrum of imaging findings of focal or diffuse thickening of gallbladder wall and biliary cystadenoma/carcinoma;– to show other uncommon clinical scenarios where MRI may be useful to demonstrate biliary tree diseases.

13:00
Cholangiocarcinoma: A Surgeon's Perspective
Christopher Sonnenday1

1University of Michigan, United States

13:30
Case Discussion
Maxime Ronot1

1Hôpital Beaujon, Paris, France

Selected challenging cases of biliary disease will be presented and discuss. Cases will illustrate the complex diagnostic process and work-up of patients with bile duct anomalies. 

0477
12:00
Retrospective Assessment of the Impact of Primary Language Video Instructions on Image Quality of Abdominal MRI
Myles Todd Taffel1, Andrew Rosenkrantz1, Jonathan Foster1, Jay Karajgikar1, Paul Smereka1, Thomas Mulholland1, Hoi Cheng Zhang1, Felicia Calasso1, Rebecca Anthopolos2, Kun Qian2, and Hersh Chandarana1

1Radiology, NYU Langone Medical Center, New York, NY, United States, 2NYU Langone Medical Center, New York, NY, United States

Previous work has demonstrated inferior abdominal MRI image quality in non-English speaking patients who require a translator.  While a translator may be helpful, they are often interpreting remotely via a telephone and may be unfamiliar with the intricate MRI breathing instructions.  As the result of the patient watching an instructional video explaining the MRI procedure in their primary language, image quality improves to match that of studies performed in primary English speaking patients. 

0478
12:00
Free Breathing 2D Abdominal Magnetic Resonance Fingerprinting with quadratic RF phase
Sherry Huang1, Yong Chen2, Reid Bolding3, Leonardo Kayat Bittencourt4, Mark Griswold2, and Rasim Boyacioglu2

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, Case Western Reserve University, Cleveland, OH, United States, 3Physics, Case Western Reserve University, Cleveland, OH, United States, 4University Hospitals Cleveland Medical Center, Cleveland, OH, United States

This study presents a Pilot Tone (PT) based free-breathing technique for two-dimensional simultaneous quantification of T1, T2, T2*, fat fraction (FF), water fraction (WF), and off-resonance. This technique integrates quadratic RF phase-based Magnetic Resonance Fingerprinting (qRF-MRF) and PT navigator to retrospectively provide simultaneous quantification of multiple tissue properties in the abdomen at end-inhalation and end-expiration states.

0479
12:00
Breath-hold 3D gradient- and spin-echo (GRASE) MRCP compared to compressed-sensing highly accelerated respiratory-triggered technique.
Nobuyuki Kawai1, Yoshifumi Noda1, Kimihiro Kajita2, Hiroshi Kawada1, and Masayuki Matsuo1

1Radiology, Gifu University, Gifu, Japan, 2Radiology Services, Gifu University Hospital, Gifu, Japan

MR cholangiopancreatography (MRCP) plays an essential role in the noninvasive assessment of the biliary and pancreatic duct systems. Although the conventional respiratory-triggered three-dimensional turbo spin-echo (RT-3D-TSE) MRCP sequence has an excellent duct-to-periductal tissue contrast, the long acquisition time, over 5 minutes, has been a clinical burden. We assessed two types of ultrafast MRCP within 30 seconds of scan time. Breath-hold 3D gradient- and spin-echo (GRASE) MRCP provided better image quality and a reduced number of poor or non-diagnostic images compared to RT-3D-TSE MRCP highly accelerated with optimized integrated combination with parallel imaging and compressed-sensing technique (Compressed SENSE).

0480
12:00
Comparison of Quantitative 3D Magnetic Resonance Cholangiopancreatography Biliary Tree Metrics derived from 3 Different Acquisition Methods
Neeraja Mahalingam1, George Ralli2, Gerard Ridgway2, Andrew Trout3,4,5, and Jonathan Dillman3,4,6

1Imaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Perspectum Ltd., Oxford, United Kingdom, 3Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 4Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, United States, 5Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States, 6Center for Autoimmune Liver Disease, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States

Comparison of the performance of different methods of acquiring three-dimensional (3D) magnetic resonance cholangiopancreatography (MRCP) data have been largely qualitative. MRCP+ prototype software (Perspectum Ltd.; Oxford, UK) was used to derive quantitative biliary tree metrics from 3D MRCP acquired using three different methods. Intra-class correlation coefficients (ICCs) demonstrated strong agreement on biliary tree volume, median intrahepatic duct diameters, number of ducts, and length of dilations between 3D FSE and CS-FSE MRCP (ICCs=0.84-0.93); there was slightly less agreement between CS-FSE and 3D GRASE MRCP. Our results suggest that CS-FSE provides comparable visualization of the biliary system to conventional 3D FSE MRCP.

0481
12:00
Investigation of risk factors for pancreatic exocrine insufficiency using 3T multiparametric MR imaging
Hidemitsu Sotozono1, Akihiko Kanki1, Kazuya Yasokawa1, Akira Yamamoto1, Tsutomu Tamada1, and Yu Ueda2

1Radiology, Kawasaki Medical School, Kurashiki, Japan, 2Philips Japan, Tokyo, Japan

Retrospective study included 46 patients without pancreatic disorders including pancreatic tumor and acute pancreatitis who underwent 3T abdominal multi-parametric MRI including cine-dynamic  with spatially selective inversion recovery pulse and proton density fat fraction in 3D mDIXON quant (PDFF (%)). Pancreatic exocrine function was assessed as secretion grade (SG) based on the travel distance of inflowing pancreatic juice in the main pancreatic duct on cine-dynamic MRCP. The negative correlation between PDFF of the pancreas and SG estimated by cine-dynamic MRCP with spatially selective IR pulse suggests an association between pancreatic steatosis and impaired pancreatic exocrine function.

0482
12:00
Hilar cholangiocarcinoma evaluation using zoomed echo-planar DW imaging with 2D spatial-selective radiofrequency excitation pulses
Jingjing Liu1, Mengyue Huang1, Jingliang Cheng1, and Jinxia Zhu2

1Department of MR Imaging, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China, 2MR Collaboration, Siemens Healthcare Ltd, Beijing, China

We investigated the feasibility of using and the resultant image quality of zoomed diffusion-weighted echo-planar imaging (z-EPI) for hilar cholangiocarcinoma assessments. Compared with conventional single-shot EPI (c-EPI), z-EPI showed better delineation of anatomic structures in the hepatic hilar region, better lesion conspicuity, and overall higher image quality. Bile duct wall lesion delineations and lumens were also improved in z-EPI in four of 16 patients. These findings suggest that z-EPI may be preferred for improved imaging of hilar cholangiocarcinoma. 


Oral

Multiple Sclerosis

Concurrent 6
Wednesday 12:00 - 14:00
Moderators: Cristina Granziera & Susie Huang
Parent Session: Multiple Sclerosis
0483
12:00
Differential Changes in Brain Viscoelastic Properties Observed with MR Elastography in MS and NMOSDs
Ling Fang1, Matthew C. Murphy2, Qiuxia Luo1, Xiaodong Chen3, Linqi Zhang1, Bingjun He1, Jun Chen2, Jonathan M. Scott2, Meng Yin2, Kevin J. Glaser2, Richard L. Ehman2, Wei Qiu3, and Jin Wang1

1Department of Radiology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China, 2Department of Radiology, Mayo Clinic, Rochester, MN, United States, 3Department of Neurology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS) characterized by demyelination, axonal loss and neurodegeneration. Because of overlapping clinical and imaging features, it is a challenge to distinguish MS from Neuromyelitis optica spectrum disorders (NMOSDs) for which the treatment is different. 3D MR Elastography (MRE) is a potential method to evaluate brain tissue damage in autoimmune diseases of the CNS. By measuring the viscoelasticity of the centrum ovale with 3D MRE, we found significantly decreased damping ratio and loss modulus in MS compared with NMOSDs, suggesting possible diagnostic utility for 3D MRE in MS.

0484
12:00
Correlations of serum neurofilament with myelin, axonal and volumetric imaging in multiple sclerosis
Jackie Yik1,2, Pierre Becquart3, Jasmine Gill3, Shannon H. Kolind1,2,4,5, Virginia Devonshire5, Ana-Luiza Sayao5, Alice Schabas5, Robert Carruthers5, Anthony Traboulsee5, G.R. Wayne Moore2,3, David K.B. Li4,5, Sophie Stukas3, Cheryl Wellington3, Jacqueline A. Quandt3, Irene M. Vavasour2,4, and Cornelia Laule1,2,3,4

1Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, 2International Collaboration on Repair Discoveries, Vancouver, BC, Canada, 3Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 4Radiology, University of British Columbia, Vancouver, BC, Canada, 5Medicine, University of British Columbia, Vancouver, BC, Canada

Neurofilaments, particularly the light subunit (NfL), have become a biomarker of interest in multiple sclerosis (MS) and can be measured in blood serum after neuronal damage. NfL has been studied in MS prognosis and treatment monitoring, but little is known about the relationship between NfL and advanced quantitative MRI measures. This exploratory study characterizes the relationship between NfL and myelin water fraction and diffusion measures in different brain regions through regression models. We found NfL to correlate with myelin and axonal damage measures in the whole brain and normal appearing white matter but only to myelin water fraction in lesions.

0485
12:00
Disseminated brain pathology detected with high-resolution MRSI correlates with clinical disability in multiple sclerosis
Eva Heckova1, Alexandra Lipka1, Assunta Dal-Bianco2, Bernhard Strasser1, Gilbert Hangel1,3, Paulus Rommer2, Petra Hnilicová4, Ema Kantorová5, Lukas Hingerl1, Stanislav Motyka1, Fritz Leutmezer2, Stephan Gruber1, Siegfried Trattnig1,6, and Wolfgang Bogner1

1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Department of Neurology, Medical University of Vienna, Vienna, Austria, 3Department of Neurosurgery, Medical University of Vienna, Vienna, Austria, 4Biomedical Center Martin, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia, 5Clinic of Neurology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia, 6Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

To enhance the detection of diffuse pathological alterations associated with multiple sclerosis, high-resolution MR spectroscopic imaging was performed at 7T, together with clinical MRI, in 68 MS patients with different levels of clinical disability and 20 healthy controls. Increased myo-inositol, a marker of neuroinflammation-induced astrogliosis, was found in white matter regions appearing normal on clinical MRI, even in subgroup of MS patients with no evidence of clinical disability. Myo-inositol/N-acetylaspartate ratio in the NAWM and cortical gray matter correlated with EDSS, suggesting that reactive astrogliosis and axonal injury play important role in the evolution of MS-related disability.


0486
12:00
Neurometabolic changes in RRMS: comparison between fingolimod and injectables therapies
Oun Al-iedani1,2, Saadallah Ramadan2,3, Karen Ribbons2, Rodney Lea2, and Jeannette Lechner-Scott2,4,5

1School of Health Sciences, University of Newcastle, Newcastle, Australia, 2Hunter Medical Research Institute, Newcastle, Australia, 3Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia, 4Department of Neurology, John Hunter Hospital, Newcastle, Australia, 5School of Medicine and Public Health, University of Newcastle, Newcastle, Australia

This novel study compares the neurometabolic effects of different DMTs on the MS brain. We evaluated volumetric and neurometabolic changes in RRMS patients on fingolimod(N=52), injectables(N=46) and HCs cohort(N=51). MRS was acquired from PCG and PFC. Compared to HCs, a significant reduction in NAA/tCr were detected in both locations and cohorts. Clinical parameters, MR-volumetrics and neurometabolic concentrations showed no statistically significant differences between RRMS cohorts. MRI metrics and neurometabolites from both locations, showed moderate correlations with cognition, fatigue and memory. This the first study demonstrating that fingolimod and injectable DMTs influence volumetric and neurometabolic profiles of MS-brain similarly.

0487
12:00
Grey Matter Cerebrovascular Reactivity in Multiple Sclerosis and its Changes with Immunomodulation: a Breath-Hold BOLD-MRI Study
Antonio Maria Chiarelli1, Daniele Mascali1, Nikolaos Petsas2, Carlo Pozzilli2, Richard Geoffrey Wise1, and Valentina Tomassini1

1Department of Neuroscience, Imaging and Clinical Sciences, University G. D'Annunzio of Chieti Pescara, Chieti Scalo, Italy, 2Department of Neurology and Psychiatry, Sapienza University, Rome, Italy

The cerebrovascular system is altered in MS. Using breath-hold BOLD-MRI, we tested whether pharmacological modulation of MS inflammation influences alteration in cerebrovascular reactivity (CVR). We found that CVR increased with immunomodulation and this increase was negatively correlated with pre-treatment CVR, suggesting that cerebrovascular alteration reflects disease activity. Moreover, lower CVR in the pre-treatment phase was associated with lower grey matter volume and this correlation was lost with immunomodulation, indicating an involvement of brain vasculature in neurodegeneration. Given the multiparametric characteristic of BOLD, further studies are warranted to clarify the vascular origin of our findings.      

0488
12:00
Toward Fully Automated Assessment of the Central Vein Sign Using Deep Learning
Till Huelnhagen1,2,3, Omar Al Louzi4, Mário João Fartaria1,2,3, Lynn Daboul4, Pietro Maggi5,6, Cristina Granziera7,8,9, Meritxell Bach Cuadra2,3,10, Jonas Richiardi2, Daniel S Reich4, Tobias Kober1,2,3, and Pascal Sati4,11

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 3Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4Translational Neuroradiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health (NIH), Bethesda, MD, United States, 5Department of Neurology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 6Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium, 7Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, 8Translational Imaging in Neurology (ThINk) Basel, Department of Medicine and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, 9Research Center for Clinical Neuroimmunology and Neuroscience (RC2NB) Basel, University Hospital Basel and University of Basel, Basel, Switzerland, 10Medical Image Analysis Laboratory (MIAL), Centre d'Imagerie BioMédicale (CIBM), University of Lausanne, Lausanne, Switzerland, 11Department of Neurology, Cedars-Sinai Medical Center, Los Angeles, CA, United States

The fraction of white matter lesions exhibiting the central vein sign (CVS) has shown promise as a biomarker in the diagnosis of multiple sclerosis. As manual CVS assessment is not clinically feasible, automated solutions have been proposed to perform this task. A deep-learning-based method called “CVSnet” demonstrated effective and accurate discrimination of MS from its mimics but required manual pre-selection. This work extends CVSnet to allow fully automated CVS assessment without manual interaction. High-quality, expert-reviewed segmentations of almost 6300 lesions were used for training and testing. The proposed method achieved accuracies between 75% and 80% in an unseen testing set.

0489
12:00
Damage of Different CNS Compartments Contributes to Explain Multiple Sclerosis Disability Milestones: A Multicenter Study
Paola Valsasina1, Milagros Hidalgo de la Cruz1, Alessandro Meani1, Claudio Gobbi2,3, Antonio Gallo4, Chiara Zecca2,3, Alvino Bisecco4, Maria A. Rocca1,5,6, and Massimo Filippi1,5,6,7,8

1Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy, 2Multiple Sclerosis Center, Department of Neurology, Neurocenter of Southern Switzerland, Civic Hospital, Lugano, Switzerland, 3Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland, 4Department of Advanced Medical and Surgical Sciences, and 3T MRI Center, University of Campania “Luigi Vanvitelli”, Naples, Italy, 5Neurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy, 6Vita-Salute San Raffaele University, Milan, Italy, 7Neurorehabilitation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy, 8Neurophysiology Service, IRCCS San Raffaele Scientific Institute, Milan, Italy

Here, we assessed damage of cortex, deep grey matter, cerebellum and cervical cord to determine their relative contributions to the main clinical disability (EDSS) milestones in a multicentre cohort of 198 multiple sclerosis (MS) patients. The main determinants of EDSS=3.0 were cervical cord and thalamic atrophy, and brain lesion burden. The EDSS=4.0 milestone was better explained by cortical atrophy, together with cord and cerebellar damage, while the only predictor of EDSS=6.0 was cervical cord damage. This study is shading light on the differential weight of inflammatory and neurodegenerative processes leading to disability accumulation across various MS disease phases.

0490
12:00
Multiparametric quantitative postmortem 3T-MRI of histopathological lesion types in multiple sclerosis
Riccardo Galbusera1,2,3, Erik Bahn4, Matthias Weigel2,3,5, Po-Jui Lu1,2,3, Muhamed Barakovic1,2,3, Reza Rahmanzadeh1,2,3, Peter Dechent6, Antoine Lutti7, Govind Bhagavatheeshwaran8, Ludwig Kappos2,3, Wolfgang Brück4, Christine Stadelmann-Nessler4, and Cristina Granziera1,2,3

1Neurology Clinic and Policlinic, Departments of Medicine, Clinical Research and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, Basel, Switzerland, 2Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, Basel, Switzerland, 3Research Center for Clinical Neuroimmunology and Neuroscience (RC2NB) Basel, University Hospital Basel and University of Basel, Basel, Switzerland, Basel, Switzerland, 4Institute of Neuropathology, University Medical Center, Göttingen, Germany, Göttingen, Germany, 5Division of Radiological Physics, Department of Radiology, University Hospital Basel, Basel, CH, Basel, Switzerland, 6Department of Cognitive Neurology, MR-Research in Neurosciences, University Medical Center Göttingen, Göttingen, Germany, Göttingen, Germany, 7Centre for Research in Neuroscience - Department of Clinical Neurosciences, Laboratoire de recherche en neuroimagerie (LREN) University Hospital and University of Lausanne, Lausanne, Switzerland, Lausanne, Switzerland, 8National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA, Bethesda, MD, United States

We have identified the imaging correlates of multiple sclerosis lesion subtypes by exploiting post-mortem multiparametric quantitative MRI and histopathological analysis. Remyelinated lesions showed distinct MRI characteristics compared to other MS lesions, and a remarkable resemblance to normal-appearing tissue properties. Our findings suggest that multiparametric quantitative MRI may well help to identify specific focal lesion types in vivo in MS patients.

0491
12:00
An investigation of the sensitivity of diffusion-based microstructure combined with network analysis in multiple sclerosis
Sara Bosticardo1, Simona Schiavi1, Sabine Schaedelin2, Po-Jui Lu3,4, Muhamed Barakovic2,3, Matthias Weigel2,3,5, Ludwig Kappos3,4, Jens Kuhle3,4, Alessandro Daducci1, and Cristina Granziera2,3,4

1Department of Computer Science, University of Verona, Verona, Italy, 2Departments of Medicine, Clinical Research and Biomedical Engineering, Neurology, University Hospital Basel and University of Basel, Basel, Switzerland, 3Department of Medicine and Biomedical Engineering, University Hospital Basel and University of Basel, Neurologic Clinic and Policlinic, Translational Imaging in Neurology (ThINk), Basel, Switzerland, 4Research Center for Clinical Neuroimmunology and Neuroscience, Basel, Switzerland, 5Department of Radiology, Division of Radiological Physics, University Hospital Basel, Basel, Switzerland

Graph measures derived from structural connectomes are widely used to study neurodegenerative diseases such as multiple sclerosis (MS). Usually, the connection strength is assessed by counting the number of streamlines connecting pairs of grey-matter regions. Here we used different ways to weight the edges to compare the sensitivity to MS structural disruptions of three diffusion-based microstructural models and their derived maps combined with network analysis. We found that the most sensitive are those whose derived maps are associated to intra-axonal signal fraction. Moreover, the segregation of the network appeared to be the most important in explaining clinical motor disability.

0492
12:00
Relayed nuclear Overhauser effect (rNOE) imaging identifies multiple sclerosis: an initial human study
Jianpan Huang1, Jiadi Xu2,3, Joseph H. C. Lai1, Henry K. F. Mak4, Koon Ho Chan5, and Kannie W. Y. Chan1,3,6

1Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, MD, United States, 3Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China, 5Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China, 6City University of Hong Kong Shenzhen Research Institute, Shenzhen, China

Multiple sclerosis (MS) is demyelinating disease of the central nervous system (CNS), which affects more than two million people globally. Here we applied our optimized pulsed-CEST MRI method to acquire relayed nuclear Overhauser effect weighted (rNOEw) images for detecting the pathology changes regarding myelin lipid/protein in human brain with neuromyelitis optica (NMO) and MS on clinical 3T scanner. We found that rNOEw signal of MS brains was significantly lower than that of NMO and NC brains. Our proposed rNOEw imaging method has great potential to assist MS diagnosis and specifically identify MS patients from NMO patients.


Member-Initiated Symposium

Hybrid MR: Risks, Roles, Rewards, Results

Concurrent 7
Wednesday 12:00 - 12:30
Moderators: Glenn Cahoon & Kylie Walters
Parent Session: Hybrid MR: Risks, Roles, Rewards, Results
(no CME credit)
0:00
PET-MR Segment
  Marius Mayerhoefer
  Memorial Sloan Kettering Cancer Center

0:00
Intra-Operative MR Segment
  Jeffrey Weinberg
  The University of Texas MD Anderson Cancer Center

0:00
MR-Linac Segment
  Gary Liney
  Ingham Institute for Applied Medical Research

0:00
Hybrid PET Modalities in Precision Oncology
  Pek-Lan Khong
  The University of Hong Kong


Member-Initiated Symposium

Public Engagement: The Power of Storytelling

Concurrent 8
Wednesday 12:00 - 14:00
Moderators: Carinne Piekema & Alex Smith
Parent Session: Public Engagement: The Power of Storytelling
(no CME credit)
0:00
Engaging Audiences: Moving from the Lab Bench to the Park Bench
  Derek Jones
  Cardiff University

0:00
Coaching Session
  Robert Holtom
  Robert Holtom, Narrative Coach

0:00
3rd Annual Magnetic Moments Competition
  Finalist Competitors
  Various


Sunrise Session

Novel MRI Techniques Applied to Musculoskeletal Diseases

Organizers: Jan Fritz, Kimberly Amrami, Hiroshi Yoshioka, Edwin Oei
Concurrent 7
Wednesday 13:00 - 14:00
Moderators: Yongxian Qian & Iman Khodarahmi
Parent Session: Hot Topics in MSK MRI

Sunrise Session

AI-Augmented Musculoskeletal MRI

Organizers: Jan Fritz, Kimberly Amrami, Hiroshi Yoshioka, Edwin Oei, Xiaojuan Li
Concurrent 7
Wednesday 13:00 - 14:00
Moderators: Akshay Chaudhari & Young Han Lee
Parent Session: Hot Topics in MSK MRI

Sunrise Session

Frontiers in Musculoskeletal MRI

Organizers: Jan Fritz, Kimberly Amrami, Hiroshi Yoshioka, Xiaojuan Li
Concurrent 7
Wednesday 13:00 - 14:00
Moderators: James Griffith & Edwin Oei
Parent Session: Hot Topics in MSK MRI

Sunrise Session

Complementary & Hybrid Musculoskeletal Imaging

Organizers: Jan Fritz, Kimberly Amrami, Hiroshi Yoshioka, Xiaojuan Li, Edwin Oei
Concurrent 7
Wednesday 13:00 - 14:00
Moderators: Chiara Giraudo & Brian Hargreaves
Parent Session: Hot Topics in MSK MRI
13:00
Complementary Modalities: DECT
Katrina Glazebrook

13:30
Hybrid MRI Techniques
Feliks Kogan


Oral

Signal Modelling for Quantitative MRI

Concurrent 1
Wednesday 14:00 - 16:00
Moderators: Ileana Jelescu & Herbert Köstler
Parent Session: Signal Modelling for Quantitative MRI
0493
14:00
Probing restricted diffusion and water exchange with free gradient waveforms: Addressing the need for a compartment model
Arthur Chakwizira1, Filip Szczepankiewicz2, Linda Knutsson1,3, and Markus Nilsson2

1Department of Medical Radiation Physics, Lund University, Lund, Sweden, 2Department of Diagnostic Radiology, Lund University, Lund, Sweden, 3Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Diffusion MRI can be used to probe restricted diffusion (compartment size) and water exchange (membrane permeability), but their effects on the signal are entangled. This problem can be addressed by the use of free gradient waveforms designed to disentangle the effects. However, a previously presented approach is invalid at high b-values and long diffusion encoding times. We develop a generalised restriction-exchange model that is valid for arbitrary gradient waveform and all relevant b-values and encoding times. The approach eliminates the shortcomings of the previous restriction-exchange framework.

0494
14:00
Identifying microstructural changes in diffusion MRI models; How to break parameter degeneracies
Hossein Rafipoor1, Saad Jbabdi1, Ludovica Griffanti1,2, and Michiel Cottaar1

1Wellcome Centre for Integrative Neuroimaging (WIN), Nuffield Department of Clinical Neurosciences (NDCN), University of Oxford, Oxford, United Kingdom, 2Wellcome Centre for Integrative Neuroimaging (WIN), Department of Psychiatry, University of Oxford, Oxford, United Kingdom

We present a novel Bayesian framework to relate changes in data to changes in model parameters even in models that cannot be directly inverted. We do so by training probabilistic models that characterise how the measurements change as a result of a change in the parameters. While the approach is general, in this work we used the framework to study microstructural parameter changes that are associated with the appearance of areas of white matter hyperintensities. We found a dichotomy between periventricular and deep white matter hyperintensities, where the latter are associated with increased extracellular signal.

0495
14:00
Sensitivity of cortical kurtosis measurement to diffusion time in KINSA modeling assessed with Connectome scanner diffusion MRI
Tianjia Zhu1,2, Qiyuan Tian3,4, Susie Huang3,4, and Hao Huang1,5

1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Radiology, Harvard Medical School, Boston, MA, United States, 4Massachusetts General Hospital, Boston, MA, United States, 5Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States

Unlike diffusion in the white matter which can be well characterized by Gaussian diffusion, substantial non-Gaussian diffusion occur in the cerebral cortical mantle featured by widespread barriers of both somas and neurites. We have developed a non-Gaussian compartmental model Kurtosis-based Imaging of Neurite and Soma Architecture (KINSA) in previous studies. Here, we demonstrate the sensitivity of cortical kurtosis to diffusion time in KINSA modeling with both simulated data and in-vivo dMRI data from Connectome scanner. The mean kurtosis sensitivity to diffusion time allows for precisely delineating neurite and soma architecture such as neuronal density and soma radius.

0496
14:00
Inhomogeneous Magnetization Transfer (ihMT): theoretical characterization of T1D-filtering and experimental validation
Andreea Hertanu1,2, Lucas Soustelle1,2, Arnaud Le Troter1,2, Julie Buron1,2,3, Julie Le Priellec3, Victor N. D. Carvalho1,2,4, Myriam Cayre3, Pascale Durbec3, Gopal Varma5, David C. Alsop5, Olivier M. Girard1,2, and Guillaume Duhamel1,2

1Aix Marseille Univ, CNRS, CRMBM, Marseille, France, 2APHM, Hôpital Universitaire Timone, CEMEREM, Marseille, France, 3Aix Marseille Univ, CNRS, IBDM, Marseille, France, 4Aix Marseille Univ, CNRS, ICR, Marseille, France, 5Division of MR Research, Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States

Inhomogeneous magnetization transfer (ihMT) signal originates from the residual dipolar interactions and is weighted by the associated dipolar relaxation time T1D. The resulting signal can be modulated by filtering the contribution of short T1D components to emphasize the contrast between different structures, or to enhance the specificity for myelin imaging. In this study, the dependency of ihMTR to T1D is investigated theoretically for different T1D-filtering strengths. Experimental WM/GM relative contrasts for the same configurations are put in perspective with theoretical contrasts resulted from single-T1D and bi-T1D biophysical model simulations.

0497
14:00
A computational fluid dynamics framework to generate digital reference objects for perfusion imaging
Ulin Nuha Abdul Qohar1, Erik Andreas Hanson1, Steven Sourbron2, and Antonella Zanna Munthe-Kaas1

1Mathematics, University of Bergen, Bergen, Norway, 2University of Sheffield, Sheffield, United Kingdom

In this study, we present a simulation framework capable of generating synthetic reference perfusion MRI data suitable for evaluation and comparison of tracer kinetic models. The framework consists of a graph-based contrast agent flow model with a vascular geometry and allows for controlled simulations with realistic structural and vascular parameters. We demonstrate the potential application of the proposed framework by performing a comparison between traditional pharmacokinetic models of varying complexity, by studying the effect of ROI size.

0498
14:00
On the variability of single-point MPF mapping in the human brain using different Variable Flip Angle T1 mapping protocols
Lucas Soustelle1,2, Thomas Troalen3, Andreea Hertanu1,2, Maxime Guye1,2, Jean-Philippe Ranjeva1,2, Guillaume Duhamel1,2, and Olivier M. Girard1,2

1Aix Marseille Univ, CNRS, CRMBM, Marseille, France, 2APHM, Hôpital Universitaire Timone, CEMEREM, Marseille, France, 3Siemens Healthcare SAS, Saint-Denis, France

Fast macromolecular proton fraction (MPF) mapping based on single-point (SP) quantitative MT method has shown great promises for the evaluation of myelin-related studies while allowing for acceptable scan times. The SP method requires a T1 map, which is inherently biased by magnetization transfer effects. In this work, we investigate the effect of T1 maps derived from different Variable Flip Angle (VFA) protocols on the computed MPF maps. It is shown that VFA-T1 is highly variable because of MT effects, hence biasing SP-MPF maps values. The SP-MPF methodology should therefore consider MT effects in VFA-T1 estimation, especially for cross-vendor applications.

0499
14:00
Rapid approximate Bayesian $$$T_2$$$ analysis under Rician noise using deep initialization
Jonathan Doucette1,2, Christian Kames1,2, Christoph Birkl3, and Alexander Rauscher1,2,4,5

1UBC MRI Research Centre, Vancouver, BC, Canada, 2Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada, 3Neuroradiology, Medical University of Innsbruck, Innsbruck, Austria, 4Radiology, University of British Columbia, Vancouver, BC, Canada, 5Pediatrics, University of British Columbia, Vancouver, BC, Canada

Rapid approximate Bayesian parameter inference is investigated for $$$T_2$$$ analysis of multi spin-echo signals. We demonstrate that rapid inference using Rician noise distributions is possible using maximum likelihood estimation (MLE) if the MLE procedure is initialized with samples drawn from an approximate Bayesian posterior. This posterior is learned using a conditional variational autoencoder (CVAE) network, trained on exclusively on simulated data. Nevertheless, we show good generalization to three diverse datasets, including improved inference accuracy compared to standard nonnegative least squares-based methods which implicitly assume Gaussian noise.

0500
14:00
The variability of MR axon radii estimates in the human white matter
Jelle Veraart1, Erika P. Raven1, Luke J. Edwards2, Nikolaus Weiskopf2,3, and Derek K. Jones4,5

1Center for Biomedical Imaging, NYU Grossman School of Medicine, New York, NY, United States, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Felix Bloch Institute for Solid State Physics, Leipzig University, Leipzig, Germany, 4School of Psychology, Cardiff University, Cardiff, United Kingdom, 5Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia

The accuracy of the quantification of axon radii in vivo using diffusion MRI has been promoted in recent years by hardware developments and novel biophysical modeling insights. The MR-derived effective radii are in good quantitative agreement with histology if one accounts for the intrinsic bias of diffusion MRI to larger axons.  In this work, we show that the translation of MR axon diameter mapping to human neuroimaging is possible within acceptable scan times if strong diffusion-weighting gradients are available. Indeed, we demonstrate that the MR-derived effective axon radii is a reproducible and sensitive metric, with interesting inter- and along-tract variability.


0501
14:00
Characterization of B1+ Field Variation at 3 Tesla in 373 Healthy Brains over the Lifespan
Thomas MacLennan1, Peter Seres1, Julia Rickard1, Emily Stolz1, Christian Beaulieu1, and Alan H. Wilman1

1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada

To perform accurate T1 and T2 mapping, $$$B_1^+$$$ maps are usually required, but not always available. For these situations, a large dataset of $$$B_1^+$$$ maps may aid in predicting $$$B_1^+$$$. In this work, Bloch-Siegert $$$B_1^+$$$ maps in the brain are characterized from a dataset of 373 healthy participants on the same 3 T. After transforming all maps to the same standard space, we show that $$$B_1^+$$$ distribution is similar across subjects with a mean CoV of 3.65% across the whole brain; slight variations were found due to brain size, shape, CSF volume, head orientation and transmit power calibration.

0502
14:00
Predicting disability from structural and functional coupling in multiple sclerosis
Ceren Tozlu1, Keith Jamison1, Susan Gauthier1,2,3, and Amy Kuceyeski1

1Department of Radiology, Weill Cornell Medicine, New York, NY, United States, 2Judith Jaffe Multiple Sclerosis Center, Weill Cornell Medicine, New York, NY, United States, 3Department of Neurology, Weill Cornell Medicine, New York, NY, United States

The complex relationship between brain’ structural connectivity (SC) and functional connectivity (FC) has not yet been fully quantified. Previous studies have shown that an increased SC-FC coupling is associated with worse cognitive performance and higher disability in people with multiple sclerosis (pwMS). However, no study to date investigated the association of regional SC-FC coupling with disability in MS. We showed that the SC-FC coupling performed a high prediction performance in classifying pwMS by impairment level. Damage to SC, particularly in the right parsorbitalis, thalamus, and parahippocampal and left superior parietal is a hallmark of disability in MS.


Combined Educational & Scientific Session

Real-Time Cardiac MRI

Organizers: Jennifer Steeden, Bruno Quesson
Concurrent 2
Wednesday 14:00 - 16:00
Moderators: Holden Wu & Eugene Kholmovski
Parent Session: Real-Time Cardiac MRI
(no CME credit)
14:00
Technical Overview of Real-Time Cardiac MRI
Ganesh Adluru1

1Radiology & Imaging Sciences, University of Utah, Salt Lake City, UT, United States

Real-time cardiac MRI allows for the application of cardiac MRI to broader patient populations.  Real-time CMR involves rapid data acquisition while free-breathing, and is typically independent of ECG-gating.  Undersampled k-space acquisitions combined with advanced reconstruction methods are essential for real-time CMR.  Compressed sensing (CS) is a popular approach that involves data sampling patterns that generate incoherent artifacts and uses iterative L1 norm constrained reconstructions. However, CS reconstructions are time-consuming.  Deep-learning reconstructions offer real-time reconstructions from undersampled data as well as rapid automatic post-processing.  The talk will give an overview of technical aspects for some of the real-time applications.

14:30
Pediatric Applications of Real-Time Cardiac MRI
Vivek Muthurangu1

1University College London, London, United Kingdom

In this talk the basics of real-time in paediatric clinical practice. I will discuss state-of-the-art compressed sensing reconstructions for assessment of ventricular function and blood flow using non-Cartesian acquisitions. I will also discuss the use of machine learning as an alternative to compressed sensing for faster reconstruction and easier clinical deployment. Finally, I will discuss the use of real-time for exercise MRI.


15:00
Real-Time Imaging During Exercise Stress
Reza Nezafat1

1Beth Israel Deaconess Med.,Harvard Univ., United States

15:30
Real-Time Cardiac MRI for MR-guided Interventions
Michael Bock1

1Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany

Real-time MRI to guide interventional cardiac procedures is challenging as images need to be acquired with high frame rates of 5-10 Hz, image reconstruction must be performed with low latency, and images need to have high signal-to-noise ratio. During the intervention different contrasts are needed to visualize the instruments and to assess the anatomical and functional changes. To navigate instruments such as catheters in the coronary vasculature, active tracking methods are beneficial, and interactive display software is needed to visualize and track the instruments at the patient table. 

16:00
Future Directions of Real-Time MRI
Adrienne E. Campbell-Washburn1

1National Institutes of Health, Bethesda, MD, United States

This talk will describe recent developments in real-time cardiac MR (CMR) and predict some trends that will incorporated into real-time CMR in the future. This talk describes new acquisition methods relevant to real-time CMR, the role of machine learning, computational methods for low-latency image reconstruction, and the potential of real-time CMR at lower field strengths. Real-time CMR for diagnostic imaging, monitoring of physiological provocations and MRI-guided interventions are considered. 

0503
14:00
Rapid Physiological Dynamics Measured by Real-Time MRI at Up to 100Hz: MR Kinematography
Dan Zhu1, Tricia Steinberg2, Robert G. Weiss2, Dirk Voit3, Jens Frahm3, and Paul A. Bottomley4

1Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States, 2The Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States, 3Biomedizinische NMR, Max-Planck-Institut fur biophysikalische Chemie, Gottingen, Germany, 4The Division of MR Research, Department of Radiology, Johns Hopkins University, Baltimore, MD, United States

The advent of high-speed real-time (RT) MRI permits monitoring of physiological function at unprecedented frame-rates. Here, physiological dynamics at 25-100 frames-per-second are explored using temporal domain Fourier transform (FT) and principal component analysis (PCA). RT cerebral, cardiac and pharyngeal datasets are acquired with continuous radial encoding and nonlinear inverse reconstruction implemented in graphics processing units. FT detects spectral patterns in pharyngeal images acquired during speaking. FT and PCA reflect components associated with breathing and cardiac functions in the brain while decomposition and synthesis in the time-domain can pinpoint cardiac wall motion abnormalities in patients with heart disease.

0504
14:00
Spiral-in-out bSSFP Real-Time Cine on a High Performance 0.55T Scanner
Zhixing Wang1, Xue Feng1, John P. Mugler2, Michael Salerno3, Adrienne E. Campbell-Washburn4, and Craig H. Meyer1

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Radiology & Medical Imaging, University of Virginia, Charlottesville, VA, United States, 3School of Medicine, University of Virginia, Charlottesville, VA, United States, 4Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States

This abstract describes a spiral-in-out bSSFP pulse sequence combined with a low rank plus sparse (L+S) image reconstruction for ungated real-time cine on a high performance 0.55T MRI scanner. Preliminary results show that the proposed method is a promising technique for real-time cardiac imaging with high image quality and excellent temporal resolution.

0505
14:00
A free-running cardiac T1* mapping sequence for quantifying dynamic changes in myocardial T1* at rest and physiological exercise
Rui Guo1, Haikun Qi2, Xiaoying Cai1,3, Selcuk Kucukseymen1, Hassan Haji-Valizadeh1, Jennifer Rodriguez1, Amanda Paskavitz1, Patrick Pierce1, Beth Goddu1, Richard B. Thompson4, and Reza Nezafat1

1Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, BOSTON, MA, United States, 2School of Biomedical Engineering and Imaging Sciences, London, United Kingdom, 3Siemens Medical Solutions USA, Inc, Boston, MA, United States, 4University of Alberta, Department of Biomedical Engineering, Edmonton, MA, Canada

In this study, we developed a free-running cardiac T1* mapping sequence (DELTA) for quantifying the dynamic changes in myocardial T1* in response to physiological exercise. DELTA adopts continuous radial acquisition, self-navigation, and adaptive acquisition window to address the challenges associated with high heart rate and deep breathing after exercise. Phantom T1* by DELTA was heart-rate insensitive and had good repeatability. In vivo T1* among multiple measurements had little variation and comparable precision with MOLLI5(3)3 T1*.In the stress/rest studies, T1* reactivity was larger during the first scan after exercise and gradually reduced along the duration of post-exercise.

0506
14:00
Real-time Cardiac MRI during Exercise with Radial Sampling and Compressed Sensing: Evaluation in a Numerical Phantom and In-Vivo
Philip A Corrado1, Daniel Seiter1, Christopher J François2, Farhan Raza1, Kevin Johnson1, and Oliver Wieben1

1University of Wisconsin-Madison, Madison, WI, United States, 2Mayo Clinic, Rochester, MN, United States

We used radial sampling, parallel imaging, and compressed sensing for real-time cardiac MRI during exercise, comparing the performance of two temporal resolutions for this approach in a numerical phantom and in a human volunteer. We found the approach feasible with sufficient spatial and temporal resolution to capture myocardial motion. While a longer temporal resolution with 30 radial spokes provides better image quality during rest, shortening the temporal resolution by acquiring just 20 spokes can improve results during exercise by better capturing rapid motion such as late diastolic filling.

0507
14:00
Flow and Motion Insensitive Steady State (FAMISS): Advancing ungated steady-state cardiac perfusion
Jason Mendes1, Johnathan Le1, Mark Ibrahim2, Ganesh Adluru1, and Edward DiBella1

1Radiology and Imaging Sciences, University Of Utah, Salt Lake City, UT, United States, 2Cardiovascular Medicine, University Of Utah, Salt Lake City, UT, United States

Quantitative cardiac perfusion requires reliable dynamic measurement of the contrast agent concentration in both myocardium and blood. Ungated methods offer immunity to poor ECG signals, acquire multiple cardiac phases and have been shown to achieve comparable contrast-to-noise as saturation recovery based methods. However, blood flow and cardiac motion can interrupt the steady-state and result in the calculation of inaccurate contrast agent concentrations. These errors in perfusion quantification can be avoided using a proposed Flow and Motion Insensitive Steady State (FAMISS) technique.

0508
14:00
The key to extremely accelerated model-based quantitative first-pass perfusion cardiac MRI
Teresa M Correia1, Torben Schneider2, and Amedeo Chiribiri1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Philips Healthcare, Guildford, United Kingdom

First-pass perfusion cardiac MR (FP-CMR) is one of the methods of choice for evaluating myocardial ischemia. Moreover, quantitative FP-CMR methods that provide pixel-wise quantitative myocardial perfusion maps are increasingly being applied as an alternative to visual inspection. Recently, a DIRect QuanTitative (DIREQT) FP-CMR model-based reconstruction has been proposed to directly estimate myocardial perfusion maps and highly accelerate FP-CMR scans. Here, DIREQT is combined with the idea of view-sharing and KEYhole imaging (DIREQT-KEY) to improve DIREQT reconstructions, particularly from extremely accelerated FP-CMR acquisitions. DIREQT-KEY directly generates high-quality quantitative myocardial perfusion maps from less than 4 radial spokes per time frame.


Oral

fMRI of Animal Models

Concurrent 3
Wednesday 14:00 - 16:00
Moderators: Giovanna Diletta Ielacqua & Jin Lee
Parent Session: fMRI of Animal Models
0509
14:00
MB-SWIFT fMRI studies in head-fixed behaving rats
Jaakko Paasonen1, Petteri Stenroos1,2, Hanne Laakso1, Tiina Pirttimäki1, Ekaterina Zhurakovskaya1, Raimo A Salo1, Heikki Tanila1, Djaudat Idiyatullin3, Michael Garwood3, Shalom Michaeli3, Silvia Mangia3, and Olli Gröhn1

1A.I.V. Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 2Grenoble Institut des Neurosciences, Grenoble, France, 3Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

Currently there are no tools to study simultaneously whole-brain processing and behavior in rats. Here we introduce a novel approach for fMRI studies in head-fixed and minimally restrained rats that can express behavior. This was achieved with MB-SWIFT sequence that is both quiet and insensitive to movement. First, the whole brain, including hindbrain, was functionally parcellated with high fidelity. Second, fMRI maps showing activation in relevant networks during spontaneous single behavioral events were successfully generated. Our approach links global network activity to behavior and has potential to enable novel experimental designs in neuroscience studies.

0510
14:00
Linescan BOLD and diffusion fMRI signal responses triggered by activation of the rat visual system differ in time, amplitude and shape
Denis Le Bihan1, Luisa Ciobanu1, Yukiko Masaki1,2, and Erwan Selingue1

1NeuroSpin, Gif-sur-Yvette, France, 2Shionogi & Co., Ltd., Osaka, Japan

BOLD and diffusion fMRI signal response time courses following rat visual stimulation differ in time, amplitude and shape.

0511
14:00
BOLD fMRI and functional ultrasound comparisons in co-registered olfactory bulb sections of the same mice
Davide Boido1, Ali-Kémal Aydin2, Yannick Goulam Houssen2, Demené Charlie3, Mickael Tanter3, Serge Charpak2, and Luisa Ciobanu1

1NeuroSpin, CEA, Paris, France, 2Inserm - Institut de la Vision, Paris, France, 3Physics for Medicine, ESPCI, INSERM, CNRS, PSL Research University, Paris, France

Using UHF (17.2T) BOLD fMRI on the mouse Olfactory Bulb (OB) we recorded odor activation at high spatio-temporal resolution (0.17x0.17x0.3 mm; TR= 250ms). With 6% 1s odor application we found fast unimodal activations. Increasing odor concentration and duration (35% 5s) we revealed the second vascular component.  Adding functional ultrasound (fUS) recordings from the co-registered OB coronal section, we could verify an overall good accordance in the dynamics of BOLD and fUS signals in small ROIs (< 0.5 mm^3), although evident differences were also found in some ROIs. We aim at highlighting the relationship between local vascular activity and BOLD fMRI.


0512
14:00
Neural activity-driven BOLD responses within the cortex occur first at synaptic input layers
Won Beom Jung1, Geun Ho Im1, Haiyan Jiang1,2, and Seong-Gi Kim1,2

1Center for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

To further advance understanding of brain functions, identifying the direction of information flow, such as thalamocortical vs. corticothalamic projections, is critical. Because the early hemodynamic response at microvessels near active neurons can be detected by ultrahigh field fMRI, we propose using the onset times of fMRI responses to discern the information flow. This approach was confirmed by observing the high temporal resolution BOLD fMRI responses to bottom-up somatosensory stimulation and top-down optogenetic stimulation of the primary motor cortex in anesthetized mice at ultrahigh field of 15.2 T.

0513
14:00
Layer-specific orientation selectivity in cat visual cortex using 9.4 Tesla fMRI and multi-photon optical imaging
Shinho Cho1, Arani Roy2, Chao Liu2, Djaudat Idiyatullin1, Wei Zhu1, Yi Zhang1, Xiao-Hong Zhu1, Prakash Kara2, Wei Chen1, and Kâmil Uğurbil1

1Center for Magnetic Resonance Research and Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 2Center for Magnetic Resonance Research and Department of Neuroscience, University of Minnesota, Minneapolis, MN, United States

Using high isotropic resolution (250 μm), cerebral blood volume weighted (wCBV) fMRI, we examined whether layer-specific cortical signals could be detected upon visual stimulation in cat primary visual cortex. We also examined single blood vessel responses (dilation, blood flow) to identical stimuli by using 2- and 3-photon imaging in the same cortical area and species. With fMRI, we often found orientation preference maps tangential and orthogonal to the cortical surface. Moreover, the laminar profile of orientation selectivity with both imaging techniques (fMRI and optical) revealed a selectivity index that was significantly lower in cortical layer 4 compared to layer 2/3.

0514
14:00
Characterize laminar-specific interhemispheric functional coherence in resting-state fMRI using bilateral line-scanning fMRI (BiLS)
Sangcheon Choi1,2, Yi Chen1, Hang Zeng1,2, and Xin Yu1,3

1Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Graduate Training Centre of Neuroscience, Tuebingen, Germany, 3MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Charlestown, MA, United States

We developed a bilateral line-scanning fMRI method to investigate interhemispheric slow fluctuations (< 0.1 Hz) with laminar specificity in resting-state fMRI in anesthetized rats. Based on the coherence analysis, two distinct slow fluctuation features in symmetric cortices were identified: ultra-slow fluctuation (0.01-0.02 Hz) was synchronized across all cortical laminae, and Layer 2/3 specific slow fluctuations (0.08-0.1 Hz). In contrast to the ultra-slow fluctuation related to global brain state changes, the Layer 2/3 specific slow fluctuation is more likely associated with intrinsic neuronal correlation driven by the callosal projection.

0515
14:00
A rapid in vivo method for mapping cortical connections of primate amygdala with infrared neural stimulation and 7T fMRI
Augix Guohua Xu1, Sunhang Shi1, Yunyun Rui1, Xiaotong Zhang1, Lizabeth Romanski2, Katalin M. Gothard3, and Anna Wang Roe1

1Interdisciplinary Institute of Neuroscience and Technology, Zhejiang University, Hangzhou, China, 2Dept of Neuroscience, University of Rochester School of Medicine, Rochester, NY, United States, 3University of Arizona, Dept of Physiology, Tucson, AZ, United States

We have previously shown that INS-fMRI is a rapid method for mapping mesoscale brain networks in the macaque monkey brain. Here, we extend this capability by stimulating deep brain sites. We test this new method by stimulating the basal nucleus of amygdala in the macaque monkey. The connections we identified are consistent with dye-tracing studies. In conclusion, our results indicate that INS-fMRI is a promising novel method for mapping connections of deep brain structures at high spatial resolution.

0516
14:00
Dissecting the impact of cortical feedback and inhibitory tectotectal loops in negative BOLD responses along the rat visual pathway
Rita Gil1, Mafalda Valente1, Alfonso Renart1, and Noam Shemesh1

1Champalimaud Centre for the Unknown, Lisbon, Portugal

The underlying source of negative BOLD responses (NBRs) is still debated. Here, we show that binocular visual stimulation with short inter-stimulus-intervals (ISIs) lead to strong NBRs in the rat superior colliculus (SC). We perturbed cortical feedback loops with V1 ibotenic acid lesions and input to the ipsilateral SC via tectotectal projections through monocular stimulation. SC NBRs were upward regulated upon both V1 lesioning and monocular stimulation of non-lesioned animals. When combining reduced cortical feedback and tectotectal projections, NBRs in SC were abolished. Our results suggest an important role for corticotectal and commissural tectotectal projections in SC NBRs at short ISIs.

0517
14:00
Investigating Neurophysiological Basis of Resting State fMRI Signal Components through Suppression of Cortical Slow Rhythms
Vahid Khalilzad Sharghi1, Eric Maltbie1, Wen-Ju Pan1, Shella Keilholz1, and Kaundinya Gopinath2

1Biomedical Engineering, Emory University/Georgia Institute of Technology, Atlanta, GA, United States, 2Department of Radiology & Imaging Sciences, Emory University, Atlanta, GA, United States

In this study, we tested hypothesis advanced by some groups that brain slow rhythms serve as the neurophysiological basis of resting state fMRI (rsfMRI). Putative suppression of cortical rhythms with an established technique, led to significant reduction in the amplitude of rsfMRI quasi-periodic patterns (QPPs), and enhancement in the rsfMRI measures of intrinsic functional connectivity FC in canonical brain function networks in rats. The results indicate cortical slow rhythms serve as the genesis of only the vigilance dependent components (e.g., QPP) of rsfMRI signals. Further attenuation of these non-specific signals enhances delineation of brain function networks.

0518
14:00
Pharmacological inactivation of ventral hippocampus disrupts central auditory processing
Eddie C. Wong1,2, Xunda Wang1,2, Vick Lau1,2, Alex T.L. Leong1,2, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong SAR, China, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong SAR, China

Audition is vital for communication, learning and memory processes. However, the hippocampus, which can support these functions, is absent from networks of auditory processing. To bridge this gap, we employed auditory fMRI and pharmacological inactivation techniques to directly characterize how hippocampal outputs affect auditory responses to auditory stimuli in primary auditory-associated structures. Using behaviorally-relevant, natural sounds for rodent behaviors, or their temporally-reversed counterparts, we revealed that absence of hippocampal output disrupts auditory responses to vocalizations in auditory midbrain, thalamus and cortex. For the first time, our results demonstrated the critical role of hippocampus in shaping response selectivity to behaviorally-relevant sounds.


Oral

Bone, Cartilage & Joint MRI

Concurrent 4
Wednesday 14:00 - 16:00
Moderators: Martijn Froeling & Valentina Mazzoli
Parent Session: Bone, Cartilage & Joint MRI
0519
14:00
Predicting delayed union in osteoporotic vertebral fractures in the acute phase with intravoxel incoherent motion
Hiroyuki Takashima1,2, Tsuneo Takebayashi3, Yasuhisa Abe3, Rui Imamura1, Hiroshi Oguma3, Izaya Ogon2, Yoshihiro Akatsuka1, and Toshihiko Yamashita2

1Division of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, Sapporo, Japan, 2Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan, 3Department of Orthopaedic Surgery, Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan

Previous studies have reported that the disorder of intramedullary perfusion in the vertebral fracture (VF) delays the bone union process. However, few reports evaluating VF using intravoxel incoherent motion (IVIM) exist. The IVIM parameters between favorable and unfavorable VF prognosis were compared, and we investigated whether possible to evaluate for the VF prognosis. ADC, D, D*, and f in VF as IVIM parameters were measured, and the IVIM parameters between the favorable and unfavorable prognosis groups was compared. The IVIM parameters were significantly different between groups. Therefore, it is concluded that the IVIM analysis enables the prediction of VF prognosis.

0520
14:00
Quantification of Synovial Fluid using Magnetic Resonance Fingerprinting Multicomponent Imaging in Articular Cartilage of Knee
Seung Eun Lee1, Joon-Yong Jung1, and Dongyeob Han2

1Seoul St. Mary’s Hospital, Seoul, Korea, Republic of, 2Siemens Healthineers, Seoul, Korea, Republic of

The morphologic MR imaging is limited in identifying sub-voxel sized cartilage defect due to partial volume averaging. We assessed the feasibility of synovial fluid fraction (SFF) map generated by multicomponent approach using MRF-derived relaxation maps to characterize sub-voxel sized cartilage defect. In ex vivo experiment, we proved that SFF map can quantify synovial fluid fraction in sub-voxel sized cartilage defects. In clinical study, we demonstrated that SFF map can complement morphologic imaging in cartilage segmentation and volumetric assessment.

0521
14:00
Advanced Low-Field MRI of Hip Arthroplasty Implants: First Experience at 0.55 T
Iman Khodarahmi1, Inge Manuela Brinkmann2, Dana Lin1, Mary Bruno1, Patricia Johnson1, Florian Knoll1, Mahesh Bharath Keerthivasan2, Hersh Chandarana1, and Jan Fritz1

1Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Siemens Medical Solutions USA Inc., Malvern, PA, United States

Next-generation, advanced low-field MRI holds promise to improve metal artifact reduction MRI of hip arthroplasty implants due to inherently lower susceptibility effects. Using titanium-on-ceramic and metal-on-metal cobalt-chromium total hip arthroplasty implant phantoms, we compared the degree of metal artifacts and signal-to-noise ratios of MR images obtained with modified 0.55T prototype and clinical 1.5T MRI systems. The 0.55T SEMAC MR images with 6-9 encoding steps invariably demonstrated superior, near-complete metal artifact reduction. Our preliminary results suggest clinically viable sequence acquisition times of ≤ 6-min with advanced 0.55T MRI.

0522
14:00
Skull MRI with MUFFIN: MUlti-Frame Forward-modeled Image Numismatics
Cihat Eldeniz1, Udayabhanu Jammalamadaka1, Gary B. Skolnick2, Paul K. Commean1, Kamlesh B. Patel2, and Hongyu An1

1Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, United States, 2Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, United States

Computed tomography (CT) is the reference method for skull imaging, but can cause cancer due to ionizing radiation. Magnetic resonance imaging (MRI) is safer, but the prolonged scan time increases the chance of motion, especially for pediatric patients. Sedation helps reduce motion significantly, but is associated with risks. A sedation-free MRI scheme that is robust to motion is therefore highly desirable. Here, we proposed such a method by making use of a radial acquisition scheme that is inherently robust to motion. The robustness was further boosted by a forward-modeled motion-corrected reconstruction. The results show the promise of the method.

0523
14:00
Assessing the Viability of Carpal Bone Kinematic Profiles Extracted from 4D MRI
Kevin Matthew Koch1, Mohammad Zarenia2, V. Emre Arpinar2, L Tugan Muftuler3, Alyssa Joy Schnorenberg 4, Joshua Leonardis4, Brooke Slavens4, and Andrew S Nencka2

1Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 4University of Wisconsin, Milwaukee, Milwaukee, WI, United States

A unique approach to analysis of wrist mechanics is analyzed.  In this approach, 4D dynamic MRI is utilized to track unconstrained movement of individual wrist carpal bones.   Through a boundary-based slab-to-volume registration approach, fiducial points identified or computed on high resolution static images are tracked using the dynamic time series to generate time-domain signals indicative of independent and relative carpal bone movement.  After rudimentary processing of 12  derived signals, each computed on 3 asymptomatic control subjects, correlation analysis is utilized to elucidate the utility of these metrics in establishing a normative kinematic profile of the healthy wrist. 

0524
14:00
2D Texture Analysis based approach for detection of Osteoporosis on 1.5T on T1-weighted MR images
Preety Krishnan1, Tejas J Shah2, Akshay Godkhindi2, Rupsa Bhattacharjee3, Stanley Kovil Pichai3, Ajay Krishnan1, Bharat Dave1, and Indrajit Saha3

1Stavya Spine Research Institute, Ahmedabad, India, 2MR, Philips Innovation Campus, Bangalore, India, 3Philips India Limited, Gurgaon, India

Given the prevalence and disease burden of osteoporosis, it is critical to detect it as early as possible. This is challenging not only because the disease is typically asymptomatic but also due to known limitations of the gold standard method of DEXA. The aim of this study was to determine if alternative approach of 2D texture analysis in L1-L5 lumbar spine on T1W images can be used to detect osteoporosis. It is demonstrated that such an approach can indeed be used to clinically detect osteoporosis with an AUC of 0.8. 

0525
14:00
Transverse Relaxation Anisotropy of Tendons Studied by MR Microscopy
Benedikt Hager1,2,3, Markus M. Schreiner4, Sonja M. Walzer4, Lena Hirtler5, Vladimir Mlynarik1, Martin Zalaudek1, Andreas Berg6, Xeni Deligianni7,8, Oliver Bieri7,8, Reinhard Windhager4, Vladimir Juras1, and Siegfried Trattnig1

1Department of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University of Vienna, Vienna, Austria, 2CD Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Austrian Cluster for Tissue Regeneration, Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna, Austria, 4Department of Orthopedics and Trauma-Surgery, Medical University of Vienna, Vienna, Austria, 5Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna, Vienna, Austria, 6Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 7Division of Radiological Physics, Department of Radiology, University of Basel Hospital, Basel, Switzerland, 8Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland

In this study, we analyzed the T2* anisotropy and mono- vs. bi-exponentiality of T2* decay of Achilles and patellar tendons in vitro with a variable echo time sequence, ultrashort echo times and microscopic resolution and compared the results with histological findings. A total of four human Achilles tendons and four patellar tendons were measured at their maximum and minimum dipolar interaction (0°, 55°). In addition, one Achilles tendon and one patellar tendon were measured at  11 fiber-to-field angles (0,10,20,30,40,50,60,70,80,90°) each in order to study the change in T2* values at these angles.

0526
14:00
Measures of bone water and porosity are associated with whole-bone stiffness and mineral density in the human femur
Brandon Clinton Jones1,2, Hyunyeol Lee1, Shaowei Jia1,3, Anna Feng1, Snehal S Shetye4, Hee Kwon Song1, Felix Werner Wehrli1, and Chamith Sudesh Rajapakse1,4

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3Biomedical Science and Medical Engineering, Beihang University, Beijing, China, 4Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, United States

UTE measures of cortical bone water were evaluated in 15 cadaveric proximal femora. Pore water content, total water content, and porosity index were all negatively associated with whole-bone stiffness obtained in a sideways fall loading configuration and with volumetric bone mineral density. In contrast, bound water content was not found to be related to stiffness or mineral density. This data suggest that bone water measures may provide useful information on cortical bone mechanical competence.

0527
14:00
Simultaneous assessment of vertebral fractures and edema of the thoracolumbar spine on water-fat and SW images derived from a single-TE UTE scan
Sophia Kronthaler1, Christof Boehm1, Peter Börnert2, Ulrich Katscher2, Kilian Weiss3, Marcus R. Makowski1, Benedikt J. Schwaiger1, Alexandra S. Gersing1, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany, 2Philips Research Laboratory, Hamburg, Germany, 3Philips Healthcare, Hamburg, Germany

CT and MR imaging are often both performed in patients with vertebral fractures or degenerative changes, with CT aiming at the characterization of osseous changes and the MR focusing on bone marrow edema. CT is associated with radiation exposure and therefore it is desirable to assess both soft-tissue and osseous components in one MR examination. The present work develops a methodology for simultaneously extracting susceptibility weighted imaging (SWI) and single point Dixon imaging based on a single-TE ultrashort echo time (UTE) scan to simultaneously assess vertebral fractures and degenerative bone changes in the thoracolumbar spine with a single MR sequence.

