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Improved dynamic susceptibility contrast (DSC)-MR perfusion estimates by motion correction.

Robert K Kosior1, Jayme C Kosior, Richard Frayne

  • 1Department of Electrical and Computer Engineering, University of Calgary, Calgary, Alberta, Canada.

Journal of Magnetic Resonance Imaging : JMRI
|September 27, 2007
PubMed
Summary

Patient motion during MRI scans significantly impacts quantitative cerebral blood flow (CBF) maps in stroke patients. A motion-correction technique using rigid-body registration improves the accuracy of CBF estimates and lesion delineation.

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Area of Science:

  • Neuroimaging
  • Medical Physics
  • Radiology

Background:

  • Quantitative cerebral blood flow (CBF) mapping is crucial for diagnosing and managing ischemic stroke.
  • Patient motion during perfusion MRI can introduce significant artifacts, compromising the accuracy of CBF measurements.
  • Effective motion correction strategies are needed to enhance the diagnostic value of CBF imaging.

Purpose of the Study:

  • To assess the impact of patient motion on quantitative CBF maps in ischemic stroke patients.
  • To evaluate the effectiveness of a rigid-body registration-based motion-correction scheme for improving CBF accuracy.

Main Methods:

  • Perfusion data from 25 ischemic stroke patients were analyzed.
  • Motion profiles were applied to a brain phantom to validate accuracy.
  • Rigid-body registration was employed for motion correction.
  • Realignment parameters and mean CBF in regions of interest were recorded.

Main Results:

  • Motion correction visibly reduced intervolume misalignment in patient data.
  • Improved delineation of ischemic lesions and tissue differentiation was observed post-correction.
  • Significant differences in ischemic lesion CBF were noted in patients with severe motion (P < 0.05).
  • Phantom data confirmed improved CBF accuracy and high registration precision (<1 mm, <1°).

Conclusions:

  • Patient motion degrades flow differentiation in CBF maps and can lead to underestimation of ischemic severity.
  • A registration-based motion correction scheme enhances the reliability of dynamic susceptibility contrast (DSC)-MR perfusion estimates.