Prospective motion correction with NMR markers using only native sequence elements

Stealth RF energy harvesting in MRI using selective shielding

PURPOSE

To utilize the transmit radiofrequency (RF) field in MRI as a power source, near or within the field of view but without affecting image quality or safety.

METHODS

Power harvesting is performed by RF induction in a resonant coil. Resulting RF field distortion in the subject is canceled by a selective shield that couples to the harvester while being transparent to the RF transmitter. Such shielding is designed with the help of electromagnetic simulation. A shielded harvester of 3 cm diameter is implemented, assessed on the bench, and tested in a 3T MRI system, recording power yield during typical scans.

RESULTS

The concept of selective shielding is confirmed by simulation. Bench tests show effective power harvesting in the presence of the shield. In the MRI system, it is confirmed that selective shielding virtually eliminates RF perturbation. In scans with the harvester immediately adjacent to a phantom, up to 100 mW of average power are harvested without affecting image quality.

CONCLUSION

Selective shielding enables stealthy RF harvesting which can be used to supply wireless power to on-body devices during MRI.

Servo navigators: Linear regression and feedback control for rigid-body motion correction

PURPOSE

Navigator-based correction of rigid-body motion reconciling high precision with minimal acquisition, minimal calibration and simple, fast processing.

METHODS

A short orbital navigator (2.3 ms) is inserted in a three-dimensional (3D) gradient echo sequence for human head imaging. Head rotation and translation are determined by linear regression based on a complex-valued model built either from three reference navigators or in a reference-less fashion, from the first actual navigator. Optionally, the model is expanded by global phase and field offset. Run-time scan correction on this basis establishes servo control that maintains validity of the linear picture by keeping its expansion point stable in the head frame of reference. The technique is assessed in a phantom and demonstrated by motion-corrected imaging in vivo.

RESULTS

The proposed approach is found to establish stable motion control both with and without reference acquisition. In a phantom, it is shown to accurately detect motion mimicked by rotation of scan geometry as well as change in global B0 . It is demonstrated to converge to accurate motion estimates after perturbation well beyond the linear signal range. In vivo, servo navigation achieved motion detection with precision in the single-digit range of micrometers and millidegrees. Involuntary and intentional motion in the range of several millimeters were successfully corrected, achieving excellent image quality.

CONCLUSION

The combination of linear regression and feedback control enables prospective motion correction for head imaging with high precision and accuracy, short navigator readouts, fast run-time computation, and minimal demand for reference data.

External Hardware and Sensors, for Improved MRI

Complex engineered systems are often equipped with suites of sensors and ancillary devices that monitor their performance and maintenance needs. MRI scanners are no different in this regard. Some of the ancillary devices available to support MRI equipment, the ones of particular interest here, have the distinction of actually participating in the image acquisition process itself. Most commonly, such devices are used to monitor physiological motion or variations in the scanner's imaging fields, allowing the imaging and/or reconstruction process to adapt as imaging conditions change. "Classic" examples include electrocardiography (ECG) leads and respiratory bellows to monitor cardiac and respiratory motion, which have been standard equipment in scan rooms since the early days of MRI. Since then, many additional sensors and devices have been proposed to support MRI acquisitions. The main physical properties that they measure may be primarily "mechanical" (eg acceleration, speed, and torque), "acoustic" (sound and ultrasound), "optical" (light and infrared), or "electromagnetic" in nature. A review of these ancillary devices, as currently available in clinical and research settings, is presented here. In our opinion, these devices are not in competition with each other: as long as they provide useful and unique information, do not interfere with each other and are not prohibitively cumbersome to use, they might find their proper place in future suites of sensors. In time, MRI acquisitions will likely include a plurality of complementary signals. A little like the microbiome that provides genetic diversity to organisms, these devices can provide signal diversity to MRI acquisitions and enrich measurements. Machine-learning (ML) algorithms are well suited at combining diverse input signals toward coherent outputs, and they could make use of all such information toward improved MRI capabilities. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY: Stage 1.

