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Biomedical subjects

R L Ehman

Publications and source records attributed to R L Ehman.

At least 19 recordsLinked to original sources

Needle shear wave driver for magnetic resonance elastography.

Magnetic resonance elastography (MRE) is capable of quantitatively depicting the mechanical properties of tissues in vivo. In contrast to mechanical excitation at the surface of the tissue, the method proposed in this study describes shear waves produced by an inserted needle. The results demonstrate that MRE performed with the needle driver provides shear stiffness estimates that correlate well with those obtained using mechanical testing. Comparisons between MRE acquisitions obtained with surface and needle drivers yielded similar results in general. However, the well-defined wave propagation pattern provided by the needle driver in a target region can reduce section orientation-related error in wavelength estimation that occurs with surface drivers in 2D MRE acquisitions. Preliminary testing of the device was performed on animals. This study demonstrates that the needle driver is an effective option that offers advantages over surface drivers for obtaining accurate stiffness estimates in targeted regions that are accessible by the needle.

Animals↗

Vascular wall elasticity measurement by magnetic resonance imaging.

The goal of this current study was to determine whether an MRI-based elastography (MRE) method can visualize and assess propagating mechanical waves within fluid-filled vessels and to investigate the feasibility of measuring the elastic properties of vessel walls and quantitatively assessing stenotic lesions by using MRE. The ability to measure the Young's modulus-wall thickness product was tested using a thin-walled latex vessel model. Also tested in vessel models was the ability to quantitate the degree of stenosis by measuring transmitted and reflected mechanical waves. This method was then applied to ex vivo porcine models and in vivo human arteries to further test its feasibility. The results provide preliminary evidence that MRE can be used to quantitatively assess the stiffness of blood vessels, and provide a non-morphologic method to measure stenosis. With further development, it is possible that the method can be implemented in vivo.

Algorithms↗

Magnetic resonance elastography of the lung: technical feasibility.

Magnetic resonance elastography (MRE) is a phase-contrast technique that can spatially map shear stiffness within tissue-like materials. To date, however, MRE of the lung has been too technically challenging-primarily because of signal-to-noise ratio (SNR) limitations and phase instability. We describe an approach in which shear wave propagation is not encoded into the phase of the MR signal of a material, but rather from the signal arising from a polarized noble gas encapsulated within. To determine the feasibility of the approach, three experiments were performed. First, to establish whether shear wave propagation within lung parenchyma can be visualized with phase-contrast MR techniques, MRE was performed on excised porcine lungs inflated with room air. Second, a phantom consisting of open-cell foam filled with thermally polarized (3)He gas was imaged with MRE to determine whether shear wave propagation can be encoded by the gas. Third, preliminary evidence of the feasibility of MRE in vivo was obtained by using a longitudinal driver on the chest of a normal volunteer to generate shear waves in the lung. The results suggest that MRE in combination with hyperpolarized noble gases is potentially useful for noninvasively assessing the regional elastic properties of lung parenchyma, and merits further investigation.

Algorithms↗

Determination and analysis of guided wave propagation using magnetic resonance elastography.

We present a novel extension of standard magnetic resonance elastography (MRE) measurement and analysis methods, which is applicable in cases where the medium is characterized by waveguides or fiber bundles (i.e., muscle) leading to constrained propagation of elastic waves. As a demonstration of this new method, MRI is utilized to identify the pathways of the individual fibers of a stalk of celery, and 3D MRE is then performed throughout the volume containing the celery fibers for a measurement of the displacements. A Helmholtz decomposition is performed permitting a separation of the displacements into longitudinal and transverse components, and an application of a hybrid Radon transform permits a spectral decomposition of wave propagation along the fibers. Dot product projections between these elastic displacements measured in the global coordinate system and three Frenet vectors representing the tangent and two corresponding orthogonal vectors along any particular fiber orientation yield the displacement contributions to wave propagation along the fiber as if it were a waveguide. A sliding window spatial Fourier transform is then performed along the length of each fiber to obtain dispersion images that portray space-wavenumber profiles. Therefore, this method can permit localized tracking and characterization of wave types, velocities, and coupling along arbitrarily oriented fibers.

