LAUSR.org creates dashboard-style pages of related content for over 1.5 million academic articles. Sign Up to like articles & get recommendations!

Multi-Contrast Four-dimensional Magnetic Resonance Imaging (MC-4D-MRI): development and initial evaluation in liver tumor patients.

Photo by adrienolichon from unsplash

PURPOSE To develop a novel multi-contrast 4D-MRI (MC-4D-MRI) technique that expands single image contrast 4D-MRI to a spectrum of native and synthetic image contrasts and to evaluate its feasibility in… Click to show full abstract

PURPOSE To develop a novel multi-contrast 4D-MRI (MC-4D-MRI) technique that expands single image contrast 4D-MRI to a spectrum of native and synthetic image contrasts and to evaluate its feasibility in liver tumor patients. METHODS AND MATERIALS The MC-4D-MRI technique integrates multi-parametric MRI fusion, 4D-MRI and deformable image registration (DIR) techniques. The fusion technique consists of native MRI as input, image pre-processing, fusion algorithm, adaptation, and fused multi-contrast MRI as output. Four-dimensional deformation vector fields (4D-DVF) were generated from an original T2/T1-w 4D-MRI by deforming end-of-inhalation (EOI) to nine other phase volumes via DIR. The 4D-DVF were applied to multi-contrast MRI to generate a spectrum of 4D-MRI in different image contrasts. The MC-4D-MRI technique was evaluated in five liver tumor patients on tumor contrast-to-noise ratio (CNR), internal target volume (ITV) contouring consistency, diaphragm motion range and tumor motion trajectory; and in digital anthropomorphic phantoms on 4D-DIR introduced errors in tumor motion range, centroid location, extent, and volume. RESULTS MC-4D-MRI consisting of 4D-MRIs in native image contrasts (T1-w, T2-w, T2/T1-w) and synthetic image contrasts, such as tumor-enhanced contrast (TEC) were generated in five liver tumor patients. Patient tumor CNR increased from 2.6 ± 1.8 in the T2/T1-w MRI, to -4.4 ± 2.4, 6.6 ± 3.0 and 9.6 ± 3.9 in the T1-w, T2-w and TEC MRI, respectively. Patient ITV inter-observer mean Dice similarity coefficient (mDSC) increased from 0.65 ± 0.10 in the original T2/T1-w 4D-MRI, to 0.76 ± 0.14, 0.77 ± 0.12 and 0.86 ± 0.05 in the T1-w, T2-w and TEC 4D-MRI, respectively. Patient diaphragm motion range absolute differences between the three new 4D-MRIs and original T2/T1-w 4D-MRI were 1.2 ± 1.3, 0.3 ± 0.7 and 0.5 ± 0.5 mm, respectively. Patient tumor displacement phase-averaged absolute differences between the three 4D-MRIs and the original 4D-MRI were 0.72 ± 0.33, 0.62 ± 0.54 and 0.74 ± 0.43 mm in the SI direction, and 0.59 ± 0.36, 0.51 ± 0.30 and 0.50 ± 0.24 mm in the AP direction, respectively. In the digital phantoms, phase-averaged absolute tumor centroid shift caused by the 4D-DIR were at or below 0.5 mm in SI, AP and LR directions. CONCLUSION We developed an MC-4D-MRI technique capable of expanding single image contrast 4D-MRI along a new dimension of image contrasts. Initial evaluations in liver tumor patients showed improved image contrast variety, enhanced tumor contrast and ITV contouring consistencies using MC-4D-MRI. The technique might offer new perspectives on the image contrast of MRI and 4D-MRI in MR-guided radiotherapy. This article is protected by copyright. All rights reserved.

Keywords: liver tumor; image; contrast; tumor patients; mri; tumor

Journal Title: Medical physics
Year Published: 2021

Link to full text (if available)


Share on Social Media:                               Sign Up to like & get
recommendations!

Related content

More Information              News              Social Media              Video              Recommended



                Click one of the above tabs to view related content.