Y. Zhao
Please Note
15 records found
1
Pretrained segmentation models for cardiac magnetic resonance imaging (MRI) struggle to generalize across different imaging sequences due to significant variations in image contrast. These variations arise from changes in imaging protocols, yet the same fundamental spin properties, including proton density, T1, and T2 values, govern all acquired images. With this core principle, we introduce Reverse Imaging, a novel physics-driven method for cardiac MRI data augmentation and domain adaptation to fundamentally solve the generalization problem. Our method reversely infers the underlying spin properties from observed cardiac MRI images, by solving ill-posed nonlinear inverse problems regularized by the prior distribution of spin properties. We acquire this “spin prior” by learning a generative diffusion model from the multiparametric SAturation-recovery single-SHot acquisition sequence (mSASHA) dataset, which offers joint cardiac T1 and T2 maps. Our method enables approximate but meaningful spin-property estimates from MR images, which provide an interpretable “latent variable” that lead to highly flexible image synthesis of arbitrary novel sequences. We show that Reverse Imaging enables highly accurate segmentation across vastly different image contrasts and imaging protocols, realizing wide-spectrum generalization of cardiac MRI segmentation.
Comparison of Amplitude- and Amplitude-Frequency-Modulated Pulses for Outer Volume Suppression in Cardiac MRI
Application to Myocardial 𝑇2 Mapping
To evaluate single- and dual-band pulse modules for suppressing extra-cardiac signal in cardiac MRI, and test their applicability for time-efficient imaging with reduced FOV in myocardial 𝑇2 mapping at 3 T.
Methods
Outer Volume Suppression (OVS) was implemented using two regional saturation slabs, along the phase-encoding direction. Different Amplitude-Modulated (AM) and Amplitude-Frequency-Modulated (AM-FM) pulses were explored. AM sinc and AM-FM Hyperbolic Secant (HS) pulses, as single- (S:1b and HS:1b) and dual-band (S:2b and HS:2b) versions, were chosen for full evaluation. Pulses were individually optimized for minimal residual signal and optimal suppression-band profiles. Pulse performance was assessed through simulations and phantom experiments, and evaluated in seven healthy subjects using residual signal and quantitative myocardial 𝑇2 mapping with rFOV.
Results
In simulations, optimized HS pulses demonstrated superior suppression-band profile homogeneity and 𝐵0 robustness, while both pulse classes showed comparable 𝐵+1 sensitivity. Phantom data revealed better signal suppression with HS pulses (S:1b: 19.22% ± 3.23%, S:2b: 16.85% ± 6.80%, HS:1b: 4.66% ± 1.04%, HS:2b: 2.85% ± 1.01%). The residual difference across slabs was slightly reduced using simultaneous dual-band compared with sequential single-band approaches (S:1b: 3.81% vs. S:2b: 0.92%; HS:1b: 4.56% vs. HS:2b: 0.66%). In vivo, despite significantly lower residual with HS pulses (p = 0.0015) and visually observed artifacts with sinc pulses, no significant difference in 𝑇2 was observed across all configurations (p = 0.087) in myocardial 𝑇2 mapping.
Conclusion
AM-FM pulses achieved robust suppression of extra-cardiac signals, with dual-band implementations minimizing suppression-band differences. This can enable artifact-free rFOV imaging, for improved image quality in myocardial 𝑇2
mapping. ...
To evaluate single- and dual-band pulse modules for suppressing extra-cardiac signal in cardiac MRI, and test their applicability for time-efficient imaging with reduced FOV in myocardial 𝑇2 mapping at 3 T.
Methods
Outer Volume Suppression (OVS) was implemented using two regional saturation slabs, along the phase-encoding direction. Different Amplitude-Modulated (AM) and Amplitude-Frequency-Modulated (AM-FM) pulses were explored. AM sinc and AM-FM Hyperbolic Secant (HS) pulses, as single- (S:1b and HS:1b) and dual-band (S:2b and HS:2b) versions, were chosen for full evaluation. Pulses were individually optimized for minimal residual signal and optimal suppression-band profiles. Pulse performance was assessed through simulations and phantom experiments, and evaluated in seven healthy subjects using residual signal and quantitative myocardial 𝑇2 mapping with rFOV.
