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R.F. Remis

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Master thesis (2025) - A. Anand, R.F. Remis, Emiel Hartsema, F. Fioranelli
Magnetic Resonance Imaging (MRI) is a powerful tool for visualizing internal body structures and is widely used in clinical fields. However, MRI's long scanning times and high computational demands for post-processing pose challenges, especially in resource-limited environments. Recent advancements in machine learning, specifically model compression techniques, have offered solutions to accelerate MRI post-processing and make it more accessible.

This thesis systematically investigates the application of several model compression methods, such as low-rank factorization, knowledge distillation, and quantization, to enhance the efficiency of a baseline MR reconstruction neural network. By exploring multiple variations within each compression technique, this study evaluates their impact on key performance metrics such as inference speed, model size reduction, and reconstruction accuracy. Extensive tests show significant trade-offs between image fidelity and computational efficiency, providing insights into the practical feasibility of deploying compressed models in clinical workflows.

Among the techniques tested, low-rank factorization implemented via Tucker decomposition emerged as the most effective approach. This method achieved a threefold reduction in inference time while maintaining high reconstruction quality, highlighting its potential to improve MRI processing times in real-world applications significantly. ...
Master thesis (2025) - B. Erarslanoğlu, R.F. Remis, Kirsten Koolstra, F. Fioranelli
Cardiac cine MRI is a modality used to visualize the beating heart by acquiring a sequence of images within a short acquisition window. Even if data collection spans multiple heartbeats, the goal is to capture a single cardiac cycle, that is, one full heartbeat. Achieving this often requires undersampling of k-space, which leads to artifacts that degrade image quality, such as aliasing, blurring, and ghosting. This thesis investigates how deep learning can be used to reconstruct high-quality cardiac cine MR images, which are anatomically accurate and diagnostically useful. A deep learning-based reconstruction method is developed, with particular attention given to the role of training data, network architecture, and k-space sampling strategies. The models are trained using two types of datasets, each of which is transformed to mimic cardiac cine MRI acquisition characteristics and augmented to increase the data variability. The proposed model architecture consists of initial image formation, data consistency, and convolutional denoiser blocks. The denoiser block includes variations in the use and size of temporal kernels to evaluate their impact on reconstruction performance. Experiments are conducted across 4-shot and single-beat acquisition protocols, under different sampling conditions. The proposed models achieve improved reconstruction quality over the benchmark model in most scenarios. This improvement is primarily attributed to the temporal processing of the training data and the inclusion of temporal convolutions. The findings of this work show possible paths for future research in deep learning-based cardiac cine MRI reconstruction. ...
Master thesis (2025) - T.I. van Velden, R.F. Remis, B.J. Kooij
Accurate knowledge of the conductivity and permittivity of tissue is vital in the diagnosis of many diseases. Magnetic resonance electrical property tomography (MR-EPT) reconstructs these using measurements of the electromagnetic fields inside the MR-scanner. These properties
re reconstructed using two-dimensional contrast source inversion, due to a significant complexity reduction in comparison to its three-dimensional counterpart, allowing for reconstructions in a reasonable amount of time. Data acquisition is usually performed using a shielded
irdcage coil. Current methods, however, disregard the presence of this shielding, only accounting for it using a rough first-order approximation, as properly accounting for it would lead to an intractable computational load. This thesis shows a method of analytically describing this
hielding in the Greens functions and its efficient implementation in the corresponding Greens operators for CSI-EPT, exploiting the Greens functions being degenerate. This results in a significant increase in the reconstruction performance both qualitatively and quantitatively, at the cost of a slight increase of the computational load. The inversion problem being ill-posed leads to poor reconstruction performance on noisy data. This thesis presents a method for quantization of the tissue parameters, by enforcing a multi-modal distribution for these parameters.
through simulation, the quantization method shows a significant increase in performance for noisy data, at the cost of losing smaller details in the image. This improved model was tested on synthetic E-polarized data, and realistic three-dimensional data, showing a more robust, and
accurate reconstruction of the electrical properties for both. ...
Objective: The aim of this project is to quantify renal perfusion at 3 T with arterial spin labeling (ASL) images and to evaluate the feasibility of this measurement at 0.6 T.

