Jemon Diao1, Yang Liu1, Jiayu Zhu2, Jian Xu3, Zijian Zhou1, Haikun Qi1,4, and Peng Hu1,4
1ShanghaiTech University, Shanghai, China, 2United Imaging Healthcare, Shanghai, China, 3UIH America, Inc., Houston, TX, United States, 4Shanghai Clinical Research and Trial Center, Shanghai, China
Synopsis
Keywords: Motion Correction, Motion Correction
Motivation: Cardiac MRI is susceptible to motion-induced artifacts because of the sequential data acquisition process.
Goal(s): Evaluate the feasibility of utilizing a Frequency Modulated Continuous Wave (FMCW) Radar as a quantitative respiratory motion correction signal for free-breathing cardiac MRI.
Approach: A short calibration scan was performed to establish a motion model relating the FMCW Radar signal to the respiratory-induced heart motion. The established model was then applied during the imaging scan to perform retrospective motion correction for each k-space readout line.
Results: The FMCW radar showed good correlation to the respiratory-induced heart motion, and the proposed method effectively improved the image quality.
Impact: This
study demonstrated the feasibility of utilizing FMCW radar as a surrogate to
accomplish motion correction in free-breathing cardiac MRI.
Introduction
Cardiac
MRI is susceptible to motion-induced artifacts because of the sequential data
acquisition process. These artifacts can result in poor image quality, repeated
scans, and remain an impediment to clinical application.1,2 Recent years, the
Frequency Modulated Continuous Wave (FMCW) radar 3,4 been developed to
measure respiratory motion, but its potential application for respiratory
motion correction remains unexplored. In this paper, we propose a novel
technique using FMCW radar signals and a patient-specific motion model5-7 to correct respiratory motion during cine
MRI. Method
Figure 1 illustrates the pipeline of this
technique. In calibration scan, 2D images of the heart were acquired at
end-diastole in both coronal and sagittal views to extract the heart's motion
in the head-foot (HF), left-right (LR) and anterior-posterior (AP) directions,
respectively. The displacement of the heart in the three directions was calculated for each individual imaging frame using a template matching method.
The ROI of heart from a reference image was manually cropped as template, and
retrospective 2D cross-correlation amongst the acquired images was used to
extract spatially resolved translational motion information in the head-foot ($$$\Delta HF_{ext}$$$), anterior-posterior ($$$\Delta{AP}_{ext}$$$) and left-right ($$$\Delta{LR}_{ext}$$$) directions. Fractional polynomial regression
was applied according to Eqs. (1,2,3) for modeling the relationship between
respiratory-induced heart motion and FMCW radar signals to account for
potential nonlinearity and improve model fitting.
$$\begin{aligned}\Delta HF_{ext}&=a_{HF}+b_{HF}\times Radar+c_{HF}\times\sqrt{Radar},&(1)\\\\\Delta AP_{ext}&=a_{AP}+b_{AP}\times Radar+c_{AP}\times\sqrt{Radar},&(2)\\\\\Delta LR_{ext}&=a_{LR}+b_{LR}\times Radar+c_{LR}\times\sqrt{Radar},&(3)\end{aligned}$$
In
Eqs. (1,2,3), $$$Radar$$$ represents the FMCW radar signal; and $$$a, b$$$ and $$$c$$$ represent model coefficients. To accommodate
for hysteresis as previously observed,8 the
calibration data was separated into inhalation and exhalation phases. During the imaging scan,
our
method utilized model coefficients and the FMCW radar signal acquired during
the imaging scan to calculate the respiratory motion of heart ($$$\Delta HF_{cal},\ \Delta AP_{cal},\ \Delta LR_{cal}$$$) for each k-space
readout line. The respiratory motion was retrospectively corrected via phase
modulation of the k-space data prior to image reconstruction. In this study, we
focused on assessing the correlation between respiratory-induced heart motion
and FMCW radar signals by specifically analyzing in-plane motion from sagittal
view.
Experiments
1. Calibration
Scan
Calibration scan involved acquiring dynamic cardiac data in sagittal and
coronal views over 80 cardiac cycles. Each dynamic
image was acquired during end-diastole with a 275 ms acquisition window.
2. ‘Realtime’
Cine Scan
Real-time
cine scan was conducted in the sagittal view with free-breathing acquisition. Imaging parameters included FOV of 320 × 300 mm², TE/TR= 1/3.1 ms and flip angle=70°. The acquisition time per image was deliberately prolonged to 496 ms, hence enhances the distinction between the corrected and uncorrected image for comparison purposes.
3. Segmented
Cine Scan
Segmented cine data were obtained during free-breathing, using the same parameters as for the realtime cine scan. The image quality with and
without motion correction was compared. Additionally, we captured
breath-holding segmented cine as reference images.
4. Test
scan
A
test scan used identical parameters to the calibration scan and included 8 subjects over
80 RR cycles. Heart motion was calculated and compared to motion extracted from dynamic images. To
provide a measure of the error between the calculated motion and extracted motion over the duration of the test scan, the mean absolute error
(MAE) and error range was calculated:
$$\begin{gathered}
\mathrm{MAE}=\frac{1}{80}\sum_{k=1}^{80}\bigl|\triangle HF_{\mathrm{cal}}(\mathrm{k})-\triangle HF_{ext}(\mathrm{k})\bigr|, \text{(4)} \\
\mathrm{range}=\max(|\triangle HF_{\mathrm{cal}}(\mathrm{k})-\triangle HF_{ext}(\mathrm{k})|), \text{(5)}
\end{gathered}$$
where
$$$\Delta HF_{cal}(k)$$$ represents the average of the calculated
motion of the central six readout lines in the $$$k$$$th frame. The same approach was
also used with $$$|\Delta AP_{cal}-\Delta AP_{ext}|$$$ and $$$|\Delta LR_{cal}-\Delta LR_{ext}|$$$.Results
Our
method accurately calculated AP and LR cardiac motion with a precision of 1 mm
during regular respiration, as illustrated in Figure 2. A summary of calculation error
analysis is displayed in Figure 3. The mean absolute errors along HF, AP and LR
directions were mm, mm and mm, respectively.
Figure
4 shows 5 representative real-time cine images, our proposed method accurately
corrects these respiratory-induced motion displacements. Figure 5 illustrates
the end-systole and end-diastole phases of 4 volunteers captured during
free-breathing, with and without retrospective motion correction. Note the
substantial improvement of anatomical details in the motion-corrected
images, whereas the uncorrected images suffered from noticeable blurring
artifacts. Due to the lack of ground truth,
only visual assessment was performed on image quality. Discussion
The proposed technique effectively reduces
motion artifacts and improves image quality in free-breathing cine MRI. A limitation of this study is its narrow scope, which solely
addresses the correction of in-plane motion while neglecting through-plane
motion. To further advance this field, future investigations should explore the
potential of the technique for real-time tracking of through-plane motion. Acknowledgements
No acknowledgement found.References
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