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Purpose Structure-guided total variation is a recently introduced prior that allows reconstruction of images using knowledge of the location and orientation of edges in a reference image. In this work, we demonstrate the advantages of a variant of structure-guided total variation known as directional total variation (DTV), over traditional total variation (TV), in the context of compressed-sensing reconstruction and super-resolution. Methods We compared TV and DTV in retrospectively undersampled ex vivo diffusion tensor imaging and diffusion spectrum imaging data from healthy, sham, and hypertrophic rat hearts. Results In compressed sensing at an undersampling factor of 8, the RMS error of mean diffusivity and fractional anisotropy relative to the fully sampled ground truth were 44% and 20% lower in DTV compared with TV. In super-resolution, these values were 29% and 14%, respectively. Similarly, we observed improvements in helix angle, transverse angle, sheetlet elevation, and sheetlet azimuth. The RMS error of the diffusion kurtosis in the undersampled data relative to the ground truth was uniformly lower (22% on average) with DTV compared to TV. Conclusion Acquiring one fully sampled non-diffusion-weighted image and 10 diffusion-weighted images at 8× undersampling would result in an 80% net reduction in data needed. We demonstrate efficacy of the DTV algorithm over TV in reducing data sampling requirements, which can be translated into higher apparent resolution and potentially shorter scan times. This method would be equally applicable in diffusion MRI applications outside the heart.

Background Diffusion tensor imaging (DTI) is widely used to assess tissue microstructure non-invasively. Cardiac DTI enables inference of cell and sheetlet orientations, which are altered under pathological conditions. However, DTI is affected by many factors, therefore robust validation is critical. Existing histological validation is intrinsically flawed, since it requires further tissue processing leading to sample distortion, is routinely limited in field-of-view and requires reconstruction of three-dimensional volumes from two-dimensional images. In contrast, synchrotron radiation imaging (SRI) data enables imaging of the heart in 3D without further preparation following DTI. The objective of the study was to validate DTI measurements based on structure tensor analysis of SRI data. Methods One isolated, fixed rat heart was imaged ex vivo with DTI and X-ray phase contrast SRI, and reconstructed at 100 μm and 3.6 μm isotropic resolution respectively. Structure tensors were determined from the SRI data and registered to the DTI data. Results Excellent agreement in helix angles (HA) and transverse angles (TA) was observed between the DTI and structure tensor synchrotron radiation imaging (STSRI) data, where HADTI-STSRI = −1.4° ± 23.2° and TADTI-STSRI = −1.4° ± 35.0° (mean ± 1.96 standard deviation across all voxels in the left ventricle). STSRI confirmed that the primary eigenvector of the diffusion tensor corresponds with the cardiomyocyte long-axis across the whole myocardium. Conclusions We have used STSRI as a novel and high-resolution gold standard for the validation of DTI, allowing like-with-like comparison of three-dimensional tissue structures in the same intact heart free of distortion. This represents a critical step forward in independently verifying the structural basis and informing the interpretation of cardiac DTI data, thereby supporting the further development and adoption of DTI in structure-based electro-mechanical modelling and routine clinical applications. Electronic supplementary material The online version of this article (doi:10.1186/s12968-017-0342-x) contains supplementary material, which is available to authorized users.

Background Cardiac diffusion tensor imaging (DTI) is limited by scan time and signal-to-noise (SNR) restrictions. This invariably leads to a trade-off between the number of averages, diffusion-weighted directions (ND), and image resolution. Systematic evaluation of these parameters is therefore important for adoption of cardiac DTI in clinical routine where time is a key constraint. Methods High quality reference DTI data were acquired in five ex-vivo rat hearts. We then retrospectively set 2 ≤ SNR ≤ 97, 7 ≤ ND ≤ 61, varied the voxel volume by up to 192-fold and investigated the impact on the accuracy and precision of commonly derived parameters. Results For maximal scan efficiency, the accuracy and precision of the mean diffusivity is optimised when SNR is maximised at the expense of ND. With typical parameter settings used clinically, we estimate that fractional anisotropy may be overestimated by up to 13% with an uncertainty of ±30%, while the precision of the sheetlet angles may be as poor as ±31°. Although the helix angle has better precision of ±14°, the transmural range of helix angles may be under-estimated by up to 30° in apical and basal slices, due to partial volume and tapering myocardial geometry. Conclusions These findings inform a baseline of understanding upon which further issues inherent to in-vivo cardiac DTI, such as motion, strain and perfusion, can be considered. Furthermore, the reported bias and reproducibility provides a context in which to assess cardiac DTI biomarkers. Electronic supplementary material The online version of this article (10.1186/s12968-017-0395-x) contains supplementary material, which is available to authorized users.

