Bart Romke Steensma1,2 and Cornelis Antonius Theodorus van den Berg1,2
1Computational Imaging Group, UMC Utrecht, Utrecht, Netherlands, 2PrecorDx, Utrecht, Netherlands
Synopsis
Keywords: New Devices, Cardiovascular
Motivation: To enable high frame rate spatial mapping of cardiac mechanical motion with an array of RF antennas.
Goal(s): Investigate the feasibility of estimating 2D motion fields based on measurements of wideband multi-channel RF scattering parameters.
Approach: Paired CINE MRI and multi-channel wideband (55-1300 MHz) RF scattering measurements were acquired in vivo. Motion fields were determined from MRI, a Gaussian process regression model was trained and tested to predict motion fields from the RF scattering parameters.
Results: 2D motion fields in a 4Ch CINE image of the heart can be reconstructed with high precision (RMS error 0.66mm) based on RF scattering measurements.
Impact: We demonstrated feasibility
of high precision and high framerate spatial motion mapping with RF antennas.
Further validation with real-time MRI is warranted. This method could be
applicable for motion tracking during medical imaging or in a low complexity
care setting.
Introduction
Scattering parameters of RF antennas on the body are
modulated by changing dielectric properties due to motion. This phenomenon can
be used in MRI to detect physiological motion [1-4]. The aim of this work is to
investigate the feasibility of measurement of cardiovascular motion in 2D based
on RF scattering measurements.
Motion can be represented by deformation vector
fields (motion fields), which consist of a vector per voxel that indicates the
magnitude and direction of motion compared to a reference phase. Previous work
on MRI motion detection demonstrated that motion fields are highly compressible
in space and time [5-7]. RF based imaging will not provide
sufficient spatial encoding to make detailed images of the cardiovascular
system. However, we hypothesize that is could be feasible to estimate
compressed motion fields from multi-channel RF scattering parameters obtained
over a wide frequency range (55-1300 MHz). We show here the feasibility of
imaging motion fields with RF antennas in an MRI setting. The results were
trained and tested with motion fields obtained from ECG triggered CINE MRI. Methods
Simulations
To provide insight on spatial encoding patterns of RF antennas, we performed EM-simulations in Sim4Life (ZMT, Zurich, Switzerland) using the XCAT model [8] and an 8 channel dipole array [9]. An existing signal model [4, 10] was used to visualize the spatial sensitivity of the antennas to motion, described by the multiplied E-fields of two antennas (Figure 1).
MRI Experiments
In vivo experiments
were performed by acquiring subsequent MRI and multi-frequency scattering
parameters. After obtaining IRB approval and informed consent, MRI was acquired
in a male subject (23y, 1.83m, 63 kg) at 3T (Ingenia, Philips Healthcare, Best,
The Netherlands). A 2D ECG triggered CINE acquisition was acquired in 4Ch view. Motion
fields were estimated for every dynamic in Matlab (Mathworks, Natick, USA) and
compressed with singular value decomposition (SVD). The MRI data, as well as
ground truth and compressed motion fields are shown below.
S-Parameter Measurements
Subsequently, ΔS-parameters
were measured on the same a volunteer, using an 8 channel dipole array ([9], Figure
2). The
entries of the scattering matrix where measured subsequently. To ensure correct
synchronization within a heartbeat between subsequent measurements, all data
was acquired with ECG (ECG Shield, Olimex, Plovdiv, Bulgaria).
Regression
The 36 unique S-parameter measurements were compressed with SVD along the frequency and coil axis to obtain a vector of [nsamples ncomponents]. A Gaussian process regression model was trained to map the relation between S-parameters and motion fields. Training was performed on a third of the S-parameter waveform, while testing was done with the full S-parameter measurement.Results
Figure
4 shows the results of the Gaussian
process regression. The left
singular vectors describing the motion fields can be accurately predicted from
the RF measurements. Assuming that a static reference image is available,
motion fields can be reconstructed from the RF data.
The resulting RF based
motion fields, the ground truth motion fields and the error are shown in Figure
5. 2D motion fields can be estimated with a low
reconstruction error (rms error 0.66 mm for motion in x direction). The
Gaussian process regression method also provides an uncertainty map, which for
this example does not show a clear correlation to the error map. Conclusion and discussion
Preliminary results show that it is feasible to
reconstruct 2D motion of the heart from measurements of multi-channel wideband
scattering parameters (55-1300 MHz). Results are shown for a 4Ch image,
which is relevant since it can be used to determine global longitudinal strain,
an important cardiac biomarker. We will further investigate the potential for
3D motion tracking, which requires high frame rate 3D time resolved MRI images.
With current hardware, high temporal frame rates (up to 400 Hz) are
possible. Potentially, this motion
tracking technology could be used as an independent motion tracking technique
for image guided interventions with high temporal frame rate, e.g. in MRI guided catheterization. We envision a scenario
where dynamic images are acquired at the start of the intervention serve as
training, and subsequently RF motion
tracking is used for image guidance. Further research is warranted into
simultaneous acquisition of scattering parameters and real-time MRI data, as
well as validation of RF measurements of global longitudinal strain vs. MRI. In future scenarios, we envision a wearable
RF array integrated in a vest to obtain moving images in a low complexity care
setting, e.g. at home or in an outpatient clinic. This method could be relevant
for monitoring of chronic cardiovascular diseases such as heart failure, where
cardiovascular biomarkers need to be tracked in time. Acknowledgements
Funding was obtained from the Dutch Heart Foundation, Dekker Postdoc grant 03-006-2022-002
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