Algorithms↗

Spatio-temporal directional filtering for improved inversion of MR elastography images.

Dynamic magnetic resonance elastography can visualize and measure propagating shear waves in tissue-like materials subjected to harmonic mechanical excitation. This allows the calculation of local values of material parameters such as shear modulus and attenuation. Various inversion algorithms to perform such calculations have been proposed, but they are sensitive to areas of low displacement amplitude (and hence low SNR) that result from interference patterns due to reflection and refraction. A spatio-temporal directional filter applied as a pre-processing step can separate interfering waves so they can be processed separately. Weighted combinations of inversions from such directionally separated data sets can significantly improve reconstructions of shear modulus and attenuation.

Algorithms↗

Magnetic resonance elastography of skeletal muscle.

While the contractile properties of skeletal muscle have been studied extensively, relatively little is known about the elastic properties of muscle in vivo. Magnetic resonance elastography (MRE) is a phase contrast-based method for observing shear waves propagating in a material to determine its stiffness. In this work, MRE is applied to skeletal muscle under load to quantify the change in stiffness with loading. A mathematical model of muscle is developed that predicts a linear relationship between shear stiffness and muscle load. The MRE technique was applied to bovine muscle specimens (N = 10) and human biceps brachii in vivo (N = 5). Muscle stiffness increased linearly for both passive tension (14.5 +/- 1.77 kPa/kg) and active tension, in which the increase in stiffness was dependent upon muscle size, as predicted by the model. A means of noninvasively assessing the viscoelastic pro-perties of skeletal muscle in vivo may provide a useful method for studying muscle biomechanics in health and disease.

Animals↗

Assessment of thermal tissue ablation with MR elastography.

An important part of thermal ablation therapy is the assessment of the spatial extent of tissue coagulation. In this work, the mechanical properties of thermally-ablated tissue were quantitatively evaluated using magnetic resonance elastography (MRE). This study shows that the mechanical properties of focused ultrasound ablated tissue are significantly different from normal tissue, and the difference can be imaged and measured using MRE. Repeated experiments revealed a reproducible pattern of tissue mechanical property change during thermal ablation in ex vivo bovine muscle. This pattern may reflect changes in intrinsic tissue structure and could be used to evaluate tissue coagulation during thermal ablation therapy. Magn Reson Med 45:80-87, 2001.

Animals↗

Complex-valued stiffness reconstruction for magnetic resonance elastography by algebraic inversion of the differential equation.

Noninvasive quantitation of the mechanical properties of tissue could improve early detection of pathology. Previously a method for detecting displacement from propagating shear waves using a phase-contrast MRI technique was developed. In this work it is demonstrated how a collection of data representing the full vector displacement field could be used to potentially estimate the full complex stiffness tensor. An algebraic inversion approach useful for piece-wise homogeneous materials is described in detail for the general isotropic case, which is then specialized to incompressible materials as a model for tissue. Results of the inversion approach are presented for simulated and experimental phantom data that show the technique can be used to obtain shear wave-speed and attenuation in regions where there is sufficient signal-to-noise ratio in the displacement and its second spatial derivatives. The sensitivity to noise is higher in the attenuation estimates than the shear wave-speed estimates. Magn Reson Med 45:299-310, 2001.

Computer Simulation↗

Magnetic resonance elastography: non-invasive mapping of tissue elasticity.

Magnetic resonance elastography (MRE) is a phase-contrast-based MRI imaging technique that can directly visualize and quantitatively measure propagating acoustic strain waves in tissue-like materials subjected to harmonic mechanical excitation. The data acquired allows the calculation of local quantitative values of shear modulus and the generation of images that depict tissue elasticity or stiffness. This is significant because palpation, a physical examination that assesses the stiffness of tissue, can be an effective method of detecting tumors, but is restricted to parts of the body that are accessible to the physician's hand. MRE shows promise as a potential technique for 'palpation by imaging', with possible applications in tumor detection (particularly in breast, liver, kidney and prostate), characterization of disease, and assessment of rehabilitation (particularly in muscle). We describe MRE in the context of other recent techniques for imaging elasticity, discuss the processing algorithms for elasticity reconstruction and the issues and assumptions they involve, and present recent ex vivo and in vivo results.