0528
14:00
Quantification of bone marrow edema in RA by using high-speed T2-corrected multiecho acquisition of 1H magnetic resonance spectroscopy
Wenzhao Yuan1, Yiwu Lei1, Cheng Tang1, Fang Qin1, Jing Wen1, Chenhui Li2, Min Ling1, Jiang Huang1, Huiting Zhang3, and Liling Long1

1The First Affiliated Hospital of Guangxi Medical University, Nanning, China, 2Siemens Healthcare Ltd., Guangzhou, China, 3Siemens Healthcare Ltd., Wuhan, China

The purpose of this study was to determine whether high-speed T2-corrected multiecho (HISTO) sequences can quantify bone marrow edema (BME) in the capitate bone in rheumatoid arthritis (RA), and whether the HISTO fat fraction (FF) reflects therapeutic effectiveness.

The results showed that the HISTO sequence can measure the bone marrow FF of the wrist joint in RA patients. We also found that the HISTO sequence may help quantify BME in RA and help monitor the effectiveness of RA treatment.



Oral

(Artificial) Intelligence in the Body

Concurrent 5
Wednesday 14:00 - 16:00
Moderators: Teodora Chitiboi & Graham Kemp
Parent Session: (Artificial) Intelligence in the Body
0529
14:00
Deep learning based radial de-streaking for free breathing time resolved volumetric DCE MRI
Sagar Mandava1, Xinzeng Wang2, Ty Cashen3, Tetsuya Wakayama4, and Ersin Bayram2

1GE Healthcare, Atlanta, GA, United States, 2GE Healthcare, Houston, TX, United States, 3GE Healthcare, Madison, WI, United States, 4GE Healthcare, Hino, Japan

Radial imaging is becoming increasingly popular due to its ability to support highly accelerated imaging. However, it is plagued by streak artifacts that often arise from undersampling which can lead to poor image quality. The problem is particularly acute in time resolved imaging where the need for high spatio-temporal sampling usually leads to large amount of streaks. In this work, we propose a method for separate spatial and temporal deep learning for streak artifact reduction. The utility of the method is demonstrated on free breathing time resolved volumetric DCE MRI acquired using the stack-of-stars trajectory.

0530
14:00
Motion Analysis in Fetal MRI using Deep Pose Estimator
Junshen Xu1, Esra Abaci Turk2, Borjan Gagoski2, Polina Golland3, P. Ellen Grant2,4, and Elfar Adalsteinsson5

1Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children’s Hospital, Boston, MA, United States, 3Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology, Cambridge, MA, United States, 4Harvard Medical School, Boston, MA, United States, 5Massachusetts Institute of Technology, Cambridge, MA, United States

Fetal motion is an important measure for monitoring fetal health and neurological function. However, current clinical MRI and ultrasound assessments of fetal motion are qualitative and cannot reflect detailed 3D motion of each body part. In this work, we propose a method for fetal motion analysis in MRI using a deep pose estimator. We train a neural network to estimate fetal pose from MR volumes, and extract quantitative metrics of motion from the time series of fetal pose. In the experiments, we study how different conditions affect fetal motion, such as gestational age and maternal position during scan.

0531
14:00
Automatic segmentation of uterine endometrial cancer on MRI with convolutional neural network
Yasuhisa Kurata1, Mizuho Nishio1, Yusaku Moribata2, Aki Kido1, Yuki Himoto1, Koji Fujimoto3, Masahiro Yakami2, Sachiko Minamiguchi4, Masaki Mandai5, and Yuji Nakamoto1

1Diagnostic Imaging and Nuclear Medicine, Kyoto university hospital, Kyoto, Japan, 2Preemptive Medicine and Lifestyle-Related Disease Research Center, Kyoto university hospital, Kyoto, Japan, 3Real World Data Research and Development, Graduate School of Medicine Kyoto University, Kyoto, Japan, 4Diagnostic Pathology, Kyoto university hospital, Kyoto, Japan, 5Gynecology and Obstetrics, Kyoto university hospital, Kyoto, Japan

Endometrial cancer is the most common gynecological malignant tumor in developed countries, and accurate preoperative risk stratification is essential for personalized medicine. For realizing tumor feature extraction by radiomics approach, the segmentation of the tumor is usually required. The model developed in this study has achieved high-accuracy automatic segmentation of endometrial cancer on MRI using a convolutional neural network for the first time. Using multi-sequence MR images were important for high accuracy segmentation. Our model will lead to efficient medical image analysis of a large number of cases using the radiomics approach and/or deep learning methods.

0532
14:00
Evaluation of Data Augmentation Methods for Autonomous Segmentation of Placental Volume for Detecting Viral Complications
Thomas Lilieholm1, Ruiming Chen1, Ruvini Navaratna1, Daniel Seiter1, Walter F Block1,2,3, and Oliver Wieben1,2,3

1Medical Physics, University of Wisconsin at Madison, Madison, WI, United States, 2Biomedical Engineering, University of Wisconsin at Madison, Madison, WI, United States, 3Radiology, University of Wisconsin at Madison, Madison, WI, United States

Quantitative investigation of placental volumes can be used for characterization of Zika virus (ZIKV) infection, which causes several complications for developing fetuses. To provide more rapidly available image segmentation for analysis, efforts are being made to produce Convolutional Neural Networks (CNN) for autonomous segmentation of placental volume images. We investigated a number of data augmentation techniques for training machine learning models to determine which methods may be most suited for further development of ZIKV-quantifying placental segmentation models. We found rotational and reflective data augmentation to produce the greatest improvement in machine-segmentated Dice Coefficient comparisons.

0533
14:00
Automated Image Prescription for Liver MRI using Deep Learning
Ruiqi Geng1,2, Mahalakshmi Sundaresan3, Jitka Starekova1, Collin J Buelo1,2, Nikolaos Panagiotopoulos1, Marcin Ignaciuk1, Thekla Helene Oechtering1, Scott B Reeder1,2,4,5,6, and Diego Hernando1,2

1Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 3Electrical and Computer Engineering, University of Wisconsin-Madison, Madison, WI, United States, 4Medicine, University of Wisconsin-Madison, Madison, WI, United States, 5Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States, 6Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

To enable fully free-breathing, single button-push liver exams, an automated AI-based method for image prescription of liver MRI was developed and evaluated. A total of seven classes of rectangular bounding boxes covering the liver, torso, and arms for each localizer orientation were manually and automatically labeled to enable 3D prescription in any orientation. The intersection over union (IoU) between manual and automated 2D liver detection had a median > 0.88 and interquartile range < 0.11 for all classes. The shift in the resultant 3D axial prescription was less than 9 mm in S/I dimension for 91% of the test dataset.

0534
14:00
Deep Learning-based Adaptive Image Combination for Signal-Dropout Suppression in Liver DWI
Fasil Gadjimuradov1,2, Thomas Benkert2, Marcel Dominik Nickel2, and Andreas Maier1

1Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Magnetic Resonance, Siemens Healthcare GmbH, Erlangen, Germany

Signal-dropouts due to pulsation are one of the most prominent artifacts in diffusion-weighted imaging (DWI) of the liver. It can affect a significant portion of the repetitions acquired for a given slice. Instead of performing uniform averaging which might result in locally attenuated liver signal, this work proposes to train a convolutional neural network (CNN) to estimate smooth weight maps for individual repetitions. This allows to locally suppress signal-dropouts, resulting in more homogeneous liver signal while maintaining signal-to-noise ratio (SNR) in artifact-free image regions.

0535
14:00
Utility of Texture Analysis on Quantitative Susceptibility Maps to Stage Hepatic Fibrosis
FengLing Gan1, Shuohui Yang2, Feng Xing3, Zheng Qu1, Gaiying Li1, Chenyao Yang2, Rongfang Guo2, Jiling Huang2, Fang Lu2, Caixia Fu4, Xu Yan4, Kelly Gillen5, Yi Wang5, Chenghai Liu3, Songhua Zhan2, and Jianqi Li1

1Shanghai Key Laboratory of Magnetic Resonance, School of Physics and Electronic Science, East China Normal University, shanghai, China, 2Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, shanghai, China, 3Department of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, shanghai, China, 4MR Collaboration NE Asia, Siemens Healthcare, shanghai, China, 5Department of Radiology, Weill Medical College of Cornell University, New York, NY, United States

Hepatic fibrosis is characterized by excessive accumulation of extracellular matrix (ECM) proteins including collagen, which would contribute strong diamagnetic susceptibility in the liver tissue due to enhanced density of orbiting electrons. This study measured the texture features on susceptibility maps in patients with chronic liver diseases. The results showed that some of the second-order texture parameters were significantly different between cohorts of significant hepatic fibrosis (Ishak-F ≥ 3) and non-significant hepatic fibrosis (Ishak-F < 3). The texture analysis on susceptibility maps may have the potential to stage hepatic fibrosis.

0536
14:00
Discriminative feature learning and adaptive fusion for the grading of hepatocelluar carcinoma with Contrast-enhanced MR
Wu Zhou1, Shangxuan Li1, Wanwei Jian1, Guangyi Wang2, Lijuan Zhang3, and Honglai Zhang1

1School of Medical Information Engineering, Guangzhou University of Chinese Medicine, Guangzhou, China, 2Department of Radiology, Guangdong General Hospital, Guangzhou, China, 3Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China

The combination of context information from multi-modalities is remarkably significant for lesion characterization. However, there are still two remaining challenges for multi-modalities based lesion characterization including features overlapping between different tumor grades and large differences in modal contributions. In this work, we proposed a discriminative feature learning and adaptive fusion method in the framework of deep learning architecture for improving the performance of multimodal fusion based lesion characterization. Experimental results of grading of clinical hepatocellular carcinoma (HCC) demonstrate that the proposed method outperforms the previously reported fusion methods, including concatenation, correlated and individual feature learning, and deeply supervised net.

0537
14:00
Automatic Detection of Small Hepatocellular Carcinoma (≤2 cm) in Cirrhotic Liver based on Pattern Matching and Deep Learning
Rencheng Zheng1, Luna Wang2, Chengyan Wang3, Xuchen Yu1, Weibo Chen4, Yan Li5, Weixia Li5, Fuhua Yan5, He Wang1,3, and Ruokun Li5

1Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China, 2Department of Radiology, Shanghai Chest Hospital, Shanghai, China, 3Human Phenome Institute, Fudan University, Shanghai, China, 4Market Solutions Center, Philips Healthcare, Shanghai, China, 5Department of Radiology, Ruijin Hospital, Shanghai, China

This study presented an algorithm for small hepatocellular carcinoma (sHCC) detection and segmentation in cirrhotic liver based on diffusion-weighted imaging (DWI) and dynamic contrast-enhanced (DCE) images. The model included two-steps: screening of suspicious lesions in DWI using pattern matching algorithm; identification and segmentation of true lesions in DCE based on deep learning. The proposed model exhibited superior performance in sHCC (≤2 cm) detection and segmentation, which significantly outperformed the Liver Imaging Reporting and Data System (LI-RADS) based diagnosis. 

0538
14:00
Peritumoral Dilation Radiomics of Gd-EOB-DTPA MRI Predicts Early Relapse in Hepatocellular Carcinoma Without Macrovascular Invasion
Huan-Huan Chong1,2, Yu-Da Gong3, Lei Chen4, Xian-Pan Pan4, Ai-E Liu4, Chun Yang2, and Meng-Su Zeng1,2,5

1Shanghai Institute of Medical Imaging, Shanghai, China, 2Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China, 3Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China, 4Shanghai United Imaging Intelligence Co., Ltd., Shanghai, China, 5Department of Medical Imaging, Shanghai Medical College, Fudan University, Shanghai, China

Preoperatively identifying predisposing predictors of early relapse is crucial for stratifying patient risk, performing prompt intervention and improving long-term outcome. Whether peritumoral dilation radiomics can predict early recurrence in hepatocellular carcinoma(HCC) patients without macrovascular invasion remains unclear. Hence, we developed a bi-regional (the entire tumor and peritumoral zone within 1 cm) radiomics of gadoxetate disodium-enhanced (Gd-EOB-DTPA) MRI, which derived a satisfying discrimination in 2-year recurrence by the 5-fold cross-validation method. 


Oral

Parkinson & Neurodegeneration

Concurrent 6
Wednesday 14:00 - 16:00
Moderators: Emine Can & Khin Tha
Parent Session: Parkinson & Neurodegeneration
0539
14:00
Twelve-Year Microstructural Changes in The Deep Gray Nuclei in Parkinson’s Disease: A Serial Diffusion Tensor Imaging Study
Yao-Chia Shih1,2, Qi Rong Leon Ooi3, Septian Hartono2,3, Thomas Welton2,3, Hui-Hua Li2,4, John Carson Allen2, Eng King Tan2,3, and Ling Ling Chan1,2

1Department of Diagnostic Radiology, Singapore General Hospital, Singapore, Singapore, 2Duke-NUS Medical School, Singapore, Singapore, 3Department of Neurology, National Neuroscience Institute (Outram-campus), Singapore, Singapore, 4Health Services Research Unit, Singapore General Hospital, Singapore, Singapore

Diffusion tensor imaging (DTI) characterizes microstructural changes in the basal ganglia in relation to idiopathic Parkinson's disease (PD). However, inconsistent results due to short-interval longitudinal studies with heterogeneous neuropathology across PD stages have been reported. We elucidated microstructural changes in the deep gray nuclei throughout the disease course in a large, prospective, three time-point case-control DTI study in PD over twelve years, with six-year interval gaps. Increased mean striatal diffusivity reflected progressive neurodegeneration, whereas factional anisotropy changes suggested effects of abnormal iron accumulation followed by neuronal loss in the putamen and thalamus as the disease progresses into the late stages.

0540
14:00
Characterizing white matter microstructural alterations in de novo Parkinson’s disease using diffusion MRI
Yiming Xiao1,2, Terry M Peters3,4,5, and Ali R Khan3,4,5,6

1PERFORM Centre, Concordia University, Montreal, QC, Canada, 2Computer Science and Software Engineering, Concordia University, Montreal, QC, Canada, 3Robarts Research Institute, Western University, London, ON, Canada, 4Department of Medical Biophysics, Western University, London, ON, Canada, 5School of Biomedical Engineering, Western University, London, ON, Canada, 6The Brain and Mind Institute, Western University, Lonon, ON, Canada

Understanding microstructural alterations in white matter can be instrumental in revealing pathogenesis and devising effective plans to treat Parkinson’s disease (PD). Diffusion MRI can be used to characterize the status of white matter integrity. With voxel-based analysis using DTI measures and fixel-based analysis (FBA), we demonstrated for the first time strengthened and weakened white matter integrity, which is subject to laterality of motor symptoms in de novo Parkinson’s disease. The findings suggest that the disease gives rise to both functional degeneration and the creation of compensatory networks.

0541
14:00
Progressive microstructural alterations in subcortical nuclei in Parkinson's disease: a diffusion magnetic resonance imaging study
Xueqin Bai1, Tao Guo1, Xiaojun Guan 1, Cheng Zhou1, Jingjing Wu1, Xiaocao Liu1, Ting Gao1, Luyan Gu1, Xiaojun Xu1, Peiyu Huang1, and Minming Zhang1

1The second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

In this study, we employed diffusion kurtosis imaging (DKI) and diffusion tensor imaging (DTI) to measure the microstructural alterations in subcortical nuclei across PD patients at different disease stages. Individual diagnostic model was constructed to test the performance of diffusion metrics in identifying PD patients at different stages.  We found that PD patients at different stages have progressive microstructural alterations in the main nuclei of widely acknowledged nigral-pallidal and thalamo-cortical pathways. DKI is sensitive to detect microstructural changes in GP and thalamus between early stage PD and moderate-late stage PD patients. The combination of kurtosis and tensor metrics can achieve a good performance in diagnosing PD.

0542
14:00
Microstructure of grey matter nuclei in early Parkinson’s disease: longitudinal study using diffusion kurtosis imaging
Thomas Welton1,2, Septian Hartono3, Yao-Chia Shih3, Samuel Y-E Ng1, Nicole S Y Chia1, Weiling Lee3, Say Lee Chong3, Eng-King Tan1,2,3, Ling-Ling Chan1,2,3, and Louis CS Tan1,2

1National Neuroscience Institute, Singapore, Singapore, 2Duke-NUS Medical School, Singapore, Singapore, 3Singapore General Hospital, Singapore, Singapore

We show that the diffusion kurtosis characteristics of grey matter nuclei in early Parkinson's disease were abnormal and that this abnormality was maintained over two years. Furthermore, elevated mean kurtosis was associated with worsening motor function. This supports the use of diffusion kurtosis imaging to characterise tissue microstructure and potentially monitor disease progression even in early Parkinson's disease.

0543
14:00
Tract Density Imaging in Patients with Parkinson’s Disease Before and After Magnetic Resonance-guided Focused Ultrasound
Yu Shen1, Xianchang Zhang2, Yan Bai1, Rui Zhang1, Rushi Chen1, Wei Wei1, Menghuan Zhang1, and Meiyun Wang1

1Department of Medical Imaging, Henan Provincial People’s Hospital & Zhengzhou University, Zhengzhou, China, 2MR Collaboration, Siemens Healthcare Ltd. Beijing China, Beijing, China

Magnetic resonance-guided focused ultrasound (MRgFUS) is a non-invasive tremor therapy associated with Parkinson disease (PD). Conventional fractional anisotropy analysis might neglect pre- and postoperative microanatomic changes due to low spatial resolution. Finer brain structural depictions could be provided using track density imaging (TDI), a super-resolution reconstruction method. This study conducted TDI on seven patients with PD before and 1-month after MRgFUS and found that tract density values were significantly decreased postoperatively in the genu of the corpus callosum and left globus pallidus. TDI could be a valuable tool for detecting microstructural changes after MRgFUS therapy.  

0544
14:00
Investigating Spatiotemporal Changes in Dopamine, Neuromelanin and Iron in the Nigrostriatal System in Parkinson's Disease
Emma Biondetti1,2,3, Mathieu D. Santin1,2, Romain Valabrègue1,2, Graziella Mangone1,4, Rahul Gaurav1,2,3, Nadya Pyatigorskaya1,3,5, Matthew Hutchison6, Lydia Yahia-Cherif1,2, Nicolas Villain1,7, Marie-Odile Habert8, Isabelle Arnulf1,3,9, Smaranda Leu-Semenescu9, Pauline Dodet9, Jean-Christophe Corvol1,4,7, Marie Vidailhet1,3,7, and Stéphane Lehéricy1,2,3,5

1Institut du Cerveau – ICM, INSERM U 1127, CNRS UMR 7225, Sorbonne Université, Paris, France, 2ICM, Centre de NeuroImagerie de Recherche – CENIR, Paris, France, 3ICM, Team “Movement Investigations and Therapeutics” (MOV’IT), Paris, France, 4National Institute of Health and Medical Research - INSERM, Clinical Investigation Centre, Pitié-Salpêtrière Hospital, Paris, France, 5Department of Neuroradiology, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, 6Biogen Inc., Cambridge, MA, United States, 7Department of Neurology, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, 8Department of Nuclear Medicine, Pitié-Salpêtrière Hospital, AP-HP, Paris, France, 9National Reference Center for Rare Hypersomnias, Pitié-Salpêtrière Hospital, AP-HP, Paris, France

Parkinson's disease (PD) and idiopathic rapid eye movement sleep behaviour disorder (iRBD, a prodromal condition of Parkinsonism) are characterised by progressive striatal dopaminergic denervation, loss of neuromelanin-containing neurons and increased iron deposition in the substantia nigra. Here, we evaluated neurodegeneration-induced changes in the nigrostriatal system of PD and iRBD patients using longitudinal SPECT and MR imaging compared to healthy control subjects. We showed that dopamine, neuromelanin and iron changes followed similar spatiotemporal gradients of neurodegeneration, and we assessed the temporal onset and ordering of such changes.

0545
14:00
Tracking serial Parkinson’s related changes in the substantia nigra using Neuromelanin MRI and free-water diffusion MRI
Yue Xing1,2,3, Saadnah Naidu1,2,3, Halim Abdul-Sapuan1,2,3, Ali-Reza Mohammadi-Nejad2,3, Jonathan Evans4, Ofer Pasternak5, Stamatios Sotiropoulos2,3, Christopher R. Tench1,3, and Dorothee P. Auer1,2,3

1Division of Clinical Neuroscience, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom, 2Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 3NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, United Kingdom, 4Department of Neurology, Nottingham University Hospital Trust, Nottingham, United Kingdom, 5Departments of Psychiatry and Radiology (O.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States

Parkinson’s Disease (PD) is characterized by loss of neuromelanin-containing dopaminergic neurons in the substantia nigra (SN), resulting in depigmentation as its pathological hallmark. Neuromelanin (NM)-sensitive-MRI consistently shows PD-related nigral signal-loss with limited evidence for longitudinal change. Nigral free-water (FW) derived from diffusion-MRI can track disease progression. This multimodal-serial study compared subregional annual depigmentation rates and FW in PD and controls. Longitudinal NM signal-loss and FW increase was seen in PD throughout the SN with significant acceleration compared to controls in the ventral-SN. There was no between-metrics correlation, suggesting that these promising serial biomarkers may track different aspects of PD progression.

0546
14:00
Distinct cognitive and anthropometric functional connectivity traits of cognitive decline in Parkinson’s disease using partial least squares.
Vicente Jose Ferrer-Gallardo1, Thomas Bolton2, Manuel Delgado3, Pedro M. Paz-Alonso1, Maricuz Rodriguez-Oroz4, and César Caballero-Gaudes1

1Basque Center on Cognition, Brain and Language, Donostia, Spain, 2Medical image processing, Swiss Federal Institute of Technology Lausanne, Lausanne, Switzerland, 3Department of Neurology, Sierrallana Hospital, Torrelavega, Spain, 4Neurology Department, Clinica Universidad de Navarra, Pamplona, Spain

Cognitive deficits in Parkinson’s Disease (PD) are associated with abnormalities in functional brain networks that can be observed at rest. This study investigates whole-brain independent functional-connectomes in PD patients with mild cognitive impairment (PD-MCI), associating these functional connectomes with cognitive and anthropometric measures using partial least squares (PLS) regression. We found a clear distinction between two sets (PLS-components) with functional connectomes either linked to cognitive scores or anthropometric variables. A PD-specific subcortical-cortical functional connectome was common in the two PLS-components. Furthermore, in PD-MCI a functional connectome defined by attentional and sensorimotor regions linked to attention and memory deficits is critical.

0547
14:00
Dysfunction of Olfactory Resting-State Functional network in Early-onset Early-stage Parkinson’s Disease
Jianli Wang1, Rachel Stanford1, Lauren Spreen2, Jeffrey Vesek2, Christopher Sica1, Thyagarajan Subramanian3, and Qing X Yang4

1Radiology, Penn State College of Medicine, HERSHEY, PA, United States, 2Molecular Biology, Penn State College of Medicine, HERSHEY, PA, United States, 3Neurology, Penn State College of Medicine, HERSHEY, PA, United States, 4Neurosurgery, Penn State College of Medicine, HERSHEY, PA, United States

Hyposmia is prevalent in Parkinson’s disease (PD) and the central olfactory system is highly affected by PD pathology. Despite the considerable progresses in understanding the pathophysiology of the disease, the mechanism causing hyposmia in PD is still unclear. Given that there is early PD-related neurodegeneration in anterior olfactory nucleus, which is a part of the primary olfactory cortex, we tested the hypothesis that there are PD-related dysfunctions in the central olfactory functional network at the early stage of disease.

0548
14:00
Ultra-high field imaging of deep brain stimulation at 7T: The first study of RF safety, displacement force and image artifact
Bhumi Bhusal1, Jason Stockmann2, Azma Mareyam2, John Kirsch2, Lawrence L Wald2, Mark J Nolt1, Joshua Rosenow1, Roberto Lopez-Rosado1, Behzad Elahi1, and Laleh Golestanirad1

1Northwestern University, Chicago, IL, United States, 2Massachusetts General Hospital, Charlestown, MA, United States

We report the results of MRI safety and image artifact assessment of a commercial deep brain stimulation (DBS) system implanted in an anthropomorphic phantom, undergoing MRI at 7T.  RF heating was observed to be less than 2°C for all clinically relevant as well as worst-case configurations evaluated in the study.  The magnetic force on the pulse generator was found to be within the safe limit. Metal-induced image artifact was comparable to what is observed at lower fields. Our results indicate that 7T MRI could be performed safely in patients with DBS implants under carefully evaluated device model and MRI hardware.


Sunrise Session

MRF & Synthetic MR: What Is It All About & When Can I Start Using It Clinically?

Organizers: Anja van der Kolk, Karin Markenroth Bloch
Concurrent 7
Wednesday 14:00 - 15:00
Moderators: Claudia Prieto
Parent Session: Hot Topics in MRI of the Brain

Sunrise Session

PC-MRI: Measuring Flow in the Brain

Organizers: Nivedita Agarwal, Karin Markenroth Bloch
Concurrent 7
Wednesday 14:00 - 15:00
Moderators: Koichi Oshio
Parent Session: Hot Topics in MRI of the Brain

Sunrise Session

MRI Techniques for Deep Brain Stimulation: Clinical Application & Challenges

Organizers: Marta Bianciardi, Susie Huang
Concurrent 7
Wednesday 14:00 - 15:00
Moderators: Bastien Guerin
Parent Session: Hot Topics in MRI of the Brain

Sunrise Session

IVIM in the Brain

Organizers: Rajan Jain, Marta Bianciardi
Concurrent 7
Wednesday 14:00 - 15:00
Moderators: Eyal Lotan
Parent Session: Hot Topics in MRI of the Brain
14:00
IVIM: Brain Tumor Applications
Ho Sung Kim

14:30
IVIM: Stroke & Beyond
Christian Federau


Member-Initiated Symposium

The Emerging Role of MRI in Gene & Cell Therapy Development

Concurrent 8
Wednesday 14:00 - 16:00
Moderators: Jeff Bulte & Moriel Vandsburger
Parent Session: The Emerging Role of MRI in Gene & Cell Therapy Development
(no CME credit)
14:00
Cell Therapy, Senior Talk: 19F MRI of Dendritic Cell-Based Therapeutics for Rheumatoid Arthritis
  Catharien Hilkens
  Newcastle University

14:30
Cell Therapy, Junior Talk: MR Imaging of Tumour-Associated Macrophage Changes with Immunotherapy
  Fanny Chapelin
  University of Kentucky

15:00
Gene Therapy, Senior Talk: MR-Guided Gene Therapy for Parkinson’s Disease
  Krzysztof Bankiewicz
  Ohio State University

15:30
Gene Therapy, Junior Talk: CEST-MRI of Gene Editing
  Bonnie Lam
  University of California, Berkeley

16:00
The Industry Perspective
  James Goodman
  Pfizer


Sunrise Session

Motion Correction Theory & Applications

Organizers: Zhaolin Chen, Lijun Bao, Yunhong Shu, Hua Guo
Concurrent 7
Wednesday 15:00 - 16:00
Moderators: Lijun Bao
Parent Session: Hot Topics in Image Acquisition

Sunrise Session

MR Contrast Synthesis

Organizers: Yunhong Shu, Hua Guo, Zhaolin Chen, Lijun Bao
Concurrent 7
Wednesday 15:00 - 16:00
Moderators: Kirk Welker
Parent Session: Hot Topics in Image Acquisition

Sunrise Session

Accelerated MRI

Organizers: Yunhong Shu, Lijun Bao, Zhaolin Chen, Hua Guo
Concurrent 7
Wednesday 15:00 - 16:00
Moderators: Ek Tan
Parent Session: Hot Topics in Image Acquisition

Sunrise Session

MR-Guided Therapy

Organizers: Hua Guo, Lijun Bao, Yunhong Shu, Zhaolin Chen
Concurrent 7
Wednesday 15:00 - 16:00
Moderators: Xihai Zhao
Parent Session: Hot Topics in Image Acquisition

Oral

Quantitative Relaxation Parameter Mapping in the Brain

Concurrent 1
Wednesday 16:00 - 18:00
Moderators: Karin Shmueli & Vanessa Wiggermann
Parent Session: Quantitative Relaxation Parameter Mapping in the Brain
0549
16:00
Multi-parametric R2’ Measurement of Brain Oxygen Extraction Fraction: Reproducibility and Application in Moyamoya Disease
Matthew Kim1, Denise Zhong1, Moss Y Zhao2, David Y.T Chen3, David D Shin4, Greg Zaharchuk2, and Audrey P. Fan1,5

1Department of Biomedical Engineering, University of California, Davis, Davis, CA, United States, 2Department of Radiology, Stanford University, Stanford, CA, United States, 3Department of Medical Imaging, Taipei Medical University-Shuan-Ho Hospital, New Taipei City, Taiwan, 4General Electric Healthcare, San Ramon, CA, United States, 5Department of Neurology, University of California Davis, Davis, CA, United States

We quantified R2’ as a biomarker of brain oxygen extraction fraction (OEF) using a multi-parametric approach, based on multi-echo gradient echo (R2*) and fast spin echo scans (R2). Healthy volunteers received repeat scans after 1-2 weeks and the coefficient of variation of R2’ was low (4.4-8.3% in vascular territories), indicating good R2’ scan-rescan reproducibility. R2’ was also inversely correlated with PET scans of cerebral blood flow in healthy controls, as expected. In 14 Moyamoya patients, elevated R2’ (indicating abnormal, high OEF) was observed both in brain regions with and without artery stenosis, and provided complementary information to cerebral perfusion.

0550
16:00
Simultaneous 3D T1 and B1+ mapping at 7T using MPRAGE with multiple volumes and driven equilibrium (DE)
Hampus Olsson1, Mads Andersen2, Mustafa Kadhim1, and Gunther Helms1

1Department of Medical Radiation Physics, Clinical Sciences Lund, Lund University, Lund, Sweden, 2Philips Healthcare, Copenhagen, Denmark

MP2RAGE has become popular for T1 mapping at 7T. Accuracy is yet improved by using a separately acquired flip angle map when creating the protocol-specific lookup table. Here, two additional volumes acquired at differing flip angles are added to an MP2RAGE sequence to obtain two separate states of driven equilibriums, effectively forming a dual flip angle protocol within the cycle. By estimating the accelerated effective relaxation, T1*, from the signals, both T1 and B1+ can be solved for analytically. Thus, a multi-volume MPRAGE sequence is turned into a dedicated high-resolution T1 and flip angle-mapping protocol.

0551
16:00
STARE (Steady-state T2 And Rf Estimation) - A fast 3D-GRE acquisition for phase-based mapping of T2 and B1
Rita Schmidt1,2, Amir Seginer3, and Yael Kierson1,2

1Neurobiology, Weizmann Institute of Science, Rehovot, Israel, 2The Azrieli National Institute for Human Brain Imaging and Research, Weizmann Institute of Science, Rehovot, Israel, 3Siemens Healthcare Ltd, Rosh Ha’ayin, Israel

There is a bulk of studies exploring spin-echo and multi-echo methods generating T2 weighted imaging and T2 mapping. However, the challenges at 7T MRI include high SAR, long scans and RF inhomogeneity. Steady-state GRE also provide T2 maps based on the magnitude images. A recent study at 3T demonstrated phase-based 3D-GRE with specific RF phase increments producing T2 maps.  We propose acquiring four scans from which we can estimate both the T2 and the Bmaps.  We denote this method as Steady-state T2 And Rf Estimation (STARE). STARE offers a new capability to acquire fast 3D dataset for T2 mapping.

0552
16:00
Motion-Resolved Brain MRI for Quantitative Multiparametric Mapping
Sen Ma1, Nan Wang1, Zhaoyang Fan1, Yibin Xie1, Debiao Li1, and Anthony G. Christodoulou1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States

We introduce a motion-resolved solution to clinical brain MRI for quantitative multiparametric mapping using Multitasking. We demonstrate that the proposed approach is generalizable to translation, rotation, discrete motion, and periodic motion without explicit need for motion correction or compensation. Both simulation and in vivo results show that the proposed motion-resolved approach produces better image quality with sharp tissue structure and without ghosting/blurring artifacts, which outperforms no motion handling and simple motion removal. The motion-resolved approach yields substantially less RMSE in terms of quantitative mapping accuracy compared to no motion handling and simple motion removal.

0553
16:00
Fast and repeatable multi-parametric mapping using 3D Echo-Planar Time-resolved Imaging (3D-EPTI)
Fuyixue Wang1,2, Zijing Dong1,3, Timothy G. Reese1, Lawrence L. Wald1,2, and Kawin Setsompop4,5

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 3Department of Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States, 4Department of Radiology, Stanford University, Stanford, CA, United States, 5Department of Electrical Engineering, Stanford University, Stanford, CA, United States

3D-EPTI is a recent multi-parametric mapping technique capable of rapid T1,T2,and T2* quantification. In this work, we characterize the repeatability of two optimized 3D-EPTI whole-brain protocols at 1-mm and 0.7-mm isotropic resolutions (3- and 9-minutes), suitable for a range of clinical and neuroscientific applications. Scan-rescan across 5 subjects shows low intra- and inter-subject variabilities in the derived quantitative-metrics across 165 brain-regions using automatic FreeSurfer segmentation. High-repeatability of quantitative measures across cortical depths was demonstrated using the 0.7-mm protocol, indicating its potential for robust-and-repeatable cortical myeloarchitecture investigation. Lastly, synthetic 3D-EPTI images were demonstrated to be in high-agreement with clinical contrast-weighted images. 

0554
16:00
Rapid Parametric Mapping Using the Unsuppressed Water Signals in Metabolic Imaging of the Brain
Rong Guo1,2, Yibo Zhao1,2, Yudu Li1,2, Yao Li3, and Zhi-Pei Liang1,2

1Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China

Both quantitative MR parametric mapping and MRSI take long scan times. SPICE has recently demonstrated a unique capability for simultaneous metabolic imaging and water imaging. Taking advantage of the unsuppressed water signals acquired using SPICE, we extended the SPICE technique with a new feature for fast parametric mapping. With one-minute extra scan time, T1 and T2 maps at 1.0×1.0×2.0 mm3 resolution were successfully obtained. This new capability enables simultaneous high-resolution parametric mapping and metabolic imaging of the human brain in a total 8-minute scan.

0555
16:00
Combined multiparametric high resolution diffusion-relaxometry on 7T (OKAPI)
Jana Hutter1, Raphael Tomi-Tricot2, Jan Sedlacik1, Philippa Bridgen1, Shaihan Malik1, and Joseph V Hajnal1

1Centre for Medical Engineering, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

A multi-parametric quantitative MRI sequence called ZEBRA, which varies diffusion weighting, inversion time (TI) and gradient echo time (TE) by shuffling flexibly diffusion preparation, slice acquisition order, slice spacing and diffusion properties and by adding multiple gradient echo read-outs sharing one diffusion preparation is explored on a 7T scanner in high resolution.

0556
16:00
Quantifying Brain Iron Deposition in patients with Parkinson’s Disease Using MRI-R2*: A new specific approach developed from a multicenter study
Laila khedher1, Jean Marie Bonny2, Ana Marques3, Marie Vidailhet4, Frédéric Torny5, Luc Defebvre6, Stéphane Thobois7, Elena Moro8, Philippe Remy9, Christian Geny10, Wassilios Meissner11, Solène Frismand12, Anne Doe de Maindreville13, Jean-Luc Houeto14, Olivier Rascol15, and Franck Durif1,3

1University Clermont Auvergne, Clermont Ferrand, France, 2INRA, UR370 Qualité des Produits Animaux, Saint Genès Champanelle, France, 3CHU Clermont Ferrand, Clermont Ferrand, France, 4Fédération des maladies du système nerveux GH La Pitié Salpêtrière, Paris, France, 5CHU Dupuytren, Service de Neurologie, Limoges, France, 6Hopital Roger Salengro, Service de Neurologie et Pathologie du Mouvement, Lille, France, 7Hopital Pierre Wertheimer, Neurologie C, Lyon, France, 8CHU de Grenoble, Service de Neurologie, Grenoble, France, 9Hopital Henri Mondor, Service de Neurologie, Creteil, France, 10CHRU Montpellier, Service de Neurologie, Montpellier, France, 11CHU Bordeaux, Service de Neurologie, Bordeaux, France, 12Hopital Central-CHU Nancy, Service de Neurologie, Nancy, France, 13Pole Neurologie-Gériatrie, Reims, France, 14CHU de Poitiers, Poitiers, France, 15Centre d’Investigation Clinique CIC 1436, CHU PURPAN-Place du Dr Baylac, Hopital Pierre Paul Riquet, Toulouse, France

Several postmortem studies have shown an accumulation of iron in the substantia nigra (SN) in Parkinson’s disease (PD). The iron concentration can be estimated by MRI via the MRI-R2* mapping. 1, 2 In order to assess the changes in R2* occurring in PD patients compared to healthy controls, a multicenter transversal prospective study was carried out in a large cohort of PD patients (n = 98) going from the early to the late stage of the disease and matched controls (n = 66).

0557
16:00
Fast T1 mapping and weighting MRI in preclinical and clinical settings using subspace-constrained joint-domains reconstructions
Lingceng Ma1,2, Qingjia Bao1, Ricardo P. Martinho1, Zhong Chen2, and Lucio Frydman1

1Department of Chemical and Biological Physics, Weizmann Institute of Science, Rehovot, Israel, 2Department of Electronic Science, Xiamen University, Xiamen, China

Fast T1 mapping methods based on subspace-constrained reconstructions of jointly sparsed-sample domains, are proposed and shown to efficiently deliver maps with either multiple T1 contrasts or T1 values with ≈ 50-100× accelerations. Both single-shot and multi-shot implementations were developed, incorporating random-sampling inversion recovery (IR) as well as variable-TR multi-shot gradient echo (GRE) and spatiotemporally encoded (SPEN) sequences. In vivo human brain scans confirmed the efficiency of this method. Preclinical scans on kidneys and on tumor-implanted animals subject to dynamic contrast-enhanced T1 mapping, also demonstrate the proposed method's advantages for functional and pathological diagnoses.

0558
16:00
Quantitative T1 mapping by multi-slice multi-shot inversion recovery EPI: correction of fat suppression MT effects.
Rosa Sanchez Panchuelo1, Olivier Mougin1, Robert Turner1,2, and Susan Francis1,3

1Sir Peter Mansfield Imaging Centre, UP, University of Nottingham, Nottingham, United Kingdom, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leibzig, Germany, 3NIHR Nottingham Biomedical Research, University of Nottingham, Nottingham, United Kingdom

Multi-slice inversion–recovery EPI (MS-IR-EPI) combined with slice order shifting across multiple acquisitions can provide a fast method for high spatial resolution T1 mapping. However, magnetization transfer (MT) effects of spectrally-selective fat-suppression pulses used in in-vivo imaging shorten measured T1-values. Here we model the effect of fat-suppression pulses on measured T1 and use this model to remove the MT contribution, improving the accuracy of Tquantification. MT-corrected high spatial resolution Tmaps of the human brain generated with MS-IR-EPI at 7T are compared with those generated with the widely implemented MP2RAGE sequence and standard single slice IR-EPI.


Oral

Systems Engineering I

Concurrent 2
Wednesday 16:00 - 18:00
Moderators: J Hadley & Maxim Zaitsev
Parent Session: Systems Engineering I
0559
16:00
A portable brain MRI scanner based on a 72 mT, 35 kg "Halbach-bulb" magnet and external gradient coil
Clarissa Zimmerman Cooley1,2, Jason Stockmann1,2, and Lawrence L Wald1,2,3

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Harvard–MIT Division of Health Sciences and Technology, Cambridge, MA, United States

There is clear motivation for increasing the accessibility of MRI, particularly for brain imaging.  To address this, we present a portable tight-fitting MRI scanner with a geometry that is optimized for head.  We use a 35kg “Halbach-bulb” permanent magnet design that combines a Halbach sphere and Halbach cylinder.  The gradient coils are designed on the outer surface of the magnet, enabling a closer-fit B0 magnet.  The inhomogeneous B0 magnet results image distortion, which we correct using a generalized reconstruction algorithm that employs measured field maps. We present the full scanner system and in vivo 3D images with resolution 1.5mmx2.7mmx7mm. 

0560
16:00
Simultaneous imaging of hard and soft biological tissues in a low-field MRI scanner
José Miguel Algarín1, Elena Díaz2, Pepe Borreguero1, Fernando Galve1, Daniel Grau2, Juan Pablo Rigla2, Rubén Bosch1, José Manuel González2, Eduardo Pallás1, Miguel Corberán1, Carlos Gramage1, Alfonso Ríos2, José María Benlloch1, and Joseba Alonso1

1I3M, CSIC, Valencia, Spain, 2Tesoro Imaging, Valencia, Spain

Here we present the first demonstration of dental imaging in a low cost MRI setup at sub-Tesla fields (260 mT). We show 3D reconstructions of a rabbit head and human teeth acquired in “DentMRI – Gen I” (Fig. 1(a)), a home-made special-purpose MRI scanner designed with the goal of demonstrating dental imaging at low field strengths. We use two variations of zero echo time (ZTE) pulse sequences (Fig. 1(b)): standard PETRA , and Double Radial Non Stop Spin Echo (DRaNSSE), which we have devised to address limitations we find with PETRA. We reconstruct images by Algebraic Reconstruction Techniques (ART).

0561
16:00
Design and Construction of a Low-Cryogen, Lightweight, High-Performance, Head-only  Compact 7T MRI
Thomas K.F. Foo1, Mark Vermilyea2, Minfeng Xu2, Anbo Wu2, Yihe Hua2, Wolfgang Stautner2, Ye Bai2, Justin Ricci2, Doug Kelley3, John III Huston4, Yunhong Shu4, Matt A Bernstein4, Christopher Hess5, and Duan Xu5

1GE Global Research, Niskayuna, NY, United States, 2GE Research, Niskayuna, NY, United States, 3GE Healthcare, Fairfax, CA, United States, 4Mayo Clinic, Rochester, MN, United States, 5University of California - San Francisco, San Francisco, CA, United States

A design for a lightweight, low-cryogen, head-only 7T MRI system was completed with its construction underway. This new 7T system is a dedicated brain scanner with 140 mT/m and 820 T/m/s gradients and weighs about 8 tons with 18 liters of liquid helium. The fringe field is similar to the 5 Gauss limits of a clinical whole-body 3T MRI scanner.

0562
16:00
Design and Development of a Next-Generation 7T human brain scanner with high-performance gradient coil and dense RF arrays.
David A Feinberg1,2,3, Peter Dietz4, Chunlei Liu1,5, Kawin Setsompop6, Pratik Mukherjee7,8, Lawrence L Wald9,10,11, An T Vu7,8, Alexander JS Beckett1,2, Ignacio Gonzalez Insua4, Martin Schröder4, Stefan Stocker4, Paul H Bell12, Elmar Rummert4, and Mathias Davids9,10,13

1Helen Wills Neuroscience Institute, University of California, Berkeley, CA, United States, 2Advanced MRI Technologies, Sebastopol, CA, United States, 3Department of Cognitive Neuroscience, Maastricht University, Maastricht, Netherlands, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, United States, 6Radiological Sciences Laboratory, Stanford University, Stanford, CA, United States, 7Radiology, University of California, San Francisco, CA, United States, 8San Francisco Veteran Affairs Health Care System, San Francisco, CA, United States, 9A.A. Martinos Center for Biomedical Imaging, Dept. of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 10Harvard Medical School, Boston, MA, United States, 11Harvard-MIT Division of Health Sciences Technology, Cambridge, MA, United States, 12Siemens Medical Solutions USA, Inc, Cary, NC, United States, 13Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany

A Next-Generation 7T MRI scanner was designed to achieve higher performance in human brain imaging for the NIH BRAIN Initiative. The new 7T scanner introduces several innovative hardware designs including a PNS optimized asymmetric head gradient coil (Siemens Healthcare, Erlangen, Germany) with Gmax 200mT/m and Smax 900T/m/s. The scanner also includes 128-channel RF receiver and 16-channel transmit systems for all-in-one cumulative gains in performance. The resulting higher spatial resolution, sensitivity and image acceleration will enable in-vivo whole-brain mesoscale research on cortical layer and columnar circuitry and other brain structures.

0563
16:00
Towards 8ch multi transmit with high power ultrasonic spirals and 72ch receive setup for ultimate spatial encoding at 7T
Dimitri Welting1, Edwin Versteeg1, Ingmar Voogt2, Joost van Straalen3, Martijn Heintges3, Marco Rietveld3, Jeroen C.W. Siero1,4, and Dennis W.J. Klomp1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Wavetronica, Utrecht, Netherlands, 3Prodive Technologies, Son, Netherlands, 4Spinoza Centre for Neuroimaging Amsterdam, Amsterdam, Netherlands

Here we propose a setup to boost spatiotemporal encoding for fMRI in the human brain using high dense receiver arrays (72ch) and fast gradients (6000T/m/s). Moreover, we demonstrate that the operation frequency of a high-end gradient amplifier can be increased to ultrasonic frequencies so to avoid unpleasant acoustic noise. By using this amplifier with 8 transceivers, 64 receivers and a 2-axis cooled gradient coil, a light weight setup is constructed for operation in a 7 Tesla MRI system for fMRI experiments in the human brain.

0564
16:00
In vivo Two-photon Magnetic Resonance Imaging of Human Brain at 3T
Jianshu Chi1, Victor Han1, and Chunlei Liu1,2

1Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States, 2Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley, CA, United States

We are exploring in vivo brain imaging with two-photon excitation on a 3T scanner. To do that, we built a customized coil that is large enough to fit a standard birdcage transceiver coil inside of it. The resulting two-photon gradient-echo brain images excited using a 25.5 kHz z-axis RF were overall similar to standard single-photon images with equivalent parameters. Interestingly, we observed some slight differences in tissue contrast whose cause are being investigated.

0565
16:00
PNS optimization of a high-performance asymmetric gradient coil for head imaging
Mathias Davids1,2,3, Peter Dietz4, Gudrun Ruyters4, Manuela Roesler4, Valerie Klein1,3, Bastien Guerin1,2, David A Feinberg5,6, and Lawrence L Wald1,2,7

1Martinos Center for Biomedical Imaging, Boston, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 4Siemens Healthineers, Erlangen, Germany, 5Advanced MRI Technologies, Sebastopol, CA, United States, 6Brain Imaging Center and Helen Wills Neuroscience Institute, University of California, Berkeley, CA, United States, 7Harvard-MIT, Division of Health Sciences and Technology, Cambridge, MA, United States

PNS modeling was utilized during the design stage of a high-strength (Gmax = 200mT/m, Smax = 900 T/m/s) head gradient for 7T fMRI research. The design-stage preview of PNS thresholds and locations allowed alteration of the winding pattern to balance head and body stimulation. This process yielded significantly improved PNS thresholds and increased usability of the coil performance space. The results were validated using PNS experiments in a constructed coil.

0566
16:00
Wireless Body Sensor Data Acquisition Platform for Motion Tracking
Leanna Pancoast1,2, Douglas Brantner1,2, Roy Wiggins1,2, Jerzy Walczyk1,2, and Ryan Brown1,2

1Center for Biomedical Imaging, NYU Grossman School of Medicine, New York City, NY, United States, 2Center for Advanced Imaging Innovation and Research, NYU Grossman School of Medicine, New York City, NY, United States

The temporal resolution in MRI can be too slow to track respiratory or bulk subject motion. Auxiliary sensors have been developed to track motion with high temporal resolution, but can require cumbersome cabling. In this work, we describe an MRI-compatible wireless accelerometer data acquisition platform and demonstrate proof-of-concept by correlating respiratory motion data with independent, ground-truth optical measurements.

0567
16:00
Head Motion Tracking using an EEG-system and Retrospective Correction of High-Resolution T1-weighted MRI
Malte Laustsen1,2,3, Mads Andersen4, Rong Xue3,5,6, Kristoffer H. Madsen2,7, and Lars G. Hanson1,2

1Section for Magnetic Resonance, DTU Health Tech, Technical University of Denmark, Kgs. Lyngby, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark, 3Sino-Danish Center, University of Chinese Academy of Sciences, Beijing, China, 4Philips Healthcare, Copenhagen, Denmark, 5State Key Laboratory of Brain and Cognitive Science, Beijing MR Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, 6Beijing Institute for Brain Disorders, Beijing, China, 7DTU Compute, Technical University of Denmark, Kgs. Lyngby, Denmark

Tracking and retrospective correction of high-resolution structural 3D-GRE images is accomplished with a slightly modified EEG cap and sampling system. Carbon wire loops added to the EEG cap allow for motion tracking using gradient-induced signals from native sequence elements, without the need for sequence modification, or electrode-skin contact, while requiring only a short calibration scan, and mounting of the cap. The motion estimates closely resemble estimates from interleaved navigators (mean absolute difference: [0.13,0.33,0.12]mm, [0.28,0.15,0.22]deg). Retrospective correction using carbon wire loops yield similar improvements to Average Edge Strength (12%) for images with instructed movement, and does not degrade images without motion.

0568
16:00
Beat Pilot Tone: Exploiting Preamplifier Intermodulation of UHF/SHF RF for Improved Motion Sensitivity over Pilot Tone Navigators
Suma Anand1 and Michael Lustig1

1Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States

Pilot Tone (PT) navigators are tones within the MR receiver bandwidth that are used to estimate subject motion. Unfortunately, PTs are bound to the Larmor frequency with a wavelength of 1-4.7m (7T to 1.5T), limiting their sensitivity to motion. We propose a new approach, Beat Pilot Tone (BPT), which overcomes this limitation using second order intermodulation in MR coil preamplifiers (preamps). Any two tones separated by the desired PT frequency are mixed at the preamp and digitized by the receiver. We demonstrate our approach at 2.4GHz, obtaining improved sensitivity (20x) compared to PT without reduction of image SNR.


Oral

Functional Connectivity Across Species

Concurrent 3
Wednesday 16:00 - 18:00
Moderators: Pinar Ozbay & Suzanne T Witt
Parent Session: Functional Connectivity Across Species
0569
16:00
Whole-brain vascular connectome: a new approach to investigate the functional brain networks using large-scale angioarchitecture
Michael Bernier1,2, Jingyuan E Chen1,2, Olivia Viessmann1,2, Nina E Fultz1,3, Maxime Chamberland4, Rebecca K Leaf5, Lawrence L Wald1,2,6, and Jonathan R Polimeni1,2,6

1Department of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States, 2Radiology, Harvard Medical School, Boston, MA, United States, 3Department of Engineering, University of Boston, Boston, MA, United States, 4Cardiff University Brain Research Imaging Centre (CUBRIC), Cardiff, United Kingdom, 5Division of Hematology, Massachusetts General Hospital, Boston, MA, United States, 6Division of Health Sciences and Technology, Massachusetts Institute of Technology, Boston, MA, United States

Blood vessels influence nearby fMRI signals, and patterns of vascular anatomy partly shape the patterns of the BOLD response. To better understand the relationship between large-scale brain networks and vascular anatomy, here we developed an approach for estimating the topology of the vascular network and quantifying how vessel pathways connect between brain regions. We used a blood-pool contrast agent to enhance the vessels, and developed a new method for vessel tracking similar to what is conventionally used to estimate structural connectivity in diffusion MRI. We demonstrate an application this framework by estimating vascular connectivity matrices for the human brain.

0570
16:00
Functional connectome of autonomic, limbic, nociceptive, and sensory brainstem nuclei using 7 Tesla resting-state fMRI in living humans
Simone Cauzzo1,2, Kavita Singh2, Matthew Stauder2, Maria Guadalupe Garcia Gomar2, Nicola Vanello3, Claudio Passino1,4, Jeffrey Staab5,6, Iole Indovina7,8, and Marta Bianciardi2

1Life Sciences Institute, Sant'Anna School of Advanced Studies, Pisa, Italy, 2Brainstem Imaging Laboratory, Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States, 3Dipartimento di Ingegneria dell’Informazione, University of Pisa, Pisa, Italy, 4Fondazione Toscana Gabriele Monasterio, Pisa, Italy, 5Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States, 6Department of Otorhinolaryngology – Head and Neck Surgery, Mayo Clinic, Rochester, MN, United States, 7Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy, 8Laboratory of Neuromotor Physiology, IRCCS Santa Lucia Foundation, Roma, Italy

With the goal of bridging the gap between cortical and subcortical (e.g. brainstem) functional connectomes and of defining a baseline for clinical studies, we computed the resting-state functional connectivity maps of 15 brainstem nuclei involved in central autonomic, limbic, nociceptive and sensory functions. We used images acquired with 7 Tesla MRI on a group of 20 healthy subjects and a recently generated probabilistic atlas of brainstem nuclei. We obtained highly significant and stable links with a good overlap with the literature. Our results also provide favorable results on the translatability of our brainstem connectome approach to conventional 3 Tesla data-sets.

0571
16:00
Salience network modulation leads a sequence of brain activity that causes resting-state fMRI correlations with EEG and physiological signals
Yameng Gu1, Feng Han1, Lucas Eugene Sainburg1, and Xiao Liu1

1Pennsylvania State Universitya, University Park, PA, United States

Correlations of resting-state fMRI (rsfMRI) with various neural and physiological signals have been observed and interpreted as distinct sources of contributions. Here, we found these rsfMRI-EEG and rsfMRI-physio correlations are similarly characterized by distinct network patterns at different time lags. A similar sequence of fMRI changes led by the salience network modulation is found in resting-state fMRI signals, and removing this sequence significantly diminished the rsfMRI-EEG and rsfMRI-physiology correlations. The results suggest that the rsfMRI correlations with the EEG alpha power and physiological signals originate from a sequence of brain dynamics led by salience network changes. 

0572
16:00
Resting-state fMRI Predicts Task Activation Patterns Using a Graph Convolutional Network
Zhangxuan Hu1,2, Hua Guo2, Lihong Wang3, Bing Wu1, and Xue Zhang4

1GE Healthcare, MR Research China, Beijing, China, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, 3Department of Psychiatry, University of Connecticut School of Medicine, Farmington, MI, United States, 4Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States

Resting-state fMRI has the clinical potential as diagnostic and prognostic markers because of its easy implementation/standardization in data acquisitions, and its ability to parcellate functionally connected neural networks. It is of importance to examine whether the task-free spontaneous activity could be used to predict individuals’ task-induced activation. Here we proposed a graph convolutional network-based framework which utilized the information of the brain connections for the convolution step, and showed the ability of using resting-state fMRI to predict individual differences in activations of tasks from human connectome project. This framework could be extended to other resting-state fMRI researches.

0573
16:00
Evolutionary gap of the default mode network organization between non-hominid primates and humans
Clément M. Garin1, Yuki Hori2, Stefan Everling 2,3, Christopher T. Whitlow 4, Finnegan J. Calabro 5, Beatriz Luna5, Marc Dhenain 6,7, and Christos Constantinidis 1,8

1Neurobiology and Anatomy, Wake Forest University, Winston Salem, NC, United States, 2Centre for Functional and Metabolic Mapping, Robarts Research Institute, University of Western Ontario, London, ON, Canada, 3Department of Physiology and Pharmacology, The University of Western Ontario, London, ON, Canada, 4Department of Radiology, Section of Neuroradiology, Wake Forest University, Winston Salem, NC, United States, 5Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States, 6Neurodegenerative Diseases Laboratory, Centre National de la Recherche Scientifique (CNRS), Université Paris-Sud, Université Paris-Saclay UMR 9199, Fontenay-aux-Roses, France, 7Commissariat à l’Energie Atomique et aux Energies Alternatives (CEA), Direction de la Recherche Fondamentale (DRF), Institut François Jacob, MIRCen, Fontenay-aux-Roses, France, 8Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

We performed cross-species comparison to determine how the human default mode network (DMN) connectivity pattern compares to non-hominid primates. We characterized and compared the resting-state network functional organisation in humans, macaques, marmosets, and mouse lemurs using functional and anatomical atlases. We found decreased engagement of mPFC (medial prefrontal cortex) in all non-hominid primates “DMN-like” compared to humans. Another network involving mPFC was identified in all non-hominid primates but not in humans. Altogether, our results show that high order networks often assumed to be shared across primates diverge considerably between non-hominid species and humans.

0574
16:00
Evolutionarily conserved fMRI network dynamics in the human, macaque and mouse brain
Daniel Gutierrez-Barragan1, Stefano Panzeri2, Ting Xu3, and Alessandro Gozzi1

1Functional Neuroimaging Laboratory,, Istituto Italiano di Tecnologia, CNCS, Rovereto, Italy, 2Neural Computation Laboratory, Istituto Italiano di Tecnologia, CNCS, Rovereto, Italy, 3Center for the Developing Brain, Child Mind Institute, New York, NY, United States

Recent work revealed that resting-state fMRI (rsfMRI) network dynamics in the mouse brain governed by infraslow transitions between a limited set of recurring BOLD co-activation patterns. Here we extend these findings to the macaque and awake human brain, showing that in both these higher mammalian species rsfMRI timeseries can be similarly deconstructed into a set of oscillatory coactivation patterns, whose occurrence is phase-locked to intrinsic global fMRI Signal (GS) fluctuations. Our results reveal a fundamental, evolutionarily conserved spatiotemporal structure of resting-state fMRI activity.

0575
16:00
Power and Frequency Fluctuations of Gastric Electrical Activity Modulate fMRI Activity in Rat Brains
Jiayue (Cherry) Cao1, Xiaokai Wang1, Yizhen Zhang2, and Zhongming Liu1,2

1Biomedical Engineering, University of Michigan, ANN ARBOR, MI, United States, 2Electrical Engineering and Computer Science, University of Michigan, ANN ARBOR, MI, United States

The stomach-brain interaction is critical for regulating gastric function. Prior studies suggest that the  brain maintains a slow rhythm coupled to the gastric slow wave – a rhythmic activity that paces the stomach. Here, we find a brain network encodes the frequency and power fluctuations of gastric rhythms in the resting state. Rhythmic activity of the stomach primarily engages the NTS-insula-somatosensory network. Dysrhythmic activities, such as bradygastria and tachygastria engage additional regions in the anterior cingulate cortex, prelimbic cortex, and infralimbic cortex. The alternation of dysrhythmic and pace-making activity in the stomach causes activity fluctuations across a central gastric network.

0576
16:00
Identifying functional correlations between lateral hypothalamus and cingulate cortex underlying brain state-dependent pupil dynamics
Kengo Takahashi1,2, Filip Sobczak1,2, Patricia Pais-Roldán3, and Xin Yu1,4

1High-field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Graduate Training Centre of Neuroscience, Tübingen, Germany, 3Institute of Neuroscience and Medicine (INM-4), Forschungszentrum Jülich, Jülich, Germany, 4Athinoula A. Martinos Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States

The lateral hypothalamus (LH) is known to mediate different vigilance states and modulate pupil dilation through various neural populations. However, measuring subcortical neuronal activity non-invasively while assessing the brain state has remained challenging. Recently, it has been shown that the coupling between fMRI brain signals and pupil size fluctuations depends on the underlying brain state. In this work, we suggest that the synchronization of LH fMRI signals with pupil fluctuations may indicate modulation of the vigilance level of the brain. 

0577
16:00
Resonant oscillatory modes in rat cortical activity revealed by ultra-fast fMRI
Joana Cabral1,2, Francisca F. Fernandes1, and Noam Shemesh1

1Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal, 2Life and Health Sciences Research Institute, University of Minho, Braga, Portugal

We provide evidence of the oscillatory nature of spontaneous BOLD signal fluctuations by performing a spectral analysis of fMRI signals recorded at unprecedented time resolution (TR = 38 ms) from a frontal brain slice of sedated and anesthetized rats. Oscillations peaking between 0.03 Hz and 0.25 Hz are detected in the cortex under sedation, drastically decreasing in power with deep anaesthesia. Notably, the power of BOLD signal oscillations is modulated in space and time, synchronizing in phase across distant bilateral brain areas, providing insights into the mechanisms underlying resting-state functional connectivity.

