Yuan Le1, Kevin J. Glaser1, Jun Chen1, Phillip J. Rossman1, Yi Sui1, Xiang Shan1, Armando Manduca1, John Huston III1, Richard L. Ehman1, and Ziying Yin1
1Radiology, Mayo Clinic, Rochester, MN, United States
Synopsis
Keywords: Elastography, Elastography, Transient MRE, Wavelet, Brain trauma, broadband motion
Motivation: To test wavelet magnetic resonance elastography (MRE), a promising new technique, on its efficiency in detecting broadband tissue motion.
Goal(s): Evaluate the efficiency and reproducibility of broadband motion detection using wavelet MRE.
Approach: Transient motion in phantoms was reconstructed using both the inverse wavelet transform and standard deconvolution using MRE with various MEG lengths. The estimated displacements were compared. The reproducibility of brain transient motion measurements was assessed in vivo.
Results: Wavelet MRE demonstrated high efficiency and reproducibility for broadband motion detection. These findings suggest that wavelet MRE is a promising technique in brain trauma study.
Impact: Wavelet magnetic resonance elastography is developed to detect broadband motion more accurately and
efficiently and could be particularly useful in detecting transient motion during
brain impact. This study aims to validate its efficacy and assess its
repeatability.
Introduction
Wavelet MRE was developed as a
more efficient approach for detecting broadband motion1 using Haar
wavelet-based motion-encoding gradients2-7. Previous
studies have shown that wavelet MRE results were consistent with those of standard
MRE8. Furthermore, a volunteer
study highlighted its potential application in studying repetitive head impacts9. In this study, we evaluated
its efficiency in broadband motion detection and its reproducibility in measuring
transient brain motion. Methods
Phantom Study
MRE images were acquired with a phantom in a 3T clinical
scanner (Signa Premier, GE) with motion-encoding gradient (MEG) frequencies from
20-200Hz. Transient motion was generated with one 100-Hz cycle using a surface
driver (Fig.1a). 80 phase offsets were acquired for each MEG with a 2.5-ms trigger
delay between offsets, resulting in a 200-ms sampling duration. Displacement
was estimated with: (1) the inverse Haar transform from selected phase offsets across
multiple MEGs (Fig.1b)1; and (2) deconvolution
with the applied MEG10.
Displacement values were convolved with each MEG profile to
reproduce the MRE phase difference information that should be generated by the
corresponding MEG. Within a specified
ROI, the reproduced phase differences from all voxels were combined and cross-correlated
with the acquired phase difference. Ideally, the reproduced phase difference
should match the acquired phase difference for each MEG. If a motion frequency
range detected by a given MEG is not captured in the displacement measurement, there
will be a mismatch. The number of ‘good matches’ was used as a metric for motion
detection accuracy. High efficiency was defined as more or the same ‘good
match’ with less phase offsets (i.e., shorter scan time).
Volunteer Study
A healthy volunteer was
scanned twice (one month apart) in a 3T clinical scanner (MAGNETOM Prisma,
Siemens) using wavelet MRE1. One cycle of 90-Hz motion was applied from the
back of the head. Bipolar MEGs of 50, 100, and 200Hz formed a Haar series. Sagittal
images were acquired at 3x3x3mm3. The motion sampling duration was
100ms. Displacement vectors within the brain were fitted to a rigid-body model11. Maximal principal
strain (MPS) was estimated using the 2D strain tensors. Results
Phantom Study
Displacements were calculated from the phase images (Fig.1c)
using both methods (Fig.2a&b). Taking
one voxel as an example (Fig.2c), Figure 2d-2g show its displacement and the
reproduced phase difference for a 100-Hz MEG. The inverse Haar calculated
displacement exhibits a higher correlation (r2: 0.94 vs. 0.81),
indicating a better match for this voxel. When the whole ROI was combined (Fig.3a),
the inverse Haar consistently achieved higher r2 (Fig.3b). We set a
threshold of r2>0.9 as a ‘good match’. Using 31 phase offsets, the
inverse Haar outperformed most deconvolutions, and notably outperforming the
deconvolution with 40 phase offsets. Furthermore, inverse Haar with 39 phase
offsets outperformed all deconvolutions.
Volunteer
study
scans exhibit consistent motion patterns (Fig.4 &5).
Specifically, in the AP translation and the pitch rotational direction,
distinct peaks are evident between 35-45ms for translation and slightly later at
37.5-52.5ms for rotation. This indicates that the initial impact predominantly
induces translational motion, followed by rotational movements. Other axes show
modest fluctuations towards the baseline. MPS maps highlighted the regions with
the most postimpact deformation, showing the most pronounced deformation peaking
at 4ms, notably near the cortical surface and cerebellum. This aligns with MPS
findings from neck extension studies using MR tagging12. The consistency
between the two scans demonstrates the repeatability of this technique,
suggesting that the observed brain movements and deformations are consistent
responses to transient impacts, rather than random events. Discussion
For the 20-Hz MRE, r2 was notably low, likely due
to the low amplitude at the low end of the motion spectrum, leading to low SNR
in the phase images. Given that wavelet MRE combines multiple MEG lengths to
cover a wide frequency spectrum, it is expected that inverse Haar transform
would outperform deconvolution with fewer phase offsets (which translates to reduced scan times). For the volunteer study, future research will investigate
individual variability across volunteers to provide a more comprehensive
understanding of biomechanical responses of the brain to impacts. Since the
current acquisition is 2D, there is a potential area for future advancements
with the development of a 3D version of the technique.Conclusion
Wavelet MRE is more efficient than standard MRE in detecting
broadband motion. The in vivo repeatability data further demonstrates its
reliability. This method holds promise for studying brain biomechanics in the
context of brain trauma. Acknowledgements
This work is supported by NIH grants (R01 EB001981 and R01 NS113760). We
also would like to acknowledge Dr. Bradley D. Bolster and Dr. Stephan
Kannengiesser at Siemens Healthcare for their software.References
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