Fetal whole-heart 4D imaging using motion-corrected multi-planar
real-time MRI
release_p2ttvgygxrb3tbp5dvcplkzys4
by
Joshua FP van Amerom, David FA Lloyd, Maria Deprez, Anthony N Price,
Shaihan J Malik, Kuberan Pushparajah, Milou PM van Poppel, Mary A Rutherford,
Reza Razavi, Joseph V Hajnal
2018
Abstract
Purpose: To develop a MRI acquisition and reconstruction framework for
volumetric cine visualisation of the fetal heart and great vessels in the
presence of maternal and fetal motion.
Methods: Four-dimensional depiction was achieved using a highly-accelerated
multi-planar real-time balanced steady state free precession acquisition
combined with retrospective image-domain techniques for motion correction,
cardiac synchronisation and outlier rejection. The framework was evaluated and
optimised using a numerical phantom, and evaluated in a study of 20 mid- to
late-gestational age human fetal subjects. Reconstructed cine volumes were
evaluated by experienced cardiologists and compared with matched ultrasound. A
preliminary assessment of flow-sensitive reconstruction using the velocity
information encoded in the phase of dynamic images is included.
Results: Reconstructed cine volumes could be visualised in any 2D plane
without the need for highly-specific scan plane prescription prior to
acquisition or for maternal breath hold to minimise motion. Reconstruction was
fully automated aside from user-specified masks of the fetal heart and chest.
The framework proved robust when applied to fetal data and simulations
confirmed that spatial and temporal features could be reliably recovered.
Expert evaluation suggested the reconstructed volumes can be used for
comprehensive assessment of the fetal heart, either as an adjunct to ultrasound
or in combination with other MRI techniques.
Conclusion: The proposed methods show promise as a framework for
motion-compensated 4D assessment of the fetal heart and great vessels.
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