0578
16:00
Inhibitory Thalamic Reticular Nucleus Drives Frequency Specific Brain-wide Responses
Xunda Wang1,2, Alex T. L. Leong1,2, Eddie C. Wong1,2, Teng Ma1,2,3, Pit Shan Chong4, Chi Him Poon4, Pek-Lan Khong3, Lee-Wei Lim4, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong SAR, China, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong SAR, China, 3Department of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China, 4School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China

Thalamic inhibition from thalamic reticular nucleus has been shown to provide critical gating upon thalamo-cortical interactions and exert selective modulation on information processing according to behavioral demands. However, where and how thalamic reticular nucleus exerts control of brain-wide neural activities over different spatial and temporal scales remained unclear. In this study, we demonstrate for the first time the frequency specific brain-wide responses driven by inhibitory somatosensory thalamic reticular nucleus using optogenetic fMRI. Such frequency specific engagements of brain-wide neural activities could underlie selective modulation of local circuits versus global networks in different brain functions. 


Oral

Muscle MRI

Concurrent 4
Wednesday 16:00 - 18:00
Moderators: Pierre Carlier & Erin Englund
Parent Session: Muscle MRI
0579
16:00
Diffusion MRI Fiber Diameter for Muscle Denervation Assessment
Ek T Tan1, Kelly C Zochowski1, Kenneth Serrano1, and Darryl B Sneag1

1Radiology and Imaging, Hospital for Special Surgery, New York, NY, United States

Diffusion imaging may provide intracellular muscle denervation characterization complimentary to T2- and fat fraction (FF) mapping. Non-invasive muscle diameter assessment was performed using multi-shell diffusion MRI with a cylindrical model. The apparent fiber diameter (AFD) was obtained using a dictionary method mapping restricted and free fractions to AFD. 16 subjects with suspected muscle denervation involving the brachial plexus and 4 healthy control subjects were imaged. The denervated AFD was smaller than non-denervated and healthy controls by 11 µm and 23 µm respectively. AFD in healthy controls were 67-101 µm, which compare well against histology values from the literature (50-90 µm).

0580
16:00
On the reconstruction of MR-fingerprinting with water and fat separation for quantitative skeletal muscle imaging
Benjamin Marty1,2, Fabian Balsiger3, Pierre-Yves Baudin1,2, Lopez Alfredo1,2, Ericky CA Araujo1,2, and Harmen Reyngoudt1,2

1Neuromuscular Investigation Center, NMR Laboratory, Institute of Myology, Paris, France, 2NMR Laboratory, CEA, DRF, IBFJ, MIRCen, Paris, France, 3Support Center for Advanced Neuroimaging, Institute for Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

Our objective was to determine the influence of the reconstruction parameters on fat fraction and water T1 estimated in the skeletal muscle using MR fingerprinting with water and fat separation, to propose an optimized reconstruction procedure maximizing the accuracy and precision of the MRI variables, and evaluate it on in vivo data. We show that aliasing artefacts generate a bias in the estimates that could be mitigated by introducing a simple correction factor. Then, the accuracy and precision were improved by reconstructing the frames using a single radial spoke, and by using 10 SVD components for dictionary matching.

0581
16:00
4D Phase Contrast MRI detects heterogeneous strain rate patterns along the length of the Tibialis Anterior muscle during dynamic contractions
Thom T. J. Veeger1, Gustav J. Strijkers2, Valentina Mazzoli3, Hans C. van Assen1, Jurriaan H. de Groot4, Lukas M. Gottwald5, Aart J. Nederveen5, Hermien E. Kan1,6, and Melissa T. Hooijmans2

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Biomedical Engineering & Physics, Amsterdam Movement Sciences, Amsterdam University Medical Center, Location AMC, Amsterdam, Netherlands, 3Radiology, Stanford University, Stanford, CA, United States, 4Rehabilitation Medicine, Leiden University Medical Center, Leiden, Netherlands, 5Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam University Medical Center, Location AMC, Amsterdam, Netherlands, 6Duchenne Center Netherlands, Veenendaal, Netherlands

We assessed strain rate distributions within the Tibialis Anterior muscle by acquiring whole lower leg 4D PC-MRI during dynamic exercise, with and without load. Our data revealed a spatially heterogeneous strain rate pattern along the length of the Tibialis Anterior muscle during movement cycle. During dorsiflexion, the smallest negative strain rates were observed (in first approximation) along the fiber in the most proximal segment and the largest positive strain rates (in first approximation) across the fiber in the most distal segment, while plantarflexion showed the expected opposite. No effect of load was detected on strain rates.

0582
16:00
Characterization of cross-relaxation in human skeletal muscle using downfield 1H MRS at 7T
Sophia Swago1, Abigail Cember2, Brianna Moon1, Puneet Bagga3, Neil Wilson4, Mark A. Elliott2, Hari Hariharan2, Ravinder Reddy2, and Walter Witschey2

1Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 3St. Jude Children's Research Hospital, Memphis, TN, United States, 4Siemens Medical Solutions USA Inc, Malven, PA, United States

Water suppression limits the detection of non-labile proton downfield resonances in 1H magnetic resonance spectroscopy (MRS) due to cross-relaxation with water, and the cross-relaxation properties of these resonances has yet to be quantified in human skeletal muscle. We use spectrally-selective excitation in an inversion recovery experiment to compare the apparent T1 relaxation time of downfield resonances in skeletal muscle under selective and nonselective inversion conditions at 7T. Nonselective inversion significantly prolongs the longitudinal relaxation rate of resonances found 8.0, 8.2, and 8.5 ppm. This change is larger for the resonances at 8.2 and 8.5 ppm, indicating a stronger cross-relaxation effect.

0583
16:00
Decreased muscular perfusion in dermatomyositis: initial results detected by Inflow-based vascular-space-occupancy MR imaging
Yuankui Wu1, Xiaomin Liu1, Jun Hua2,3, Xiaodan Li1, Haimei Cao1, Yingjie Mei4, and Yikai Xu1

1Department of Medical Imaging, Nanfang Hospital, Southern Medical University, Guangzhou, China, 2Neurosection, Division of MRI Research, Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Philips healthcare, Guangzhou, China

Dermatomyositis (DM) is a chronic autoimmune microangiopathy. Accurate quantification of muscular microcirculation can assist in early diagnosis and improve clinical outcomes. Inflow-based vascular-space-occupancy (iVASO) is a novel perfusion technique without the need for exogenous contrast agents. This study aimed to determine the potential diagnostic value of iVASO-MRI for patients with DM. The results showed decreased arteriolar muscular blood volume (MBVa) in DM patients, which worsens with the progression of disease, and the diminished MBVa in morphologically-normal appearing muscles. This suggests that iVASO-derived MBVa has the potential to be used as a biomarker for early diagnosis of DM.

0584
16:00
Spontaneous Muscular Activities and Estimating their Influence on Derived Diffusion Tensor Parameters
Martin Schwartz1,2, Petros Martirosian1, Günter Steidle1, Bin Yang2, and Fritz Schick1

1Section on Experimental Radiology, University Hospital of Tuebingen, Tuebingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany

Estimation of diffusion tensor parameters in healthy subjects and patients suffering from neuromuscular disease can be markedly affected by a high rate of spontaneous muscular activities during the MR examination. Therefore, a concept for realistic simulation of spontaneous muscular activities in diffusion tensor imaging and the estimation of their influence on derived parameters is given in this work. The degradation of the derived parameters depends strongly on the robustness of the chosen approach for tensor estimation.

0585
16:00
Quantitative muscle MRI in monitoring disease progression and nusinersen treatment effects in spinal muscular atrophy
Louise Otto1, Martijn Froeling2, Ruben van Eijk1,3, Renske Wadman1, Inge Cuppen4, Danny van der Woude5, Bart Bartels5, Fay-Lynn Asselman1, Jeroen Hendrikse2, and Ludo van der Pol1

1Department of Neurology, UMC Utrecht Brain Center, University Medical Center, Utrecht, Utrecht, Netherlands, 2Department of Radiology, University Medical Center Utrecht, the Netherlands, Utrecht, Netherlands, 3Biostatistics & Research Support, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands, 4Department of Neurology and Child Neurology, UMC Utrecht Brain Center, University Medical Center, Utrecht, Utrecht, Netherlands, 5Department of Child Development and Exercise Center, University Medical Center Utrecht, the Netherlands, Utrecht, Netherlands

Quantitative MRI of muscles allows to measure disease progression or to assess therapeutic effects in neuromuscular diseases. We executed two studies on patients with spinal muscular atrophy, treated and untreated, with a protocol consisting of DIXON, T2 mapping and DTI on a 3T MR scanner. In treatment-naïve adult patients we demonstrated that qMRI was able to measure subclinical disease progression. In young children with SMA, quantitative MR parameters of the DIXON and DTI sequence showed ongoing fatty infiltration and normalization of thigh muscle microstructure during the first year of nusinersen treatment.

0586
16:00
Multimodal MR Assessment of Skeletal Muscle in Patients with Chronic Kidney Disease and Dialysis
Can Wu1,2, Qi Peng3, William Paredes4, Moriel Vandsburger5, and Matthew K. Abramowitz4

1Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Philips Healthcare, Andover, MA, United States, 3Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, United States, 4Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, United States, 5Department of Bioengineering, University of California, Berkeley, Berkeley, CA, United States

Chronic kidney disease (CKD) is associated with reduced skeletal muscle mass, strength, and function, but a quantitative approach to systematically assess changes in skeletal muscle is lacking. The purpose of this study was to develop a multimodal MR method for quantitative assessment of skeletal muscle in patients with CKD compared to normal controls. The study revealed significant changes of T1ρ, intra- and extra-myocellular lipid ratio, ADC, and FA in CKD or dialysis patients. In addition, there was significant correlation between T1ρ and DTI biomarkers. These findings may provide new insights into the impaired skeletal muscle function in CKD patients.

0587
16:00
The muscle twitch profile assessed with Motor Unit Magnetic Resonance Imaging (MUMRI)
Linda Heskamp1, Matthew Birkbeck1,2,3, Roger Whittaker1, Ian Schofield1, and Andrew Blamire1

1Newcastle University Translational and Clinical Research Institute (NUTCRI), Newcastle University, Newcastle upon Tyne, United Kingdom, 2Newcastle Biomedical Research Centre, Newcastle University, Newcastle upon Tyne, United Kingdom, 3Northern Medical Physics and Clinical Engineering, Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, United Kingdom

Motor units (MUs) play a fundamental role in muscle physiology and disease. Contraction of muscle fibres belonging to a MU induces signal voids on diffusion weighted (DW) images enabling us to image these MUs (MUMRI). We demonstrated that MUMRI can also extract the twitch profile of single MUs. Computational modelling showed that the attenuation of net magnetisation and the cumulative phase changes increase with twitch magnitude. Therefore, we can measure the MU time profile by altering the timing of electrical nerve stimulation relative to the diffusion-encoding gradients. We applied this experimentally and measured in-vivo contraction times of human MUs.

0588
16:00
Quantitative muscle-MRI correlates with histopathology in skeletal muscle biopsies – a pilot study
Lara Schlaffke1, Robert Rehmann1, Anja Schreiner1, Marlena Rohm1, Johannes Forsting1, Martijn Froeling2, Martin Tegenthoff1, Matthias Vorgerd1, and Anne-Katrin Güttsches1

1Neurology, University Clinic Bergmannsheil Bochum gGmbH, Bochum, Germany, 2Radiology, UMC Utrecht, Utrecht, Netherlands

Skeletal muscle biopsy is the gold-standard in the diagnosis of inflammatory and hereditary muscle disorders. Ten patients who underwent muscle biopsy for diagnostic purposes were examined by qMRI (Fat-fraction, water T2-time and diffusion). The fat fraction, the severity of degenerative and inflammatory parameters and the amount of type 1/2-fibers were determined in all samples. The amount of fat tissue correlated significantly between histopathology and qMRI. EPG Water T2-time correlated with the in the histopathologic analysis. The study provides the basis for qMRI methods in the follow up of patients with neuromuscular disorders, especially in the context of emerging treatment strategies.


Oral

Lung

Concurrent 5
Wednesday 16:00 - 18:00
Moderators: Anne Slawig & Jason Woods
Parent Session: Lung
0589
16:00
Regional Changes in Ventilation Following Bronchodilation in COPD Are Not Associated With Improved Gas Exchange on Xenon-129 MRI
David Mummy1, Erika Coleman2, Ziyi Wang3, Elianna Bier3, Junlan Lu4, Bastiaan Driehuys1,3,4, and Yuh-Chin Huang2

1Radiology, Duke University, Durham, NC, United States, 2Medicine, Duke University, Durham, NC, United States, 3Biomedical Engineering, Duke University, Durham, NC, United States, 4Medical Physics, Duke University, Durham, NC, United States

Hyperpolarized 129Xe MRI images acquired pre/post-bronchodilator treatment in COPD (N=17) provide a new means of evaluating gas evaluating gas exchange in regions of new, existing, and lost ventilation. Here we demonstrate via longitudinal image registration that, despite improvements in FEV1 and regional ventilation following treatment, no changes in region-based measures of 129Xe barrier or RBC signal were observed. This suggests the presence of persistent vascular abnormalities in COPD that are not addressed by bronchodilation.

0590
16:00
19F-MRI of inhaled perfluoropropane in patients with asthma and patients with COPD pre- and post-bronchodilator therapy
Mary A. Neal1, Benjamin J. Pippard1,2, Ian Forrest3, Rod A. Lawson4, Holly F. Fisher5, John N. S. Matthews5, Kieren G. Hollingsworth1,2, A. John Simpson1, Jim M. Wild6, and Peter E. Thelwall1,2

1Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom, 2Newcastle Magnetic Resonance Centre, Newcastle University, Newcastle upon Tyne, United Kingdom, 3Respiratory Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 4Respiratory Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom, 5Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom, 6POLARIS, Department of IICD, University of Sheffield, Sheffield, United Kingdom

19F-MRI of inhaled perfluoropropane can be used for assessment of pulmonary ventilation. Static breath hold 19F-MR images were acquired pre- and post-bronchodilator following inhalation of a perfluoropropane/oxygen gas mixture in patients with asthma and patients with chronic obstructive pulmonary disease (COPD). Percentage ventilated lung volume (%VV) was calculated from each of the 19F-MR images. %VV was significantly reduced in both patient groups, and between pre- and post-bronchodilator acquisitions in the asthmatic patient group. A strong positive correlation between %VV and spirometric indices was revealed. Gas inhalations were well tolerated by all participants, with no adverse events.

0591
16:00
Response of Hyperpolarized 129Xe MRI measures of ventilation and gas-exchange to anti-fibrotic treatment in Idiopathic Pulmonary Fibrosis
Andrew D Hahn1, Katie J Carey1,2, Nathan D Sandbo3, Jeff Kammermann1, Robert V Cadman3, David G Mummy4, Mark L Schiebler1,2, Amy Malik3, and Sean B Fain1,2,5

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, Madison, WI, United States, 3Medicine, University of Wisconsin - Madison, Madison, WI, United States, 4Radiology, Duke University, Durham, NC, United States, 5Biomedical Engineering, University of Wisconsin - Madison, Madison, WI, United States

Predicting outcomes and monitoring longitudinal treatment response in IPF is unreliable using currently available clinical biomarkers.  We investigate associations between hyperpolarized 129Xe MRI biomarkers of ventilation and gas exchange and treatment with anti-fibrotic medication in IPF patients over a 1-year period.  Anti-fibrotic treatment was associated with improved ventilation and gas exchange, relative to no anti-fibrotic treatment, after 1 year.  Within-patient improvements in gas exchange were significantly larger in patients treated with anti-fibrotic medications.  No longitudinal associations were found between anti-fibrotic treatment and spirometry, suggesting the imaging biomarkers may be more useful for monitoring anti-fibrotic treatment response in IPF.

0592
16:00
Monitoring Patients with Endobronchial Valve Interventions Using a Multifaceted Hyperpolarized Xenon Lung Function Assessment
Hooman Hamedani1, Stephen Kadlecek1, Faraz Amzajerdian1, Ryan Baron1, Kai Ruppert1, Ian Duncan1, Luis Loza1, Tahmina Achekzai1, Maurizio Cereda1, and Rahim R. Rizi2

1University of Pennsylvania, Philadelphia, PA, United States, 2Radiology, University of Pennsylvania, Philadelphia, PA, United States

Here, we present an approach for comprehensively assessing the lung’s response to an intervention. Using our multi-breath approach during tidal breathing, we evaluated whether after a Treatment with Zephyr Endobronchial Valves, ventilation is successfully redistributed to the healthier lung, and whether this shift in ventilation can effectively improve gas exchange in non-targeted lobes. We showed gas exchange was more than doubled in the upper left lobe, exceeding the modest ventilation increase observed after occlusion of the LL lobe, likely indicating dramatically improved Q. Notably, right lung function was also improved, perhaps due to normalized breathing mechanics. 

0593
16:00
Registration on different lung volumes and its influence on ventilation and perfusion parameters derived by phase-resolved functional lung MRI
Filip Klimeš1,2, Andreas Voskrebenzev1,2, Lea Behrendt1,2, Marcel Gutberlet1,2, Gesa Helen Pöhler1,2, Till Frederik Kaireit1,2, Cristian Crisosto1,2, Frank Wacker1,2, and Jens Vogel-Claussen1,2

1Institute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), German Centre for Lung Research (DZL), Hannover, Germany

Correction of lung motion is a mandatory step for the voxel-wise signal analysis of Fourier Decomposion (FD) based methods, such as phase-resolved functional lung (PREFUL) MRI. Usually, all images are registered towards one fixed image in intermediate lung position. In this work, a group oriented registration approach with three different target images (expiration, middle, inspiration) was tested and the influence on functional parameters derived by PREFUL was evaluated in 41 study participants. While small significant differences were observed, high absolute agreement of all functional ventilation and perfusion parameters was found indenpedent on the chosen target volume.

0594
16:00
M0 and T1 mapping for differentiation of perfusion defects in patients with CTEPH and CTED.
Laura Saunders1, Paul J. C. Hughes1, Dave Capener1, David G Kiely1,2, Jim M Wild1, and Andy J Swift1

1Infection Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, United Kingdom, 2Sheffield Pulmonary Vascular Disease Unit, Sheffield, United Kingdom

Identifying the cause of lung perfusion defects is vital for chronic thromboembolic pulmonary hypertension (CTEPH) or chronic thromboembolic disease (CTED) diagnosis. 30 patients with suspected CTEPH underwent Look-Locker M0 and T1 mapping, 16/30 were diagnosed with CTEPH or CTED. Co-registered peak perfusion maps were used to identify perfusion defects. T1 was significantly lower in perfusion defects in all patients. Patients with CTEPH or CTED had significantly lower M0 in non-perfused lung, whereas control patients did not have significantly differences between perfused and non-perfused lung. Lung M0 maps may allow differentiation of perfusion defects in patients with CTEPH/CTED from other patients.

0595
16:00
One-year follow-up of functional lung MRI in children with cystic fibrosis
Corin Willers1, Lukas Maager1, Bettina S. Frauchiger1, Kathryn Ramsey1, Grzegorz Bauman2,3, Orso Pusterla2,3, Oliver Bieri2,3, and Philipp Latzin1

1Division of Pediatric Respiratory Medicine, Department of Pediatrics,, Inselspital, Bern University Hospital, University of Bern, Switzerland, Bern, Switzerland, 2Division of Radiological Physics, Department of Radiology, University of Basel Hospital Basel, Basel, Switzerland, Basel, Switzerland, 3Department of Biomedical Engineering, University of Basel, Basel, Switzerland, Basel, Switzerland

Matrix Pencil MRI in cystic fibrosis is a sensitive and promising technique to monitor progression of lung disease, and is especially well-suited for children. In this work, we investigate the agreement between changes in functional lung MRI and in lung function tests during a 1-year follow-up period. We demonstrate the benefit of imaging to interpret changes in lung function correctly.

0596
16:00
Optimized 3D spiral ultra-short echo time free-breathing pulmonary imaging on a high-performance low-field 0.55T scanner
Ahsan Javed1, Rajiv Ramasawmy1, Joel Moss2, Waqas Majeed3, Pan Su3, Thomas Benkert4, Himanshu Bhat3, and Adrienne E Campbell-Washburn5

1Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 2Pulmonary Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 3Siemens Medical Solutions USA Inc., Malvern, PA, United States, 4Siemens Healthcare GmbH, Erlangen, Germany, 5Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institute of Health, Bethesda, MD, United States

Low signal in the lung parenchyma, and reduced signal-to-noise at 0.55T makes high resolution lung imaging challenging. SNR can be improved by using longer spiral readouts. However, these readouts are susceptible to artifacts from trajectory errors, and blurring from concomitant fields which are amplified at lower field strengths. Here we present an optimized self-gated, ultra-short echo time, stack-of-spirals acquisition which leverages inline corrections for trajectory imperfections, measurement drift, and concomitant fields to enable robust high resolution lung imaging on low field scanners. We also demonstrate the improvement in image quality in patients with lung nodules and Lymphangioleiomyomatosis (LAM).

0597
16:00
Intensity Based Visualization of Pulmonary Function Using Time to Peak and Full Width at Half Max Biomarkers on Ultrashort Echo Time (UTE) MRI
Darren Hsu1, Fei Tan2, Michael Lustig3, and Peder E. Z. Larson4

1Department of Computer Science, University of California, Berkeley, Berkeley, CA, United States, 2Department of Bioengineering, University of California, Berkeley - University of California, San Francisco, San Francisco, CA, United States, 3Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States, 4Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

The visualization of respiratory inhalation-exhalation cycles are applied to pulmonary MR images. Using 3D UTE phase resolved MR Images, respiratory phases were reconstructed from free breathing images. Applying signal intensity based methods, biomarker metrics such as time to signal intensity peak (TTP) or full width at half maximum (FWHM) intensity are extracted from the image. The resulting visualizations depict localized respiratory function to help clinicians understand the rate and velocity at which lung tissue expands from full inspiration to full expiration.
 

0598
16:00
CEST Imaging vs. Diffusion-Weighted Imaging vs. FDG-PET/CT vs. Combined Method: Prediction Capability for Recurrence in NSCLC Patients
Yoshiharu Ohno1,2,3, Masao Yui4, Takeshi Yoshikawa3,5, Yoshimori Kassai4, Kaori Yamamoto4, Kazuhiro Murayama2, and Hiroshi Toyama1

1Radiology, Fujita Health University School of Medicine, Toyoake, Japan, 2Joint Research Laboratory of Advanced Medical Imaging, Fujita Health University School of Medicine, Toyoake, Japan, 3Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 4Canon Medical Systems Corporation, Otawara, Japan, 5Diagnostic Radiology, Hyogo Cancer Center, Akashi, Japan

No major reports have been reported the comparison of capability for differentiating recurrence from non-recurrence groups in candidates for surgical resection due to lung cancer among CEST imaging, DWI and PET/CT.  We hypothesized that CEST imaging, which was determined as APT-weighted (APTw) imaging at 3.5 ppm, had equal or better potential for prediction of postoperative recurrence prediction in postoperative lung cancer patients, when compared with DWI and FDG-PET/CT.  The purpose of this study was to compare the prediction capability of among single- and multi-parametric approaches by APTw imaging, DWI, and FDG-PET/CT in NSCLC patients. 


Oral

Artificial Intelligence (Machine Learning & Deep Learning) Applications to Neuroradiology

Concurrent 6
Wednesday 16:00 - 18:00
Moderators: Mai-Lan Ho & Greg Zaharchuk
Parent Session: Artificial Intelligence (Machine Learning & Deep Learning) Applications to Neuroradiology
0599
16:00
CT-to-MR image synthesis: A generative adversarial network-based method for detecting hypoattenuating lesions in acute ischemic stroke
Na Hu1, Tianwei Zhang2, Yifan Wu3, Biqiu Tang1, Minlong Li1, Qiyong Gong1, Shi Gu2, and Su Lui1

1Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China, 2Department of Computer and Engineering, University of Electronic Science and Technology of China, Chengdu, China, 3Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States

We aimed to develop a method of CT-to-MR image synthesis to assist in detecting hypoattenuating brain lesions in acute ischemic stroke. Emergency head CT images of 193 patients with suspected stroke and follow-up MR images were collected. A generative-adversarial-network model was developed for CT-to-MR image synthesis. With synthetic MRI compared to CT, sensitivity was improved by 116% in patient detection and 300% in lesion detection, and extra 75% of patients and 15% of lesions missed on CT were detected on synthetic MRI. Our method could be a rapid tool to improve readers’ detection of hypoattenuating lesions in AIS.

0600
16:00
Identifying Diffuse Intrinsic Pontine Glioma (DIPG) Subtypes via Radiomic Approaches
Silu Zhang1, Zoltan Patay1, Bogdan Mitrea2, Angela Edwards1, Lydia McColl Makepeace1, and Matthew A. Scoggins1

1Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States, 2Activ Surgical, Boston, MA, United States

Diffuse intrinsic pontine glioma (DIPG) is a pediatric brain tumor with very poor prognosis. In this study, we identify two subtypes of DIPG based on radiomic features. The two subtypes show a significant difference in survival rates. Subtype 1 has a mean progression-free survival (PFS) and overall survival (OS) of 8.9 and 12.7 months, respectively. Subtype 2 has a mean PFS and OS of 5.7 and 9.1 months, respectively. Our results suggest that shape features and intensity features extracted from FLAIR and T1-post contrast predict the prognosis of DIPG.

0601
16:00
Deep learning super-resolution for sub-50-micron MRI of genetically engineered mouse embryos
Zihao Chen1,2, Yuhua Chen1,2, Ankur Saini3, William Devine3, Yibin Xie1, Cecilia Lo3, Debiao Li1,2, Yijen Wu3, and Anthony Christodoulou1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, UCLA, Los Angeles, CA, United States, 3Department of Developmental Biology, University of Pittsburgh, Pittsburgh, PA, United States

Genetically engineered mouse models (GEMM) are indispensable in modeling human diseases. High resolution MRI with spatial resolution less than 100 μm has made incredible progress for phenotyping mouse embryos. However, it takes more than 10 hours' acquisition time to reach such high resolution, so reducing the scan time is of great need. Here we propose a deep learning based super-resolution approach for 3x3 super-resolution (SR) of mouse embryo images using raw k-space data. Our method can reduce the scan time by a factor of 9 while preserving the diagnostic details and shows better quantitative results than previous SR methods.

0602
16:00
Classification of Pediatric Posterior Fossa Tumors using Convolutional Neural Network and Tabular Data
Moran Artzi1,2,3, Erez Redmard3, Oron Tzemach3, Jonathan Zeltser3, Omri Gropper4, Jonathan Roth2,5,6, Ben Shofty2,5,7, Danil A. Kozyrev5,7, Shlomi Constantini2,5,7, and Liat Ben-Sira2,8

1Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 3Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel, 4The Iby and Aladar Fleischman Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel, 5Department of Pediatric Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 6The Gilbert Israeli Neurofibromatosis Center, Tel Aviv University, Tel Aviv, Israel, 7The Gilbert Israeli Neurofibromatosis Center, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 8Division of Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

A fused architecture contrived of 2 neural networks, pre-trained ResNet-50 CNN and tabular based network is proposed for the classification of Posterior fossa tumors (PFT) types. The study included data for 158 MRI of healthy controls and pediatric patients with PFT. The input data were T1WI+C, FLAIR and diffusion MRI, and tabular data (subject's age). The best classification results obtained by the fused CNN + tubular data architecture and based on diffusion images, achieved cross-validation accuracy of validation=0.88±0.04, test=0.87±0.02. Overall, the proposed architecture achieved a ~16% improvement in accuracy for the test data compared to CNN method for this dataset.

0603
16:00
Deep Learning Segmentation of Lenticulostriate Arteries Using 3T and 7T 3D Black-Blood MRI
Samantha J Ma1,2, Mona Sharifi Sarabi2, Kai Wang2, Wenli Tan2, Huiting Wu3, Lei Hao3, Yulan Dong3, Hong Zhou3, Lirong Yan2, Yonggang Shi2, and Danny JJ Wang2

1Siemens Medical Solutions USA, Inc., Los Angeles, CA, United States, 2University of Southern California, Los Angeles, CA, United States, 3Department of Radiology, The First Affiliated Hospital of University of South China, Hunan, China

Given the inaccessibility of cerebral small vessels to existing clinical in vivo imaging technologies, early cerebral microvascular morphological changes in small vessel disease (SVD) can be difficult to evaluate. In this study, we trained a deep learning (DL)-based algorithm with 3T and 7T black-blood images on two vendor platforms to automatically segment lenticulostriate arteries (LSAs) in the brain. Our results show that black-blood imaging in conjunction with DL is a promising approach to enable quantitative morphometric analysis in patients with cerebral SVD.

0604
16:00
Disability Prediction in Multiple Sclerosis using Ensemble of Machine Learning Models and DTI Brain Connectivity
Berardino Barile1, Aldo Marzullo2, Claudio Stamile3, Françoise Durand-Dubief4, and Dominique Sappey-Marinier1,5

1CREATIS (UMR 5220 CNRS & U1206 INSERM), Université Claude Bernard Lyon 1, Villeurbanne, France, 2Department of Mathematics and Computer Science, University of Calabria, Rende, Italy, 3R&D Department, CGnal, Milan, Italy, 4Hôpital Neurologique, Hospices Civils de Lyon, Bron, France, 5MRI, CERMEP - Imagerie du Vivant, Bron, France

The Expanded Disability Status Scale (EDSS) monitors physical impairment in Multiple Sclerosis (MS). A Staking Ensemble model composed of 4 ML "boosting" models was used to predict EDSS using both white matter (WM) fiber-bundles and structural connectome data. This model provided excellent prediction results with an RMSE of 0.92 to 1.08. A counterfactual model was added to highlight the most important WM links and fiber-bundles in the prediction process. The accordance of the findings obtained with both data types confirmed the clinical interest of such methods for disability prediction using DTI data.

0605
16:00
The feasibility of an optimized Faster R-CNN in detection and differentiation HT from PTMC Using high b-value DWI with RESOLVE
ChengLong Deng1,2, BingChao Wu1,2, QingJun Wang3, QingLei Shi4, Bei Guan1,2, DaCheng Qu5, and YongJi Wang*1,2,6

1Collaborative Innovation Center, Institute of Software, Chinese Academy of Sciences, Beijing, China, 2University of Chinese Academy of Sciences, Beijing, China, 3Department of Radiology, PLA 6th medical center, Beijing, China, 4MR Scientific Marketing, Siemens Healthcare, Beijing, China, 5School of Computer Science and Technology, Beijing Institute of Technology, Beijing, China, 6State Key Laboratory of Computer Science, Institute of Software, Chinese Academy of Sciences, Beijing, China

In this study, we optimized a Faster R-CNN algorithm through constraining anchor boxes generated by Region Proposal Network (RPN) based on prior knowledge, and evaluated the feasibility of the optimized model in detecting and differentiating Hashimoto's thyroiditis (HT) from papillary thyroid microcarcinomas (PTMC) based on high b-value (2000 sec/mm2) diffusion-weighted images that acquired with readout segmentation of long variable echo-trains (RESOLVE) sequence. The study indicated that our model based on high b-value (2000 sec/mm2) DWI images demonstrated great potential as a new inspection tool in the diagnosis of benign and malignant thyroid micronodules.

0606
16:00
Identification of diffusion-based micro-structural measures most sensitive to multiple sclerosis focal damage using GAMER-MRI
Po-Jui Lu1,2,3, Muhamed Barakovic1,2,3, Matthias Weigel1,2,3,4, Reza Rahmanzadeh1,2,3, Riccardo Galbusera1,2,3, Simona Schiavi5, Alessandro Daducci5, Francesco La Rosa6,7,8, Meritxell Bach Cuadra6,7,8, Robin Sandkühler9, Jens Kuhle2,3, Ludwig Kappos2,3, Philippe Cattin9, and Cristina Granziera1,2,3

1Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, 2Neurology Clinic and Policlinic, Departments of Medicine, Clinical Research and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, 3Research Center for Clinical Neuroimmunology and Neuroscience (RC2NB) Basel, University Hospital Basel and University of Basel, Basel, Switzerland, 4Division of Radiological Physics, Department of Radiology, University Hospital Basel, Basel, Switzerland, 5Department of Computer Science, University of Verona, Verona, Italy, 6Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 7Medical Image Analysis Laboratory, Center for Biomedical Imaging (CIBM), University of Lausanne, Lausanne, Switzerland, 8Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 9Center for medical Image Analysis & Navigation, Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland

We applied an attention-based convolutional neural network to select discriminating diffusion measures derived from mathematical models of  multi-shell diffusion data in the classification of multiple sclerosis lesions. Further, we correlated the selected measures or their combinations with the Expanded Disability Status Scale (EDSS) and the serum level of neurofilament light chain (sNfL). Our results show that the combinations have stronger correlations with EDSS and sNfL than the individual measures. The proposed method might be useful for selecting the microstructural measures most discriminative of focal tissue damage and identifying the combination most related to clinical disability and neuroaxonal damage. 

0607
16:00
Deep Learning-based high-resolution pseudo-CT to detect cranial bone abnormalities for pediatric patients using MRI
Parna Eshraghi Boroojeni1, Yasheng Chen2, Paul K. Commean1, Cihat Eldeniz1, Udayabhanu Jammalamadaka1, Gary B. Skolnick3, Kamlesh B. Patel3, and Hongyu An1

1Mallinckrodt Institute of Radiology, Washington University in St. Louis, Saint louis, MO, United States, 2Department of Neurology, Washington University in St. Louis, Saint louis, MO, United States, 3Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, Saint louis, MO, United States

Computed tomography (CT) scans are commonly used in pediatric patients with head trauma and craniosynostosis to identify skull fractures and sutures, respectively. However, the ionizing radiation associated with the CT scans increases the pediatric patients’ risk for cancer. We developed a deep learning-based method, which consists of two networks focusing on skull and head separately, to generate high-resolution pseudo-CT (pCT) from a radial MR scan. A Dice coefficient of 0.90 ± 0.02 was obtained in the bone.Moreover, a pCT mean absolute error (MAE) of 87.5 ± 4.4 HU was achieved.

0608
16:00
A unsupervised machine learning approach for classification of white matter hyperintensity patterns applied to Systemic Lupus Erythematosus.
Theodor Rumetshofer1, Francesca Inglese2, Jeroen de Bresser2, Peter Mannfolk3, Olof Strandberg4, Markus Nilsson1, Itamar Ronen2, Andreas Jönsen5, Linda Knutsson6,7, Tom Huizinga8, Gerda Steup-Beekman8, and Pia Sundgren1,9,10

1Clinical Science Lund / Diagnostic Radiology, Lund University, Lund, Sweden, 2Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 3Department of Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden, 4Clinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Lund, Sweden, 5Department of Rheumatology, Lund University, Skåne University Hospital, Lund, Sweden, 6Department of Medical Radiation Physics, Lund University, Lund, Sweden, 7Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 8Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 9Department of Clinical Sciences/Centre for Imaging and Function, Skåne University Hospital, Lund, Sweden, 10Lund University BioImaging Center, Lund University, Lund, Sweden

White Matter Hyperintensities (WMH) are common clinical neuroimaging brain markers. However, WMH in Systemic Lupus Erythematosus (SLE) are non-specific. For this purpose, we developed and unsupervised machine learning approach based on individual WMH distribution to unveil hidden MRI phenotypes. Cluster analysis was performed on a two-site SLE dataset with significant different WMH burden and MRI acquisition protocols. The resulting MRI phenotypes show a clear lesion pattern on distinct WM tracts. This approach reduces the influence of the total WMH burden and MRI acquisition parameters and improves WMH characterization in SLE.


Member-Initiated Symposium

Latest Advances in MRI-Guided Radiotherapy for Body Cancers & Beyond

Concurrent 7
Wednesday 16:00 - 16:30
Moderators: Zhaoyang Fan & Peng Hu
Parent Session: Latest Advances in MRI-Guided Radiotherapy for Body Cancers & Beyond
(no CME credit)
16:00
MR-Guided Radiotherapy: Topological Map to GPS
  Caroline Chung
  The University of Texas MD Anderson Cancer Center

16:30
Multiparametric 4D-MRI for Precision Radiotherapy of Abdominal Cancers
  Jing Cai
  The Hong Kong Polytechnic University

17:00
Motion Estimation in MR-Based Body RT Planning & Treatment
  Alessandro Sbrizzi
  University Medical Center Utrecht

17:30
Oxygen-Enhanced MRI: An Effective Predictive Imaging Biomarker for Tumour Radiation Response
  Ralph Mason
  UT Southwestern Medical Center

18:00
MRI Assessment of Tumour Response to Radiotherapy
  Catherine Coolens
  University of Toronto


Member-Initiated Symposium

Looking Beyond Axons: Imaging the Immune System in White Matter

Concurrent 8
Wednesday 16:00 - 18:00
Moderators: Els Fieremans & Shannon Kolind
Parent Session: Looking Beyond Axons: Imaging the Immune System in White Matter
(no CME credit)
0:00
The Non-Axonal Component of Human White Matter: What It Is & Why to Image It
  Caterina Mainero
  Harvard Medical School

0:00
Imaging Neuroinflammation with Hyperpolarized 13C MRS
  Myriam M. Chaumeil
  University of California, San Francisco

0:00
Diffusion-Weighted Magnetic Resonance Spectroscopy: A Tool to Look at Glial Cytomorphology
  Itamar Ronen
  Leiden University Medical Centre

0:00
Non-Axonal Contribution to the Diffusion MRI Signal
  Ileana Jelescu
  École Polytechnique Fédérale de Lausanne

0:00
Quantitative Magnetisation Transfer Imaging: Not Only Myelin
  Mara Cercignani
  Brighton & Sussex Medical School


Sunrise Session

Software Engineering for MRI: Project Management & Version Control

Organizers: Michael Lustig, Daniel Gallichan
Concurrent 7
Wednesday 17:00 - 18:00
Moderators: Michael Lustig & Daniel Gallichan
Parent Session: Software Engineering for MRI: Project Management & Version Control

Oral

Quantitative Relaxation Parameter Mapping in the Body

Concurrent 1
Wednesday 18:00 - 20:00
Moderators: Martijn Cloos & Mingming Wu
Parent Session: Quantitative Relaxation Parameter Mapping in the Body
0609
18:00
Six-Dimensional, Free-Breathing Multitasking Multi-Echo (MT-ME) MRI for Whole-Liver T1, PDFF, and R2* Quantification
Nan Wang1, Tianle Cao1,2, Fei Han3, Yibin Xie1, Xiaodong Zhong3, Sen Ma1, Xinheng Zhang1,2, Xiaoming Bi3, Mazen Noureddin4, Vibhas Deshpande3, Anthony G Christodoulou1, and Debiao Li1

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Siemens Medical Solutions USA, Inc., Los Angeles, CA, United States, 4Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, United States

Chronic liver disease has been a leading cause of mortality worldwide. Multiparametric MRI is a promising tool for non-invasive characterization of liver disease, but has yet to be widely used in clinical practice due to demanding technical challenges. In this work, we proposed a 6D Multitasking multi-echo (MT-ME) technique that allows free-breathing acquisition, whole-liver coverage, and simultaneous T1, PDFF, R2*, and water-specific T1 (T1w) quantification. Phantom study and in vivo studies with 14 volunteers and 1 patient with NAFLD were performed. The quantitative parameters measured from MT-ME were repeatable and showed good agreement with the reference methods.

0610
18:00
Rapid high resolution simultaneous mapping of composite T1, water-only T1 and PDFF in the abdomen with dual-echo IR-radSPGR pulse sequence
Zhitao Li1,2, John M Pauly2, and Shreyas Vasanawala1

1Department of Radiology, Stanford University, Palo Alto, CA, United States, 2Electrical Engineering, Stanford University, Palo Alto, CA, United States

A radial IR-SPGR pulse sequence with bipolar readouts is demonstrated along with a model-based iterative reconstruction to simultaneously map high resolution composite and water-only T1 and proton density fat fraction (PDFF) in the abdomen. The proposed pulse sequence and reconstruction algorithm can yield high-quality T1 and PDFF maps in 2.5 seconds/slice. The resulting maps have an in-plane resolution of 1.25mm and through-plane resolution of 5.00mm. When combined with selective inversion pulse, the technique achieves multi-slice imaging for breath-hold studies.

0611
18:00
Free-Breathing, Confounder Corrected T1 Mapping in the Liver with Stack-of-Stars Inversion Recovery MRI
Yavuz Muslu1,2, Ty A. Cashen3, Sagar Mandava4, and Scott B. Reeder1,2,5,6,7

1Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 2Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Global MR Applications and Workflow, GE Healthcare, Madison, WI, United States, 4Global MR Applications and Workflow, GE Healthcare, Atlanta, GA, United States, 5Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 6Department of Medicine, University of Wisconsin-Madison, Madison, WI, United States, 7Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

Quantitative T1 mapping in the liver is an emerging biomarker of hepatic fibrosis and characterization of liver function. The variable flip angle approach with Cartesian sampling is among the most popular T1 mapping methods used in the abdomen. A major drawback of this approach is that T1 estimations are highly sensitive to B1 inhomogeneities. Furthermore, Cartesian sampling suffers from motion related ghosting artifacts and requires breath-holding acquisitions. In this study, we propose to combine stack-of-stars radial sampling with dual-echo inversion recovery (IR-SoS) MRI for confounder corrected T1 mapping in the abdomen.

0612
18:00
Improved Slice Coverage in Inversion Recovery Radial Balanced-SSFP using Deep Learning
Eze Ahanonu1, Zhiyang Fu1,2, Kevin Johnson2, Maria Altbach2,3, and Ali Bilgin1,2,3

1Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 2Medical Imaging, University of Arizona, Tucson, AZ, United States, 3Biomedical Engineering, University of Arizona, Tucson, AZ, United States

Abdominal T1 mapping is important for quantitative evaluation of various pathologies. A recent inversion recovery radial balanced-SSFP (IR-radSSFP) technique allows high resolution T1 mapping of ten slices within a single breath hold period (BHP), but requires multiple BHPs for full abdominal coverage. We propose an accelerated T1 mapping framework which utilizes deep learning to estimate T1 using a fraction of the T1 recovery curve (T1RC). In vivo experiments demonstrate that the proposed framework achieves less than 6% T1 error while using only 25% of the T1RC of the earlier IR-radSSFP technique. This enables full abdominal coverage within a single BHP.

0613
18:00
Efficient T2 mapping of the Abdomen with low SAR Variable Flip Angle Radial Turbo Spin Echo
Mahesh Bharath Keerthivasan1,2, Lavanya Umapathy2,3, Jean-Philippe Galons2, Diego Martin4, Ali Bilgin2,3,4, and Maria Altbach2

1Siemens Medical Solutions USA Inc, New York, NY, United States, 2Medical Imaging, University of Arizona, Tucson, AZ, United States, 3Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 4Biomedical Engineering, University of Arizona, Tucson, AZ, United States

Radial TSE techniques have been proposed for abdominal T2-weighted (T2w) imaging and T2 mapping. Slice efficiency of breath-held RADTSE is limited by the specific absorption rate (SAR). We present a reduced SAR variable refocusing flip angle RADTSE (RADTSE-VFA) technique designed for efficient slice coverage and improved T2 estimation. The flip angles are designed to (1) minimize T2 estimation error, (2) improve lesion-liver relative contrast, and (3) minimize SAR. RADTSE-VFA generated T2w images with comparable contrast as constant flip angle RADTSE while resulting in a 60% increase in slice coverage at a 1.5x reduction in SAR.

0614
18:00
Accurate and precise myocardial T1 and T2 mapping in a single breath-hold with multi-parametric SASHA
Kelvin Chow1, Genevieve Hayes2, Jacqueline Flewitt2, Patricia Feuchter2, Carmen Lydell2, Andrew Howarth2, Joseph Pagano3, Richard Thompson4, Peter Kellman5, and James White2

1Cardiovascular MR R&D, Siemens Medical Solutions USA, Inc., Chicago, IL, United States, 2Stephenson Cardiac Imaging Centre, University of Calgary, Calgary, AB, Canada, 3Division of Pediatric Cardiology, University of Alberta, Edmonton, AB, Canada, 4Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 5National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States

A novel multi-parametric cardiac mapping sequence, mSASHA, is proposed to calculate T1 and T2 maps in a single breath-hold.  mSASHA is validated against spin-echo in phantoms with -0.7±0.4% T1 error and -1.3±1.3% T2 error.  In 10 healthy volunteers at 3T, mSASHA had similar T1 values to SASHA in the myocardium (1523±18 ms vs. 1520±18, p>0.05) and blood pool (2054±61 ms vs. 2060±65 ms, p>0.05).  mSASHA had similar myocardial T1 coefficient of variation (CoV) to SASHA and MOLLI and similar myocardial T2 CoV to T2p-bSSFP (p>0.05).  mSASHA provides accurate and precise T1 and T2 maps in a single breath-hold.

0615
18:00
3D whole-heart free-breathing isotropic joint T1/T2 quantification: preliminary clinical evaluation
Carlos Velasco1, Giorgia Milotta1, Alina Hua1, Karl Kunze1,2, Radhouene Neji1,2, Tevfik Ismail1, Claudia Prieto1, and René M. Botnar1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

Myocardial tissue characterization, such as quantification of fibrosis and oedema plays an important role in many myocardial diseases. T1 and T2 maps are typically acquired sequentially in 2D under several breath-holds. However, they achieve limited spatial resolution and coverage. To overcome these limitations, a high resolution, motion compensated joint T1/T2 water/fat sequence has been recently proposed and validated in phantom and healthy subjects. In this study, we demonstrate the capability of the proposed approach to obtain whole-heart, motion-compensated, simultaneous and co-registered T1, T2 maps and water and fat images in ~9min in patients with cardiovascular disease.

0616
18:00
Feasibility and insights into transient state phase-based mapping for rapid T2 quantification in the myocardium
Ingo Hermann1,2, Daiki Tamada3, Scott Reeder3, Lothar Schad2, and Sebastian Weingärtner1

1Magnetic Resonance Systems Lab, Department of Imaging Physics, Delft University of Technology, Delft, Netherlands, 2Computer Assisted Clinical Medicine, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany, 3Department of Radiology, University of Wisconsin, Madison, WI, United States

In this study we explore the use of the signal phase of RF phase modulated gradient echo imaging during steady state for rapid T2 mapping in the myocardium. RF phase modulated GRE images were obtained with quadratic phase increments of ±2° and T2 times were extracted by matching the phase evolution. B1+ sensitivity was incorporated in the reconstruction based on separately acquired Bloch-Siegert maps. Good correlation was found in phantom measurements (R>0.95; p<0.0001) and high visual image quality in vivo.

0617
18:00
Multiband Multitasking for Cardiac T1 Mapping
Qi Liu1, Yuan Zheng1, Jingyuan Lyu1, Zhongqi Zhang2, Yanqun Teng2, Shuheng Zhang2, Jian Xu1, and Weiguo Zhang1

1UIH America, Inc., Houston, TX, United States, 2United Imaging Healthcare, Shanghai, China

Multiband (MB) technique is combined with multitasking for increased spatial coverage of the heart without prolonging scan time. Two different MB multitasking implementations were developed and compared with the conventional multitasking technique on volunteers and phantoms. Both methods demonstrated similar capabilities in solving multiple ‘tasks’ when compared with the reference method and exhibited good agreement in T1 mapping values. MB multitasking is a promising technique for cardiac MR.

0618
18:00
Fast T2-mapping in prostate cancer based on echo-time domain compressed sensing
Jochen Keupp1, Petra J. v. Houdt2, Jakob Meineke1, Paul de Bruin3, Johannes M. Peeters3, Leon ter Beek4, and Mariya Doneva1

1Philips Research, Hamburg, Germany, 2Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, Netherlands, 3Philips Healthcare, Best, Netherlands, 4Department of Medical Physics, The Netherlands Cancer Institute, Amsterdam, Netherlands

T2w-MRI plays an important role in prostate cancer providing information on the location and aggressiveness in diagnosis and therapy. T2-mapping may provide objective characterization, but is hampered by long acquisition time, which has been addressed by dedicated acceleration techniques (e.g. k-t T2-mapping). We investigated T2-mapping in a prostate cancer patient based on a 4-minute protocol with Poisson-disk prospective irregular sub-sampling in the ky-TE domain in combination with a low rank and sparsity constraint compressed sensing reconstruction. The regularization parameters were investigated, and compressed sensing results were compared to separately acquired k-t T2-maps with respect to quality and noise.


Oral

Systems Engineering II

Concurrent 2
Wednesday 18:00 - 20:00
Moderators: Hui Han & Sirisha Tadimalla
Parent Session: Systems Engineering II
0619
18:00
Approaching Real-Time Patient-Specific SAR Calculation for Parallel Transmission at 7 Tesla
Eugene Milshteyn1,2, Georgy Guryev3, Angel Torrado-Carvajal1,2,4, Jacob K. White3, Lawrence L. Wald1,2,5, and Bastien Guerin1,2

1Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Dept. of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 4Medical Image Analysis and Biometry Laboratory, Universidad Rey Juan Carlos, Madrid, Spain, 5Harvard-MIT Division of Health Sciences and Technology, Cambridge, MA, United States

Current parallel transmission protocols have conservative safety limits due to offline simulations of generic body models. Instead, a personalized medicine approach should be used, whereby the patient-specific SAR is calculated as the patient lies on the table. In this way, more accurate, and hopefully less conservative safety limits can be employed. In this study, we develop a fast methodology for patient-specific SAR calculations with an 8 channel pTx head coil at 7T. We show a real-time approach in 6 volunteers for scanning the patient, segmenting the body, and performing an electromagnetic simulation in order to generate the local SAR maps.

0620
18:00
Rapid calibration scan for estimating temporally-varying eddy currents in diffusion imaging using a time-resolved PEPTIDE imaging approach
Merlin J Fair1 and Kawin Setsompop1,2

1Radiological Sciences Laboratory, Stanford University, Stanford, CA, United States, 2Electrical Engineering, Stanford University, Stanford, CA, United States

A rapid calibration scan for estimating eddy-currents in diffusion acquisitions was developed using the time-resolved PEPTIDE imaging approach. This calibration scan estimates temporally-varying eddy-current fields across three principal diffusion-directions in <30s, with estimates of eddy-fields across other directions derived through a linear model. The accuracy of this method was validated in simulation, phantom and in-vivo experiments. In a high-SNR diffusion phantom, estimated eddy-fields closely match that of “FSL-eddy” on a large blip-up and blip-down 64-direction EPI dataset. For in-vivo data at b=5000s/mm2, estimates from PEPTIDE-based calibration was able to maintain high-accuracy estimation of the eddy-current field despite low SNR.

0621
18:00
Fully Integrated Scanner Implementation of Direct Signal Control for 2D T2-Weighted TSE at Ultra-High Field
Raphael Tomi-Tricot1,2,3, Jan Sedlacik2,3, Jonathan Endres4, Juergen Herrler5, Patrick Liebig6, Rene Gumbrecht6, Dieter Ritter6, Tom Wilkinson2,3, Pip Bridgen7, Sharon Giles7, Armin M. Nagel4, Joseph V. Hajnal2,3, Radhouene Neji1,2, and Shaihan J. Malik2,3

1MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom, 2Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 3Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 4Institute of Radiology, University Hospital Erlangen, Erlangen, Germany, 5Institute of Neuroradiology, University Hospital Erlangen, Erlangen, Germany, 6Siemens Healthcare GmbH, Erlangen, Germany, 7School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Direct Signal Control (DSC) uses parallel transmission (pTx) with more flexibility than conventional static RF shimming to tackle RF inhomogeneity at ultra-high field in fast spin echo (FSE) sequences by varying complex weights of successive RF pulses independently along the refocusing train. Also, unlike other dynamic pTx methods, it preserves RF pulse properties and sequence timing. This work demonstrates the applicability of DSC in routine conditions for neuroimaging, with minimal workflow disruption. In-vivo T2-weighted FSE results exhibit higher signal and better homogeneity when using DSC over RF shimming, while explicitly ensuring safe operation.

0622
18:00
Frequency Drift in MR Spectroscopy: An 87-scanner 3T Phantom Study
Steve C.N. Hui1,2, Mark Mikkelsen1,2, Helge J. Zöllner1,2, Vishwadeep Ahluwalia3, Sarael Alcauter4, Laima Baltusis5, Deborah A. Barany6, Laura R. Barlow7, Robert Becker8, Jeffrey I. Berman9, Adam Berrington10, Pallab K. Bhattacharyya11, Jakob Udby Blicher12, Wolfgang Bogner13, Mark S. Brown14, Vince D. Calhoun15, Ryan Castillo16, Kim M. Cecil17, Yeo Bi Choi18, Winnie C.W. Chu19, William T. Clarke20, Alexander R. Craven21, Koen Cuypers22, Michael Dacko23, Camilo de la Fuente-Sandoval24, Patricia Desmond25, Aleksandra Domagalik26, Julien Dumont27, Niall W. Duncan28, Ulrike Dydak29, Katherine Dyke30, David A. Edmondson17, Gabriele Ende8, Lars Ersland31, C. John Evans32, Alan S. R. Fermin33, Antonio Ferretti34, Ariane Fillmer35, Tao Gong36, Ian Greenhouse37, James T. Grist38, Meng Gu39, Ashley D. Harris40, Katarzyna Hat41, Stefanie Heba42, Eva Heckova13, John P. Hegarty II43, Kirstin-Friederike Heise44, Aaron Jacobson45, Jacobus F.A. Jansen46, Christopher W. Jenkins47, Stephen J. Johnston48, Christoph Juchem49, Alayar Kangarlu50, Adam B. Kerr5, Karl Landheer51, Thomas Lange52, Phil Lee53, Swati Rane Levendovszky54, Catherine Limperopoulos55, Feng Liu56, William Lloyd57, David J. Lythgoe58, Maro G. Machizawa59, Erin L. MacMillan7, Richard J. Maddock60, Andrei V. Manzhurtsev61, María L. Martinez-Gudino62, Jack J. Miller63, Heline Mirzakhanian64, Paul G. Mullins65, Jamie Near66, Wibeke Nordhøy67, Georg Oeltzschner1,2, Raul Osorio62, Maria C.G. Otaduy68, Erick H. Pasaye4, Ronald Peeters69, Scott J. Peltier70, Ulrich Pilatus71, Nenad Polomac71, Eric C. Porges72, Subechhya Pradhan55, James Joseph Prisciandaro73, Nick Puts74, Caroline D. Rae75, Francisco Reyes-Madrigal76, Timothy P.L. Roberts9, Caroline E. Robertson77, Muhammad G. Saleh78, Jens T. Rosenberg79, Diana-Georgiana Rotaru58, O'Gorman Tuura L. Ruth80, Kristian Sandberg12, Ryan Sangill81, Keith Schembri82, Anouk Schrantee83, Natalia A. Semenova84, Debra Singel85, Rouslan Sitnikov86, Jolinda Smith87, Yulu Song36, Craig Stark88, Diederick Stoffers89, Stephan P. Swinnen44, Costin Tanase60, Sofie Tapper1,2, Martin Tegenthoff42, Thomas Thiel90, Marc Thioux91, Peter Truong92, Pim van Dijk91, Nolan Vella82, Rishma Vidyasagar93, Andrej Vovk94, Guangbin Wang36, Lars T. Westle67, Timothy K. Wilbur54, William R. Willoughby95, Martin Wilson96, Hans-Jörg Wittsack97, Adam J. Woods98, Yen-Chien Wu99, Junqian Xu100, Maria Yanez Lopez101, David K.W. Yeung19, Qun Zhao102, Xiaopeng Zhou29, Gasper Zupan94, and Richard A.E. Edden1,2

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3GSU/GT Center for Advanced Brain Imaging, Georgia Institute of Technology, Atlanta, GA, United States, 4Instituto de Neurobiología, Universidad Nacional Autónoma de México, Queretaro, Mexico, 5Center for Cognitive and Neurobiological Imaging, Stanford University, Stanford, CA, United States, 6Kinesiology, University of Georgia, Athens, GA, United States, 7Department of Radiology, The University of British Columbia, Vancouver, BC, Canada, 8Center for Innovative Psychiatry and Psychotherpay Research, Department Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 9Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 10Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom, 11Imaging Institute, The Cleveland Clinic, Cleveland, OH, United States, 12Center of Functionally Integrative Neuroscience, Aarhus University, Aarhus, Denmark, 13Department of Biomedical Imaging and Image-guided Therapy, High-Field MR Center, Medical University of Vienna, Vienna, Austria, 14Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 15Tri-Institutional Center for Translational Research in Neuroimaging and Data Science(TReNDS), Georgia State University, Georgia Institute of Technology, and Emory University, Atlanta, GA, United States, 16Neuroscience Research AustraliaNeuRA Imaging, Randwick, Australia, 17Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 18Psychological and Brain Sciences, Dartmouth College, Hanover, NH, United States, 19Department of Imaging & Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 20Wellcome Centre for Integrative Neuroimaging, NDCN, University of Oxford, Oxford, United Kingdom, 21Department of Biological and Medical Psychology, University of Bergen, Haukeland University Hospital, Bergen, Norway, 22REVAL Rehabilitation Research Institute (REVAL), Hasselt University, Diepenbeek, Belgium, 23Department of Radiology, Medical Physics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 24Laboratory of Experimental Psychiatry & Neuropsychiatry Department, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico, 25Department of Radiology, University of Melbourne/ Royal Melbourne Hospital, Melbourne, Australia, 26Malopolska Centre of Biotechnology, Jagiellonian University, Krakow, Poland, 27Clinical Imaging Core Facility, CI2C Lille, Lille, France, 28Graduate Institute of Mind, Brain and Consciousness, Taipei Medical University, Taipei, Taiwan, 29School of Health Sciences, Purdue University, West Lafayette, IN, United States, 30School of Psychology, University of Nottingham, Nottingham, United Kingdom, 31Department of Clinical Engineering, University of Bergen, Haukeland University Hospital, Bergen, Norway, 32CUBRIC, Cardiff University, Cardiff, United Kingdom, 33Center for Brain, Mind and Kansei Sciences Research, Hiroshima University, Hiroshima, Japan, 34Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy, 35Physikalisch-Technische Bundesanstalt (PTB), Braunschweig und Berlin, Germany, 36Department of Imaging and Nuclear Medicine, Shandong Medical Imaging Research Institute, Shandong University, Jinan, China, 37Human Physiology, University of Oregon, Eugene, OR, United States, 38Physiology, Anatomy, and Genetics/ Oxford Centre for Magnetic Resonance, The University of Oxford / Department of Radiology, The Churchill Hospital, The University of Oxford, Oxford, United Kingdom, 39Department of Radiology, Stanford University, Stanford, CA, United States, 40Department of Radiology, University of Calgary, Calgary, AB, Canada, 41Institute of Psychology, Jagiellonian University, Krakow, Poland, 42Department of Neurology, BG University Hospital Bergmannsheil, Bochum, Germany, 43Psychiary & Behavioral Sciences, Stanford University, Stanford, CA, United States, 44Department of Movement Sciences, KU Leuven, Leuven, Belgium, 45Department of Radiology, University of California San Diego, San Diego, CA, United States, 46Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, Netherlands, 47CUBRIC, Cardiff university, Cardiff, United Kingdom, 48Psychology Dept. / Clinical Imaging Facility, Swansea University, Swansea, United Kingdom, 49Biomedical Engineering and Radiology, Columbia University, New York City, NY, United States, 50Psychiatry, Columbia University Irving Medical Center/New York State Psychiatric Institute, New York City, NY, United States, 51Biomedical Engineering, Columbia University, New York City, NY, United States, 52Department of Radiology, Medical Physics, University of Freiburg, Freiburg, Germany, 53Department of Radiology, University of Kansas Medical Center, Kansas, KS, United States, 54Department of Radiology, University of Washington, Seattle, WA, United States, 55Developing Brain Institute, Diagnostic Imaging and Radiology, Children's National Hospital, Washington, DC, United States, 56Department of Psychiatry, Columbia University Irving Medical Center/New York State Psychiatric Institute, New York, NY, United States, 57Division of Informatics, Imaging & Data Sciences, University of Manchester, Manchester, United Kingdom, 58Department of Neuroimaging, King's College London, London, United Kingdom, 59Center for Brain, Mind and KANSEI Sciences Research, Hiroshima University, Hiroshima, Japan, 60Psychiatry and Behavioral Sciences, University of California Davis, Imaging Research Center, Davis, CA, United States, 61Department of Radiology, Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, Russian Federation, 62Imágenes Cerebrales, Instituto Nacional de Psiquiatría Ramón de la Fuente, Mexico City, Mexico, 63Department of Physics, University of Oxford, Oxford, United Kingdom, 64Department of Psychiatry, University of California San Diego, San Diego, CA, United States, 65Department of Psychology, Bangor University, Bangor, United Kingdom, 66Douglas Mental Health University Institute and Department of Psychiatry, McGill University, Montreal, QC, Canada, 67Department of Diagnostic Physics, Division of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway, 68LIM44, Instituto e Departamento de Radiologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil, 69Department of Imaging & Pathology, Department of Radiology, University Hospitals Leuven, KU Leuven, Leuven, Belgium, 70Functional MRI Laboratory, University of Michigan, Ann Arbor, MI, United States, 71Institute of Neuroradiology, Goethe-University Frankfurt, Frankfurt, Germany, 72Center for Cognitive Aging and Memory, McKnight Brain Institute, Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States, 73Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States, 74Forensic & Neurodevelopmental Sciences, King's College London, London, United Kingdom, 75NeuRA Imaging, Neuroscience Research Australia, Randwick, Australia, 76Laboratory of Experimental Psychiatry, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico, 77Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, United States, 78Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States, 79McKnight Brain Institute, AMRIS, University of Florida, Gainesville, FL, United States, 80Center for MR Research, University Children's Hospital, Zurich, Switzerland, 81Center of Functionally Integrative Neuroscience, Aarhus University Hospital, Aarhus, Denmark, 82Medical Physics, Mater Dei Hospital, Imsida, Malta, 83Department of Radiology and Nuclear Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands, 84504, Emanuel Institute of Biochemical Physics of the Russian Academy of Sciences, Moscow, Russian Federation, 85Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, United States, 86Clinical Neuroscience, MRI Centre, Karolinska Institutet, Clinical Neuroscience, MRI Centre, Sweden, 87Lewis Center for Neuroimaging, University of Oregon, Eugene, OR, United States, 88Department of Neurobiology and Behavior, Facility for Imaging and Brain Research (FIBRE) & Campus Center for Neuroimaging (CCNI), University of California, Irvine, Irvine, CA, United States, 89Spinoza Centre for Neuroimaging, Royal Netherlands Academy of Arts and Sciences, Amsterdam, Netherlands, 90Institute of Clinical Neuroscience and Medical Psychology, University Dusseldorf, Medical Faculty, Düsseldorf, Germany, 91Otorhinolaryngology, Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, 92Brain Health Imaging Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada, 93Melbourne Dementia Research Centre, Florey Institute of Neurosciences and Mental Health, Melbourne, Australia, 94Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia, 95Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, United States, 96Centre for Human Brain Health, University of Birmingham, Birmingham, United Kingdom, 97Department of Diagnostic and Interventional Radiology, University Dusseldorf, Medical Faculty, Düsseldorf, Germany, 98Center for Cognitive Aging and Memory, McKnight Brain Institute, Department of Clinical and Health Psychology, College of Public Health and Health Professions. Department of Neuroscience, College of Medicine, University of Florida, Gainesville, FL, United States, 99Department of Radiology, TMU-Shuang Ho Hospital, New Taipei City, Taiwan, 100Department of Radiology and Psychiatry, Baylor College of Medicine, Houston, TX, United States, 101Perinatal Imaging & Health, King's College London, London, United Kingdom, 102Bioimaging Research Center, University of Georgia, Athens, GA, United States

This project aimed to examine the relationship between gradient-induced heating and field drift on a large sample of MRI scanners. A standardized phantom protocol was established, and spectroscopy was performed before and after running 10 minutes of echo-planar imaging (EPI). MRS data were acquired from 87 scanners. The frequency drift trace was extracted by modeling the water signal in each transient. Drift rates of up to 1.3 Hz/minute were seen before EPI, and 4 Hz/minute after. This dataset will allow sites to benchmark scanner drift, for consideration in planning research protocol order and examine the need for real-time field-frequency locking.