Acoustics↗

Autocorrection of three-dimensional time-of-flight MR angiography of the Circle of Willis.

OBJECTIVE: The purpose of this study was to investigate the efficacy of a retrospective adaptive motion correction technique known as autocorrection for reducing motion-induced artifacts in high-resolution three-dimensional time-of-flight MR angiography of the circle of Willis. MATERIALS AND METHODS: Ten consecutive volunteers were imaged with an unenhanced gradient-recalled echo three-dimensional time-of-flight MR angiography sequence of the circle of Willis. Each volunteer was asked to rotate approximately 2 degrees after completion of one third and one half of the acquisition in the axial, sagittal, and oblique planes (45 degrees to the axial and sagittal planes). A single static data set was also acquired for each volunteer. Unprocessed and autocorrected maximum-intensity-projection images were reviewed as blinded image pairs by six radiologists and were compared on a five-point image quality scale. RESULTS: Mean improvement in image quality after autocorrection was 1.4 (p < 0.0001), 1.1 (p < 0.0001), and 0.2 (p = 0.003) observer points (maximum value, 2.0), respectively, for examinations corrupted by motion in the axial, oblique, and sagittal planes. All three axes had statistically significant improvement in image quality compared with the uncorrected images. Changes in image quality after the application of the autocorrection algorithm to static angiogram data were not statistically significant (mean change in score = -0.13 points; p = 0.29). CONCLUSION: Autocorrection can reduce artifacts in motion-corrupted MR angiography of the circle of Willis without distorting motion-free examinations.

Artifacts↗

Image metric-based correction (autocorrection) of motion effects: analysis of image metrics.

Magnetic resonance (MR) imaging of the shoulder necessitates high spatial and contrast resolution resulting in long acquisition times, predisposing these images to degradation due to motion. Autocorrection is a new motion correction algorithm that attempts to deduce motion during imaging by calculating a metric that reflects image quality and searching for motion values that optimize this metric. The purpose of this work is to report on the evaluation of 24 metrics for use in autocorrection of MR images of the rotator cuff. Raw data from 164 clinical coronal rotator cuff exams acquired with interleaved navigator echoes were used. Four observers then scored the original and corrected images based on the presence of any motion-induced artifacts. Changes in metric values before and after navigator-based adaptive motion correction were correlated with changes in observer score using a least-squares linear regression model. Based on this analysis, the metric that exhibited the strongest relationship with observer ratings of MR shoulder images was the entropy of the one-dimensional gradient along the phase-encoding direction. We speculate (and show preliminary evidence) that this metric will be useful not only for autocorrection of shoulder MR images but also for autocorrection of other MR exams.

Algorithms↗

Retrospective adaptive motion correction for navigator-gated 3D coronary MR angiography.

Retrospective adaptive motion correction (AMC) was developed for reducing effects of residual respiration in real-time navigator-gated three-dimensional (3D) coronary magnetic resonance (MR) angiography. In both motion phantom and in vivo experiments, AMC improved image sharpness of coronary arteries. This navigator-based technique combining adaptive correction and real-time gating is potentially an efficient and effective motion reduction method for 3D coronary MR angiography.

Algorithms↗

MR imaging of shear waves generated by focused ultrasound.

This study has shown that magnetic resonance elastography (MRE) can detect shear waves excited by focused ultrasound (FUS) in both gel phantoms and ex vivo muscle. Good agreement was shown between the shear modulus measured from MRE images generated using FUS and that using previously reported MRE techniques. The shear wave displacement amplitude at the FUS focus was studied and found to be proportional with both FUS ultrasonic pulse intensity and the FUS modulation pulse period over the range tested.

Animals↗

Prospective multiaxial motion correction for fMRI.

