Assessment of white matter microstructure in stroke patients using NODDI|
G. Adluru, Y. Gur, J. Anderson, L. Richards, N. Adluru, E. DiBella. In Proceedings of the 2014 IEEE Int. Conf. Engineering and Biology Society (EMBC), 2014.
Diffusion weighted imaging (DWI) is widely used to study changes in white matter following stroke. In various studies employing diffusion tensor imaging (DTI) and high angular resolution diffusion imaging (HARDI) modalities, it has been shown that fractional anisotropy (FA), mean diffusivity (MD), and generalized FA (GFA) can be used as measures of white matter tract integrity in stroke patients. However, these measures may be non-specific, as they do not directly delineate changes in tissue microstructure. Multi-compartment models overcome this limitation by modeling DWI data using a set of indices that are directly related to white matter microstructure. One of these models which is gaining popularity, is neurite orientation dispersion and density imaging (NODDI). This model uses conventional single or multi-shell HARDI data to describe fiber orientation dispersion as well as densities of different tissue types in the imaging voxel. In this paper, we apply for the first time the NODDI model to 4-shell HARDI stroke data. By computing NODDI indices over the entire brain in two stroke patients, and comparing tissue regions in ipsilesional and contralesional hemispheres, we demonstrate that NODDI modeling provides specific information on tissue microstructural changes. We also introduce an information theoretic analysis framework to investigate the non-local effects of stroke in the white matter. Our initial results suggest that the NODDI indices might be more specific markers of white matter reorganization following stroke than other measures previously used in studies of stroke recovery.
Subject-specific prediction using nonlinear population modeling: Application to early brain maturation from DTI|
N. Sadeghi, P.T. Fletcher, M. Prastawa, J.H. Gilmore, G. Gerig. In Proceedings of Medical Image Computing and Computer-Assisted Intervention (MICCAI 2014), 2014.
The term prediction implies expected outcome in the future, often based on a model and statistical inference. Longitudinal imaging studies offer the possibility to model temporal change trajectories of anatomy across populations of subjects. In the spirit of subject-specific analysis, such normative models can then be used to compare data from new subjects to the norm and to study progression of disease or to predict outcome. This paper follows a statistical inference approach and presents a framework for prediction of future observations based on past measurements and population statistics. We describe prediction in the context of nonlinear mixed effects modeling (NLME) where the full reference population's statistics (estimated fixed effects, variance-covariance of random effects, variance of noise) is used along with the individual's available observations to predict its trajectory. The proposed methodology is generic in regard to application domains. Here, we demonstrate analysis of early infant brain maturation from longitudinal DTI with up to three time points. Growth as observed in DTI-derived scalar invariants is modeled with a parametric function, its parameters being input to NLME population modeling. Trajectories of new subject's data are estimated when using no observation, only the rst or the first two time points. Leave-one-out experiments result in statistics on differences between actual and predicted observations. We also simulate a clinical scenario of prediction on multiple categories, where trajectories predicted from multiple models are classified based on maximum likelihood criteria.
GuideME: Slice-guided Semiautomatic Multivariate Exploration of Volumes|
L. Zhou, C.D. Hansen. In Computer Graphics Forum, Vol. 33, No. 3, Wiley-Blackwell, pp. 151--160. jun, 2014.
Multivariate volume visualization is important for many applications including petroleum exploration and medicine. State-of-the-art tools allow users to interactively explore volumes with multiple linked parameter-space views. However, interactions in the parameter space using trial-and-error may be unintuitive and time consuming. Furthermore, switching between different views may be distracting. In this paper, we propose GuideME: a novel slice-guided semiautomatic multivariate volume exploration approach. Specifically, the approach comprises four stages: attribute inspection, guided uncertainty-aware lasso creation, automated feature extraction and optional spatial fine tuning and visualization. Throughout the exploration process, the user does not need to interact with the parameter views at all and examples of complex real-world data demonstrate the usefulness, efficiency and ease-of-use of our method.
Network inefficiencies in autism spectrum disorder at 24 months|
J.D. Lewis, A.C. Evans, J.R. Pruett, K. Botteron, L. Zwaigenbaum, A. Estes, G. Gerig, L. Collins, P. Kostopoulos, R. McKinstry, S. Dager, S. Paterson, R. Schultz, M. Styner, H. Hazlett, J. Piven, IBIS network. In Translational Psychiatry, Vol. 4, No. 5, Nature Publishing Group, pp. e388. May, 2014.
