Bryan Clifford1, Wei-Ching Lo1, Daniel Polak2, Daniel Nicolas Splitthoff2, Julian Hossbach2,3, John Conklin4,5, Lawrence L Wald5,6,7, Susie Huang4,5,7, and Stephen Cauley1
1Siemens Medical Solutions USA, Boston, MA, United States, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 4Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 5Harvard Medical School, Boston, MA, United States, 6Department of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States, 7Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Caimbridge, MA, United States
Synopsis
Keywords: Spinal Cord, Motion Correction, MR Value, Body, Clinical Applications, Spine
Motivation: Patient motion during spine MRI significantly degrades diagnostic utility.
Goal(s): Demonstrate the benefits of an efficient retrospective motion correction technique across clinical 2D TSE spine protocols.
Approach: A rapid low-resolution scout scan in combination with a small number of additional calibration lines are utilized for on-the-fly bulk motion estimation. Region-targeting coil-combination methods are used to model non-rigid motion in the spine. Generalized reconstructions are performed using locally rigid motion information.
Results: Improved image quality for in vivo L- and C-spine scans utilizing partially non-rigid motion correction for instructed subject motion experiments.
Impact: A strategy for performing motion estimation and correction in
TSE spine imaging is proposed. Region-targeting coil-combination methods allow for isolation
of different spatial sources of non-rigid motion. Improved image quality is
demonstrated in vivo under supervised motion conditions.
Purpose
Subject motion is one of the most disruptive
events in MRI1 and results in
poor diagnostic utility, repeated scans, patient callbacks and significant
costs to patients and institutions.2 Despite the
development of numerous methods for motion detection and correction,3–12 few have had
wide-spread clinical adoption, especially in combination with commonly deployed
2D Cartesian sequences.
Recently, the
SAMER method has shown promising clinical motion correction results.13 By utilizing a rapid, low-resolution
scout scan in combination with a small number of additional calibration lines,
SAMER provides accurate motion estimation with
minimal effect on image contrast.14,15 Although
initially designed for retrospective correction of rigid-motion in 3D brain
scans, it has also shown potential for detecting and correcting bulk motion in
2D TSE prostate scans.16
Here we
extend SAMER to 2D TSE spine imaging and first demonstrate that the technique can
detect and correct bulk motion within in vivo L- and C-spine scans (Fig.
1.). Additionally, by using coil-combination methods,17 we show how SAMER can
retrospectively correct for partially non-rigid motion in the spine.Methods
Data Acquisition
In vivo data were acquired from a consenting healthy
volunteer using 32-channel spine and 20-channel head/neck coils on a 3T system (MAGNETOM
Vida, Siemens Healthcare, Erlangen, Germany) with IRB approval. A research application
was used to acquire a rapid scout image and guidance lines,15 at the end of each shot, in T2 and fat-saturated T2 (T2 FS) 2D TSE/FSE acquisitions (Fig. 1). Protocols for
both sagittal L- and C-spine exams were used (parameters provided in Fig. 2B).
Motion Estimation and Correction
For each shot, the rigid motion parameters that minimized
data-consistency between measured guidance-line data and synthetic data
generated from the scout image were computed, i.e., $$\min_{\boldsymbol{\theta}}\left\|\boldsymbol{d}_t^{(\mathrm{g})}-\Omega_{\mathrm{g}}\mathrm{FCM}_{\boldsymbol{\theta}}\boldsymbol{\rho}_{\mathrm{s}}\right\|_2^2,$$where $$$\boldsymbol{\rho}_{\mathrm{s}}$$$ is the scout image vector, $$$\boldsymbol{d}_t^{(\mathrm{g})}$$$ is the guidance line data from shot $$$t$$$, $$$\mathrm{M}_{\boldsymbol{\theta}}$$$ is the motion operator for motion parameters $$$\boldsymbol{\theta}$$$, $$$\Omega_{\mathrm{g}}$$$ is the k-space sampling mask for the guidance lines, and $$$\mathrm{F}$$$ and $$$\mathrm{C}$$$ the Fourier transform and coil sensitivity operators, respectively.
Because the scout image is available at the beginning of the
acquisition, the SAMER research application performed the above estimation “on-the-fly”,
i.e., as soon as the guidance line data from a shot was available.
Once the motion parameters for each shot were estimated, the
motion-mitigated reconstruction was computed inline on the scanner according to$$\min_{\boldsymbol{\rho}}\sum_t\left\|\boldsymbol{d}_t^{(\mathrm{i})}-\Omega_t\mathrm{FCM}_{\boldsymbol{\theta}_t}\boldsymbol{\rho}\right\|_2^2+\lambda\mathrm{R}\left(\boldsymbol{\rho}\right)$$where $$$\boldsymbol{d}_t^{(\mathrm{i})}$$$ and $$$\Omega_t$$$ are the imaging data and sampling mask for shot $$$t$$$, respectively, and $$$\mathrm{R}\left(\cdot\right)$$$ represented a Tikhonov regularization term with $$$\lambda$$$, the regularization parameter, chosen for
improved conditioning.
Regional Motion Estimation
To address the non-rigid nature of motion in the body, we approximate
the motion as being locally-rigid in connected regions. Specifically, we used
ROVir17 to generate guidance line
data from virtual coils targeting different image regions. The guidance data from
different virtual coils were then used to estimate rigid-motion parameters for each
region. Motion-mitigated reconstructions for each region were then combined into
a single image.Results
Figure 2A compares the contrast and SNR of the images
produced by clinical reference scans and those acquired with the SAMER research
sequence. The contrasts of each sequence are closely matched, and the SNR in
the reference images is slightly higher due to the clinical use of an in-line
deep-learning-based reconstruction.
