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Biomedical subjects

Jerry L Prince

Publications and source records attributed to Jerry L Prince.

At least 19 recordsLinked to original sources

Cross-sectional and longitudinal analyses of anatomical sulcal changes associated with aging.

Imaging studies of the human brain indicate that the cortex undergoes anatomic changes during the aging process. With the ability to study the human brain in vivo using magnetic resonance imaging, understanding the nature and location of these changes is of increasing interest. In this work, we investigate cross-sectional and longitudinal age effects on the geometric shape and gray matter (GM) volume for regions of interest on the cortical surface. Each of the regions corresponds to the buried cortex surrounding the sulcal spaces and is termed a "sulcal region." The study consists of 35 older adults scanned three times over a 4-year time span. The group includes 19 women and 16 men ranging in ages from 59 to 84 years (mean 70.9, standard deviation 6.2). We analyze 8 sulcal regions-the buried cortex surrounding the left and right central, superior frontal, cingulate, and parietooccipital sulci. We examine surface area, GM thickness, GM volume, sulcal depth, local gyrification index, and measures of curvature. Results indicate cross-sectional age effects in mean thickness, GM volume, sulcal depth, and curvature characteristics of sulcal regions. In addition, we found longitudinal decreases in surface area, mean thickness, GM volume, and sulcal depth measures as well as changes in sulcal curvature.

Aged↗

Cortical reconstruction using implicit surface evolution: accuracy and precision analysis.

Two different studies were conducted to assess the accuracy and precision of an algorithm developed for automatic reconstruction of the cerebral cortex from T1-weighted magnetic resonance (MR) brain images. Repeated scans of three different brains were used to quantify the precision of the algorithm, and manually selected landmarks on different sulcal regions throughout the cortex were used to analyze the accuracy of the three reconstructed surfaces: inner, central, and pial. We conclude that the algorithm can find these surfaces in a robust fashion and with subvoxel accuracy, typically with an accuracy of one third of a voxel, although this varies with brain region and cortical geometry. Parameters were adjusted on the basis of this analysis in order to improve the algorithm's overall performance.

Algorithms↗

Program for Assisted Labeling of Sulcal Regions (PALS): description and reliability.

With the improvements in techniques for generating surface models from magnetic resonance (MR) images, it has recently become feasible to study the morphological characteristics of the human brain cortex in vivo. Studies of the entire surface are important for measuring global features, but analysis of specific cortical regions of interest provides a more detailed understanding of structure. We have previously developed a method for automatically segmenting regions of interest from the cortical surface using a watershed transform. Each segmented region corresponds to a cortical sulcus and is thus termed a "sulcal region." In this work, we describe two important augmentations of this methodology. First, we describe a user interface that allows for the efficient labeling of the segmented sulcal regions called the Program for Assisted Labeling of Sulcal Regions (PALS). An additional augmentation allows for even finer divisions on the cortex with a methodology that employs the fast marching technique to track a curve on the cortical surface that is then used to separate segmented regions. After regions of interest have been identified, we compute both the cortical surface area and gray matter volume. Reliability experiments are performed to assess both the long-term stability and short-term repeatability of the proposed techniques. These experiments indicate the proposed methodology gives both highly stable and repeatable results.

Algorithms↗

Fully truncated cone-beam reconstruction on Pi lines using prior CT.

C-arms are well suited for obtaining cone-beam projections intra-operatively. Due to the compact size of the detector used, the data are usually truncated within the field of view. As a result, direct application of a standard cone-beam reconstruction algorithm gives rise to undesirable artifacts and incorrect values in the reconstructed image volume. When prior information such as a pre-operative CT scan is available, fully truncated cone-beam projections can be used to recover the change within a small region of interest without such artifacts. A method for integrating prior CT is developed using the concept of pi-lines and tested on real flat-panel and simulated cone-beam data.

Algorithms↗

Using the fast marching method to extract curves with given global properties.