Autism Spectrum Disorder (ASD) is a developmental disorder defined by behavioural symptoms that emerge during the first years of life. Associated with these symptoms are differences in the structure of a wide array of brain regions, and in the connectivity between these regions. However, the use of cohorts with large age variability and participants past the generally recognized age of onset of the defining behaviours means that many of the reported abnormalities may be a result of cascade effects of developmentally earlier deviations. This study assessed differences in connectivity in ASD at the age at which the defining behaviours first become clear. The participants were 113 24-month-olds at high risk for ASD, 31 of whom were classified as ASD, and 23 typically developing 24-month-olds at low risk for ASD. Utilizing diffusion data to obtain measures of the length and strength of connections between anatomical regions, we performed an analysis of network efficiency. Our results showed significantly decreased local and global efficiency over temporal, parietal, and occipital lobes in high-risk infants classified as ASD, relative to both low- and high-risk infants not classified as ASD. The frontal lobes showed only a reduction in global efficiency in Broca's area. Additionally, these same regions showed an inverse relation between efficiency and symptom severity across the high-risk infants. The results suggest delay or deficits in infants with ASD in the optimization of both local and global aspects of network structure in regions involved in processing auditory and visual stimuli, language, and nonlinguistic social stimuli.
Keywords: autism, infant siblings, connectivity, network analysis, efficiency
Characterizing growth patterns in longitudinal MRI using image contrast|
A. Vardhan, M. Prastawa, C. Vachet, J. Piven, G. Gerig. In Proceedings of Medical Imaging 2014: Image Processing, 2014.
Understanding the growth patterns of the early brain is crucial to the study of neuro-development. In the early stages of brain growth, a rapid sequence of biophysical and chemical processes take place. A crucial component of these processes, known as myelination, consists of the formation of a myelin sheath around a nerve fiber, enabling the effective transmission of neural impulses. As the brain undergoes myelination, there is a subsequent change in the contrast between gray matter and white matter as observed in MR scans. In this work, graywhite matter contrast is proposed as an effective measure of appearance which is relatively invariant to location, scanner type, and scanning conditions. To validate this, contrast is computed over various cortical regions for an adult human phantom. MR (Magnetic Resonance) images of the phantom were repeatedly generated using different scanners, and at different locations. Contrast displays less variability over changing conditions of scan compared to intensity-based measures, demonstrating that it is less dependent than intensity on external factors. Additionally, contrast is used to analyze longitudinal MR scans of the early brain, belonging to healthy controls and Down's Syndrome (DS) patients. Kernel regression is used to model subject-specific trajectories of contrast changing with time. Trajectories of contrast changing with time, as well as time-based biomarkers extracted from contrast modeling, show large differences between groups. The preliminary applications of contrast based analysis indicate its future potential to reveal new information not covered by conventional volumetric or deformation-based analysis, particularly for distinguishing between normal and abnormal growth patterns.
Semi-automated application for kidney motion correction and filtration analysis in MR renography|
F. Rousset, C. Vachet, C. Conlin, M. Heilbrun, J.L. Zhang, V.S. Lee, G. Gerig. In Proceeding of the 2014 Joint Annual Meeting ISMRM-ESMRMB, pp. (accepted). 2014.
Altered renal function commonly affects patients with cirrhosis, a consequence of chronic liver disease. From lowdose contrast material-enhanced magnetic resonance (MR) renography, we can estimate the Glomerular Filtration Rate (GFR), an important parameter to assess renal function. Two-dimensional MR images are acquired every 2 seconds for approximately 5 minutes during free breathing, which results in a dynamic series of 140 images representing kidney filtration over time. This specific acquisition presents dynamic contrast changes but is also challenged by organ motion due to breathing. Rather than use conventional image registration techniques, we opted for an alternative method based on object detection. We developed a novel analysis framework available under a stand-alone toolkit to efficiently register dynamic kidney series, manually select regions of interest, visualize the concentration curves for these ROIs, and fit them into a model to obtain GFR values. This open-source cross-platform application is written in C++, using the Insight Segmentation and Registration Toolkit (ITK) library, and QT4 as a graphical user interface.
