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Biomedical subjects

H E Cline

Publications and source records attributed to H E Cline.

28 records · Page 2Linked to original sources

3D reconstruction of the brain from magnetic resonance images using a connectivity algorithm.

We present high resolution three dimensional (3D) connectivity, surface construction and display algorithms that detect, extract, and display the surface of a brain from contiguous magnetic resonance (MR) images. The algorithms identify the external brain surface and create a 3D image, showing the fissures and surface convolutions of the cerebral hemispheres, cerebellum, and brain stem. Images produced by these algorithms also show the morphology of other soft tissue boundaries such as the cerebral ventricular system and the skin of the patient. For the purposes of 3D reconstruction, our experiments show that T1 weighted images give better contrast between the surface of the brain and the cerebral spinal fluid than T2 weighted images. 3D reconstruction of MR data provides a non-invasive procedure for examination of the brain surface and other anatomical features.

Adult↗

Vascular morphology by three-dimensional magnetic resonance imaging.

A three-dimensional examination of blood vessels is provided using MR data from seven cases. The vascular surfaces are constructed with an algorithm that automatically follows the selected artery or vein and generates a projected three-dimensional gradient shaded image. Fast 3DFT pulse sequences were optimized to enhance the time-of-flight contrast of the intravascular region. By increasing the surface threshold value in a three-dimensional head study, the flesh of a patient's face was peeled away to demonstrate the superfacial temporal artery. Gated cardiac images show the great vessels and cardiac chambers. A three-dimensional view of the aorta shows an irregular surface in the vicinity of an adrenal tumor. 3D MR exams provide a non-invasive technique for assessing vascular morphology in a clinical setting.

Adult↗

Three-dimensional segmentation of MR images of the head using probability and connectivity.

We describe a three-dimensional (3D) segmentation method that comprises (a) user interactive identification of tissue classes; (b) calculation of a probability distribution for each tissue; (c) creation of a feature map of the most probable tissues; (d) 3D segmentation of the magnetic resonance (MR) data; (e) smoothing of the segmented data; (f) extraction of surfaces of interest with connectivity; (g) generation of surfaces; and (h) rendering of multiple surfaces to plan surgery. Patients with normal head anatomy and with abnormalities such as multiple sclerosis lesions and brain tumors were scanned with a 1.5 T MR system using a two echo contiguous (interleaved), multislice pulse sequence that provides both proton density and T2-weighted contrast. After the user identified the tissues, the 3D data were automatically segmented into background, facial tissue, brain matter, CSF, and lesions. Surfaces of the face, brain, lateral ventricles, tumors, and multiple sclerosis lesions are displayed using color coding and gradient shading. Color improves the visualization of segmented tissues, while gradient shading enhances the perception of depth. Manipulation of the 3D model on a workstation aids surgical planning. Sulci and gyri stand out, thus aiding functional mapping of the brain surface.

Algorithms↗

3D surface rendered MR images of the brain and its vasculature.

Both time-of-flight and phase contrast magnetic resonance angiography images are combined with stationary tissue images to provide data depicting two contrast relationships yielding intrinsic discrimination of brain matter and flowing blood. A computer analysis is based on nearest neighbor segmentation and the connection between anatomical structures to partition the images into different tissue categories: from which, high resolution brain parenchymal and vascular surfaces are constructed and rendered in juxtaposition, aiding in surgical planning.

Algorithms↗

Rapid NMR cardiography with a half-echo M-mode method.

A real-time NMR cardiac profiling pulse sequence has been developed that incorporates two-dimensional (2D) selective excitation and a half-echo readout. The time resolution has been improved by a factor of two relative to the previous flow-compensated, full-echo version. The technique produces a 2D plot of "beam"-axis position versus time, analogous to M-mode echocardiography. In human subjects, details of valve leaflet motion, intracardiac flow, wall motion, and wall thickening may be observed along optimal lines of sight selected interactively. The pulse sequence uses a low-tip-angle 2D selective-excitation pulse derived from a spiral k-space trajectory to excite a narrow cylinder of magnetization, followed by a half-echo readout gradient oriented along the axis of the cylinder. One-dimensional Fourier transformation of the acquired signal results in a magnetization profile along the length of the cylinder, or beam. The pulse sequence is effectively flow compensated without any additional gradient lobes, because the rapid oscillation in the gradient wave forms of the 2D excitation pulse produces relatively small net gradient moments, and the shortened readout gradient has minimal first-order moment relative to center echo. The signal from moving blood can alternatively be velocity encoded by the addition of bipolar gradients along any of the three axes, producing Doppler-like traces of intracardiac blood flow.