While high-field magnetic resonance imaging promises improved image quality and faster scan time, it is affected by non-uniform flip angle distributions and unsafe specific absorption rate levels within the patient, as a result of the complicated radiofrequency (RF) field-tissue interactions. This numerical study explored the possibility of using a single mechanically rotating RF coil for RF shimming and specific absorption rate management applications at 7 T. In particular, this new approach (with three different RF coil element arrangements) was compared against both an 8-channel parallel coil array and a birdcage volume coil, with and without RF current optimisation. The evaluation was conducted using an in-house developed and validated finite-difference time-domain method in conjunction with a tissue-equivalent human head model. It was found that, without current optimisation, the rotating RF coil method produced a more uniform flip angle distribution and a lower maximum global and local specific absorption rate compared to the 8-channel parallel coil array and birdcage resonator. In addition, due to the large number of degrees of freedom in the form of rotated sensitivity profiles, the rotating RF coil approach exhibited good RF shimming and specific absorption rate management performance. This suggests that the proposed method can be useful in the development of techniques that address contemporary RF issues associated with high-field magnetic resonance imaging.

Cardiac MRI allows for the acquisition of high resolution images of the heart. Long acquisition times of MRI make it impractical to image the full heart in 3D at high resolution. As a result, multiple 2D images are commonly acquired with a slice thickness greater than the in-plane resolution. One way of achieving isotropic high-resolution images is to apply post-processing techniques such as super-resolution to produce high resolution images from low resolution input. We use short-axis stacks as well as orthogonal long-axis views in a super-resolution framework, constraining the reconstruction using the contrast independent directional total variation algorithm to produce a high resolution 3D reconstruction with isotropic resolution. The 3D reconstruction retains the contrast of the short-axis stack, but incorporates the edge information from both the short-axis and the long-axis stacks. Results show improved reconstructions, with a segmentation voxel misclassification rate of 3.51% as opposed to 4.27% using linear interpolation.

In this paper we evaluate the suitability of multiple instance learning (MIL) for the classification of T2 weighted magnetic resonance images (MRI) of the breast. Specifically, we compare the performance of citation-kNN against traditional kNN and a random forest (RF) classifier. We utilise both (generic) tile-based features and (domain specific) region-of-interest (ROI) based features We perform experiments on two datasets consisting of A) mass-like lesions and B) both mass-like and non-mass-like lesions. The performance of citation-kNN as both a diagnostic and screening tool is evaluated using the area under the receiver operating characteristics curve (AUC), estimated over 10-fold cross-validation. Results demonstrate that citation- kNN has equivalent performance to traditional kNN and RF. However, the tile-based approach used by citation-kNN does not require the domain specific ROI-based features typically used in breast MRI. This not only makes citation-kNN robust to inaccuracies in the delineation of suspicious lesions, but also makes it suitable for use as a screening tool, where the aim is to discriminate lesions from normal tissue.

This paper presents an investigation of the apparent diffusion coefficient (ADC) for improving the discrimination of benign and malignant lesions in breast magnetic resonance imaging (MRI). In particular a method is presented for automatically selecting hyper intense tumour voxels in dynamic contrast enhanced (DCE) MRI data and evaluating their average ADC in the corresponding diffusion-weighted (DW) MRI data. The method was applied to ten breast MRI datasets obtained from routine clinical practice. The results demonstrate that the combination of the relative signal increase (DCE-MRI) with the apparent diffusion coefficient (DW-MRI) leads to better discrimination than with either feature alone. The results also suggest that it is important to acquire the DWMRI data in a consistent fashion, i.e. either before or after the acquisition of the DCE-MRI data.