Figures 3 and 4 show results of in vivo motion
experiments performed on a subject instructed to move once in the middle of the
first and last half of L- and C-spine scans. In each case, the motion-mitigated
SAMER reconstruction had reduced levels of artifacts and improved uniformity in
the vertebrae and spinal cord.
Figure 5 illustrates the potential benefits of regional
motion estimation and correction on a healthy volunteer performing instructed
motion. ROVir was used to generate virtual coils for the top and bottom of the
field of view (FOV). Motion parameters were then estimated from these two
regions and the full FOV, and motion-mitigated reconstructions were generated using
each set of parameters. Note, the motion estimated for the bottom region is
significantly larger than the motion of the top region. This imbalance appears
in the corresponding reconstructions, with the bottom (top) region’s motion
parameters leading to the largest improvement of the bottom (top) region but
the worst image quality in the top (bottom) region. The largest image quality
improvement is observed when combining the regional reconstructions.Conclusions
When applied to in vivo 2D TSE spine scans, SAMER can
estimate and retrospectively correct for bulk motion. Region specific coil-combination
facilitates partially non-rigid motion correction. On-the-fly motion estimation
could be used for real-time avoidance of full scan repeats.Acknowledgements
This work was supported in part by NIH research grants: 1P41EB030006-01, 5U01EB025121-03, and through research support provided by Siemens Medical Inc.References
1. Sadigh G, Applegate KE, Saindane AM. Prevalence of Unanticipated Events Associated With MRI Examinations: A Benchmark for MRI Quality, Safety, and Patient Experience. J Am Coll Radiol. 2017;14(6):765-772. doi:10.1016/j.jacr.2017.01.043
2. Andre JB, Bresnahan BW, Mossa-Basha M, et al. Toward Quantifying the Prevalence, Severity, and Cost Associated With Patient Motion During Clinical MR Examinations. J Am Coll Radiol. 2015;12(7):689-695. doi:10.1016/j.jacr.2015.03.007
3. Zaitsev M, Maclaren J, Herbst M. Motion artifacts in MRI: A complex problem with many partial solutions: Motion Artifacts and Correction. J Magn Reson Imaging. 2015;42(4):887-901. doi:10.1002/jmri.24850
4. Zaitsev M, Dold C, Sakas G, Hennig J, Speck O. Magnetic resonance imaging of freely moving objects: prospective real-time motion correction using an external optical motion tracking system. NeuroImage. 2006;31(3):1038-1050. doi:10.1016/j.neuroimage.2006.01.039
5. Maclaren J, Armstrong BSR, Barrows RT, et al. Measurement and Correction of Microscopic Head Motion during Magnetic Resonance Imaging of the Brain. Hess CP, ed. PLoS ONE. 2012;7(11):e48088. doi:10.1371/journal.pone.0048088
6. Frost R, Wighton P, Karahanoğlu FI, et al. Markerless high‐frequency prospective motion correction for neuroanatomical MRI. Magn Reson Med. 2019;82(1):126-144. doi:10.1002/mrm.27705
7. Aksoy M, Forman C, Straka M, et al. Real-time optical motion correction for diffusion tensor imaging. Magn Reson Med. 2011;66(2):366-378. doi:10.1002/mrm.22787
8. Derbyshire JA, Wright GA, Henkelman RM, Hinks RS. Dynamic scan-plane tracking using MR position monitoring. J Magn Reson Imaging. 1998;8(4):924-932. doi:10.1002/jmri.1880080423
9. White N, Roddey C, Shankaranarayanan A, et al. PROMO: Real-time prospective motion correction in MRI using image-based tracking. Magn Reson Med. 2010;63(1):91-105. doi:10.1002/mrm.22176
10. Ooi MB, Aksoy M, Maclaren J, Watkins RD, Bammer R. Prospective motion correction using inductively coupled wireless RF coils: Prospective Motion Correction Using Wireless Markers. Magn Reson Med. 2013;70(3):639-647. doi:10.1002/mrm.24845
11. Tisdall MD, Hess AT, Reuter M, Meintjes EM, Fischl B, van der Kouwe AJW. Volumetric navigators for prospective motion correction and selective reacquisition in neuroanatomical MRI: Volumetric Navigators in Neuroanatomical MRI. Magn Reson Med. 2012;68(2):389-399. doi:10.1002/mrm.23228
12. Wallace TE, Afacan O, Waszak M, Kober T, Warfield SK. Head motion measurement and correction using FID navigators. Magn Reson Med. 2019;81(1):258-274. doi:10.1002/mrm.27381
13. Lang M, Tabari A, Polak D, et al. Clinical Evaluation of Scout Accelerated Motion Estimation and Reduction Technique for 3D MR Imaging in the Inpatient and Emergency Department Settings. Am J Neuroradiol. 2023;44(2):125-133. doi:10.3174/ajnr.A7777
14. Polak D, Splitthoff DN, Clifford B, et al. Scout accelerated motion estimation and reduction (SAMER). Magn Reson Med. August 2021:mrm.28971. doi:10.1002/mrm.28971
15. Polak D, Hossbach J, Splitthoff DN, et al. Motion guidance lines for robust data-consistency based retrospective motion correction in 2D and 3D MRI. Magn Reson Med. In Press. doi:10.1002/mrm.29534
16. Clifford B, Polak D, Lo WC, et al. Motion Estimation and Retrospective Correction in 2D Cartesian Turbo Spin Echo Prostate Scans. In: ISMRM. ; 2023:1021.
17. Kim D, Cauley SF, Nayak KS, Leahy RM, Haldar JP. Region‐optimized virtual (ROVir) coils: Localization and/or suppression of spatial regions using sensor‐domain beamforming. Magn Reson Med. 2021;86(1):197-212. doi:10.1002/mrm.28706