论文标题

运动补偿全心冠状动脉磁共振血管造影使用集中导航(FNAV)

Motion Compensated Whole-Heart Coronary Magnetic Resonance Angiography using Focused Navigation (fNAV)

论文作者

Roy, Christopher W, Heerfordt, John, Piccini, Davide, Rossi, Giulia, Pavon, Anna Giulia, Schwitter, Juerg, Stuber, Matthias

论文摘要

背景:RSN全心CMRA是一种估计和纠正呼吸运动的技术。但是,RSN仅限于1D刚性校正,对于具有复杂呼吸模式的患者通常不足。因此,这项工作的目的是通过将3D运动信息和非辅助内部校正校正将数据校正纳入称为重点导航(FNAV)的框架来提高3D径向CMRA的鲁棒性和质量。方法:我们将FNAV应用于数值模拟,22名健康志愿者和549名心脏病患者的500个数据集。我们将FNAV与RSN和呼吸解析的XD-GRASP重建和记录的重建时间进行了比较。测量运动精度为模拟的FNAV与地面真相之间的相关性,以及用于体内数据的FNAV和图像注册。使用肥皂泡测量容器的清晰度。最后,图像质量分析是由一位盲目的专家审阅者进行的,他为每个数据集选择了最佳图像。结果FNAV图像的重建时间明显高于RSN(6.1 +/- 2.1分钟,而1.4 +/- 0.3,分钟,分钟,p <0.025),但明显低于XD-Grasp(25.6 +/- 7.1,分钟,分钟,p <0.025)。 FNAV之间存在很高的相关性,并且所有数据集的参考位移估计值(0.73 +/- 0.29)。对于所有数据,FNAV都比所有其他重建都显着更清晰(p <0.01)。最后,一位盲目的审稿人选择了FNAV作为571例案例中239个最佳图像(P = 10-5)。结论:FNAV是改善自由呼吸3D径向全心CMRA的有前途的技术。这种新型的呼吸自动导航方法可以从获得的1D信号从图像清晰度上产生统计学上显着的改善,相对于1D平移校正以及XD-GRASP重建,从而得出了3D非辅助运动估计。

Background: RSN whole-heart CMRA is a technique that estimates and corrects for respiratory motion. However, RSN has been limited to a 1D rigid correction which is often insufficient for patients with complex respiratory patterns. The goal of this work is therefore to improve the robustness and quality of 3D radial CMRA by incorporating both 3D motion information and nonrigid intra-acquisition correction of the data into a framework called focused navigation (fNAV). Methods: We applied fNAV to 500 data sets from a numerical simulation, 22 healthy volunteers, and 549 cardiac patients. We compared fNAV to RSN and respiratory resolved XD-GRASP reconstructions of the same data and recorded reconstruction times. Motion accuracy was measured as the correlation between fNAV and ground truth for simulations, and fNAV and image registration for in vivo data. Vessel sharpness was measured using Soap-Bubble. Finally, image quality analysis was performed by a blinded expert reviewer who chose the best image for each data set. Results The reconstruction time for fNAV images was significantly higher than RSN (6.1 +/- 2.1 minutes vs 1.4 +/- 0.3, minutes, p<0.025) but significantly lower than XD-GRASP (25.6 +/- 7.1, minutes, p<0.025). There is high correlation between the fNAV, and reference displacement estimates across all data sets (0.73 +/- 0.29). For all data, fNAV lead to significantly sharper vessels than all other reconstructions (p < 0.01). Finally, a blinded reviewer chose fNAV as the best image in 239 out of 571 cases (p = 10-5). Conclusion: fNAV is a promising technique for improving free-breathing 3D radial whole-heart CMRA. This novel approach to respiratory self-navigation can derive 3D nonrigid motion estimations from an acquired 1D signal yielding statistically significant improvement in image sharpness relative to 1D translational correction as well as XD-GRASP reconstructions.

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