Curves are often used as anatomical features to match surfaces that represent biological objects, such as the human brain. Automated and semi-automated methods for extracting these curves usually rely on local properties of the surfaces such as the mean surface curvature without considering the global appearance of the curves themselves. These methods may require additional human intervention, and sometimes produce erroneous results. In this paper, we present an algorithm that is based on the fast marching method (FMM) to extract weighted geodesic curves. Instead of directly using the local image properties as a weight function, we use the surface properties, together with the global properties of the curves, to compute a weight function. This weight function is then used by the FMM to extract curves between given points. The general framework can be used to extract curves with different global properties. The resulting curves are guaranteed to be weighted geodesic curves without cusps usually introduced by intermediate points through which the curves are forced to pass. We show some results on both a simulated image and a highly convoluted human brain cortical surface.

Algorithms↗

Fast tracking of cardiac motion using 3D-HARP.

Magnetic resonance (MR) tagging is capable of accurate, noninvasive quantification of regional myocardial function. Routine clinical use, however, is hindered by cumbersome and time-consuming postprocessing procedures. We propose a fast, semiautomatic method for tracking three-dimensional (3-D) cardiac motion from a temporal sequence of short- and long-axis tagged MR images. The new method, called 3-D-HARmonic Phase (3D-HARP), extends the HARP approach, previously described for two-dimensional (2-D) tag analysis, to 3-D. A 3-D material mesh model is built to represent a collection of material points inside the left ventricle (LV) wall at a reference time. Harmonic phase, a material property that is time-invariant, is used to track the motion of the mesh through a cardiac cycle. Various motion-related functional properties of the myocardium, such as circumferential strain and left ventricular twist, are computed from the tracked mesh. The correlation analysis of 3D-HARP and FINDTAGS + Tag Strain(E) Analysis (TEA), which are well-established tag analysis techniques, shows that the regression coefficients of circumferential strain (E(CC)) and twist angle are r2 = 0.8605 and r2 = 0.8645, respectively. The total time required for tracking 3-D cardiac motion is approximately 10 min in a 9 timeframe tagged MRI dataset and has the potential to be much faster.

Algorithms↗

Mapping techniques for aligning sulci across multiple brains.

Visualization and mapping of function on the cortical surface is difficult because of its sulcal and gyral convolutions. Methods to unfold and flatten the cortical surface for visualization and measurement have been described in the literature. This makes visualization and measurement possible, but comparison across multiple subjects is still difficult because of the lack of a standard mapping technique. In this paper, we describe two methods that map each hemisphere of the cortex to a portion of a sphere in a standard way. To quantify how accurately the geometric features of the cortex -- i.e., sulci and gyri -- are mapped into the same location, sulcal alignment across multiple brains is analyzed, and probabilistic maps for different sulcal regions are generated to be used in automatic labelling of segmented sulcal regions.

Algorithms↗

CRUISE: cortical reconstruction using implicit surface evolution.

Segmentation and representation of the human cerebral cortex from magnetic resonance (MR) images play an important role in neuroscience and medicine. A successful segmentation method must be robust to various imaging artifacts and produce anatomically meaningful and consistent cortical representations. A method for the automatic reconstruction of the inner, central, and outer surfaces of the cerebral cortex from T1-weighted MR brain images is presented. The method combines a fuzzy tissue classification method, an efficient topology correction algorithm, and a topology-preserving geometric deformable surface model (TGDM). The algorithm is fast and numerically stable, and yields accurate brain surface reconstructions that are guaranteed to be topologically correct and free from self-intersections. Validation results on real MR data are presented to demonstrate the performance of the method.

Algorithms↗

Cortical surface segmentation and mapping.

Segmentation and mapping of the human cerebral cortex from magnetic resonance (MR) images plays an important role in neuroscience and medicine. This paper describes a comprehensive approach for cortical reconstruction, flattening, and sulcal segmentation. Robustness to imaging artifacts and anatomical consistency are key achievements in an overall approach that is nearly fully automatic and computationally fast. Results demonstrating the application of this approach to a study of cortical thickness changes in aging are presented.

Aging↗

Regenerating MR tagged images using harmonic phase (HARP) methods.