Background: Chronic kidney disease (CKD) affects over one in ten individuals worldwide and has a high mortality rate. As renal microvascular dysfunction plays a key role in CKD progression, accurate and non-invasive quantification of renal perfusion is valuable. ASL magnetic resonance imaging (MRI) enables the measurement of renal perfusion without exogenous contrast agents and has been validated at 1.5 T and 3 T. However, its feasibility at 0.6 T has not yet been investigated.

Methodology: Data from the NEO-2 study acquired at 3 T was analyzed using a pipeline that included image registration, segmentation, and quantitative perfusion mapping. Midfield scanners have a lower signal-to-noise ratio and altered relaxation times. Therefore, the existing renal ASL sequence used in 3 T was adjusted. The sequence parameters that were modified included the repetition time (TR), the number of control–label pairs, voxel size, post-label delay (PLD), and background suppression (BGS) pulse timings. After choosing the optimal parameters, a healthy volunteer was scanned back-to-back at both field strengths for direct comparison.

Results: At 3~T, cortical perfusion values ranged between 180 and 286 mL/100g/min, consistent with literature. Optimal parameters at 0.6 T were: TR = 4000 ms, 25 control–label pairs, in-plane resolution of 4×4 mm^2, slice thickness of 10 mm, and PLD = 1400 ms with BGS pulses at 700 & 1100 ms. With these settings applied at 0.6 T, the cortical perfusion values were 215.34 ± 67.92 and 236.80 ± 66.33 mL/100 g/min in the left and right cortex, respectively. Using the 3 T acquisition protocol, the corresponding values were 241.89 ± 76.55 and 250.75 ± 70.82 mL/100g/min, respectively. Values at 3 T were approximately 5–10% higher.

Conclusion: The results show that renal ASL at 0.6~T can produce quantitative perfusion estimates that are similar to those at 3 T.
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Is the two-dimensional CSI algorithm feasible on realistic three-dimensional data?

Master thesis (2024) - N.P. van Dam, R.F. Remis, B.J. Kooij
Electrical property tomography (EPT) reconstructs the human body’s conductivity and relative permittivity using the radio frequency field from a magnetic resonance machine. Since conductivity and relative permittivity can be biomarkers for many illnesses, it is necessary to reconstruct them accurately. To this end, this thesis focuses on the two-dimensional tranceive phase corrected contrast source inversion algorithm (2D-CSI).

This 2D-CSI algorithm is significantly faster than its three-dimensional (3D) counterpart. However, reconstruction artefacts may appear since the 2D field description is not always applicable. In this thesis, these artefacts are identified and it is investigated if the 2D-CSI algorithm can be improved to handle them. In particular, the proposed updates are, first, implementing the early stopping principle, then adding a positivity constraint to the conductivity and relative permittivity, and lastly, initialising with Helmholtz electrical property tomography (HEPT). The first two enhancements create a more robust algorithm, while the third update could be useful only in specific cases (with no fine structures and low noise levels).

After achieving a more robust algorithm, the 2D-CSI algorithm is applied to the realistic 3D dataset ”A Database for MR-based Electrical Properties Tomography” (ADEPT). The first and foremost challenge is accurately simulating the incident field, as the reconstructions depend a lot on the incident fields. If the incident fields do not match perfectly, the algorithm can only produce satisfactory reconstruction results in a part of the reconstruction domain. The reconstructions are only partly accurate because the reconstructed electric fields converge to a line creating line artefacts. It is shown that small changes in the incident fields produce small changes in the position of the artefacts. Based on this observation, a reconstruction strategy has been developed in which a reconstruction without artefacts is produced by combining reconstruction results of multiple incident fields. Integrating all modifications of the 2D-CSI
algorithm in one single framework shows that the conductivity and relative permittivity of the brain in the middle of the birdcage coil can be reconstructed accurately ...
Master thesis (2024) - F.J. Helfferich, R.F. Remis, B.J. Kooij
The tissue electrical properties of conductivity and permittivity affect the interactions of electromagnetic fields in the body. These properties vary throughout the different tissues as the tissue structure and composition varies. In this thesis, medical imaging and diagnosis is used as primary example to motivate exploration of a novel regularization approach to an MRI-based electrical properties tomography (EPT) method.

Total variation (TV) regularization has been shown to perform noise reduction in the iterative Contrast Source Inversion EPT (CSI-EPT) method. The Jacobi matrix inversion regularization, an alternative to the known conjugate gradient formulation, is elaborated and applied to an E-polarized MRI fields scenario such that this thesis presents the Jacobi step regularized CSI-EPT.

