Biomedical subjects

P E Summers

Publications and source records attributed to P E Summers.

8 recordsLinked to original sources

PubMed1999

Automatic compensation of motion artifacts in MRI.

Patient motion during the acquisition of a magnetic resonance image can cause blurring and ghosting artifacts in the image. This paper presents a new post-processing strategy that can reduce artifacts due to in-plane, rigid-body motion in times comparable to that required to re-scan a patient. The algorithm iteratively determines unknown patient motion such that corrections for this motion provide the best image quality, as measured by an entropy-related focus criterion. The new optimization strategy features a multi-resolution approach in the phase-encode direction, separate successive one-dimensional searches for rotations and translations, and a novel method requiring only one re-gridding calculation for each rotation angle considered. Applicability to general rigid-body in-plane rotational and translational motion and to a range of differently weighted images and k-space trajectories is demonstrated. Motion artifact reduction is observed for data from a phantom, volunteers, and patients.

Algorithms↗

PubMed1999

Comparison of intra-arterial digital subtraction angiography, magnetic resonance angiography and duplex ultrasonography for measuring carotid artery stenosis.

BACKGROUND: Duplex ultrasonography and magnetic resonance angiography (MRA) are becoming competitive alternatives to angiography for determining the degree of internal carotid artery (ICA) stenosis. Varying reports have been published regarding the suitability of each technique for grading ICA disease. This retrospective study compared the merits of these three modalities for measuring ICA stenosis. METHODS: One hundred and eleven patients being considered for carotid endarterectomy underwent intra-arterial digital subtraction angiography (DSA) via arch injection. Duplex imaging was performed in all patients and MRA in 50. The degree of carotid stenosis estimated by the three modalities was compared. RESULTS: There was good correlation between subjectively graded MRA and DSA images (r = 0.87, P < 0.001, n = 82 carotids) but poor correlation for objective estimates. MRA tended to underestimate the degree of stenosis (bias - 4.5 per cent) compared with DSA, but showed good correlation with duplex ultrasonography estimates (r = 0. 86, P < 0.001, n = 87 carotids). Both non-invasive modalities produced high values of sensitivity and specificity in estimating stenoses of greater than 70 per cent. MRA was less sensitive for distinguishing between severe stenosis and complete occlusion. CONCLUSION: This study did not resolve the debate regarding the method of choice as both MRA and duplex ultrasonography were accurate for imaging carotid stenoses.

Aged↗

PubMed1999

A study of artefacts in simultaneous PET and MR imaging using a prototype MR compatible PET scanner.

We have assessed the possibility of artefacts that can arise in attempting to perform simultaneous positron emission tomography (PET) and magnetic resonance imaging (MRI) using a small prototype MR compatible PET scanner (McPET). In these experiments, we examine MR images for any major artefacts or loss in image quality due to inhomogeneities in the magnetic field, radiofrequency interference or susceptibility effects caused by operation of the PET system inside the MR scanner. In addition, possible artefacts in the PET images caused by the static and time-varying magnetic fields or radiofrequency interference from the MR system were investigated. Biological tissue and a T2-weighted spin echo sequence were used to examine susceptibility artefacts due to components of the McPET scanner (scintillator, optical fibres) situated in the MR field of view. A range of commonly used MR pulse sequences was studied while acquiring PET data to look for possible artefacts in either the PET or MR images. Other than a small loss in signal-to-noise using gradient echo sequences, there was no significant interaction between the two imaging systems. Simultaneous PET and MR imaging of simple phantoms was also carried out in different MR systems with field strengths ranging from 0.2 to 4.7 T. The results of these studies demonstrate that it is possible to acquire PET and MR images simultaneously, without any significant artefacts or loss in image quality, using our prototype MR compatible PET scanner.

Artifacts↗

PubMed1997

Feasibility study of magnetic resonance imaging-guided intranasal flexible microendoscopy.

Interventional magnetic resonance imaging (MRI) offers potential advantages over conventional interventional modalities such as X-ray fluoroscopy, ultrasonography, and computed tomography (CT). In particular, it does not use ionizing radiation, can provide high-quality images, and allows acquisition of oblique sections. We have carried out a feasibility study on the use of interventional MRI to track a flexible microendoscope in the paranasal sinuses. In this cadaver study, high-speed MRI was used to track a passive marker attached to the end of the endoscope. Automatic image registration algorithms were used to transfer the coordinates of the endoscope tip into the preoperative MRI and CT images, enabling us to display the position of the endoscope in reformatted orthogonal views or in a rendered view of the preoperative images. The endoscope video images were digitized and could be displayed alongside an approximately aligned, rendered preoperative image. Intraoperative display was provided in the scanner room by means of an liquid crystal display (LCD) projector. We estimate the accuracy of the endoscope tracking to be approximately 2 mm.

