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Background: Accelerated real-time cine (RT-Cine) imaging enables cardiac function assessment without the need for breath-holding. However, when performed during in-magnet exercise, RT-Cine images may exhibit significant motion artifacts. Methods: By projecting the time-averaged images to the subspace spanned by the coil sensitivity maps, we propose a coil reweighting (CR) method to automatically suppress a subset of receive coils that introduces a high level of artifacts in the reconstructed image. RT-Cine data collected at rest and during exercise from ten healthy volunteers and six patients were utilized to assess the performance of the proposed method. One short-axis and one two-chamber RT-Cine series reconstructed with and without CR from each subject were visually scored by two cardiologists in terms of the level of artifacts on a scale of 1 (worst) to 5 (best). Results: For healthy volunteers, applying CR to RT-Cine images collected at rest did not significantly change the image quality score (p=1). In contrast, for RT-Cine images collected during exercise, CR significantly improved the score from 3.9 to 4.68 (p<0.001). Similarly, in patients, CR did not significantly change the score for images collected at rest (p=0.031) but markedly improved the score from 3.15 to 4.42 (p<0.001) for images taken during exercise. Despite lower image quality scores in the patient cohort compared to healthy subjects, likely due to larger body habitus and the difficulty of limiting body motion during exercise, CR effectively suppressed motion artifacts, with all image series from the patient cohort receiving a score of four or higher. Conclusion: Using data from healthy subjects and patients, we demonstrate that the motion artifacts in the reconstructed RT-Cine images can be effectively suppressed significantly with the proposed CR method.

Background: Cardiovascular magnetic resonance imaging (CMR) is a wellestablished imaging tool for diagnosing and managing cardiac conditions. The integration of exercise stress with CMR (ExCMR) can enhance its diagnostic capacity. Despite recent advances in CMR technology, quantitative ExCMR during exercise remains technically challenging due to motion artifacts and limited spatial and temporal resolution. Methods: This study investigated the feasibility of biventricular functional and hemodynamic assessment using real-time (RT) ExCMR during a staged exercise protocol in 24 healthy volunteers. We applied a coil reweighting technique and employed high acceleration rates to minimize motion blurring and artifacts. We further applied a beat-selection technique that identified beats from the endexpiratory phase to minimize the impact of respiration-induced through-plane motion. Additionally, results from six patients were presented to demonstrate clinical feasibility. Results: Our findings indicated a consistent decrease in end-systolic volume and stable end-diastolic volume across exercise intensities, leading to increased stroke volume and ejection fraction. The selection of end-expiratory beats enhanced the repeatability of cardiac function parameters, as shown by scan-rescan tests in nine volunteers. High scores from a blinded image quality assessment indicated that coil reweighting effectively minimized motion artifacts. Conclusions: This study demonstrated the feasibility of RT ExCMR with inmagnet exercise in healthy subjects and patients. Our results indicate that high acceleration rates, coil reweighting, and selection of respiratory phase-specific heartbeats enhance image quality and repeatability of quantitative RT ExCMR.

PURPOSE: To present and assess an outlier mitigation method that makes free-running volumetric cardiovascular MRI (CMR) more robust to motion. METHODS: The proposed method, called compressive recovery with outlier rejection (CORe), models outliers in the measured data as an additive auxiliary variable. We enforce MR physics-guided group sparsity on the auxiliary variable, and jointly estimate it along with the image using an iterative algorithm. For evaluation, CORe is first compared to traditional compressed sensing (CS), robust regression (RR), and an existing outlier rejection method using two simulation studies. Then, CORe is compared to CS using seven three-dimensional (3D) cine, 12 rest four-dimensional (4D) flow, and eight stress 4D flow imaging datasets. RESULTS: Our simulation studies show that CORe outperforms CS, RR, and the existing outlier rejection method in terms of normalized mean square error and structural similarity index across 55 different realizations. The expert reader evaluation of 3D cine images demonstrates that CORe is more effective in suppressing artifacts while maintaining or improving image sharpness. Finally, 4D flow images show that CORe yields more reliable and consistent flow measurements, especially in the presence of involuntary subject motion or exercise stress. CONCLUSION: An outlier rejection method is presented and tested using simulated and measured data. This method can help suppress motion artifacts in a wide range of free-running CMR applications. CODE & DATA: Implementation code and datasets are available on GitHub at http://github.com/OSU-MR/motion-robust-CMR