The alternative regularization method outperforms the known regularization method in the reconstruction qualities of noise-suppression and edge-preservation in the simulated MRI experiments using a virtual body model. Further advancements are also described, such as multiple inner-iterations Jacobi regularization and an anatomical prior initialization of the contrast function. Important future research topics are the incorporation and evaluation of the Jacobi step regularization into more advanced CSI-EPT versions, which are the three-dimensional and transceive phase based algorithms to correct realistic MRI data. ...

To observe and shape electrode-generated outputs for electrical stimulation in the brain using a Finite Element Model

The development of neural prostheses, especially those directly targeting the brain, requires extensive research and modelling before clinical trials can be performed. Currently, the resolution of artificial vision is not sufficient for everyday tasks. By studying the expected spatial extent of stimulation, we aim to provide insights to researchers that can be used to improve the resolution of artificial vision. The goal of this MSc thesis was to visualise the shape and intensity of electric fields in the cortex as a response to intracortical microelectrode stimulation to observe the expected regions of neuronal activation considering electrode design parameters. To do this, parameters that can influence the generated electric field and the regions of activated tissue have been defined. Implementing these parameters in a Finite Element Model (FEM) allows the computation of the generated electric field in 3D of a stimulating electrode to observe the spatial extent of activated tissue. The spatial extent of activated tissue can be estimated using simplified methods such as the activating function (AF) or current density threshold. The result is a parameterised framework that creates a Visualisation of Neuronal Activation (VoNA) that can be used to assess activated tissue regions for varying scenarios by defining material properties and dimensions of the model, and allows for the adjustment of the stimulation configuration, electrode contact spacing, customisation of electrode size and modulation of stimulation current. It enables the user to tune the model settings towards their specific needs and explore the possibilities by visualising the results from different angles by defining subsets of the entire solution. In line with expectations, the presented models show that the model parameters can influence factors such as the generated electric field, the current density and electric potential, which are indicators of neuronal activation. The findings support the hypothesis that these parameters should be considered during electrode design to achieve accurate stimulation. ...
Atrial Fibrillation (AF) is a cardiac arrhythmia that occurs due to the initiation of electrical impulses in the heart in an uncoordinated manner, giving rise to a disorganized and rapid heartbeat. The progression of AF over time can lead to complications such as stroke and heart failure. Catheter ablation is an established treatment protocol adopted to eliminate AF triggers and restore normal sinus rhythm in patients. To improve the success rates of ablation procedures, mapping and localizing the regions in the heart that give rise to uncoordinated impulses is crucial. This work focuses on obtaining a visual estimate of the location of irregular electrical activity within a volume domain of cardiac tissue using epicardial electrogram measurements.
A straightforward, effective, and computationally fast backprojection imaging method is proposed that provides an indication of the regions in a given volume of cardiac tissue that exhibit prominent irregular atrial activity. The chosen volume is subdivided into non-overlapping voxels, and the standard electrogram signal model is discretized to a matrix multiplication form. The inverse problem of reconstructing the transmembrane current distribution in the volume is solved using the epicardial electrogram readings obtained from the surface and the inverse distances matrix containing the inverse of the distances from each electrode to each voxel within the volume domain. The generated backprojection images are visualized to estimate the location (x and y coordinate information) and depth of irregular atrial activity in the volume. To improve the accuracy of localization while maintaining the computationally fast nature of the proposed solution, Singular Value decomposition (SVD) of the inverse distances matrix is proposed for the transmembrane current reconstruction. The obtained visual estimates can guide ablation procedures, making them more targeted, and reducing the need for repeat ablation procedures due to AF recurrence.
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Master thesis (2023) - F. Lei, Alexander Yarovoy , W. Bouwmeester, R.F. Remis
The driver’s safety is one of the problems that is considered by modern vehicle technologies. Many accidents occur due to extreme weather conditions, such as snow or freezing rain. Such weather causes decreases in the friction of the road surface, which cause danger for drivers in this kind of area. To improve the driver’s safety, ADAS (Advanced Driver Assistance Systems) can be used to recognize different road surface conditions and warn the driver to avoid them. To do this, ADAS needs to perform classifications on the surface, and radars operating above 77 GHz have shown potential for this kind of task. The polarimetric information of the surface is needed as the prior knowledge for radar to perform the classification properly, which can be obtained from the scattering of the surface. The scattering properties of the asphalt surface at 76 GHz is a complex problem and it is difficult to have a comprehensive solution. In the existing research, there is no research that used a full-wave numerical approach with a simulation model for the kind of problem in the 76 GHz frequency band. In this thesis, a numerical model is developed in the electromagnetic software suite FEKO to simulate asphalt surface scattering. The model considers surface roughness, dielectric medium, source polarization, and incidence angles for scattering from the asphalt surface. Based on the model simulations, statistical analysis is performed using the Monte Carlo method. The results of the model in the case of an RMS height of 2 mm and correlation length of 2mm show that for a very rough surface, the RCS of the surface decreases as the incidence angle is larger, and the value of the two polarization components is close to each other. By verifying the numerical model with SPM theory, it has been shown that the designed model can give accurate results in the designed scenarios, which proves that the designed model can be used for investigate rough surface scattering properties. ...
Master thesis (2023) - T. Licurici, R.F. Remis, R.C. Hendriks, D. Cavallo
Estimating the transmembrane currents travelling through the epicardium and local activation times based on atrial epicardial electrograms can greatly help in the study of cardiac arrhythmias such as atrial fibrillation. This work focuses on the accurate estimation of the aforementioned signals and features. To do this, two least squares-based regression methods were used to estimate transmembrane currents from electrograms and then find their local activation times by searching for the maximum negative slope. The first least squares optimization method consists of using standard least squares, while the second consists of regularized least squares, by combining both lasso and ridge regression, to deal with signal sparsity and multicollinearity, respectively. Furthermore, to improve estimation results, multiresolution analyses based on wavelet decompositions and principal components analysis were used to filter out parasitic components that were present in the estimated transmembrane currents by separating them from the main activation complex of the decomposed signals.
Using these algorithms on simulated data, it was shown that promising results can be achieved for both transmembrane current estimations and LAT estimations. Several wavelet support sizes were tested on the simulated data to observe performance changes. These were compared to an already existing LAT estimation algorithm. The results mainly confirm the efficiency of the proposed methods on severely diseased tissue corrupted by conduction blocks and noise. ...

