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Teh, I.

Publications and source records attributed to Teh, I..

3 recordsLinked to original sources

ZOnally magnified Oblique Multi-slice (ZOOM) for cardiac diffusion weighted imaging in vivo

PurposeCardiac diffusion weighted imaging (cDWI) commonly utilizes 2D-selective RF-pulses (such as ZOOMit) to avoid aliasing artifacts when reducing the field of view (FOV). These RF-pulses, which may require parallel transmit capability, typically take several 10s of milliseconds, prolonging the echo time (TE) of the imaging sequence. Conversely, slice selection using ZOnally-magnified Oblique Multi-slice (ZOOM) (i.e. tilting the excitation relative to the refocusing RF-pulse) is an alternative for reducing FOV while shortening TE. We hypothesized that ZOOM, with appropriate choices for the RF-pulse tilt angle and thickness, can be reliably used as an alternative to ZOOMit for cardiac Diffusion Tensor Imaging (cDTI). MethodsWe scanned phantoms using full FOV and ZOOM with various parameters chosen from a 2-dimensional grid of angles and thicknesses. We identified a subset of 5 ZOOM parameters for in vivo cDTI experiments. We performed cDTI on healthy volunteers on a Siemens Prisma (6 subjects) and a Connectom (6 subjects) MR system using the 5 identified ZOOM settings, as well as ZOOMit (Prisma only) and no ZOOM (Connectom only). We compared mean diffusivity (MD), fractional anisotropy (FA), and secondary eigenvector angle (|E2A|) between scans. ResultsAverage MD, and standard deviation of MD and FA, were significantly reduced by ZOOM compared to no ZOOM on Connectom. We found no significant differences in any averaged diffusion measures between ZOOMit and ZOOM on Prisma. ConclusionCombining ZOOM with cardiac diffusion weighted imaging allows for TE to be considerably shortened (from 79ms to 67ms) while reducing FOV to avoid aliasing artifacts.

biophysics↗

Robust constrained weighted least squares for in vivo human cardiac diffusion kurtosis imaging

SummaryRobust estimation with convexity constraints significantly improves signal fitting for in vivo human cardiac diffusion kurtosis imaging. PurposeCardiac diffusion tensor imaging (cDTI) is an emerging technique to investigate the microstructure of heart tissue. At sufficiently high b-values, additional information on microstructure can be observed, but the data require a representation beyond DTI such as diffusion kurtosis imaging (DKI). cDTI is highly prone to image corruption, which researchers usually attempt to handle with shot-rejection. However, this can be handled more generally with robust estimation techniques. Recent work has also demonstrated the need to perform constrained fitting for DKI, as fitted parameters can otherwise violate necessary constraints on the signal behaviour, causing significant errors in estimated measures. MethodsWe developed robust constrained weighted least squares (RCWLS) by combining robust estimation with convexity constraints specifically for DKI. Using in vivo cardiac DKI data from 11 healthy volunteers collected with a Connectom scanner, we tested various combinations of fitting techniques, with/without robustness and with/without constraints. ResultsRCWLS was the only tested technique that convincingly showed radial kurtosis to be larger than axial kurtosis for all subjects, something that is expected in myocardium due to increased restrictions to diffusion in the plane perpendicular to the primary myocyte direction. RCWLS also showed the best correction of corrupted regions in diffusion parameter maps for individual subjects. ConclusionFitting techniques utilizing both robust estimation and constraints are essential to facilitate applicability of in vivo cardiac DKI.

physiology↗

Cardiac diffusion kurtosis imaging in the human heart in vivo using 300mT/m gradients

PurposeDiffusion tensor imaging (DTI) is commonly used in cardiac diffusion magnetic resonance imaging (dMRI). However, the tissues microstructure (cells, membranes, etc.) restricts the movement of the water molecules, making the spin displacements deviate from Gaussian behaviour. This effect may be observed with diffusion kurtosis imaging (DKI) using sufficiently high b-values (b > 450 s/mm2), which are presently outside the realm of routine cardiac dMRI due to the limited gradient strength of clinical scanners. The Connectom scanner with Gmax = 300 mT/m enables high b-values at echo times (TE) similar to DTI on standard clinical scanners, therefore facilitating cardiac DKI in humans. MethodsCardiac-gated, second-order motion-compensated dMRI was performed with bmax = 1350 s/mm2 in 10 healthy volunteers on a 3T MRI scanner with Gmax = 300 mT/m. The signal was fitted to a cumulant expansion up to and including the kurtosis term and diffusion metrics such as fractional anisotropy (FA), mean diffusivity (MD), mean kurtosis (MK), axial kurtosis (AK), and radial kurtosis (RK) were calculated. ResultsWe demonstrate deviation of the signal from monoexponential decay for b-values > 450 s/mm2 (MK = 0.32 {+/-} 0.03). Radial kurtosis (RK = 0.35 {+/-} 0.04) was observed slightly larger than axial kurtosis (AK = 0.27 {+/-} 0.02), and the difference is statistically significant (RK - AK = 0.08 {+/-} 0.04, p = 2e - 4). ConclusionThis work demonstrates the feasibility of quantifying kurtosis effect in the human heart in vivo (at an echo time shorter than typical TEs reported for cardiac DTI), using high-performance gradient systems (which are 4-8 times stronger than on standard clinical scanners). Our work lays the foundation for exploring new biomarkers in cardiac dMRI beyond DTI.

biophysics↗