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Proton resonance frequency shift (PRFS) MR thermometry is the most common method used in clinical thermal treatments because of its fast acquisition and high sensitivity to temperature. However, motion is the biggest obstacle in PRFS MR thermometry for monitoring thermal treatment in moving organs. This challenge arises because of the introduction of phase errors into the PRFS calculation through multiple methods, such as image misregistration, susceptibility changes in the magnetic field, and intraframe motion during MRI acquisition. Various approaches for motion correction have been developed for real-time, motion-robust, and volumetric MR thermometry. However, current technologies have inherent trade-offs among volume coverage, processing time, and temperature accuracy. These tradeoffs should be considered and chosen according to the thermal treatment application. In hyperthermia treatment, precise temperature measurements are of increased importance rather than the requirement for exceedingly high temporal resolution. In contrast, ablation procedures require robust temporal resolution to accurately capture a rapid temperature rise. This paper presents a comprehensive review of current cutting-edge MRI techniques for motion-robust MR thermometry, and recommends which techniques are better suited for each thermal treatment. We expect that this study will help discern the selection of motion-robust MR thermometry strategies and inspire the development of motion-robust volumetric MR thermometry for practical use in clinics.

Purpose: This study leverages externally generated Pilot Tone (PT) signals to perform motion‐corrected brain MRI for sequences with arbitrary k‐space sampling and image contrast. Theory and Methods: PT signals are promising external motion sensors due to their cost‐effectiveness, easy workflow, and consistent performance across contrasts and sampling patterns. However, they lack robust calibration pipelines. This work calibrates PT signal to rigid motion parameters acquired during short blocks (˜4 s) of motion calibration (MC) acquisitions, which are short enough to unobstructively fit between acquisitions. MC acquisitions leverage self‐navigated trajectories that enable state‐of‐the‐art motion estimation methods for efficient calibration. To capture the range of patient motion occurring throughout the examination, distributed motion calibration (DMC) uses data acquired from MC scans distributed across the entire examination. After calibration, PT is used to retrospectively motion‐correct sequences with arbitrary k‐space sampling and image contrast. Additionally, a data‐driven calibration refinement is proposed to tailor calibration models to individual acquisitions. In vivo experiments involving 12 healthy volunteers tested the DMC protocol's ability to robustly correct subject motion. Results: The proposed calibration pipeline produces pose parameters consistent with reference values, even when distributing only six of these approximately 4‐s MC blocks, resulting in a total acquisition time of 22 s. In vivo motion experiments reveal significant (p<0.05$$ p<0.05 $$) improved motion correction with increased signal to residual ratio for both MPRAGE and SPACE sequences with standard k‐space acquisition, especially when motion is large. Additionally, results highlight the benefits of using a distributed calibration approach. Conclusions: This study presents a framework for performing motion‐corrected brain MRI in sequences with arbitrary k‐space encoding and contrast, using externally generated PT signals. The DMC protocol is introduced, promoting observation of patient motion occurring throughout the examination and providing a calibration pipeline suitable for clinical deployment. The method's application is demonstrated in standard volumetric MPRAGE and SPACE sequences. [ABSTRACT FROM AUTHOR]

Deep learning presents a generalizable solution for motion correction requiring no pulse sequence modifications or additional hardware, but previous networks have all been applied to coil‐combined data. Multichannel MRI data provide a degree of spatial encoding that may be useful for motion correction. We hypothesize that incorporating deep learning for motion correction prior to coil combination will improve results. A conditional generative adversarial network was trained using simulated rigid motion artifacts in brain images acquired at multiple sites with multiple contrasts (not limited to healthy subjects). We compared the performance of deep‐learning‐based motion correction on individual channel images (single‐channel model) with that performed after coil combination (channel‐combined model). We also investigate simultaneous motion correction of all channel data from an image volume (multichannel model). The single‐channel model significantly (p < 0.0001) improved mean absolute error, with an average 50.9% improvement compared with the uncorrected images. This was significantly (p < 0.0001) better than the 36.3% improvement achieved by the channel‐combined model (conventional approach). The multichannel model provided no significant improvement in quantitative measures of image quality compared with the uncorrected images. Results were independent of the presence of pathology, and generalizable to a new center unseen during training. Performing motion correction on single‐channel images prior to coil combination provided an improvement in performance compared with conventional deep‐learning‐based motion correction. Improved deep learning methods for retrospective correction of motion‐affected MR images could reduce the need for repeat scans if applied in a clinical setting. [ABSTRACT FROM AUTHOR]

Optical coherence tomography angiography (OCTA), a functional extension of optical coherence tomography (OCT), is widely employed for high‐resolution imaging of microvascular networks. However, due to the relatively low scan rate of OCT, the artifacts caused by the involuntary bulk motion of tissues severely impact the visualization of microvascular networks. This study proposes a fast motion correction method based on image feature matching for OCT microvascular images. First, the rigid motion‐related mismatch between B‐scans is compensated through the image feature matching based on the improved oriented FAST and rotated BRIEF algorithm. Then, the axial motion within A‐scan lines in each B‐scan image is corrected according to the displacement deviation between the detected boundaries achieved by the Scharr operator in a non‐rigid transformation manner. Finally, an optimized intensity‐based Doppler variance algorithm is developed to enhance the robustness of the OCTA imaging. The experimental results demonstrate the effectiveness of the method. [ABSTRACT FROM AUTHOR]

Object: In a typical MR session, several contrasts are acquired. Due to the sequential nature of the data acquisition process, the patient may experience some discomfort at some point during the session, and start moving. Hence, it is quite common to have MR sessions where some contrasts are well-resolved, while other contrasts exhibit motion artifacts. Instead of repeating the scans that are corrupted by motion, we introduce a reference-guided retrospective motion correction scheme that takes advantage of the motion-free scans, based on a generalized rigid registration routine. Materials and methods: We focus on various existing clinical 3D brain protocols at 1.5 Tesla MRI based on Cartesian sampling. Controlled experiments with three healthy volunteers and three levels of motion are performed. Results: Radiological inspection confirms that the proposed method consistently ameliorates the corrupted scans. Furthermore, for the set of specific motion tests performed in this study, the quality indexes based on PSNR and SSIM shows only a modest decrease in correction quality as a function of motion complexity. Discussion: While the results on controlled experiments are positive, future applications to patient data will ultimately clarify whether the proposed correction scheme satisfies the radiological requirements. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate a new motion correction method, named RT + NV Track, for upper abdominal DWI that combines the respiratory triggering (RT) method using a respiration sensor and the Navigator Track (NV Track) method using navigator echoes. Materials and methods: To evaluate image quality acquired upper abdominal DWI and ADC images with RT, NV, and RT + NV Track in 10 healthy volunteers and 35 patients, signal-to-noise efficiency (SNRefficiency) and the coefficient of variation (CV) of ADC values were measured. Five radiologists independently performed qualitative image-analysis assessments. Results: RT + NV Track showed significantly higher SNRefficiency than RT and NV (14.01 ± 4.86 vs 12.05 ± 4.65, 10.05 ± 3.18; p < 0.001, p < 0.001). RT + NV Track was superior to RT and equal or better quality than NV in CV and visual evaluation of ADC values (0.033 ± 0.018 vs 0.080 ± 0.042, 0.057 ± 0.034; p < 0.001, p < 0.001). RT + NV Track tends to acquire only expiratory data rather than NV, even in patients with relatively rapid breathing, and can correct for respiratory depth variations, a weakness of RT, thus minimizing image quality degradation. Conclusion: The RT + NV Track method is an efficient imaging method that combines the advantages of both RT and NV methods in upper abdominal DWI, providing stably good images in a short scan time. [ABSTRACT FROM AUTHOR]