0623
18:00
A 64-Channel Brain Array Coil with an Integrated 16-Channel Field Monitoring System for 3T MRI
Mirsad Mahmutovic1, Alina Scholz1, Nicolas Kutscha1, Markus W. May1, Torsten Schlumm2, Roland Müller2, Kerrin Pine2, Luke J. Edwards2, Nikolaus Weiskopf2,3, David O. Brunner4, Harald E. Möller2, and Boris Keil1

1Institute of Medical Physics and Radiation Protection, TH Mittelhessen University of Applied Sciences, Giessen, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Felix Bloch Institute for Solid State Physics, Faculty of Physics and Earth Sciences, Leipzig University, Leipzig, Germany, 4Skope Magnetic Resonance Technologies AG, Zurich, Switzerland

Combining highly parallel array coils, magnetic field monitoring, and high gradient strength provide a complementary approach to enhance diffusion-weighted imaging (DWI). A 64-channel receive brain array with an incorporated 16-channel field camera system was developed to be used with 300 mT/m gradients from the 3T Connectom scanner. The increased signal-to-noise ratio (SNR) and implemented parallelism was highly beneficial, and will improve SNR-starved high-b value DWI acquisitions, while the magnetic field monitoring data successfully corrected the images from blurring, aliasing and distortions.

0624
18:00
MaxGIRF: Image Reconstruction Incorporating Maxwell Fields and Gradient Impulse Response Function Distortion
Nam G. Lee1, Rajiv Ramasawmy2, Adrienne E. Campbell-Washburn2, and Krishna S. Nayak1,3

1Biomedical Engineering, University of Southern California, Los Angeles, CA, United States, 2Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 3Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, United States

Non-Cartesian imaging can suffer from local blurring caused by concomitant fields and off-resonance. Concomitant fields are especially problematic when using prolonged non-Cartesian readouts with high gradient amplitudes at lower field strengths. We present a new reconstruction method, denoted MaxGIRF, for non-Cartesian imaging that corrects concomitant fields and trajectory errors without specialized hardware. The proposed method utilizes gradient impulse response functions to predict gradients waveforms which are in-turn used to estimate concomitant fields with analytic expressions. Image artifacts were successfully mitigated by the proposed method from 2D SE spiral imaging of the human brain acquired on a prototype 0.55T MRI system.

0625
18:00
Joint 3D motion-field and uncertainty estimation at 67Hz on an MR-LINAC
Niek RF Huttinga1, Tom Bruijnen1, Cornelis AT van den Berg1, and Alessandro Sbrizzi1

1Department of Radiotherapy, Computational Imaging Group for MR therapy & Diagnostics, University Medical Center Utrecht, Utrecht, Netherlands

We present a probabilistic framework to perform simultaneous real-time 3D motion estimation and uncertainty quantification. We extend our preliminary work to a realistic prospective in-vivo setting, and demonstrate it on an MR-LINAC. The acquisition+processing time for 3D motion-fields is around 15ms, yielding a 67Hz frame-rate. Results indicate high quality predictions, and uncertainty estimates that could be used for real-time quality assurance during MR-guided radiotherapy on an MR-LINAC. 

0626
18:00
Impact of B1+-Shimming and 2-spoke pTx on 4D Angiography at 7T
Christian R. Meixner1, Sebastian Schmitter2,3, Jürgen Herrler4, Arnd Dörfler4, Michael Uder1, and Armin M. Nagel1,3

1Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Physikalisch-Technische Bundesanstalt (PTB), Braunschweig und Berlin, Germany, 3Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 4Institute of Neuro-Radiology, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany

4D-angiography exploiting pseudo-continuous arterial spin labeling at 7T suffers from specific absorption rate constraints, low B1+ efficiency for the labeling and B1+ inhomogeneity in the readout. In this work, we propose a B1+-phase shim trading B1+ homogeneity and transmit efficiency for the labeling combined with a dynamic transmission 2-spoke excitation readout. In volunteer measurements, the proposed approach outperformed the standard circular polarized mode by an increased vessel intensity and more vessel conspicuity.

0627
18:00
System for Validating MRI-based Myocardial Stiffness Estimation Techniques Using 3D-Printed Heart Phantoms
Fikunwa O. Kolawole1,2, Tyler Edward Cork2,3,4, Michael Loecher2,3, Judith Zimmermann3,5, Seraina A. Dual3, Marc E. Levenston1,3, and Daniel B. Ennis2,3

1Mechanical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Veterans Administration Health Care System, Palo Alto, CA, United States, 3Radiology, Stanford University, Stanford, CA, United States, 4Bioengineering, Stanford University, Stanford, CA, United States, 5Computer Science, Technical University of Munich, Garching, Germany

Cardiac MRI and finite element based techniques can be used to obtain subject-specific myocardial material properties. Verifying the accuracy and precision of these techniques requires overcoming the challenge of obtaining ground-truth in vivo myocardial stiffness estimates. This work presents a highly controlled in vitro diastolic filling setup incorporating a 3D-printed heart phantom developed with myocardial tissue-mimicking material of known mechanical and MRI properties. The setup enables acquisition of the data needed to estimate myocardial stiffness in computational models: phantom geometry, loading pressures, boundary conditions, and filling strains. This setup is designed to enable extensive validation of myocardial stiffness estimation frameworks.

0628
18:00
Disposable Point-of-care Portable Perfusion Phantom for Accurate Quantitative DCE-MRI
Martin Dawson Holland1, Andres Morales1, Sean Simmons2, Brandon Smith1, Samuel R Misko1, Roy P Koomullil1, Junzhong Xu3, David A Hormuth, II4, Junzhong Xu3, Thomas E Yankeelov4, and Harrison Kim1

1University of Alabama at Birmingham, Birmingham, AL, United States, 2Objective Design, Birmingham, AL, United States, 3Vanderbilt University Medical Center, Nashville, TN, United States, 4University of Texas, Austin, TX, United States

A new point-of-care portable perfusion phantom was developed to reduce inter- and intra-scanner variability of quantitative dynamic contrast enhanced magnetic resonance imaging (DCE-MRI).  This device is disposable, easily operable, and conveniently deliverable for widespread, routine clinical use.  As this device has high repeatability (intraclass correlation coefficient = 0.997), it can be utilized to improve the accuracy of quantitative DCE-MRI based analysis of many diseases including cancer.


Oral

High-Resolution fMRI

Concurrent 3
Wednesday 18:00 - 20:00
Moderators: Sriranga Kashyap & Jonathan Polimeni
Parent Session: High-Resolution fMRI
0629
18:00
Highly Accelerated Sub-millimeter Resolution 3D EPI using Variable Density CAIPI Sampling with Temporal Random Walk for Functional MRI at 7 Tesla
Suhyung Park1,2, Sugil Kim3, Hankyeol Lee4, Seulgi Eun4, Seong-Gi Kim4,5, and David Feinberg6,7

1Department of Computer Engineering, Chonnam National University, Gwangju, Korea, Republic of, 2Department of ICT Convergence System Engineering, Chonnam National University, Gwangju, Korea, Republic of, 3Siemens-Healthineers, Seoul, Korea, Republic of, 4Center for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon, Korea, Republic of, 5Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 6University of California, Berkeley, Berkeley, CA, United States, 7Advanced MRI Technologies, Sebastopol, CA, United States

With ultra-high fields, 3D EPI has been used by improving imaging efficiency. Nevertheless, there have been some limitations: 1) the regular sampling limits the use of temporal structure in the data and 2) parallel imaging allows up to 6-fold acceleration in 3D acquisition. Here, we developed an accelerated 3D EPI using VD-CAPI sampling with temporal random walk. Experimental studies confirm advantages in acceleration, SNR, and sensitivity of the proposed method: 1) temporal random walk allows extra spatial encoding across time, 2) temporal prior provides high SNR, and 3) the temporal incoherent sampling and high SNR result in higher BOLD activations.  

0630
18:00
Whole brain layer-fMRI: An open dataset for methods benchmarking
Anna K Mueller1, Miriam Heynckes2, Christopher J Wiggins3, Omer Faruk Gulban4, Yuhui Chai5, Benedikt Poser2, and Renzo Huber2

1Goethe-Universität Frankfurt am Main, Mainz, Germany, 2Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands, 3Scannexus, Maastricht, Netherlands, 4Brain Innovation, Maastricht, Netherlands, 5NIH, Bethesda, MD, United States

Laminar-specific fMRI allows neuroscientists to address research questions of directional functional connectivity within and across brain areas. While recent sequence developments allow considerable improvements in coverage, resolution, and mitigation of venous biases, it is not established how routinely useful those methods are for everyday neuroscientific application.

We present an open dataset of whole-brain CBV-sensitive layer-dependent fMRI during free movie watching. Its purpose is to:

  • investigate the reproducibility of laminar connectivity results, 
  • to benchmark preprocessing pipelines, 
  • to provide reference atlases of laminar connectivity and venous physiology,
  • and to explore new potential neuroscientific research questions that become addressable with laminar fMRI.


0631
18:00
Simultaneous pure spin-echo and gradient-echo BOLD fMRI using Echo Planar Time-resolved Imaging (EPTI) for mapping laminar fMRI responses
Fuyixue Wang1,2, Zijing Dong1,3, Lawrence L. Wald1,2, Jonathan Polimeni1,2, and Kawin Setsompop4,5

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Harvard-MIT Health Sciences and Technology, MIT, Cambridge, MA, United States, 3Department of Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States, 4Department of Radiology, Stanford University, Stanford, CA, United States, 5Department of Electrical Engineering, Stanford University, Stanford, CA, United States

We introduced a novel imaging approach SE-EPTI to address the T2’-contamination in SE-EPI for higher specificity of BOLD fMRI. EPTI resolves multi-contrast distortion/blurring-free images to simultaneously obtain: a pure SE image with minimal T2’-contamination, multiple GE images with various T2’-weightings, and conventional SE-EPI images with different levels of T2’-contamination. We demonstrated at 7T that the pure SE can significantly reduce the draining-vein-effect, and by using shorter ETLs, less T2’-contamination was introduced. A new echo-train-shifting method is also proposed for SE-EPTI to offer flexibility of achieving shorter TEs, allowing us to examine the TE dependence of the signal contribution.

0632
18:00
VASO-fMRI with Nordic-PCA for laminar sensory testing at 7 Tesla
Nils Dennis Nothnagel1, Alison Symon1, Andrew Tyler Morgan1,2, Renzo Huber3, John Riddell1, and Jozien Goense1

1Institute of Neuroscience & Psychology, University of Glasgow, Glasgow, United Kingdom, 2NIH, Bethesda, MD, United States, 3Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands

The most commonly used contrasts in laminar fMRI are blood-oxygen-level-dependent (BOLD) and vascular-space-occupancy (VASO). However, at laminar resolution, brain activity is often buried under noise, complicating the detection of small changes in activation.Here, we show the successful extraction of laminar brain activity of a complex-valued BOLD- and VASO-fMRI time series during a somatosensory task using NORDIC-PCA denoising. We expect this method to be a great asset for laminar sensory fMRI experiments as it reduces the need for anatomically informed smoothing or anisotropic filtering, which might be helpful for very small voxel sizes or when small activated areas are studied.

0633
18:00
Topographical and Laminar Distribution of Audiovisual Processing within Human Planum Temporale
Yuhui Chai1, Tina Liu1, Sean Marrett1, Linqing Li1, Arman Khojandi1, Daniel Handwerker1, Arjen Alink2, Lars Muckli3, and Peter Bandettini1

1NIMH, Bethesda, MD, United States, 2University Medical Centre Hamburg-Eppendorf, Hamburg, Germany, 3University of Glasgow, Glasgow, United Kingdom

Multisensory interplay can occur in areas that are commonly considered unisensory, such as planum temporale (PT). The roles of different afferents to PT in multisensory processing are not well understood. Using sub-millimeter fMRI at 7T, we compared laminar activity patterns across topographical subfields of PT under unimodal and multisensory stimuli. We found (1) anterior PT was activated more by auditory inputs and received feedback in superficial layers, likely coming from higher-order multimodal areas; (2) posterior PT was preferentially activated by visual inputs and received visual feedback in both superficial and deep layers, likely projected directly from the early visual cortex.

0634
18:00
Double spin-echo EPI improves sensitivity and specificity for cortical depth-dependent BOLD fMRI in the human somatosensory cortex at 7 T
SoHyun Han1,2, HyungJoon Cho3, Kâmil Uludaǧ1,2, and Seong-Gi Kim1,2

1Center for Neuroscience Imaging Research, Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 3Department of Biomedical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of

Spatial-specificity is important for high spatial-resolution-fMRI to determine neuronal activity laminar-profiles. GE-BOLD-signals have low specificity because the highest signals originate from draining-veins at the surface of the cortex, not from capillaries nearby active neurons. However, SE-BOLD-signal has been proposed to be a better indicator of the location of neural activity. In this study, double SE-EPI-sequence was developed to achieve increased sensitivity in SE-BOLD-fMRI and demonstrated its feasibility for fMRI with 0.8-mm in-plane resolution. The results confirm that dSE-BOLD has higher specificity than GE-BOLD and better sensitivity than conventional-SE-BOLD and its potential to probe the function of cortical-circuits with high specificity.

0635
18:00
Mapping digit-representations in BA3b during stimulation and investigating their intrinsic connectivity at rest using VASO
Sebastian Dresbach1, Renzo Huber1, Rainer Goebel1, and Amanda Kaas1

1Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands

While inter-digit interactions are crucial for manual abilities like tool use or object manipulation, individual digits seem to be distinctly represented in the primary somatosensory cortex. Here, we used cortical depth-resolved high-resolution CBV-measurements to investigate these representations in the putative S1-subregion “BA3b” and depth-dependent temporal correlation during rest, as a potential index for layer-specific integration between digit representations. We found that we can

  1. identify individual digit-representations in human subjects during stimulation using VASO
  2.  show more specific depth profiles for VASO than BOLD
  3.  see intrinsic interactions between digits at rest, which might be driven by deep-to-deep layer connections

0636
18:00
Layer- and column-resolved 7T fMRI reveals neural correlates of consciousness in human visual cortex and thalamus
Chencan Qian1,2, Chengwen Liu3, Jinyou Zou4, Yan Zhuo1,2, Sheng He1,2,5, and Peng Zhang1,2

1State Key Laboratory of Brain and Cognitive Science, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, 2University of Chinese Academy of Sciences, Beijing, China, 3Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China, 4Max-Planck-Institute for Biological Cybernetics, Tübingen, Germany, 5Department of Psychology, University of Minnesota, Minneapolis, MN, United States

Binocular rivalry is a unique window to study the neural correlates of consciousness. Where and how does binocular rivalry arise in the human brain remains an open question. Using laminar fMRI at 7T, we found that eye-specific modulation of BOLD signal peaked in the middle layer of primary visual cortex (V1) during simulated replay, but stronger in the superficial layer during rivalry. Furthermore, eye-specific modulation of lateral geniculate nucleus (LGN) activity was robust in the replay but minimal in the rivalry condition. These findings support that binocular rivalry mainly arises from interocular interaction in the superficial layer of V1.

0637
18:00
Submillimeter Arterial Blood Contrast fMRI at 7T
Nikos Priovoulos1, Icaro Agenor Ferreira de Oliveira1, Benedikt Poser2, David G Norris3,4, and Wietske van der Zwaag1

1Spinoza Center, Amsterdam, Netherlands, 2Maastricht University, Maastricht, Netherlands, 3Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 4Erwin L. Hahn Institute for MRI, University of Duisburg-Essen, Essen, Germany

BOLD-fMRI has transformed human neuroscience, but is limited in its spatial specificity compared to cerebral blood-volume approaches. Arterial-Blood-Contrast was recently suggested as a cerebral-blood-volume method based on Magnetization transfer. Here, we apply Arterial-Blood-Contrast in the SAR-constrained 7T environment and examine its submillimeter usage. The results suggest good localization compared to BOLD and high-sensitivity.

0638
18:00
Correlation between inter-cortical depth fMRI signals and oscillatory neuronal responses during music listening
Hsin-Ju Lee1,2, Pu-Yeh Wu1, Hankyeol Lee3, Kamil Uludag3,4, Hsiang-Yu Yu5,6,7, Cheng-Chia Lee6,7,8, Chien-Chen Chou5,6, Chien Chen5,6, Wen-Jui Kuo7,9, and Fa-Hsuan Lin1,2,10

1Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of, 4Techna Institute & Koerner Scientist in MR Imaging,, Joint Department of Medical Imaging and Krembil Brain Institute, University Health Network, Toronto, ON, Canada, 5Department of Epilepsy, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, 6School of Medicine, National Yang-Ming University, Taipei, Taiwan, 7Brain Research Center, National Yang-Ming University, Taipei, Taiwan, 8Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, 9Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan, 10Department of Neuroscience and Biomedical Engineering, Aalto University, Espoo, Finland

We explored the correlation between cortical depth-dependent fMRI signal and oscillatory neural activity during music listening using high-resolution fMRI (7T with 0.8 mm and 3T with 1.5 mm isotropic resolution, respectively) and invasive electrode recording on epilepsy patients. The hemodynamic responses in the auditory cortex were found positively and negatively correlated with neural oscillations in the gamma and alpha/beta band at right and both hemispheres, respectively. These correlations were highest at the intermediate cortical depth. Core and non-core areas of the auditory cortex had different correlations. 


Oral

Microstructure: Modelling Gray & White Matter Diffusion

Concurrent 4
Wednesday 18:00 - 20:00
Moderators: Francesco Grussu & Ken Sakaie
Parent Session: Microstructure: Modelling Gray & White Matter Diffusion
0639
18:00
Localization regime of diffusion in human gray matter on a high-gradient MR system: Sensitivity to soma size
Hong-Hsi Lee1, Els Fieremans1, Susie Y Huang2, Qiyuan Tian2, and Dmitry S Novikov1

1New York University School of Medicine, New York, NY, United States, 2Department of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States

In vivo estimation of cell dimension using diffusion MRI usually requires biophysical modeling of multiple compartments in biological tissues. However, the signal decomposition of multiple compartments is non-trivial due to limited amount of data and scan time. Instead, by applying strong diffusion gradients, a universal localization regime emerges: Magnetization far away from the cell boundaries vanishes, and only that near the boundaries within a thickness of localization length contributes to signal. Here, using Connectome gradients, we for the first time achieve the localization regime in vivo, and estimate the soma size in cortical brain gray matter of two healthy subjects.

0640
18:00
Parameter estimation for the GRAMMI (GRAy Matter Microstructure Imaging) model of two exchanging compartments in the rat cortex in vivo
Alexandre de Skowronski1, Marco Palombo2, Dmitry S. Novikov3, and Ileana O. Jelescu4

1Dept. of Physics, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Centre for Medical Image Computing and Dept. of Computer Science, University College London, London, United Kingdom, 3Center for Biomedical Imaging, Dept. of Radiology, New York University, New York, NY, United States, 4CIBM Center for Biomedical Imaging, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

Developing a relevant model for brain gray matter is a complex task. As opposed to white matter, features such as inter-compartment water exchange or soma should likely be modeled. In this work we examine the performance of a variant of the Kärger Model, called GRAMMI, that accounts for exchange, both on synthetic and experimental data. We show q-t coverage is necessary for reliable model parameter estimation at the individual voxel level and compare two regression approaches. Future work includes protocol optimization and the extension of the GRAMMI model to account for soma.

0641
18:00
Diffusion MRI-Based Cytoarchitecture Measurements in Brain Gray Matter using Likelihood-Free Inference
Maëliss Jallais1, Pedro L. C. Rodrigues1, Alexandre Gramfort1, and Demian Wassermann1

1Université Paris-Saclay, Inria, CEA, Palaiseau, France

We propose a new method to solve the inverse problem of relating the diffusion MRI signal with cytoarchitectural characteristics in brain gray matter. Specifically, our method has quantitative sensitivity to soma density and volume. Our solution is twofold. First, we propose a new forward model that relates summary statistics of the dMRI signal with tissue parameters, relying on six b-shells only. We then apply a likelihood-free inference based algorithm to invert the proposed model, which not only estimates the tissue parameters that best describe the acquired diffusion signal, but also a full posterior distribution over the parameter space.

0642
18:00
Large-scale analysis of brain cell morphometry informs microstructure modelling of gray matter
Marco Palombo1, Daniel C. Alexander1, and Hui Zhang1

1Centre for Medical Image Computing, University College London, London, United Kingdom

Diffusion-weighted MRI (dMRI) is a formidable technique for non-invasively characterizing brain microstructure. Biophysical modelling is often necessary to gain specificity to cellular structure. However, designing sensible biophysical models and appropriate dMRI acquisitions is challenging, especially for gray matter (GM), as little is known about typical values of relevant features of brain-cell morphology contributing to dMRI signal. This study addressed this unmet need: we analysed ~3,500 cells from mouse, rat, monkey and human brains to determine statistical distributions of 13 morphological features relevant to GM microstructure modelling. Illustrative examples demonstrate how this study can inform biophysical modelling. 

0643
18:00
Power-law scaling of the diffusion signal in gray matter and the influence of exchange
Jonas L. Olesen1,2, Noam Shemesh3, and Sune N. Jespersen1,2

1Center of Functionally Integrative Neuroscience (CFIN) and MINDLab, Aarhus University, Aarhus, Denmark, 2Department of Physics and Astronomy, Aarhus University, Aarhus, Denmark, 3Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal

Diffusion models can be validated by observing their functional dependencies, exemplified by the b-1/2 power-law scaling recently used to validate the “stick” compartment in white matter. In contrast, such behavior has not been observed in grey matter (GM), potentially due to a) water exchange between dendrites and extra-neurite space and/or b) a distinct signal contribution from somas. We report the first observation of the stick power-law in GM at very large b-values consistent with b). Nevertheless, the dependence on diffusion time indicates significant water exchange affecting the scaling range. The combined observations thus offer a window into more complicated microstructure.

0644
18:00
What can a rat tell about physics beyond Standard Model: Exchange or structural disorder?
Ileana O. Jelescu1,2 and Dmitry S. Novikov3

1CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 2Animal Imaging and Technology, Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland, 3Dept. of Radiology, New York University School of Medicine, New York, NY, United States

One fundamental challenge in brain microstructure is to establish the biophysical origin of effects beyond the “Standard Model” (SM) picture of non-exchanging Gaussian compartments. The intra-compartmental structural disorder competes with inter-compartmental water exchange. Here we show that in rats, the exchange dominates, and offer the picture of diffusion time effectively filtering out the contribution of unmyelinated axons with stronger dispersion. At long times, only the myelinated (non-exchanging) axons contribute to the intra-axonal SM compartment, and the rest is attributed to extra-axonal space.

0645
18:00
Feasibility of axon diameter estimation in complex fiber architectures by powder averaging of the diffusion MRI signal
Mariam Andersson1,2, Marco Pizzolato1,2,3, Hans Martin Kjer1,2, Henrik Lundell1, and Tim B. Dyrby1,2

1Danish Research Centre for Magnetic Resonance, Hvidovre, Denmark, 2Technical University of Denmark, Kgs. Lyngby, Denmark, 3Signal Processing Laboratory (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

Orientation dispersion bias in axon diameter measurements can be removed by powder averaging of the diffusion MRI signal in isotropically distributed directions, but has not been validated in complex fiber architectures. Here, we demonstrate the success of the spherical mean technique (SMT) and a recent power law (PL) implementation in removing orientation-related bias in diameter estimates of real axons from the splenium corpus callosum and a complex crossing fiber region of the vervet monkey brain. In the crossing fiber region, we find a significant population of very large axons, indicating a need for sensitivity to a wide range of diameters.

0646
18:00
SPHERIOUSLY? The challenges of estimating spherical pore size non-invasively in the human brain from diffusion MRI
Maryam Afzali1, Markus Nilsson2, Marco Palombo3, and Derek K Jones1

1Cardiff University Brain Research Imaging Centre (CUBRIC), School of Psychology, Cardiff University, Cardiff, United Kingdom, 2Clinical Sciences Lund, Radiology, Lund University, Lund, Sweden, 3Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom

Soma and Neurite Density Imaging (SANDI) was recently proposed to disentangle cylindrical and spherical geometries, attributed to neurite and soma compartments. In this work, using: (i) ultra-strong gradients; (ii) a combination of linear, planar, and spherical b-tensor encodings; and (iii) analysing the signal in the frequency domain, three main challenges were identified; First, the Rician noise floor biases estimation of soma properties. Second there is an empirical lower bound on the spherical signal fraction and pore-size. Third, if there is sensitivity to the transverse intra-cellular diffusivity in cylindrical structures, estimation of spherical pore-size is challenging.

0647
18:00
Estimation of intra-axonal axial diffusivity by tensor-valued dMRI and powder-averaging
Markus Nilsson1, Samuel St-Jean1,2, Christian Beaulieu2, and Filip Szczepankiewicz1

1Clinical Sciences Lund, Lund University, Lund, Sweden, 2Department of Biomedical Engineering, University of Alberta, Edmonton, AB, Canada

The intra-axonal axial diffusivity (Da) has a prominent role in describing and modeling the white matter microstructure, but cannot be obtained from regular diffusion tensor imaging due to the influence of orientation dispersion and extracellular water. It may be estimated using higher b-values and modeling, however, its estimation is still an ill-posed problem or requires knowledge of the orientation distribution function. Here, we show that using b-tensor encoding and powder averaging turns the problem into a well-posed one and allows rapid mapping across the whole brain yielding Da values of 2.2-2.7 µm2/ms.

0648
18:00
Dynamic Changes in Brain Tissue Strain and ADC over the Cardiac Cycle quantified at 7T MRI
Jacob-Jan Sloots1, Martijn Froeling1, Geert Jan Biessels2, and Jaco Zwanenburg1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Neurology, University Medical Center Utrecht, Utrecht, Netherlands

The apparent diffusion coefficient (ADC) in brain tissue slightly varies over the cardiac cycle. In this study, we investigate to what extent ADC variations can be explained by brain tissue strain, which affects the measured MRI signals. To this end, we developed a high-field MRI sequence that simultaneously measures both ADC and tissue strain. Preliminary results in 2 volunteers show that ADC fluctuations over the cardiac cycle are an order of magnitude larger than could be explained from measurement errors induced by tissue strains. Consequently, ADC fluctuations in the brain probably reflect physiology.


Oral

Spinal Cord Imaging & More

Concurrent 5
Wednesday 18:00 - 20:00
Moderators: Alan Seifert & Seth Smith
Parent Session: Spinal Cord Imaging & More
0649
18:00
Variations of quantitative MRI metrics along the cervical spinal cord: multi-vendor, multi-center, multi-subject study
Jan Valošek1,2 and Julien Cohen-Adad2,3

1Department of Neurology, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic, 2NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, QC, Canada, 3Functional Neuroimaging Unit, CRIUGM, University of Montreal, Montreal, QC, Canada

Quantitative MRI (qMRI) of the spinal cord (SC), such as diffusion-weighted and magnetic transfer imaging can be used in diagnosis of many different diseases. In this study, we established normative qMRI metrics along C2-C5 cervical SC levels for different regions-of-interest (spinal cord, white and gray matter, white matter columns) for 3 major MRI vendors (Siemens, Philips, GE) in large open-access dataset of ~250 healthy subjects. Metrics showed dependency on vertebral levels and confirmed different microstructural organization along SC. Moreover, differences in qMRI metrics were observed between individual vendors suggesting the influence of different MRI scanner configurations.

0650
18:00
Exploring diffusion modeling for the human cervical spinal cord: an evaluation of 480 multicompartment models
Kurt G Schilling1, Qi Yang2, Vishwesh Nath3, Rutger Fick4, Kristin P O'Grady1, Adam W Anderson2, Bennett A Landman1, and Seth A Smith1

1Vanderbilt University Medical Center, Nashville, TN, United States, 2Vanderbilt University, Nashville, TN, United States, 3NVIDIA, Bethesda, MD, United States, 4TheraPanacea, Paris, France

A large number of models have been developed to describe the diffusion MRI signal as a sum of different neural compartments. However, development and optimization of these multicompartment models has largely focused on the brain. In this work, we apply and compare a combinatorially large number of biophysical models (N=480) in the in vivo human spinal cord, evaluating their ability to fit the signal and also predict unseen signal. We find that certain combinations of constraints and compartments better model the signal in the cervical spinal cord, and we give recommendations for future modeling of this structure with clinical acquisitions. 

0651
18:00
The good, the bad and the ugly : a retrospective study of image quality in human cervical spinal cord MRI at 7T
Guillaume Frebourg1,2, Aurélien Massire1,2, Lauriane Pini1,2, Maxime Guye1,2, Bertrand Audoin2,3, Annie Veschueren2,4, Pierre-Hugues Roche5, and Virginie Callot1,2

1Aix-Marseille University, CNRS, CRMBM, Marseille, France, 2AP-HM, Hôpital de la Timone, CEMEREM, Marseille, France, 3AP-HM, Hôpital de la Timone, Neurology Dept., Marseille, France, 4AP-HM, Hôpital de la Timone, Neuromuscular Disease Dept., Marseille, France, 5AP-HM, Hôpital Nord, Neurosurgery Dept., Marseille, France

In the context of fast expansion of 7T clinical MR systems for neurological applications, a retrospective evaluation of cervical spinal cord image quality acquired on 41 patients and 25 healthy controls was performed. Several morphometric parameters were collected, and four MR modalities were rated. Altogether, this study provides guidance for both clinicians and physicists, regarding current sequence robustness and most frequent problems to be addressed.

0652
18:00
Detection of resting state correlations between white matter tracts in spinal cord using BOLD fMRI and their changes with injury
Anirban Sengupta1, Arabinda Mishra1, Feng Wang1, Li Min Chen1, and John C. Gore1

1Vanderbilt University Medical Center, Nashville, TN, United States

The study objective was to detect and quantify correlations between resting state BOLD signals in WM of spinal cord (SC) as potential indicator of functional connectivity, and evaluate changes that occur following injury. At first, BOLD activation was detected in response to tactile stimuli in certain WM regions in the SC of squirrel monkeys. Next, localized BOLD activity was observed during resting state in SC regions which resembled closely to WM tracts. There was a drop in resting state WM correlations after injury, followed by gradual recovery with time which mimics the pattern of SC functional recovery after an injury.

0653
18:00
Correlating advanced MRI and histopathological measurements of axons and myelin in human traumatic spinal cord injury
Sarah Rosemary Morris1,2,3, Andrew Yung1,2,4, Valentin Prevost1,2,4, Shana George1, Andrew Bauman1,2,4, Piotr Kozlowski1,2,3,4, Farah Samadi1,5, Caron Fournier1,5, Lisa Parker6, Kevin Dong1, Femke Streijger1, Veronica Hirsch-Reinshagen1,5,6, G.R. Wayne Moore1,5,6, Brian K Kwon1,7, and Cornelia Laule1,2,3,5

1International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada, 2Radiology, University of British Columbia, Vancouver, BC, Canada, 3Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada, 4UBC MRI Research Centre, Vancouver, BC, Canada, 5Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 6Vancouver General Hospital, Vancouver, BC, Canada, 7Vancouver Spine Surgery Institute, Vancouver, BC, Canada

Using human spinal cord tissue donated to the International Spinal Cord Injury Biobank, we quantitatively correlated binarized histological stains for myelin and axons with myelin- and axon-sensitive advanced MRI metrics (myelin water fraction (MWF), inhomogeneous magnetization transfer (ihMT), diffusion tensor imaging (fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity, RD), diffusion basis spectrum imaging (fibre fraction, FF)). MWF, ihMT and RD had significant, moderately strong correlations with Luxol fast blue staining for myelin phospholipids. FA, AD and FF did not have any significant correlation with phosphorylated neurofilament immunohistochemistry.

0654
18:00
Variability of the hemodynamic response function in the healthy human cervical spinal cord at 3 Tesla
D Rangaprakash1 and Robert L Barry1

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States

Functional MRI is an indirect measure of neural activity, being the convolution of the hemodynamic response function (HRF) and latent neural response. The HRF is variable across brain regions and individuals. However, resting-state spinal cord fMRI studies still largely ignore this variability, partly due to an incomplete understanding of HRF variability in the cord. To address this gap, we characterized within- and between-subjects HRF variability within the cervical spine (N=20). 6–9% HRF variability was observed in the gray matter, and 3–5% in the white matter. This is an important confound to be accounted for in future spinal cord fMRI studies.

0655
18:00
Associations between cervical cord sodium concentration, neuronal density and macromolecular tissue volume in spinal cord injury
Bhavana S Solanky1, Ferran Prados1,2, Francesco Grussu1,3, Marco Battiston1, Jon Stutters1, Selma Al-Ahmad4, Baris Kanber2, David Choi4, Jalesh Panicker5, and Claudia AM Gandini Wheeler-Kingshott1,6,7

1NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, Faculty of Brain Sciences, University College London (UCL), London, United Kingdom, 2Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London (UCL), London, United Kingdom, 3Radiomics Group, Vall d’Hebron Institute of Oncology, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain, 4National Hospital For Neurology and Neurosurgery, London, United Kingdom, 5Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery and UCL Queen Square Institute of Neurology, London, United Kingdom, 6Department of Brain & Behavioural Sciences, University of Pavia, Pavia, Italy, 7Brain Connectivity Centre Research Department, IRCCS Mondino Foundation, Pavia, Italy

Sodium retention as a consequence of spinal cord injury is thought to impair the regenerative ability of neurons but also reduce damage. Pilot studies suggest a possible increase in total sodium concentration (TSC) in spinal cord injury. Here we report increases in spinal cord TSC in cervical myelopathy  patients relative to healthy controls. Given that the increase could be a consequence of intracellular accumulation of sodium or increases in extracellular sodium through enlarged extracellular space,  the correlations of sodium with microstructure were investigated using neurite orientation dispersion and density imaging (NODDI) and macromolecular tissue volume imaging. 

0656
18:00
Atlas-based Quantification of DTI measures in Typically Developing Pediatric Spinal Cord
Shiva Shahrampour1, Benjamin De Leener2, Mahdi Alizadeh1, Devon Middleton1, Laura Krisa1, Adam Flanders1, Scott Faro1, Julien Cohen-Adad2, and Feroze Mohamed1

1Thomas Jefferson University, Philadelphia, PA, United States, 2Polytechnique Montreal, Montreal, QC, Canada

White matter microstructure, essential for efficient and coordinated transmission of neural communications, undergoes pronounced development during the first years of life. Hence, systematic evaluation of white matter microstructure in the normative pediatric spinal cord is critical for assessing early development and improving diagnosis of spinal cord related diseases.

0657
18:00
Detection of fine-scale functional networks in spinal cord and the effects of injury on intra- and inter-segmental networks
Anirban Sengupta1, Arabinda Mishra1, Feng Wang1, Li Min Chen1, and John C. Gore1

1Vanderbilt University Medical Center, Nashville, TN, United States

The objective of this study was to identify fine-scale resting state functional networks within the spinal cord gray matter of squirrel monkeys, and measure the changes in functional connectivity within the cord after a targeted injury. Independent Component Analysis of resting state fMRI data detected robust BOLD signals localized at the bilateral intermediate and gray-commissure regions of the spinal cord as well at the ‘4 horns’. A unilateral section of dorsal column tract at C5 segment of spinal cord damaged the inter-segmental connectivity more than intra-segmental connectivity, as observed through individual connectivity measures and community structures generated by graph-theory principles.

0658
18:00
Visualization technique for assessment of spinal cord fMRI data quality
Kimberly J Hemmerling1,2 and Molly G Bright1,2

1Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, United States, 2Physical Therapy & Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States

It is important to perform visual inspection of spinal cord imaging data throughout an fMRI analysis pipeline. The method presented here is an extension of an existing technique developed for the brain, adapted to spinal cord fMRI. We create a two-dimensional heatmap of the spinal cord derived from four-dimensional imaging data, which can be co-visualized with traces of motion and physiological signals, and identify examples of structured variations in the heatmap that may be attributed to these nuisance signals. Implementing this visualization of spinal cord fMRI data is a simple and fast method to examine data quality.


Combined Educational & Scientific Session

AI & Neuroimaging: Are We There Yet?

Organizers: Rajan Jain, Neil Harris
Concurrent 6
Wednesday 18:00 - 20:00
Moderators: Seung Hong Choi & Rajan Jain
Parent Session: Emerging Applications of AI in Neuroimaging
(no CME credit)
18:00
Learning from Deep Learning
Eric K. Oermann1

1New York University Langone Health, New York, NY, United States

We’ve seen a decade of advances in machine learning and deep learning with a surge of interest in applying these advances to biomedical topics. What are these advances exactly? How are people looking to apply them to biomedical problems and are we finding any answers or only raising more questions? In short, “are we there yet”? I’ll discuss where we are, where we are going, and how I think that we’ll get “there” as Radiology continues to evolve in the coming years.

18:30
Role of AI in Image Acquisition & Processing
Tolga Cukur1,2,3

1Electrical-Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center, Bilkent University, Ankara, Turkey, 3Interdisciplinary Neuroscience Program, Bilkent University, Bilkent, Turkey

MRI offers an unrivaled opportunity to noninvasively examine the structure and function of the human brain. Yet, MRI exams are hindered by limitations on quality and diversity of acquired images due to scan time considerations. Classical approaches to acquisition and processing of imaging data often fail to address these limitations. In this talk, the potential role of machine learning in surpassing these fundamental barriers will be discussed. Novel deep learning techniques for image reconstruction, image synthesis and sampling design will be showcased. State-of-the-art results from these techniques indicate a bright future for machine learning in rapid, high-quality and high-sensitivity neuroimaging.  

19:00
AI in Stroke & Hemorrhage Detection
Ona Wu1

1Massachusetts General Hospital, Charlestown, MA, United States

The use of artificial intelligence and machine learning for stroke research and clinical applications are increasing exponentially every year. Applications in stroke research focus on the extraction of phenotypes that can help in diagnosis, prognosis or management of stroke patients. These applications tend to fall into two major categories – classification or segmentation. We will briefly review some of the more frequently used applications in the domains of acute ischemic stroke and hemorrhage detection. We will also discuss some of the potential pitfalls and ethical questions that may arise.

19:30
AI & NeuroOncology
Spyridon Bakas1

1University of Pennsylvania, Philadelphia, PA, United States

This talk introduces computational analytics towards speeding up scientific discovery and personalized diagnostics. It then focuses on two areas; a) radiogenomics, b) data-private collaborations. For radiogenomics, a hypothesis-driven study of the first imaging signature of EGFRvIII in glioblastoma, is presented, followed by data-driven studies on EGFRvIII and other EGFR mutations generating hypothesis for deeper investigations. Then, the first federated learning simulation in healthcare is discussed, followed by the first large-scale real-world federation in medicine, towards developing an AI model to detect glioblastoma boundaries based on 10,000 patients scans from >55 international collaborating sites, without sharing any patient data.

0659
18:00
A deep learning approach to estimate voxelwise cardiac-related brain pulsatility from BOLD MRI
Nicholas J Luciw1,2, William Cameron2, Andrew D Robertson3, Sarah Atwi2, and Bradley J MacIntosh1,2

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Sunnybrook Research Institute, Toronto, ON, Canada, 3Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada

Blood-oxygenation-level-dependent (BOLD) MRI contains both neuronally-mediated and physiological contrast, such as cardiac-related hemodynamic pulsatility. Without a coincident cardiac trace, however, few options exist to assess voxel-specific hemodynamic pulsatility. We investigated the feasibility of training a convolutional neural network to generate accurate cardiac-related pulsatility maps without cardiac trace recordings. Using features derived from the BOLD signal, the network produced pulsatility estimates that were significantly associated with ground truth. This automated method enables investigation of cerebrovascular conditions through the vascular contributions to BOLD data, specifically when cardiac trace recordings are unavailable.

0660
18:00
Machine Learning Evaluation of the Effects of Prematurity on Regional BOLD Resting-State Activity and Connectivity, and T1-w Brain Volumes.
Antonio Maria Chiarelli1, Carlo Sestieri1, Daniele Mascali1, Richard Geoffrey Wise1, and Massimo Caulo1

1Department of Neuroscience, Imaging and Clinical Sciences, University G. D'Annunzio of Chieti Pescara, Chieti Scalo, Italy

We used Machine Learning (ML) to infer gestational age (GA) at birth, and hence, as a metric of prematurity extent, assess its effect, in 88 premature infants using T2*-w BOLD resting-state connectivity and activity, and T1-w volume in 90 brain regions. ML was able to infer GA at birth. Analysis of the spatial distribution of effects indicated that volumetric alterations, in common with BOLD activity, are partially localized to subcortical structures, but are associated with widespread alterations of connectivity. Our results suggest a potential role for ML in early prediction of neurodevelopmental outcome based on BOLD and anatomical MRI metrics.

0661
18:00
Clinical evaluation of an AI-accelerated two-minute multi-shot EPI protocol for comprehensive high-quality brain imaging
Bryan Clifford1, John Conklin2, Susie Huang2, Thorsten Feiweier3, Zahra Hosseini4, Augusto Lio M. Goncalves Filho2, Azadeh Tabari2, Serdest Demir2, Wei-Ching Lo1, Maria Gabriela Figueiro Longo2, Michael Lev2, Pam Schaefer2, Otto Rapalino2, Kawin Setsompop5,6, Berkin Bilgic7, and Stephen Cauley7

1Siemens Medical Solutions USA, Inc., Boston, MA, United States, 2Department Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Siemens Healthcare GmbH, Erlangen, Germany, 4Siemens Medical Solutions USA, Inc., Atlanta, GA, United States, 5Department Radiology, Stanford University, Stanford, CA, United States, 6Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 7Department Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

This work integrates a novel machine learning-based reconstruction and optimized magnetization transfer preparation modules with a multi-shot echo-planar imaging acquisition to provide comprehensive whole-brain imaging in two minutes. Neuroradiologist evaluation indicated that the proposed method can produce T2, T2*, T1, FLAIR, and DWI images with SNR, tissue contrast, and lesion conspicuity similar to that of a 10-minute turbo spin echo-based exam. To accommodate a wide range of radiologist preferences and/or hardware configurations without the need for additional training, the proposed method provides a tunable parameter for controlling the level of denoising.

0662
18:00
Deep Learning-based Automatic Detection and Segmentation of Brain Metastases Using Multi-Task Learning with 3D Black-Blood and GRE Imaging
Yohan Jun*1, Yae Won Park*2, Yangho Lee1, Kyunghwa Han2, Chansik An3, Seung-Koo Lee2, Sung Soo Ahn**2, and Dosik Hwang**1

1Electrical and Electronic Engineering, Yonsei University, Seoul, Korea, Republic of, 2Department of Radiology and Research Institute of Radiological Science and Center for Clinical Imaging Data Science, Yonsei University College of Medicine, Seoul, Korea, Republic of, 3Research and Analysis Team, National Health Insurance Service Ilsan Hospital, Goyang, Korea, Republic of

For the detection of brain metastases, either contrast-enhanced 3D gradient echo (GRE) or spin echo (SE) imaging with black-blood (BB) imaging techniques are commonly used. The objective of this study was to evaluate whether a deep learning (DL) model using both 3D BB imaging and 3D GRE imaging may improve the detection and segmentation performance of brain metastases compared to that using only 3D GRE imaging. We demonstrated that the combined 3D BB and 3D GRE DL model can improve the detection and segmentation performance of brain metastases, especially in detecting small metastases.

0663
18:00
Radio-pathomic models trained with autopsy tissue samples aligned to MP-MRI predict histopathological features in brain cancer patients.
Samuel Bobholz1, Allison Lowman2, Michael Brehler2, Savannah Duenweg1, Fitzgerald Kyereme2, Elizabeth Cochran3, Jennifer Connelly4, Wade Mueller5, Mohit Agarwal2, Darren O'Neill2, Anjishnu Banerjee6, and Peter LaViolette2,7

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Pathology, Medical College of Wisconsin, Milwaukee, WI, United States, 4Neurology, Medical College of Wisconsin, Milwaukee, WI, United States, 5Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 6Biostatistics, Medical College of Wisconsin, Milwaukee, WI, United States, 7Biomedical Engineering, Medical College of Wisconsin, Milwaukee, WI, United States

This study used autopsy tissue in order to develop radio-pathomic models for histopathological features of brain cancer.  These models used T1, T1C, FLAIR, and ADC images from 45 patients as input into bagged regression ensembles for cellularity, cytoplasm, and extracellular fluid, using the aligned autopsy tissue samples as ground truth. These models were able to accurately predict these features and were able to find tumor signatures, such as hypercellularity beyond the traditional contrast-enhancing and FLAIR hyperintense regions. These radio-pathomic maps provide new insights into non-invasive signatures of tumor pathology in the post-treatment state and beyond the contrast enhancing region.

0664
18:00
Deep learning based prediction of H3K27M mutation in midline gliomas on multimodal MRI
Priyanka Tupe Waghmare1, Piyush Malpure2, Manali Jadhav2, Abhilasha Indoria3, Richa Singh Chauhan4, Subhas Konar5, Vani Santosh3, Jitender Saini6, and Madhura Ingalhalikar7

1E &TC, Symbiosis Institute of Technology, Pune, India, 2Symbiosis Center for Medical Image Analysis, Pune, India, 3National Institute of Mental Health and Neurosciences, Bangalore, India, 4National Institute of Mental Health & Neurosciences, Pune, India, 5National Institute of Mental Health & Neurosciences, Bangalore, India, 6Department of Neuroimaging & Interventional Radiology, National Institute of Mental Health & Neurosciences, Bangalore, India, 7Symbiosis Center for Medical Image Analysis and Symbiosis Institute of Technology, Pune, India

In midline gliomas, patients with H3K27M mutation have poor prognosis and shorter median survival. Moreover, since these tumors are located in deep locations biopsy can be challenging with substantial risk of morbidity. Our work proposes a non-invasive deep learning-based technique on pre-operative multi-modal MRI to detect the H3K27M mutation. Results demonstrate a testing accuracy of 69.76% on 51 patients. Furthermore, the class activation maps illustrate the regions that support the classification. Overall, our preliminary results provide a testimony that multimodal MRI can support identifying H3K27M mutation and with further larger studies can be translated to clinical workflow. 


Tutorial

Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI: CVR II

Concurrent 7
Wednesday 18:00 - 19:00
Parent Session: Member-Initiated Tutorial: Hands-On Analysis of Physiological MRI V
(no CME credit)
18:00
How to Analyse Your Physiological MRI Data: Cerebrovascular Reactivity
  Joana Pinto
  University of Oxford


Member-Initiated Symposium

Translation of Quantitative MRI Methods for Clinical Impact in OA

Concurrent 8
Wednesday 18:00 - 20:00
Moderators: Emily McWalter & Mark Schweitzer
Parent Session: Translation of Quantitative MRI Methods for Clinical Impact in OA
(no CME credit)
18:00
Quantitative MRI in Osteoarthritis: Novel Methods & Their Potential
  Xiaojuan Li
  Cleveland Clinic

18:30
Translational Challenges: Why Haven’t We Had a Larger Impact?
  James MacKay
  University of East Angliga

19:00
Quantitative MRI Needs & Opportunities: OA Population Studies
  Edwin Oei
  Erasmus Medical Center

19:30
Quantitative MRI Needs & Opportunities: Radiologist Perspective
  Christine Chung
  University of California, San Diego

20:00
Quantitative MRI Needs & Opportunities: Orthopedic Surgery Perspective
  Constance Chu
  Stanford University

20:30
Quantitative MRI Needs & Opportunities: Drug, Treatments & Therapy Development
  David Hunter
  University of Sydney


Tutorial

Tutorial: Software Demos for MRI V

Concurrent 7
Wednesday 19:00 - 20:00
Parent Session: Tutorial: Software Demos for MRI V
(no CME credit)

Plenary Session

Microstructure: Richness of Scales & Contrasts

Organizers: Mark Does, Markus Nilsson, Dmitry Novikov
Concurrent 1
Wednesday 20:00 - 22:00
Moderators: Mark Does & Markus Nilsson
Parent Session: Wednesday Plenary
20:00
Presidential Lecture: From the Big Bang to Homer’s Last Theorem

20:30
Probing Microstructure from Afar: Magnitude & Phase
Jongho Lee1

1Seoul National University, Seoul, Korea, Republic of

20:45
Probing Microstructure Locally: T1, T2 & MT
Alex MacKay1

1Radiology, University of British Columbia, Vancouver, BC, Canada

21:00
Probing the Micrometer Scale with Diffusion
Sune N. Jespersen1

1Aarhus University, Aarhus, Denmark

21:15
Clinical Translation: Challenges & Opportunities
Cristina Granziera1

1University Hospital Basel, Basel, Switzerland


Other

ISMRM Business Meeting

Concurrent 2
Wednesday 22:00 - 23:00
(no CME credit)


Thursday, 20 May 2021

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Oral

Artifacts & Corrections

Concurrent 1
Thursday 12:00 - 14:00
Moderators: S. Johanna Vannesjo & Christopher Wiggins
Parent Session: Artifacts & Corrections
0665
12:00
Left-Right Intensity Asymmetries Systematically Vary Across MR Scanners and Introduce Diagnostic Uncertainty
Arvin Arani1, Christopher G. Schwarz1, Matthew C. Murphy1, Joshua D. Trzasko1, Jeffrey L. Gunter1, Matthew L. Senjem1, Heather J. Wiste1, Kiaran P. McGee1, Matthew A. Bernstein1, John Huston III1, and Clifford R. Jack Jr.1

1Mayo Clinic, Rochester, MN, United States

In magnetic resonance imaging (MRI) many factors can contribute to non-tissue specific image intensity inhomogeneity. However, the potential clinical impact or systematic biases of these effects have not been extensively investigated across multiple MRI vendors and models for neuroimaging applications. Specifically, left-right intensity comparisons are commonly used by radiologists to verify/identify pathology. If significant systematic left-right intensity asymmetries (LRIA) exist, it may lead to diagnostic uncertainty and result in unnecessary imaging follow-up and patient burden. This study shows that LRIA are common, system specific, systematic, can mimic disease, create diagnostic uncertainty, and can impact multiple sequences (T1-weighted and FLAIR).

0666
12:00
Off-Resonance Self-Correction by Implicit B0-Encoding
Franz Patzig1, Bertram Wilm1, and Klaas Paul Pruessmann1

1Institut for Biomedical Engineering, ETH Zurich and University of Zurich, Zurich, Switzerland

A caveat in using trajectories with long readout durations are artefacts due to B0 inhomogeneity. Correcting these based on B0-maps or reverse-phase-encoded EPI requires additional scan time and is unattractive for some applications. In this work, the capability of coil-arrays to extrapolate information in k-space is shown to also allow the extraction of temporal information such as the time-varying phase introduced by B0-offsets. An optimization problem is formulated to retrieve an estimate of B0 from measured data without making assumptions on the employed trajectory. B0 estimation and self-correction of single-shot spiral and EPI in-vivo data (up to R=4) is demonstrated.

0667
12:00
Improved Fat and Water Depiction in Musculoskeletal MRI by Control of Through-Slice Chemical-Shift Artifacts in 2D Turbo-Spin-Echo Imaging at 7 T
Constantin von Deuster1,2, Stefan Sommer1,2, Christoph Germann3,4, Natalie Hinterholzer2, Robin M. Heidemann5, Reto Sutter3,4, and Daniel Nanz2,4

1Siemens Healthcare, Zurich, Switzerland, 2Swiss Center for Musculoskeletal Imaging (SCMI), Balgrist Campus, Zurich, Switzerland, 3Radiology, Balgrist University Hospital, Zurich, Switzerland, 4University of Zurich, Zurich, Switzerland, 5Siemens Healthcare, Erlangen, Germany

The large water-fat frequency difference at 7 T renders imaging of the musculoskeletal (MSK) anatomy very challenging. In particular, through-slice chemical-shift artifacts may manifest in state-of-the-art 2D turbo-spin-echo (TSE) images as partial or locally complete fat-signal loss that radiologists are usually not trained to account for from lower field strengths. In this work, we demonstrate the range of possible through-slice artifacts in MSK images and show that matched RF-pulse bandwidths as high as 1500 Hz for the excitation and refocusing RF-pulses are necessary to consistently perform successful, non-fat suppressed MSK imaging at 7 T.

0668
12:00
Concomitant field compensation using additional oscillating gradients in a double diffusion encoding imaging sequence
Julian Rauch1,2, Frederik B. Laun3, Theresa Palm3, Jan Martin3,4, Maxim Zaitsev5,6, Mark E. Ladd1,2,7, Peter Bachert1,2, and Tristan A. Kuder1

1Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Faculty of Physics and Astronomy, Heidelberg University, Heidelberg, Germany, 3Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany, 4Division of Physical Chemistry, Lund University, Lund, Sweden, 5Medical Physics, Department of Radiology, Faculty of Medicine, Medical Center University of Freiburg, Freiburg, Germany, 6High Field Magnetic Resonance Center, Center for Medical Physics and Biomedical Engineering Medical University of Vienna, Vienna, Austria, 7Faculty of Medicine, Heidelberg University, Heidelberg, Germany

Concomitant or Maxwell fields cause intravoxel dephasing which can lead to strong image artifacts. In this study, we present a new method for concomitant field correction in double diffusion encoding sequences with single pairs of bipolar gradients on each axis. Additionally implemented oscillating gradients remove the dephasing without changing the desired image. Phase and magnitude images are analyzed with respect to concomitant field induced artifacts and the proposed correction method. We show that the compensation eliminates these artifacts without further consequences for image quality. The method also may be included in other imaging sequences to achieve concomitant field compensation.

0669
12:00
Spectrally-encoded multi-spectral imaging (SEMSI) for off-resonance correction near metallic implants.
Daehyun Yoon1, Philip Lee2, Krishna Nayak3, and Brian Hargreaves1

1Radiology, Stanford University, Stanford, CA, United States, 2Electrical Engineering, Stanford University, Stanford, United Kingdom, 3Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, United States

Multi-spectral imaging (MSI) including view-angle-tilting (VAT) is the dominant technique to correct for severe off-resonance artifacts near metallic implants. While VAT mitigates the signal pile-up and translation artifact in the area of severe off-resonance, it also causes global blurring and SNR loss in the on-resonance area away from metal. In this work, we introduce a novel spectrally encoded MSI approach, denoted SEMSI, that resolves pile-up and translation artifacts without VAT or z-phase encoding. Phantom imaging results show the promise of SEMSI to provide high-quality, artifact-free images in the presence of metallic implants without global blurring.

0670
12:00
Cancellation of streak artifacts using the interference null space (CACTUS) for radial abdominal imaging
Zhiyang Fu1,2, Maria I Altbach1,3, and Ali Bilgin1,2,3

1Department of Medical Imaging, University of Arizona, Tucson, AZ, United States, 2Department of Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 3Department of Biomedical Engineering, University of Arizona, Tucson, AZ, United States

In radial imaging, streaks due to gradient inhomogeneities can appear even when Nyquist criterion is fulfilled. Earlier techniques targeting this type of streaks remove coils contributing prominent streaks at the cost of signal loss.  A phased array beamforming based technique (B-STAR), that can achieve a good trade-off between streak reduction and signal preservation, was proposed as a post-processing method. We propose CACTUS, an alternative technique for streak cancellation, which can be used either as a preprocessing method or with iterative reconstructions. In vivo abdominal experiments show enhanced image reconstructions and improved quantitative parameter maps.

0671
12:00
Improved dynamic distortion correction for fMRI using single-echo EPI, a fast sensitivity scan and readout-reversed first image (REFILL)
Simon Daniel Robinson1,2,3, Beata Bachrata3,4, Korbinian Eckstein3, Saskia Bollmann1, Steffen Bollmann5, Siegfried Trattnig3, Christian Enzinger2, and Markus Barth5

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 2Department of Neurology, Medical University of Graz, Graz, Austria, 3Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 4Christian Doppler Laboratory for Clinical Molecular MR Imaging, Medical University of Vienna, Vienna, Austria, 5School of Electrical Engineering and Information Technology, University of Queensland, Brisbane, Australia

We propose an improved dynamic distortion correction method for fMRI. A fast (4s) multi-echo GE reference scan is used to calculate coil sensitivities and other non-ΔB0-related contributions to coil phase, and one EPI volume in which the readout direction is reversed allows a phase gradient in the readout direction which is specific to EPI to be determined. Knowledge of these quantities allow fieldmaps to be calculated from the phase of each single-echo EPI volume. Reverse-Encoded First Image and Low resoLution reference scan (REFILL) fieldmaps accurately measure ΔB0 as it changes due to motion and respiration.