Exploration Of Physics-Assisted Deep Learning Methodology For Magnetic Resonance Based Electrical Properties Tomography

Master thesis (2023) - J.R. Edelman, R.F. Remis, S. Mandija
Magnetic resonance electrical properties tomography is a type of quantitative magnetic resonance imaging that aims to reconstruct the conductivity and permittivity of biological tissue. These electrical properties of the tissue can be used to compute the specific absorption rate, to differentiate tumours from healthy tissue and for hyperthermia treatment planning. Several methods to reconstruct these electrical properties exist with different degrees of success. Combining analytical reconstruction methods with deep learning methods is left relatively unexplored in the field of magnetic resonance electrical properties tomography. Hence, this work explores such hybrid methods in which deep learning is embedded in an analytical reconstruction method. A recurrent inference machine is integrated into the iterative reconstruction scheme called Contrast Source Inversion, in an attempt to decrease its high computational load. Additionally, a U-net is trained to correct reconstructed conductivity maps using discrepancies in measured- and reconstructed phase data, which is based on the relation between conductivity and phase in the Helmholtz equation. The recurrent inference machine embedded version of contrast source inversion failed to achieve a desirable reconstruction quality with its current implementation. However, the large amount of potential improvements to its implementation motivates further research into its application before discarding it. The conductivity correction U-net is able to correct conductivity errors as small as 0.13 S/m when used iteratively or 0.05 S/m when used a single time when noiseless data is used. Further research in its capabilities of handling noisy data is required to assess practical usage. ...
Master thesis (2023) - G. Hadjigeorgiou, R.F. Remis
This thesis research focuses on MRI technology and more specifically the evaluation of the generalized signal model (full-wave signal). The research aims to investigate how dielectric properties influence the magnetic fields in MRI scans, by using a more complex signal model that takes into account scattered fields caused by dielectric properties of human tissue. Optimizing the Signal-to-Noise ratio (SNR) has been a main research focus since the invention of MRI machines. Higher-quality images, result in better diagnosis and therefore help the investigations of patient conditions. One way to improve the SNR is to operate MRIs in higher frequencies. Operating an MRI in higher frequencies, affects the measured signal at the receiving coil, as dielectric properties of biological tissue, induce currents due to magnetization. By having a full wave signal model, one can model the effect of the dielectric properties and thus take them into account when reconstructing an MRI image. The first step was to investigate whether a magnetic dipole can be simulated as a single emitting loop. The results from the simulation and the analytical solution have been compared. There’s a high correlation be-
tween the two and thus it is concluded that it can be used. Using a single emitting loop, the effect of varying conductivity was simulated for a dielectric sphere placed in free space, with the single emitting loop submerged into the solution. The simulations showed that by increasing the conductivity, the measured voltage at the receiver coil reduces. Note that this simulation was performed twice, for relative
permittivity values εr = 1 and εr = 80. The reason for choosing these two values was to first eliminate the effect of relative permittivity εr = 1 and to simulate a water-based solution εr = 80. Simulations verified that for εr = 1, the measured voltage at the receiver location is lower than εr = 80. After verifying the full-wave model and observing the effect of varying the electrical conductivity, two more simulations were performed to prepare for the experiment. In the first simulation, instead of a single loop, a series of loops was used to simulate the beam excitation of an MRI. As it is shown in the results, there is not a linear correlation between increasing the conductivity and the induced voltage at the receiver coil. Secondly, the experimental setup was simulated. In addition to the previous simulation, a plastic layer was added to the outside of the ball, to model the plastic sphere used during the experiment. In chapter 4, the results of the experiment are introduced. The results from the experiment could not justify the simulations due to reasons that are explained in the conclusions. ...