Purpose: To develop a generalized rigid body motion correction method in 3D radial brain MRI to deal with continuous motion pattern through projection moment analysis. Methods: An assumption was made that the multichannel coil moves with the head, which was achieved by using a flexible head coil. A two‐step motion correction scheme was proposed to directly extract the motion parameters from the acquired k‐space data using the analysis of center‐of‐mass with high noise robustness, which were used for retrospective motion correction. A recursive least‐squares model was introduced to recursively estimate the motion parameters for every single spoke, which used the smoothness of motion and resulted in high temporal resolution and low computational cost. Five volunteers were scanned at 3 T using a 3D radial multidimensional golden‐means trajectory with instructed motion patterns. The performance was tested through both simulation and in vivo experiments. Quantitative image quality metrics were calculated for comparison. Results: The proposed method showed good accuracy and precision in both translation and rotation estimation. A better result was achieved using the proposed two‐step correction compared to traditional one‐step correction without significantly increasing computation time. Retrospective correction showed substantial improvements in image quality among all scans, even for stationary scans. Conclusions: The proposed method provides an easy, robust, and time‐efficient tool for motion correction in brain MRI, which may benefit clinical diagnosis of uncooperative patients as well as scientific MRI researches. [ABSTRACT FROM AUTHOR]

Background: The outstanding capabilities of modern Positron Emission Tomography (PET) to highlight small tumor lesions and provide pathological function assessment are at peril from image quality degradation caused by respiratory and cardiac motion. However, the advent of the long axial field-of-view (LAFOV) scanners with increased sensitivity, alongside the precise time-of-flight (TOF) of modern PET systems, enables the acquisition of ultrafast time resolution images, which can be used for estimating and correcting the cyclic motion. Methods: 0.25 s so-called [18F]FDG PET histo image series were generated in the scope of for detecting respiratory and cardiac frequency estimates applicable for performing device-less data-driven gated image reconstructions. The frequencies of the cardiac and respiratory motion were estimated for 18 patients using Short Time Fourier Transform (STFT) with 20 s and 30 s window segments, respectively. Results: The Fourier analysis provided time points usable as input to the gated reconstruction based on eight equally spaced time gates. The cardiac investigations showed estimates in accordance with the measured pulse oximeter references (p = 0.97) and a mean absolute difference of 0.4 ± 0.3 beats per minute (bpm). The respiratory frequencies were within the expected range of 10–20 respirations per minute (rpm) in 16 out of 18 patients. Using this setup, the analysis of three patients with visible lung tumors showed an increase in tumor SUVmax and a decrease in tumor volume compared to the non-gated reconstructed image. Conclusions: The method can provide signals that were applicable for gated reconstruction of both cardiac and respiratory motion, providing a potential increased diagnostic accuracy. [ABSTRACT FROM AUTHOR]

While floating wind lidars provide reliable and cost-effective measurements, these measurements may be inaccurate due to the motion of the installation platforms. Prior studies have not distinguished between systematic errors associated with lidars and errors resulting from motion. This study will fill this gap by examining the impact of platform motion on two types of profiling wind lidar systems: the pulsed WindCube V1 (Leosphere) and the continuous-wave ZephIR 300 (Natural Power). On a moving hexapod platform, both systems were subjected to 50 controlled sinusoidal motion cases in different degrees of freedom. Two reference lidars were placed at a distance of five meters from the platform as reference lidars. Motion-induced errors in mean wind speed and turbulence intensity estimation by lidars are analyzed. Additionally, the effectiveness of a motion correction approach in reducing these errors across various scenarios is evaluated. The results indicate that presence of rotational motion leads to higher turbulence intensity (TI) estimation by moving lidars. The absolute percentage error between lidars is the highest when lidars are exposed to yaw and heave motion and is the lowest when exposed to surge motion. The correlation between lidars, though it is the lowest in the presence of pitch, yaw, and heave motion. Furthermore, applying motion compensation can compensate the correlation drop and erroneous TI estimation. [ABSTRACT FROM AUTHOR]

Purpose: Widening the availability of fetal MRI with fully automatic real‐time planning of radiological brain planes on 0.55T MRI. Methods: Deep learning‐based detection of key brain landmarks on a whole‐uterus echo planar imaging scan enables the subsequent fully automatic planning of the radiological single‐shot Turbo Spin Echo acquisitions. The landmark detection pipeline was trained on over 120 datasets from varying field strength, echo times, and resolutions and quantitatively evaluated. The entire automatic planning solution was tested prospectively in nine fetal subjects between 20 and 37 weeks. A comprehensive evaluation of all steps, the distance between manual and automatic landmarks, the planning quality, and the resulting image quality was conducted. Results: Prospective automatic planning was performed in real‐time without latency in all subjects. The landmark detection accuracy was 4.2 ±$$ \pm $$ 2.6 mm for the fetal eyes and 6.5 ±$$ \pm $$ 3.2 for the cerebellum, planning quality was 2.4/3 (compared to 2.6/3 for manual planning) and diagnostic image quality was 2.2 compared to 2.1 for manual planning. Conclusions: Real‐time automatic planning of all three key fetal brain planes was successfully achieved and will pave the way toward simplifying the acquisition of fetal MRI thereby widening the availability of this modality in nonspecialist centers. [ABSTRACT FROM AUTHOR]

Purpose: To develop and evaluate a deep learning (DL) ‐based rapid image reconstruction and motion correction technique for high‐resolution Cartesian first‐pass myocardial perfusion imaging at 3T with whole‐heart coverage for both single‐slice (SS) and simultaneous multi‐slice (SMS) acquisitions. Methods: 3D physics‐driven unrolled network architectures were utilized for the reconstruction of high‐resolution Cartesian perfusion imaging. The SS and SMS multiband (MB) = 2 networks were trained from 135 slices from 20 subjects. Structural similarity index (SSIM), peak SNR (PSNR), and normalized RMS error (NRMSE) were assessed, and prospective images were blindly graded by two experienced cardiologists (5, excellent; 1, poor). For respiratory motion correction, a 2D U‐Net based motion corrected network was proposed, and the temporal fidelity and second‐order derivative were calculated to assess the performance of the motion correction. Results: Excellent performance was demonstrated in the proposed technique with high SSIM and PSNR, and low NRMSE. Image quality scores were (4.3 [4.3, 4.4], 4.5 [4.4, 4.6], 4.3 [4.3, 4.4], and 4.5 [4.3, 4.5]) for SS DL and SS L1‐SENSE, MB = 2 DL and MB = 2 SMS‐L1‐SENSE, respectively, showing no statistically significant difference (p > 0.05 for SS and SMS) between (SMS)‐L1‐SENSE and the proposed DL technique. The network inference time was around 4 s per dynamic perfusion series with 40 frames while the time of (SMS)‐L1‐SENSE with GPU acceleration was approximately 30 min. Conclusion: The proposed DL‐based image reconstruction and motion correction technique enabled rapid and high‐quality reconstruction for SS and SMS MB = 2 high‐resolution Cartesian first‐pass perfusion imaging at 3T. [ABSTRACT FROM AUTHOR]

Purpose: To develop an efficient navigator‐based motion and temporal B0‐shift correction technique for 3D multi‐echo gradient‐echo (ME‐GRE) MRI for quantitative susceptibility mapping (QSM) and R2*$$ {\mathrm{R}}_2^{\ast } $$ mapping. Theory and Methods: A dual‐echo 3D stack‐of‐spiral navigator was designed to interleave with the Cartesian multi‐echo gradient‐echo acquisitions, allowing the acquisition of both low‐echo and high‐echo time signals. We additionally designed a novel conjugate phase–based reconstruction method for the joint correction of motion and temporal B0 shifts. We performed numerical simulation, phantom scans, and in vivo human scans to assess the performance of the methods. Results: Numerical simulation and human brain scans demonstrated that the proposed technique successfully corrected artifacts induced by both head motions and temporal B0 changes. Efficient B0‐change correction with conjugate‐phase reconstruction can be performed on fewer than 10 clustered k‐space segments. In vivo scans showed that combining temporal B0 correction with motion correction further reduced artifacts and improved image quality in both R2*$$ {\mathrm{R}}_2^{\ast } $$ and QSM images. Conclusion: Our proposed approach of using 3D spiral navigators and a novel conjugate‐phase reconstruction method can improve susceptibility‐related measurements using MR. [ABSTRACT FROM AUTHOR]