Tracking of rigid head motion during MRI using an EEG system

Purpose

To demonstrate a novel method for tracking of head movements during MRI using electroencephalography (EEG) hardware for recording signals induced by native imaging gradients.

Theory and Methods

Gradient switching during simultaneous EEG–fMRI induces distortions in EEG signals, which depend on subject head position and orientation. When EEG electrodes are interconnected with high‐impedance carbon wire loops, the induced voltages are linear combinations of the temporal gradient waveform derivatives. We introduce head tracking based on these signals (CapTrack) involving 3 steps: (1) phantom scanning is used to characterize the target sequence and a fast calibration sequence; (2) a linear relation between changes of induced signals and head pose is established using the calibration sequence; and (3) induced signals recorded during target sequence scanning are used for tracking and retrospective correction of head movement without prolonging the scan time of the target sequence. Performance of CapTrack is compared directly to interleaved navigators.

Results

Head‐pose tracking at 27.5 Hz during echo planar imaging (EPI) was demonstrated with close resemblance to rigid body alignment (mean absolute difference: [0.14 0.38 0.15]‐mm translation, [0.30 0.27 0.22]‐degree rotation). Retrospective correction of 3D gradient‐echo imaging shows an increase of average edge strength of 12%/−0.39% for instructed/uninstructed motion with CapTrack pose estimates, with a tracking interval of 1561 ms and high similarity to interleaved navigator estimates (mean absolute difference: [0.13 0.33 0.12] mm, [0.28 0.15 0.22] degrees).

Conclusion

Motion can be estimated from recordings of gradient switching with little or no sequence modification, optionally in real time at low computational burden and synchronized to image acquisition, using EEG equipment already found at many research institutions.

Comparison of prospective and retrospective motion correction in 3D-encoded neuroanatomical MRI

PURPOSE

To compare prospective motion correction (PMC) and retrospective motion correction (RMC) in Cartesian 3D-encoded MPRAGE scans and to investigate the effects of correction frequency and parallel imaging on the performance of RMC.

METHODS

Head motion was estimated using a markerless tracking system and sent to a modified MPRAGE sequence, which can continuously update the imaging FOV to perform PMC. The prospective correction was applied either before each echo train (before-ET) or at every sixth readout within the ET (within-ET). RMC was applied during image reconstruction by adjusting k-space trajectories according to the measured motion. The motion correction frequency was retrospectively increased with RMC or decreased with reverse RMC. Phantom and in vivo experiments were used to compare PMC and RMC, as well as to compare within-ET and before-ET correction frequency during continuous motion. The correction quality was quantitatively evaluated using the structural similarity index measure with a reference image without motion correction and without intentional motion.

RESULTS

PMC resulted in superior image quality compared to RMC both visually and quantitatively. Increasing the correction frequency from before-ET to within-ET reduced the motion artifacts in RMC. A hybrid PMC and RMC correction, that is, retrospectively increasing the correction frequency of before-ET PMC to within-ET, also reduced motion artifacts. Inferior performance of RMC compared to PMC was shown with GRAPPA calibration data without intentional motion and without any GRAPPA acceleration.

CONCLUSION

Reductions in local Nyquist violations with PMC resulted in superior image quality compared to RMC. Increasing the motion correction frequency to within-ET reduced the motion artifacts in both RMC and PMC.

Control of a wireless sensor using the pulse sequence for prospective motion correction in brain MRI

PURPOSE

To synchronize and pass information between a wireless motion-tracking device and a pulse sequence and show how this can be used to implement customizable navigator interleaving schemes that are part of the pulse sequence design.

METHODS

The device tracks motion by sampling the voltages induced in 3 orthogonal pickup coils by the changing gradient fields. These coils were modified to also detect RF-transmit events using a 3D RF-detection circuit. The device could then detect and decode a set RF signatures while ignoring excitations in the parent pulse sequence. A set of unique RF signatures were then paired with a collection of navigators and used to trigger readouts on the wireless device synchronous to the pulse sequence execution. Navigator interleaving schemes were then demonstrated in 3D RF-spoiled gradient echo, T₁ -FLAIR (fluid-attenuated inversion recovery) PROPELLER (periodically rotated overlapping parallel lines with enhanced reconstruction), and T₂ -FLAIR PROPELLER pulse sequences.