0672
12:00
Laser Heating Induced Susceptibility Artifacts Cause Significant Temperature Erros in PRF Shift-based MR Thermometry
Ziyi Pan1, Meng Han2, Yawei Kuang2, Hao Sun2, Kai Zhang3, Yuan Lian1, Yishi Wang4, Wenbo Liu2, Guangzhi Wang5, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, 2Sinovation Medical, Beijing, China, 3Beijing Tiantan Hospital, Capital Medical University, Beijing, China, 4Philips Healthcare, Beijing, China, 5Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China

MR-guided laser-interstitial thermal therapy (MRgLITT) is a minimally invasive therapeutic method that has created new options for surgically challenging lesions. Most MRgLITT procedures depend on proton-resonance-frequency (PRF) shift-based MR thermometry. However, it can be hampered by magnetic susceptibility changes generated during laser ablation. In this work, we demonstrate for the first time that laser-heating induced susceptibility changes can lead to significant temperature errors, with ex-vivo (pig muscle and brain tissues), in-vivo (Doberman) and clinical (epilepsy patient) experiments. A new algorithm based on multi-echo GRE instead of the conventional single-echo GRE is also introduce to correct the susceptibility-induced temperature errors.

0673
12:00
Identifying the source of spurious echoes in single voxel 1H MR Spectroscopy
Zahra Shams1, Dennis W.J. Klomp1, Vincent O. Boer2, Jannie P. Wijnen1, and Evita C. Wiegers1

1Department of radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark

In this work, we proposed a new strategy to identify the source of potential artifacts in single voxel 1H MRS by taking into account the intrinsic B0 field gradients in the human brain. We mapped the intrinsic gradient fields inside the human head to assess the level of signal crushing of each pathway in the entire field of view of the receiver coil. This will enable subject and location specific design of optimal crusher gradient scheme in SV MRS.

0674
12:00
Markerless optical head tracking system using facial features
Toru Sasaki1, Ryuichi Nanaumi1, Mitsuo Nishimura1, Kazuhiko Fukutani1, Shuichi Kobayashi1, Kazuya Okamoto2, Hiroshi Kusahara2, and Kazuto Nakabayashi2

1Medical Products Technology Development Center, R&D Headquarters, Canon Inc., Tokyo, Japan, 2Advanced MRI Development PJ Team, Canon Medical Systems Corp., Kanagawa, Japan

We have developed a markerless tracking system enabling to estimate head pose through limited apertures of a head coil. The system, composed of a mirror and four MR compatible cameras, tracks the patient's facial features. The patient’s face image through the head coil’s apertures is monitored during scanning. To demonstrate its feasibility for tracking, a volunteer was moving his head arbitrarily inside a scanner. Despite the limited apertures of the head coil, the facial features were successfully tracked.


Oral

Latest Advances in Hyperpolarized MRI

Concurrent 2
Thursday 12:00 - 14:00
Moderators: James Grist & John Kurhanewicz
Parent Session: Latest Advances in Hyperpolarized MRI
0675
12:00
Hyperpolarized 13C MRI reveals age-related changes in lactate metabolism in the human brain
Biranavan Uthayakumar1,2, Casey Y Lee1,2, Nadia Bragagnolo1,2, Hany Soliman3, Albert P Chen4, Ruby Endre5, William J Perks2, Chris Heyn6, Sandra E Black2, and Charles Cunningham7

1Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 3Radiation oncolocy, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4GE Healthcare, Toronto, ON, Canada, 5Physical sciences, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 6Radiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 7Medical Biophysics, Sunnybrook research institute, Toronto, ON, Canada

In this study, hyperpolarized 13C MRI was used to investigate age-related changes to lactate and bicarbonate production in the brain in a healthy aging population. A whole-brain parcellation method was used to investigate regional changes. A global reduction in the production of both 13C-lactate and 13C-bicarbonate was observed vs. age, with certain regions showing increased rates of change in comparison to the rest of the brain. Our results suggest an age-related change in the underlying metabolic processes, and paves the way for future analysis of pathological aging as seen in disorders like Alzheimer's disease.

0676
12:00
Hyperpolarized [1-13C]pyruvate detects brain glucose metabolism and sex-specific vulnerability in glucose transporter deficient mice
Caroline Guglielmetti1,2, Huihui Li3, Lydia M. Le Page1,2, Lauren Y. Shields3, Jeffrey C. Rathmell4, Ken Nakamura3, and Myriam M. Chaumeil1,2

1Department of Physical Therapy and Rehabilitation Science, University of California San Francisco, San Francisco, CA, United States, 2Department of Radiology and Biomedical Sciences, University of California San Francisco, San Francisco, CA, United States, 3Gladstone Institute of Neurological Disease, San Francisco, CA, United States, 4Vanderbilt Center for Immunobiology, Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States

We used hyperpolarized 13C magnetic resonance spectroscopic imaging (HP 13C MRSI), fluorine-18 fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) imaging and T2-weighted MRI to detect brain glucose metabolism in mice harboring deletion of the glucose transporter 3 (GLUT3) in CA1 hippocampal neurons. GLUT3 deletion induced memory impairment in males and females, highlighting the importance of glucose uptake by neurons. HP [1-13C]lactate-to-pyruvate ratios and brain volumes were decreased in female GLUT3 deficient mice, but not in males, indicating sex-specific vulnerability. No changes were detected using 18F-FDG PET imaging, highlighting the potential of HP [1-13C]pyruvate to detect downstream alterations in brain glucose metabolism.

0677
12:00
Characterization of glycolytic phenotypes using hyperpolarized 13C-MR and [18F]FDG PET in endogenous T-cell lymphomas in mice
Frits H.A. van Heijster1, Jason G. Skinner1, Tim Wartewig2, Christian Hundshammer1, Martin Grashei1, Geoffrey J. Topping1, Erik Hameister2, Jürgen Ruland2, and Franz Schilling1

1Technical University Munich, Nuclear Medicine, Klinikum rechts der Isar, München, Germany, 2Technical University Munich, TranslaTUM, Center for Translational Cancer Research, München, Germany

High- and low- glycolytic phenotypes of murine T-cell lymphoma are characterized using hyperpolarized MR spectroscopy/imaging and [18F]FDG-PET. Differences in pyruvate-to-lactate conversion are found within tumor groups, where PET imaging did not show this distinction. Using tumor metabolic volumes derived from PET imaging on the other hand, it’s possible to distinguish between low- and high-grade tumors. The complementary information of the two modalities gives a more complete view of the characteristics of the glycolytic phenotypes in T-cell lymphoma.

0678
12:00
Hyperpolarized 13C MRI Detects In-Vivo Effect of Exercise on Pyruvate Metabolism in Human Skeletal Muscle
Jun Chen1, Junjie Ma1, Crystal E Harrison1, James Ratnakar1, Zungho Zun2, Jeff Liticker1, Galen D Reed3, Avneesh Chhabra4, Thomas Jue5, Craig R Malloy1,3,6, and Jae Mo Park1,4,7

1AIRC, UT Southwestern Medical Center, Dallas, TX, United States, 2The Developing Brain Institute, Children’s National Hospital, Washington, DC, United States, 3GE, Chicago, IL, United States, 4Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 5Biochemistry and Molecular Medicine, UC Davis, Davis, CA, United States, 6Internal Medicine, UT Southwestern Medical Center, Dallas, TX, United States, 7Electrical and Computer Engineering, University of Texas at Dallas, Richardson, TX, United States

Pyruvate dehydrogenase (PDH) and lactate dehydrogenase (LDH) are essential for ATP production in skeletal muscle. However, directly PDH flux in exercising human muscle has been challenging and never assessed. This study was to demonstrate the feasibility of assessing PDH activation and changes in pyruvate metabolism in human skeletal muscle after the onset of exercise using hyperpolarized [1-13C]pyruvate. During moderate flexion-extension exercise, total HP 13C signals (tC), [1-13C]lactate/tC, and [13C]bicarbonate/tC increased significantly compared to resting state. This study demonstrates that PDH flux in skeletal muscle increases rapidly after the onset of exercise and decreases during recovery. 

0679
12:00
Hyperpolarized δ-[1-13C]gluconolactone detects response to chemotherapy in brain tumors in vivo
Georgios Batsios1, Celine Taglang1, Anne Marie Gillespie1, Peder Larson1, Sabrina M Ronen1, and Pavithra Viswanath1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States

Glucose metabolism via the pentose phosphate pathway (PPP) is typically upregulated in tumors, including gliomas. We previously showed that hyperpolarized δ-[1-13C]gluconolactone metabolism via the PPP to 6-phospho-[1-13C]gluconate (6PG) differentiates tumor from contralateral normal brain in preclinical glioma models. Here, we examined the ability of hyperpolarized δ-[1-13C]gluconolactone to probe response to temozolomide, which is a key chemotherapeutic drug for glioma patients. Our studies in live cells and rats bearing orthotopic gliomas indicate that 6PG production from hyperpolarized δ-[1-13C]gluconolactone serves as an early biomarker of response to temozolomide, a finding that has the potential to improve treatment response monitoring for glioma patients.

0680
12:00
Hyperpolarised xenon ventilation MRI in difficult asthma; initial experience in a clinical setting
Helen Marshall1, Grace T Mussell1, Laurie J Smith1, Alberto M Biancardi1, Paul JC Hughes1, Andrew J Swift1, Smitha Rajaram1, Alison M Condliffe1, Guilhem J Collier1, Chris S Johns1, Nick D Weatherley1, Ian Sabroe2, and Jim M Wild1

1University of Sheffield, Sheffield, United Kingdom, 2Sheffield Teaching Hospitals, Sheffield, United Kingdom

The ability of hyperpolarised gas MRI to translate into real-world clinical practice is unknown.  129Xe ventilation images were acquired as part of routine care in patients referred from a difficult asthma service, and evaluated by a multi-disciplinary team.  Evidence of airways obstruction on MRI can support the use of further treatment, for example in those with normal spirometry and high symptom burden.  Well preserved ventilation on MRI alongside poor spirometry and/or symptom control may suggest coexisting breathing control issues or laryngeal disorders.  129Xe MRI can provide additional unique and valuable information in the evaluation of clinical presentations of asthma. 

0681
12:00
Extension of a Diagnostic Model for Pulmonary Hypertension with Hyperpolarized 129Xe Magnetic Resonance Imaging and Spectroscopy
Elianna Ada Bier1, Fawaz Alenezi2, Junlan Lu3, Joseph G Mammarappallil4, Bastiaan Driehuys4, and Sudarshan Rajagopal2

1Biomedical Engineering, Duke University, Durham, NC, United States, 2Division of Cardiology, Department of Medicine, Duke Univeristy, Durham, NC, United States, 3Medical Physics Graduate Program, Duke University, Durham, NC, United States, 4Radiology, Duke University, Durham, NC, United States

129Xe dynamic spectroscopy combined with 129Xe gas exchange MRI can detect both pre- and postcapillary pulmonary hypertension (PH). However, reliance on whole lung spectroscopy limits this technique’s ability to detect spatially heterogeneous impacts of PH. For example, the algorithm cannot identify combined pre- and postcapillary PH (CpcPH) and does not currently account for out-of-proportion PH in patients with parenchymal disease.  Here we use the recently introduced method of imaging signal oscillations from 129Xe in red blood cells to gain additional insights into 26 subjects who have also undergone right heart catheterization to determine PH status within 2 months of imaging. 

0682
12:00
Pulmonary acinar structure and function assessed by hyperpolarized 129Xe stimulated echo NMR
Agilo Luitger Kern1,2, Marcel Gutberlet1,2, Frank Wacker1,2, Jens Hohlfeld2,3,4, and Jens Vogel-Claussen1,2

1Institute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany, 2Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), German Center for Lung Research (DZL), Hannover, Germany, 3Department of Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany, 4Department of Respiratory Medicine, Hannover Medical School, Hannover, Germany

A pulse sequence for hyperpolarized 129Xe NMR based on accumulated stimulated echoes has been implemented. Pairs of 90° pulses are repeatedly irradiated at the frequency of 129Xe in tissue-plasma and the decaying signal transferred to the gas phase is subsequently acquired. A study with healthy volunteers and patients of chronic obstructive pulmonary disease (COPD) has been performed to assess the method’s sensitivity for disease. A significant reduction of initial stimulated echo signal and trend for faster decay are observed in COPD. The proposed method has been demonstrated to be highly sensitive for emphysema and hyperinflation and shows promising diagnostic potential.

0683
12:00
Hyperpolarized 129Xe MRI Ventilation Texture Features to Characterize Long-haul COVID-19 Survivors
Harkiran K Kooner1, Marrissa J McIntosh1, Maksym Sharma1, Alexander M Matheson1, Yasal Rajapaksa1, Inderdeep Dhaliwal2, Michael Nicholson2, and Grace Parraga1

1Robarts Research Institute, Western University, London, ON, Canada, 2Department of Medicine, Western University, London, ON, Canada

Persistent, long-term COVID-19 symptoms and pulmonary function abnormalities, beyond the acute infectious pulmonary disease phase, is now recognized in certain patients and referred to as long-haul or long COVID. We used hyperpolarized 129Xe MRI ventilation defect percent (VDP) and texture analysis to evaluate and characterize second-order 129Xe MRI ventilation texture features in a pilot study of participants with long-haul COVID-19. We observed statistically significant differences in 129Xe MRI VDP and ventilation texture features between COVID-19 survivors and volunteers who were not infected. Second-order 129Xe MRI ventilation texture features dichotomized long-haul COVID-19 and volunteers in the absence of qualitative VDP differences.

0684
12:00
Preclinical Hyperpolarized 129Xe Ventilation Imaging Using 3D Spiral (FLORET) Encoding
Brice J Albert1, Peter J Niedbalski1, and Zackary I Cleveland1,2,3,4

1Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Imaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 3Department of Pediatrics, University of Cincinnati Medical Center, Cincinnati, OH, United States, 4Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, United States

Center-out trajectories are often used in preclinical HP gas MRI to reduce the impact of physiological motion and magnetization decay on image quality. Recently, implementation of 3D spiral (FLORET) imaging for human 129Xe ventilation imaging demonstrated higher accuracy in detecting ventilation abnormalities than traditional sequences. Here we show FLORET sequences provide superior SNR, consume less xenon, and reduce scan time by more than five times when used to image ventilation in mice.


Oral

Quantitative Cardiovascular Tissue Characterization

Concurrent 3
Thursday 12:00 - 14:00
Moderators: Mehmet Akcakaya & Bettina Baeßler
Parent Session: Quantitative Cardiovascular Tissue Characterization
0685
12:00
Myofiber strain in healthy humans using cDTI and Cine DENSE MRI
Kevin Moulin1,2,3, Pierre Croisille4,5, Magalie Viallon4,5, Ilya A Verzhbinsky6, Luigi E Perotti7, and Daniel B Ennis1,2,3

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Radiology, Veterans Administration Health Care System, Palo Alto, CA, United States, 3Cardiovascular Institute, Stanford University, Stanford, CA, United States, 4University of Lyon, UJM-Saint-Etienne, INSA, CNRS UMR 5520, INSERM U1206, CREATIS, F-42023, Saint-Etienne, France, 5Department of Radiology, University Hospital Saint-Etienne, Saint-Etienne, France, 6Medical Scientist Training Program, University of California - San Diego, La Jolla, CA, United States, 7Department of Mechanical and Aerospace Engineering, University of Central Florida, Orlando, FL, United States

Despite the importance of myofiber strain (Eff) to overall heart function, it has remained very difficult to measure Eff in vivo owing to the challenges of measuring both microstructural and functional cardiac data. We propose a new method that integrates cDTI and a volume of short- and long-axis DENSE slices with 2D displacement encoding to enable the measurement of in vivo Eff in humans. The accuracy of the approach for measuring Eff was evaluated in silico. Finally, in vivo Eff values were measured and reported for thirty (N=30) healthy volunteers for which an average Eff=-0.14 was found.

0686
12:00
Feasibility of creatine chemical exchange saturation transfer (CEST) imaging in evaluating cardiac dysfunction in acute infarct heart
Yin Wu1, Jie Liu1, Qi Liu2, Hui Liu2, Jian Xu2, Yuanwei Xu3, Yucheng Chen3, Xin Liu1, and Hairong Zheng1

1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2United Imaging Healthcare America, Houston, TX, United States, 3Cardiology Division, West China Hospital, Sichuan University, Chengdu, China

This study aims to investigate the feasibility of creatine (Cr) CEST imaging in assessing cardiac contractile function impairment. Eleven MI pigs underwent cine, Cr CEST and LGE imaging at 3T. Significant reduction of Cr CEST and function indices (i.e., CS, RS, WT and WM) was shown in infarct myocardium compared to that in the remote region. Cardiac function indices were shown to decrease with Cr CEST signal with moderate correlations (P<0.001). The study demonstrated the intrinsic linkage between creatine metabolic and functional changes in MI heart, suggesting the feasibility of Cr CEST in evaluating cardiac dysfunction at the molecular level.

0687
12:00
Probing Human Myocardial Krebs Cycle Metabolism and Response to Glucose Challenge using Hyperpolarized [2-13C]Pyruvate MR Spectroscopy
Hsin-Yu Chen1, Jeremy W. Gordon1, Nicholas Dwork1, Brian T. Chung1, Andrew Riselli2, Robert A. Bok1, James B. Slater1, M. Roselle Abraham3, Daniel B. Vigneron1, and Peder E.Z. Larson1

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2School of Pharmacy, University of California, San Francisco, San Francisco, CA, United States, 3Department of Medicine-Cardiology, University of California, San Francisco, San Francisco, CA, United States

This study explored the safety and feasibility to visualize real-time myocardial Krebs cycle energetics in healthy volunteers using hyperpolarized [2-13C]pyruvate MR spectroscopy, and to investigate the response to oral glucose challenge. Identified metabolic products included [2-13C]lactate, Krebs cycle-related intermediate [5-13C]glutamate, and [1-13C]acetylcarnitine, a key player in the “carnitine shuttle” of mitochondrial fatty acid oxidation. Upon oral glucose challenge, the levels of all three products increased, illustrating the metabolic flexibility of human heart to switch between fatty acid and carbohydrates.

0688
12:00
Single-shot model-based non-rigid motion-corrected T1 rho mapping for endogenous assessment of myocardial injury
Aurelien Bustin1,2,3, Soumaya Sridi2, Solenn Toupin4, Jerome Yerly3,5, Davide Piccini3,6, Ruud B van Heeswijk3, Pierre Jaïs1,7, Hubert Cochet1,2, and Matthias Stuber1,3,5

1IHU LIRYC, Electrophysiology and Heart Modeling Institute, Université de Bordeaux, INSERM, Centre de recherche Cardio-Thoracique de Bordeaux, U1045, Bordeaux, France, 2Department of Cardiovascular Imaging, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Bordeaux, France, 3Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 4Siemens Healthcare France, Saint-Denis, France, 5Center for Biomedical Imaging (CIBM), Lausanne, Switzerland, 6Advanced Clinical Imaging Technology, Siemens Healthcare, Lausanne, Switzerland, 7Department of Cardiac Electrophysiology, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Bordeaux, France

Magnetic resonance T1 rho mapping may detect myocardial injuries without the need for exogenous contrast agents. However, multiple and differently T1 rho weighted co-registered acquisitions are required, and the lack of robust motion correction limits its clinical translation. This study introduces a novel automated model-based non-rigid motion correction technique for myocardial T1 rho mapping that makes use of the known signal model to drive the motion correction process. The performance, efficiency and clinical feasibility of the developed framework was investigated prospectively in a cohort of 30 patients with a broad range of ischemic and non-ischemic cardiomyopathies.

0689
12:00
Characterization of Cardiac Amyloidosis using Cardiac Magnetic Resonance Fingerprinting: Preliminary Results
Brendan L Eck1, Nicole Seiberlich2, Scott D Flamm1,3, Jesse I Hamilton2, Mazen Hanna3, Yash Kumar4, Abhilash Suresh3, Angel Lawrence1,3, W. H. Wilson Tang3, and Deborah Kwon3

1Imaging Institute, Cleveland Clinic, Cleveland, OH, United States, 2Radiology, University of Michigan, Ann Arbor, MI, United States, 3Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, United States, 4Case Western Reserve University, Cleveland, OH, United States

Cardiac amyloidosis is an infiltrative cardiomyopathy characterized by the accumulation of misfolded proteins in the myocardium. Elevated myocardial T1 and T2 have been reported as a potential biomarker of disease. Cardiac Magnetic Resonance Fingerprinting (cMRF) has the potential to provide improved tissue characterization for cardiac amyloidosis through simultaneous T1 and T2 mapping. Furthermore, signal evolutions obtained by cMRF may enable improved tissue characterization. In this preliminary study of cardiac amyloidosis patients, relaxometric quantities and signal evolution data are analyzed. Myocardial T1 and T2 were elevated in patients, and linear discriminant analysis of signal evolution data suggests improved discrimination of disease.

0690
12:00
3D Whole-ventricle, Free-Breathing, Non-ECG, T1-T2-B1+ Mapping and Cine Imaging with Cardiac MR Multitasking
Xianglun Mao1, Fardad M Serry1, Sen Ma1, Zhehao Hu1,2, Alan C Kwan1,3, Fei Han4, Yibin Xie1, Debiao Li1,2, and Anthony G Christodoulou1,2

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California in Los Angeles, Los Angeles, CA, United States, 3Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Siemens Medical Solutions Inc., Los Angeles, CA, United States

Conventional cardiovascular MR (CMR) exams are relatively inefficient and demanding for patients because 1) they rely on methods that necessitate breath-holding or intermittent pauses (via gating) to compensate for motion, 2) images are acquired as a series of 2D slices often with large gaps. We propose a single 3D free-breathing acquisition without ECG requirements, providing motion resolved, quantitative T1 and T2 cine mapping with whole-ventricle coverage with high resolution and no slice gaps. The 3D Multitasking framework additionally incorporates a B1+ component, critical for accurate T1 measurement at 3T. This technique is preliminarily validated both in phantoms and healthy volunteers.

0691
12:00
Simultaneous T1, T2 and T1ρ cardiac Magnetic Resonance Fingerprinting for Contrast-free Myocardial Tissue Characterization
Carlos Velasco1, Gastao Cruz1, René M. Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Cardiac Magnetic Resonance Fingerprinting (MRF) has shown promising results for myocardial fibrosis and inflammation characterization. In addition, T mapping has shown promising results for detection of focal and diffuse myocardial fibrosis without the need of exogenous contrast agents. However, multiparametric T1, Tand T mapping requires sequential acquisitions under several breath-holds, that can lead to non-registered maps and bias due to inter-parameter dependencies. In this work we propose a cardiac MRF acquisition scheme for simultaneous quantification of myocardial T1, T2 and T in a contrast-free single breath-hold MR scan. The proposed approach has been investigated in phantoms and healthy subjects.

0692
12:00
Fast high-resolution isotropic whole-heart T2 mapping using focused navigation
Simone Rumac1, Christopher W. Roy2, Jérôme Yerly2,3, John Heerfordt2,4, Davide Piccini2,4, Matthias Stuber3,5, and Ruud B. van Heeswijk2

1Department of Radiology, Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Laus, Lausanne, Switzerland, 2Department of Radiology, Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, Lausanne, Switzerland, 3CIBM Center for BioMedical Imaging, Lausanne, Switzerland, Lausanne, Switzerland, 4Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, Lausanne, Switzerland, 5Department of Radiology, Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland

Cardiac parametric mapping techniques are gaining traction for the clinical routine assessment of various pathologies. Despite the complex 3D patterns of many myocardial conditions, most current techniques are breath-held single-slice 2D acquisitions. We propose a free-breathing high-resolution isotropic 3D T2 mapping technique for the heart where breathing motion is corrected in k-space before image reconstruction. In 4 healthy volunteers and one patient with myocardial infarction, we found that our technique produced sharp and accurate T2 maps but had slightly lower precision than routine techniques.

0693
12:00
Single breath-holding three-dimensional cardiac T2 mapping with low-rank plus sparsity reconstruction
Dongyue Si1, Shuo Chen1, Daniel A. Herzka2, and Haiyan Ding1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, China, 2National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States

Three-dimensional (3D) T2 mapping techniques enables quantitative detection of edematous tissue with whole heart coverage. However, the intrinsically long scan time limits its clinical application. In this study an accelerated 3D T2 mapping sequence was developed based on low-rank plus sparsity reconstruction. Both retrospective and prospective experiments were performed to evaluate the accuracy and precision of the proposed method. Achieved image quality was comparable with 4 times acceleration. Homogeneous whole left ventricular T2 map can be acquired in single breath-hold with resolution of 2×2×5 mm3.

0694
12:00
Comparison of free-breathing self-gated continuous IR spiral T1 mapping: dual flip angle versus Bloch-Siegert B1-corrected techniques
Ruixi Zhou1, Daniel S. Weller2, Yang Yang3, Junyu Wang1, John P. Mugler4, and Michael Salerno5

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Electrical and Computer Engineering, University of Virginia, Charlottesville, VA, United States, 3Biomedical Engineering and Imaging Institute and Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Radiology, Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 5Cardiology, Radiology, Biomedical Engineering, University of Virginia, Charlottesville, VA, United States

We propose a technique to acquire accurate B1 and T1 maps in a free-breathing cardiac self-gated continuous Look-Locker, inversion-recovery acquisition. Data are acquired using a single spiral interleaf, rotated by the golden-angle in time. During the first 2 seconds, off-resonance Fermi pulses are applied to generate a Bloch-Siegert shift B1 map, and the later data are acquired with an inversion RF pulse applied every four seconds to create T1* map. The final T1 map is generated with the B1 map and T1* map by using a look-up table to account for slice profile effects yielding more accurate T1 values.


Oral

Diffusion in Cancer: Clinical Studies & Validation

Concurrent 4
Thursday 12:00 - 14:00
Moderators: Eleftheria Panagiotaki & Rebecca Rakow-Penner
Parent Session: Diffusion in Cancer: Clinical Studies & Validation
0695
12:00
Microstructural mapping with diffusion-time dependent diffusion MRI improves diagnosis of prostate cancer at 3T
Dan Wu1, Kewen Jiang2, Yi-Cheng Hsu3, Yi Sun3, Yi Zhang1, and Yudong Zhang2

1Biomedical Engineering, Zhejiang University, Hangzhou, China, 2Radiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, China, 3MR Collaboration, Siemens Healthcare Ltd., Shanghai, China

Diffusion-time-dependent diffusion MRI (dMRI) has shown potentials in characterizing tumor microstructure. This study investigated the diagnostic value of time-dependent dMRI to differentiate prostate cancer pathological grades at 3T. Oscillating and pulsed gradient dMRI was performed in 55 patients, and the data were fitted with the IMPULSED model to estimate cell diameter, intracellular fraction, cellularity, and diffusivities. We found fin and cellularity increased as Gleason score increased, while diameter and Dex decreased. Cellularity achieved the highest diagnostic accuracy with an accuracy of 0.87 and area-under-the curve of 0.96, and the combination of cellularity and ADC further improved the accuracy to 0.91.

0696
12:00
Leveraging a multicompartmental signal model for improved classification of prostate-cancer bone metastases in whole-body DWI
Christopher C Conlin1, Christine H Feng2, Leonardino A Digma2, Ana E Rodriguez-Soto1, Joshua M Kuperman1, Dominic Holland3, Rebecca Rakow-Penner1, Tyler M Seibert1,2,4, Anders M Dale1,3,5, and Michael E Hahn1

1Department of Radiology, UC San Diego School of Medicine, La Jolla, CA, United States, 2Department of Radiation Medicine and Applied Sciences, UC San Diego School of Medicine, La Jolla, CA, United States, 3Department of Neurosciences, UC San Diego School of Medicine, La Jolla, CA, United States, 4Department of Bioengineering, UC San Diego Jacobs School of Engineering, La Jolla, CA, United States, 5Halıcıoğlu Data Science Institute, UC San Diego, La Jolla, CA, United States

Multicompartmental diffusion modeling shows promise for overcoming the limitations of conventional DWI methods and may help to improve the clinical evaluation of prostate-cancer bone involvement. In this study, we applied multicompartmental modeling to develop an empirical tissue classifier for identifying bone lesions in whole-body DWI. The proposed classifier relates signal contributions from model compartments with lower diffusion coefficients to the likelihood that such contributions are from cancerous tissue. This approach proved effective for detecting metastatic lesions in whole-body DWI data, considerably outperforming a classifier based on conventional ADC values.

0697
12:00
Biomimetic phantoms of impeded diffusion in prostate cancer using lipid nanoparticles
Scott D. Swanson1, Thomas L. Chenevert1, Prasad R. Shankar1, Ted Lynch2, and Dariya I. Malyarenko1

1Department of Radiology, University of Michigan, Ann Arbor, MI, United States, 2CIRS, Norfolk, VA, United States

PI-RADS guidelines use quantitative mono-exponential apparent diffusion coefficient (ADC) for risk stratification of small potentially aggressive prostate cancer (PCa). Inherently, multi-exponential diffusion in complex tumor microenvironment, limits accuracy of ADC-based thresholds and clinical utility of DWI acquisition protocols. Biomimetic phantoms that provide ground-truth diffusion parameters help establish accuracy of advanced multi-b DWI protocols and parametric diffusion models in prostate tumors. This work demonstrates development of stable phantoms based on lipid nanoparticles that provide diffusion parameter ranges typical of PCa.

0698
12:00
Evaluate the micro-vascular invasion in HCC with a Fractional Order Calculus DWI Model
Xiuzhong Yao1, Yunfei Zhang2, Mengsu Zeng1, and Yongming Dai2

1Zhongshan Hospital affiliated to Fudan University, Shanghai, China, 2Central Research Institute, United Imaging Healthcare, Shanghai, China

The determination of micro-vascular invasion (MVI) in patients with hepatocellular carcinoma (HCC) is significant for prognostic prediction. However, histologic assessment is the gold standard for evaluating the MVI, which is accompanied with many disadvantages including invasiveness, potential sampling bias and so forth. DWI MRI has shown clinical potential for assessing the MVI. However, some recently-developed non-gaussian DWI techniques have hardly been applied for predicting the MVI. This research, hence, sought to evaluate the MVI with a Fractional Order Calculus DWI Model (FROC-DWI). The results indicated that FROC-derived parameters were valuable for accurately identifying the MVI in patients with HCC.

0699
12:00
DR-HIGADOS: a new diffusion-relaxation framework for clinically feasible microstructural imaging of the liver
Francesco Grussu1, Ignasi Barba2, Kinga Bernatowicz1, Irene Casanova-Salas3, Alba Escriche Villarroya4, Natalia Castro3, Emanuela Greco4, Juan Francisco Corral5,6, Marta Vidorreta7, Manuel Escobar Amores5,6, Núria Roson5,6, Xavier Merino5,6, Richard Mast5,6, Nahúm Calvo‐Malvar5,8, Joaquin Mateo3, Paolo Nuciforo9, María Abad4, Josep R. Garcia-Bennett8, and Raquel Perez-Lopez1,6

1Radiomics Group, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain, 2NMR Lab, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain, 3Prostate Cancer Translational Research Group, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain, 4Cellular Plasticity and Cancer Group, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain, 5IDI (Institut de Diagnòstic per la Imatge), Catalonia, Spain, 6Department of Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain, 7Siemens Healthineers, Madrid, Spain, 8Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain, 9Molecular Oncology Group, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain

Liver cancer is a leading cause of cancer-related death, and new quantitative MRI (qMRI) techniques are needed to inform treatment selection and monitor disease progression. We propose a new technique, Diffusion-Relaxation Hepatic Imaging via Generalisable Assessment of DiffusiOn Simulations (DR-HIGADOS), with the aim of improving sensitivity and biological specificity of liver qMRI. DR-HIGADOS is a diffusion-relaxation method that uses information from Monte Carlo simulations to map parameters of an extended intra-voxel incoherent motion model to microstructural indices (e.g. cell size, cellularity). DR-HIGADOS is demonstrated on multi-vendor clinical data, and its histological correlates are investigated on preclinical high-field scans.

0700
12:00
Ex vivo and In vivo Diffusion Weighted MRI highlights the Microarchitecture of mouse Pancreatic Intraepithelial Neoplasia
Carlos Bilreiro1,2, Francisca F Fernandes1, Rui V Simões1, Mireia Castillo-Martin1,3, Andrada Ianus1, Cristina Chavarrias1, Celso Matos1,2, and Noam Shemesh1

1Champalimaud Research, Champalimaud Centre for the Unknown, Lisbon, Portugal, 2Department of Radiology, Champalimaud Clinical Centre, Lisbon, Portugal, 3Department of Pathology, Champalimaud Clinical Centre, Lisbon, Portugal

As current therapeutic options for pancreatic cancer are mostly ineffective, developing diagnostic tools for early detection of precursor lesions (mainly pancreatic intraepithelial neoplasia – PanIN) could change the course of this disease. Here, we investigated Diffusion-MRI (dMRI) contrasts for this purpose, using transgenic mouse models. First, we performed ex vivo dMRI Microscopy at ultrahigh field with histological validation, defining the most sensitive contrasts. Then, we performed in vivo abdominal imaging, demonstrating their applicability in the non-invasive study of PanIN and pancreatic cancer. These findings provide new tools for researching PanIN and hold promise for a future translation to clinical practice.

0701
12:00
Looking Inside a Voxel through the Lenses of Non-Gaussian Diffusion MRI: Correlation between Imaging- and Histology-based Tissue Heterogeneity
Muge Karaman1,2, Guangyu Dan1,2, Lingdao Sha3, Tingqi Shi1, Weiguo Li4,5, Dan Schonfeld2,3,6, Tibor Valyi-Nagy7, and X. Joe Zhou1,2,8

1Center for Magnetic Resonance Research, University of Illinois at Chicago, Chicago, IL, United States, 2Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 3Department of Electrical and Computer Engineering, University of Illinois at Chicago, Chicago, IL, United States, 4Research Resources Center, University of Illinois at Chicago, Chicago, IL, United States, 5Department of Radiology, Northwestern University, Chicago, IL, United States, 6Department of Computer Science, University of Illinois at Chicago, Chicago, IL, United States, 7Department of Pathology, University of Illinois at Chicago, Chicago, IL, United States, 8Departments of Radiology and Neurosurgery, University of Illinois at Chicago, Chicago, IL, United States

Studies on tissue structural heterogeneity have been the focus of a growing number of non-Gaussian diffusion models, such as the continuous-time random-walk (CTRW) model. Establishing a correlation between the voxel-level CTRW parameters and the microscopic tissue heterogeneity from gold-standard histology, however, has been challenging due to the lack of quantitative measure of histopathological heterogeneity and different spatial scales. We establish a one-to-one correspondence between imaging-based tissue heterogeneity revealed by CTRW parameters and histology-based tissue structural heterogeneity predicted by a machine-learning classifier to address an overarching question: “Can we look inside a voxel noninvasively through the lenses of the CTRW model?”.

0702
12:00
Diffusion MRI study of chemoradiation treatment response in patients with HPV positive oropharyngeal carcinoma
Sungheon Gene Kim1, Mehran Baboli1, Justin Fogarty2, Steven H. Baete2, Joseph Kim3, Paulina Galavis3, Moses Tam3, Kenneth Hu3, and Elcin Zan2

1Radiology, Weill Cornell Medical College, New York, NY, United States, 2Radiology, New York University School of Medicine, New York, NY, United States, 3Radiation Oncology, New York University School of Medicine, New York, NY, United States

In this study, we evaluated diffusion and kurtosis time-dependence for HPV-positive oropharyngeal squamous cell carcinoma before and during chemo-radiation treatment over a wide range for longer diffusion times (200-700 ms). The patients with less than 40% nodal volume shrinkage had significantly higher diffusivity at pretreatment and lower kurtosis at week4 than the patients with more than 40% nodal volume shrinkage. The water exchange times were 68-80 ms without a significant difference between the groups.  This study demonstrates the feasibility of using diffusion MRI at relatively long diffusion times to predict and evaluate the response to chemo-radiation therapy.

0703
12:00
Relating tumor site-specific volume and ADC changes following neoadjuvant chemotherapy to histopathology in epithelial ovarian cancer
Jessica M Winfield1,2, Jennifer C Wakefield1,2, James D Brenton3,4,5, Khalid AbdulJabbar6,7, Antonella Savio8, Susan Freeman9, Erika Pace1,2, Kerryn Lutchman-Singh10, Katherine M Vroobel8, Yinyin Yuan6,7, Susana Banerjee11, Nuria Porta12, Shan E Ahmed Raza6,7,13, and Nandita M deSouza1,2

1MRI Unit, Royal Marsden NHS Foundation Trust, London, United Kingdom, 2Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom, 3Cancer Research UK Cambridge Institute, Cambridge, United Kingdom, 4Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 5Department of Oncology, University of Cambridge, Cambridge, United Kingdom, 6Centre for Evolution and Cancer, The Institute of Cancer Research, London, United Kingdom, 7Division of Molecular Pathology, The Institute of Cancer Research, London, United Kingdom, 8Department of Pathology, Royal Marsden NHS Foundation Trust, London, United Kingdom, 9Department of Radiology, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 10Swansea Gynaecological Oncology Centre, Swansea Bay University Health Board, Singleton Hospital, Swansea, United Kingdom, 11Gynaecology Unit, Royal Marsden NHS Foundation Trust, Sutton, United Kingdom, 12Clinical Trials and Statistics Unit, The Institute of Cancer Research, London, United Kingdom, 13Department of Computer Science, University of Warwick, Warwick, United Kingdom

In Epithelial Ovarian Cancer, ADCmedian demonstrates good repeatability at both primary and metastatic sites. After neoadjuvant chemotherapy, a differential increase in ADCmedian at disease sites is seen despite similar tumor shrinkage. The negative correlation between ADCmedian and tumor cell fraction after neoadjuvant chemotherapy, and positive correlation between change in ADCmedian and percentage necrosis, are driven primarily by changes in the peritoneal lesions.

0704
12:00
Endometrial Carcinoma: Assessment of Histological Features Based on Amide Proton Transfer-weighted Imaging and Diffusion Kurtosis Imaging
Nan Meng1, Zhun Huang2, Ting Fang1, Pengyang Feng2, Xuejia Wang3, Dongming Han3, Kaiyu Wang4, and Meiyun Wang*1

1Department of Radiology, Zhengzhou University People’s Hospital & Henan Provincial People’s Hospital, Zhengzhou, China, 2Department of Radiology, Henan University People’s Hospital & Henan Provincial People’s Hospital, Zhengzhou, China, 3Department of MRI, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China, 4GE Healthcare, MR Research China, BeiJing, China

Our results showed that both Amide proton transfer-weighted imaging (APTWI) and Diffusion kurtosis imaging (DKI) were effective in the assessment of endometrial carcinoma in terms of clinical type, histological grade, subtype, and Ki-67 index.


Oral

Maternal-Fetal Imaging

Concurrent 5
Thursday 12:00 - 14:00
Moderators: Charles McKenzie & Daniela Prayert
Parent Session: Maternal-Fetal Imaging
0705
12:00
Characterization of placental contractions in healthy pregnancies
Neele S Dellschaft1, Rachel Allcock1, Jana Hutter2, Lopa Leach3, Nia Jones4, and Penny Gowland1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Department of Perinatal Imaging and Health, King's College London, London, United Kingdom, 3Life Sciences, University of Nottingham, Nottingham, United Kingdom, 4Division of Child Health, Obstetrics and Gynaecology, University of Nottingham, Nottingham, United Kingdom

Subclinical uterine contractions in the third trimester have been detected with MRI in recent years and we regularly observe these contractions in 10 minute longitudinal scans. We have recently described how placental pump contractions differ from Braxton Hicks contractions, as defined by a reduction in placental volume. In this study, we have observed in detail the effects of 18 contractions on longitudinal single echo-planar imaging T2* weighted scans.

0706
12:00
Volumetric fetal flow imaging with rapid multislice multidimensional radial phase contrast MRI
Datta Singh Goolaub1,2, Jiawei Xu3, Eric Schrauben4, Davide Marini5, Mike Seed5,6, and Christopher Macgowan1,2

1Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Translational Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 3Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, ON, Canada, 4Radiology & Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, Netherlands, 5Pediatric Cardiology, The Hospital for Sick Children, Toronto, ON, Canada, 6Department of Pediatrics, University of Toronto, Toronto, ON, Canada

In this study, we demonstrate multidimensional fetal blood flow visualization and quantification, using highly accelerated multislice radial phase contrast MRI with slice-to-volume reconstruction. This acquisition and analysis pipeline provides real-time reconstructions for in-plane motion correction and cardiac gating for subsequent CINE reconstruction. CINEs are combined into a dynamic flow sensitive volume using slice-to-volume reconstruction with interslice motion correction. Experimental validation is presented in two adult volunteers. Feasibility is demonstrated in four human fetuses capturing complex hemodynamics in the fetal circulation.

0707
12:00
Longitudinal Placental Blood Volume Measurements on Zika-Infected Rhesus Macaques Using Variable Flip Angle T1 Mapping
Ruiming Chen1, Sydney Nguyen2,3,4, Megan E. Murphy2,3,4, Kathleen M. Anthony2,3,4, Terry K. Morgan5, Philip Corrado1, Sean B. Fain1,6, Dinesh M. Shah7, Ronald R. Magness8, Thaddeus Golos2,3,4, Oliver Wieben1,6,9, and Kevin M. Johnson1,9

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Wisconsin National Primate Research Center, University of Wisconsin - Madison, Madison, WI, United States, 3Comparative Biosciences, University of Wisconsin - Madison, Madison, WI, United States, 4Obstetrics & Gynecology, University of Wisconsin - Madison, Madison, WI, United States, 5Pathology, Oregon Health & Science University, Portland, OR, United States, 6Biomedical Engineering, University of Wisconsin - Madison, Madison, WI, United States, 7Obstetrics and Gynecology, University of Wisconsin - Madison, Madison, WI, United States, 8Obstetrics and Gynecology, University of South Florida, Tampa, FL, United States, 9Radiology, University of Wisconsin - Madison, Madison, WI, United States

Adequate maternal blood supply is an important factor to maintain placental health, and placenta vascular markers may be predictive of pregnancy outcomes. Here, we report longitudinal quantitative results of maternal fractional, regional, and total blood volume measurements in rhesus macaque placenta across gestation ages using Ferumoxytol-enhanced variable flip angle (VFA)-T1 mapping. We observe regional heterogeneity in fractional blood volume and increased maternal placental blood volume throughout pregnancy.

0708
12:00
Velocity-Selective Arterial Spin Labeling Perfusion Measurements in 2nd Trimester Human Placenta with Varying BMI
Daniel Seiter1, Ruiming Chen1, Kai Ludwig1, Ante Zhu2, Dinesh Shah3, Oliver Wieben1,4, and Kevin Johnson1,4,5

1Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2GE Global Research, Niskayuna, NY, United States, 3Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, WI, United States, 4Radiology, University of Wisconsin-Madison, Madison, WI, United States, 5Biomedical Engineering, University of Madison-Wisconsin, Madison, WI, United States

Proper placental development is crucial to fetal health. To the best of our knowledge, we report the earliest measurement of perfusion in the human placenta using velocity-selective arterial spin labeling (VS-ASL) MRI. Patients were scanned at 14- and 20-weeks gestation (term is 40 weeks) and clinical data was collected. Regression analysis shows no evidence for an increase in placental perfusion with gestational age, but strong evidence of an increase in perfusion with patient body mass index (BMI).

0709
12:00
Detecting abnormal placental microvascular flow based on flow-compensated and non-compensated intravoxel incoherent motion imaging
Yuhao Liao1, Taotao Sun2,3, Ling Jiang2,3, Zhiyong Zhao1, Tingting Liu1, Zhaoxia Qian2,3, Yi Sun4, Yi Zhang1, and Dan Wu1

1Key Laboratory for Biomedical Engineering of Ministry of Education, Department of Biomedical Engineering, College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, China, 2Department of Radiology, International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China, 3Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China, 4MR Collaboration, Siemens Healthcare China, Shanghai, China

Intravoxel Incoherent Motion (IVIM) imaging has been used to assess placental microcirculatory flow for prenatal examination. Here we proposed a joint analysis of flow-compensated (FC) and non-compensated (NC) diffusion MRI to estimate the fraction and velocity of ballistic microcirculatory flow, and evaluated the diagnostic performance of the new IVIM markers in maternal and fetal disorders. We found the flow velocity measurement from FC-NC joint model could differentiate patients with maternal hyperglycemia and fetal growth restriction compared to the controls, while the conventional IVIM parameters based on bi-exponential model using FC-only or NC-only data could not show the group difference.

0710
12:00
Comparison of Pure Deep Learning Approaches for Placental Extraction from Dynamic Functional MRI sequences between 19 and 37 Gestational Weeks.
Bryan Quah1, Anna Dong1, Neil Rao1, Patrick Hoang1, Michael Hirano1, Manjiri K. Dighe1, and Colin Studholme1

1University of Washington, Seattle, WA, United States

We present fully automated deep learning approaches to placental tissue segmentation on our dataset of 68 3D R2* images. Using this dataset, we employ different data schemes to get 4 new datasets consisting of full 3D images, full 2D slices, 3D patches and 2D patches. An unmodified U-Net architecture is trained and tested on these datasets to evaluate the robustness of the model when presented with different data. We find that by artificially increasing the size of the dataset, the model is able to perform better at the segmentation task.

0711
12:00
APPLAUSE: Automatic Prediction of PLAcental health via U-net Segmentation and statistical Evaluation
Maximilian Pietsch1, Alison Ho2, Alessia Bardanzellu1, Aya Zeydan1, Joseph V Hajnal3, Lucy Chappell2, Mary A Rutherford3, and Jana Hutter1,4

1Centre for Medical Engineering, King's College London, London, United Kingdom, 2Women's Health, King's College London, London, United Kingdom, 3King's College London, London, United Kingdom, 4Centre for the Developing Brain, King's College London, London, United Kingdom

The placenta is key for any successful pregnancy. Deviations from the normal dynamic maturation throughout gestation are closely linked to major pregnancy complications. Automatic segmentation and age prediction based on a 30sec MRI T2* scan is enabled and evaluated in >100 pregnancies. High abnormality scores correlate with low birth weight, premature birth and histopathological findings. Retrospective application on a different cohort imaged at 1.5T illustrates the ability for direct clinical translation. The proposed machine-learning pipeline runs in close to real-time and, deployed in clinical settings, has the potential to become a cornerstone of diagnosis and intervention of placental insufficiency.

0712
12:00
Quantifying Placental Structure and Function in Healthy and Compromised Pregnancies with Combined T2*-diffusion
Paddy J. Slator1, Jana Hutter2,3, Razvan V. Marinescu1, Marco Palombo1, Laurence Jackson2,3, Alison Ho4, Lucy C Chappell4, Mary Rutherford2, Joseph V Hajnal2,3, and Daniel Alexander1

1Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom, 2Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 3Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 4Women’s Health Department, King's College London, London, United Kingdom

We quantify placental structure and function across gestation using a combined T2*-diffusion protocol and InSpect, a data-driven approach for quantitative MRI analysis. We identify and map seven distinct placental tissue environments, and show that these environments are related to dysfunction. Our approach shows promise for diagnosis and monitoring of pregnancy complications.

0713
12:00
Continuous 4D atlas of normal fetal lung development and automated CNN-based lung volumetry for motion-corrected fetal body MRI
Alena Uus1, Irina Grigorescu1, Aditi Shetty1, Alexia Egloff Collado2, Joseph Davidson3,4, Milou van Poppel1,5, Johannes Steinweg2, Lisa Story2, Michael Aertsen6,7, Jan Deprest8, Jim Carmichael9, Joseph V Hajnal1,2, Mary Rutherford2, and Maria Deprez1

1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 3Prenatal Cell and Gene Therapy, Elizabeth Garrett Anderson Institute of Women’s Health, University College London, London, United Kingdom, 4Stem Cells and Regenerative Medicine, GOS-UCL Institute of Child Health, London, United Kingdom, 5Department of Congenital Heart Disease, Evelina Children’s Hospital, London, United Kingdom, 6Department of Radiology, University Hospitals Leuven, Leuven, Belgium, 7Department of Imaging and Pathology, Biomedical Sciences, KU Leuven, Leuven, Belgium, 8Department of Obstetrics, University Hospitals KU Leuven, Leuven, Belgium, 9Paediatric Radiology, Evelina London Children’s Hospital, London, United Kingdom

This work presents a continuous 4D atlas of fetal lung development within 22-32 weeks gestational age (GA) generated from ~130 motion-corrected fetal body MRI datasets. The corresponding growth charts for fetal MRI lung indices are used for definition of the of normal ranges. In addition, we implemented and evaluated an automated method for fetal lung volumetry based on 3D UNet segmentations. 


0714
12:00
Automatic fetal ocular measurements in MRI
Netanell Avisdris1,2, Daphna Link-Sourani2, Liat Ben-Sira3,4,5, Leo Joskowicz1, Elka Miller6, and Dafna Ben-Bashat2,3,5

1School of computer science and engineering, Hebrew University of Jerusalem, Jerusalem, Israel, 2Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 3Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel, 4Division of Pediatric Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 5Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, 6Medical Imaging, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada

The aim of this study was to establish a fully automatic method for ocular measurements from in-vivo fetal brain MRI. Axial brain MRI of 47 fetuses (29-38 weeks’ gestational age) were included. The method includes fetal brain ROI computation and fetal eye segmentation using deep learning, followed by geometric algorithms for 2D and 3D measurements of the binocular (BOD), interocular (IOD), and ocular (OD) diameters. The performance of the 2D measurements was found to be preferable over 3D, with <1mm deviation from manual expert neuro-radiologist annotations. This is the first fully automatic method for fetal ocular biometric measurements in MRI.


Oral

Imaging Metabolites: CEST, MT & MRS

Concurrent 6
Thursday 12:00 - 14:00
Moderators: Puneet Bagga & Elena Vinogradov
Parent Session: Imaging Metabolites: CEST, MT & MRS
0715
12:00
Dynamic GlucoCEST MRI: results in primary brain tumors at 3 Tesla
REGIS OTAVIANO FRANCA BEZERRA1, Hae Won Lee2, Gustavo Kaneblai3, Eduardo Figueiredo3, Mitsuharu Miyoshi4, Thomas Doring3, Claudia da Costa Leite5, Giovanni Guido Cerri2, and Frederico Perego Costa6

1RADIOLOGY, HOSPITAL SÍRIO-LIBANÊS, SAO PAULO, Brazil, 2Radiology, Hospital Sírio-Libanês, Sao Paulo, Brazil, 3General Eletric, Sao Paulo, Brazil, 4General Eletric, Tokyo, Japan, 5RADIOLOGIA, HOSPITAL SÍRIO-LIBANÊS, SAO PAULO, Brazil, 6Oncology, Hospital Sírio-Libanês, Sao Paulo, Brazil

This study shows the glucoCEST effect in 15 patients with primary malignant brain tumors compared with normal white matter(NWM) at 3-Tesla-MRI. The procedure included a full Z-spectra CEST and a dynamic glucoCEST. The signal % at 2 ppm calculated using mean asymmetric magnetization transfer ratio values were significantly higher in the whole cancer compared to NWM. Similarly, the dynamic glucoCEST presented as mean area-under-the-curve values were significantly different in whole cancer in comparison to normal tissue. This method, using clinical field strength of 3Tesla, was capable of identifying distinct patterns of glucose metabolismand also heterogeneity in the cancer metabolism

0716
12:00
Confounding of Macromolecular and Paramagnetic Tissue Content in Quantitative MTI Remedied by Explicit Estimation of Bound Pool Relaxation
Alexey Samsonov1 and Aaron S. Field1

1Radiology, University of Wisconsin-Madison, Madison, WI, United States

We study the effect of macromolecular proton fraction (MPF) and R1 interdependency in quantitative MT experiments. We hypothesize that the two-pool model with properly calibrated relaxation constraints on the bound proton pool can separate interdependency of both metrics, potentially improving the specificity of both, specifically, MPF to macromolecular content and R1 to paramagnetic ions. The simulation and in vivo results support feasibility of such refinement.


0717
12:00
Improved volumetric inhomogeneous magnetization transfer (ihMT) using a CSF-suppressed FSE sequence (FLAIR-ihMT)
Manuel Taso1, Fanny Munsch1, Olivier M Girard2, Guillaume Duhamel2, David C Alsop1, and Gopal Varma1

1Division of MRI research, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States, 2CRMBM, Aix-Marseille Univ, CNRS, Marseille, France

3D myelin imaging using inhomogeneous magnetization transfer (ihMT) has seen increased interest as sequence implementations evolve. This has mostly been based on prepared or pseudo-steady-state gradient echo sequences. However, Fast-Spin-Echo (FSE) sequences should have a theoretical SNR advantage over GRE. Here we report implementation of  a CSF-suppressed FSE sequence for ihMT imaging (FLAIR-ihMT), exploring through simulations the effect of CSF suppression and providing first imaging results, highlighting the benefits of CSF suppression, potential for whole brain high-resolution imaging and translation down to the spinal cord.  


0718
12:00
Inhomogeneous magnetization transfer in the healthy adult brain: reproducibility and correlation with MTR and myelin water imaging
Sarah Rosemary Morris1,2,3, Irene M. Vavasour1,4, Anastasia Smolina5,6, Erin MacMillan4,7, Guillaume Gilbert7, Michelle Lam2,4, Piotr Kozlowski1,2,4,8, Carl Michal2, Alan Manning2, Alex L. MacKay1,2,4, and Cornelia Laule1,2,4,8,9

1Radiology, University of British Columbia, Vancouver, BC, Canada, 2Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada, 3International Collaboration on Repair Discoveries, Vancouver, BC, Canada, 4UBC MRI Research Centre, Vancouver, BC, Canada, 5Physics & Astronomy, McMaster University, Hamilton, ON, Canada, 6Hospital for Sick Children, Toronto, ON, Canada, 7MR Clinical Science, Philips Healthcare Canada, Markham, ON, Canada, 8International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada, 9Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada

We compared three myelin-sensitive MRI metrics (inhomogeneous magnetization transfer ratio (ihMTR), magnetization transfer ratio (MTR) and gradient and spin echo-derived myelin water fraction (MWF)) in 15 white matter regions of interest from 14 healthy adults at 3T. Reproducibility of ihMTR was also investigated. We found a moderately strong correlation between MWF and ihMTR but only a very weak correlation between MWF and MTR. Myelination rankings were similar for ihMTR and MWF but had no relation to MTR. Finally, we established an average ihMTR scan-rescan variability of 8.2% of the mean in each ROI.

0719
12:00
GluCEST as an in vivo biomarker for monitoring abnormal glutamate dehydrogenase activity in Hyperinsulinism/Hyperammonemia syndrome at 7.0T
Ravi Prakash Reddy Nanga1, Elizabeth A Rosenfeld2, Deepa Thakuri1, Mark Elliott1, Ravinder Reddy1, and Diva D De Leon2

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Endocrinology and Diabetes, Children’s Hospital of Philadelphia, Philadelphia, PA, United States

Hyperinsulinism/Hyperammonemia (HI/HA) syndrome is an orphan disease characterized by fasting and protein-induced hypoglycemia, hyperammonemia, and has high prevalence of epilepsy, developmental delays, and learning disabilities. Understanding the mechanism involved in brain phenotype remains limited. We have previously shown the application of glutamate weighted chemical exchange saturation transfer (GluCEST) imaging in small set of subjects to spatially map the glutamate levels of hippocampus. In this study we have expanded the human subject pool for studying the abnormal function of glutamate dehydrogenase (GDH) enzyme activity with HI/HA syndrome.

0720
12:00
CEST Imaging of Nose-to-Brain Drug Delivery using Iohexol liposomes at 3T
Lok Hin LAW1, Peng XIAO1, Jianpan Huang1, Xiongqi HAN1, and Kannie WY CHAN1,2,3

1Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, Hong Kong, 2Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3City University of Hong Kong Shenzhen Research Institute, Shenzhen, China

Imaging-guided nose-to-brain drug delivery provide a non-invasive monitoring of drug delivery to brain, which increases effective dose via bypassing Blood-Brain-Barrier(BBB). Here, we investigated imaging of nanomedicine delivery via intranasal-administration using CEST-detectable mucus-penetrating-liposome(with 10%PEG). Liposomes were loaded with Iohexol(Ioh-Lipo) and CEST properties were examined both in-vitro and in-vivo by injecting into mouse nostril. Ioh-Lipo generated CEST contrast of 33.4% at 4.3 ppm in-vitro. which was also observed in nostril, olfactory-bulb and frontal-lobe after intranasal-administration at 3T. We demonstrated the liposomes detectability both in nostril and olfactory-bulb by CEST. The result demonstrates an approach for imaging-guided Nose-to-Brain Intranasal Liposomal Drug Delivery.

0721
12:00
Peritumoral radiomics features from amide proton transfer-weighted MRI unveil the progressive pattern in early recurrent malignant gliomas
Shanshan Jiang1, Pengfei Guo2, Hye Young Heo1, Peter van Zijl1,3, and Jinyuan Zhou1

1Department of Radiology, Johns Hopkins University, Baltimore, MD, United States, 2Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

Assessing post-treatment malignant gliomas early has remained one of the most critical dilemmas in neuro-oncology for three decades. Amide protein transfer weighted (APTw) MRI has been validated to accurately detect recurrent malignant gliomas in more and more studies. The peritumoral area, as the one of the most aggressive regions, has been seldom studied. Here, we explore radiomics features extracted from peritumoral areas on APTw images to unveil the progressive pattern in early recurrent malignant gliomas. Our results suggest that the use of APTw radiomic features can add important value to structural MRI to assess the treatment response.

0722
12:00
Deuterium metabolic imaging of tumor burden and response to therapy in mutant IDH gliomas in vivo
Celine Taglang1, Georgios Batsios1, Mers Tran1, Anne Marie Gillespie1, Hema Artee Luchman2, Russell O Pieper3, Sabrina M Ronen1, and Pavithra Viswanath1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Cell Biology and Anatomy, University of Calgary and Hotchkiss Brain Institute, Calgary, AB, Canada, 3Neurological Surgery, University of California San Francisco, San Francisco, CA, United States

2H-magnetic resonance spectroscopy (MRS) recently emerged as a novel, non-invasive method of monitoring metabolic fluxes in high-grade glioblastomas in vivo. However, its utility for imaging low-grade gliomas and for assessing treatment response has not been examined. Here, we show that [6,6’-2H]-glucose metabolism to lactate serves to delineate tumor from contralateral normal brain in mice bearing orthotopic patient-derived low-grade glioma xenografts. Importantly, reduced lactate production from [6,6’-2H]-glucose informs on early response to therapy, at timepoints when volumetric alterations cannot be detected by anatomical imaging, pointing to the ability of [6,6’-2H]-glucose to assess pseudoprogression, which is a major challenge in glioma imaging.

0723
12:00
CRT-FID-MRSI at 7T for the high-resolution metabolic imaging of epilepsy: Preliminary results
Gilbert Hangel1, Philipp Lazen2, Matthias Tomschik1, Jonathan Wais1, Eva Hečková2, Lukas Hingerl2, Stephan Gruber2, Bernhard Strasser2, Gregor Kasprian3, Daniela Prayer3, Julia Furtner3, Christoph Baumgartner4, Johannes Koren4, Robert Diehm5, Martha Feucht5, Christian Dorfer1, Ekaterina Pataraia6, Wolfgang Bogner2, Siegfried Trattnig2,7, and Karl Rössler1

1Department of Neurosurgery, Medical University of Vienna, Vienna, Austria, 2High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 3Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 4Department of Neurology, Clinic Hietzing, Vienna, Austria, 5Department of Paediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria, 6Department of Neurology, Medical University of Vienna, Vienna, Austria, 7Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

We successfully implemented a fast high-resolution 3D-MRSI protocol covering the whole brain at 7T in a preliminary study of 14 patients with pharmacoresistant epilepsy. With an isotropic resolution of 3.4 mm acquired in 15:30 min, we detected focal metabolic alterations in thirteen patients. From all metabolites, tCr, Glu, mIns and NAA and especially tCho appear as the most relevant markers for detection of focal metabolic alterations in epilepsy. Especially concerning cortical developmental alterations as a cause of epilepsy, our findings may have the potential to differentiate metabolic fingerprints for FCD subclasses.