Purpose: To provide a navigator‐based run‐time motion and first‐order field correction for three‐dimensional human brain imaging with high precision, minimal calibration and acquisition, and fast processing. Methods: A complex‐valued linear perturbation model with feedback control is extended to estimate and correct for gradient shim fields using orbital navigators (2.3 ms). Two approaches for sensitizing the model to gradient fields are presented, one based on finite differences with three additional navigators, and another projection‐based approximation requiring no additional navigators. A mechanism for noise decorrelation of the matrix and the data is proposed and evaluated to reduce unwanted parameter biases. Results: The rigid motion and first‐order field control achieves robust motion and gradient shim corrections improving image quality in a series of phantom and in vivo experiments with varying field conditions. In phantom scans, magnet drifts, forced gradient field perturbations and field distortions from shifts of a second bottle phantom are successfully corrected. Field estimates of the magnet drifts are in good agreement with concurrent field probe measurements. For in vivo scans, the proposed method mitigates field variations from torso motions while being robust to head motion. In vivo gradient field precisions were 30 nT/m$$ 30\;\mathrm{nT}/\mathrm{m} $$ along with single‐digit micrometer and millidegree rigid precisions. Conclusion: The navigator‐based method achieves accurate, high‐precision run‐time motion and field corrections with low sequence impact and calibration requirements. [ABSTRACT FROM AUTHOR]

Purpose: To develop a framework for simultaneous three‐dimensional (3D) mapping of T1$$ {\mathrm{T}}_1 $$, T2$$ {\mathrm{T}}_2 $$, and fat signal fraction in the liver at 0.55 T. Methods: The proposed sequence acquires four interleaved 3D volumes with a two‐echo Dixon readout. T1$$ {\mathrm{T}}_1 $$ and T2$$ {\mathrm{T}}_2 $$ are encoded into each volume via preparation modules, and dictionary matching allows simultaneous estimation of T1$$ {\mathrm{T}}_1 $$, T2$$ {\mathrm{T}}_2 $$, and M0$$ {M}_0 $$ for water and fat separately. 2D image navigators permit respiratory binning, and motion fields from nonrigid registration between bins are used in a nonrigid respiratory‐motion‐corrected reconstruction, enabling 100% scan efficiency from a free‐breathing acquisition. The integrated nature of the framework ensures the resulting maps are always co‐registered. Results: T1$$ {\mathrm{T}}_1 $$, T2$$ {\mathrm{T}}_2 $$, and fat‐signal‐fraction measurements in phantoms correlated strongly (adjusted r2>0.98$$ {r}^2>0.98 $$) with reference measurements. Mean liver tissue parameter values in 10 healthy volunteers were 427±22$$ 427\pm 22 $$, 47.7±3.3 ms$$ 47.7\pm 3.3\;\mathrm{ms} $$, and 7±2%$$ 7\pm 2\% $$ for T1$$ {\mathrm{T}}_1 $$, T2$$ {\mathrm{T}}_2 $$, and fat signal fraction, giving biases of 71$$ 71 $$, −30.0 ms$$ -30.0\;\mathrm{ms} $$, and −5$$ -5 $$ percentage points, respectively, when compared to conventional methods. Conclusion: A novel sequence for comprehensive characterization of liver tissue at 0.55 T was developed. The sequence provides co‐registered 3D T1$$ {\mathrm{T}}_1 $$, T2$$ {\mathrm{T}}_2 $$, and fat‐signal‐fraction maps with full coverage of the liver, from a single nine‐and‐a‐half‐minute free‐breathing scan. Further development is needed to achieve accurate proton‐density fat fraction (PDFF) estimation in vivo. [ABSTRACT FROM AUTHOR]

Abstract Background Head motion during brain positron emission tomography (PET)/computed tomography (CT) imaging degrades image quality, resulting in reduced reading accuracy. We evaluated the performance of a head motion correction algorithm using 18F-flutemetamol (FMM) brain PET/CT images. Methods FMM brain PET/CT images were retrospectively included, and PET images were reconstructed using a motion correction algorithm: (1) motion estimation through 3D time-domain signal analysis, signal smoothing, and calculation of motion-free intervals using a Merging Adjacent Clustering method; (2) estimation of 3D motion transformations using the Summing Tree Structural algorithm; and (3) calculation of the final motion-corrected images using the 3D motion transformations during the iterative reconstruction process. All conventional and motion-corrected PET images were visually reviewed by two readers. Image quality was evaluated using a 3-point scale, and the presence of amyloid deposition was interpreted as negative, positive, or equivocal. For quantitative analysis, we calculated the uptake ratio (UR) of 5 specific brain regions, with the cerebellar cortex as a reference region. The results of the conventional and motion-corrected PET images were statistically compared. Results In total, 108 sets of FMM brain PET images from 108 patients (34 men and 74 women; median age, 78 years) were included. After motion correction, image quality significantly improved (p

Purpose: We propose a quantitative framework for motion‐corrected T2 fetal brain measurements in vivo and validate the single‐shot fast spin echo (SS‐FSE) sequence to perform these measurements. Methods: Stacks of two‐dimensional SS‐FSE slices are acquired with different echo times (TE) and motion‐corrected with slice‐to‐volume reconstruction (SVR). The quantitative T2 maps are obtained by a fit to a dictionary of simulated signals. The sequence is selected using simulated experiments on a numerical phantom and validated on a physical phantom scanned on a 1.5T system. In vivo quantitative T2 maps are obtained for five fetuses with gestational ages (GA) 21–35 weeks on the same 1.5T system. Results: The simulated experiments suggested that a TE of 400 ms combined with the clinically utilized TEs of 80 and 180 ms were most suitable for T2 measurements in the fetal brain. The validation on the physical phantom confirmed that the SS‐FSE T2 measurements match the gold standard multi‐echo spin echo measurements. We measured average T2s of around 200 and 280 ms in the fetal brain grey and white matter, respectively. This was slightly higher than fetal T2* and the neonatal T2 obtained from previous studies. Conclusion: The motion‐corrected SS‐FSE acquisitions with varying TEs offer a promising practical framework for quantitative T2 measurements of the moving fetus. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this work is to develop a method to solve the ill‐posed inverse problem of accelerated image reconstruction while correcting forward model imperfections in the context of subject motion during MRI examinations. Methods: The proposed solution uses a Bayesian framework based on deep generative diffusion models to jointly estimate a motion‐free image and rigid motion estimates from subsampled and motion‐corrupt two‐dimensional (2D) k‐space data. Results: We demonstrate the ability to reconstruct motion‐free images from accelerated two‐dimensional (2D) Cartesian and non‐Cartesian scans without any external reference signal. We show that our method improves over existing correction techniques on both simulated and prospectively accelerated data. Conclusion: We propose a flexible framework for retrospective motion correction of accelerated MRI based on deep generative diffusion models, with potential application to other forward model corruptions. [ABSTRACT FROM AUTHOR]

Purpose: Abdominal imaging is frequently performed with breath holds or respiratory triggering to reduce the effects of respiratory motion. Diffusion weighted sequences provide a useful clinical contrast but have prolonged scan times due to low signal‐to‐noise ratio (SNR), and cannot be completed in a single breath hold. Echo‐planar imaging (EPI) is the most commonly used trajectory for diffusion weighted imaging but it is susceptible to off‐resonance artifacts. A respiratory resolved, three‐dimensional (3D) diffusion prepared sequence that obtains distortionless diffusion weighted images during free‐breathing is presented. Techniques to address the myriad of challenges including: 3D shot‐to‐shot phase correction, respiratory binning, diffusion encoding during free‐breathing, and robustness to off‐resonance are described. Methods: A twice‐refocused, M1‐nulled diffusion preparation was combined with an RF‐spoiled gradient echo readout and respiratory resolved reconstruction to obtain free‐breathing diffusion weighted images in the abdomen. Cartesian sampling permits a sampling density that enables 3D shot‐to‐shot phase navigation and reduction of transient fat artifacts. Theoretical properties of a region‐based shot rejection are described. The region‐based shot rejection method was evaluated with free‐breathing (normal and exaggerated breathing), and respiratory triggering. The proposed sequence was compared in vivo with multishot DW‐EPI. Results: The proposed sequence exhibits no evident distortion in vivo when compared to multishot DW‐EPI, robustness to B0 and B1 field inhomogeneities, and robustness to motion from different respiratory patterns. Conclusion: Acquisition of distortionless, diffusion weighted images is feasible during free‐breathing with a b‐value of 500 s/mm2, scan time of 6 min, and a clinically viable reconstruction time. [ABSTRACT FROM AUTHOR]