Magnetic resonance tagging has proven useful in the visualization and quantification of cardiac motion. Traditionally, tags are designed to have crisp geometric profiles in order to enhance both visualization and detection of tags. Recent image acquisition and analysis methods, however, have been designed to exploit sinusoidal tag profiles. This paper presents a method based on harmonic phase (HARP) concepts to synthesize tag lines that have both crisp profiles and alternative orientations from the original sinusoidal patterns. Results are demonstrated on images acquired with SPAMM, CSPAMM, and fast-HARP pulse sequences.

Algorithms↗

Spatially resolved imaging of myocardial function with strain-encoded MR: comparison with delayed contrast-enhanced MR imaging after myocardial infarction.

Strain-encoded magnetic resonance (MR) imaging was prospectively evaluated for direct imaging of systolic myocardial strain and compared with cross-registered delayed contrast material-enhanced MR imaging in five healthy volunteers and nine patients with infarction. Local contractile performance was decreased in infarcted myocardium versus that in remote and adjacent myocardium (P < .01) and in adjacent versus remote myocardium (P < .05). The extent of dysfunctional myocardium, as assessed with strain-encoded MR imaging, was greater than that of hyperenhancement, as assessed with delayed contrast-enhanced MR imaging (P < .05). Strain values obtained with strain-encoded MR imaging were strongly correlated with those obtained with three-dimensional tagged MR imaging (r = 0.75, P < .001). Strain-encoded MR imaging provides spatially resolved (1.5 x 2.5-mm) imaging and measurement of myocardial strain in humans without the need for postprocessing, which may improve routine comprehensive evaluation of myocardial viability.

Female↗

Quantitative ischemia detection during cardiac magnetic resonance stress testing by use of FastHARP.

BACKGROUND: Because ECG alterations caused by ischemia cannot be reliably detected in the high-field MRI environment, detection of wall motion abnormalities is often used to ensure patient safety during stress testing. However, an experienced observer is needed to detect these abnormalities. In this study, we investigate the use of fast harmonic phase (FastHARP) MRI for the quantitative, operator-independent detection of the onset of ischemia during acute coronary occlusion. METHODS AND RESULTS: Eight mongrel dogs underwent an acute 2-minute closed-chest coronary artery occlusion while continuous FastHARP images were acquired. Full regional wall strain was determined every other heartbeat in a single short-axis imaging slice. After 5 minutes of reperfusion, a second 2-minute ischemic episode was induced during the acquisition of conventional cine wall-motion images. The time at which ECG alterations were observed during the first ischemic period was recorded. The time from occlusion to the detection of ischemia, based on a consensus of 2 blinded observers, was determined for MRI. No significant ischemia was present in 2 animals. In the remaining animals, the onset of ischemia was detected significantly earlier by FastHARP than by cine MRI (9.5+/-5 versus 33+/-14 seconds, P<0.01). HARP ischemia detection preceded ECG changes, on average, by 54 seconds. CONCLUSIONS: The rapid acquisition and detection of induced ischemia with FastHARP MRI shows promise as a nonsubjective method to diagnose significant coronary lesions during MR stress testing.

Animals↗

Real-time imaging of two-dimensional cardiac strain using a harmonic phase magnetic resonance imaging (HARP-MRI) pulse sequence.

The harmonic phase (HARP) method provides automatic and rapid analysis of tagged magnetic resonance (MR) images for quantification and visualization of myocardial strain. In this article, the development and implementation of a pulse sequence that acquires HARP images in real time are described. In this pulse sequence, a CINE sequence of images with 1-1 spatial modulation of magnetization (SPAMM) tags are acquired during each cardiac cycle, alternating between vertical and horizontal tags in successive heartbeats. An incrementing train of imaging RF flip angles is used to compensate for the decay of the harmonic peaks due to both T(1) relaxation and the applied imaging pulses. The magnitude images displaying coarse anatomy are automatically reconstructed and displayed in real time after each heartbeat. HARP strain images are generated offline at a rate of four images per second; real-time processing should be possible with faster algorithms or computers. A comparison of myocardial contractility in non-breath-hold and breath-hold experiments in normal humans is presented.

Adult↗

Magnitude image CSPAMM reconstruction (MICSR).