4D Modeling of Infant Brain Growth in Down's Syndrome and Controls from longitudinal MRI|
C. Vachet, H.C. Hazlett, J. Piven, G. Gerig. In Proceeding of the 2014 Joint Annual Meeting ISMRM-ESMRMB, pp. (accepted). 2014.
Modeling of early brain growth trajectories from longitudinal MRI will provide new insight into neurodevelopmental characteristics, timing and type of changes in neurological disorders from controls. In addition to an ongoing large-scale infant autism neuroimaging study 1, we recruited 4 infants with Down’s syndrome (DS) in order to evaluate newly developed methods for 4D segmentation from longitudinal infant MRI, and for temporal modeling of brain growth trajectories. Specifically to Down's, a comparison of patterns of full brain and lobar tissue growth may lead to better insight into the observed variability of cognitive development and neurological effects, and may help with development of disease-modifying therapeutic intervention.
|Subject-Motion Correction in HARDI Acquisitions: Choices and Consequences,
S. Elhabian, Y. Gur, J. Piven, M. Styner, I. Leppert, G.B. Pike, G. Gerig. In Proceeding of the 2014 Joint Annual Meeting ISMRM-ESMRMB, pp. (accepted). 2014.
Unlike anatomical MRI where subject motion can most often be assessed by quick visual quality control, the detection, characterization and evaluation of the impact of motion in diffusion imaging are challenging issues due to the sensitivity of diffusion weighted imaging (DWI) to motion originating from vibration, cardiac pulsation, breathing and head movement. Post-acquisition motion correction is widely performed, e.g. using the open-source DTIprep software [1,2] or TORTOISE , but in particular in high angular resolution diffusion imaging (HARDI), users often do not fully understand the consequences of different types of correction schemes on the final analysis, and whether those choices may introduce confounding factors when comparing populations. Although there is excellent theoretical work on the number of directional DWI and its effect on the quality and crossing fiber resolution of orientation distribution functions (ODF), standard users lack clear guidelines and recommendations in practical settings. This research investigates motion correction using transformation and interpolation of affected DWI directions versus the exclusion of subsets of DWI’s, and its effects on diffusion measurements on the reconstructed fiber orientation diffusion functions and on the estimated fiber orientations. The various effects are systematically studied via a newly developed synthetic phantom and also on real HARDI data.
Normative Modeling of Early Brain Maturation from Longitudinal DTI Reveals Twin-Singleton Differences|
N. Sadeghi, J.H. Gilmore, W. Lin, G. Gerig. In Proceeding of the 2014 Joint Annual Meeting ISMRM-ESMRMB, pp. (accepted). 2014.
Early brain development of white matter is characterized by rapid organization and structuring. Magnetic Resonance diffusion tensor imaging (MR-DTI) provides the possibility of capturing these changes non-invasively by following individuals longitudinally in order to better understand departures from normal brain development in subjects at risk for mental illness . Longitudinal imaging of individuals suggests the use of 4D (3D, time) image analysis and longitudinal statistical modeling .
UNC-Utah NA-MIC framework for DTI fiber tract analysis|
A.R. Verde, F. Budin, J.-B. Berger, A. Gupta, M. Farzinfar, A. Kaiser, M. Ahn, H. Johnson, J. Matsui, H.C. Hazlett, A. Sharma, C. Goodlett, Y. Shi, S. Gouttard, C. Vachet, J. Piven, H. Zhu, G. Gerig, M. Styner. In Frontiers in Neuroinformatics, Vol. 7, No. 51, January, 2014.