We aim to provide an overview of technical and clinical unmet needs in deep learning (DL) applications for quantitative and qualitative PET in PET/MR, with a focus on attenuation correction, image enhancement, motion correction, kinetic modeling, and simulated data generation. (1) DL-based attenuation correction (DLAC) remains an area of limited exploration for pediatric whole-body PET/MR and lung-specific DLAC due to data shortages and technical limitations. (2) DL-based image enhancement approximating MR-guided regularized reconstruction with a high-resolution MR prior has shown promise in enhancing PET image quality. However, its clinical value has not been thoroughly evaluated across various radiotracers, and applications outside the head may pose challenges due to motion artifacts. (3) Robust training for DL-based motion correction requires pairs of motion-corrupted and motion-corrected PET/MR data. However, these pairs are rare. (4) DL-based approaches can address the limitations of dynamic PET, such as long scan durations that may cause patient discomfort and motion, providing new research opportunities. (5) Monte-Carlo simulations using anthropomorphic digital phantoms can provide extensive datasets to address the shortage of clinical data. This summary of technical/clinical challenges and potential solutions may provide research opportunities for the research community towards the clinical translation of DL solutions. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the enhancement of image quality achieved through the utilization of SnapShot Freeze 2 (SSF2), a comparison was made against the results obtained from the original SnapShot Freeze algorithm (SSF) and standard motion correction (STND) in stent patients undergoing coronary CT angiography (CCTA) across the entire range of heart rates. Materials and methods: A total of 118 patients who underwent CCTA, were retrospectively included in this study. Images of these patients were reconstructed using three different algorithms: SSF2, SSF, and STND. Objective assessments include signal‐to‐noise ratio (SNR), contrast‐to‐noise ratio (CNR), diameters of stents and artifact index (AI). The image quality was subjectively evaluated by two readers. Results: Compared with SSF and STND, SSF2 had similar or even higher quality in the parameters (AI, SNR, CNR, inner diameters) of coronary artery, stent, myocardium, MV (mitral valve), TV (tricuspid valve), AV (aorta valve), and PV (pulmonary valve), and aortic root (AO). Besides the above structures, SSF2 also demonstrated comparable or even higher subjective scores in atrial septum (AS), ventricular septum (VS), and pulmonary artery root (PA). Furthermore, the enhancement in image quality with SSF2 was significantly greater in the high heart rate group compared to the low heart rate group. Moreover, the improvement in both high and low heart rate groups was better in the SSF2 group compared to the SSF and STND group. Besides, when using the three algorithms, an effect of heart rate variability on stent image quality was not detected. Conclusion: Compared to SSF and STND, SSF2 can enhance the image quality of whole‐heart structures and mitigate artifacts of coronary stents. Furthermore, SSF2 has demonstrated a significant improvement in the image quality for patients with a heart rate equal to or higher than 85 bpm. [ABSTRACT FROM AUTHOR]

Background and purpose: There are distinct challenges in the preprocessing of spinal cord fMRI data, particularly concerning the mitigation of voluntary or involuntary movement artifacts during image acquisition. Despite the notable progress in data processing techniques for movement detection and correction, applying motion correction algorithms developed for the brain cortex to the brainstem and spinal cord remains a challenging endeavor. Methods: In this study, we employed a deep learning-based convolutional neural network (CNN) named DeepRetroMoCo, trained using an unsupervised learning algorithm. Our goal was to detect and rectify motion artifacts in axial T2*- weighted spinal cord data. The training dataset consisted of spinal cord fMRI data from 27 participants, comprising 135 runs for training and 81 runs for testing. Results: To evaluate the efficacy of DeepRetroMoCo, we compared its performance against the sct_fmri_moco method implemented in the spinal cord toolbox. We assessed the motion-corrected images using two metrics: the average temporal signal-to-noise ratio (tSNR) and Delta Variation Signal (DVARS) for both raw and motion-corrected data. Notably, the average tSNR in the cervical cord was significantly higher when DeepRetroMoCo was utilized for motion correction, compared to the sct_fmri_moco method. Additionally, the average DVARS values were lower in images corrected by DeepRetroMoCo, indicating a superior reduction in motion artifacts. Moreover, DeepRetroMoCo exhibited a significantly shorter processing time compared to sct_fmri_moco. Conclusion: Our findings strongly support the notion that DeepRetroMoCo represents a substantial improvement in motion correction procedures for fMRI data acquired from the cervical spinal cord. This novel deep learning-based approach showcases enhanced performance, offering a promising solution to address the challenges posed by motion artifacts in spinal cord fMRI data. [ABSTRACT FROM AUTHOR]

Background: Residual image noise is substantial in positron emission tomography (PET) and one of the factors limiting lesion detection, quantification, and overall image quality. Thus, improving noise reduction remains of considerable interest. This is especially true for respiratory-gated PET investigations. The only broadly used approach for noise reduction in PET imaging has been the application of low-pass filters, usually Gaussians, which however leads to loss of spatial resolution and increased partial volume effects affecting detectability of small lesions and quantitative data evaluation. The bilateral filter (BF) — a locally adaptive image filter — allows to reduce image noise while preserving well defined object edges but manual optimization of the filter parameters for a given PET scan can be tedious and time-consuming, hampering its clinical use. In this work we have investigated to what extent a suitable deep learning based approach can resolve this issue by training a suitable network with the target of reproducing the results of manually adjusted case-specific bilateral filtering. Methods: Altogether, 69 respiratory-gated clinical PET/CT scans with three different tracers ( [ 18 F ] FDG, [ 18 F ] L-DOPA, [ 68 Ga ] DOTATATE) were used for the present investigation. Prior to data processing, the gated data sets were split, resulting in a total of 552 single-gate image volumes. For each of these image volumes, four 3D ROIs were delineated: one ROI for image noise assessment and three ROIs for focal uptake (e.g. tumor lesions) measurements at different target/background contrast levels. An automated procedure was used to perform a brute force search of the two-dimensional BF parameter space for each data set to identify the "optimal" filter parameters to generate user-approved ground truth input data consisting of pairs of original and optimally BF filtered images. For reproducing the optimal BF filtering, we employed a modified 3D U-Net CNN incorporating residual learning principle. The network training and evaluation was performed using a 5-fold cross-validation scheme. The influence of filtering on lesion SUV quantification and image noise level was assessed by calculating absolute and fractional differences between the CNN, manual BF, or original (STD) data sets in the previously defined ROIs. Results: The automated procedure used for filter parameter determination chose adequate filter parameters for the majority of the data sets with only 19 patient data sets requiring manual tuning. Evaluation of the focal uptake ROIs revealed that CNN as well as BF based filtering essentially maintain the focal SUV max values of the unfiltered images with a low mean ± SD difference of δ SUV max CNN , STD = (−3.9 ± 5.2)% and δ SUV max BF , STD = (−4.4 ± 5.3)%. Regarding relative performance of CNN versus BF, both methods lead to very similar SUV max values in the vast majority of cases with an overall average difference of δ SUV max CNN , BF = (0.5 ± 4.8)%. Evaluation of the noise properties showed that CNN filtering mostly satisfactorily reproduces the noise level and characteristics of BF with δ Noise CNN , BF = (5.6 ± 10.5)%. No significant tracer dependent differences between CNN and BF were observed. Conclusions: Our results show that a neural network based denoising can reproduce the results of a case by case optimized BF in a fully automated way. Apart from rare cases it led to images of practically identical quality regarding noise level, edge preservation, and signal recovery. We believe such a network might proof especially useful in the context of improved motion correction of respiratory-gated PET studies but could also help to establish BF-equivalent edge-preserving CNN filtering in clinical PET since it obviates time consuming manual BF parameter tuning. [ABSTRACT FROM AUTHOR]