Background: Several studies have shown that both respiratory and cardiac motion can be extracted from the Pilot Tone (PT) signal successfully. However, most of these studies were performed in healthy volunteers. In addition, validating PT using ECG as a reference can be problematic because both PT and ECG tend to be unreliable in patients with arrhythmias. Purpose: We seek to evaluate the accuracy and reliability of the cardiac and respiratory signals extracted from PT in patients clinically referred for cardiovascular MRI with the image-derived signals as the reference. Methods: Twenty-three patients were scanned on a 1.5 T scanner using balanced steady-state free-precession real-time (RT) cine sequence. The PT signal was generated by a built-in PT transmitter integrated within the body array coil. For comparison, commercial ECG and BioMatrix (BM) respiratory sensor signals were synchronously recorded. Results: The respiratory motion extracted from PT correlated positively with the image-derived respiratory signal in all cases and showed a stronger correlation (absolute coefficient: 0.95+-0.09) than BM (0.72+-0.24). For the cardiac signal, PT trigger jitter (standard deviation of PT trigger locations relative to ECG triggers) ranged from 6.6 to 83.3 ms, with a median of 21.8 ms. The mean absolute difference between the PT and corresponding ECG cardiac cycle duration was less than 5% of the averaged ECG RR interval for 21 out of 23 patients. Overall, the performance of PT-based trigger extraction was comparable to that of ECG. We did not observe significant linear dependence (p>0.28) of PT delay and PT jitter on the patients' BMI or cardiac cycle duration. Conclusions: This study demonstrates the potential of PT to monitor both respiratory and cardiac motion in patients clinically referred for cardiovascular MRI.

We developed a rich dataset of Chest X-Ray (CXR) images to assist investigators in artificial intelligence. The data were collected using an eye tracking system while a radiologist reviewed and reported on 1,083 CXR images. The dataset contains the following aligned data: CXR image, transcribed radiology report text, radiologist's dictation audio and eye gaze coordinates data. We hope this dataset can contribute to various areas of research particularly towards explainable and multimodal deep learning / machine learning methods. Furthermore, investigators in disease classification and localization, automated radiology report generation, and human-machine interaction can benefit from these data. We report deep learning experiments that utilize the attention maps produced by eye gaze dataset to show the potential utility of this data.

Cardiovascular MRI (CMR) is a non-invasive imaging modality that provides excellent soft-tissue contrast without the use of ionizing radiation. Physiological motions and limited speed of MRI data acquisition necessitate development of accelerated methods, which typically rely on undersampling. Recovering diagnostic quality CMR images from highly undersampled data has been an active area of research. Recently, several data acquisition and processing methods have been proposed to accelerate CMR. The availability of data to objectively evaluate and compare different reconstruction methods could expedite innovation and promote clinical translation of these methods. In this work, we introduce an open-access dataset, called OCMR, that provides multi-coil k-space data from 53 fully sampled and 212 prospectively undersampled cardiac cine series.

Purpose: To develop and validate an acquisition and processing technique that enables fully self-gated 4D flow imaging with whole-heart coverage in a fixed five-minute scan. Theory and Methods: The data are acquired continuously using Cartesian sampling and sorted into respiratory and cardiac bins using the self-gating signal. The reconstruction is performed using a recently proposed Bayesian method called ReVEAL4D. ReVEAL4D is validated using data from eight healthy volunteers and two patients and compared with a compressed sensing technique, L1-SENSE. Results: Healthy subjects -- Compared to 2D phase-contrast MRI (2D-PC), flow quantification from ReVEAL4D shows no significant bias. In contrast, the peak velocity and peak flow rate for L1-SENSE are significantly underestimated. Compared to traditional parallel MRI-based 4D flow imaging, ReVEAL4D demonstrates small but significant biases in net flow and peak flow rate, with no significant bias in peak velocity. All three indices are significantly and more markedly underestimated by L1-SENSE. Patients -- Flow quantification from ReVEAL4D agrees well with the 2D-PC reference. In contrast, L1-SENSE markedly underestimated peak velocity. Conclusions: The combination of highly accelerated five-minute Cartesian acquisition, self-gating, and ReVEAL4D enables whole-heart 4D flow imaging with accurate flow quantification.

Precortical neural systems encode information collected by the senses, but the driving principles of the encoding used have remained a subject of debate. We present a model of retinal coding that is based on three constraints: information preservation, minimization of the neural wiring, and response equalization. The resulting novel version of sparse principal components analysis successfully captures a number of known characteristics of the retinal coding system, such as center-surround receptive fields, color opponency channels, and spatiotemporal responses that correspond to magnocellular and parvocellular pathways. Furthermore, when trained on auditory data, the same model learns receptive fields well fit by gammatone filters, commonly used to model precortical auditory coding. This suggests that efficient coding may be a unifying principle of precortical encoding across modalities.