Diffusion tensor imaging has become an important modality in the field of neuroimaging to capture changes in micro-organization and to assess white matter integrity or development. While there exists a number of tractography toolsets, these usually lack tools for preprocessing or to analyze diffusion properties along the fiber tracts. Currently, the field is in critical need of a coherent end-to-end toolset for performing an along-fiber tract analysis, accessible to non-technical neuroimaging researchers. The UNC-Utah NA-MIC DTI framework represents a coherent, open source, end-to-end toolset for atlas fiber tract based DTI analysis encompassing DICOM data conversion, quality control, atlas building, fiber tractography, fiber parameterization, and statistical analysis of diffusion properties. Most steps utilize graphical user interfaces (GUI) to simplify interaction and provide an extensive DTI analysis framework for non-technical researchers/investigators. We illustrate the use of our framework on a small sample, cross sectional neuroimaging study of eight healthy 1-year-old children from the Infant Brain Imaging Study (IBIS) Network. In this limited test study, we illustrate the power of our method by quantifying the diffusion properties at 1 year of age on the genu and splenium fiber tracts.
Keywords: neonatal neuroimaging, white matter pathways, magnetic resonance imaging, diffusion tensor imaging, diffusion imaging quality control, DTI atlas building
DTIPrep: Quality Control of Diffusion-Weighted Images|
I. Oguz, M. Farzinfar, J. Matsui, F. Budin, Z. Liu, G. Gerig, H.J. Johnson, M.A. Styner. In Frontiers in Neuroinformatics, Vol. 8, No. 4, 2014.
In the last decade, diffusion MRI (dMRI) studies of the human and animal brain have been used to investigate a multitude of pathologies and drug-related effects in neuroscience research. Study after study identifies white matter (WM) degeneration as a crucial biomarker for all these diseases. The tool of choice for studying WM is dMRI. However, dMRI has inherently low signal-to-noise ratio and its acquisition requires a relatively long scan time; in fact, the high loads required occasionally stress scanner hardware past the point of physical failure. As a result, many types of artifacts implicate the quality of diffusion imagery. Using these complex scans containing artifacts without quality control (QC) can result in considerable error and bias in the subsequent analysis, negatively affecting the results of research studies using them. However, dMRI QC remains an under-recognized issue in the dMRI community as there are no user-friendly tools commonly available to comprehensively address the issue of dMRI QC. As a result, current dMRI studies often perform a poor job at dMRI QC.
Thorough QC of diffusion MRI will reduce measurement noise and improve reproducibility, and sensitivity in neuroimaging studies; this will allow researchers to more fully exploit the power of the dMRI technique and will ultimately advance neuroscience. Therefore, in this manuscript, we present our open-source software, DTIPrep, as a unified, user friendly platform for thorough quality control of dMRI data. These include artifacts caused by eddy-currents, head motion, bed vibration and pulsation, venetian blind artifacts, as well as slice-wise and gradient-wise intensity inconsistencies. This paper summarizes a basic set of features of DTIPrep described earlier and focuses on newly added capabilities related to directional artifacts and bias analysis.
Keywords: diffusion MRI, Diffusion Tensor Imaging, Quality control, Software, open-source, preprocessing
Multi-atlas segmentation of subcortical brain structures via the AutoSeg software pipeline|
J. Wang, C. Vachet, A. Rumple, S. Gouttard, C. Ouzie, E. Perrot, G. Du, X. Huang, G. Gerig, M.A. Styner. In Frontiers in Neuroinformatics, Vol. 8, No. 7, 2014.
Automated segmenting and labeling of individual brain anatomical regions, in MRI are challenging, due to the issue of individual structural variability. Although atlas-based segmentation has shown its potential for both tissue and structure segmentation, due to the inherent natural variability as well as disease-related changes in MR appearance, a single atlas image is often inappropriate to represent the full population of datasets processed in a given neuroimaging study. As an alternative for the case of single atlas segmentation, the use of multiple atlases alongside label fusion techniques has been introduced using a set of individual “atlases” that encompasses the expected variability in the studied population. In our study, we proposed a multi-atlas segmentation scheme with a novel graph-based atlas selection technique. We first paired and co-registered all atlases and the subject MR scans. A directed graph with edge weights based on intensity and shape similarity between all MR scans is then computed. The set of neighboring templates is selected via clustering of the graph. Finally, weighted majority voting is employed to create the final segmentation over the selected atlases. This multi-atlas segmentation scheme is used to extend a single-atlas-based segmentation toolkit entitled AutoSeg, which is an open-source, extensible C++ based software pipeline employing BatchMake for its pipeline scripting, developed at the Neuro Image Research and Analysis Laboratories of the University of North Carolina at Chapel Hill. AutoSeg performs N4 intensity inhomogeneity correction, rigid registration to a common template space, automated brain tissue classification based skull-stripping, and the multi-atlas segmentation. The multi-atlas-based AutoSeg has been evaluated on subcortical structure segmentation with a testing dataset of 20 adult brain MRI scans and 15 atlas MRI scans. The AutoSeg achieved mean Dice coefficients of 81.73% for the subcortical structures.