Subject motion is a long-standing problem of magnetic resonance imaging (MRI), which can seriously deteriorate the image quality. Various prospective and retrospective methods have been proposed for MRI motion correction, among which deep learning approaches have achieved state-of-the-art motion correction performance. This survey paper aims to provide a comprehensive review of deep learning-based MRI motion correction methods. Neural networks used for motion artifacts reduction and motion estimation in the image domain or frequency domain are detailed. Furthermore, besides motion-corrected MRI reconstruction, how estimated motion is applied in other downstream tasks is briefly introduced, aiming to strengthen the interaction between different research areas. Finally, we identify current limitations and point out future directions of deep learning-based MRI motion correction. [ABSTRACT FROM AUTHOR]

Positron Emission Tomography (PET) is a powerful medical imaging technique widely used for detection and monitoring of disease. However, PET imaging can be adversely affected by patient motion, leading to degraded image quality and diagnostic capability. Hence, motion gating schemes have been developed to monitor various motion sources including head motion, respiratory motion, and cardiac motion. The approaches for these techniques have commonly come in the form of hardware-driven gating and data-driven gating, where the distinguishing aspect is the use of external hardware to make motion measurements vs. deriving these measures from the data itself. The implementation of these techniques helps correct for motion artifacts and improves tracer uptake measurements. With the great impact that these methods have on the diagnostic and quantitative quality of PET images, much research has been performed in this area, and this paper outlines the various approaches that have been developed as applied to whole-body PET imaging. [ABSTRACT FROM AUTHOR]

Background: Head motion during brain positron emission tomography (PET)/computed tomography (CT) imaging degrades image quality, resulting in reduced reading accuracy. We evaluated the performance of a head motion correction algorithm using 18F-flutemetamol (FMM) brain PET/CT images. Methods: FMM brain PET/CT images were retrospectively included, and PET images were reconstructed using a motion correction algorithm: (1) motion estimation through 3D time-domain signal analysis, signal smoothing, and calculation of motion-free intervals using a Merging Adjacent Clustering method; (2) estimation of 3D motion transformations using the Summing Tree Structural algorithm; and (3) calculation of the final motion-corrected images using the 3D motion transformations during the iterative reconstruction process. All conventional and motion-corrected PET images were visually reviewed by two readers. Image quality was evaluated using a 3-point scale, and the presence of amyloid deposition was interpreted as negative, positive, or equivocal. For quantitative analysis, we calculated the uptake ratio (UR) of 5 specific brain regions, with the cerebellar cortex as a reference region. The results of the conventional and motion-corrected PET images were statistically compared. Results: In total, 108 sets of FMM brain PET images from 108 patients (34 men and 74 women; median age, 78 years) were included. After motion correction, image quality significantly improved (p < 0.001), and there were no images of poor quality. In the visual analysis of amyloid deposition, higher interobserver agreements were observed in motion-corrected PET images for all specific regions. In the quantitative analysis, the UR difference between the conventional and motion-corrected PET images was significantly higher in the group with head motion than in the group without head motion (p = 0.016). Conclusions: The motion correction algorithm provided better image quality and higher interobserver agreement. Therefore, we suggest that this algorithm be adopted as a routine post-processing protocol in amyloid brain PET/CT imaging and applied to brain PET scans with other radiotracers. [ABSTRACT FROM AUTHOR]

Optical tracking of head pose via fiducial markers has been proven to enable effective correction of motion artifacts in the brain during magnetic resonance imaging but remains difficult to implement in the clinic due to lengthy calibration and set up times. Advances in deep learning for markerless head pose estimation have yet to be applied to this problem because of the sub-millimetre spatial resolution required for motion correction. In the present work, two optical tracking systems are described for the development and training of a neural network: one marker-based system (a testing platform for measuring ground truth head pose) with high tracking fidelity to act as the training labels, and one markerless deep-learning-based system using images of the markerless head as input to the network. The markerless system has the potential to overcome issues of marker occlusion, insufficient rigid attachment of the marker, lengthy calibration times, and unequal performance across degrees of freedom (DOF), all of which hamper the adoption of marker-based solutions in the clinic. Detail is provided on the development of a custom moiré-enhanced fiducial marker for use as ground truth and on the calibration procedure for both optical tracking systems. Additionally, the development of a synthetic head pose dataset is described for the proof of concept and initial pre-training of a simple convolutional neural network. Results indicate that the ground truth system has been sufficiently calibrated and can track head pose with an error of <1 mm and <1°. Tracking data of a healthy, adult participant are shown. Pre-training results show that the average root-mean-squared error across the 6 DOF is 0.13 and 0.36 (mm or degrees) on a head model included and excluded from the training dataset, respectively. Overall, this work indicates excellent feasibility of the deep-learning-based approach and will enable future work in training and testing on a real dataset in the MRI environment. [ABSTRACT FROM AUTHOR]

Assess the feasibility of a prototype image reconstruction algorithm in correcting motion artifacts in cone-beam computed tomography (CBCT) scans of interventional instruments in the lung. First, phantom experiments were performed to assess the algorithm, using the Xsight lung phantom with custom inserts containing straight or curved catheters. During scanning, the inserts moved in a continuous sinusoidal or breath-hold mimicking pattern, with varying amplitudes and frequencies. Subsequently, the algorithm was applied to CBCT data from navigation bronchoscopy procedures. The algorithm's performance was assessed quantitatively via edge-sharpness measurements and qualitatively by three specialists. In the phantom study, the algorithm improved sharpness in 13 out of 14 continuous sinusoidal motion and five out of seven breath-hold mimicking scans, with more significant effects at larger motion amplitudes. Analysis of 27 clinical scans showed that the motion corrected reconstructions had significantly sharper edges than standard reconstructions (2.81 (2.24–6.46) vs. 2.80 (2.16–4.75), p = 0.003). These results were consistent with the qualitative assessment, which showed higher scores in the sharpness of bronchoscope-tissue interface and catheter-tissue interface in the motion-corrected reconstructions. However, the tumor demarcation ratings were inconsistent between raters, and the overall image quality of the new reconstructions was rated lower. Our findings suggest that applying the new prototype algorithm for motion correction in CBCT images is feasible. The algorithm improved the sharpness of medical instruments in CBCT scans obtained during diagnostic navigation bronchoscopy procedures, which was demonstrated both quantitatively and qualitatively. [ABSTRACT FROM AUTHOR]

Accurately measuring renal function is crucial for pediatric patients with kidney conditions. Traditional methods have limitations, but dynamic contrast‐enhanced magnetic resonance imaging (DCE‐MRI) provides a safe and efficient approach for detailed anatomical evaluation and renal function assessment. However, motion artifacts during DCE‐MRI can degrade image quality and introduce misalignments, leading to unreliable results. This study introduces a motion‐compensated reconstruction technique for DCE‐MRI data acquired using golden‐angle radial sampling. Our proposed method achieves three key objectives: (1) identifying and removing corrupted data (outliers) using a Gaussian process model fitting with a k‐space center navigator, (2) efficiently clustering the data into motion phases and performing interphase registration, and (3) utilizing a novel formulation of motion‐compensated radial reconstruction. We applied the proposed motion correction (MoCo) method to DCE‐MRI data affected by varying degrees of motion, including both respiratory and bulk motion. We compared the outcomes with those obtained from the conventional radial reconstruction. Our evaluation encompassed assessing the quality of images, concentration curves, and tracer kinetic model fitting, and estimating renal function. The proposed MoCo reconstruction improved the temporal signal‐to‐noise ratio for all subjects, with a 21.8% increase on average, while total variation values of the aorta, right, and left kidney concentration were improved for each subject, with 32.5%, 41.3%, and 42.9% increases on average, respectively. Furthermore, evaluation of tracer kinetic model fitting indicated that the median standard deviation of the estimated filtration rate (σFT), mean normalized root‐mean‐squared error (nRMSE), and chi‐square goodness‐of‐fit of tracer kinetic model fit were decreased from 0.10 to 0.04, 0.27 to 0.24, and, 0.43 to 0.27, respectively. The proposed MoCo technique enabled more reliable renal function assessment and improved image quality for detailed anatomical evaluation in the case of bulk and respiratory motion during the acquisition of DCE‐MRI. [ABSTRACT FROM AUTHOR]