Algorithms↗

PubMed1997

Measurement of flow in small vessels by magnetic resonance phase mapping techniques: an in vitro and in vivo study.

The measurement of blood flow in small arteries is a potential extension of magnetic resonance (MR) angiography. We have compared flow measurements based on MR phase mapping with those obtained by Doppler ultrasound and electromagnetic flowmetry in both phantom and animal models. Correlation between modalities was high for in vitro studies (R2 = 0.93-0.98). In vivo, electrocardiogram-gated MR and Doppler ultrasound flow measurements compared to electromagnetic flowmetry showed fair correlation coefficients (R2 = 0.73 and 0.66, respectively). However, limits of agreement indicated that in small vessels flow measured by the three modalities could differ by up to +/-90 mL/min. For both models, arteries in the range of 3-6.5 mm in diameter produced complementary errors in area and velocity measurements in MR studies. Ungated MR studies showed a reduced agreement (R2 = 0.88 in vitro, 0.54 in vivo), which may in part be due to poor sampling of the velocity pattern. The results show that the high correlation obtained in vitro cannot be extrapolated to the in vivo situation, where additional physiological and anatomical variables are encountered.

Animals↗

PubMed1997

Magnetic resonance renography: optimisation of pulse sequence parameters and Gd-DTPA dose, and comparison with radionuclide renography.

The aim of this study was to assess the feasibility of magnetic resonance renography (MRR) using gadolinium diethylenetriaminepentaacetic acid (Gd-DTPA) in comparison with conventional radionuclide renography (RR) using technetium-99m-DTPA (99mTc-DTPA). MRR has many advantages over RR, including lack of ionising radiation, increased spatial resolution, and visible background anatomy. By optimising the pulse sequence, we developed an MRR protocol in which signal intensity is linear with Gd-DTPA concentration over a clinically relevant range. Twenty-nine patients and a volunteer were studied using this protocol. Magnetic resonance renography was performed using three different doses of Gd-DTPA: 0.1 mmol kg-1 (n = 13), 0.05 mmol kg-1 (n = 7), and 0.025 mmol kg-1 (n = 9). Each patient was also assessed using radionuclide renography. The resulting renograms were assessed in terms of time to peak signal intensity, signal decrease after peak, and kidney function ratios calculated from both the areas underneath and the slopes of the uptake curves. We have shown that the MR renograms obtained using low dose Gd-DTPA correlate best with the radionuclide renograms. Remaining discrepancies may be explained by variations in the injection procedures (hence in arterial input functions) and the limited coverage of the three MRR slices compared to the whole body projection of RR. Furthermore, at high local concentrations, signal becomes independent of T1 and is dominated by T2.

Adult↗

PubMed1997

Automatic correction of motion artifacts in magnetic resonance images using an entropy focus criterion.

We present the use of an entropy focus criterion to enable automatic focusing of motion corrupted magnetic resonance images. We demonstrate the principle using illustrative examples from cooperative volunteers. Our technique can determine unknown patient motion or use knowledge of motion from other measures as a starting estimate. The motion estimate is used to compensate the acquired data and is iteratively refined using the image entropy. Entropy focuses the whole image principally by favoring the removal of motion induced ghosts and blurring from otherwise dark regions of the image. Using only the image data, and no special hardware or pulse sequences, we demonstrate correction for arbitrary rigid-body translational motion in the imaging plane and for a single rotation. Extension to three-dimensional (3-D) and more general motion should be possible. The algorithm is able to determine volunteer motion well. The mean absolute deviation between algorithm and navigator-echo-determined motion is comparable to the displacement step size used in the algorithm. Local deviations from the recorded motion or navigator-determined motion are explained and we indicate how enhanced focus criteria may be derived. In all cases we were able to compensate images for patient motion, reducing blurring and ghosting.

Artifacts↗

PubMedDate not supplied

Multiresolution, model-based segmentation of MR angiograms.

During the last decade, the quality of MR angiograms has risen substantially and their clinical utility has been demonstrated progressively. This acceptance has created a need for tools with which to summarize and display the information available. We have used a model-based segmentation technique to extract vascular morphology and local flow parameters from phase contrast MR angiograms. A multiresolution data structure is used as the basis of recursive decision-making to identify regions of blood flow. The resulting data representation allows more efficient data handling in subsequent processing and visualization and is directly applicable to the creation of a connected graph model of vascular regions. We describe this flow feature extraction algorithm and demonstrate the utility of the results.

Humans↗