Using Multiplicative Regularization

Master thesis (2023) - M.A. Verseput, R.F. Remis, B. de Vos, O.A. Krasnov
Magnetic resonance imaging (MRI) is a non-invasive tool to image the body’s anatomy and physiology, but suffers from long scan times. Compressed Sensing (CS) is used to accelerate MRI scans by incoherently taking fewer measurements and using a nonlinear optimization algorithm to image the undersampled data. Convex optimization techniques are generally used for image reconstruction. Minimizing a data fidelity term along with two regularization terms, which are a total variation (TV) based and a wavelet transform based function, is a standard procedure in CS-MRI. Regularization parameters are needed to balance the different terms, but it is impossible to know upfront what the optimal regularization parameters are to get the desired output. A consequence is that the algorithm of choice needs to be executed many times for many different values of the regularization parameters, which is a time-consuming process requiring knowledge of the algorithm.

In this work we rewrite and implement the regularization functions in a multiplicative manner by multiplying the data fidelity term with the regularization terms, thereby eliminating the need to tune the regularization parameters. Moreover, we include a region of support (ROS) mask to further accelerate reconstruction. The performance of different combinations of regularization functions and reconstruction algorithms are validated on a simulation study and various experiments on a low-field MRI scanner. This also shows the capability of CS applied to low-field MRI, which has lower signal-to-noise ratio compared to conventional MRI. Of all proposed methods, a nonlinear conjugate gradient method applied to the fully multiplicatively regularized objective function shows the most robust performance. ...
Master thesis (2022) - Aggariyo Wanagiri, R.F. Remis, Kirsten Koolstra, N.V. Budko
Low field magnetic resonance imaging (MRI) scanners provide a unique low-cost alternative to conventional MRI scanners. Nevertheless, low-field scanners come with drawbacks such as reduced signal-to-noise ratio and resolution, and also distorted images caused by magnetic field inhomogeneity and non-linear gradient fields. Despite this, it still provides a more accessible way to provide MRI in resource-limited areas. The main goal of this thesis is to develop an algorithm that can reconstruct 3D data from the low-field scanner efficiently and without distortion to the image. To do this, conjugate phase reconstruction (CPR) is employed, particularly frequency segmented reconstruction (Noll, 1991) and multifrequency interpolation (Man et al., 1997). ...
MRI has been used worldwide as an imaging modality for decades due to its ability to distinguish between soft tissues. However, MRIs cannot be used in all situations due to their extensive hard- and software. For this reason, research in the field of low-field MRI has been conducted. Low-field MRI systems do not use superconducting magnets but restive, or in this research, permanent magnets. This reduces the costs of these scanners, but these same changes result in a poorer signal-to-noise ratio (SNR) than high-field scanners. Based on this hardware, research in single-sided scanners has emerged, and various research groups have been able to reconstruct images with these scanners. They are based on conventional MRI hardware including a radiofrequency (RF) coil, permanent magnets and gradients coils for encoding. In collaboration with the Technical University (TU) Delft, a handheld scanner has been constructed in the Leiden University Medical Center (LUMC). This scanner consists of an RF coil and a permanent magnet and does not have a gradient coil. The inhomogeneity of the 50 can be used for spatially encoding the signal based on translations. The SNR in images is improved with model-based image reconstruction. Although, in theory, this set-up should work, the image results so far have been somewhat disappointing. Therefore, in this thesis, we have investigated a different approach, using a neural network. In this research, the correlation between the received signal of a measurement and a simulation of the same shape is found to be greater than the correlation between other simulations and the received signal. Due to this proven correlation, an image reconstruction deep learning algorithm is constructed based on the AUTOMAP model. Simulated signals are reconstructed into images with promising results; however, the algorithm cannot reconstruct mea- sured data. Therefore, suggestions for future improvement include improving the simulated data set and adding more real measurements that would allow for training on a measured data set. ...