Background: Three-dimensional (3D) T1-weighted MRI sequences such as the magnetization prepared rapid gradient echo (MPRAGE) sequence are important for assessing regional cortical atrophy in the clinical evaluation of dementia but have long acquisition times and are prone to motion artifact. The recently developed Scout Accelerated Motion Estimation and Reduction (SAMER) retrospective motion correction method addresses motion artifact within clinically-acceptable computation times and has been validated through qualitative evaluation in inpatient and emergency settings. Methods: We evaluated the quantitative accuracy of morphometric analysis of SAMER motion-corrected compared to non-motion-corrected MPRAGE images by estimating cortical volume and thickness across neuroanatomical regions in two subject groups: (1) healthy volunteers and (2) patients undergoing evaluation for dementia. In part (1), we used a set of 108 MPRAGE reconstructed images derived from 12 healthy volunteers to systematically assess the effectiveness of SAMER in correcting varying degrees of motion corruption, ranging from mild to severe. In part (2), 29 patients who were scheduled for brain MRI with memory loss protocol and had motion corruption on their clinical MPRAGE scans were prospectively enrolled. Results: In part (1), SAMER resulted in effective correction of motion-induced cortical volume and thickness reductions. We observed systematic increases in the estimated cortical volume and thickness across all neuroanatomical regions and a relative reduction in percent error values compared to reference standard scans of up to 66 % for the cerebral white matter volume. In part (2), SAMER resulted in statistically significant volume increases across anatomical regions, with the most pronounced increases seen in the parietal and temporal lobes, and general reductions in percent error relative to reference standard clinical scans. Conclusion: SAMER improves the accuracy of morphometry through systematic increases and recovery of the estimated cortical volume and cortical thickness following motion correction, which may affect the evaluation of regional cortical atrophy in patients undergoing evaluation for dementia.

Abstract Magnetic resonance (MR) acquisitions of the torso are frequently affected by respiratory motion with detrimental effects on signal quality. The motion of organs inside the body is typically decoupled from surface motion and is best captured using rapid MR imaging (MRI). We propose a pipeline for prospective motion correction of the target organ using MR image navigators providing absolute motion estimates in millimeters. Our method is designed to feature multi-nuclear interleaving for non-proton MR acquisitions and to tolerate local transmit coils with inhomogeneous field and sensitivity distributions. OpenCV object tracking was introduced for rapid estimation of in-plane displacements in 2D MR images. A full three-dimensional translation vector was derived by combining displacements from slices of multiple and arbitrary orientations. The pipeline was implemented on 3 T and 7 T MR scanners and tested in phantoms and volunteers. Fast motion handling was achieved with low-resolution 2D MR image navigators and direct implementation of OpenCV into the MR scanner’s reconstruction pipeline. Motion-phantom measurements demonstrate high tracking precision and accuracy with minor processing latency. The feasibility of the pipeline for reliable in-vivo motion extraction was shown on heart and kidney data. Organ motion was manually assessed by independent operators to quantify tracking performance. Object tracking performed convincingly on 7774 navigator images from phantom scans and different organs in volunteers. In particular the kernelized correlation filter (KCF) achieved similar accuracy (74%) as scored from inter-operator comparison (82%) while processing at a rate of over 100 frames per second. We conclude that fast 2D MR navigator images and computer vision object tracking can be used for accurate and rapid prospective motion correction. This and the modular structure of the pipeline allows for the proposed method to be used in imaging of moving organs and in challenging applications like cardiac magnetic resonance spectroscopy (MRS) or magnetic resonance imaging (MRI) guided radiotherapy.

Abstract Purpose A 2D image navigator (iNAV) based 3D whole-heart sequence has been used to perform MRI and PET non-rigid respiratory motion correction for hybrid PET/MRI. However, only the PET data acquired during the acquisition of the 3D whole-heart MRI is corrected for respiratory motion. This study introduces and evaluates an MRI-based respiratory motion correction method of the complete PET data. Methods Twelve oncology patients scheduled for an additional cardiac 18F-Fluorodeoxyglucose (18F-FDG) PET/MRI and 15 patients with coronary artery disease (CAD) scheduled for cardiac 18F-Choline (18F-FCH) PET/MRI were included. A 2D iNAV recorded the respiratory motion of the myocardium during the 3D whole-heart coronary MR angiography (CMRA) acquisition (~ 10 min). A respiratory belt was used to record the respiratory motion throughout the entire PET/MRI examination (~ 30–90 min). The simultaneously acquired iNAV and respiratory belt signal were used to divide the acquired PET data into 4 bins. The binning was then extended for the complete respiratory belt signal. Data acquired at each bin was reconstructed and combined using iNAV-based motion fields to create a respiratory motion-corrected PET image. Motion-corrected (MC) and non-motion-corrected (NMC) datasets were compared. Gating was also performed to correct cardiac motion. The SUVmax and TBRmax values were calculated for the myocardial wall or a vulnerable coronary plaque for the 18F-FDG and 18F-FCH datasets, respectively. Results A pair-wise comparison showed that the SUVmax and TBRmax values of the motion corrected (MC) datasets were significantly higher than those for the non-motion-corrected (NMC) datasets (8.2 ± 1.0 vs 7.5 ± 1.0, p

BackgroundCurrent 18F-NaF assessments of aortic valve microcalcification using 18F-NaF PET/CT are based on evaluations of end-diastolic or cardiac motion-corrected (ECG-MC) images, which are affected by both patient and respiratory motion. We aimed to test the impact of employing a triple motion correction technique (3 × MC), including cardiorespiratory and gross patient motion, on quantitative and qualitative measurements.Materials and methodsFourteen patients with aortic stenosis underwent two repeat 30-min PET aortic valve scans within (29 ± 24) days. We considered three different image reconstruction protocols; an end-diastolic reconstruction protocol (standard) utilizing 25% of the acquired data, an ECG-gated (four ECG gates) reconstruction (ECG-MC), and a triple motion-corrected (3 × MC) dataset which corrects for both cardiorespiratory and patient motion. All datasets were compared to aortic valve calcification scores (AVCS), using the Agatston method, obtained from CT scans using correlation plots. We report SUVmax values measured in the aortic valve and maximum target-to-background ratios (TBRmax) values after correcting for blood pool activity.ResultsCompared to standard and ECG-MC reconstructions, increases in both SUVmax and TBRmax were observed following 3 × MC (SUVmax: Standard = 2.8 ± 0.7, ECG-MC = 2.6 ± 0.6, and 3 × MC = 3.3 ± 0.9; TBRmax: Standard = 2.7 ± 0.7, ECG-MC = 2.5 ± 0.6, and 3 × MC = 3.3 ± 1.2, all p values ≤ 0.05). 3 × MC had improved correlations (R2 value) to the AVCS when compared to the standard methods (SUVmax: Standard = 0.10, ECG-MC = 0.10, and 3 × MC = 0.20; TBRmax: Standard = 0.20, ECG-MC = 0.28, and 3 × MC = 0.46).Conclusion3 × MC improves the correlation between the AVCS and SUVmax and TBRmax and should be considered in PET studies of aortic valves using 18F-NaF.