0724
12:00
In vivo GABA increase as a biomarker of the epileptogenic zone: an unbiased metabolomics approach
Florence Fauvelle1,2, Vasile Stupar1,2, Jia Guo3, Wafae Labriji1, Chen Liu3, Alicia Plaindoux1, Emmanuel Luc Barbier1,2, Sophie Hamelin1, and Antoine Depaulis1

1Grenoble Institut Neurosciences, University Grenoble Alpes, La Tronche, France, 2IRMaGE, University Grenoble Alpes, La Tronche, France, 3Departement of Psychiatry, Columbia University, New York, NY, United States

New non invasive methods are required to better delimit the epileptogenic zone (EZ) during the pre-surgical exam of epileptic patients. By combining ex vivo NMR spectroscopy-based (MRS) untargeted metabolomics and in vivo MRS-based targeted metabolomics, we found that GABA was the most discriminant metabolite of the epileptogenic zone vs adjacent brain regions in a mouse model of mesio-temporal lobe epilepsy (MTLE). GABA appears therefore as a specific in vivo biomarker of EZ in MTLE.


Member-Initiated Symposium

Low-Field Magnetic Resonance Imaging with Portability/Accessibility

Concurrent 7
Thursday 12:00 - 14:00
Moderators: Shaoying Huang & Matthew Rosen
Parent Session: Low-Field Magnetic Resonance Imaging with Portability/Accessibility
(no CME credit)
0:00
RF Coils & AI: Improving SNR at ULF
  Neha Koonjoo
  Massachusetts General Hospital

0:00
In Vivo MRI at 50 mT in a Portable Halbach-Based System
  Andrew Webb
  Leiden University

0:00
Human-Scale Fast Field-Cycling MRI at the University of Aberdeen
  David Lurie
  University of Aberdeen

0:00
Embrace the Inhomogeneity for Low-Field MRI
  Shaoying Huang
  Singapore University of Technology and Design

0:00
High-Contrast Imaging at Low Magnetic Fields
  David Waddington
  The University of Sydney

0:00
What Is “Good”? Recasting Image Quality as Clinical Utility
  Steven Schiff
  Pennsylvania State University


Weekday Course

Junior Fellows Symposium: ISMRM Shark Tank

Concurrent 8
Thursday 12:00 - 14:00
Moderators: Saumya Gurbani & Thomas Küstner

Oral

Data Processing & Software Tools

Concurrent 1
Thursday 14:00 - 16:00
Moderators: Mathieu Boudreau & Eve LoCastro
Parent Session: Data Processing & Software Tools
0725
14:00
QSMxT - A cross-platform, flexible, lightweight, and scalable processing pipeline for quantitative susceptibility mapping
Ashley Stewart1,2, Simon Daniel Robinson2,3,4, Kieran O'Brien1,2,5, Jin Jin1,2,5, Angela Walls6, Aswin Narayanan2, Markus Barth1,2,7, and Steffen Bollmann1,2,7

1Centre for Innovation in Biomedical Imaging Technology, University of Queensland, Brisbane, Australia, 2Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 3High Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 4Department of Neurology, Medical University of Graz, Graz, Austria, 5Siemens Healthcare Pty Ltd, Brisbane, Australia, 6Clinical & Research Imaging Centre, South Australian Health and Medical Research Institute, Adelaide, Australia, 7School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia

We developed an open-source QSM processing framework, QSMxT, that provides a full QSM workflow including converting DICOM data to BIDS, a variety of robust masking strategies, phase unwrapping, background field correction, dipole inversion and region-of-interest analyses based on automated anatomical segmentations. We make all required external dependencies available in a reproducible and scalable analysis environment enabling users to process QSM data for large groups of participants on any operating system in a robust way.

0726
14:00
Physiopy: A community-driven suite of tools for physiological recordings in neuroimaging
Katherine Louise Bottenhorn1, Daniel Alcalà-Lopez2, Apoorva Ayyagari3, Molly G Bright4, César Caballero-Gaudes2, Inés Chavarria2, Vicente Ferrer2, Soichi Hayashi5, Vittorio Iacovella6, François Lespinasse7, Ross Davis Markello8, Stefano Moia2, Robert Oostenveld9,10, Taylor Salo1, Rachael Stickland4, Eneko Uruñuela2, Merel Margaretha van der Thiel11, and Kristina M Zvolanek12

1Department of Psychology, Florida International University, Miami, FL, United States, 2Basque Center on Cognition, Brain and Language, Donostia, Spain, 3Northwestern University, Chicago, IL, United States, 4Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United States, 5Indiana University, Bloomington, IN, United States, 6CIMeC - Center for Mind / Brain Sciences, The University of Trento, Trento, Italy, 7Psychology, Université de Montréal, Montréal, QC, Canada, 8McGill University, Montréal, QC, Canada, 9Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands, 10NatMEG, Karolinska Institutet, Stockholm, Sweden, 11Department of Radiology & Nuclear Medicine, Maastricht University Medical Center, Maastricht, Netherlands, 12Biomedical Engineering, Northwestern University, Chicago, IL, United States

Physiopy is a community-driven effort that aims to offer a full data preparation pipeline for non-neural physiological recordings in neuroimaging research and to build consensus on “best practices” among researchers of this specific domain. Its primary goal is to facilitate physiological data collection and sharing, according to an existing data standard and ontology. Corollary goals of the community are to provide recommendations and tools for (1) physiological data acquisition in the MR environment, (2) appropriate processing of these data, (3) organization of resulting datasets and meta-data, and (4) computing metrics for the removal of confounding physiological signals from fMRI data.

0727
14:00
Across-vendor, inline standardized spectral analysis for single voxel MRS data acquisition at 3T
Brian J Soher1, Dinesh K Deelchand2, Sandeep Ganji3, Ralph Noeske4, Adam Berrington5, James Joers2, and Gulin Oz2

1Radiology, Duke University Medical Center, Durham, NC, United States, 2University of Minnesota, Minneapolis, MN, United States, 3Philips Healthcare, Rochester, MN, United States, 4GE Healthcare, Berlin, Germany, 5University of Nottingham, Nottingham, United Kingdom

The minimal spectral analysis methods described by MRS community consensus are not available in manufacturers’ MRS software. MRS data is still transferred off the scanner for advanced analysis leading to more variability in MRS results and impediments for adoption within a clinical DICOM workflow. We describe the Vespa Inline Engine (VIE), a flexible add-in module for the open-source Vespa spectral analysis package. VIE provides equivalent, inline MRS processing on GE, Siemens and Philips platforms. Raw MRS data sent to the VIE analysis returns results to the DICOM workflow as graphical and tabular DICOM images.

0728
14:00
TIRL: Automating Deformable Slice-to-Volume Registration Between Stand-Alone Histology Sections and Post-Mortem MRI
Istvan N Huszar1, Karla L Miller1, and Mark Jenkinson1

1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

An open-source framework (TIRL) and a novel 3-stage pipeline are presented to automate the registration between sparsely sampled small histology sections and 3-D MRI data for validating imaging biomarkers. In addition to affine registration, deformable slice-to-volume registration is employed to compensate for both in-plane and through-plane distortions of the histology sections. Each stage of the pipeline is shown to achieve submillimetre precise alignments, surpassing the accuracy of previous methods. With photographic intermediaries the pipeline is fully automatic and does not depend on serial histological sectioning or specialist cutting and stain automation hardware. The tools are provided as part of FSL.

0729
14:00
Open-Source MR Imaging Workflow
Marten Veldmann1, Philipp Ehses1, Kelvin Chow2, Maxim Zaitsev3, and Tony Stöcker1,4

1MR Physics, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany, 2MR R&D Collaborations, Siemens Medical Solutions USA Inc., Chicago, IL, United States, 3Department of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 4Department of Physics & Astronomy, University of Bonn, Bonn, Germany

We demonstrate an open-source MR imaging workflow for MR sequence development and online image reconstruction. The open-source approach improves vendor-independent reproducibility of new or modified MR sequences and reconstruction algorithms. An extensible online reconstruction pipeline allows for fast evaluation of the acquired data on the scanner directly. The pipeline supports implementation of advanced open-source image reconstruction techniques and is not restricted to a specific sequence. We successfully implemented an open-source spiral sequence with Pulseq for execution at a 7T MR scanner. A non-Cartesian image reconstruction was done with the BART toolbox using GIRF trajectory prediction.

0730
14:00
BigBrain-MR: a computational phantom for ultra-high-resolution MR methods development
Cristina Sainz Martinez1,2, Mathieu Lemay1, Meritxell Bach Cuadra2,3,4, and João Jorge1,2

1Systems Division, Swiss Center for Electronics and Microtechnology (CSEM), Nêuchatel, Switzerland, 2Medical Image Analysis Laboratory (MIAL), Center for Biomedical Imaging (CIBM), Lausanne, Switzerland, 3Signal Processing Laboratory (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland

With the increasing importance of ultra-high field systems, suitable simulation platforms are needed for the development of high-resolution imaging methods. Here, we propose a realistic computational brain phantom at 100μm resolution, by mapping fundamental MR properties (e.g., T1, T2, coil sensitivities) from existing brain MRI data to the fine-scale anatomical space of BigBrain, a publicly-available 100μm-resolution ex-vivo image obtained with optical methods. We propose an approach to map image contrast from lower-resolution MRI data to BigBrain, retaining the latter’s fine structural detail. We then show its value for methodological development in two applications: super-resolution, and reconstruction of highly-undersampled k-space acquisitions.

0731
14:00
Improved Estimation of Myelin Water Fractions with Learned Parameter Distributions
Yudu Li1,2, Jiahui Xiong1,2, Rong Guo1,2, Yibo Zhao1,2, Yao Li3,4, and Zhi-Pei Liang1,2

1Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 4Med-X Research Institute, Shanghai, China

Myelin water fraction (MWF) mapping can substantially improve our understanding of several demyelinating diseases. While MWF maps can be obtained from multi-exponential fitting of multi-echo imaging data, current solutions are often very sensitive to noise and modeling errors. This work addresses this problem using a new model-based method. This method has two key novel features: a) an improved signal model capable of compensating practical signal errors, and b) incorporation of parameter distributions and low-rank signal structures. Both simulation and experimental results show that the proposed method significantly outperforms the conventional methods currently used for MWF estimation.

0732
14:00
Spatiotemporal encoding for DWI of brain and prostate using subspace-constrained sampling and locally-low-rank regularized reconstruction
Martins Otikovs1, Ankit Basak1, and Lucio Frydman1

1Weizmann Institute of Science, Rehovot, Israel

The benefits of performing locally low-rank (LLR) reconstruction on subsampled diffusion weighted (DW) data employing spatiotemporal encoding (SPEN) methods, is investigated. SPEN allows for self-referenced correction of motion-induced phase errors in case of interleaved DW acquisitions, and allows to overcome distortions otherwise observed along EPI’s phase-encoded dimension. In combination with LLR regularization and with joint subsampling of b-weighted and interleaved images, additional improvements are demonstrated. The method is tested on phantoms, and improvements in in-vivo brain and prostate scans on volunteers are demonstrated.

0733
14:00
JET - A Matlab toolkit for automated J-difference-edited MR spectra processing of in vivo mouse MEGA-PRESS study at 9.4T
Chen Liu1, David Jing Ma2, Nanyan Zhu3, Kay Igwe2, Jochen Weber2, Roshell Li4, Emily Turner Wood5, Wafae Labriji6, Vasile Stupar6, Yanping Sun7, Neil Harris8, Antoine Depaulis6, Florence Fauvelle 9, Scott A. Small10,11,12, Douglas L. Rothman13, and Jia Guo10,14

1Department of Electrical Engineering and the Taub Institute, Columbia University, New York, NY, United States, 2Columbia University, New York, NY, United States, 3Department of Biological Sciences and the Taub Institute, Columbia University, New York, NY, United States, 4Department of Biomedical Engineering, Columbia University, New York, NY, United States, 5University of California, Los Angeles, Los Angeles, CA, United States, 6Grenoble Institut Neurosciences (GIN), Grenoble, France, 7Herbert Irving Comprehensive Cancer Centre, Columbia University, New York, NY, United States, 8Department of Neurosurgery, University of California, Los Angeles, Los Angeles, CA, United States, 9Grenoble MRI Facility IRMaGe, France, France, 10Department of Psychiatry, Columbia University, New York, NY, United States, 11Department of Neurology, Columbia University, New York, NY, United States, 12Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, United States, 13Radiology and Biomedical Imaging and of Biomedical Engineering, Yale University, New Haven, CT, United States, 14Mortimer B. Zuckerman Mind Brain Behavior Institute, Columbia University, New York, NY, United States

Spectral editing studies in mice brains have been limited due to difficulty in spectrum processing and lack of software package analysis. However, in preclinical studies, mouse models play an important role in understanding effects of drugs and its impact on the nervous system. JET is a fully automated software that performs raw data conversion, spectrum registration, spectral quality assessment and metabolite quantification of MEGA-PRESS mouse data at 9.4T. In this work, we first introduce the automated spectra processing pipeline of JET and further demonstrate its utilities in mouse studies.

0734
14:00
A Magnetic Resonance Imaging Simulation Framework of the Developing Fetal Brain
Hélène Lajous1,2, Tom Hilbert1,3,4, Christopher W. Roy1, Sébastien Tourbier1, Priscille de Dumast1,2, Yasser Alemán-Gómez1, Thomas Yu4, Patric Hagmann1, Mériam Koob1, Vincent Dunet1, Tobias Kober1,3,4, Matthias Stuber1,2, and Meritxell Bach Cuadra1,2,4

1Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 2CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 3Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland, 4Signal Processing Laboratory 5 (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland

Accurate characterization of in utero human brain maturation is critical. However, the limited number of exploitable magnetic resonance acquisitions not corrupted by motion in this cohort of sensitive subjects hinders the validation of advanced image processing techniques. Numerical simulations can mitigate these limitations by providing a controlled environment with a known ground truth. We present a flexible framework that simulates magnetic resonance acquisitions of the fetal brain in a realistic setup including stochastic motion. From simulated images comparable to clinical acquisitions, we assess the accuracy and robustness of super-resolution fetal brain magnetic resonance imaging with respect to noise and motion.


Combined Educational & Scientific Session

Emerging Quantitative Contrasts: QSM, ETPM & MRE

Concurrent 2
Thursday 14:00 - 16:00
Parent Session: Emerging Quantitative Contrasts: QSM, ETPM & MRE
(no CME credit)
0735
14:00
Neural network-based cr-EPT stabilization.
Adan Jafet Garcia Inda1, Shao Ying Huang2,3, Nevrez Imamoglu4, and Wenwei Yu5

1Medical Engineering, Chiba University, Chiba, Japan, 2Department of Surgery, National University of Singapore, Singapore, Singapore, 3Engineering Product Development, Singapore University of Technology and Design, Singapore, Singapore, 4Artificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, Japan, 5Center for Frontier Medical Engineering, Chiba University, Chiba, Japan

Electrical properties are a novel contrast mechanism for quantitative MRI. Conductivity can be used as a biomarker for tumorous tissues. Different analytic Magnetic-Resonance Electrical Properties Tomography (MREPT) methods have been proposed, however, accurate reconstructions require empirical assessment and setting of regularization coefficients per sample. In this work, based on a modified formulation of Convection-Reaction Equation-Based EPT (cr-EPT), the regularization coefficients are learned from the difference between reconstructed conductivity maps and their ground truth, using a convolutional neural network (CNN) model. The CNN model with the modified cr-EPT could achieve conductivity reconstructions with higher accuracy, compared to several analytical models.

0736
14:00
Accelerating QSM using Compressed Sensing and Deep Neural Network
Yang Gao1, Feng Liu1, Stuart Crozier1, and Hongfu Sun1

1The University of Queensland, Brisbane, Australia

Quantitative susceptibility mapping (QSM) has shown significant clinical potential for studying neurological disorders, but its acquisitions are relatively slow, e.g. 5-10 mins. Compressed sensing (CS) undersampling and reconstruction techniques have been used to accelerate the magnitude-based MRI acquisitions; however, most of them are ineffective to phase signal due to its non-convex nature. In this study, we propose a deep neural network “CANet” using complex attention modules to recover both the magnitude and phase images from the CS-undersampled data, enabling substantial acceleration of phase-based QSM.

0737
14:00
Brain stiffness changes before disease onset and reflects remission and relapse in a mouse model of multiple sclerosis
Anna Morr1, Rafaela Vieira da Silva1, Gergely Bertalan1, Stefan Paul Koch1, Susanne Mueller1, Philipp Boehm-Sturm1, Jürgen Braun1, Carmen Infante Duarte1, and Ingolf Sack1

1Charité - Universitätsmedizin Berlin, Berlin, Germany

The disease progression in a mouse model of multiple sclerosis (EAE) was monitored based on regionally resolved brain viscoelasticity. Multifrequency MR elastography was applied prior to immunization and during subsequent phases of disease progression. Our results suggest that mechanical structures of the brain, particularly throughout the whole brain, in the cortex, and in the periventricular and hippocampal areas, are already significantly affected by neuroinflammation bevor clinical disability is manifested. Moreover, stiffness of the hippocampus and periventricular tissue transiently recovered during remission and became re-affected during relapse. This suggests that mechanical alterations are transient and recover during remission.

0738
14:00
Validation and Application of a Novel Anisotropic MRE Reconstruction Method
Renee Miller1, Rob Lloyd2, Daniel Fovargue1, Behzad Babei2, Lauriane Juge2,3, Ralph Sinkus1, David Nordsletten1,4, and Lynne Bilston2,3

1Biomedical Engineering and Imaging Sciences, Kings College London, London, United Kingdom, 2Neuroscience Research Australia, Sydney, Australia, 3Faculty of Medicine, University of New South Wales, Sydney, Australia, 4University of Michigan, Ann Arbor, MI, United States

Due to their structure and composition, many biological tissues have been shown to be anisotropic. MRE, a non-invasive tool used to measure the stiffness of tissue, has previously been used to diagnose and track disease progression based on tissue stiffness changes. This work presents a robust and novel method for estimating anisotropic stiffness utilising harmonic displacements from MRE and material orientations from DTI. The method was verified using in silico experiments and applied to in vivo imaging data of the lower leg muscles in volunteers. In vivo stiffness estimates show changes in anisotropic stiffness with changes in passive muscle stretch.

0739
14:00
Relationships Between 7T Basal Ganglia QSM, Volume and Clinical Manifestation of Huntington’s Disease
Sivakami Avadiappan1, Melanie A Morrison1, Yicheng Chen1, Angela Jakary1, Nancy Cai2, Megan Casey2, Julia Glueck2, Joseph Tallakson2, Michael Geschwind2, Katherine Possin2, Alexandra Nelson2, Christopher P Hess1,2, and Janine M Lupo1

1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Department of Neurology, University of California San Francisco, San Francisco, CA, United States

Huntington’s Disease (HD) is a neurodegenerative disorder with severe cognitive and motor impairment caused by abnormal cytosine-adenine-guanine (CAG) repeat expansion within the HTT gene. The goal of this study was to explore differences in iron deposition measured by quantitative susceptibility mapping (QSM) and volume of basal ganglia structures between healthy controls and patients with pre-manifest HD or early manifest HD and correlate them with clinical variables. The caudate and putamen exhibited atrophy that increased with disease severity, CAP score, and impaired motor function. Iron deposition increased with the onset of symptoms, CAP scores, and cognitive decline. 

0740
14:00
Imaging of electromagnetic field distribution in deep brain stimulation (DBS): a biological tissue phantom study
Munish Chauhan1, Saurav ZK Sajib1, Sulagna Sahu1, Enock Boakye1, Willard S Kasoff2, and Rosalind J Sadleir1

1School of Biological and Health System Engineering, Arizona State University, Tempe, AZ, United States, 2Department of Surgery, University of Arizona, Tucson, AZ, United States

Knowledge of electromagnetic field distribution parameters such as current density, conductivity, and electric field distribution may play an essential role in understanding DBS therapeutic effects on living tissues. However, until now there has been no experimental method that can measure these field parameters. In this work, we demonstrate that it is possible to quantify electromagnetic field distribution during DBS therapy using magnetic resonance electrical impedance tomography (MREIT).


Sunrise Session

Emerging Quantitative Contrasts: Quantitative Susceptibility Mapping (QSM)

Organizers: Riccardo Lattanzi, Marta Bianciardi, Karin Shmueli, Noam Ben-Eliezer, Audrey Fan
Concurrent 2
Thursday 14:00 - 16:00
Moderators: Emma Biondetti
Parent Session: Emerging Quantitative Contrasts: QSM, ETPM & MRE
14:00
QSM: Theory & Methods
Steffen Bollmann

14:30
QSM: Applications & Outlook
Sarah Eskreis-Winkler

15:00
QSM: Applications & Outlook
Anita Karsa


Sunrise Session

Emerging Quantitative Contrasts: Electrical Tissue Property Mapping

Organizers: Riccardo Lattanzi, Karin Shmueli, Douglas Noll, Alex T. L. Leong
Concurrent 2
Thursday 14:00 - 16:00
Moderators: Xiaotong Zhang & Wyger Brink
Parent Session: Emerging Quantitative Contrasts: QSM, ETPM & MRE

Sunrise Session

Emerging Quantitative Contrasts: Magnetic Resonance Elastography (MRE)

Organizers: Riccardo Lattanzi, Noam Ben-Eliezer, Audrey Fan, Hai-Ling Cheng, Alex T. L. Leong
Concurrent 2
Thursday 14:00 - 16:00
Moderators: Yuan Feng & Dieter Klatt
Parent Session: Emerging Quantitative Contrasts: QSM, ETPM & MRE

Oral

Making MRI More Accessible: Speed, Cost & New Developments

Concurrent 3
Thursday 14:00 - 16:00
Moderators: Samantha By & Clarissa Cooley
Parent Session: Making MRI More Accessible: Speed, Cost & New Developments
0741
14:00
Cost-Effectiveness Analysis of Magnetic Resonance Spectroscopy for the Differentiation of Recurrent Glioma from Radiation Necrosis
Huijun Liao1, So Wing Lum1, and Alexander P. Lin1

1Center for Clinical Spectroscopy, Brigham and Women's Hospital, Boston, MA, United States

To date there have been no formal studies of the cost-effectiveness of magnetic resonance spectroscopy. Cost-effectiveness analysis was conducted by utilizing a decision-analytic model that compared MRS and standard of care to standard of care alone for recurrent glioma and necrosis differentiation. Our results showed that performing MRS was highly cost-effective with incremental cost-effectiveness ratios of -$98,978, -$50,666 and -$41,349 per quality-adjusted life-years over 5-year, 10-year and lifetime horizons. At the willingness-to-pay threshold of $50,000, performing MRS was more cost-effective with certainty of 96% to 97% over those time-horizons. MRS should be considered reimbursable by policy makers. 

0742
14:00
Feasibility of accelerated diffusion weighted imaging for prostate cancer screening on prototype 0.55T system enabled with random matrix theory
Gregory Lemberskiy1, Dmitry S Novikov1, Mary Bruno1, Mahesh Bharath Keerthivasan2, Els Fieremans1, and Hersh Chandarana1

1Radiology, NYU School of Medicine, New York, NY, United States, 2Siemens Medical Solutions, New York, NY, United States

We compared standard and RMT reconstructions for a prostate DWI exam on a prototype 0.55T for varying number of averages (1 to 40)  to evaluate the image quality and overall loss. For standard reconstructions, regardless of number of averages, the Rician bias is present even at 40 averages for high-b value data, whereas 1 average on RMT is sufficient to produce diagnostic grade DWI at 0.55T.

0743
14:00
Assessing breast density using the standardized proton density fat fraction based on chemical shift encoding-based water-fat separation
Tabea Borde1, Mingming Wu1, Stefan Ruschke1, Christof Böhm1, Kilian Weiss2, Stephan Metz1, Marcus R Makowski1, and Dimitrios Karampinos1

1Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 2Philips Healthcare, Hamburg, Germany

Breast density is confirmed as a strong, independent risk factor of breast cancer which is why there is a clinical need for a robust, reader-independent, non-ionizing, quantitative assessment of breast density. This retrospective study proposes the proton density fat fraction (PDFF) derived from chemical shift encoding-based water-fat separation as a novel quantitative MRI biomarker of breast density. As a clinically highly practicable biomarker that is automatedly obtainable and insensitive to acquisition parameters and the partial volume effect, the PDFF significantly negatively correlated with the most commonly used conventional radiographic mammogram breast density estimations. 

0744
14:00
Can pulmonary thin-section MRI with UTE<200μs be applied for lung cancer screening similar to CT?
Yoshiharu Ohno1,2,3, Masao Yui4, Takeshi Yoshikawa3,5, Daisuke Takenaka5, Kaori Yamamoto4, Yoshimori Kassai4, Kazuhiro Murayama2, and Hiroshi Toyama1

1Radiology, Fujita Health University School of Medicine, Toyoake, Japan, 2Joint Research Laboratory of Advanced Medical Imaging, Fujita Health University School of Medicine, Toyoake, Japan, 3Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 4Canon Medical Systems Corporation, Otawara, Japan, 5Diagnostic Radiology, Hyogo Cancer Center, Akashi, Japan

No report has been found to compare the capability for lung cancer screening among pulmonary MR imaging with ultra-short TE (UTE), low-dose CT (LDCT) and standard-dose CT (SDCT).  We hypothesized that pulmonary MR imaging with UTE has a similar potential to detect pulmonary nodules and evaluate Lung-RADS classification and can apply lung cancer screening as well as CT.  The purpose of this study was to compare the capability for lung cancer screening among pulmonary MR imaging with UTE and both dose CTs.   

0745
14:00
Residential MRI: Fully Mobile Neuroimaging for Community and Population-Based Studies
Sean Deoni1, John Rogers2, Jennifer Beauchemin2, Viren D'Sa3, Eddy Boskamp4, Samantha By4, Chris McNulty4, William Mileski4, Brian Welch4, and Paul Medeiros5

1Bill & Melinda Gates Foundation, Seattle, WA, United States, 2Advanced Baby Imaging Lab, Rhode Island Hospital, Providence, RI, United States, 3Pediatrics, Rhode Island Hospital, Providence, RI, United States, 4Hyperfine, Guildford, CT, United States, 5New England Collision, Seekonk, MA, United States

The continued increase in magnetic field strength and gradient capabilities of MRI systems has allowed ever more sophisticated interrogation of brain structure and function. However, these systems are often limited to high resource imaging research centers. To extend to more general population-studies, there is need for low-cost mobile imaging systems that allow for anywhere/everywhere imaging. In this work, we built a mobile MRI lab using the 64mT Hyperfine SwoopTM system and a customized Ford Transit cargo van, and demonstrated the ability to perform routine and rapid at-home MRI for the first time.

0746
14:00
The Impact of Acceleration on Radiologists' Confidence in Point-Of-Care 0.5T MRI For Triage of Acute Stroke
Michelle Pryde1,2, Sarah Reeve2,3, Taylor Bouchie2,4, Elena Adela Cora5,6, David Volders5,6, Chris Bowen2,3,5, James Rioux2,3,5, and Steven Beyea1,2,3,5

1School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada, 2Biomedical Translational Imaging Centre, QEII Health Sciences Centre, Halifax, NS, Canada, 3Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada, 4Medicine, Dalhousie University, Halifax, NS, Canada, 5Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada, 6Diagnostic Imaging, Nova Scotia Health, Halifax, NS, Canada

Accelerated MR image acquisition is key for emergency medicine situations, such as acute stroke, but yields degraded image quality. Therefore, our aim in this study was to calibrate a relationship between IQMs and radiologists' confidence in answering pointed clinical questions relevant to triaging of stroke patients so as to develop a protocol at low-field that is “as fast as clinically useful”. We observed that upon increasing R and decreasing NEX, radiologists’ confidence scores in their ability to identify diagnostically relevant features of both acute and chronic stroke decreased; however, radiologists’ confidence remained high despite retrospective acceleration of up to R=6. 

0747
14:00
Running Free on a Low-Field: a Proof of Principle
Davide Piccini1,2, Jerome Yerly2,3, Tobias Kober1,2,4, Lorenzo Di Sopra2, Aurélien Bustin2,5,6, Daniel Giese7, Mario Bacher7, Michaela Schmidt7, Peter Speier7, Christian Geppert7, Rainer Schneider7, David Grodzki7, and Matthias Stuber2,3

1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 3CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 4LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 5IHU LIRYC, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, Pessac-Bordeaux, France, 6Department of Cardiovascular Imaging, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Pessac, France, 7Magnetic Resonance, Siemens Healthcare, Erlangen, Germany

Low-field MR has recently attracted considerable attention because of reduced overall cost, lower field inhomogeneity, a lower specific absorption rate, and the potential for a more widespread global use. Owing to the simplicity and scalability of our recently developed free-running framework (FRF) for cardiovascular imaging, we here present the first results obtained with FRF at 0.55T. We demonstrate that FRF is scalable to this field strength by successfully reconstructing 5D cardiac- and respiratory motion-resolved whole heart images without the need of any gating or triggering devices, while reducing scan planning to a single mouse-click.

0748
14:00
Research and educational applications of an open source, low cost MRI console with an accessible pulse sequence programming environment
Lincoln Craven-Brightman1, Thomas O'Reilly2, Benjamin Menkuec3, Marcus Prier4, Rubén Pellicer-Guridi5,6, Joseba Alonso5,6, Lawrence L. Wald1,7, Maxim Zaitsev8, Jason Stockmann1,7, Thomas Witzel9, Andrew Webb2, and Vlad Negnevitsky10

1A.A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 3University of Applied Sciences and Arts Dortmund, Dortmund, Germany, 4Otto von Guericke Universität Magdeburg, Magdeburg, Germany, 5Universitat Politècnica de València, Valencia, Spain, 6Spanish National Research Council, Valencia, Spain, 7Harvard Medical School, Boston, MA, United States, 8Medizinische Universität Wien, Vienna, Austria, 9Qbio Inc, San Carlos, CA, United States, 10Independent researcher, Zürich, Switzerland

The hardware and software for a low cost programmable MR console has been developed, characterized and tested in various setups at multiple sites for both educational and research applications. A new Python-based wrapper allows easy pulse programming of different sequences and k-space trajectories using PulSeq, with output data also being processed via Python. The first two- and three-dimensional in vivo images have also been acquired using this hardware on a large bore Halbach array system.

0749
14:00
Freeing MRI from its Faraday cage with Interference Rejection
Hadrien Dyvorne1, Todd Rearick1, Michael Poole1, Carole Lazarus1, Pierre Weiss2, Laura Sacolick1, Jeremy Jordan1, Cedric Hugon1, William Mileski1, Gang Chen1, Rafael O'Halloran1, Chris McNulty1, Jonathan Lowthert1, Anne Nelson1, Aristito Lorenzo1, Nicholas Zwart1, Prantik Kundu1, Scott Martin1, Andrei Loutchouk1, E. Brian Welch1, Samantha By1, Bradley Cahn3, Matthew Yuen3, Mercy Mazurek3, Anjali Pranhat3, Matthew Rosen4, Kevin Sheth3, and Jonathan Rothberg1

1Hyperfine, Guilford, CT, United States, 2ITAV, CNRS, Toulouse, France, 3Neurology, Yale University School of Medicine, New Haven, CT, United States, 4Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States

We introduce methods and hardware for rejection of high levels of interference from MR data, allowing the acquisition of MR imaging scans outside the shielded room and with no disruption to patient care. Interference cancellation relies on deriving a transfer function between “primary” sensors that detect MR signal and interference, and “reference” sensors that detect interference only. Interference rejection up to 67 dB is demonstrated, along with imaging results from scans acquired at the patient bedside in a Neuro ICU.

0750
14:00
Comparing Zero Time of Echo (ZTE) MRI sequence and Computed Tomography for assessing bony lesions of skull base and calvarium : A Pilot study
Vikas Chauhan1, Sandeep Kaushik2, Florian Wiesinger2, Cristina Cozzini2, Michael Carl2, Maggie Fung2, Bhairav Mehta2, Bejoy Thomas1, and Kesavadas Chandrasekharan1

1Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India, 2GE Healthcare, GE Healthcare, Bangalore, India

ZTE is a novel MRI sequence which can be used for the imaging of the bone. In this pilot study we present our initial experience with this sequence. The pseudoCT images generated after post-processing of raw ZTE data were similar to the real CT images in bone windows and were able to give the relevant clinical information about the lesion size, margins, erosions and bony expansion. As this technique is free of ionising radiation, it has a huge potential for bone imaging. Thus the MRI becomes one stop shop for the imaging of patients with bone lesions.


Combined Educational & Scientific Session

Fat Metabolism

Organizers: Christopher Filippi
Concurrent 4
Thursday 14:00 - 16:00
Moderators: Pernilla Peterson & Mustafa Shadi Bashir
Parent Session: Fat & Metabolism
(no CME credit)
14:00
Chemical Shift MR Methods in Imaging Brown Adipose Tissue
Houchun Harry Hu1

1Clinical Science, Hyperfine Research, Inc., Guilford, CT, United States

This talk introduces the audience to MRI of brown adipose tissue (BAT).  BAT studies in both animals and humans have progressed rapidly during the past decade.  While positron emission and computed tomography (PET/CT) is likely to remain as a reference modality in BAT imaging, approaches using MRI have emerged as viable alternatives. MRI-based quantitative measurements of BAT fat content and metabolism are discussed.  An outlook on research opportunities and future directions is provided. 

14:30
How to Quantify & Characterize Fat with MRI/MRS
Olof Dahlqvist Leinhard1

1Linköping University, Linköping, Sweden

This talk is about advanced body composition assessment methods using MRI and MRS. Approaches for automation and standardization across different scanner platforms will be discussed.  Recent advancements in understanding how biomarkers for liver and muscle steatosis links to incidence and progression of metabolic disorders such as diabetes mellitus and coronary heart disease will be reviewed. By applying whole body MRI in large scale population studies, new phenotypes can be described connecting skewness in body fat distribution to specific comorbidity patterns. Further, it will be discussed how detailed volumetric description of muscles can advance our understanding of muscle degeneration and sarcopenia.

15:00
Diagnostic Value of Quantifying Body Composition & Organ Fat
Shintaro Ichikawa1

1Department of Radiology, Hamamatsu University School of Medicine, Hamamatsu, Japan

Non-alcoholic fatty liver disease (NAFLD) is a worldwide major public health problem. proton density fat fraction (PDFF) is a noninvasive quantitative evaluation method of hepatic steatosis. PDFF has excellent diagnostic value for assessment of liver fat accumulation and classification of histologic steatosis in patients with NAFLD. PDFF may be more sensitive than histological examination in detecting small changes in liver fat content. PDFF is a useful tool for the assessment of longitudinal changes of hepatic steatosis due to its noninvasiveness and high reproducibility. Recently, PDFF can also apply to other organs.

15:30
Fat and Cancer
Vicky Goh1

1King's College London, London, United Kingdom

Normal adipose tissue is a dynamic structure with endocrine, metabolic, haematological and immune functions in addition to fat storage. Obesity (body mass index ≥30 kg/m2) has doubled in prevalence since the 1980s and is a risk to health. This lecture describes normal body fat distribution; the physiological changes in fat and muscle distribution with ageing; the prevalence of obesity globally and its impact on cancer risk and outcomes. Imaging techniques to assess body composition (fat-muscle mass) are compared and how such imaging can help the management of cancer patients is discussed.

0751
14:00
Removal of Subcutaneous Lipid Signals from Spin-Echo 1H-MRSI Brain Data Using an FID Reference and Machine Learning
Yunpeng Zhang1, Yibo Zhao2,3, Yudu Li2,3, Rong Guo2,3, Yao Li1, and Zhi-Pei Liang2,3

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

Spin-Echo (SE) MRSI can encode J-coupling information and is desirable for brain imaging applications. But it uses long TR, leading to long scan time and thus low resolution. Consequently, removal of subcutaneous lipid signals from low-resolution SE data is challenging. This paper presents a novel method to solve this problem. The proposed method uses a high-resolution FID reference and a neural network to transform it into SE signals, which are then used to construct a generalized-series model for lipid signal removal from the SE 1H-MRSI data. The proposed method has been tested using in vivo data, producing very encouraging results.

0752
14:00
Lipid droplet size mapping in human adipose tissue using a clinical 3 T system
Dominik Weidlich1, Julius Honecker2, Christof Boehm1, Stefan Ruschke1, Daniela Junker1, Anh Van1, Marcus Makowski1, Christina Holzapfel3, Melina Claussnitzer4,5,6, Hans Hauner2,3, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany, 2Else Kröner Fresenius Center for Nutritional Medicine, School of Life Sciences, Technical University of Munich, Munich, Germany, 3Institute for Nutritional Medicine, School of Medicine, Technical University of Munich, Munich, Germany, 4Broad Institute of MIT and Harvard, Cambridge, MA, United States, 5Beth Israel Deaconess Medical Center, Boston, MA, United States, 6Harvard Medical School, Harvard University, Boston, MA, United States

Despite its high relevance in metabolic research, the non-invasive measurement of adipocyte size remains an unmet need. DW-MRS has been previously applied to probe diffusion restriction effects in vivo to measure lipid droplets in animals up to diameters of 10 µm and in humans up to diameters of 50 µm. However, DW-MRS suffers from signal loss due to intravoxel-dephasing even when minimal motion is present. This work proposes a novel DW-MRI sequence and diffusion signal processing. In simulations and ex vivo adipose tissue measurements, the presented method results show agreement with ground truth and histology in measuring lipid droplet size.

0753
14:00
Free-Breathing Liver Fat and R2* Mapping: Multi-Echo Radial FLASH and Model-based Reconstruction (MERLOT)
Zhengguo Tan1,2, Sebastian Rosenzweig1,2, Xiaoqing Wang1,2, Nick Scholand1,2, H Christian M Holme1,2, Moritz Blumenthal1, and Martin Uecker1,2,3,4

1Institute for Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany, 2German Center for Cardiovascular Research (DZHK), Göttingen, Germany, 3Cluster of Excellence "Multiscale Bioimaging: from Molecular Machines to Networks of Excitable Cells" (MBExC), University of Göttingen, Göttingen, Germany, 4Campus Institute Data Science, University of Göttingen, Göttingen, Germany

To achieve free-breathing liver fat and $$$R_2^\star$$$ mapping, this work combines multi-echo radial FLASH with stack-of-stars volumetric acquisition and SSA-FARY to resolve respiratory motion. Moreover, regularized model-based reconstruction is implemented in BART to directly estimate quantitative parameter maps from acquired k-space data. Joint spatial and temporal regularization is used in this work. The proposed method is validated with NIST and water/fat phantoms. Furthermore, free-breathing liver studies show repeatability and good agreement between single-slice real-time and volumetric acquisition.

0754
14:00
MP-Dixon-GRASP: Magnetization-Prepared Multiecho GRASP MRI for Free-Breathing Fat/Water-Separated 3D T1 Mapping
Li Feng1, Fang Liu2, Giorgios Soultanidis1, Chenyu Liu1, Thomas Benkert3, Sara Lewis1, Kai Tobias Block3,4, Zahi Fayad1, and Yang Yang1

1Biomedical Engineering and Imaging Institute and Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 3MR Application Development, Siemens Healthcare GmbH, Erlangen, Germany, 4Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, NY, United States

This study aims to develop a framework called MP-Dixon-GRASP (Magnetization-Prepared Dixon-based Golden-angle RAdial Sparse Parallel MRI) for rapid free-breathing fat/water-separated 3D T1 mapping of the liver. The technique combines inversion recovery-prepared multiecho stack-of-stars acquisition with subspace-based sparse image reconstruction. The performance of MP-Dixon-GRASP was evaluated in fat/water phantoms and in subjects with normal and elevated liver fat content. The results suggested that fat/water-separated T1 mapping is able to remove the influence of fat, which enables more accurate estimation of true T1 values in the liver. With fat/water-separated T1 estimation, MP-Dixon-GRASP could be potentially useful for imaging patients with fatty-liver diseases.

0755
14:00
Whole-Heart Motion-Resolved Multi-Peak Fat-Fraction Mapping using Free-Running 3D Radial Multi-Echo GRE and Pilot Tone
Adèle L. C. Mackowiak1, Christopher W. Roy1, Jérôme Yerly1,2, Lorenzo Di Sopra1, Mariana B. L. Falcaõ1, Mario Bacher1,3, Peter Speier3, Davide Piccini4,5, Matthias Stuber1,2, and Jessica A. M. Bastiaansen1

1Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2CIBM Center for Biomedical Imaging, Lausanne, Switzerland, 3Siemens Healthcare GmbH, Erlangen, Germany, 4Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 5Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland

A free-running multi-echo GRE approach was proposed for whole-heart fat quantification. Retrospective extraction of cardiac and respiratory motion states was achieved using integrated Pilot Tone navigation, enabling a free-breathing non-ECG-triggered acquisition. Following a motion-resolved compressed sensing based image reconstruction of the separate echoes, fat fraction, water fraction, R2* and Bmaps, as well as separated fat and water images, were calculated. Free-running acquisition parameters were optimized in a fat phantom. Volunteer experiments demonstrated the feasibility of motion-resolved free-running fat-fraction mapping technique in a 6-minute scan time.


0756
14:00
Left Ventricular Distribution of LGE and Intra-myocardial Fat in Boys with Duchenne Muscular Dystrophy and Healthy Controls at 3T
Nyasha G Maforo1,2, Ashley Prosper1, Pierangelo Renella1,3, Nancy Halnon4, Holden H Wu1,2,5, and Daniel B Ennis6,7,8

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Physics and Biology in Medicine, University of California, Los Angeles, Los Angeles, CA, United States, 3Medicine (Pediatric Cardiology), Children's Hospital of Orange County, Orange, CA, United States, 4Pediatrics (Cardiology), University of California, Los Angeles, Los Angeles, CA, United States, 5Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 6Radiology, Stanford University, Stanford, CA, United States, 7Cardiovascular Institute, Stanford University, Stanford, CA, United States, 8Maternal and Child Health Research Institute, Stanford University, Stanford, CA, United States

Duchenne muscular dystrophy (DMD) – a fatal X-linked genetic disorder – is characterized by progressive muscle weakness, pediatric onset cardiomyopathy, and ultimately heart failure. LGE imaging is the gold standard for detecting myocardial replacement fibrosis, but not fatty infiltration. We used chemical-shift based water-fat separation MRI techniques to investigate myocardial fibro-fatty infiltration and identify the onset of microstructural remodeling in boys with DMD. This study aimed to: 1) report and compare the left-ventricular (LV) intra-myocardial fat content in boys with DMD and healthy controls; and 2) determine whether fatty infiltration precedes the appearance of LGE in boys with DMD.


Oral

Gynecologic & Prostate Cancers

Concurrent 5
Thursday 14:00 - 16:00
Moderators: Masako Kataoka & Daniel Margolis
Parent Session: Gynecologic & Prostate Cancers
0757
14:00
MOdel-free Diffusion-wEighted MRI (MODEM) with Machine Learning for Cervical Cancer Detection
Guangyu Dan1,2, Cui Feng1,3, Zheng Zhong1,2, Kaibao Sun1, Muge Karaman1,2, Daoyu Hu3, and Xiaohong Joe Zhou1,2,4

1Center for MR Research, University of Illinois at Chicago, Chicago, IL, United States, 2Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 3Department of Radiology, Tongji Hospital, Wuhan, China, 4Departments of Radiology and Neurosurgery, University of Illinois at Chicago, Chicago, IL, United States

Characterization of diffusion-weighted imaging signal is typically performed by modeling the data based on biophysical, mathematical, and/or statistical models to estimate quantitative biomarkers. However, conventional nonlinear fitting, which is required for the estimation of model parameters, often suffers from instability and degeneracy. In this study, we propose a Model-free Diffusion-wEighted MRI technique (MODEM) with machine learning to detect cervical carcinomas by using diffusion signal intensities and the first-order statistical features extracted from the signal attenuation as the input. By using MODEM, superior diagnostic performance and stability can be achieved even with limited number of b-values in cervical cancer detection.

0758
14:00
Differential diagnosis of cervical adenocarcinoma and squamous carcinoma by using multiple parameters of Enhanced T2* -Weighted Angiography
Dahua Cui1, Ailian Liu1, Shifeng Tian1, and Qingwei Song1

1The First Affiliated Hospital of Dalian Medical University, Dalian, China

The aim of this study was to explore the value of multiple quantitative parameters of enhanced T2 star-weighted angiography (ESWAN) in differentiating cervical adenocarcinoma (CA) from Squamous cell carcinoma (SCC). The areas under the ROC curve of amplitude, R2* and T2* in US group were 0.729, 0.851 and 0.843, respectively, promising to be a valuable diagnostic method for differentiation CA from SCC. 

0759
14:00
Prediction of prognosis after definitive radiotherapy for uterine cervical cancer using changes of ADC histogram during the clinical course
Akiyo Takada1, Hajime Yokota2, Miho Watanabe Nemoto2, Takuro Horikoshi1, Koji Matsumoto1, Yuji Habu3, Hirokazu Usui3, Katsuhiro Nasu1, Makio Shozu3, and Takashi Uno2

1Radiology, Department of Radiology, Chiba University Hospital, Chiba, Japan, 2Radiology, Department of Diagnostic Radiology and Radiation Oncology, Graduate School of Medicine, Chiba University, Chiba, Japan, 3Obstetrics and gynecology, Department of Reproductive Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan

To realize precision medicine for cervical cancer, it is essential to predict the prognosis. We focused on changes in ADC histogram during the clinical course. Sixty-eight patients were included and they underwent MRI evaluation 4 times during the clinical course. Imaging features were extracted from the ADC histogram in the whole tumor VOI and their change rates were calculated. The change rates of kurtosis between the first and third, and between the first and second imaging could predict recurrence with high AUCs (0.90 and 0.83). By predicting the prognosis early during clinical course, a more personalized treatment can be provided.

0760
14:00
Preliminary study about T2 mapping technology in quantification of uterine benign and malignant tumors under 1.5T and 3.0T MRI
Liuhong Zhu1, Pu-Yeh Wu2, Hao Liu1, and Jianjun Zhou1

1Radiology, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen, China, 2GE Healthcare, Beijing, China

MRI is the best imaging tool for evaluation of uterine tumors, but conventional MRI diagnosis results are subjective. T2 mapping is an objective quantification technique under certain magnetic field. Here we compared T2 values of common benign and malignant tumors under different field strengths. We found that T2 value of benign lesions was significantly lower than those of malignant lesions under both 1.5T and 3.0T, while diagnostic performance of T2 value under 3.0T were higher than 1.5T. We concluded that T2 mapping can be an effective quantitative tool in distinguishing between benign and malignant tumors, especially under 3.0T MR.

0761
14:00
DTI quantitative parameters were used to differentiate uterine sarcoma from cell - rich uterine fibroids
Changjun Ma1, Ailian Liu1, Shifeng Tian1, and Jiazheng Wang2

1Radiology Department, The First Affiliated Hospital of Dalian Medical University, Dalian, China, Dalian,China, China, 2Philips Healthcare,Beijing,China, Beijing,China, China

DTI is a novel MRI sequence that enables quantitative assessment of various diseases. However, its potential for diagnosis of uterus has not been explored,and it may also help differential diagnosis of myoma of uterus and uterine sarcoma.In this study, the DTI was used for quantitative analyses of myoma of uterus and uterine sarcoma. 

0762
14:00
Deep Learning for the Ovarian Lesion Localization and Discrimination Between Borderline Tumors and Cancers in MR Imaging
Yida Wang1, YinQiao Yi1, Haijie Wang1, Changan Chen2, Yingfang Wang2, Guofu Zhang2, He Zhang2, and Guang Yang1

1East China Normal University, Shanghai Key Laboratory of Magnetic Resonance, Shanghai, China, 2Department of Radiology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China

We proposed a deep learning (DL) approach to segment ovarian lesion and differentiate ovarian malignant from borderline tumors in MR Imaging. Firstly, we used U-net++ with deep supervision to automatically define lesion region on conventional MRI; secondly, the segmented ovarian masses regions were classified with an SE-ResNet model. We compared the performance of classification model with those of radiologist’. The results showed the trained DL network model could help to identify and categorize ovarian masses with a high accuracy from MR images.

0763
14:00
Hyperpolarized 13C MR imaging of prostate cancer patient derived xenograft models and their response to therapy
Shubhangi Agarwal1, Jinny Sun1, Emilie Decavel-Bueff1, Robert A Bok1, Romelyn Delos Santos1, Mark Van Criekinge1, Rahul Aggarwal2, Daniel B Vigneron1, Donna Peehl1, John Kurhanewicz1, and Renuka Sriram1

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 22Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, San Francisco, CA, United States

This study demonstrates for the first time, a successful study of three small cell neuroendocrine prostate cancer patient derived xenografts (PDX) models in liver and bone in pre-clinical setting.  Kidney served as an optimum site for propagation with its rich blood supply and high take rate. Hyperpolarized 13C MRI was able to identify metabolic differences between kidney, bone and liver tumors. The same PDXs had different metabolism when implanted in bone and liver. Hyperpolarized [1-13C] pyruvate conversion to lactate may be used to indicate early response to carboplatin in small cell neuroendocrine prostate cancer models in the bone.

0764
14:00
Improving Multiparametric MR - TRUS Guided Fusion Prostate Biopsies with Hyperpolarized 13C Pyruvate Metabolic Imaging : Technical Development
Hsin-Yu Chen1, Robert A. Bok1, Hao G. Nguyen2, Katsuto Shinohara2, Antonio C. Westphalen1, Zhen J. Wang1, Michael A. Ohliger1, Lucas Carvajal1, Jeremy W. Gordon1, Peder E.Z. Larson1, Rahul Aggarwal2, John Kurhanewicz1, and Daniel B. Vigneron1

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, United States

This project developed a new approach of integrating research biopsy targets, defined by metabolic abnormalities on hyperpolarized (HP) 13C pyruvate MRI, into clinical multiparametric MRI workflow to guide software-fusion transrectal ultrasound (TRUS) biopsy for improved prostate cancer risk stratification. Feasibility was investigated in 3 prostate cancer patient studies, for which research biopsy targets corresponding to high pyruvate-to-lactate conversion rates (kPL) were identified and outlined by experienced abdominal radiologists. Fusion biopsies identified histologically-confirmed cancer at two out of three “C13” targets, consistent with clinically low- to intermediate-risk disease, supporting continued active surveillance management for these patients.

0765
14:00
A Framework for Characterizing Prostate Cancer Heterogeneity Using Voxel-Wise Co-Registered Ex Vivo MRI and Whole-Mount Histopathology
Zhaohuan Zhang1, Jiayun Li1, Wenyuan Li1, Haoxin Zheng1, Sohrab Afshari Mirak1, Sepideh Shakeri1, Alan Priester1, Clara Magyar2, Anthony Sisk2, Robert Reiter3, Kyunghyun Sung1, Steven Raman1, Dieter R. Enzmann1, Corey Arnold1, and Holden Wu1

1Department of Radiological Sciences, UCLA, Los Angeles, CA, United States, 2Department of Pathology, UCLA, Los Angeles, CA, United States, 3Department of Urology, UCLA, Los Angeles, CA, United States

Tumor heterogeneity is considered a key factor in determining the aggressiveness of prostate cancer (PCa). Quantitative MRI and digital whole-mount histopathology (WMHP) have potential to characterize heterogeneity in PCa in terms of MRI properties and tissue composition, respectively. Therefore, the purpose of this study is to develop a data acquisition and processing framework that produces high-resolution (1x1mm2) co-registered quantitative MRI and digital histopathology maps to enable texture features based quantification of PCa heterogeneity

0766
14:00
In-vivo Magnetic Resonance Elastography of implanted human prostate tumors in a murine model.
Joachim Snellings1, Kader Avan1, Marcus Markowski2, Bernd Hamm1, Patrick Asbach1, Carsten Warmuth1, Mehrgan Shahryari1, Heiko Tzschätzsch1, Ingolf Sack1, and Jürgen Braun3

1Institute of Radiology, Charité Üniversitätsmedizin, Berlin, Germany, 2School of Medicine & Klinikum Rechts der Isar, Technical University of Munich, Munich (TUM), München, Germany, 3Institut für Medizinische Informatik, Charité Üniversitätsmedizin, Berlin, Germany

Prostate cancer (PCa) is the second leading cause of cancer-death in men in the western world. Advanced techniques of clinical MR-elastography (MRE), allow the characterization of PCa, based on the viscoelastic tissue-properties, which provide rich biophysical signatures of tumor progression. Using multifrequency MRE, we investigated PCa introduced LNCaP cell-lines, in a immunodeficient murine model, in-vivo, in a 3-Tesla MRI-scanner and, ex-vivo, by a 0.5-Tesla compact MRE-device. In-vivo and ex-vivo MRE values of LNCaP were in good agreement given the viscoelastic frequency-dispersion typical for soft-tissues. Compared with patient data in literature, LNCaP in mice are softer than PCa in humans.



Oral

Cutting-Edge MR & the Brain Tumor Microenvironment

Concurrent 6
Thursday 14:00 - 16:00
Moderators: THANH BINH NGUYEN & Roh Eul Yoo
Parent Session: Cutting-Edge MR & the Brain Tumor Microenvironment
0767
14:00
Multi-parametric hyperpolarized 13C/1H imaging of human gliomas expressing diverse pathologic mutations
Adam W Autry1, Sana Vaziri1, Marisa LaFontaine1, Jeremy W Gordon1, Hsin-Yu Chen1, Yaewon Kim1, Javier Villanueva-Meyer1, Susan M Chang2, Jennifer Clarke2, Duan Xu1, Janine M Lupo1, Peder EZ Larson1, Daniel B Vigneron1,3, and Yan Li1

1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, United States, 3Department of Bioengineering and Therapeutic Sciences, University of California San Francisco, San Francisco, CA, United States

This study uses multi-parametric 1H and hyperpolarized carbon-13 (HP-13C) MRI to characterize patients with gliomas that express signature pathologic mutations at the time of recurrence

0768
14:00
Glucose oxidation rate as a potential marker for GBM staging: correlation with histopathology and cell proliferation in a mouse model
Rui V Simoes1, Rafael N Henriques1, Beatriz M Cardoso1, Tania Carvalho1, and Noam Shemesh1

1Champalimaud Research, Champalimaud Foundation, Lisbon, Portugal

The dynamic interplay between cancer cells and their microenvironment impacts progression. We used dynamic glucose-enhanced deuterium MRS (DGE 2H-MRS) to investigate the association between functional metabolic heterogeneity and cell proliferation in a syngeneic mouse model of GBM. Taking a stepwise approach, from cell culture studies to in vivo mouse MRI/MRS and post-mortem analysis, our results suggest a potential role for glucose oxidation rate as a marker of cell proliferation and vascular stability. Extending this methodology to other GBM models and/or molecular subtypes could create new opportunities for non-invasive phenotyping of the disease.

0769
14:00
Hypoxia alters normal fibroblast metabolism towards a cancer associated fibroblast phenotype
Jesus Pacheco-Torres1, Tariq Shah1, W. Nathaniel Brennen2, Flonne Wildes1, and Zaver M Bhujwalla1,3,4

1Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Oncology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Radiation Oncology and Molecular Radiation Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

Fibroblasts play a pivotal role in cancer progression. In prostate cancer, fibroblasts have been shown to induce growth and increase metastatic potential. To further understand how fibroblasts respond to hypoxic tumor microenvironments that are frequently observed in prostate cancer, we have characterized the effects of hypoxia on normal and cancer associated prostate fibroblast (PCAF) metabolomics and invasion using 1H MRS/I.  We found that hypoxia increased matrix degradation by normal fibroblasts. Furthermore, hypoxia metabolically reprogrammed normal prostate fibroblasts to mimic the metabolic pattern of PCAFs, highlighting the potential role of hypoxia in the transition of normal fibroblasts to CAFs.

0770
14:00
Reproducibility study of disrupted white matter integrity and partial recovery in children treated for medulloblastoma
Wilburn E Reddick1, Jared J Sullivan1, John O Glass1, Yian Guo2, Julie H Harreld1, Yimei Li2, Giles W Robinson3, Amar Gajjar3, and Thomas E Merchant4

1Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States, 2Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, United States, 3Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, United States, 4Department of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, TN, United States

The current reproducibility study evaluates 140 children treated for medulloblastoma and 92 age-similar controls using TBSS analysis of FA and dosimetry accounting for age. Treatment included surgery, post-operative standard or high dose craniospinal irradiation and adjuvant chemotherapy. FA measures at baseline after surgery but prior to therapy demonstrated an immediate decrease due to tumor and surgery, which was then accentuated by irradiation. A partial recovery of FA followed, which was attenuated in patients receiving higher doses. These longitudinal profiles need to be considered when conducting cross-sectional studies of patients at time points during or after therapy.

0771
14:00
Quantification of pyruvate recycling in brain tumor patients
Kumar Pichumani1, Omkar Ijare1, Elizabeth Maher2, Robert M Bachoo2, and David S Baskin1

1Peak Center, Neurosurgery, Houston Methodist Hospital, Houston, TX, United States, 2UT Southwestern Medical Center, Dallas, TX, United States

Pyruvate recycling is the metabolic pathway that generates pyruvate, lactate and alanine from the tricarboxylic acid (TCA) cycle intermediates, oxaloacetate (OAA) and malate. It is active in the liver and the kidney. Although existence and origin of pyruvate recycling mechanism in human brain has been shown to be active, it still remains controversial. Here, we demonstrate that pyruvate recycling mechanism is active in human GBM patients by 13C isotopomer analysis of resected tumor tissues. We have developed a simple method to determine the relative flux of pyruvate recycling with respect to glycolysis using C2 lactate 13C isotopomers.

0772
14:00
Pathological validation of MP-MRI intensity-based signatures in brain cancer patients using autopsy tissue samples
Samuel Bobholz1, Allison Lowman2, Michael Brehler2, Savannah Duenweg1, Fitzgerald Kyereme2, Elizabeth Cochran3, Jennifer Connelly4, Wade Mueller5, Mohit Agarwal2, Darren O'Neill2, Anjishnu Banerjee6, and Peter LaViolette2,7

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Pathology, Medical College of Wisconsin, Milwaukee, WI, United States, 4Neurology, Medical College of Wisconsin, Milwaukee, WI, United States, 5Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States, 6Biostatistics, Medical College of Wisconsin, Milwaukee, WI, United States, 7Biomedical Engineering, Medical College of Wisconsin, Milwaukee, WI, United States

This study investigated the relationship between MRI-intensity values and pathological features of brain cancer using autopsy tissues as ground truth. Mixed effect models were used to examine the association between T1, T1C, FLAIR, and ADC intensity and pathological features (cellularity, cytoplasm density, and extracellular fluid density), as well as to compare the strength of these associations between GBM and non-GBM patients. These analyses confirmed many of the associations seen in prior literature, but with decreased strength than expected. Additionally, this study found that radio-pathomic associations were weaker in GBM patients than non-GBM patients.

0773
14:00
Impact of inversion time for FLAIR acquisition on the T2-FLAIR mismatch detectability for IDH-mutant, non-CODEL astrocytomas
Manabu Kinoshita1, Hideyuki Arita1, Masamichi Takahashi2, Takehiro Uda3, Junya Fukai4, Kenichi Ishibashi5, Noriyuki Kijima1, Ryuichi Hirayama1, Mio Sakai6, Atsuko Arisawa7, Hiroto Takahashi7, Katsuyuki Nakanishi6, Naoki Kagawa1, Kouichi Ichimura8, Yonehiro Kanemura9, Yoshitaka Narita2, and Haruhiko Kishima1

1Neurosurgery, Osaka University Graduate School of Medicine, Suita, Japan, 2Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, Tokyo, Japan, 3Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan, 4Neurological Surgery, Wakayama Medical University, Wakayama, Japan, 5Neurosurgery, Osaka City General Hospital, Osaka, Japan, 6Diagnostic Radiology, Osaka International Cancer Institute, Osaka, Japan, 7Radiology, Osaka University Graduate School of Medicine, Suita, Japan, 8Division of Brain Tumor Translational Research, National Cancer Center Research Institute, Tokyo, Japan, 9Biomedical Research and Innovation, National Hospital Organization Osaka National Hospital, Osaka, Japan

Although the T2-FLAIR mismatch sign is a promising imaging marker specific for IDHmt, non-CODEL astrocytomas, its low sensitivity and NPV hinder its full clinical application. This study discovered that FLAIR acquisition with TI shorter than 2400 ms in 3T could overcome this issue and that the sensitivity and NPV improved to 67% and 74%. Tuning TI for FLAIR acquisition is such a simple technique that clinicians can easily incorporate this procedure into the daily workflow of glioma imaging. Our proposed method would provide a novel yet clinically feasible glioma imaging method in the era of personalized-molecular medicine of cancer.