Echocardiography↗

MR-guided focused ultrasound surgery.

Magnetic resonance guided focused ultrasound surgery provides a minimally invasive controlled method for selectively destroying deep-lying tissue. A thermal analysis of focused ultrasound provides an estimate of the time-dependent temperature distribution and thermal dose required for ultrasound surgery. The temperature distribution is estimated by accumulating heat sources, considering the effects of thermal conductivity, heat content, and perfusion. In this study, both gel phantoms and excised in vitro bovine muscle specimens were imaged in a 1.5 T MR system while heated with a 5 cm diameter, 10 cm focal length, 1.1 MHz transducer. During sonication, the thermal effects were observed with T1-weighted pulse sequences. Below a critical temperature, the heat zone appeared as a dark spot that moved with the focal spot. Above a critical thermal dose, the in vitro tissue was irreversibly altered and the focal lesion was observed on both the MR image and the specimen slice.

Absorption↗

3D phase contrast MRI of cerebral blood flow and surface anatomy.

Noninvasive MR acquisition of blood flow and stationary tissue provides three-dimensional display of flow and of the vascular and brain surfaces. The calculated motion of a simulated bolus injection is derived from the measured velocity vector field and is animated to resemble cine angiography. Simulation of a bolus injection into the basilar artery of a healthy volunteer shows the blood flow into the posterior cerebral arteries.

Basilar Artery↗

One-dimensional NMR thermal mapping of focused ultrasound surgery.

OBJECTIVE: The aim of this study was to evaluate a technique for real-time monitoring of tissue temperature and tracking of the heat source during minimally invasive thermal interventions such as focused ultrasound surgery. MATERIALS AND METHODS: A temperature-sensitive NMR line scan pulse sequence was directed interactively from a workstation during the application of focused ultrasound to samples of excised bovine skeletal muscle. The NMR signal along a sensitive line was monitored during and after heating by means of a scrolling display on the workstation. RESULTS: The temperature sensitivity was found to be approximately 2 degrees C with a time resolution of 300 ms along a line intersecting the ultrasonic focal point. Experimental temperature rises determined from the NMR signal showed close agreement with theoretical temperature behavior derived from the heat equation. Temperature quantitation capabilities were lost upon onset of thermal denaturation and coagulation. CONCLUSION: This technique could serve as a noninvasive guide in tracking the heat source and in monitoring thermal dose during focused ultrasound surgery and other minimally invasive thermal interventions.

Animals↗

Two algorithms for the three-dimensional reconstruction of tomograms.

Three-dimensional (3-D) surface reconstructions provide a method to view complex anatomy contained in a set of computed tomography (CT), magnetic resonance imaging (MRI), or single photon emission computed tomography tomograms. Existing methods of 3-D display generate images based on the distance from an imaginary observation point to a patch on the surface and on the surface normal of the patch. We believe that the normalized gradient of the original values in the CT or MRI tomograms provides a better estimate for the surface normal and hence results in higher quality 3-D images. Then two algorithms that generate 3-D surface models are presented. The new methods use polygon and point primitives to interface with computer-aided design equipment. Finally, several 3-D images of both bony and soft tissue show the skull, spine, internal air cavities of the head and abdomen, and the abdominal aorta in detail.

Algorithms↗

3DFT MR angiography of carotid and basilar arteries.

Three-dimensional Fourier transform (3DFT) time-of-flight and two-dimensional Fourier transform (2DFT) projection phase-contrast MR angiography was performed in eight healthy volunteers and in 14 patients with known carotid artery or basilar artery occlusion, stenosis, or dissection. Comparative angiography was available in 13 cases (although in some cases the studies were separated by a number of months) and duplex sonography in one case. After localization of the carotid artery bifurcations by using 2DFT projection phase-contrast angiography, multiple 1.25-mm contiguous images were obtained with the 3DFT technique. In all cases, the lesions were identified on MR angiography. Because flow is detected in a manner that is independent of flow-induced phase shifts in the 3DFT time-of-flight technique, signal loss arising from complex flow and turbulence is minimized, yet the flow image remains sensitive to all velocity components of flow. Applications of this technique are ideal for relatively straight vessels where flow is laminar, but it can also be used to evaluate the carotid artery bifurcations where flow becomes complex.

Adult↗