Participant movement is a major source of artifacts in functional near-infrared spectroscopy (fNIRS) experiments. Mitigating the impact of motion artifacts (MAs) is crucial to estimate brain activity robustly. Here, we suggest and evaluate a novel application of the nonlinear Hammerstein–Wiener model to estimate and mitigate MAs in fNIRS signals from direct-movement recordings through IMU sensors mounted on the participant's head (head-IMU) and the fNIRS probe (probe-IMU). To this end, we analyzed the hemodynamic responses of single-channel oxyhemoglobin (HbO) and deoxyhemoglobin (HbR) signals from 17 participants who performed a hand tapping task with different levels of concurrent head movement. Additionally, the tapping task was performed without head movements to estimate the ground-truth brain activation. We compared the performance of our novel approach with the probe-IMU and head-IMU to eight established methods (PCA, tPCA, spline, spline Savitzky–Golay, wavelet, CBSI, RLOESS, and WCBSI) on four quality metrics: SNR, △AUC, RMSE, and R. Our proposed nonlinear Hammerstein–Wiener method achieved the best SNR increase (p < 0.001) among all methods. Visual inspection revealed that our approach mitigated MA contaminations that other techniques could not remove effectively. MA correction quality was comparable with head- and probe-IMUs. [ABSTRACT FROM AUTHOR]

Magnetic resonance (MR) acquisitions of the torso are frequently affected by respiratory motion with detrimental effects on signal quality. The motion of organs inside the body is typically decoupled from surface motion and is best captured using rapid MR imaging (MRI). We propose a pipeline for prospective motion correction of the target organ using MR image navigators providing absolute motion estimates in millimeters. Our method is designed to feature multi-nuclear interleaving for non-proton MR acquisitions and to tolerate local transmit coils with inhomogeneous field and sensitivity distributions. OpenCV object tracking was introduced for rapid estimation of in-plane displacements in 2D MR images. A full three-dimensional translation vector was derived by combining displacements from slices of multiple and arbitrary orientations. The pipeline was implemented on 3 T and 7 T MR scanners and tested in phantoms and volunteers. Fast motion handling was achieved with low-resolution 2D MR image navigators and direct implementation of OpenCV into the MR scanner's reconstruction pipeline. Motion-phantom measurements demonstrate high tracking precision and accuracy with minor processing latency. The feasibility of the pipeline for reliable in-vivo motion extraction was shown on heart and kidney data. Organ motion was manually assessed by independent operators to quantify tracking performance. Object tracking performed convincingly on 7774 navigator images from phantom scans and different organs in volunteers. In particular the kernelized correlation filter (KCF) achieved similar accuracy (74%) as scored from inter-operator comparison (82%) while processing at a rate of over 100 frames per second. We conclude that fast 2D MR navigator images and computer vision object tracking can be used for accurate and rapid prospective motion correction. This and the modular structure of the pipeline allows for the proposed method to be used in imaging of moving organs and in challenging applications like cardiac magnetic resonance spectroscopy (MRS) or magnetic resonance imaging (MRI) guided radiotherapy. [ABSTRACT FROM AUTHOR]

Background: Patient head motion is a common source of image artifacts in computed tomography (CT) of the head, leading to degraded image quality and potentially incorrect diagnoses. The partial angle reconstruction (PAR) means dividing the CT projection into several consecutive angular segments and reconstructing each segment individually. Although motion estimation and compensation using PAR has been developed and investigated in cardiac CT scans, its potential for reducing motion artifacts in head CT scans remains unexplored. Purpose: To develop a deep learning (DL) model capable of directly estimating head motion from PAR images of head CT scans and to integrate the estimated motion into an iterative reconstruction process to compensate for the motion. Methods: Head motion is considered as a rigid transformation described by six time‐variant variables, including the three variables for translation and three variables for rotation. Each motion variable is modeled using a B‐spline defined by five control points (CP) along time. We split the full projections from 360° into 25 consecutive PARs and subsequently input them into a convolutional neural network (CNN) that outputs the estimated CPs for each motion variable. The estimated CPs are used to calculate the object motion in each projection, which are incorporated into the forward and backprojection of an iterative reconstruction algorithm to reconstruct the motion‐compensated image. The performance of our DL model is evaluated through both simulation and phantom studies. Results: The DL model achieved high accuracy in estimating head motion, as demonstrated in both the simulation study (mean absolute error (MAE) ranging from 0.28 to 0.45 mm or degree across different motion variables) and the phantom study (MAE ranging from 0.40 to 0.48 mm or degree). The resulting motion‐corrected image, IDL,PAR${I}_{DL,\ PAR}$, exhibited a significant reduction in motion artifacts when compared to the traditional filtered back‐projection reconstructions, which is evidenced both in the simulation study (image MAE drops from 178 ±$ \pm $ 33HU to 37 ±$ \pm $ 9HU, structural similarity index (SSIM) increases from 0.60 ±$ \pm $ 0.06 to 0.98 ±$ \pm $ 0.01) and the phantom study (image MAE drops from 117 ±$ \pm $ 17HU to 42 ±$ \pm $ 19HU, SSIM increases from 0.83 ±$ \pm $ 0.04 to 0.98 ±$ \pm $ 0.02). Conclusions: We demonstrate that using PAR and our proposed deep learning model enables accurate estimation of patient head motion and effectively reduces motion artifacts in the resulting head CT images. [ABSTRACT FROM AUTHOR]

Purpose: Motion-induced magnetic resonance imaging (MRI) artifacts can deteriorate image quality and reduce diagnostic accuracy, but motion by human subjects is inevitable and can even be caused by involuntary physiological movements. Deep-learning-based motion correction methods might provide a solution. However, most studies have been based on directly applying existing models, and the trained models are rarely accessible. Therefore, we aim to develop and evaluate a deep-learning-based method (Motion Correction-Net, or MC-Net) for suppressing motion artifacts in brain MRI scans. Methods: A total of 57 subjects, providing 20,889 slices in four datasets, were used. Furthermore, 3T 3D sagittal magnetization-prepared rapid gradient-echo (MP-RAGE) and 2D axial fluid-attenuated inversion-recovery (FLAIR) sequences were acquired. The MC-Net was derived from a UNet combined with a two-stage multi-loss function. T1-weighted axial brain images contaminated with synthetic motions were used to train the network to remove motion artifacts. Evaluation used simulated T1- and T2-weighted axial, coronal, and sagittal images unseen during training, as well as T1-weighted images with motion artifacts from real scans. The performance indices included the peak-signal-to-noise ratio (PSNR), the structural similarity index measure (SSIM), and visual reading scores from three blinded clinical readers. A one-sided Wilcoxon signed-rank test was used to compare reader scores, with p < 0.05 considered significant. Intraclass correlation coefficients (ICCs) were calculated for inter-rater evaluations. Results: The MC-Net outperformed other methods in terms of PSNR and SSIM for the T1 axial test set. The MC-Net significantly improved the quality of all T1-weighted images for all directions (i.e., the mean SSIM of axial, sagittal, and coronal slices improved from 0.77, 0.64, and 0.71 to 0.92, 0.75, and 0.84; the mean PSNR improved from 26.35, 24.03, and 24.55 to 29.72, 24.40, and 25.37, respectively) and for simulated as well as real motion artifacts, both using quantitative measures and visual scores. However, MC-Net performed poorly for images with untrained T2-weighted contrast because the T2 contrast was unseen during training and is different from T1 contrast. Conclusion: The proposed two-stage multi-loss MC-Net can effectively suppress motion artifacts in brain MRI without compromising image quality. Given the efficiency of MC-Net (with a single-image processing time of ~40 ms), it can potentially be used in clinical settings. [ABSTRACT FROM AUTHOR]

Purpose: Subject movement during the MR examination is inevitable and causes not only image artifacts but also deteriorates the homogeneity of the main magnetic field (B0), which is a prerequisite for high quality data. Thus, characterization of changes to B0, for example induced by patient movement, is important for MR applications that are prone to B0 inhomogeneities. Methods: We propose a deep learning based method to predict such changes within the brain from the change of the head position to facilitate retrospective or even real‐time correction. A 3D U‐net was trained on in vivo gradient‐echo brain 7T MRI data. The input consisted of B0 maps and anatomical images at an initial position, and anatomical images at a different head position (obtained by applying a rigid‐body transformation on the initial anatomical image). The output consisted of B0 maps at the new head positions. We further fine‐trained the network weights to each subject by measuring a limited number of head positions of the given subject, and trained the U‐net with these data. Results: Our approach was compared to established dynamic B0 field mapping via interleaved navigators, which suffer from limited spatial resolution and the need for undesirable sequence modifications. Qualitative and quantitative comparison showed similar performance between an interleaved navigator‐equivalent method and proposed method. Conclusion: It is feasible to predict B0 maps from rigid subject movement and, when combined with external tracking hardware, this information could be used to improve the quality of MR acquisitions without the use of navigators. [ABSTRACT FROM AUTHOR]