Results
In simulations, optimized HS pulses demonstrated superior suppression-band profile homogeneity and 𝐵0 robustness, while both pulse classes showed comparable 𝐵+1 sensitivity. Phantom data revealed better signal suppression with HS pulses (S:1b: 19.22% ± 3.23%, S:2b: 16.85% ± 6.80%, HS:1b: 4.66% ± 1.04%, HS:2b: 2.85% ± 1.01%). The residual difference across slabs was slightly reduced using simultaneous dual-band compared with sequential single-band approaches (S:1b: 3.81% vs. S:2b: 0.92%; HS:1b: 4.56% vs. HS:2b: 0.66%). In vivo, despite significantly lower residual with HS pulses (p = 0.0015) and visually observed artifacts with sinc pulses, no significant difference in 𝑇2 was observed across all configurations (p = 0.087) in myocardial 𝑇2 mapping.
Conclusion
AM-FM pulses achieved robust suppression of extra-cardiac signals, with dual-band implementations minimizing suppression-band differences. This can enable artifact-free rFOV imaging, for improved image quality in myocardial 𝑇2
mapping.
The state-of-the-art in cardiac MRI reconstruction
Results of the CMRxRecon challenge in MICCAI 2023
We extensively evaluated RIIR on brain MRI, lung CT, and quantitative cardiac MRI datasets, in terms of both registration accuracy and training data efficiency. Our experiments showed that RIIR outperformed a range of deep learning-based methods, even with only 5% of the training data, demonstrating high data efficiency. Key findings from our ablation studies highlighted the important added value of the hidden states introduced in the recurrent inference framework for meta-learning. Our proposed RIIR offers a highly data-efficient framework for deep learning-based medical image registration. ...
We extensively evaluated RIIR on brain MRI, lung CT, and quantitative cardiac MRI datasets, in terms of both registration accuracy and training data efficiency. Our experiments showed that RIIR outperformed a range of deep learning-based methods, even with only 5% of the training data, demonstrating high data efficiency. Key findings from our ablation studies highlighted the important added value of the hidden states introduced in the recurrent inference framework for meta-learning. Our proposed RIIR offers a highly data-efficient framework for deep learning-based medical image registration.
Quantitative cardiac magnetic resonance imaging (MRI) is an increasingly important diagnostic tool for cardiovascular diseases. Yet, co-registration of all baseline images within the quantitative MRI sequence is essential for the accuracy and precision of quantitative maps. However, co-registering all baseline images from a quantitative cardiac MRI sequence remains a nontrivial task because of the simultaneous changes in intensity and contrast, in combination with cardiac and respiratory motion. To address the challenge, we propose a novel motion correction framework based on robust principle component analysis (rPCA) that decomposes quantitative cardiac MRI into low-rank and sparse components, and we integrate the groupwise CNN-based registration backbone within the rPCA framework. The low-rank component of rPCA corresponds to the quantitative mapping (i.e. limited degree of freedom in variation), while the sparse component corresponds to the residual motion, making it easier to formulate and solve the groupwise registration problem. We evaluated our proposed method on cardiac T1 mapping by the modified Look-Locker inversion recovery (MOLLI) sequence, both before and after the Gadolinium contrast agent administration. Our experiments showed that our method effectively improved registration performance over baseline methods without introducing rPCA, and reduced quantitative mapping error in both in-domain (pre-contrast MOLLI) and out-of-domain (post-contrast MOLLI) inference. The proposed rPCA framework is generic and can be integrated with other registration backbones.
Lost in Tracking
Uncertainty-Guided Cardiac Cine MRI Segmentation at Right Ventricle Base
Deep learning-based methods have achieved prestigious performance for magnetic resonance imaging (MRI) reconstruction, enabling fast imaging for many clinical applications. Previous methods employ convolutional networks to learn the image prior as the regularization term. In quantitative MRI, the physical model of nuclear magnetic resonance relaxometry is known, providing additional prior knowledge for image reconstruction. However, traditional reconstruction networks are limited to learning the spatial domain prior knowledge, ignoring the relaxometry prior. Therefore, we propose a relaxometry-guided quantitative MRI reconstruction framework to learn the spatial prior from data and the relaxometry prior from MRI physics. Additionally, we also evaluated the performance of two popular reconstruction backbones, namely, recurrent variational networks (RVN) and variational networks (VN) with U-Net. Experiments demonstrate that the proposed method achieves highly promising results in quantitative MRI reconstruction.