Keywords: segmentation, Registration, MRI, Atlas, Brain, Insight Toolkit
Generalized HARDI Invariants by Method of Tensor Contraction|
Y. Gur, C.R. Johnson. In Proceedings of the 2014 IEEE International Symposium on Biomedical Imaging (ISBI), pp. 718--721. April, 2014.
We propose a 3D object recognition technique to construct rotation invariant feature vectors for high angular resolution diffusion imaging (HARDI). This method uses the spherical harmonics (SH) expansion and is based on generating rank-1 contravariant tensors using the SH coefficients, and contracting them with covariant tensors to obtain invariants. The proposed technique enables the systematic construction of invariants for SH expansions of any order using simple mathematical operations. In addition, it allows construction of a large set of invariants, even for low order expansions, thus providing rich feature vectors for image analysis tasks such as classification and segmentation. In this paper, we use this technique to construct feature vectors for eighth-order fiber orientation distributions (FODs) reconstructed using constrained spherical deconvolution (CSD). Using simulated and in vivo brain data, we show that these invariants are robust to noise, enable voxel-wise classification, and capture meaningful information on the underlying white matter structure.
Keywords: Diffusion MRI, HARDI, invariants
Parametric Regression Scheme for Distributions: Analysis of DTI Fiber Tract Diffusion Changes in Early Brain Development|
A. Sharma, P.T. Fletcher, J.H. Gilmore, M.L. Escolar, A. Gupta, M. Styner, G. Gerig. In Proceedings of the 2014 IEEE International Symposium on Biomedical Imaging (ISBI), pp. (accepted). 2014.
Temporal modeling frameworks often operate on scalar variables by summarizing data at initial stages as statistical summaries of the underlying distributions. For instance, DTI analysis often employs summary statistics, like mean, for regions of interest and properties along fiber tracts for population studies and hypothesis testing. This reduction via discarding of variability information may introduce significant errors which propagate through the procedures. We propose a novel framework which uses distribution-valued variables to retain and utilize the local variability information. Classic linear regression is adapted to employ these variables for model estimation. The increased stability and reliability of our proposed method when compared with regression using single-valued statistical summaries, is demonstrated in a validation experiment with synthetic data. Our driving application is the modeling of age-related changes along DTI white matter tracts. Results are shown for the spatiotemporal population trajectory of genu tract estimated from 45 healthy infants and compared with a Krabbe's patient.
Keywords: linear regression, distribution-valued data, spatiotemporal growth trajectory, DTI, early neurodevelopment
Geodesic Regression of Image and Shape Data for Improved Modeling of 4D Trajectories|
J. Fishbaugh, M. Prastawa, G. Gerig, S. Durrleman. In Proceedings of the 2014 IEEE International Symposium on Biomedical Imaging (ISBI), pp. (accepted). 2014.
A variety of regression schemes have been proposed on images or shapes, although available methods do not handle them jointly. In this paper, we present a framework for joint image and shape regression which incorporates images as well as anatomical shape information in a consistent manner. Evolution is described by a generative model that is the analog of linear regression, which is fully characterized by baseline images and shapes (intercept) and initial momenta vectors (slope). Further, our framework adopts a control point parameterization of deformations, where the dimensionality of the deformation is determined by the complexity of anatomical changes in time rather than the sampling of the image and/or the geometric data. We derive a gradient descent algorithm which simultaneously estimates baseline images and shapes, location of control points, and momenta. Experiments on real medical data demonstrate that our framework effectively combines image and shape information, resulting in improved modeling of 4D (3D space + time) trajectories.