Purpose: To develop a framework that jointly estimates rigid motion and polarizing magnetic field (B0) perturbations (δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$) for brain MRI using a single navigator of a few milliseconds in duration, and to additionally allow for navigator acquisition at arbitrary timings within any type of sequence to obtain high‐temporal resolution estimates. Theory and Methods: Methods exist that match navigator data to a low‐resolution single‐contrast image (scout) to estimate either motion orδB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$. In this work, called QUEEN (QUantitatively Enhanced parameter Estimation from Navigators), we propose combined motion and δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$ estimation from a fast, tailored trajectory with arbitrary‐contrast navigator data. To this end, the concept of a quantitative scout (Q‐Scout) acquisition is proposed from which contrast‐matched scout data is predicted for each navigator. Finally, navigator trajectories, contrast‐matched scout, and δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$ are integrated into a motion‐informed parallel‐imaging framework. Results: Simulations and in vivo experiments show the need to model δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$ to obtain accurate motion parameters estimated in the presence of strong δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$. Simulations confirm that tailored navigator trajectories are needed to robustly estimate both motion and δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$. Furthermore, experiments show that a contrast‐matched scout is needed for parameter estimation from multicontrast navigator data. A retrospective, in vivo reconstruction experiment shows improved image quality when using the proposed Q‐Scout and QUEEN estimation. Conclusions: We developed a framework to jointly estimate rigid motion parameters and δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$ from navigators. Combing a contrast‐matched scout with the proposed trajectory allows for navigator deployment in almost any sequence and/or timing, which allows for higher temporal‐resolution motion and δB0$$ \delta {\mathbf{B}}_{\mathbf{0}} $$ estimates. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Purpose: A 2D image navigator (iNAV) based 3D whole-heart sequence has been used to perform MRI and PET non-rigid respiratory motion correction for hybrid PET/MRI. However, only the PET data acquired during the acquisition of the 3D whole-heart MRI is corrected for respiratory motion. This study introduces and evaluates an MRI-based respiratory motion correction method of the complete PET data. Methods: Twelve oncology patients scheduled for an additional cardiac 18F-Fluorodeoxyglucose (18F-FDG) PET/MRI and 15 patients with coronary artery disease (CAD) scheduled for cardiac 18F-Choline (18F-FCH) PET/MRI were included. A 2D iNAV recorded the respiratory motion of the myocardium during the 3D whole-heart coronary MR angiography (CMRA) acquisition (~ 10 min). A respiratory belt was used to record the respiratory motion throughout the entire PET/MRI examination (~ 30–90 min). The simultaneously acquired iNAV and respiratory belt signal were used to divide the acquired PET data into 4 bins. The binning was then extended for the complete respiratory belt signal. Data acquired at each bin was reconstructed and combined using iNAV-based motion fields to create a respiratory motion-corrected PET image. Motion-corrected (MC) and non-motion-corrected (NMC) datasets were compared. Gating was also performed to correct cardiac motion. The SUVmax and TBRmax values were calculated for the myocardial wall or a vulnerable coronary plaque for the 18F-FDG and 18F-FCH datasets, respectively. Results: A pair-wise comparison showed that the SUVmax and TBRmax values of the motion corrected (MC) datasets were significantly higher than those for the non-motion-corrected (NMC) datasets (8.2 ± 1.0 vs 7.5 ± 1.0, p < 0.01 and 1.9 ± 0.2 vs 1.2 ± 0.2, p < 0.01, respectively). In addition, the SUVmax and TBRmax of the motion corrected and gated (MC_G) reconstructions were also higher than that of the non-motion-corrected but gated (NMC_G) datasets, although for the TBRmax this difference was not statistically significant (9.6 ± 1.3 vs 9.1 ± 1.2, p = 0.02 and 2.6 ± 0.3 vs 2.4 ± 0.3, p = 0.16, respectively). The respiratory motion-correction did not lead to a change in the signal to noise ratio. Conclusion: The proposed respiratory motion correction method for hybrid PET/MRI improved the image quality of cardiovascular PET scans by increased SUVmax and TBRmax values while maintaining the signal-to-noise ratio. Trial registration METC162043 registered 01/03/2017. [ABSTRACT FROM AUTHOR]

To improve the scan efficiency of thoracic aorta vessel wall imaging using a self-gating (SG)-based motion correction scheme. A slab-selective variable-flip-angle 3D turbo spin-echo (SPACE) sequence was modified to acquire SG signals and imaging data. Cartesian sampling with a tiny golden-step spiral profile ordering was used to obtain the imaging data during the systolic period, and then the image data were subsequently corrected based on the SG signals and binned to different respiratory cycles. Finally, respiratory artifacts were estimated from image-based registration of 3D undersampled respiratory bins that were reconstructed with L1 iterative self-consistent parallel imaging reconstruction (SPIRiT). This method was evaluated in 11 healthy volunteers and compared against conventional diaphragmatic navigator-gated acquisition to assess the feasibility of the proposed framework. Results showed that the proposed method achieved image quality comparable to that of conventional diaphragmatic navigator-gated acquisition with an average scan time of 4 min. The sharpness of the vessel wall and the definition of the liver boundary were in good agreement with the navigator-gated acquisition, which took approximately above 8.5 min depend on the respiratory rate. Further valuation of this technique in patients will be conducted to determine its clinical use. [ABSTRACT FROM AUTHOR]

Purpose: To develop a fast high‐resolution image‐based motion correction method using spiral navigators with multislice‐to‐volume registration. Methods: A semi‐LASER sequence was modified to include a multislice spiral navigator for prospective motion correction (∼305 ms including acquisition, processing, and feedback) as well as shim and frequency navigators for prospective shim and frequency correction (∼100 ms for each). MR spectra were obtained in the prefrontal cortex in five healthy subjects at 3 T with and without prospective motion and shim correction. The effect of key navigator parameters (number of slices, image resolution, and excitation flip angle) on registration accuracy was assessed using simulations. Results: Without prospective motion and shim correction, spectral quality degraded significantly in the presence of voluntary motion. In contrast, with prospective motion and shim correction, spectral quality was improved (metabolite linewidth = 6.7 ± 0.6 Hz, SNR= 67 ± 9) and in good agreement with baseline data without motion (metabolite linewidth = 6.9 ± 0.9 Hz, SNR = 73 ± 9). In addition, there was no significant difference in metabolites concentrations measured without motion and with prospective motion and shim correction in the presence of motion. Simulations showed that the registration precision was comparable when using three navigator slices with 3 mm resolution and when using the entire volume (all slices) with 8 mm resolution. Conclusion: The proposed motion correction scheme allows fast and precise prospective motion and shim correction for single‐voxel spectroscopy at 3 T. With 3 mm resolution, only a few navigator slices are necessary to achieve excellent motion correction performance. [ABSTRACT FROM AUTHOR]

Lead placement at the latest mechanically activated left ventricle (LV) segments is strongly correlated with response to cardiac resynchronization therapy (CRT). We demonstrate the feasibility of a cardiac 4DCT motion correction algorithm (ResyncCT) in estimating LV mechanical activation for guiding lead placement in CRT. Subjects with full cardiac cycle 4DCT images acquired using a wide-detector CT scanner for CRT planning/upgrade were included. 4DCT images exhibited motion artifact-induced false-dyssynchrony, hindering LV mechanical activation time estimation. Motion-corrupted images were processed with ResyncCT to yield motion-corrected images. Time to onset of shortening (TOS) was estimated in each of 72 endocardial segments. A false-dyssynchrony index (FDI) was used to quantify the extent of motion artifacts in the uncorrected and the ResyncCT images. After motion correction, the change in classification of LV free-wall segments as optimal target sites for lead placement was investigated. Twenty subjects (70.7 ​± ​13.9 years, 6 female) were analyzed. Motion artifacts in the ResyncCT-processed images were significantly reduced (FDI: 28.9 ​± ​9.3 ​% vs 47.0 ​± ​6.0 ​%, p ​< ​0.001). In 10 (50 ​%) subjects, ResyncCT motion correction yielded statistically different TOS estimates (p ​< ​0.05). Additionally, 43 ​% of LV free-wall segments were reclassified as optimal target sites for lead placement after motion correction. ResyncCT significantly reduced motion artifacts in wide-detector cardiac 4DCT images, yielded statistically different time to onset of shortening estimates, and changed the location of optimal target sites for lead placement. These results highlight the potential utility of ResyncCT motion correction in CRT planning when using wide-detector 4DCT imaging. [ABSTRACT FROM AUTHOR]