Methods: TRAFF2 mapping was performed using a breath-held ECG-gated acquisition of five images: one without preparation, three preceded by RAFF2 trains of varying duration, and one preceded by a saturation prepulse. Pixel-wise TRAFF2 maps were obtained after three-parameter exponential fitting. The repeatability of TRAFF2, T1, and T2 was assessed in phantom via the coefficient of variation (CV) across three repetitions. In seven healthy subjects, TRAFF2 was tested for precision, reproducibility, inter-subject variability, and image quality (IQ) on a Likert scale (1 = Nondiagnostic, 5 = Excellent). Additionally, TRAFF2 mapping was performed in three patients with suspected cardiovascular disease, comparing it to late gadolinium enhancement (LGE), native T1, T2, and ECV mapping.
Results: In phantom, TRAFF2 showed good repeatability (CV < 1.5%) while showing no (R2=0.09) and high (R2=0.99) correlation with T1 and T2, respectively. Myocardial TRAFF2 maps exhibited overall acceptable image quality (IQ = 3.0±1.0) with moderate artifact levels, stemming from off-resonances near the coronary sinus. Average TRAFF2 time across subjects and repetitions was 79.1 ± 7.3 ms. Good precision (7.6 ± 1.4%), reproducibility (1.0 ± 0.6%), and low inter-subject variability (10.0 ± 1.8%) were obtained. In patients, visual agreement of the infarcted area was observed in the TRAFF2 map and LGE.
Conclusion: Myocardial TRAFF2 quantification at 3 T was successfully achieved in a single breath-hold with acceptable image quality, albeit with residual off-resonance artifacts. Nonetheless, preliminary clinical data indicate potential sensitivity of TRAFF2 mapping to myocardial infarction detection without the need for contrast agents, but off-resonance artifacts mitigation warrants further investigation. ...
Methods: TRAFF2 mapping was performed using a breath-held ECG-gated acquisition of five images: one without preparation, three preceded by RAFF2 trains of varying duration, and one preceded by a saturation prepulse. Pixel-wise TRAFF2 maps were obtained after three-parameter exponential fitting. The repeatability of TRAFF2, T1, and T2 was assessed in phantom via the coefficient of variation (CV) across three repetitions. In seven healthy subjects, TRAFF2 was tested for precision, reproducibility, inter-subject variability, and image quality (IQ) on a Likert scale (1 = Nondiagnostic, 5 = Excellent). Additionally, TRAFF2 mapping was performed in three patients with suspected cardiovascular disease, comparing it to late gadolinium enhancement (LGE), native T1, T2, and ECV mapping.
Results: In phantom, TRAFF2 showed good repeatability (CV < 1.5%) while showing no (R2=0.09) and high (R2=0.99) correlation with T1 and T2, respectively. Myocardial TRAFF2 maps exhibited overall acceptable image quality (IQ = 3.0±1.0) with moderate artifact levels, stemming from off-resonances near the coronary sinus. Average TRAFF2 time across subjects and repetitions was 79.1 ± 7.3 ms. Good precision (7.6 ± 1.4%), reproducibility (1.0 ± 0.6%), and low inter-subject variability (10.0 ± 1.8%) were obtained. In patients, visual agreement of the infarcted area was observed in the TRAFF2 map and LGE.
Conclusion: Myocardial TRAFF2 quantification at 3 T was successfully achieved in a single breath-hold with acceptable image quality, albeit with residual off-resonance artifacts. Nonetheless, preliminary clinical data indicate potential sensitivity of TRAFF2 mapping to myocardial infarction detection without the need for contrast agents, but off-resonance artifacts mitigation warrants further investigation.