Improved Segmentation of White Matter Tracts with Adaptive Riemannian Metrics|
X. Hao, K. Zygmunt, R.T. Whitaker, P.T. Fletcher. In Medical Image Analysis, Vol. 18, No. 1, pp. 161--175. Jan, 2014.
PubMed ID: 24211814
We present a novel geodesic approach to segmentation of white matter tracts from diffusion tensor imaging (DTI). Compared to deterministic and stochastic tractography, geodesic approaches treat the geometry of the brain white matter as a manifold, often using the inverse tensor field as a Riemannian metric. The white matter pathways are then inferred from the resulting geodesics, which have the desirable property that they tend to follow the main eigenvectors of the tensors, yet still have the flexibility to deviate from these directions when it results in lower costs. While this makes such methods more robust to noise, the choice of Riemannian metric in these methods is ad hoc. A serious drawback of current geodesic methods is that geodesics tend to deviate from the major eigenvectors in high-curvature areas in order to achieve the shortest path. In this paper we propose a method for learning an adaptive Riemannian metric from the DTI data, where the resulting geodesics more closely follow the principal eigenvector of the diffusion tensors even in high-curvature regions. We also develop a way to automatically segment the white matter tracts based on the computed geodesics. We show the robustness of our method on simulated data with different noise levels. We also compare our method with tractography methods and geodesic approaches using other Riemannian metrics and demonstrate that the proposed method results in improved geodesics and segmentations using both synthetic and real DTI data.
Keywords: Conformal factor, Diffusion tensor imaging, Front-propagation, Geodesic, Riemannian manifold
A Joint Framework for 4D Segmentation and Estimation of Smooth Temporal Appearance Changes|
Y. Gao, M. Prastawa, M. Styner, J. Piven, G. Gerig. In Proceedings of the 2014 IEEE International Symposium on Biomedical Imaging (ISBI), pp. (accepted). 2014.
Medical imaging studies increasingly use longitudinal images of individual subjects in order to follow-up changes due to development, degeneration, disease progression or efficacy of therapeutic intervention. Repeated image data of individuals are highly correlated, and the strong causality of information over time lead to the development of procedures for joint segmentation of the series of scans, called 4D segmentation. A main aim was improved consistency of quantitative analysis, most often solved via patient-specific atlases. Challenging open problems are contrast changes and occurance of subclasses within tissue as observed in multimodal MRI of infant development, neurodegeneration and disease. This paper proposes a new 4D segmentation framework that enforces continuous dynamic changes of tissue contrast patterns over time as observed in such data. Moreover, our model includes the capability to segment different contrast patterns within a specific tissue class, for example as seen in myelinated and unmyelinated white matter regions in early brain development. Proof of concept is shown with validation on synthetic image data and with 4D segmentation of longitudinal, multimodal pediatric MRI taken at 6, 12 and 24 months of age, but the methodology is generic w.r.t. different application domains using serial imaging.
4D Active Cut: An Interactive Tool for Pathological Anatomy Modeling|
Bo Wang, W. Liu, M. Prastawa, A. Irimia, P.M. Vespa, J.D. van Horn, P.T. Fletcher, G. Gerig. In Proceedings of the 2014 IEEE International Symposium on Biomedical Imaging (ISBI), pp. (accepted). 2014.
4D pathological anatomy modeling is key to understanding complex pathological brain images. It is a challenging problem due to the difficulties in detecting multiple appearing and disappearing lesions across time points and estimating dynamic changes and deformations between them. We propose a novel semi-supervised method, called 4D active cut, for lesion recognition and deformation estimation. Existing interactive segmentation methods passively wait for user to refine the segmentations which is a difficult task in 3D images that change over time. 4D active cut instead actively selects candidate regions for querying the user, and obtains the most informative user feedback. A user simply answers 'yes' or 'no' to a candidate object without having to refine the segmentation slice by slice. Compared to single-object detection of the existing methods, our method also detects multiple lesions with spatial coherence using Markov random fields constraints. Results show improvement on the lesion detection, which subsequently improves deformation estimation.
Keywords: Active learning, graph cuts, longitudinal MRI, Markov Random Fields, semi-supervised learning
A Preliminary Study on the Effect of Motion Correction On HARDI Reconstruction|
S. Elhabian, Y. Gur, C. Vachet, J. Piven, M. Styner, I. Leppert, G.B. Pike, G. Gerig. In Proceedings of the 2014 IEEE International Symposium on Biomedical Imaging (ISBI), pp. (accepted). 2014.
