Hiroyuki Kabasawa1, Masatoshi Kojima2, Daisuke Yajima3, and Yohsuke Makino4
1Department of Radiological Sciences, Internationa University of Health and Walfare, Narita, Japan, 2Department of Legal Medicine, Chiba University, Chiba, Japan, 3Department of Forensic Medicine, International University of Health and Welfare, Narita, Japan, 4Department of Forensic Medicine, The University of Tokyo, Tokyo, Japan
Synopsis
Keywords: Software Tools, Software Tools, post mortem imaging
A MR Image simulation system for post
mortem subject scanning is developed and validated. The system has MR console
like user interface. It has body temperature input as well as tissue fixation
condition input, so that post mortem MR imaging can be simulated for various scanning
condition. The system was validated for T1 weighted image and FLAIR for low body
temperature condition. The result showed the system could simulate the actual
acquired image contrast change associated with body temperature change. The
proposed system can be used to predict MR contrast change associated with body
temperature as well as fixation condition.
Introduction
Post mortem forensic magnetic resonance imaging (PM-MRI)
has been an alternative, non-invasive method for investigation of deaths. The
MRI has been shown useful for the forensic investigation, however, the same
scan parameter with normal subject cannot be used because physical condition including
deceased body temperature is far different from normal living human subject. The
physical condition differences induce MR related parameter changes, such as T1,
T2 relaxation time, proton density, and diffusion coefficient. Those changes
require MR scan parameter optimization for PM-MRI. Typical challenges were
FLAIR inversion time setting and T1 weighted scan parameter setting. PM-MRI
scan optimization for specific protocol has been reported [1][2], however,
comprehensive PM-MRI scan optimization is still challenging. Here we developed
a MR simulator that can help users understand the MRI contrast change
associated with deceased body condition. The purpose of the study was to
develop MRI simulator for PM-MRI running on the laptop personal computer.Materials and Methods
Python3.8.5 was used for system development. Simple ITK 2.02 was used for 3D image processing and TK 8.6.10 was used for use interface development. Gray matter, whiter matter and CSF tissue probability maps from MNI ICBM152 were used. Fat map was generated by manually segmenting the T1 weighted brain template images. Specific proton density, T1 and T2 relaxation time were allocated for each tissue component. MRI signal was simulated using Bloch equation. Simulation MR image pixel value S(r) was calculated the following equation.
$$S(r)=P_{GM}(r)M_{GM}+P_{WM}(r)M_{WM}+P_{CSF}(r)M_{CSF}+P_{Fat}(r+\delta x_{Fat} e_{read})M_{Fat}$$
where $$$P_{GM}$$$, $$$P_{WM}$$$, $$$P_{CSF}$$$ and $$$P_{Fat}$$$ are the tissue probability and $$$M_{GM}$$$, $$$M_{WM}$$$, $$$M_{CSF}$$$ and $$$M_{Fat}$$$ are the magnetization magnitude values of gray matter, white matter, cerebrospinal fluid and fat, respectively. For unfixed brain, previously reported tissue relaxation time temperature dependence data [3] from 23 cadavers (16 male, 7 female; aged 23 to 90 years, mean 58.4 years) were used for simulation. The literature value of proton density and magnetic transfer ratio [4] were also used for PM-MRI simulation. For fixed brain, the literature values of tissue relaxation time temperature dependence for post mortem brain [4] was used. Simulation results were compared with previously reported postmortem MR images [3] from the 1.5T clinical scanner with TR=550ms, TE12.5ms, 256x256 matrix, FOV23cm.Results
Linear regression result between tissue relaxation
time and body temperature was T1=900+32.6T for gray matter and T1=691+3.5T for
white matter, respectively. As shown in Figure 1, simulated PM-MR Images at
arbitrary temperature could be generated using the proposed system. Arbitrary
slice location could be simulated using interactive slice prescription
interface. User could simulate both unfixed and fixed PM-MRI scan protocol. As
shown in Figure 2, Contrast reverse effect of gray matter and white matter
associated with body temperature was able to reproduced with simulation. FLAIR
inversion time change with temperature could also be simulated as shown in
Figure 3. Fixed and Unfixed brain MR contrast simulation
result for T1 weighted imaging is shown in Figure 4.Discussion
PM-MRI contrast change with scan
parameters, body temperature and fixation status can be simulated interactively
without any waiting time on the standard laptop computer. One can compare the
post mortem simulation results with normal living human brain.
T1 weighted image contrast reversal effect between
gray matter and white matter at low body temperature was able to simulate with
the proposed system. It has been shown that the T1 contrast reversal effect was
caused by temperature of the body temperature, however, this study visually
showed that the reversal effect was associated with the body temperature. The
proposed simulation tool can be an effect mean for PM-MRI scan parameters for
post mortem subjects.Conclusion
This study showed the proposed MRI
simulation system for PM-MRI scanning effective for forensic MRI study. The
proposed system can be used to predict MR contrast change associated with body
temperature as well as fixation condition for PM-MRI.Acknowledgements
No acknowledgement found.References
[1] Magn Reson Med. 2008; 59(1):190-5.
[2] Magn Reson Med Sci. 2015;14(4):251-5.
[3] Proceedings of the 47th
Japanese SMRM, O1-087
[4] Magn Reson Med. 2014 Apr;71(4):1575-80.