Inexpensive MRI for Ocular Conditions

Master thesis (2022) - C. Haasjes, J-W.M. Beenakker, R.F. Remis, F.M. Vos, J.L. Herder
Ultrasound imaging is an important modality in ocular oncology, allowing for fast examination of the eye by the ophthalmologist themselves. It is clinically used to measure tumour sizes for treatment planning. However, ocular ultrasound is limited to two-dimensional imaging, and suffers from poor contrast between tumour and sclera, which negatively impacts the accuracy of tumour measurements. In this work, low field MRI is investigated as a possible alternative for ultrasound imaging.
Design requirements are a scan time of less than 4 minutes; resolution of 1.0 mm isotropic; Field of View (FOV) large enough to contain the eye and the orbit; contrast sufficient to distinguish the sclera, vitreous, tumour, lens and lipid. The experimental setup consists of a 46 mT Halbach-array based scanner, a volume coil as transmit coil and a custom-built surface coil as receive coil. Images are made of a water phantom to characterise the FOV, and a porcine eye to characterise the contrast.
The FOV is found to meet the requirements, and the contrast is sufficient to distinguish the sclera, vitreous, lens and lipid in porcine eyes. The resolution is too low and the scans take too long (about 5 minutes at a resolution of 1.0 × 1.0 × 7.5 mm). Increasing the resolution and decreasing the scan time will result in a low Contrast to Noise Ratio (CNR), causing the contrast requirement to be violated. Fast, high-resolution three-dimensional imaging is therefore not feasible on the current system.
The CNR can be improved by using a higher field strength, which requires the development of new hardware. Furthermore, in order to develop a clinically useable system, it is necessary to determine tumour contrast, design optimised pulse sequences, and test the method on human subjects. ...
Master thesis (2022) - M.H. van Hoeven, R.F. Remis, Marten Engelse, T.J.C. Oude Vrielink, M.J.A de Haan
This research addresses the following question: Is it possible to detect vascular obstructions and oedemas or monitor the decellularization process in perfused ex-vivo porcine kidneys using electrical impedance spectroscopy? Patients on the waiting list for kidney transplantation die because of a kidney shortage. A part of this problem can be solved by prolonging the period of preservation between the removal of the kidney from the body and the transplantation. However, oedemas and vascular obstructions are more likely to occur with longer perfusions. The kidney donor risk index doesn’t take this into account so a new technique needs to be established to assess the development of oedema and vascular obstruction. Another approach for increasing the supply of donor kidneys is de- and recellularization of the kidney. Electrical impedance spectroscopy shows promising results in the pancreas and this technique can probably be transferred to the kidney. EIS is a non-invasive, low cost, portable measuring technique that shows the results in real-time. A Spectra Bioimpedance and EIT Complete Kit with the 4-electrode attachment have been used at low frequencies (500 Hz) and high frequencies (70.000 Hz) for the evaluation of the porcine kidneys. Two different measurement techniques will be used, measurements through the renal artery and measurements on the kidney. These techniques are tested during the decellularization process, oedema formation, and vascular obstruction simulation to determine if impedance changes can signal these defects in the kidney. Robust changes have been made to the porcine kidneys in this regard. The sensitivity of the methods is less than expected. Only the decellularization results showed a notable change over time. The conclusion of this research is therefore: The results cannot prove a clear connection between vascular obstruction and oedema detection and electrical impedance changes. There is a probable correlation between electrical impedance and the phase of decellularization in which the kidney is in. Follow-up research is needed to substantiate this further. ...
Each year, hundreds of thousands of infants develop hydrocephalus ("water on the brain"). This is a disease that, if untreated, leads to brain damage and ultimately death. The prevalence of hydrocephalus is relatively high in children living in the Global South (in sub-Saharan countries, for example), but access to advanced imaging technology is usually limited in countries belonging to the Global South. This is especially problematic for hydrocephalus, since magnetic resonance imaging often is the diagnostic tool of choice for this disease, but MRI scanners are essentially out of reach due to their cost, size, and stringent infrastructure demands. Therefore, the introduction of an inexpensive, portable, low-field MRI scanner is clinically relevant. An interdisciplinary team of researchers at the Leiden University Medical Center, Pennsylvania State University, Mbarara University of Science and Technology and Delft University of Technology has been working on the development of such low-fieldMRI scanners, with the first goal being to aid in the diagnosis of hydrocephalus in infants in sub-Saharan Africa. Within this project, several prototypes and various dedicated image reconstruction techniques have been developed. This dissertation focuses on the latter. High-field MRI scanners have very strong and homogeneous static magnetic background fields, due to the superconducting magnets they are equipped with. To significantly reduce production costs, the low-field scanners considered in this work use permanent magnets to realize their static background fields. Obviously, such background fields are much weaker than in a high-field MRI scanner, leading to measured signals with a significantly lower signal-to-noise ratio, since this ratio scales with the magnitude of the background field. For spatial encoding (i.e., to distinguish what part of the signal originates from what part of the body or object inside the scanner), high-field scanners depend on gradient coils which superimpose a linearly varying magnetic field on the background field. The first prototype we consider does not have any gradient coils. Instead, spatial encoding is carried out by making use of the inhomogeneities in the static magnetic background field. Due to the nonbijective nature of the field, a single measurement does not yield enough information for a reconstruction. However, by carrying out several measurements and rotating the field between subsequent measurements, image reconstruction should be possible. The second prototype follows the design of high-field scannersmore closely: it was designed such that the static magnetic field is as homogeneous as possible and the scanner is equipped with three gradient coils to allow for spatial encoding in three directions. In this case, the relationship between signal and image can be described by a Fourier Transform... ...