Corruption of the image time series due to interimage head motion limits the clinical utility of functional MRI. This paper presents a method for real-time prospective correction of rotation and translation in all six degrees of rigid body motion. By incorporating an orbital navigator (ONAV) echo for each of the sagittal, axial, and coronal planes into the fMRI pulse sequence, rotation and translation can be measured and the spatial orientation of the image acquisition sequence that follows can be corrected prospectively in as little as 160 msec. Testing of the method using a computerized motion phantom capable of performing complex multiaxial motion showed subdegree rotational and submillimeter translational accuracy over a range of +/-8 degrees and +/-8 mm of motion. In vivo images demonstrate correction of simultaneous through-plane and in-plane motion and improved detection of fMRI activation in the presence of head motion.

Artifacts↗

Rapid autocorrection using prescan navigator echoes.

Autocorrection is an adaptive motion correction algorithm that does not require an in vivo measurement of the motion record. A novel method for ensuring convergence of this algorithm when motion is severe is presented. A limited number of navigator echoes are acquired before the imaging sequence to obtain a "snapshot" of the object. Phase differences between the navigator and image k-space data are used as an estimate of motion-induced phase shifts in the image, followed by autocorrection. In phantom data a six-fold reduction in computation time compared to autocorrection alone was realized. These results indicate that this navigator/autocorrection combination may be useful for reducing motion artifacts and computation time for MR exams when motion along the image phase encoding axis is severe.

Algorithms↗

Simultaneous image acquisition utilizing hybrid body and phased array receiver coils.

In clinical MR imaging the design and selection of receiver coil is an important step in ensuring the highest image quality. Often this choice is based on selecting a receiver coil characterized by high spatial uniformity such as the body and head volume receiver coils or a surface coil (or array of coils) that provide high signal-to-noise ratio (SNR). In the past, it has been difficult to accomplish both high SNR and spatial uniformity as both coil types achieve one of these characteristics at the expense of the other. The purpose of this study was to achieve both high SNR and spatial uniformity through the simultaneous acquisition of the MR signal using the body and a surface coil array. Results indicate that this hybrid system can provide uniformity and SNR values comparable to those achieved by the body and surface coil arrays, respectively.

Humans↗

Acoustic shear-wave imaging using echo ultrasound compared to magnetic resonance elastography.

We compare a previously developed phase contrast-based magnetic resonance imaging technique (MRE) to a phase-based ultrasound (US) method for measuring small cyclic displacements (submicrometer level) caused by propagating acoustic shear waves in tissue-like media. Our preliminary experiments with gelatin phantoms show that acoustic shear-wave propagation can be measured with US, and we speculate that this technique could find applications in medical imaging.

Humans↗

Dual-echo breathhold T(2)-weighted fast spin echo MR imaging of liver lesions.

The purpose of this study was to develop a multi-shot dual-echo breathhold fast spin echo technique (DFSE) and compare it with conventional spin echo (T2SE) for T(2)-weighted MR imaging of liver lesions. The DFSE acquisition (EffTE1/EffTE2/TR = 66/143/2100 ms) imaged 5 sections per 17 s breathhold. T2SE imaging (TE1/TE2/TR = 60/120/2500 ms) required 16:55 (min:s) for 14 sections. Both techniques used a receive-only phased-array abdominal multicoil and provided 192 x 256 effective resolution. The results showed first and second echo relative DFSE/T2SE contrast values for 27 representative lesions (15 consecutive patients) were 1.08 +/- 0.05 and 1.16 +/- 0.09 (mean +/- STD mean), respectively. Corresponding CNR values were 1.12 +/- 0.09 and 0.97 +/- 0.12. Overall DFSE was comparable-to-superior to T2SE for lesion sizing and image artifact. DFSE lesion detection was inferior to T2SE's in several patient studies because of decreased conspicuity of lesions located near multicoil edges and because of poor breathhold-to-breathhold reproducibility and lack of breathholding. However both DFSE (and T2SE) provided lesion detection rated to be of diagnostic quality for all patient studies. In conclusion, we found that DFSE provides diagnostically useful dual-echo T(2)-weighted MR liver images in a greatly decreased acquisition time.

Adult↗