Purpose: The aim of this study is to develop and optimize an adiabatic (Formula presented.) ((Formula presented.)) mapping method for robust quantification of spin-lock (SL) relaxation in the myocardium at 3T. Methods: Adiabatic SL (aSL) preparations were optimized for resilience against (Formula presented.) and (Formula presented.) inhomogeneities using Bloch simulations. Optimized (Formula presented.) -aSL, Bal-aSL and (Formula presented.) -aSL modules, each compensating for different inhomogeneities, were first validated in phantom and human calf. Myocardial (Formula presented.) mapping was performed using a single breath-hold cardiac-triggered bSSFP-based sequence. Then, optimized (Formula presented.) preparations were compared to each other and to conventional SL-prepared (Formula presented.) maps (RefSL) in phantoms to assess repeatability, and in 13 healthy subjects to investigate image quality, precision, reproducibility and intersubject variability. Finally, aSL and RefSL sequences were tested on six patients with known or suspected cardiovascular disease and compared with LGE, (Formula presented.), and ECV mapping. Results: The highest (Formula presented.) preparation efficiency was obtained in simulations for modules comprising 2 HS pulses of 30 ms each. In vivo (Formula presented.) maps yielded significantly higher quality than RefSL maps. Average myocardial (Formula presented.) values were 183.28 (Formula presented.) 25.53 ms, compared with 38.21 (Formula presented.) 14.37 ms RefSL-prepared (Formula presented.). (Formula presented.) maps showed a significant improvement in precision (avg. 14.47 (Formula presented.) 3.71% aSL, 37.61 (Formula presented.) 19.42% RefSL, p < 0.01) and reproducibility (avg. 4.64 (Formula presented.) 2.18% aSL, 47.39 (Formula presented.) 12.06% RefSL, p < 0.0001), with decreased inter-subject variability (avg. 8.76 (Formula presented.) 3.65% aSL, 51.90 (Formula presented.) 15.27% RefSL, p < 0.0001). Among aSL preparations, (Formula presented.) -aSL achieved the better inter-subject variability. In patients, (Formula presented.) -aSL preparations showed the best artifact resilience among the adiabatic preparations. (Formula presented.) times show focal alteration colocalized with areas of hyper-enhancement in the LGE images. Conclusion: Adiabatic preparations enable robust in vivo quantification of myocardial SL relaxation times at 3T.
The self-configuring nnU-Net has achieved leading performance in a large range of medical image segmentation challenges. It is widely considered as the model of choice and a strong baseline for medical image segmentation. However, despite its extraordinary performance, nnU-Net does not supply a measure of uncertainty to indicate its possible failure. This can be problematic for large-scale image segmentation applications, where data are heterogeneous and nnU-Net may fail without notice. In this work, we introduce a novel method to estimate nnU-Net uncertainty for medical image segmentation. We propose a highly effective scheme for posterior sampling of weight space for Bayesian uncertainty estimation. Different from previous baseline methods such as Monte Carlo Dropout and mean-field Bayesian Neural Networks, our proposed method does not require a variational architecture and keeps the original nnU-Net architecture intact, thereby preserving its excellent performance and ease of use. Additionally, we boost the segmentation performance over the original nnU-Net via marginalizing multi-modal posterior models. We applied our method on the public ACDC and M &M datasets of cardiac MRI and demonstrated improved uncertainty estimation over a range of baseline methods. The proposed method further strengthens nnU-Net for medical image segmentation in terms of both segmentation accuracy and quality control.
DisQ
Disentangling Quantitative MRI Mapping of the Heart
Quantitative MRI (qMRI) of the heart has become an important clinical tool for examining myocardial tissue properties. Because heart is a moving object, it is usually imaged with electrocardiogram and respiratory gating during acquisition, to “freeze” its motion. In reality, gating is more-often-than-not imperfect given the heart rate variability and nonideal breath-hold. qMRI of the heart, consequently, is characteristic of varying image contrast as well as residual motion, the latter compromising the quality of quantitative mapping. Motion correction is an important step prior to parametric mapping, however, a long-standing difficulty for registering the dynamic sequence is that the contrast across frames varies wildly: depending on the acquisition scheme some frames can have extremely poor contrast, which fails both traditional optimization-based and modern learning-based registration methods. In this work, we propose a novel framework named DisQ, which Disentangles Quantitative mapping sequences into the latent space of contrast and anatomy, fully unsupervised. The disentangled latent spaces serve for the purpose of generating a series of images with identical contrast, which enables easy and accurate registration of all frames. We applied our DisQ method to the modified Look-Locker inversion recovery (MOLLI) sequence, and demonstrated improved performance of T1 mapping. In addition, we showed the possibility of generating a dynamic series of baseline images with exactly the same shape, strictly registered and perfectly “frozen". Our proposed DisQ methodology readily extends to other types of cardiac qMRI such as T2 mapping and perfusion.