0774
14:00
Leakage Correction of Dynamic Susceptibility Contrast (DSC-) MRI for vessel size measurements in human glioma
Fatemeh Arzanforoosh1, Paula L. Croal2, Karin Van Garderen1, Marion Smits1, Michael A. Chappell2, and Esther A.H. Warnert1

1Department of Radiology & Nuclear Medicine, ErasmusMC, Rotterdam, Netherlands, 2Radiological Sciences, Division of Clinical Neurosciences, University of Nottingham, Nottingham, United Kingdom

Reliable insight about tumor microvasculature is important for monitoring of disease progression and treatment response. Derived from Dynamic Susceptibility Contrast MRI, transverse relaxation rates are used for vessel size estimation. In high grade glioma, these signals can artificially change by contrast agent extravasation through a disrupted Blood-Brain-Barrier. In this study the effect of applying Boxerman-Schmainda-Weisskoff leakage correction on vessel size estimation has been investigated on a group of 12 glioma patients. The result shows that in Contrast-Enhanced Tumor area applying leakage correction significantly and noticeably changes the vessel size measurements.

0775
14:00
3D APTw Brain Tumor Imaging with Compressed SENSE: Comparison of Different Acceleration Factors and with Conventional Parallel Imaging
Nan Zhang1, Qingwei Song2, Ailian Liu2, Haonan Zhang2, Renwang Pu2, Jiazheng Wang3, and Zhiwei Shen3

1The First Affilliated Hospital of Dalian Medical University, Dalian, China, 2The First Affiliated Hospital of Dalian Medical University, Dalian, China, 3Philips Healthcare, Beijing, China, Beijing, China

Amide proton transfer weighted (APTw) imaging is a novel and promising MRI method for brain tumor imaging, but it can be time-consuming. Common parallel imaging methods, like SENSE, can lead to reduced image quality and increased artifact at high acceleration factors. Here, the compressed SENSE (CS) technique with combined strength from both compressed sensing and SENSE was evaluated for the acceleration of APTw imaging in brain. Results showed that it is feasible to apply an CS accelerator factor of 5 to APTw imaging of brain tissue and tumor, which could reduce the scan time to less than 1 min.

0776
14:00
MR Imaging Parameters for Noninvasive Prediction of EGFR Amplification in IDH-Wildtype Lower-Grade Gliomas: A Multicenter Study
Yae Won Park1, Ji Eun Park2, Sung Soo Ahn1, Seung Hong Choi3, Ho Sung Kim2, and Seung-Koo Lee1

1Yonsei University College of Medicine, Seoul, Korea, Republic of, 2University of Ulsan College of Medicine, Seoul, Korea, Republic of, 3Seoul National University Hospital, Seoul, Korea, Republic of

Epidermal growth factor receptor (EGFR) amplification status of isocitrate dehydrogenase-wildtype (IDHwt) lower-grade gliomas (LGGs; grade II/III) is one of the key molecular markers for diagnosing molecular glioblastoma. Our study shows that infiltrative or mixed pattern, lower ADC, lower 5th percentile of ADC, and higher 95th percentile of nCBF may be useful imaging biomarkers for the EGFR amplification of IDHwt LGGs. Moreover, quantitative imaging biomarkers may add value to qualitative imaging parameters (with AUCs of 0.71 and 0.88, p = 0.020).


Tutorial

Tutorial: Machine learning in Cardiovascular MRI II

Concurrent 7
Thursday 14:00 - 15:00
Parent Session: Tutorial: Machine Learning in Cardiovascular MRI II
(no CME credit)

Oral

New Strategies in RF Pulse Design

Concurrent 1
Thursday 16:00 - 18:00
Moderators: Samy Abo Seada & Sydney Williams
Parent Session: New strategies in RF Pulse Design
0777
16:00
Calibration-free pTx of the human heart at 7T via 3D universal pulses
Christoph Stefan Aigner1, Sebastian Dietrich1, Tobias Schaeffter1,2, and Sebastian Schmitter1,3

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany, 2Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 3Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

We demonstrate calibration free universal 4kT-points pulse design to achieve a subject independent, homogeneous flip-angle within the human heart at 7T. The proposed universal pulse was computed offline based on 22 three-dimensional B1+-maps of 20 volunteers with varying BMI and age (two of them were scanned twice with different coil placement). The optimized universal pulse was successfully applied experimentally to one volunteer from the library and four new unseen volunteers. In total we have analyzed 27 B1+ maps from 24 volunteers. Experimental data at 7T validate the B1+ predictions and demonstrate successful plug-and-play 3D pTx of the human heart.

0778
16:00
Robust RF Shimming and Small-tip-angle Multi-spoke Pulse Design with Finite Difference Regularization
Zhipeng Cao1, Adrian Paez2, Chunming Gu2, and Jun Hua2

1Vanderbilt University, Nashville, TN, United States, 2Johns Hopkins University, Baltimore, MD, United States

This study presents a finite difference regularized magnitude-least-squares algorithm that ensures robust RF shimming and small-tip-angle multi-spoke pulse design against excitation nulls and sub-optimal pulse solutions. It also calculates a monotonic trade-off between flip angle error and RF power. It was validated in simulations and experiments, and was effective for brain and knee imaging. During an EPI-based fMRI at 7T with dynamic RF shimming, the algorithm ensured high SNR throughout the human brain, compared to a near-complete local signal loss by the conventional magnitude-least-squares algorithm. Overall, the algorithm streamlines the workflow for patient-tailored 2D multislice imaging at UHF.

0779
16:00
Off-resonance Robustness in Reduced FOV Imaging using Sheared 2DRF Excitation
Bahadir Alp Barlas1,2, Cagla Deniz Bahadir1,2,3, Sevgi Gokce Kafali1,2,4, Ugur Yilmaz2, and Emine Ulku Saritas1,2,5

1Department of Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 3Department of Biomedical Engineering, Cornell University, New York, NY, United States, 4Department of Bioengineering, University of California Los Angeles, Los Angeles, CA, United States, 5Neuroscience Graduate Program, Bilkent University, Ankara, Turkey

The use of 2D echo-planar radiofrequency (2DRF) excitation has been widely applied in reduced field-of-view imaging of targeted regions, especially for diffusion weighted imaging (DWI). This work proposes effective and efficient coverage of the excitation k-space by shearing the 2DRF trajectory. This approach enables significant improvement in off-resonance robustness of 2DRF pulses by minimizing the pulse duration. It also promises improved clinical utility by increasing SNR in problem regions, eliminating slice coverage limitations and providing inherent fat suppression capability.

0780
16:00
Asymmetric GOIA pulses for highly selective B1 and T1 independent outer volume suppression
Chathura Kumaragamage1, Peter B Brown1, Scott McIntyre1, Terence W Nixon1, Henk M De Feyter1, and Robin A de Graaf1

1Department of Radiology and Biomedical Imaging, Magnetic Resonance Research Center, Yale University, New Haven, CT, United States

An asymmetric GOIA pulse was developed (Tp = 6.66 ms, BW = 20 kHz) by combining two adiabatic half passage pulses (hyperbolic secant and hyperbolic tangent GOIA modulations). The pulse achieves an asymmetrical excitation/inversion profile, thus was used in a multi-pulse OVS sequence to achieve an efficient, highly-selective, B1 and T1-independent signal suppression with a transition width of only 1.7% of the bandwidth.

0781
16:00
Interleaved Binomial kT-Points for Water-Selective Imaging at 7T
Daniel Löwen1, Eberhard Daniel Pracht1, Rüdiger Stirnberg1, and Tony Stöcker1,2

1German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany, 2Department of Physics and Astronomy, University of Bonn, Bonn, Germany

Achieving homogeneous fat suppression is important for a wide range of MRI applications. In this work, we present time-efficient water-selective, parallel transmit RF excitation pulses for ultra-high field applications. This method combines the properties of kT-points with water-selective binomial pulses to achieve short, B1 insensitive water excitation pulses.

0782
16:00
Lipid Artifact Removal by Dynamic Shimming (LARDS) with multi-coil B0 shim arrays
Jinmin Xu1,2, Nicolas Arango2, Congyu Liao2,3, Berkin Bilgic2,3, Zijing Zhang1,2, Lawrence L Wald2,3, Setsompop Kawin2,3, Huafeng Liu1, and Jason P Stockmann2,3

1State key Laboratory of Modern Optical Science and Engineering, Zhejiang University, Hangzhou, China, 2A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 3Harvard Medical School, Boston, MA, United States

We show that a switched B0 offset field can be used to improve lipid suppression pulse performance in 2D imaging by pushing water and lipids apart in the frequency domain.  The method is realized using multi-coil B0 shim arrays with rapidly switchable output currents that can be turned on during the lipid suppression pulse. Convex optimization is used to jointly solve for the shim currents and the lipid suppression pulse center frequency to optimize lipid suppression while minimize water signal loss.  Applications to brain and body imaging are considered.

0783
16:00
Inner Volume Excitation via Joint Design of Time-varying Nonlinear Shim-array Fields and RF Pulse
Molin Zhang1, Nicolas Arango1, Jason Stockmann2, Jacob White1, and Elfar Adalsteinsson1,3,4

1Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 4Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, United States

Inner volume excitation is a promising technique to save scanning time or improve spatial resolution. Shim arrays provide nonlinear fields that extend the possibility of RF excitation of complicated spatial patterns. Yet previous work only employed static non-linear B field and predefined RF pulse which limits the performance. Validated on a fairly difficult tailored 3d volume pattern, jointly designed time-varying nonlinear B field and RF pulse within the auto-differentiable Bloch simulator framework shows substantial improvements. The accuracy improves 62% in terms of L2 norm with incorporated constraints on available RF pulse power.

0784
16:00
iSLR: An Improved Shinnar-Le-Roux Frequency Selective Pulse Design Algorithm with Reduced Energy and More Accurate Phase Profiles
Frank Ong1, Michael Lustig2, Shreyas Vasanawala1, and John Pauly1

1Stanford University, Stanford, CA, United States, 2University of California, Berkeley, Berkeley, CA, United States

The Shinnar-Le-Roux (SLR) algorithm is widely used for designing frequency selective pulses with large flip angles. We improve its design process to generate pulses with lower energy (by as much as 26%) and more accurate phase profiles.

Concretely, the SLR algorithm consists of designing two polynomials that represent Cayley-Klein (CK) parameters. Because the CK polynomial pair is bi-linearly coupled, the original algorithm sequentially solves for each polynomial. This results in sub-optimal pulses.

Instead, we leverage a convex relaxation technique to jointly recover the CK polynomials. Our experiments show that the resulting pulses almost always attain the global solution in practice.


0785
16:00
DeepControl: AI-powered slice flip-angle homogenization by 2DRF pulses
Mads Sloth Vinding1, Christoph Stefan Aigner2, Jason Stockmann3,4, Bastien Guérin3,4, Sebastian Schmitter2,5, and Torben Ellegaard Lund1

1Center of Functionally Integrative Neuroscience, Aarhus University, Aarhus, Denmark, 2Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany, 3Harvard Medical School, Boston, MA, United States, 4Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 5Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

We test the DeepControl convolutional neural network for brain slice 2DRF 30o excitations (single-channel) at 7 T with a uniform FA profile. While the DeepControl framework was originally designed for localized 2D spatial-selective excitations, we demonstrate robustness towards FA homogenization at 7 T. Our numerical study, a comparison to gradient-ascent-pulse-engineering optimal control pulses, shows good pulse performance and (near-)conformity to the optimal control training library, including the RF pulse constraints. The DeepControl pulse prediction time takes only ~9 ms, which is more than 1000 times faster than the optimal control.

0786
16:00
Uniform Magnetization Transfer contrast at 7T with Direct Saturation Control
David Leitão1, Raphael Tomi-Tricot2, Pip Bridgen1, Tom Wilkinson1, Patrick Liebig3, Rene Gumbrecht3, Dieter Ritter3, Sharon Giles1, Ana Baburamani1, Jan Sedlacik1, Joseph V. Hajnal1,4, and Shaihan J. Malik1,4

1Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom, 3Siemens Healthcare GmbH, Erlangen, Germany, 4Centre for the Developing Brain, King's College London, London, United Kingdom

Conventional RF pulse design methods optimize for rotation of the magnetization. However, in systems with Magnetization Transfer (MT) with a semisolid pool, the dynamics do not follow the Bloch equations; saturation of the semisolid depends on |B1+|2, making it particularly sensitive to B1+ inhomogeneities. This work employs a novel pulse design framework termed ‘Direct Saturation Control’ (DSatC) to directly consider semisolid saturation. We use this to design composite pulses with spatially uniform semisolid saturation using parallel transmition at 7T, where B1+ is intrinsically highly inhomogeneous. In-vivo results show much more homogeneous MT contrast when using DSatC.


Oral

Improving Susceptibility Mapping: Greater Speed, Information & Accuracy

Concurrent 2
Thursday 16:00 - 18:00
Moderators: Chunlei Liu & Hongfu Sun
Parent Session: Improving Susceptibility Mapping: Greater Speed, Information & Accuracy
0787
16:00
Submillimeter, Sub-Minute Quantitative Susceptibility Mapping using a Multi-Shot 3D-EPI with 2D CAIPIRINHA Acceleration
Monique Tourell1,2, Jin Jin2,3, Ashley Stewart1,2, Saskia Bollmann1, Steffen Bollmann1,2,4, Simon Robinson1,5,6, Kieran O'Brien2,3, and Markus Barth1,2,4

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 2ARC Training Centre for Innovation in Biomedical Imaging Technology, University of Queensland, Brisbane, Australia, 3Siemens Healthcare Pty Ltd, Brisbane, Australia, 4School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia, 5High Field Magnetic Resonance Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 6Department of Neurology, Medical University of Graz, Graz, Austria

High-resolution Quantitative Susceptibility Mapping (QSM) has the potential to improve multiple sclerosis imaging and pre-surgical planning for deep brain stimulation. Using a conventional 3D-gradient echo sequence, imaging times for submillimeter scans can be as long as 8 to 15 minutes. In this work, we implemented a multi-shot 3D-EPI sequence combined with 2D CAIPIRINHA acceleration to achieve high-quality susceptibility maps, with no visible distortions, at 0.80 mm and 0.65 mm isotropic resolutions in 58 and 87 seconds, respectively. Multi-echo 3D-GRE sequences producing similar QSMs required up to a 9-fold increase in acquisition time.

0788
16:00
ChEST: A novel model measuring both Chemical Exchange and Susceptibility Tensor from resonance frequency shift
Hwihun Jeong1, Hyeong-Geol Shin1, Xu Li2, Sooyeon Ji1, and Jongho Lee1

1Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology and Radiological Science, Division of MR Research, Johns Hopkins Medicine, Baltimore, MD, United States

We introduce ChEST, a novel model that can estimate both chemical exchange and magnetic susceptibility tensor effects from resonance frequency shift. For reconstruction, an iterative algorithm is designed to solve the inverse problem of the new model. When tested using numerical simulation datasets, our method successfully generated mean magnetic susceptibility, magnetic susceptibility anisotropy, principal eigenvector, and chemical exchange maps in high accuracy as compared to conventional methods. Application to in-vivo human brain was conducted, revealing promising outcomes.

0789
16:00
Quantitative mapping of susceptibility and non-susceptibility frequency with DEEPOLE QUASAR
Thomas Jochmann1, Dejan Jakimovski2, Nora Küchler1, Robert Zivadinov2,3, Jens Haueisen1, and Ferdinand Schweser2,3

1Department of Computer Science and Automation, Technische Universität Ilmenau, Ilmenau, Germany, 2Buffalo Neuroimaging Analysis Center, Department of Neurology at the Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States, 3Center for Biomedical Imaging, Clinical and Translational Science Institute, University at Buffalo, The State University of New York, Buffalo, NY, United States

Besides magnetic susceptibility, MRI phase contrast is caused by chemical exchange, anisotropic magnetic susceptibility, and anisotropic microstructural compartmentalization. These additional contributions are neglected by conventional QSM. This work presents an improved version of DEEPOLE QUASAR, a phase processing method that accounts for non-susceptibility signal contributions. We present preliminary results from studies on mice, volunteers, and multiple sclerosis (MS) patients.

0790
16:00
Decompose QSM to diamagnetic and paramagnetic components via a complex signal mixture model of gradient-echo MRI data
Jingjia Chen1, Nan-Jie Gong2, and Chunlei Liu1,3

1Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States, 2Vector Lab for Intelligent Medical Imaging and Neural Engineering, International Innovation Center of Tsinghua University, Shanghai, China, 3Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley, CA, United States

We propose and develop a method to separate paramagnetic and diamagnetic components within one voxel based on a 3-pool signal model. Alternating between solving for linear and nonlinear parameters in the model, paramagnetic component susceptibility (PCS) and diamagnetic component susceptibility (DCS) maps are constructed to represent the sub-voxel compartments. 

0791
16:00
Genetic associations of magnetic susceptibility in the brain
Chaoyue Wang1, Benjamin C. Tendler1, Stephen M. Smith1, Fidel Alfaro-Almagro1, Alberto Llera2, Cristiana Fiscone3,4, Richard Bowtell3, Lloyd T. Elliott5, Karla L. Miller1, and Aurea B. Martins-Bach1

1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 3Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom, 4Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy, 5Department of Statistics and Actuarial Science, Simon Fraser University, Vancouver, BC, Canada

UK Biobank is scanning 100,000 participants using multi-modal MRI (including swMRI). This rich resource also includes genome-wide characterisation of individuals. This provides a powerful opportunity to relate swMRI-derived measures to genetics. The aim of this work is to identify genetic associations of QSM-based measures. We carried out genome-wide association studies (GWAS) in over 30,000 subjects for both QSM and T2* based measures. Our results demonstrate that susceptibility and T2* measures are associated with genetic loci involved in a range of biological functions. Susceptibility and T2* IDPs share many common genetic associations but there are also complementary associations.

0792
16:00
Preconditioned water–fat total field inversion: application to spine quantitative susceptibility mapping (QSM)
Christof Boehm1, Nico Sollmann2,3,4, Jakob Meineke5, Sophia Kronthaler1, Stefan Ruschke1, Michael Dieckmeyer2,3, Kilian Weiss6, Claus Zimmer2,3, Marcus R. Makowski1, Thomas Baum2,3, and Dimitrios C. Karampinos1

1Department of Diagnostic and Interventional Radiology, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany, 2Department of Diagnostic and Interventional Neuroradiology, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany, 3TUM-Neuroimaging Center, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany, 4Department of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany, 5Philips Research Lab, Hamburg, Germany, 6Philips Healthcare, Hamburg, Germany

Body-QSM remains challenging for various reasons including, (a) the incomplete separation of background- and local-fields included by assumed approximations,(b) incorrect modeling at low-SNR-voxels included by linear modeling of the inverse problem and (c) streaking artifacts. A recently developed total-field-inversion (TFI) QSM method that directly estimates the susceptibility from multi-echo data showed significant alleviation of the above artifacts. However, the original TFI method can only be applied to regions with one species. This work proposes a QSM method that directly estimates susceptibility from multi-echo data in regions where water and fat are present and demonstrates its advantages over former proposed methods.

0793
16:00
Quantitative susceptibility imaging to stage acute cerebral hemorrhages: A direct comparison of the mcTFI and MEDI methods
Allen A Champagne1,2, Yan Wen3, Magdy Selim4, Aristotelis Filippidis 5, Ajith Thomas5, Pascal Spincemaille3, Yi Wang3, and Salil Soman 6

1School of Medicine, Queen's University, Kingston, ON, Canada, 2Center for Neuroscience Studies, Queen's University, Kingston, ON, Canada, 3Radiology, Weill Cornell Medicine, New York, NY, United States, 4Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States, 5Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States, 6Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States

The perceived acuity (hyperacute, acute, subacute) of intracerebral hemorrhage (ICH) dramatically impacts patient management. While CT and standard MRI are limited for staging ICH, Quantitative Susceptibility Imaging (QSM) has shown promising results for tracking the evolution of ICH, as a substrate for the pathophysiology within bleeds. Here, we compare novel multi-echo complex total field inversion (mcTFI) QSM for staging ICHs, in comparison to conventional Morphology Enabled Dipole Inversion (MEDI). mcTFI better distinguished hyperacute/acute timepoints from subacute ICHs, in comparison to MEDI, likely as a result of the robust inversion computation, inherently reducing susceptibility quantification errors and shadowing artifacts.

0794
16:00
The Effect of Oblique Image Slices on the Accuracy of Quantitative Susceptibility Mapping and a Robust Tilt Correction Method
Oliver C. Kiersnowski1, Anita Karsa1, John S. Thornton2, and Karin Shmueli1

1Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2UCL Queens Square Institute of Neurology, London, United Kingdom

Quantitative susceptibility mapping (QSM) using the MRI phase to calculate tissue magnetic susceptibility is finding increasing clinical applications. Oblique image slices are often acquired to facilitate radiological viewing and reduce artifacts. Here, we show that artifacts and errors arise in susceptibility maps if oblique acquisition is not properly taken into account in QSM. We performed a comprehensive analysis of the effects of oblique acquisition on brain susceptibility maps and compared tilt correction schemes for three susceptibility calculation methods, using a numerical phantom and human in-vivo images. We demonstrate a robust tilt correction method for accurate QSM with oblique acquisition.

0795
16:00
QSM of the head-and-neck at 7T using simultaneous fat-water imaging with SMURF
Beata Bachrata1,2, Korbinian Eckstein1, Siegfried Trattnig1,2, and Simon Daniel Robinson1,3,4

1High Field MR Centre, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Centre of Advanced Imaging, University of Queensland, Brisbane, Australia, 4Department of Neurology, Medical University of Graz, Graz, Austria

We address the challenges of QSM in regions outside of the brain which contain disconnected structures - leading to difficulty in masking - and significant amounts of fat with chemical shift and relaxation differences relative to water - leading to errors in susceptibility estimates. We propose a mask generation approach based on signal phase and show that the errors in susceptibility estimates can be eliminated using simultaneous fat-water imaging with SMURF. Using multi-echo acquisition and inverse-variance-weighted echo combination, we generate high CNR, chemical shift and relaxation effects-free susceptibility maps of the head-and-neck at 7T.

0796
16:00
QSMART: a parallel stage QSM pipeline for suppression of cortical and venous artifacts
Negin Yaghmaie1,2, Warda Syeda3,4, Chengchuan Wu1,2, Yicheng Zhang1,2, Bradford A. Moffat1,4, Rebecca Glarin1,5, Scott Kolbe4,6,7, and Leigh Johnston1,2

1Melbourne Brain Centre Imaging Unit, The University of Melbourne, Melbourne, Australia, 2Department of Biomedical Engineering, The University of Melbourne, Melbourne, Australia, 3Melbourne Neuropsychiatry Centre, The University of Melbourne, Melbourne, Australia, 4Department of Medicine and Radiology, The University of Melbourne, Melbourne, Australia, 5Department of Radiology, Royal Melbourne Hospital, Melbourne, Australia, 6Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia, 7Department of Radiology, Alfred Hospital, Melbourne, Australia

We propose a two-stage QSM method, Quantitative Susceptibility Mapping Artifact Reduction Technique (QSMART), in which tissue and vein susceptibility values are estimated in parallel by generating a vasculature mask from the magnitude data using a Frangi filter. Spatially Dependent Filtering is employed for the background field removal and the two susceptibility estimates are combined in the final QSM map. QSMART is compared to RESHARP/iLSQR and V-SHARP/iLSQR inversion on 7T in vivo single and multiple-orientation scans. QSMART demonstrates superior artifact suppression in the cortex and near vasculature, and is a robust tool for susceptibility estimation. QSMART code is available at https://github.com/MBCIU/QSMART.


Combined Educational & Scientific Session

Engineering for MRI-Guided Interventions

Organizers: Adrienne Campbell-Washburn, Ergin Atalar
Concurrent 3
Thursday 16:00 - 18:00
Moderators: Elena Kaye & Adrienne Campbell-Washburn
Parent Session: Interventional & Low-Field MRI
(no CME credit)
16:00
Rapid Imaging for MRI-Guided Interventions
Steven P. Allen1

1Brigham Young University, Provo, UT, United States

Rapid imaging techniques can improve patient outcomes and reduce costs during MRI-guided interventions. This talk will cover 5 common strategies for accelerating guidance MR acquisitions and give examples of their implementation from interventional MRI programs groups across the globe. These strategies include using time wisely, reducing fields of view, multiplexing, changing k-space trajectories, skipping data. I conclude with some brief speculation on the potential use of machine learning and AI to further accelerate guidance imaging.

16:30
Active Device Design for MRI-Guided Cardiovascular Catheterizations
Ali Caglar Özen1,2

1Deptartment of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2German Consortium for Translational Cancer Research Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany

In this lecture, active device design for cardiovascular interventions will be covered from a technical and a practical perspective. First, various RF coil designs and their working principles will be reviewed. Second, approaches to interface the active devices to the MRI system will be introduced. Afterwards, application of active devices from imaging to tracking will be presented. Finally, challenges and recent advancements in production, and MR safety of the active devices will be discussed.

17:00
Hardware for MRI-Guided High Intensity Focused Ultrasound
Allison H. Payne1

1University of Utah, Salt Lake City, UT, United States

MRI guided focused ultrasound combines two innovative technologies to alter tissues non-invasively. The purpose of this talk is to describe the specialized hardware required by the MRI scanner to enable these MR guided focused ultrasound procedures to be performed in the clinical MR environment. While these hardware requirements are typically treatment site specific to some degree, there are key points that can be applied to any MR guided focused ultrasound system. This talk will address three key hardware aspects, specifically the effects of the ultrasound transducer on MR imaging, radiofrequency coils, and acoustically coupling the ultrasound transducer to the patient.

17:30
Case Demonstration from an Interventional MRI Suite
Sherif G. Nour1

1Emory University Hospitals & School of Medicine, Atlanta, GA, United States

18:00
MRI-Guided Robotic Prostate Biopsy
Junichi Tokuda1

1Radiology, Brigham and Women's Hospital, Boston, MA, United States

This presentation will overview the technologies and clinical application of MRI-guided robotic prostate biopsy.  Robotic devices have been developed and clinically tested in recent years to address technical challenges in MRI-guided prostate biopsy, such as the limited access to the patient in the bore, and suboptimal needle placement accuracy. I will discuss the technologies for MR-guided robotic biopsy from several key aspects, including system architecture, MRI compatibility, kinematics design, software, imaging sequences, and evaluation of needle placement accuracy. Additionally, I will review some of the published studies that have demonstrated the clinical feasibility of MRI-guided robotic prostate biopsy. 

0797
16:00
Native Contrast Visualization of Myocardial Radiofrequency Ablation and Acetic Acid Chemoablation Lesions at 0.55 T
Daniel Herzka1, Chris G. Bruce1, Rajiv Ramasawmy1, D. Korel A Yildirim1, Kendall J. O'Brien1, William H. Schenke1, Toby Rogers1,2, Adrienne E. Campbell-Washburn1,3, Robert J. Lederman 1, and Aravindan Kolandaivelu1,4

1NHLBI, Division of Intramural Research, National Institutes of Health, Bethesda, MD, United States, 2Department of Cardiology, Medstar Washington Hospital Center, Washington, DC, United States, 3Biophysics and Biochemistry Branch, Division of Intramural Research, National Institutes of Health, Bethesda, MD, United States, 4Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States

This work determined feasibility of visualizing cardiac radiofrequency (RF) ablation lesions at low field (0.55 T) as well as a novel alternative method for targeted tissue destruction: acetic acid chemoablation. Native contrast T1-W imaging and T1 mapping and were carried out in vivo in swine on the day of ablation. Ex vivo high-resolution imaging and histology were used as references. T1 drop was higher for chemoablation (40%) than for RF ablation (19%) relative to myocardium, resulting in significantly higher SNR and CNRs. The visualization of coagulation necrosis from cardiac ablation is feasible using native-contrast low-field MRI.

0798
16:00
Deep learning-based 4D synthetic CT for lung radiotherapy
Matteo Maspero1,2, Kirsten M. Kerkering2,3, Tom Bruijnen1,2, Mark H. F. Savenije1,2, Joost J. C. Verhoeff1, Christoph Kolbitsch3, and Cornelis A. T. van den Berg1,2

1Radiotherapy, Division of Imaging & Oncology, UMC Utrecht, Utrecht, Netherlands, 2Center for Computational imaging group for MR diagnostic & therapy, Center for Image Sciences, UMC Utrecht, Utrecht, Netherlands, 3Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany

The feasibility of generating synthetic CT for lung tumours from 4D MRI was investigated. A combination of multi-view 2D networks proved to be robust against image artefact and generated sCTs that enabled dose calculation on midposition sCTs. The proposed approach facilitates adaptive MR-guided radiotherapy reducing the time from patient positioning to irradiation and enables quality assurance with dose accumulation based on 4D MRI.

0799
16:00
A Daily Quantitative Brain MRI Protocol for the 1.5 T MR-Linac: Feasibility of CEST with Preliminary Results on a Prospective Imaging Study
Rachel W. Chan1, Liam S.P. Lawrence2, Ryan T. Oglesby2, Hanbo Chen3, Brian Keller3, James Stewart3, Mark Ruschin3, Brige Chugh3,4, Scott MacKenzie3, Mikki Campbell3, Aimee Theriault3, Sten Myrehaug3, Jay Detsky3, Pejman J. Maralani5, Chia-Lin Tseng3, Gregory J. Czarnota1,2,3, Greg J. Stanisz1,2,6, Arjun Sahgal3, and Angus Z. Lau1,2

1Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 2Medical Biophysics, Sunnybrook Research Institute, Toronto, ON, Canada, 3Department of Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4Department of Physics, Ryerson University, Toronto, ON, Canada, 5University of Toronto, Sunnybrook Health Sciences Centre, Medical Imaging, Toronto, ON, Canada, 6Department of Neurosurgery and Pediatric Neurosurgery, Medical University, Lublin, Poland

A multi-parametric imaging protocol, for monitoring patients with brain tumors treated using the 1.5T MR-Linac radiotherapy system, is presented with a focus on CEST. Phantom experiments were performed on the MR-Linac using varying concentrations of ammonium chloride mixtures. 24 subjects were included in the analysis. Mixed modelling was used to determine any differences between the gross tumor volume (GTV) and contralateral normal appearing white matter (cNAWM) regions, where three CEST parameters were investigated (MTRAmide, MTRNOE and Asymmetry). Results from phantom experiments confirmed detectable CEST asymmetry. Significant differences were found in all three CEST parameters between the GTV and cNAWM.

0800
16:00
Spectroscopic MRI Guided Radiation Dose Escalation in Glioblastoma Patients
Mohammed Z Goryawala1, Eric A Mellon2, Saumya Gurbani3, Karthik Ramesh3, Brent D Weinberg4, Lawrence Kleinberg5, Eduard Schreibmann3, Sulaiman Sheriff1, Peter B. Barker6, Shu Hui-Kuo7, Hyunsuk Shim3, and Andrew Maudsley8

1Radiology, University of Miami School of Medicine, Miami, FL, United States, 2Radiation Oncology, University of Miami School of Medicine, Miami, FL, United States, 3Emory University, Atlanta, GA, United States, 4Radiology, Emory University, Atlanta, GA, United States, 5Radiation Oncology, Johns Hopkins University, Baltimore, MD, United States, 6Radiology, Johns Hopkins University, Baltimore, MD, United States, 7Radiation Oncology, Emory University, Atlanta, GA, United States, 8Radiology, University of Miami, School of Medicine, Miami, FL, United States

To improve localization of tumor tissue for radiation treatment planning a volumetric MR spectroscopic imaging acquisition was used to identify regions of metabolic abnormality. These regions were then integrated into the clinical treatment plan to target increased radiation dose for the identified volume. In a 3-site clinical trial of 30 patients with newly-diagnosed glioblastoma, the escalated dose resulted in a median overall survival of 23 months, which compares favorably with standard of care, without severe adverse events. This study demonstrates considerable potential for incorporating volumetric spectroscopic imaging into radiation treatment planning protocols.

0801
16:00
Technical feasibility and imaging of transcranial MR-guided in-vivo Histotripsy treatment
Dinank Gupta1, Ning Lu1, Adam Fox1, Dave Choi1, Jonathan Sukovich1, Badih Junior Daou2, Aditya Pandey2, Timothy Hall1, Zhen Xu1, and Douglas Noll1

1Biomedical Engineering, The University of Michigan, Ann Arbor, MI, United States, 2Department of Neurosurgery, The University of Michigan, Ann Arbor, MI, United States

Feasibility of transcranial MR-guided histotripsy for an in-vivo large animal model is established. Eight juvenile pigs were treated using an in-house, 128 channel histotripsy array at a wide range of sites around the brain. Target localization was done using fiducials placed on the array using pre-treatment MR images. Lesions were generated in all the pigs and were visualized in post treatment MRI scans and histology. In acute treatment phase, treatment effects were visible on T2*,T2, T1/T2 FLAIR weighted images. This is the first study to exhibit feasibility of in-vivo transcranial MR-guided histotripsy treatment.

0802
16:00
MR-Guided Blood-brain Barrier Opening Induced by Rapid Short-pulse Ultrasound on Non-human Primates
Hui Zhou1,2, Yang Liu3, Xiaojing Long3, Yangzi Qiao1, Jo Lee1, Chao Zou1,4, Xin Liu1,4, and Hairong Zheng1

1Lauterbur Imaging Research Center, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2The Shenzhen College of Advanced Technology, University of Chinese Academy of Sciences, shenzhen, China, 3Research center for medical AI,Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 4Key Laboratory for Magnetic Resonance and Multimodality Imaging of Guangdong Province, Shenzhen, China

The BBB has been opened with millisecond ultrasound in kinds of animals for researching of neurological diseases therapy. Rapid short-pulse (RaSP) ultrasound with a microsecond sequence has been proposed as a minimally disruptive and efficient method for BBB opening in mice and rats. This work quantitatively evaluate the feasibility and safety of BBB opening in non-human primate with RaSP by contrast enhanced MRI. The relative signal enhancement in RaSP with 6% energy deposition reached more than 60% of that with 10 ms long pulse (LP), which shows that RaSP is a practical method for BBB opening in a large-animal model.


Oral

Artificial Intelligence Applied to MSK MRI

Concurrent 4
Thursday 16:00 - 18:00
Moderators: Fang Liu & Mingrui Yang
Parent Session: Artificial Intelligence Applied to MSK MRI
0803
16:00
Deep Learning-based Semi-supervised Meniscus Segmentation with Uncertainty Estimation
Siyue LI1, Shutian ZHAO1, Yongcheng YAO1, and Weitian CHEN1

1AI in Radiology Laboratory, Department of Imaging and Interventioanl Radiology, The Chinese University of Hong Kong, Hongkong, Hong Kong

Accurate segmentation of the meniscus is valuable for clinical diagnosis and treatment of knee joint diseases. Due to expensive and time-consuming medical image data annotation, it is challenging to obtain sufficient labeled data for deep learning-based segmentation of meniscus. We investigated deep-learning based semi-supervised approaches with uncertainty estimation for meniscus segmentation using MR images. 

0804
16:00
Feasibility of deep learning–based automated rotator cuff tear measurements on shoulder MRI
Dana Lin1, Michael Schwier2, Bernhard Geiger2, Esther Raithel3, and Michael Recht1

1NYU Grossman School of Medicine, New York, NY, United States, 2Siemens Medical Solutions USA, Princeton, NJ, United States, 3Siemens Healthcare GmbH, Erlangen, Germany

Rotator cuff tear size is a critical determinant of patient prognosis and surgical outcomes. Radiologists routinely make rotator cuff measurements as part of their MRI interpretation, which can be tedious and subject to variation among readers. This lends itself to a potential application for deep learning to increase efficiency and decrease variability in this task. In this study, we developed a DL model to generate measurements for full-thickness supraspinatus tendon tears.

0805
16:00
Evaluation of Deep-Learning Reconstructed High-Resolution 3D Lumbar Spine MRI to Improve Image Quality
Simon Sun1, Ek Tsoon Tan1, John A Carrino1, Douglas Nelson Mintz1, Meghan Sahr1, Yoshimi Endo1, Edward Yoon1, Bin Lin1, Robert M Lebel2, Suryanarayan Kaushik2, Yan Wen2, Maggie Fung2, and Darryl B Sneag1

1Radiology, Hospital for Special Surgery, New York, NY, United States, 2GE Healthcare, Chicago, IL, United States

Advances in deep-learning algorithms aiming to improve image quality have not yet been well studied for their use in clinical interpretation. In this study, we compared interobserver agreement and image quality for lumbar spine (L-spine) MRI assessment of 3D T2-weighted fast spin echo (T2w-FSE) MRI, with and without deep learning (DLRecon) reconstructions, as well as standard-of-care (SOC) 2D T2w-FSE MRI. This pilot study demonstrated that interobserver agreement for variables of interest was good to very good regardless of reconstruction or sequence type, and overall image quality of DLRecon was not inferior despite significant reduction in scanning time.

0806
16:00
DeepPain: Uncovering Associations Between Data-Driven Learned qMRI Biomarkers and Chronic Pain
Alejandro Morales Martinez1, Jinhee Lee1, Francesco Caliva1, Claudia Iriondo1, Sarthak Kamat1, Sharmila Majumdar1, and Valentina Pedoia1

1UCSF, San Francisco, CA, United States

Large-scale analysis of the relationship between learned qMRI biomarkers and chronic knee pain. 7,437 patient timepoints reporting chronic pain were used to train three different deep learning models for bone shape, cartilage thickness, and cartilage T2 biomarkers for the femur, tibia, and patella. The true chronic knee pain predictions for each trained model were further investigated with Grad-CAM and the max activation values for each model were sorted into clinically relevant anatomical compartments for each bone. Bone shape and cartilage T2 seemed to be spatially correlated based on the results of the analysis. 

0807
16:00
The Effect of Activation Functions and Loss Functions on Deep Learning Based Fully Automated Knee Joint Segmentation
Sibaji Gaj1, Dennis Chan1, and Xiaojuan Li1

1Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH, United States

Studies on systematic evaluations of effects of activation functions and loss functions on deep learning-based automated knee compartments segmentation models are limited. In this work, we present a 2D-UNet model for simultaneous automated bone and cartilage segmentation, and analyze the effect of different activation functions (rectified linear unit[relu], sigmoid and softmax) at all or last layer, and different loss functions (categorical cross-entropy, multiclass dice coefficient loss) with and without surface distance weights, on model performance. The results showed significant performance differences in average surface distance (ASD) between different activation functions. Adding surface distance to loss functions improved segmentation performances.

0808
16:00
Combined IVIM and DTI fitting of muscle DWI data using a self learning physics informed neural network
Martijn Froeling1

1Imaging and oncology, University medical center utrecht, Utrecht, Netherlands

For accurate fitting of muscle diffusion tensor imaging data, many methods have been proposed. In this study, the performance of an unsupervised physics-informed deep learning method for IVIM-DTI fitting of muscle DTI data is investigated. The neural net comprised 9 fully connected networks and was tested on 20 upper leg DWI datasets. It trained in 45s and fitting a full dataset took around 4s. Although the parameter maps of the traditional and NN fitting look similar all parameters were significantly different. The network is capable of fitting the model within seconds but the differences need to be further investigated.

0809
16:00
Generalizability of Deep-Learning Segmentation Algorithms for Measuring Cartilage and Meniscus Morphology and T2 Relaxation Times
Andrew M Schmidt1, Arjun D Desai1, Lauren E Watkins2, Hollis Crowder3, Elka B Rubin1, Valentina Mazzoli1, Quin Lu4, Marianne Black1,3, Feliks Kogan1, Garry E Gold1,2, Brian A Hargreaves1,5, and Akshay S Chaudhari1,6

1Radiology, Stanford University, Stanford, CA, United States, 2Bioengineering, Stanford University, Stanford, CA, United States, 3Mechanical Engineering, Stanford University, Stanford, CA, United States, 4Philips Healthcare North America, Gainesville, FL, United States, 5Electrical Engineering, Stanford University, Stanford, CA, United States, 6Biomedical Data Science, Stanford University, Stanford, CA, United States

Automated segmentation using deep-learning can expedite segmentation tasks, but algorithm generalizability to unseen datasets is unknown. Here, we used two knee segmentation algorithms, each trained separately on Osteoarthritis Initiative double-echo steady-state (DESS) scans and quantitative DESS (qDESS) scans, to segment cartilage and meniscus from qDESS datasets from four independent studies. We compared manual-vs-automatic segmentation accuracy for morphology and T2 map variations. We show that OAI-DESS-trained models may be suitable for quantifying relaxometry parameters in qDESS datasets but likely require fine-tuning to accurately quantify cartilage morphology. In contrast, qDESS-trained models generalize well to additional qDESS datasets for both morphology and T2.

0810
16:00
Generative Adversarial Network for T2-Weighted Fat Saturation MR Image Synthesis Using Bloch Equation-based Autoencoder Regularization
Sewon Kim1, Hanbyol Jang2, Seokjun Hong2, Yeong Sang Hong3, Won C. Bae4,5, Sungjun Kim*3,6, and Dosik Hwang*2

1Electrical and electronic engineering, Yonsei University, Seoul, Korea, Republic of, 2Yonsei University, Seoul, Korea, Republic of, 3Gangnam Severance Hospital, Seoul, Korea, Republic of, 4Department of Radiology, University of California-San Diego, San Diego, CA, United States, 5Department of Radiology, VA San Diego Healthcare System, San Diego, CA, United States, 6Yonsei University College of Medicine, Seoul, Korea, Republic of

We proposed a Bloch equation-based autoencoder regularization Generative Adversarial Network (BlochGAN) to generate T2-weighted fat saturation (T2 FS) images from T1-weighted (T1-w) and T2-weighted (T2-w) images for spine diagnosis. Our method can reduce the cost for acquiring multi-contrast images by reducing the number of contrasts to be scanned. BlochGAN properly generates the target contrast images by using GAN trained with the autoencoder regularization based on bloch equation, which is the basic principal of MR physics for identifying the physical basis of the contrasts. Our results demonstrate that BlochGAN achieved quantitatively and qualitatively superior performance compared to conventional methods.

0811
16:00
Data augmentation using features from activation maps improved performance for deep learning based automated knee prescription
Deepa Anand1, Dattesh Shanbhag1, Preetham Shankpal1, Chitresh Bhushan2, Desmond Teck Beng Yeo2, Thomas K Foo2, and Radhika Madhavan2

1GE Healthcare, Bangalore, India, 2GE Global Research, Niskayuna, NY, United States

Data augmentation techniques have been routinely used in computer vision for simulating variations in input data and avoid overfitting. Here we propose a novel method to generate simulated images using features derived from activation maps of a deep neural network, which could mimic image variations due to MRI acquisition and hardware. Gradient-weighted Class Activation Mappings were used to identify regions important to classification output, and generate images with these regions obfuscated to mimic adversarial scenarios relevant for imaging variations. Training with images using the proposed data augmentation framework resulted in improved accuracy and enhanced robustness of knee MRI image classification.

0812
16:00
Ultrafast motion-minimized shoulder MRI with a deep learning constrained Compressed SENSE reconstruction
Jihun Kwon1, Masami Yoneyama1, Takashige Yoshida2, Kohei Yuda2, Yuki Furukawa2, Johannes M. Peeters3, and Marc Van Cauteren3

1Philips Japan, Tokyo, Japan, 2Tokyo Metropolitan Police Hospital, Nakano, Japan, 3Philips Healthcare, Best, Netherlands

Shoulder MRI is typically acquired with multiple number of signals averaged (NSA) in order to average out breathing motion artifacts. However, higher NSA leads to a longer scan time and patient discomfort. In this study, we investigated the use of a deep learning-based reconstruction algorithm to highly accelerate shoulder MRI. Adaptive-CS-Net, a deep neural network previously introduced at the 2019 fastMRI challenge, was expanded and presented here as a Compressed-SENSE Artificial Intelligence (CS-AI) reconstruction. The purpose of this study was to compare the image quality of shoulder MRI between reference and accelerated methods; SENSE, Compressed-SENSE, and CS-AI.



Oral

Prostate

Concurrent 5
Thursday 16:00 - 18:00
Moderators: Francesco Giganti & Susan Noworolski
Parent Session: Prostate
0813
16:00
CycleSeg: MR-to-CT Synthesis and Segmentation Network for Prostate Radiotherapy Treatment Planning
Huan Minh Luu1, Gyu-sang Yoo2, Dong-Hyun Kim1, Won Park2, and Sung-Hong Park1

1Magnetic Resonance Imaging Laboratory, Department of Bio and Brain Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of, 2Department of Radiation Oncology, Samsung Medical Center, Seoul, Korea, Republic of

MR-only radiotherapy planning can reduce the radiation exposure from repeated CT scanning. Most researches focus on generating synthetic CT images from MR, but not the contouring of organs-of-interest in said images, which requires manual labor and expertise. In this study, we proposed CycleSeg, a CycleGAN-based network that can accomplish both tasks to streamline the process and reduce human efforts. Experiments showed that the proposed CycleSeg can generate realistic synthetic CT images along with accurate organ segmentation in the pelvis of patients with prostate cancer.

0814
16:00
Differential Diagnosis of  Prostate Cancer and Benign Prostatic Hyperplasia Based on Prostate DCE-MRI by Using Deep Learning with Different Peritumoral Areas
Yang Zhang1,2, Weikang Li3, Zhao Zhang3, Yingnan Xue3, Yan-Lin Liu2, Peter Chang2, Daniel Chow2, Ke Nie1, Min-Ying Su2, and Qiong Ye3,4

1Department of Radiation Oncology, Rutgers-Cancer Institute of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ, United States, 2Department of Radiological Sciences, University of California, Irvine, CA, United States, 3Department of Radiology, The First Affiliate Hospital of Wenzhou Medical University, Wenzhou, China, 4High Magnetic Field Laboratory, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, China

A bi-directional Convolutional Long Short Term Memory (CLSTM) Network was previously shown capable of differentiating prostate cancer and benign prostate hyperplasia (BPH) based DCE-MRI that acquired 40 time frame images. The purpose of this work was to investigate the diagnostic value of peritumoral tissues. Several different methods were used to expand peritumoral tissues surrounding the lesion, and they were used as the input to the diagnostic network. A total of 135 cases were analyzed, including 73 prostate cancer and 62 BPH. Based on 4-fold cross-validation, the region growing based ROI had the best performance, with a mean AUC of 0.89.

0815
16:00
A Prior-Knowledge Embedded Convolutional Neural Network for Extracapsular Extension of the Prostate Cancer at Multi-Parametric MRI
Yihong Zhang1, Ying Hou2, Jie Bao3, Yang Song1, Yu-dong Zhang2, Xu Yan4, and Guang Yang1

1East China Normal University, Shanghai, China, 2the First Affiliated Hospital with Nanjing Medical University, Nanjing, China, 3the First Affiliated Hospital with Soochow University, Soochow, China, 4Siemens Healthcare, Shanghai, China

We proposed an algorithm to incorporate radiologist’s prior-knowledge about location of extension into a CNN model to diagnose the extracapsular extension of the prostate cancer from multiparametric MRI (mpMRI). The model was trained on 596 cases with ensemble learning before validated with an independent validation cohort of 150 cases and an external cohort of 103 cases. Our proposed model achieved an area under receiver operating characteristic curve (AUC) of 0.807/0.728 on the internal/external test cohort, which is better than the traditional model (AUC=0.746/0.723) and the clinical reports by two radiologists (AUC=0.725, 0.632/0.694, 0.712).

0816
16:00
Prostate Cancer Detection on T2-weighted MR images with Generative Adversarial Networks
Alexandros Patsanis1, Mohammed R. S. Sunoqrot 1, Elise Sandsmark 2, Sverre Langørgen 2, Helena Bertilsson 3,4, Kirsten M. Selnæs 1,2, Hao Wang5, Tone F. Bathen 1,2, and Mattijs Elschot 1,2

1Department of Circulation and Medical Imaging, Norwegian University of Science and Technology - NTNU, Trondheim, Norway, 2Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway, 3Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology - NTNU, Trondheim, Norway, 4Department of Urology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway, 5Department of Computer Science, Norwegian University of Science and Technology - NTNU, Gjøvik, Norway

Generative Adversarial Networks (GANs) were evaluated for detection and visualization of prostate cancer, proposing an automated end-to-end pipeline. Two GANs were trained and tested with T2-weighted images from an in-house dataset of 646 patients. The weakly-supervised GAN performed better (AUC=0.785) than unsupervised GAN (AUC=0.462). The performance of the GANs was dependent on pre-processing parameters. The PROSTATEx dataset (N=204) was used for external validation, giving an AUC of 0.642. The weakly-supervised GAN showed promise for detecting and localizing prostate cancer on T2W MRI, but further research is necessary to improve model performance and generalizability.

0817
16:00
Texture-Based Deep Learning for Prostate Cancer Classification with Multiparametric MRI
Yongkai Liu1,2, Haoxin Zheng1, Zhengrong Liang3, Miao Qi1, Wayne Brisbane4, Leonard Marks4, Steven Raman1, Robert Reiter4, Guang Yang5, and Kyunghyun Sung1

1Department of Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Physics and Biology in Medicine IDP, University of California, Los Angeles, Los Angeles, CA, United States, 3Departments of Radiology and Biomedical Engineering, Stony Brook University, Stony Brook, New York, NY, United States, 4Department of Urology, University of California, Los Angeles, Los Angeles, CA, United States, 5National Heart and Lung Institute, Imperial College London, London, United Kingdom

Accurate classification of prostate cancer (PCa) enables better prognosis and selection of treatment plans. We presented a textured-based deep learning method to enhance prostate cancer classification performance by enriching deep learning with prostate cancer texture information.

0818
16:00
Incorporating UDM into Deep Learning for better PI-RADS v2 Assessment from Multi-parametric MRI
Ruiqi Yu1, Ying Hou2, Yang Song1, Yu-dong Zhang2, and Guang Yang1

1Shanghai Key Laboratory of Magnetic Resonance, East China Normal University, Shanghai, China, 2Department of Radiology, the First Affiliated Hospital with Nanjing Medical University, Jiangsu, China

Prostate cancer is one of the most important causes of cancer-incurred deaths among males. The prostate imaging reporting and data system (PI-RADS) v2 standardizes the acquisition of multi-parametric magnetic resonance images (mp-MRI) and identification of clinically significant prostate cancer. We purposed a convolutional neural network which integrated an unsure data model (UDM) to predict the PI-RADS v2 score from mp-MRI. The model achieved an F1 score of 0.640, which is higher than that of the ResNet-50. On an independent test cohort of 146 cases, our model achieved an accuracy of 64.4%.

0819
16:00
Explainable AI for CNN-based Prostate Tumor Segmentation in Multi-parametric MRI Correlated to Whole Mount Histopathology
Deepa Darshini Gunashekar1, Lars Bielak1,2, Arnie Berlin3, Leonard Hägele1, Benedict Oerther4, Matthias Benndorf4, Anca Grosu2,4, Constantinos Zamboglou2,4, and Michael Bock1,2

1Dept.of Radiology, Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 2German Cancer Consortium (DKTK), Partner Site Freiburg, Freiburg, Germany, 3The MathWorks, Inc., Novi, MI, United States, 4Dept.of Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

An explainable deep learning model was implemented to interpret the predictions of a convolution neural network (CNN) for prostate tumor segmentation. The CNN automatically segments the prostate gland and prostate tumors in multi-parametric MRI data using co-registered whole mount histopathology images as ground truth. For the interpretation of the CNN, saliency maps are generated by generalizing the Gradient Weighted Class Activation Maps method for prostate tumor segmentation. Evaluations on the saliency method indicate that the CNN was able to correctly localize the tumor and the prostate by targeting the pixels in the image deemed important for the CNN's prediction. 

0820
16:00
Prostate Lesion Segmentation on VERDICT-MRI Driven by Unsupervised Domain Adaptation
Eleni Chiou1,2, Francesco Giganti3,4, Shonit Punwani5, Iasonas Kokkinos2, and Eleftheria Panagiotaki1,2

1Centre of Medical Image Computing, University College London, London, United Kingdom, 2Department of Computer Science, University College London, London, United Kingdom, 3Department of Radiology, UCLH NHS Foundation Trust, University College London, London, United Kingdom, 4Division of Surgery & Interventional Science, University College London, London, United Kingdom, 5Centre for Medical Imaging, Division of Medicine, University College London, London, United Kingdom

In this work we utilize unsupervised domain adaptation for prostate lesion segmentation on VERDICT-MRI. Specifically, we use an image-to-image translation method to translate multiparametric-MRI data to the style of VERDICT-MRI. Given a successful translation we use the synthesized data to train a model for lesion segmentation on VERDICT-MRI. Our results show that this approach performs well on VERDICT-MRI despite the fact that it does not exploit any manual annotations. 

0821
16:00
Accelerated Diffusion-Relaxation Correlation Spectrum Imaging (DR-CSI) for Ex Vivo and In Vivo Prostate Microstructure Mapping
Zhaohuan Zhang1, Sohrab Afshari Mirak1, Melina Hosseiny1, Afshin Azadikhah1, Amirhossein Mohammadian Bajgiran1, Alan Priester2, Kyunghyun Sung1, Anthony Sisk3, Robert Reiter2, Steven Raman1, Dieter Enzmann1, and Holden Wu1

1Department of Radiological Sciences, UCLA, Los Angeles, CA, United States, 2Department of Urology, UCLA, Los Angeles, CA, United States, 3Department of Pathology, UCLA, Los Angeles, CA, United States

Diffusion-relaxation correlation spectrum imaging (DR-CSI) can map prostate microstructure in both ex vivo and in vivo imaging. However, the translation of prostate DR-CSI to in vivo applications faces technical challenges regarding trade-offs between scan time and accuracy. The goal of this study was to develop a data-driven systematic framework to evaluate and select subsampled DR-CSI echo time and b-values encoding schemes that reduce scan time while maintaining accuracy of estimated prostate microstructure parameters.

0822
16:00
Characterization of motion-induced phase errors in prostate DWI
Sean McTavish1, Anh T. Van2, Kilian Weiss3, Johannes M. Peeters4, Marcus R. Makowski2, Rickmer F. Braren2, and Dimitrios C. Karampinos2

1Technical University of Munich, Munich, Germany, 2Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 3Philips Healthcare, Hamburg, Germany, 4Philips Healthcare, Best, Netherlands

In order to improve resolution without increasing geometric distortions, there is an ongoing interest in multi-shot DWI in the prostate due to the high clinical significance of prostate DWI for tumor staging and therapy monitoring. However, intershot phase variations require phase error estimation and correction to reconstruct the multi-shot DWI data. Since free-breathing scans are normally used in prostate DWI, respiratory motion can be a significant source of phase errors in the prostate. The present work aims to characterize and investigate the link between respiratory motion and phase errors in the prostate.


Oral

MRI in Stroke: Vessels, Flow & Tissue Structure

Concurrent 6
Thursday 16:00 - 18:00
Moderators: Thomas Lindner & Lena Vaclavu
Parent Session: MRI in Stroke: Vessels, Flow & Tissue Structure
0823
16:00
Evaluation of primary and secondary collateral pathways in carotid artery stenosis patients before and after revascularization therapy
Lena Schmitzer1, Alexander Seiler2, Nico Sollmann1, Christine Preibisch1,3, Kilian Weiss4, Claus Zimmer1, Fahmeed Hyder5, Jens Göttler1,5, and Stephan Kaczmarz1,5

1School of Medicine, Department of Neuroradiology, Technical University of Munich, Munich, Germany, 2Department of Neurology, Goethe University Frankfurt, Frankfurt, Germany, 3School of Medicine, Clinic of Neurology, Technical University of Munich, Munich, Germany, 4Philips Healthcare, Hamburg, Germany, 5MRRC, Yale University, New Haven, CT, United States

Internal carotid artery stenosis (ICAS) is a well-known risk factor for stroke. While collaterals play a pivotal role in ischemic stroke, their effects in ICAS are not entirely understood. We assessed primary collaterals, i.e., configuration of the Circle of Willis by MR-Angiography, and high Coefficients of Variance in Dynamic Susceptibility Contrast MRI as surrogate of secondary collaterals. Moreover, individual watershed areas (iWSA) were determined in a group of ICAS patients and healthy volunteers. Our results demonstrate post-interventional shifts of iWSA, mainly influenced by primary collateral flow. No secondary collateral flow was found in patients similar to age-matched healthy participants.

0824
16:00
Inner volume 3D TSE using optimized spatially selective excitation pulses for vessel wall imaging of intracranial perforating arteries at 7T
Qingle Kong1,2, Yue Wu1, Dehe Weng3, Jing An3, Yan Zhuo1,4, and Zihao Zhang1,4

1Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, 2MR Collaboration, Siemens Healthcare Ltd, Beijing, China, 3Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China, 4The Innovation Center of Excellence on Brain Science, Chinese Academy of Sciences, Beijing, China

The impairment of microvessels can lead to neurologic diseases such as stroke and vascular dementia. The imaging of lumen and vessel wall of perforating arteries requires an extremely high resolution due to their small caliber size. In this study, we developed a 3D inner-volume (IV) TSE (SPACE) sequence with optimized spatially selective excitation (SSE) RF pulses. High resolution of isotropic 0.30mm within ten minutes was achieved for the black- blood images of lenticulostriate artery (LSA) for the first time. The IV-SPACE images showed clearer delineation of vessel wall and lumen of LSA than conventional SPACE images.

0825
16:00
Evaluation of leptomeningeal collaterals by DSC-based signal variance and hemodynamic features in asymptomatic carotid artery stenosis
Stephan Kaczmarz1,2, Lena Schmitzer1, Jens Göttler1,2, Kilian Weiss3, Christian Sorg1, Claus Zimmer1, Fahmeed Hyder2, Christine Preibisch1, and Alexander Seiler4

1School of Medicine, Department of Neuroradiology, Technical University of Munich (TUM), Munich, Germany, 2MRRC, Yale University, New Haven, CT, United States, 3Philips Healthcare, Hamburg, Germany, 4Department of Neurology, Goethe University Frankfurt, Frankfurt, Germany

Detection of leptomeningeal collateral blood flow has high clinical relevance, but clinically applicable imaging methods are lacking. While a novel approach based on coefficient of variance (CoV) analysis of dynamic susceptibility contrast (DSC) MRI was recently proposed, relations to hemodynamic alterations remained unknown. Moreover, the role of leptomeningeal collaterals in internal carotid artery stenosis (ICAS) is under debate. We present multi-parametric hemodynamic evaluation within high CoV-voxels from 29 asymptomatic ICAS-patients and 30 age-matched healthy controls. Our results suggest no enhanced leptomeningeal collateral recruitment in asymptomatic ICAS. However, hemodynamic characteristics imply detection of voxels that are prone to future leptomeningeal recruitment.

0826
16:00
GraspMRA: High Temporal Resolution, Non-Contrast Enhanced, Time-Resolved 4D MR Angiography Using Golden-angle Radial Sparse Parallel Imaging
Li Feng1 and Lirong Yan2

1Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2USC Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, United States

Non-contrast enhanced 4D MRA has emerged as a promising approach in charactering flow dynamics. The major challenge of conventional 4D MRA is relatively long scan time. Recently developed 4D MRA combining golden-angle stack-of-stars acquisition and compressed sensing reconstruction can significantly shorten scan time. However, this method only exploits spatial sparsity based on individual frames. The current study aims to test the feasibility of a newly developed low-rank and sparsity-based image reconstruction method to highly accelerate 4D MRA. Our initial results suggest that higher acceleration rates can be achieved using GraspMRA without compromising image quality and temporal fidelity.