Image reconstruction of tagged cardiac MR images using complementary spatial modulation of magnetization (CSPAMM) requires the subtraction of two complex datasets to remove the untagged signal. Although the resultant images typically have sharper and more persistent tags than images formed without complementary tagging pulses, handling the complex data is problematic and tag contrast still degrades significantly during diastole. This article presents a magnitude image CSPAMM reconstruction (MICSR) method that is simple to implement and produces images with improved contrast and tag persistence. The MICSR method uses only magnitude images - i.e., no complex data - but yields tags with zero mean, sinusoidal profiles. A trinary display of MICSR images emphasizes their long tag persistence and demonstrates a novel way to visualize myocardial deformation. MICSR contrast and contrast-to-noise ratios (CNR) were evaluated using simulations, a phantom, and two normal volunteers. Tag contrast 1000 msec after the R wave trigger was 3.0 times better with MICSR than with traditional CSPAMM reconstruction techniques, while CNRs were 2.0 times better.

Humans↗

Visualization of myocardial motion using MICSR trinary checkerboard display.

Magnetic resonance tagging is used to quantify and visualize myocardial motion. The lack of tag persistence, however, is often a problem in visualizing motion throughout the cardiac cycle, particularly in late diastole. Complementary spatial modulation of magnetization (CSPAMM) improves tag persistence, but requires complex signal subtraction, which is not available on all scanners. This paper analyzes the contrast to noise properties of a new method called magnitude image CSPAMM reconstruction (MICSR), which requires only magnitude images from the scanner and demonstrates improved contrast and tag persistence over CSPAMM. A novel "trinary checkerboard" display of myocardial motion, ideally matched to the contrast to noise properties of MICSR, is also presented.

Algorithms↗

An Eulerian PDE approach for computing tissue thickness.

We outline an Eulerian framework for computing the thickness of tissues between two simply connected boundaries that does not require landmark points or parameterizations of either boundary. Thickness is defined as the length of correspondence trajectories, which run from one tissue boundary to the other, and which follow a smooth vector field constructed in the region between the boundaries. A pair of partial differential equations (PDEs) that are guided by this vector field are then solved over this region, and the sum of their solutions yields the thickness of the tissue region. Unlike other approaches, this approach does not require explicit construction of any correspondence trajectories. An efficient, stable, and computationally fast solution to these PDEs is found by careful selection of finite differences according to an upwinding condition. The behavior and performance of our method is demonstrated on two simulations and two magnetic resonance imaging data sets in two and three dimensions. These experiments reveal very good performance and show strong potential for application in tissue thickness visualization and quantification.

Algorithms↗

Automated sulcal segmentation using watersheds on the cortical surface.

The human cortical surface is a highly complex, folded structure. Sulci, the spaces between the folds, define location on the cortex and provide a parcellation into anatomically distinct areas. A topic that has recently received increased attention is the segmentation of these sulci from magnetic resonance images, with most work focusing on extracting either the sulcal spaces between the folds or curve representations of sulci. Unlike these methods, we propose a technique that extracts actual regions of the cortical surface that surround sulci, which we call "sulcal regions." The method is based on a watershed algorithm applied to a geodesic depth measure on the cortical surface. A well-known problem with the watershed algorithm is a tendency toward oversegmentation, meaning that a single region is segmented as several pieces. To address this problem, we propose a postprocessing algorithm that merges appropriate segments from the watershed algorithm. The sulcal regions are then manually labeled by simply selecting the appropriate regions with a mouse click and a preliminary study of sulcal depth is reported. Finally, a scheme is presented for computing a complete parcellation of the cortical surface.

Automation↗

Topology correction in brain cortex segmentation using a multiscale, graph-based algorithm.

Reconstructing an accurate and topologically correct representation of the cortical surface of the brain is an important objective in various neuroscience applications. Most cortical surface reconstruction methods either ignore topology or correct it using manual editing or methods that lead to inaccurate reconstructions. Shattuck and Leahy recently reported a fully automatic method that yields a topologically correct representation with little distortion of the underlying segmentation. We provide an alternate approach that has several advantages over their approach, including the use of arbitrary digital connectivities, a flexible morphology-based multiscale approach, and the option of foreground-only or background-only correction. A detailed analysis of the method's performance on 15 magnetic resonance brain images is provided.

Algorithms↗