Reconstructing MR images based on incomplete multicoil data and object support information

Magnetic Resonance Imaging (MRI) is a non-invasive, non-ionizing imaging modality that is commonly used in the clinic today. However, it is an expensive technique. The high purchase, operational and maintenance costs, as well as the need for trained staff with technical expertise, put this technique out of reach for a large part of the world population. To combat this, low-cost MRI systems are being developed. The use of lower magnetic fields allows for reductions in cost and size, increasing the accessibility and portability of the device in developing countries. Nevertheless, the signal-to-noise ratio is proportional to the magnetic field, and so low-field MR images are of a significantly lower quality. As such, a reconstruction algorithm is necessary in order to denoise the image, while preserving the details. Besides the cost, MRI is a relatively slow modality, leading to decreased patient comfort and increased chance of motion artifacts. The data acquisitions can be sped up through Parallel Imaging, which requires the use of a receiver coil array rather than a single RF coil. This leads to incomplete data as well as spatial variations in the coil sensitivity profiles that must be accounted for. Furthermore, while the Field-of-View of the image is generally larger than the spatial support of the object, information on this support is not used in MR image reconstructions. In this work, a reconstruction algorithm is developed to reconstruct MR images using incomplete multicoil data and spatial support information in a low-field setting. This algorithm is based on the single coil algorithm of De Leeuw Den Bouter et al. (2021), which will be extended to the multicoil case using the Contrast Source Inversion method. Three adaptations of the algorithm have been considered. Their performance is characterized in terms of denoising ability, edge-preservation and execution time, using both simulated and real low-field data. A mask S is introduced to include information on the spatial support. The use of this mask is shown to have a positive effect on the quality of the reconstruction, improving the preservation of edges and details. Furthermore, a mask R is introduced to deal with incomplete data in case of accelerated acquisitions. In conjuction with a Parallel Imaging technique, the reconstruction algorithm can yield de-aliased and denoised reconstructions, combatting the inherent drop in SNR caused by the acceleration. Chances for improving the algorithms remain, for instance by the exploring the possibilities for a multiplicative implementation of the Total Generalized Variation regularization term, as well as the automatic detection of the spatial support and the inclusion of compressed sensing. ...