Post-acquisition motion correction is widely performed in diffusionweighted imaging (DWI) to guarantee voxel-wise correspondence between DWIs. Whereas this is primarily motivated to save as many scans as possible if corrupted by motion, users do not fully understand the consequences of different types of interpolation schemes on the final analysis. Nonetheless, interpolation might increase the partial volume effect while not preserving the volume of the diffusion profile, whereas excluding poor DWIs may affect the ability to resolve crossing fibers especially with small separation angles. In this paper, we investigate the effect of interpolating diffusion measurements as well as the elimination of bad directions on the reconstructed fiber orientation diffusion functions and on the estimated fiber orientations. We demonstrate such an effect on synthetic and real HARDI datasets. Our experiments demonstrate that the effect of interpolation is more significant with small fibers separation angles where the exclusion of motion-corrupted directions decreases the ability to resolve such crossing fibers.
Keywords: Diffusion MRI, HARDI, motion correction, interpolation
Four‐dimensional tissue deformation reconstruction (4D TDR) validation using a real tissue phantom|
M. Szegedi, J. Hinkle, P. Rassiah, V. Sarkar, B. Wang, S. Joshi, B. Salter. In Journal of Applied Clinical Medical Physics, Vol. 14, No. 1, pp. 115-132. 2013.
Calculation of four‐dimensional (4D) dose distributions requires the remapping of dose calculated on each available binned phase of the 4D CT onto a reference phase for summation. Deformable image registration (DIR) is usually used for this task, but unfortunately almost always considers only endpoints rather than the whole motion path. A new algorithm, 4D tissue deformation reconstruction (4D TDR), that uses either CT projection data or all available 4D CT images to reconstruct 4D motion data, was developed. The purpose of this work is to verify the accuracy of the fit of this new algorithm using a realistic tissue phantom. A previously described fresh tissue phantom with implanted electromagnetic tracking (EMT) fiducials was used for this experiment. The phantom was animated using a sinusoidal and a real patient‐breathing signal. Four‐dimensional computer tomography (4D CT) and EMT tracking were performed. Deformation reconstruction was conducted using the 4D TDR and a modified 4D TDR which takes real tissue hysteresis (4D TDRHysteresis) into account. Deformation estimation results were compared to the EMT and 4D CT coordinate measurements. To eliminate the possibility of the high contrast markers driving the 4D TDR, a comparison was made using the original 4D CT data and data in which the fiducials were electronically masked. For the sinusoidal animation, the average deviation of the 4D TDR compared to the manually determined coordinates from 4D CT data was 1.9 mm, albeit with as large as 4.5 mm deviation. The 4D TDR calculation traces matched 95% of the EMT trace within 2.8 mm. The motion hysteresis generated by real tissue is not properly projected other than at endpoints of motion. Sinusoidal animation resulted in 95% of EMT measured locations to be within less than 1.2 mm of the measured 4D CT motion path, enabling accurate motion characterization of the tissue hysteresis. The 4D TDRHysteresis calculation traces accounted well for the hysteresis and matched 95% of the EMT trace within 1.6 mm. An irregular (in amplitude and frequency) recorded patient trace applied to the same tissue resulted in 95% of the EMT trace points within less than 4.5 mm when compared to both the 4D CT and 4D TDRHysteresis motion paths. The average deviation of 4D TDRHysteresis compared to 4D CT datasets was 0.9 mm under regular sinusoidal and 1.0 mm under irregular patient trace animation. The EMT trace data fit to the 4D TDRHysteresis was within 1.6 mm for sinusoidal and 4.5 mm for patient trace animation. While various algorithms have been validated for end‐to‐end accuracy, one can only be fully confident in the performance of a predictive algorithm if one looks at data along the full motion path. The 4D TDR, calculating the whole motion path rather than only phase‐ or endpoints, allows us to fully characterize the accuracy of a predictive algorithm, minimizing assumptions. This algorithm went one step further by allowing for the inclusion of tissue hysteresis effects, a real‐world effect that is neglected when endpoint‐only validation is performed. Our results show that the 4D TDRHysteresis correctly models the deformation at the endpoints and any intermediate points along the motion path.