RESULTS

Excitations in the parent pulse sequences were successfully rejected and the RF signatures successfully decoded. For the 3D gradient echo sequence, distortions were removed by interleaving flipped polarity navigators and taking the difference between consecutive readouts. The impact on scan duration was reduced by 54% by breaking up the navigators into smaller parts. Successful motion correction was performed using the PROPELLER pulse sequences in 3 Tesla and 1.5 Tesla MRI scanners without modifications to the device hardware or software.

CONCLUSION

The proposed RF signature-based triggering scheme enables complex interactions between the pulse sequence and a wireless device. Thus, enabling prospective motion correction that is repeatable, versatile, and minimally invasive with respect to hardware setup.

Navigator-Guided Motion and B0 Correction of T2*-Weighted Magnetic Resonance Imaging Improves Multiple Sclerosis Cortical Lesion Detection

BACKGROUND

Cortical lesions are common in multiple sclerosis (MS). T2*-weighted (T2*w) imaging at 7 T is relatively sensitive for cortical lesions, but quality is often compromised by motion and main magnetic field (B0) fluctuations.

PURPOSE

The aim of this study was to determine whether motion and B0 correction with a navigator-guided gradient-recalled echo sequence can improve cortical lesion detection in T2*w magnetic resonance imaging.

MATERIALS AND METHODS

In this prospective study, a gradient-recalled echo sequence incorporating a navigator allowing for motion and B0 field correction was applied to collect T2*w images at 7 T from adults with MS between August 2019 and March 2020. T2*-weighted images were acquired in 1 to 3 partially overlapping scans per individual and were reconstructed using global average B0 correction ("uncorrected") or motion correction and spatially linear B0 correction ("corrected"). Image quality rating and manual segmentation of cortical lesions were performed on uncorrected and corrected images. Lesions seen on a single scan were retrospectively evaluated on the complementary scan. The association of cortical lesions with clinical disability was assessed. Mixed models were used to determine the effect of correction on lesion detection as well as on the relationship between disability and lesion count.

RESULTS

A total of 22 T2*w scans were performed on 11 adults with MS (mean [SD] age, 49 [11] years; 8 women). Quality improved for 20 of 22 scans (91%) after correction. A total of 69 cortical lesions were identified on uncorrected images (median per scan, 2; range, 0-11) versus 148 on corrected images (median per scan, 4.5; range, 0-25; rate ratio [RR], 2.1; P < 0.0001). For low-quality uncorrected scans with moderate to severe motion artifact (18/22, 82%), there was an improvement in cortical lesion detection with correction (RR, 2.5; P < 0.0001), whereas there was no significant change in cortical lesion detection for high-quality scans (RR, 1.3; P = 0.43).

CONCLUSIONS

Navigator-guided motion and B0 correction substantially improves the overall image quality of T2*w magnetic resonance imaging at 7 T and increases its sensitivity for cortical lesions.

Strategies to improve intratrain prospective motion correction for turbo spin-echo sequences with constant flip angles

PURPOSE

To investigate the effects of prospective motion correction on turbo spin echo sequences and optimize motion correction approaches, mitigating signal dropout artifacts caused by the imperfections of motion tracking data.

METHODS

Signal dropout artifacts caused by undesired phase deviations introduced by tracking errors are analyzed theoretically. To reduce the adverse effect of such deviations, two approaches are proposed: (1) freezing the correction for example, for even-numbered or higher number of echoes and (2) shifting the correction event prior to the left crusher gradient preceding the refocusing pulse. A comprehensive analysis is presented, including both signal simulations and experimental verifications in phantoms and in vivo. Performance of the proposed approach is validated in two healthy volunteers imaged under two types of motion conditions simulating inadvertent fast motions associated with discomfort and continuous large motions.

RESULTS

The results show that the proposed optimization is able to efficiently correct for the motion artifacts and at the same time avoid signal dropout artifacts. Specifically, performing correction every 4^th echo prior to the left crusher gradient was shown to improve image quality.