0827
16:00
Cerebrovascular relative pressure assessment using 4D Flow MRI – accuracy of image-based estimation approaches
David Marlevi1, Jonas Schollenberger2, Maria Aristova3, Edward Ferdian4, Alistair A Young4,5, Elazer R Edelman1, Susanne Schnell3,6, C. Alberto Figueroa2, and David Nordsletten2,5

1Massachusetts Institute of Technology, Cambridge, MA, United States, 2University of Michigan, Ann Arbor, MI, United States, 3Northwestern University, Chicago, IL, United States, 4University of Auckland, Auckland, New Zealand, 5King's College London, London, United Kingdom, 6University of Greifswald, Greifswald, Germany

4D Flow MRI images cerebrovascular blood flow in-vivo, however, estimation of relative pressure is difficult due to the unique flow and anatomies found in the brain. We evaluated the performance of three different techniques (reduced Bernoulli (RB); unsteady Bernoulli (UB); virtual Work-Energy Relative Pressure (vWERP)) for cerebrovascular assessment. Using patient-specific in-silico models, we show that accurate estimations are dependent on sufficient spatial resolution (dx < 0.75 mm3) and used approach (vWERP achieving accurate estimates; RB/UB showing systematic underestimation bias). With similar dependencies indicated in-vivo, these results underline both potentials and challenges of mapping cerebrovascular relative pressure by 4D Flow MRI. 

0828
16:00
Vessel distance mapping for deep gray matter structures
Hendrik Mattern1, Stefanie Schreiber2,3,4, and Oliver Speck1,3,4,5

1Biomedical Magnetic Resonance, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany, 2Department of Neurology, Otto-von-Guericke-University, Magdeburg, Magdeburg, Germany, 3German Center for Neurodegenerative Disease, Magdeburg, Germany, 4Center for Behavioral Brain Sciences, Magdeburg, Germany, 5Leibniz Institute for Neurobiology, Magdeburg, Germany

Vessel distance mapping (VDM) is proposed as a novel tool to enable quantitative and qualitative assessment of vascular patterns in deep gray matter structures. At 7T, ToF angiography and QSM were used to depict the arterial and venous vasculature in six subjects. Based on vessel segmentations, vessel distance maps were generated by computing the Euclidean distance of each non-vessel voxel to its closest vessel. Compared to state-of-the-art methods, VDM interpolates the sparse vessel data to enable new ways to analyze vascular patterns with respect to the surrounding structure.

0829
16:00
Recanalization of Acute Intracranial Large Vessel Occlusions: Novel Findings from High-Resolution Vessel Wall Imaging
Chen Cao1,2, Jing Lei2, Yan Gong3, Song Jin2, Jinxia Zhu4, Ming Wei5, and Shuang Xia6

1Department of Radiology, First Central Clinical College, Tianjin Medical University, Tianjin, China, 2Department of Radiology, Tianjin Huanhu Hospital, Tianjin, China, 3Department of Radiology, Tianjin Medical University Nankai Hospital, Tianjin, China, 4MR Collaboration, Siemens Healthcare Ltd., Beijing, China, 5Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China, 6Department of Radiology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China

Pre-operative recanalization assessment for acute intracranial large-vessel occlusion (LVO) can help optimize endovascular therapy and shorten procedural times. We prospectively examined 46 patients with acute intracranial LVO who underwent high-resolution magnetic resonance imaging (HRMRI) before endovascular therapy. HRMRI had good agreement with angiographic assessment of the causes of occlusion (κ=0.89, 95% CI, 0.69–1.00) and length of occlusion (concordance correlation coefficient=0.75, 95% CI, 0.59–0.86). Intraluminal enhancement was associated with procedural complexity (r=0.81, P< .001) and procedural times (r=0.64, P< .001). HRMRI before recanalization can help define the vascular status and assist with endovascular therapy of acute intracranial LVOs.

0830
16:00
Characterization of radiological findings in mouse models of cerebral small vessel diseases using multimodal MRI at 14.1 Tesla
Xiao Gao1, Xiaowei Wang2, Kai Qiao1, Cassandre Labelle-Dumais2, Douglas Gould2, and Myriam M. Chaumeil1

1Department of Radiology, University of California, San Francisco, San Francisco, CA, United States, 2Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, United States

Cerebral small vessel diseases (cSVDs) are a group of conditions that account for up to 30% of strokes. Clinical manifestations associated with cSVD include blood–brain barrier (BBB) leakage, microbleeds, and white matter lesions. Here, we use multimodal MRI at 14.1Tesla to characterize radiological findings observed in innovative mouse models of cSVD caused by mutations in Collagen type IV alpha 1 (Col4a1). By leveraging several image processing toolboxes, we established a workflow that could successfully differentiate between disease subtypes based on the spatial distribution and volume of lesions. 

0831
16:00
Mechanisms of cerebral ischemic stroke recovery from stem cell derived therapies assessed via MRI at 21.1 T
Shannon Helsper1,2, Xuegang Yuan1,2, and Samuel Colles Grant1,2

1National High Magnetic Field Laboratory, Florida State University, Tallahassee, FL, United States, 2Chemical & Biomedical Engineering, FAMU-FSU College of Engineering, Tallahassee, FL, United States

This study evaluates therapeutic efficacy of human mesenchymal stem cell (hMSC) derived treatments applied to an ischemic stroke rat model. The goal is to determine if the presence of hMSC or hMSC derivatives in an ischemic region is required or if delivery of cell secretions alone can improve outcomes, either locally at the lesion or by recruiting regenerative neural progenitor cells. Biochemical markers of tissue recovery measured longitudinally using sodium chemical shift imaging and relaxation-enhanced MR spectroscopy at 21.1 T enables increased sensitivity, enabling insight into ionic and metabolic regulation while enabling to determine therapy efficacy.

0832
16:00
Mesenchymal Stem Cell Impacts on Cerebral Microstructural Diffusion Recovery After Ischemic Attack
Frederick A Bagdasarian1,2, Xuegang Yuan1,2, and Samuel Colles Grant1,2

1National High Magnetic Field Laboratory, Florida State University, Tallahassee, FL, United States, 2Chemical & Biomedical Engineering, FAMU-FSU College of Engineering, Tallahassee, FL, United States

DTI, NODDI and DKI techniques were applied to diffusion data acquired at 21.1 T to identify microtissue changes in ischemic brain tissue following adult human mesenchymal stem cell (hMSC) or control treatment. Scanning was conducted 1-21 d post-MCAO and treatment. 2D hMSC significantly reduced cell swelling (ICVF) at nearly every time-point in white matter while preserving orientation integrity (ODI), normal levels of DTI metrics, and early phase kurtosis. In grey matter, 2D hMSC restored DTI metrics to naïve levels quicker than control treatments, as did ICVF and ODI. Kurtosis had high variability, with minor trends evident.


Weekday Course

MR Artifacts Game Show

Organizers: Krishna Nayak, Anthony Christodoulou
Concurrent 7
Thursday 16:00 - 17:00
Moderators: Avery Berman & Kevin Koch
Parent Session: MR Artifacts Game Show
16:00
MR Artifacts Game Show
Avery J.L. Berman1

1A.A. Martinos Center for Biomedical Imaging, MGH, Harvard Medical School, Charlestown, MA, United States

16:30
MR Artifacts Game Show
Kevin Matthew Koch1

1Medical College of Wisconsin, Milwaukee, WI, United States


Sunrise Session

Software Engineering for MRI: Python Programming & Scientific Computing

Organizers: Michael Lustig, Daniel Gallichan
Concurrent 7
Thursday 17:00 - 18:00
Moderators: Michael Lustig & Daniel Gallichan
Parent Session: Software Engineering for MRI: Python Programming & Scientific Computing
17:00
Basic Python Programming
Saige Rutherford

17:30
Scientific Computing with Python
Agah Karakuzu


Oral

Optimized Sampling & Sequence Design

Concurrent 1
Thursday 18:00 - 20:00
Moderators: Maria Engel & Rebecca Feldman
Parent Session: Optimized Sampling & Sequence Design
0833
18:00
B-spline Parameterized Joint Optimization of Reconstruction and K-space Sampling Patterns (BJORK) for Accelerated 2D Acquisition
Guanhua Wang1, Tianrui Luo1, Jon-Fredrik Nielsen1, Jeffrey A. Fessler2, and Douglas C. Noll1

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 2Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI, United States

The proposed approach, BJORK, provides a robust and generalizable workflow to jointly optimize non-Cartesian sampling patterns and a physics-informed reconstruction. Several approaches, including re-parameterization of trajectories, multi-level optimization, and non-Cartesian unrolled neural networks, are introduced to improve training effect and avoid sub-optimal local minima. The in-vivo experiments show that the networks and trajectories learned on simulation dataset are transferable to the real acquisition even with different parameter-weighted MRI contrasts and noise-levels, and demonstrate improved image quality compared with previous learning-based and model-based trajectory optimization methods.

0834
18:00
Accelerated Ultrahigh Temporal-Resolution MRI with Random k-Space Undersampling
Qingfei Luo1, Zheng Zhong1,2, Kaibao Sun1, and Xiaohong Joe Zhou1,2,3

1Center for MR Research, University of Illinois at Chicago, Chicago, IL, United States, 2Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 3Departments of Radiology and Neurosurgery, University of Illinois at Chicago, Chicago, IL, United States

It has been reported that a new sequence, epi-SPEEDI, can offer sub-millisecond temporal resolution, but its scan time is relatively long due to phase-encoding. In this study we propose an accelerated version of epi-SPEEDI (named epi-SPEEDI-kt) that improves the acquisition efficiency of epi-SPEEDI by randomly undersampling the k-space, followed by image reconstruction using joint spatiotemporal partial separability and sparsity constraints. Through a human imaging example for visualizing the dynamics of aortic valve, we demonstrated that epi-SPEEDI-kt can provide comparable image quality to epi-SPEEDI and reduce the scan time by ~50% concurrently. This acceleration is expected to enhance SPEEDI applications.

0835
18:00
ECcentric Circle ENcoding TRajectorIes for Compressed-sensing (ECCENTRIC): A fully random non-Cartesian sparse k-space sampled MRSI at 7 Tesla
Antoine Klauser1,2,3, Bernhard Strasser2,4, Wolfgang Bogner4, Lukas Hingerl4, Claudiu Schirda5, Bijaya Thapa2, Daniel Cahill6, Tracy Batchelor7, François Lazeyras1,3, and Ovidiu Andronesi2

1Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland, 2Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 3CIBM Center for Biomedical Imaging, Geneva, Switzerland, 4High‐Field MR Center, Department of Biomedical Imaging and Image‐guided Therapy, Medical University of Vienna, Vienna, Austria, 5Department of Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 6Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 7Department of Neurology, Brigham and Women, Harvard Medical School, Boston, MA, United States

A new encoding trajectory for magnetic resonance spectroscopic imaging was developed and implemented on a 7T human scanner. ECcentric Circle ENcoding TRajectorIes for Compressed-sensing (ECCENTRIC) is a spatial-spectral encoding strategy optimized for random non-Cartesian sparse Fourier domain sampling. Acceleration by undersampling ECCENTRIC prevents coherent aliasing artefacts in the spatial response function. ECCENTRIC allows smaller circles to avoid temporal interleaving for large matrix size, which is beneficial for spectral quality. Circle trajectories need limited gradient slewrate without rewinding deadtime, and are robust to timing imperfection and eddy-current delays.

0836
18:00
Faster fetal whole-heart anatomical and blood flow 4D cine MRI with k-t SWEEP
Thomas A Roberts1, Laurence H Jackson1, Joshua FP van Amerom2, Alena Uus1, Anthony N Price1, Johannes K Steinweg1, David FA Lloyd1,3, Milou PM van Poppel1, Kuberan Pushparajah3, Mary A Rutherford1, Reza Razavi1,3, Maria Deprez1, and Joseph V Hajnal1

1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Division of Pediatric Cardiology, The Hospital for Sick Children, Toronto, ON, Canada, 3Department of Congenital Heart Disease, Evelina Children's Hospital, London, United Kingdom

MRI of the fetal heart is challenging due to fetal motion and its small size. Previously, we have demonstrated a method for simultaneous 4D anatomical and blood flow imaging of the whole fetal heart. However, the acquisition takes at least 14 minutes, which is unfavourable for routine clinical usage. Here, we combine k-t SENSE with SWEEP excitation to acquire a continuous sequence of images through the heart. The removal of dummy pulses due to SWEEP excitation reduces our acquisition time by 17%. We also acquire one-third fewer frames compared to our conventional method, resulting in a 45% faster acquisition time.

0837
18:00
SPRING-RIO TSE: 2D T2-Weighted Turbo Spin-Echo Brain Imaging using SPiral RINGs with Retraced In/Out Trajectories
Zhixing Wang1, Steven Allen1, Xue Feng1, John P. Mugler2, and Craig H. Meyer1

1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Radiology & Medical Imaging, University of Virginia, Charlottesville, VA, United States

This study presents a new approach to 2D TSE imaging using annular spiral rings with a retraced in/out trajectory, dubbed “SPRING-RIO TSE”, for fast T2-weighted brain imaging. Annular rings with retraced in/out segments offer benefits for reducing T2 decay induced artifacts and self-correction of moderate off-resonance effects. Phantom and human results show that high-quality T2-weighted images can be acquired with higher scan efficiency and reduced SAR, when compared with Cartesian TSE imaging.

0838
18:00
Rapid T2-DIADEM Echo-Planar Imaging as an Alternative to T2-FSE: A Clinical Feasibility Study
Myung-Ho In1, Norbert G Campeau1, John III Huston1, Zijing Dong2,3, Kawin Setsompop4,5, Daehun Kang1, Uten Yarach6, Yunhong Shu1, Joshua D Trzasko1, and Matt A Bernstein1

1Department of Radiology, Mayo Clinic, Rochester, MN, United States, 2A. A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 3Department of Electrical Engineering and Computer Science, MIT, Cambridge, MA, United States, 4Department of Radiology, Stanford University, Stanford, CA, United States, 5Stanford University, Stanford, CA, United States, 6Department of Radiologic Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

 Rapid high-resolution echo-planar-imaging (EPI) with improved image quality could conceivably be utilized as a high-speed alternative to conventional T2-weighted fast-spin-echo imaging (T2-FSE). A variant of multi-shot EPI, DIADEM (distortion-free imaging: a double encoding method), was recently described (5) and shown to yield high quality, high resolution images free of spatial distortion. In this work, a T2-weighted DIADEM pulse sequence was optimized with self-calibrated, tilted-CAIPI reconstruction scheme and then comparatively evaluated to T2-FSE images of the brain in 24 human subjects by two neuroradiologists.

0839
18:00
Spiral Cardiac bSSFP with Phase-Modulation to Enable Long Repetition Times
Michael Schär1

1Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Recently, it was shown that phase-modulated balanced steady-state free precession (bSSFP) offers banding-free radial cine bSSFP images. Because this novel approach for bSSFP overcomes the need for short repetition times (TR), this work proposes to use more efficient spiral readouts with long TR of 15 ms. Banding free bSSFP cine images are demonstrated for either high temporal or high spatial resolution. The long TR furthermore facilitates fat suppression with spatial-spectral water-only excitation pulses which could improve depiction of the coronary arteries. Out of slice signal pileup at dark band frequencies is shown to be reduced with pre-saturation of those frequencies.

0840
18:00
Echo-train bSSFP for Rapid Golden-angle Radial Sampling
Kaibao Sun1, Zheng Zhong1,2, Kezhou Wang1, and Xiaohong Joe Zhou1,2,3

1Center for MR Research, University of Illinois at Chicago, Chicago, IL, United States, 2Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 3Departments of Radiology and Neurosurgery, University of Illinois at Chicago, Chicago, IL, United States

Golden-angle radial sampling based on single-echo bSSFP has been increasingly used in MRI. In a method known as ETGAR (echo-train golden-angle radial), a series of spokes separated by a golden angle are acquired within a TR to accelerate data sampling. A main disadvantage is that the large inter-echo steering gradients can lead to a longer TR and trigger eddy currents. We herein demonstrate an alternative golden-angle radial sequence – ETGAR-II – to overcome the afore-mentioned issues. This novel sequence, together with an integrated phase-correction algorithm has been demonstrated on phantoms and human to obtain high quality images with 36% scan time reduction.

0841
18:00
A whole-blade turboPROP technique with motion correction for rapid and robust DWI
Zhiqiang Li1, Melvyn B Ooi2, and John P Karis1

1Neuroradiology, Barrow Neurological Institute, Phoenix, AZ, United States, 2Philips Healthcare, Gainesville, FL, United States

DW-MRI is an invaluable technique for the diagnosis of neurological disorders. ssEPI is time efficient but suffers from geometric distortions. DW-PROPELLER and its variants, including turboPROP, have been proposed for generating distortion-free images. This project proposes a new whole-blade acquisition mode with phase correction in reconstruction to increase the blade width and consequently reduce the scan time by a factor of ~2, relative to the original turboPROP. Furthermore, the increased blade width allows for robust motion correction, which was typically not performed in PROPELLER-based DWI. In vivo results demonstrate advantages over ssEPI, and recently released product msEPI and SPLICE-PROPELLER.

0842
18:00
Fast and quiet 3D MPRAGE using a silent gradient axis - sequence development
Edwin Versteeg1, Sarah M. Jacobs1, Ícaro A.F. Oliveira2, Dennis W.J. Klomp1, and Jeroen C.W. Siero1,2

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Spinoza centre for neuroimaging Amsterdam, Amsterdam, Netherlands

Sound levels in MRI can be reduced by switching a silent gradient axis beyond the hearing threshold. In this work, we implemented a silent readout module that applies such a silent gradient axis (at 7T) to a 3D MPRAGE sequence. This resulted in a sequence that featured a much lower peak sound level (26 dB reduction), similar image contrast and imaging time compared to a conventional MPRAGE-scan.  This shows that a silent gradient axis provides a pathway to fast and quiet brain imaging with the potential to translate to other field strengths.


Oral

Quantitative MSK MRI

Concurrent 2
Thursday 18:00 - 20:00
Moderators: Dimitrios Karampinos & Ashley Williams
Parent Session: Quantitative MSK MRI
0843
18:00
A Method for Measuring B0 Field Inhomogeneity using Quantitative DESS (qDESS)
Marco Barbieri1, Akshay S. Chaudhari1,2, Catherine J. Moran1, Garry E. Gold1,3, Brian A. Hargreaves1,3,4, and Feliks Kogan1

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Biomedical Data Science, Stanford University, Stanford, CA, United States, 3Department of Bioengineering, Stanford University, Stanford, CA, United States, 4Department of Electrical Engineering, Stanford University, Stanford, CA, United States

Quantitative T2 mapping is a valuable tool for studying OA changes. qDESS is a rapid sequence that provides accurate T2 measurements and SNR-efficient morphological imaging. B0 mapping is an auxiliary scan acquired to correct field inhomogeneity-induced errors using techniques such as WASSR and 2-GRE. This work proposes a method for B0 mapping that exploits the phase difference between the two echoes acquired with qDESS. The experiments with phantom and in-vivo simultaneous bilateral knee acquisitions showed that the B0 maps obtained with the qDESS method were in good agreement with those obtained using the WASSR method and the 2-GRE method.

0844
18:00
Analysis of Diffusion Changes in Patients with Juvenile Osteochondritis Dissecans (JOCD) of the Knee at 3T
Abdul Wahed Kajabi1,2,3, Stefan Zbyn1,3, Cyrus M. Nouraee1, Kai D. Ludwig1,3, Casey P. Johnson1,4, Steen Moeller1, Mark A. Tompkins5, Bradley J. Nelson5, Gregory J. Metzger1, Cathy S. Carlson4, and Jutta M. Ellermann1,3

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 3Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 4Department of Veterinary Clinical Sciences, University of Minnesota, Minneapolis, MN, United States, 5Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, United States

This 3T study evaluates 46 juvenile osteochondritis dissecans (JOCD) lesions of 41 skeletally immature patients using clinical, morphological MRI and diffusion-weighted MRI (DWI). In this study, apparent diffusion coefficient (ADC) values were able to differentiate between healed and not yet healed JOCD lesions, and distinguish between the operative and nonoperative treatment groups. DWI provides noninvasive, quantitative assessment of disease status which may help inform clinical management of JOCD. Further follow-up studies are needed to evaluate the potential of DWI for the prediction of lesion healing in JOCD patients.

0845
18:00
Simultaneous anatomical, pathological and T2 quantitative knee imaging with 3D submillimeter isotropic resolution using MIXTURE
Takayuki Sakai1,2, Masami Yoneyama3, Atsuya Watanabe4,5, Daichi Murayama1, Shigehiro Ochi1, Shuo Zhang6, and Tosiaki Miyati7

1Radiology, Eastern Chiba Medical Center, Tonage, Japan, 2Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan, 3Philips Japan, Tokyo, Japan, 4General Medical Services, Chiba University Graduate School of Medicine, Chiba, Japan, 5Orthopaedic Surgery, Eastern Chiba Medical Center, Chiba, Japan, 6Philips Healthcare, Hamburg, Germany, 7Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan

We propose a new sequence called MIXTURE (Multi-Interleaved X-prepared TSE with inTUitive RElaxometry). MIXTURE is a 3D TSE that can set arbitrary echo times using the T2 preparation pulses, and enables several image contrasts (such as PDW, T2W) and T2 mapping by acquiring at least two echo time images.  In this study, we evaluated the clinical feasibility of morphological and pathological MRI with two contrasts images and quantitative MRI with T2 mapping using MIXTURE.

0846
18:00
Association Between UTE-MRI T2* Relaxation Times and Symptoms During Exercise Therapy for Patellar Tendinopathy
Stephan J. Breda1, Robert-Jan de Vos2, Dirk Poot1, Gabriel Krestin1, Juan A. Hernandez-Tamames1, and Edwin Oei1

1Radiology & Nuclear Medicine, Erasmus University Medical Center, Rotterdam, Netherlands, 2Orthopaedics, Erasmus Univerity Medical Center, Rotterdam, Netherlands

Patellar tendinopathy (PT) is an overuse injury of the patellar tendon in athletes involving typical degenerative changes to the patellar tendon. The association of MRI-assessed structural changes with symptoms is largely unknown. UTE-MRI was implemented to study longitudinal changes in T2* within the patellar tendon in athletes performing exercise therapy for PT. We found that T2* relaxation times in the degenerative tissue of the patellar tendon were associated with symptom severity and that decreased T2* was associated with clinical improvement.

0847
18:00
Differences in distribution of MRI-based fat fraction in lower limb skeletal muscles of six different neuromuscular disorders
Harmen Reyngoudt1,2, Pierre-Yves Baudin1,2, Ericky C.A. Araujo1,2, Pierre G. Carlier3, and Benjamin Marty1,2

1NMR Laboratory, Neuromuscular Investigation Center, Institute of Myology, Paris, France, 2NMR Laboratory, CEA/DRF/IBFJ/MIRCen, Paris, France, 3CEA, DRF, Service Hospitalier Frédéric Joliot, Orsay, France

Quantitative MRI fat-water separation techniques such as Dixon are often used to evaluate disease progression in muscle of neuromuscular diseases. Although the mean fat fraction (FF) value per region of interest (ROI) is a valuable objective MRI biomarker, it does not reflect the variation of FF within this ROI. In this study we analyzed 6582 muscle ROIs in leg and thigh of 6 different neuromuscular diseases and analyzed, besides the mean FF, other statistical metrics such as median, standard deviation, kurtosis and skewness. The differences in FF distribution might reveal additional information about the individual patient’s disease evolution.

0848
18:00
Tumor T1 for early chemotherapeutic response evaluation in patients with osteosarcoma with correlation to histological necrosis
Esha Baidya Kayal1, Nikhil Sharma1, Raju Sharma2, Sameer Bakhshi3, Devasenathipathy Kandasamy2, and Amit Mehndiratta1,4

1Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India, 2Radio diagnosis, All India Institute of Medical Sciences Delhi, New Delhi, India, 3Department of Medical Oncology, Dr. B.R. Ambedkar Institute-Rotary Cancer Hospital (IRCH), All India Institute of Medical Sciences Delhi, New Delhi, India, 4Department of Biomedical Engineering, All India Institute of Medical Sciences Delhi, New Delhi, India

The spin relaxation time (T1) of the water protons, an intrinsic property of tissue, can be a useful marker of therapeutic response in osteosarcoma. T1 values were estimated in whole tumor volume before and after completion of chemotherapy and histogram analysis was performed to characterize tumor T1 and its changes in the course of chemotherapy. Results showed mean and skewness of T1 relaxation time in tumor may be useful as non-invasive imaging markers of chemotherapeutic response in osteosarcoma.

0849
18:00
The clinical value of MRI in quantitatively evaluating anterior cruciate ligament mucoid degeneration
Guangtao Fan1, Yudan Li1, Fenglin Xue2, Yilong Huang1, Yanlin Li3, Guoliang Wang3, Tianfu Qi1, Lisha Nie4, and Bo He1

1Department of Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming, China, 2Department of Pathology, the First Affiliated Hospital of Kunming Medical University, Kunming, China, 3Department of Sports Medicine, the First Affiliated Hospital of Kunming Medical University, Kunming, China, 4GE Healthcare, Kunming, China

The study aims to explore the clinical application value of MRI to quantitatively assess the anterior cruciate ligament mucoid degeneration (ACL-MD).The results indicated MRI Values of T1, T2 and T2*(relaxation time) show potential for diagnosis of ACL-MD and T2* may deliberately has the highest diagnostic efficacy.

0850
18:00
Diffusion Tensor Imaging and Fiber Tractography in Porcine Meniscus
Jikai Shen1, Qi Zhao1, Yi Qi1, Gary Cofer1, G. Allan Johnson1, and Nian Wang2

1Duke University, Durham, NC, United States, 2Radiology and Imaging Sciences, Indiana University, Indianapolis, IN, United States

Recently, diffusion MRI and tractography in musculoskeletal system has used to investigate the tissue microstructure, local collagen fiber alignment, and the 3D collagen network. To the best of our knowledge, nondestructively probing the local collagen fiber direction and 3D collagen fiber architecture is still limited. The water diffusion properties derived from DTI were quantified at different areas of meniscus using the proposed automatic segmentation method. Combining tractography and automatic segmentation, we were able to observe the structural connections among different areas of the meniscus.

0851
18:00
Achieving Rapid and Accurate Relaxometry of Whole Knee Joint using Self-Supervised Deep Learning
Fang Liu1, Georges El Fakhri1, Martin Torriani1, Richard Kijowski2, and Miho Tanaka3

1Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States, 2New York University School of Medicine, New York, NY, United States, 3Orthopaedic Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States

The purpose of this work was to develop and evaluate a model-guided self-supervised deep learning MRI reconstruction framework called REference-free LAtent map eXtraction (RELAX) for rapid quantitative relaxometry of the whole knee joint. This approach incorporated end-to-end CNN mapping to perform image-to-parameter domain transform. A concept of cyclic loss was utilized to enforce data fidelity and eliminate the explicit need for full-sampled training references. This approach was demonstrated in accelerated T1/T2 mapping of the whole knee joint and proven to outperform state-of-the-art reconstruction methods. The result suggests that RELAX allows accelerated relaxometry without training with reference data.

0852
18:00
3T-Chemical Shift Encoded MRI with Ultra-Short Echo Time Acquisition for Bone Quality Assessment: Preliminary Results in the Hip.
Dimitri MARTEL1, Benjamin LEPORQ2, Stephen HONIG3, and Gregory CHANG1

1Radiology, NYU Langone Health, New york, NY, United States, 2Université de Lyon; CREATIS CNRS UMR 5220, Inserm U1206, INSA-Lyon, UCBL Lyon 1, Villeurbanne, France, 3Osteoporosis Center, Hospital for Joint Diseases, NYU Langone Health, New york, NY, United States

Osteoporosis (OP) is a disease associated with low bone mass and deterioration of bone microarchitecture leading to bone fragility and increased fracture risk, especially in the proximal femur. Therefore, we have developed a chemical-shift encoded acquisition performed with a spiral k-space sampling to acquire ultrashort echo-time and longer echo time in the echo train. This study aims to determine if uTE acquisition can be performed for fat/water separation and if additional information can be provided through cortical bone imaging.



Oral

Interventional, Multimodal & Auxiliary Engineering

Concurrent 3
Thursday 18:00 - 20:00
Moderators: Felipe Godinez & Viola Rieke
Parent Session: Interventional, Multimodal & Auxiliary Engineering
0853
18:00
An MR Safe Steerable Catheter for MR-guided Endovascular Interventions
Mohamed E. M. K. Abdelaziz1, Libaihe Tian1, Thomas Lottner2, Simon Reiss2, Klaus Düring3, Guang-Zhong Yang4, Michael Bock2, and Burak Temelkuran1

1Hamlyn Centre for Robotic Surgery, Imperial College London, London, United Kingdom, 2Dept. of Radiology, Medical Physics, Medical Center, University of Freiburg, Freiburg, Germany, 3MaRVis Interventional GmBH, Krün, Germany, 4Shanghai Jiao Tong University, Shanghai, China

MR-guided intravascular interventions often lack steerable devices due to potential RF heating of long metallic components. In this study, we present a novel 7F MR safe and passively visible steerable catheter. Real-time MR image guidance of this catheter was demonstrated in a vessel phantom in a clinical 3T MR scanner to evaluate the catheter’s mechanical efficacy and MR visibility. Small vascular structures such as the renal artery could be probed efficiently with the polymer-only based catheter. With the integrated iron markers it was visible in its entirety, and the limited artifact size allowed for the effective visualization of surrounding tissue.

0854
18:00
Real-Time Slice Steering for MR-Guided Interventions Using Endovascular Devices Equipped with Passive MRI Markers
Daniel Christopher Hoinkiss1, Han Nijsink2, Paul Borm3, Sabrina Haase1, Jan Strehlow1, Jurgen Futterer2, and Torben Pätz1

1Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany, 2Radboud University Medical Centre (Radboudumc), Nijmegen, Netherlands, 3Nano4imaging GmbH, Aachen, Germany

MR-guided endovascular interventions will enable widely distributed therapies to be performed without radiation. We present a workflow for interventional slice steering based on endovascular device tracking to increase the precision during MR-guided interventions. Merging real-time tracking information based on passive MRI markers with pre-calculated therapy planning allows the slice steering to automatically adjust itself to the predicted vessel pathways for smooth and accurate device monitoring.

0855
18:00
Minimal Artifact Actively Shimmed Metallic Needles for Interventional MRI
Saikat Sengupta1, Xinqiang Yan1, Tamarya Hoyt2, Anthony Gunderman3, and Yue Chen3

1Department of Radiology, Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 2Department of Radiology, Vanderbilt University Medical Center, Nashville, TN, United States, 3Department of Mechanical Engineering, University of Arkansas, Fayetteville, AR, United States

Artifacts caused by large magnetic susceptibility differences between metallic probes and the surrounding tissue are a persistent problem in many interventional MRI applications. In previous work, we presented the concept, design and modeling of active shims for metallic needles. In this work, we present the experimental demonstration of recovery of metallic probe induced signal loss at 3 Tesla. Effective recovery of lost signal and correction of field inhomogeneity is shown across needle orientations and imaging sequences.

0856
18:00
In Vivo Susceptibility-based Positive Contrast Imaging of MR Compatible Metallic Devices Based on Modified Slab-Selective 3D SPACE Sequence
Caiyun Shi1,2, Dong Liang1,2,3, Zhilang Qiu1, Xin Liu1,2, Yanjie Zhu1,2, and Haifeng Wang1,2

1Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2Shenzhen College of Advanced Technology, University of Chinese Academy of Sciences, Shenzhen, China, 3Research Centre for Medical AI, Shenzhen Institutes of Advanced Technology, Chinese Academy of Science, Shenzhen, China

Susceptibility-based positive contrast MR imaging exhibits excellent efficacy for visualizing the MR compatible metallic devices, by taking advantage of their high magnetic susceptibility. In this work, a novel method is developed to realize the 3D susceptibility-based positive contrast MR imaging on in vivo experiments of one human patient with one tumour of the scapula. The method is based on a modified 3D SPACE  sequence and a PDF background field removal to achieve positive contrast imaging.

0857
18:00
Improvements in in vivo imaging and temperature mapping using passive “propeller-beanie” antenna in transcranial MR-guided focused ultrasound
Xinqiang Yan1,2, Steven P. Allen3, Craig H. Meyer3, and William A. Grissom1,2,4

1Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 2Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 3Department of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 4Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

Transcranial MR-guided focused ultrasound (tcMRgFUS) neurosurgery is a non-invasive treatment for essential tremor and many emerging applications. In FDA-approved Insightec tcMRgFUS system, however, RF reflections create curved dark bands in brain images. In this work, we reported the first B1+ and temperature maps in a healthy volunteer with passive crossed wires to alleviate B1+ dark bands and inhomogeneity in a tcMRgFUS system. Consistent with simulation results and previous experimental results in phantoms, the “propeller-beanie” antenna can significantly alleviate dark band artifacts in Insightec tcMRgFUS system, which improves temperature precision and may enable the use of diffusion imaging to monitor treatment. 

0858
18:00
An Anthropomorphic Pelvis Phantom for Prostate Brachytherapy and Biopsy
Dominik F. Bauer1,2, Eva Oelschlegel1,2, Alena-Kathrin Golla1,2, Anne Adlung1,2, Tom Russ1,2, Ingo Hermann1,2, Irène Brumer1,2, Julian Rosenkranz3, Fabian Tollens4, Sven Clausen5, Philipp Aumüller5, Lothar R. Schad1,2, Dominik Nörenberg4, and Frank G. Zöllner1,2

1Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 2Mannheim Institute for Intelligent Systems in Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 3Fraunhofer Institute for Manufacturing Engineering and Automation, Project Group for Automation in Medicine and Biotechnology, Mannheim, Germany, 4Department of Radiology and Nuclear Medicine, University Medical Center Mannheim, Mannheim, Germany, 5Department of Radiation Oncology, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany

We present an anthropomorphic pelvis phantom with lesions for transperineal and transrectal prostate needle interventions. The human-sized artificial pelvis includes bones, bladder, prostate with four lesions, urethra, arteries, veins and six lymph nodes embedded in ballistic gelatin. It is puncturable and shows realistic contrast in multiparametric MRI (mpMRI) as well as CT imaging. The phantom can be used for the evaluation, training and finetuning of multimodal prostatic intervention procedures, such as prostate brachytherapy and biopsy.

0859
18:00
A generic framework for real-time 3D motion estimation from highly undersampled k-space using deep learning
Maarten Terpstra1,2, Matteo Maspero1,2, Tom Bruijnen1,2, Joost Verhoeff1, Jan Lagendijk1, and Cornelis A.T. van den Berg1,2

1Department of Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands, 2Computational Imaging Group for MR diagnostics & therapy, University Medical Center Utrecht, Utrecht, Netherlands

Motion estimation from MRI is important for image-guided radiotherapy. Specifically, for online adaptive MR-guided radiotherapy, the motion fields need to be available with high temporal resolution and a low latency.  To achieve the required speed, MR acquisition is generally heavily accelerated, which results in image artifacts. Previously we have presented a deep learning method for real-time motion estimation in 2D that is able to resolve image artifacts. Here, we extend this method to 3D by training on prospectively undersampled respiratory-resolved data showing that our method produces high-quality motion fields at R=30 and even generalizes to CT without retraining.

0860
18:00
Real-time deep artifact suppression using recurrent U-nets for interactive Cardiac Magnetic Resonance imaging.
Olivier Jaubert1,2, Javier Montalt-Tordera2, Dan Knight2,3, Gerry J. Coghlan2,3, Simon Arridge1, Jennifer Steeden2, and Vivek Muthurangu2

1Department of Computer Science, UCL, London, United Kingdom, 2Centre for Cardiovascular Imaging, UCL, London, United Kingdom, 3Department of Cardiology, Royal Free London NHS Foundation Trust, London, United Kingdom

MR guided catheterization requires both fast imaging and fast reconstruction techniques for interactive imaging. Recent deep learning methods outperformed classical iterative reconstructions with shorter reconstruction times. We propose a low latency framework relying on deep artefact suppression using a 2D residual U-Net with convolutional long short term memory layers trained on multiple orientations. The framework was demonstrated to reconstruct an interactively acquired bSSFP tiny golden angle radial sequence for catheter guidance. The proposed approach enabled real-time imaging (latency/network time=39/19ms) in 3 catheterized patients with promising image quality and reconstruction times.

0861
18:00
Deep Learning-Driven Automatic Scan Plane Alignment for Needle Tracking in MRI-Guided Interventions
Xinzhou Li1,2, Yu-Hsiu Lee3, David S. Lu1, Tsu-Chin Tsao3, and Holden H. Wu1,2

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Mechanical and Aerospace Engineering, University of California, Los Angeles, Los Angeles, CA, United States

Misalignment between the MRI scan plane and needle trajectory degrades visualization and localization of the needle. This may prolong procedure time and increase errors in MRI-guided interventions. By leveraging an accurate deep learning-based needle localization algorithm, this work proposed an automatic workflow to realign the MRI scan plane with the needle. A scan plane control module was implemented for scan parameter updates. In one degree-of-freedom needle insertion experiments, the automatic workflow accurately aligned the scan plane with the needle (orientation difference 1.9°) with processing time <2 sec.

0862
18:00
Ultra-quality 4D-MRI synthesis using deep learning-based deformable image registration
Haonan Xiao1, Tian Li1, Jiang Zhang1, Ruiyan Ni1, Ge Ren1, Yibao Zhang2, Weiwei Liu2, Weihu Wang2, Hao Wu2, Victor Lee3, Andy Cheung3, Hing-Chiu Chang3, and Jing Cai1

1The Hong Kong Polytechnic University, Hong Kong, China, 2Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, China, 3The University of Hong Kong, Hong Kong, China

We have developed and validated an ultra-quality 4D-MRI synthesis technique using deep learning-based deformable image registrations. The displacement vector fields between breathing frames were obtained from low-quality 4D-MRI. They were then applied to high-quality stationary T1, T2, and diffusion weighted images to generate ultra-quality 4D-MRI. The synthetic 4D-MRIs were verified in terms of tumor motion accuracy and image quality. All the motion errors were in a sub-voxel level, and the image quality was significantly improved. This technique holds great potential in volumetric tumor tracking with high accuracy.


Combined Educational & Scientific Session

Diffusion Tractography

Organizers: Marta Bianciardi
Concurrent 4
Thursday 18:00 - 20:00
Moderators: Simona Schiavi & Rafael Henriques
Parent Session: Diffusion Tractography
(no CME credit)
18:00
Data Preprocessing & Diffusion Modeling
Carlo Pierpaoli1

1Quantitative Medical Imaging Section, National Institute of Biomedical Imaging & Bioengineering, Bethesda, MD, United States

In this talk we will provide an “historical” overview of various modelling approaches that have been proposed for inferring anatomy and connectivity of white matter fibers from diffusion MRI data. We will describe the foundations of methods for deterministic tractography, and probabilistic tractography that will be addressed in detail by the subsequent lecturers. We will also provide background information to introduce the lecture on “validation” of Diffusion MRI tractography. Proper data preprocessing, however, can effectively minimize potential sources of artifacts. We will examine various steps that are desirable in a diffusion MRI preprocessing pipeline.

18:30
Deterministic Tractography
Flavio Dell'Acqua1

1King's College London, London, United Kingdom

Diffusion MRI Tractography is today the only imaging technique able to map the structural connectivity of the human brain in vivo non-invasively. Thanks to these unique capabilities tractography has become one of the pillars of modern neuroimaging and it is now adopted in several neuroscience and clinical research applications worldwide. In this lecture we will review the main concepts behind tractography methods from early DTI-based deterministic methods to more advanced High Angular Resolution Diffusion Imaging approaches. (Please note, more slides and topics are available in the video)

19:00
Probabilistic Tractography
J. Donald Tournier1

1Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom

Probabilistic tractography approaches account for the inherent, multiple sources of uncertainty that impact on the fibre tracking process. They aim to provide a more representative depiction of the range of connections that are consistent with the data. These approaches typically depend on the availability of the distribution of fibre orientations, from which statistical samples can be obtained and used in the streamline propagation process. It is important to note that probabilistic approaches do not in general provide estimates of the probability of a connection; they aim to depict the full range of likely connections that are consistent with the data.

19:30
Tractography Validation
Kurt Schilling1

1Vanderbilt University, Nashville, TN, United States

0863
18:00
The microscopy connectome: towards 3D PLI tractography in the BigMac dataset
Amy FD Howard1, Istvan N Huszar1, Michiel Cottaar1, Greg Daubney2, Alexandre A Khrapitchev3, Rogier B Mars1,4, Jeroen Mollink1, Connor Scott5, Nicola Sibson3, Adele Smart1,5, Jerome Sallet2, Saad Jbabdi1, and Karla L Miller1

1FMRIB Centre, Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, United Kingdom, 2Wellcome Centre for Integrative Neuroimaging, Experimental Psychology, Medical Sciences Division, University of Oxford, Oxford, United Kingdom, 3MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 4Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 5Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

The BigMac dataset is a unique resource that includes extensive MRI and densely sampled microscopy data acquired in a single, whole macaque brain. However, the high-resolution microscopy currently only informs on the fibre orientations in the 2D plane of sampled slides, precluding 3D reconstruction of the microscopy connectome. Here we use precise co-registration and joint modelling of diffusion MRI and polarised light images to reconstruct the microscopy fibre orientations in 3D. This will facilitate future determination of the whole brain, microscopy-inspired connectome, which we expect will provide neuroanatomical insight, and play a vital role in validating and advancing invivo tractography.

0864
18:00
New insights from the IronTract challenge: Simple post-processing enhances the accuracy of diffusion tractography
Chiara Maffei1, Gabriel Girard2,3,4, Kurt G. Schilling5, Dogu Baran Aydogan6, Nagesh Adluru7, Andrey Zhylka8, Ye Wu9, Matteo Mancini10,11,12, Andac Hamamci13, Alessia Sarica14, Davood Karimi15, Fang-Cheng Yeh16, Mert E. Yildiz13, Ali Gholipour15, Andrea Quattrone17, Aldo Quattrone14, Pew-Thian Yap9, Alberto de Luca18,19, Josien Pluim8, Alexander Lemans18, Vivek Prabhakaran7, Barbara B. Bendlin7, Andrew L. Alexander7, Bennett A. Landman5, Erick J. Canales-Rodríguez4, Muhamed Barakovic20, Jonathan Rafael-Patino4, Thomas Yu4, Gaëtan Rensonnet4, Simona Schiavi21, Alessandro Daducci21, Marco Pizzolato4,22, Elda Fischi-Gomez4, Jean-Philippe Thiran2,3,4, George Dai23, Giorgia Grisot24, Santi Puch25, Marc Ramos25, Nikola Lazovski25, Paulo Rodrigues25, Vesna Prchkovska25, Robert Jones1, Julia Lehman26, Suzanne Haber26, and Anastasia Yendiki1

1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States, 2University Hospital Center (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 3CIBM Center for BioMedical Imaging, Lausanne, Switzerland, 4École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5Vanderbilt University, Nashville, TN, United States, 6Aalto University School of Science, Espoo, Finland, 7University of Wisconsin, Madison, WI, United States, 8Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 9Department of Radiology and Biomedical Research Imaging Center (BRIC), University of North Carolina, Chapell Hill, NC, United States, 10Department of Neuroscience, Brighton and Sussex Medical School University of Sussex, Brighton, United Kingdom, 11CUBRIC, Cardiff University, Cardiff, United Kingdom, 12NeuroPoly, Polytechnique Montreal, Montreal, QC, Canada, 13Department of Biomedical Engineering, Faculty of Engineering, Yeditepe University, Instanbul, Turkey, 14Neuroscience Research Center, University “Magna Graecia”, Catanzaro, Italy, 15Computational Radiology Laboratory, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States, 16Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, United States, 17Institute of Neurology, University “Magna Graecia”, Catanzaro, Italy, 18Imaging Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 19Neurology Department, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, Netherlands, 20University of Basel, Basel, Switzerland, 21University of Verona, Verona, Italy, 22Technical University of Denmark, Kongens Lyngby, Denmark, 23Wellesley College, Wellesley, MA, United States, 24DeepHealth, Inc., Cambridge, MA, United States, 25QMENTA, Inc., Barcelona, Spain, 26Department of Pharmacology and Physiology, University of Rochester School of Medicine, Rochester, NY, United States

We present results from round 2 of IronTract, the first challenge to evaluate the accuracy of tractography using i) tracer injections and diffusion MRI from the same macaque brains, and ii) DSI and HCP two-shell diffusion acquisition schemes. In round 1, only two teams achieved similarly high performance between the two different injection sites that we used for training and validation. Here we investigate the extent to which this was due to the pre- and post-processing used by those teams. We show that, when other teams use the same pre- and post-processing, their accuracy and robustness can improve as well.

0865
18:00
Investigating the Occurrence of Asymmetric Patterns in White Matter Fiber Orientation Distribution Functions
Charles Poirier1, Étienne St-Onge1, and Maxime Descoteaux1

1Sherbrooke Connectivity Imaging Laboratory (SCIL), Université de Sherbrooke, Sherbrooke, QC, Canada

In general, fiber orientation distribution functions are defined as symmetric spherical functions. The present work shows how local averaging can be used to compute averaged asymmetric fODF (ava-fODF) from input symmetric white matter (WM) fODF. The resulting ava-fODF shows the presence of asymmetric patterns in voxels containing multiple crossings as well as along the white matter/gray matter interface. Moreover, the proportion of WM voxels displaying asymmetric features after filtering accounts for at least 30% of all WM voxels. Ava-fODF reveals new possibilities for classification of fiber configurations, with unidirectional fODF, bending fODF, Y-branching fODF and other complex fiber configurations.


0866
18:00
Beyond crossing fibers: investigating the prevalence of bottleneck configurations in the human brain white matter with diffusion tractography
Kurt G Schilling1, Francois Rheault2, Laurent Petit3, Chantal Tax4, Maxime Descoteaux2, Adam W Anderson5, and Bennett A Landman5

1Vanderbilt University Medical Center, Nashville, TN, United States, 2Universite de Sherbrooke, Sherbrooke, QC, Canada, 3CEA University of Bordeaux, Bordeaux, France, 4Cardiff University, Cardiff, United Kingdom, 5Vanderbilt University, Nashville, TN, United States

Bottleneck regions of the brain, or areas where multiple white matter pathways of the brain converge and subsequently diverge, present a challenge to anatomically accurate fiber tractography of the brain. In this work, we investigated the prevalence and locations of bottleneck regions. Our results indicate that most white matter contains multiple overlapping and crossing bundles. Moreover, individual orientations withina voxel are associated with multiple bundles, which represent bottlenecks. These findings have profound implications for tractography algorithms which aim to map unknown connections across the brain, and strengthen the awareness of limitations or challenges facing these image processing techniques. 

0867
18:00
Bundle-o-graphy
Matteo Battocchio1, Simona Schiavi1, Maxime Descoteaux2, and Alessandro Daducci1

1University of Verona, Verona, Italy, 2University of Sherbrooke, Sherbrooke, QC, Canada

Here we introduce the concept of bundle-o-graphy to tackle tractography reconstruction from a different point of view: instead of indirectly reconstructing fiber bundles streamline-by-streamline, we consider them as the objects to be reconstructed and we directly seek for them using global optimization. We show the potential of bundle-based tractography on synthetic and real data, possibly opening avenues to a new way of thinking about tractography. 

0868
18:00
Atlas of reproducible short-range association fibers in parietal lobe by STTAR tracing and clustering
Chenying Zhao1,2, Minhui Ouyang1, and Hao Huang1,3

1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

Short-range association fibers (SAFs) linking adjacent cortices, are dominant in connectome and altered in psychiatric disorders such as autism and schizophrenia. However, few atlases are dedicated to SAFs. Higher inter-subject variation and large amount of SAFs impede their identification with traditional methods for long-range fibers. To meet these challenges, we built the SAF atlas using STTAR (Short-range Tractography with high Throughput And Reproducibility), a novel and advanced protocol designed for SAFs. Here, we demonstrated the SAF atlas in parietal lobe, featured with reproducibly and comprehensively traced SAFs readily usable in 3D volume format in the ICBM152 space.


Member-Initiated Symposium

Reproducible MRI All Over the World

Concurrent 5
Thursday 18:00 - 20:00
Moderators: Kerstin Hammernik & Florian Knoll
Parent Session: Reproducible MRI All Over the World
(no CME credit)
0:00
Reproducible & Open MR Hardware
  Lukas Winter
  Physikalisch Technische Bundesanstalt

0:00
Building Your Own MRI
  Clarissa Cooley
  Massachusetts General Hospital, Harvard Medical School

0:00
Open-Source Console for Real-Time Acquisition
  Thomas Witzel
  Q Bio, Inc.

0:00
3D-Printed Phantoms for Standardization & Reproducibility of MR Scans
  Martin Bryn
  Alcyone Therapeutics, Inc.

0:00
Vendor Panel Discussion
  Anja Brau1, Rebecca Ramb2, Steve Tan3
  GE Healthcare1, Siemens Healthineers2, United Imaging Healthcare3


Oral

MRI in Stroke: Oxygen, Metabolism & Tissue Function

Concurrent 6
Thursday 18:00 - 20:00
Moderators: Alex Bhogal & Khin Tha
Parent Session: MRI in Stroke: Oxygen, Metabolism & Tissue Function
0869
18:00
Cerebral oxygen extraction fraction (OEF): comparison of challenge-free gradient echo QSM+qBOLD (QQ) with 15O PET in healthy adults
Junghun Cho1, John Lee2, Hongyu An2, Manu S Goyal2, Yi Su3, and Yi Wang1

1Weill Cornell Medicine, New York, NY, United States, 2Washington University School of Medicine, Saint Louis, MO, United States, 3Banner Alzheimers Institute, Phoenix, AZ, United States

Cerebral oxygen extraction fraction (OEF) maps are critical to investigate salvageable tissue in ischemic stroke. We compare OEF maps obtained using quantitative susceptibility mapping plus quantitative blood oxygen level-dependent modeling (QSM+qBOLD=QQ) with the reference standard OEF maps obtained using 15O PET in 10 healthy adults. The whole brain and regional average OEF values were found to be substantially equivalent between the two methods, e.g. 32.8 ± 6.7 % on PET and 34.2 ± 2.6 % on QQ (p=0.002, TOST) for whole brain average. QQ estimates OEF maps from a single routine MRI sequence without burdensome gas inhalation or respiratory-control procedures. 

0870
18:00
Pseudo-Continuous Arterial Spin Labeling using Multiple Label- and Post-Label Duration with Dynamically Optimized Background Suppression
Makoto Obara1, Osamu Togao2, Tatsuhiro Wada3, Chiaki Tokunaga3, Ryoji Mikayama3, Hiroshi Hamano1, Kim van de Ven4, Masami Yoneyama1, Tetsuo Ogino1, Yuta Akamine1, Yu Ueda1, Jihun Kwon1, and Marc Van Cauteren5

1Philips Japan, Tokyo, Japan, 2Department of Molecular Imaging & Diagnosis, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 3Division of Radiology, Department of Medical Technology, Kyushu University Hospital, Fukuoka, Japan, 4Philips Healthcare, Best, Netherlands, 5Philips Healthcare, Tokyo, Japan

The arterial transit time (ATT) calculated from multiple time points pseudo continuous arterial spin labeling (pCASL) has recently attracted attention. To calculate ATT accurately, while ensuring reliable SNR, we propose multiple repetition time (multi-TR) scheme, that is TR is varied according to the label duration (LD) and post label delay (PLD) with dynamically optimized BGS and 3D acquisition. The multi points data is efficiently acquired and scan time is less than 3 minutes for whole brain coverage. We conducted a feasibility test. Reliable background suppression effectiveness for all time points and a significant SNR gain were confirmed in healthy volunteers.

0871
18:00
Clinical application of ASL-based non-invasive perfusion territory mapping and time-resolved angiography in cerebrovascular diseases
Stephan Kaczmarz1, Miriam Reichert1, Moritz Roman Hernandez Petzsche1, Andreas Hock2, Kilian Weiss3, Kim van de Ven4, Christine Preibisch1, Jan Kirschke1, Claus Zimmer1, Makoto Obara5, Michael Helle6, Nico Sollmann1,7, and Hans Liebl1

1School of Medicine, Department of Neuroradiology, Technical University of Munich (TUM), Munich, Germany, 2Philips Healthcare, Horgen, Switzerland, 3Philips Healthcare, Hamburg, Germany, 4Philips Healthcare, Best, Netherlands, 5Philips Japan, Tokyo, Japan, 6University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany, 7Department of Radiology, University Ulm Medical Center, Ulm, Germany

Imaging of blood supply patterns is of high clinical interest to improve diagnostics in cerebrovascular diseases (CVD). However, the only clinically available imaging method is invasive digital subtraction angiography (DSA). We present data from 17 participants, including 7 CVD patients, with non-invasive MRI-based perfusion territory mapping by super-selective arterial spin labeling (ss-ASL) and time-resolved angiography by 4D-sPack with automated planning. Our results successfully confirmed automated planning even in CVD patients. Collateral pathways were non-invasively depicted by ss-ASL and 4D-sPack. Moreover, congruent results with DSA, contrast-enhanced MR-angiography and perfusion MRI demonstrated great potential for future routine application of ss-ASL and 4D-sPack.

0872
18:00
Application of MRI-based oxygen extraction fraction mapping in ischemic stroke
Di Wu1 and Shun Zhang1

1Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China

This study aims to investigate spatiotemporal evolution of cerebral oxygen extraction fraction (OEF) in ischemic stroke with an MRI-based vascular-challenge-free method. The OEF of the infarcted area descends continuously from acute to chronic phase. Meanwhile, there exists tissue that is likely to be penumbra in the acute diffusion lesion, of which the OEF shows an increasing trend with time, suggesting timely reperfusion in this region. This MRI-based OEF mapping can precisely capture the heterogenous character of brain oxygen metabolism at different phases of ischemic stroke.

0873
18:00
Prediction of Wallerian Degeneration in the Corticospinal Tract after Cerebral Ischemic Stroke: A Pilot APT and DWI Study
junxin wang1, yanwei Miao1, and Jiazheng Wang2

1Department of Radiology, the First Affiliated Hospital of Dalian Medical University, Dalian, China, 2Phillips healthcare, dalian, China

This study aimed to exploit the early Wallerian degeneration (WD) along the corticospinal tract following cerebral ischemic stroke using amide proton transfer weighted (APTw) and diffusion weighted imaging (DWI). This study included 34 patients with acute cerebral infarction and 21 healthy adult controls. Our data suggested that APTw and apparent diffusion coefficient (ADC) values was significantly increased on ipsilateral compared to contralateral and the control group in the posterior limb of internal capsule. It proves the feasibility of APTw and ADC in early detection of WD following cerebral ischemic stroke.

0874
18:00
Assessment of Symptom Onset Time in Ischemic Stroke Patients Using Fast High-Resolution 3D 1H-MRSI
Zengping Lin1, Tianyao Wang2, Rong Guo3,4, Yudu Li3,4, Yibo Zhao3,4, Tianxiao Zhang1, Jun Liu2, Xin Yu5, Zhi-Pei Liang3,4, and Yao Li1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2Radiology Department, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China, 3Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 4Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 5Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States

Determination of ischemic stroke onset time is critical in ischemic stroke treatment. 1H-MRSI has been recognized as a potentially powerful tool for noninvasive metabolic imaging, which showed great promise for the assessment of stroke onset time. This study investigated changes of neurometabolite concentrations in lesion after different symptom onset time in ischemic stroke patients using a fast high-resolution 3D MRSI technique. Our results showed that NAA concentration within the ischemic lesion decreased in a time-dependent manner after stroke onset, which might provide a useful metabolic biomarker for assessment of symptom onset time.

0875
18:00
Prediction of the Treatment Efficacy of Patients with Subacute Cerebral Infarction using the Heterogeneity of APT-weighted Signals
Yuhan Jiang1, Peipei Chang1, Yingqiu Liuyang1, Bingbing Gao1, Yiwei Che1, Renwang Pu1, Qingwei Song1, Ailian Liu1, Zhiwei Shen2, Jiazheng Wang2, and Yanwei Miao1

1the First Affiliated Hospital of Dalian Medical University, Dalian, China, 2Philips Healthcare, Beijing, China

Amide proton transfer weighted (APTw) MRI has been increasingly applied in the study of stroke based on its ability to detect pH and intracellular proteins content. In subacute infarction, the heterogeneity of APTw signal may reflect the clinical treatment efficacy of patients. In this study, we found that there is negative correlation between the heterogeneity signals (APTwmax-min) in the ischemic regions and the difference of NIHSS scores on the day of hospital admission and leaving (∆NIHSS). Therefore, the heterogeneity of APTw signal is potentially an effective imaging biomarker to predict the efficacy of patients with subacute cerebral infarction.

0876
18:00
Functional Reorganization associated with Language Recovery after Repetitive Transcranial Magnetic Stimulation in Chronic Aphasic Stroke
Bing-Fong Lin1, Po-Yi Tsai2, and Chia-Feng Lu1

1Biomedical Imaging and Radiological Sciences, National Yang Ming University, Taipei, Taiwan, 2Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan

Low-frequency repetitive transcranial magnetic stimulation (rTMS) provided promising results to facilitate the language recovery in stroke patients with non-fluent aphasia. This study demonstrated that the contralesional inhibitory rTMS treatment can induce the functional reorganization within language networks and recovery of language function in chronic aphasic stroke. The correlation analysis further revealed the association between altered functional connectivity and improved language ability after rTMS treatment. Finally, we reported that the involved functional circuits for the language recovery may depend on lesion location and size of stroke.

0877
18:00
Longitudinal Changes in Neurometabolite Levels from Acute to Subacute Stroke: A Pilot Study Using Fast High-resolution 3D 1H-MRSI
Bin Bo1, Tianyao Wang2, Rong Guo3,4, Yudu Li3,4, Yibo Zhao3,4, Tianxiao Zhang1, Zengping Lin1, Ziyu Meng1, Jun Liu2, Xin Yu5, Zhi-Pei Liang3,4, and Yao Li1

1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China, 2Radiology Department, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China, 3Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 4Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 5Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States

Detection of neurometabolic alterations in stroke patients from acute to subacute stages could provide useful information for brain tissue salvage therapy. Fast high-resolution 3D 1H-MRSI by SPICE has previously provided nearly whole-brain neurometabolic mapping in acute stroke patients. In this pilot study, we investigated the alterations of neurometabolites in a longitudinal cohort of ischemic stroke patients. Our preliminary results showed observable changes of different neurometabolites in different regions within the hypoperfused tissue of stroke patients from acute to subacute stages. Our study may lay a foundation for further investigation of temporal changes of neurometabolic biomarkers during stroke progression.

0878
18:00
Clinical Research of Multi-modal MRI in Ischemic Stroke: Cerebral Oxygen Extraction Fraction, Nonblood Susceptibility and Blood Flow
Di Wu1, Shun Zhang1, and Weiyin Vivian Liu2

1Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, 2MR Research, GE Healthcare, Beijing, China, Beijing, China

This study aims to investigate oxygen metabolic, neuroinflammatory and hemodynamic parameters in different parts of the ischemic stroke lesions using multi-modal MRI. Significant difference of cerebral blood flow (CBF) was found between patients with and without penumbra. The oxygen extraction fraction (OEF) and nonblood susceptibility of tissue in the penumbra were significantly different from ischemic core, revealing benign oxygen metabolic compensation and less neuroinflammation in the penumbra. OEF in the diffusion lesion was positively correlated with clinical severity and continuously decreased with time. Multi-modal MRI-based markers can accurately reflect the pathophysiologic discrepancy in different regions of the ischemic stroke lesions.


Tutorial

Member-Initiated Tutorial: Cardiovascular MR: From Theory to Practice II

Concurrent 7
Thursday 18:00 - 19:00
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Award for Innovation in MR Education

Concurrent 7
Thursday 19:00 - 20:00
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Plenary Session

Closing Session

Concurrent 1
Thursday 20:00 - 21:00
20:00
Lauterbur Lecture: Adventures in Contrast

20:45
Closing Remarks


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Closing Party

Concurrent 1
Thursday 21:00 - 22:00
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