Medical Imaging & Image Processing Lab M I I P Center for Informatics Science Nile University, Egypt Special Topic In Cardiac MR Imaging SENC Abdallah G.

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Transcript Medical Imaging & Image Processing Lab M I I P Center for Informatics Science Nile University, Egypt Special Topic In Cardiac MR Imaging SENC Abdallah G.

Slide 1

Medical Imaging & Image Processing Lab
M

I

I

P

Center for Informatics Science
Nile University, Egypt

Special Topic In Cardiac MR Imaging
SENC

Abdallah G. Motaal
Research Assistant,
MSc. Candidate
Nile University, Egypt


Slide 2

Layout
• Background
• Cardiac Magnetic Resonance Imaging
• Strain Encoded Imaging
 Theory

 Anatomy Image Enhancement
 Strain values correction


Slide 3

Background


Magnetic resonance imaging (MRI) is a safe,
noninvasive imaging technique that creates detailed
images of organs and tissues.

• MRI uses radio waves and magnets to create images of
organs and tissues, unlike computed tomography or
conventional x rays,


MRI imaging does not use ionizing radiations.


Slide 4

MR Cardiac Imaging
• Cardiac MR is used to image the heart while it is
beating, producing both still and moving pictures of the
heart and major blood vessels.
• Cardiologists use cardiac MR to get images and to look
at the structure and function of the different region of
the heart. These images can help them decide how best
to treat patients with heart problems.


Slide 5


Slide 6

Cardiac Imaging (2)
• Cardiac MRI is a common test for diagnosing
and evaluating a number of diseases and
conditions, including:
 Coronary artery disease
 Heart valve problems
 Congenital heart defects
 Cardiomyopathies
 Cardiac Tumors
Image with a cardiac infarction


Slide 7

What is SENC
• SENC is a technique that is used to quantify regional
function of heart by direct encoding of regional strain of
the heart into the acquired image.
• The technique measure the strain in the direction
orthogonal to the image plane.
• Therefore, in case of short-axis images, only the
longitudinal compression of the myocardium from base
to apex is measured. On the other hand, circumferential
shortening of the myocardium can be measured in the
long-axis views of the heart (such as the four-chamber
view).


Slide 8

Short Axis


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Theory
• Tagging
– Tags are temporary non-invasive markers
whose deformations follow the motion of
underlying tissue.

Diastole

Systole

Diastole

Systole

Cardiac image before and after applying SPAMM tagging


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Theory (2)
• Tagging is done in the direction parallel to the image plane.
• During cardiac cycle, these tag lines follow the motion of the
heart.

Before Contraction

After Contraction

• So by knowing the change in the tagging frequency we can
get the change in length, so we can calculate the strain.


Slide 11

Theory (3)


Because of stretching and contraction of the heart, the tagging
frequency ranges from wl and wh.


Slide 12



Because of the contraction of the heart, the tagging frequency will
change.
M(z)

S(w)

-wh

-wl

0
Myocardium
Static Tissue

wl

wh


Slide 13

Color Mapping
• The normal longitudinal strain ranges from 5 to -25.
• For qualitative assessment, strain values are represented by
colors.
5

-25


Slide 14

Time


Slide 15

Simulator


Slide 16

% Strain

Time


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Anatomy Image Enhancement

• By adding both the L.T and H.T we will get an
informative anatomical Image. But the elevated noise
leads to poor contrast to noise ratio(CNR).


Slide 18

• Bayes classifier was used to increase the
CNR.
Based on statistical model of both background and
tissue signal

A. Motaal, M. Al-Attar, N. Osman ,A. Fahmy
CIBEC ’ 08
IEEE Proceedings


Slide 19

Interleaving Strain Error Correction


Slide 20

Non - Interleaved

T Seconds

T Seconds

L.T 1

L.T 2

L.T 3

L.T 4

L.T 5

H.T 1

H.T 2

The Total Time Taken is 2*T Seconds

Interleaved

T Seconds

L.T 1

L.T 3

H.T 2

L.T 5

H.T 4

The Total Time Taken is only T Seconds

H.T 3

H.T 4

H.T 5


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One-heartbeat Interleaved SENC
Sequence

trigger

Problem: interframes motion of the heart


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Proposed Correction Algorithm
1
L.T

2
H.T

3
L.T

4
H.T

n-1
H.T

............. ..

n
L.T

Δ1

Δ2

Δ3

Δ4

............. ..

Δn1

Δn

Correction Algorithm

1
L.T ‘

2
H.T ’

3
L.T ‘

4
H.T ‘

............. ..

n
L.T ‘

n-1
H.T ‘

Estimate w
w1

Compare Wn-1

w2

w3

Wn-1

NO

Diff

Yes

STOP

Wn

Derivative


Slide 23

Phantom Experiment
• Numerical Computer Simulation was done to
generate SENC images with different strain
curves, and the proposed algorithms were tested
on them


Slide 24

Results
After Correction

Strain

Strain

Before Correction`

Time Frame

Time Frame


Slide 25

Results (cont.)


Slide 26

Summary
SENC is a technique for measuring regional
function of the heart.
We developed a Bayesian method to improve
the anatomical image reconstructed from
SENC.
We propose an algorithm to correct strain
measurements in interleaved acquisition.
The technique enables the reduction of the
required timeframes; hence, faster and better
quality imaging.


Slide 27

Thank You !

[email protected]