CONCLUSION

An optimization approach is proposed to exploit the potential of external tracking for intra-echo-train motion artifact correction for turbo spin echo sequences.

7T Epilepsy Task Force Consensus Recommendations on the Use of 7T MRI in Clinical Practice

Identifying a structural brain lesion on MRI has important implications in epilepsy and is the most important factor that correlates with seizure freedom after surgery in patients with drug-resistant focal onset epilepsy. However, at conventional magnetic field strengths (1.5 and 3T), only approximately 60%-85% of MRI examinations reveal such lesions. Over the last decade, studies have demonstrated the added value of 7T MRI in patients with and without known epileptogenic lesions from 1.5 and/or 3T. However, translation of 7T MRI to clinical practice is still challenging, particularly in centers new to 7T, and there is a need for practical recommendations on targeted use of 7T MRI in the clinical management of patients with epilepsy. The 7T Epilepsy Task Force-an international group representing 21 7T MRI centers with experience from scanning over 2,000 patients with epilepsy-would hereby like to share its experience with the neurology community regarding the appropriate clinical indications, patient selection and preparation, acquisition protocols and setup, technical challenges, and radiologic guidelines for 7T MRI in patients with epilepsy. This article mainly addresses structural imaging; in addition, it presents multiple nonstructural MRI techniques that benefit from 7T and hold promise as future directions in epilepsy. Answering to the increased availability of 7T MRI as an approved tool for diagnostic purposes, this article aims to provide guidance on clinical 7T MRI epilepsy management by giving recommendations on referral, suitable 7T MRI protocols, and image interpretation.

Simultaneous feedback control for joint field and motion correction in brain MRI

T2*-weighted gradient-echo sequences count among the most widely used techniques in neuroimaging and offer rich magnitude and phase contrast. The susceptibility effects underlying this contrast scale with B₀, making T2*-weighted imaging particularly interesting at high field. High field also benefits baseline sensitivity and thus facilitates high-resolution studies. However, enhanced susceptibility effects and high target resolution come with inherent challenges. Relying on long echo times, T2*-weighted imaging not only benefits from enhanced local susceptibility effects but also suffers from increased field fluctuations due to moving body parts and breathing. High resolution, in turn, renders neuroimaging particularly vulnerable to motion of the head. This work reports the implementation and characterization of a system that aims to jointly address these issues. It is based on the simultaneous operation of two control loops, one for field stabilization and one for motion correction. The key challenge with this approach is that the two loops both operate on the magnetic field in the imaging volume and are thus prone to mutual interference and potential instability. This issue is addressed at the levels of sensing, timing, and control parameters. Performance assessment shows the resulting system to be stable and exhibit adequate loop decoupling, precision, and bandwidth. Simultaneous field and motion control is then demonstrated in examples of T2*-weighted in vivo imaging at 7T.

Diffusion Imaging in the Post HCP Era

Diffusion imaging is a critical component in the pursuit of developing a better understanding of the human brain. Recent technical advances promise enabling the advancement in the quality of data that can be obtained. In this review the context for different approaches relative to the Human Connectome Project are compared. Significant new gains are anticipated from the use of high-performance head gradients. These gains can be particularly large when the high-performance gradients are employed together with ultrahigh magnetic fields. Transmit array designs are critical in realizing high accelerations in diffusion-weighted (d)MRI acquisitions, while maintaining large field of view (FOV) coverage, and several techniques for optimal signal-encoding are now available. Reconstruction and processing pipelines that precisely disentangle the acquired neuroanatomical information are established and provide the foundation for the application of deep learning in the advancement of dMRI for complex tissues. Level of Evidence: 3 Technical Efficacy Stage: Stage 3.

Reducing motion sensitivity in 3D high-resolution T2*-weighted MRI by navigator-based motion and nonlinear magnetic field correction

T₂*-weighted gradient echo (GRE) MRI at high field is uniquely sensitive to the magnetic properties of tissue and allows the study of brain and vascular anatomy at high spatial resolution. However, it is also sensitive to B₀ field changes induced by head motion and physiological processes such as the respiratory cycle. Conventional motion correction techniques do not take these field changes into account, and consequently do not fully recover image quality in T₂*-weighted MRI. Here, a novel approach was developed to address this by monitoring the B₀ field with a volumetric EPI phase navigator. The navigator was acquired at a shorter echo time than that of the (higher resolution) T₂*-weighted GRE imaging data and accelerated with parallel imaging for high temporal resolution. At 4 ​mm isotropic spatial resolution and 0.54 ​s temporal resolution, the accuracy for estimation of rotation and translation was better than 0.2° and 0.1 ​mm, respectively. The 10% and 90% percentiles of B₀ measurement error using the navigator were -1.8 and 1.5 Hz  at 7 T, respectively. A fast retrospective reconstruction algorithm correcting for both motion and nonlinear B₀ changes was also developed. The navigator and reconstruction algorithm were evaluated in correcting motion-corrupted high-resolution T₂*-weighted GRE MRI on healthy human subjects at 7 ​T. Excellent image quality was demonstrated with the proposed correction method.

Resting State fMRI: Going Through the Motions

Resting state functional magnetic resonance imaging (rs-fMRI) has become an indispensable tool in neuroscience research. Despite this, rs-fMRI signals are easily contaminated by artifacts arising from movement of the head during data collection. The artifacts can be problematic even for motions on the millimeter scale, with complex spatiotemporal properties that can lead to substantial errors in functional connectivity estimates. Effective correction methods must be employed, therefore, to distinguish true functional networks from motion-related noise. Research over the last three decades has produced numerous correction methods, many of which must be applied in combination to achieve satisfactory data quality. Subject instruction, training, and mild restraints are helpful at the outset, but usually insufficient. Improvements come from applying multiple motion correction algorithms retrospectively after rs-fMRI data are collected, although residual artifacts can still remain in cases of elevated motion, which are especially prevalent in patient populations. Although not commonly adopted at present, “real-time” correction methods are emerging that can be combined with retrospective methods and that promise better correction and increased rs-fMRI signal sensitivity. While the search for the ideal motion correction protocol continues, rs-fMRI research will benefit from good disclosure practices, such as: (1) reporting motion-related quality control metrics to provide better comparison between studies; and (2) including motion covariates in group-level analyses to limit the extent of motion-related confounds when studying group differences.

A Wireless Radio Frequency Triggered Acquisition Device (WRAD) for Self-Synchronised Measurements of the Rate of Change of the MRI Gradient Vector Field for Motion Tracking

In this paper, we present a device that is capable of wireless synchronization to the MRI pulse sequence time frame with sub-microsecond precision. This is achieved by detecting radio frequency pulses in the parent pulse sequence using a small resonant circuit. The device incorporates a 3-axis pickup coil, constructed using conventional printed circuit board (PCB) manufacturing techniques, to measure the rate of change of the gradient waveforms with respect to time. Using Maxwell's equations, assuming negligible rates of change of curl and divergence, a model of the expected gradient derivative (slew) vector field is presented. A 3-axis Hall effect magnetometer allows for the measurement of the direction of the static magnetic field in the device co-ordinate frame. By combining the magnetometer measurement with the pickup coil voltages and slew vector field model, the orientation and position can be determined to within a precision of 0.1 degrees and 0.1 mm, respectively, using a pulse series lasting 880 μs . The gradient pulses are designed to be sinusoidal, enabling the detection of a phase shift between the time frame of the pickup coil digitization circuit and the gradient amplifiers. The signal processing is performed by a low power micro-controller on the device and the results are transmitted out of the scanner bore using a low latency 2.4 GHz radio link. The device identified an unexpected 40 kHz oscillation relating to the pulse width modulation frequency of the gradient amplifiers that is predominantly in the direction of the static magnetic field. The proposed wireless radio frequency triggered acquisition device enables users to probe the scanner gradient slew vector field with minimal hardware set-up and shows promise for the future developments in the prospective motion correction.

Toward "plug and play" prospective motion correction for MRI by combining observations of the time varying gradient and static vector fields

PURPOSE

The efficacy of a Wireless Radio frequency triggered Acquisition Device (WRAD) is evaluated for high frequency (50 Hz) prospective motion correction in a 3-dimensional spoiled gradient echo pulse sequence.

METHODS

The device measures the rate of change in the gradient vector fields (slew) using a 3-dimensional assembly of Printed Circuit Board (PCB) inductors and the direction of the static magnetic field using a 3-axis Hall effect magnetometer. The slew vector encoding is highly efficient, because the Maxwell-term position encoding is observable, allowing overconstrained pose measurement using 3 sinusoidal gradient pulses lasting 880 μs. Since small offsets in the magnetometer can introduce bias into the pose estimates, sensor/system biases are tracked using a lightweight Kalman filter. The only calibration required is determining a geometric scaling factor for the pickup coils, which is specific to the device and will therefore be valid in any scanner.

RESULTS

The device was used to perform prospective motion correction in 3 subjects, resulting in an increase in Average Edge Strength (AES) for involuntary and deliberate motion.

CONCLUSIONS

The WRAD is simple to set up and use, with well-defined measurement variance. This could enable "plug and play" prospective motion correction if pulse sequence independence is achieved.

Markerless high-frequency prospective motion correction for neuroanatomical MRI

PURPOSE

To integrate markerless head motion tracking with prospectively corrected neuroanatomical MRI sequences and to investigate high-frequency motion correction during imaging echo trains.

METHODS

A commercial 3D surface tracking system, which estimates head motion by registering point cloud reconstructions of the face, was used to adapt the imaging FOV based on head movement during MPRAGE and T₂ SPACE (3D variable flip-angle turbo spin-echo) sequences. The FOV position and orientation were updated every 6 lines of k-space (< 50 ms) to enable "within-echo-train" prospective motion correction (PMC). Comparisons were made with scans using "before-echo-train" PMC, in which the FOV was updated only once per TR, before the start of each echo train (ET). Continuous-motion experiments with phantoms and in vivo were used to compare these high-frequency and low-frequency correction strategies. MPRAGE images were processed with FreeSurfer to compare estimates of brain structure volumes and cortical thickness in scans with different PMC.

RESULTS

The median absolute pose differences between markerless tracking and MR image registration were 0.07/0.26/0.15 mm for x/y/z translation and 0.06º/0.02º/0.12° for rotation about x/y/z. The PMC with markerless tracking substantially reduced motion artifacts. The continuous-motion experiments showed that within-ET PMC, which minimizes FOV encoding errors during ETs that last over 1 second, reduces artifacts compared with before-ET PMC. T₂ SPACE was found to be more sensitive to motion during ETs than MPRAGE. FreeSurfer morphometry estimates from within-ET PMC MPRAGE images were the most accurate.

CONCLUSION

Markerless head tracking can be used for PMC, and high-frequency within-ET PMC can reduce sensitivity to motion during long imaging ETs.

Comparison of prospective head motion correction with NMR field probes and an optical tracking system

PURPOSE

The aim of this study was to compare prospective head motion correction and motion tracking abilities of two tracking systems: Active NMR field probes and a Moiré phase tracking camera system using an optical marker.

METHODS

Both tracking systems were used simultaneously on human subjects. The prospective head motion correction was compared in an MP2RAGE and a gradient echo sequence. In addition, the motion tracking trajectories for three subjects were compared against each other and their correlation and deviations were analyzed.

RESULTS

With both tracking systems motion artifacts were visibly reduced. The precision of the field probe system was on the order of 50 µm for translations and 0.03° for rotations while the camera's was approximately 5 µm and 0.007°. The comparison of the measured trajectories showed close correlation and an average absolute deviation below 500 µm and 0.5°.

CONCLUSION

This study presents the first in vivo comparison between NMR field probes and Moiré phase tracking. For the gradient echo images, the field probes had a similar motion correction performance as the optical tracking system. For the MP2RAGE measurement, however, the camera yielded better results. Still, both tracking systems substantially decreased image artifacts in the presence of subject motion. Thus, the motion tracking modality should be chosen according to the specific requirements of the experiment while considering the desired image resolution, refresh rate, and head coil constraints.