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Published on: June 9, 2018
Improvement in diagnostic quality of structural and angiographic MRI of the brain using motion correction with
Mads Andersen1,2, Isabella M Björkman-Burtscher3,4,5, Anouk Marsman1
1Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Introduction:
Subject movements lead to severe artifacts in magnetic resonance (MR) brain imaging. In this study we evaluate the diagnostic image quality in T1-weighted, T2-weighted, and time-of-flight angiographic MR sequences when using a flexible, navigator-based prospective motion correction system (iMOCO).
Methods:
Five healthy volunteers were scanned during different movement scenarios with and without (+/-) iMOCO activated. An experienced neuroradiologist graded images for image quality criteria (grey-white-matter discrimination, basal ganglia, and small structure and vessel delineation), and general image quality on a four-grade scale.
Results:
In scans with deliberate motion, there was a significant improvement in the image quality with iMOCO compared to the scans without iMOCO in both general image impression (T1 p<0.01, T2 p<0.01, TOF p = 0.03) and in anatomical grading (T1 p<0.01, T2 p<0.01, TOF p = 0.01). Subjective image quality was considered non-diagnostic in 91% of the scans with motion -iMOCO, but only in 4% of the scans with motion +iMOCO. iMOCO performed best in the T1-weighted sequence and least well in the angiography sequence. iMOCO was not shown to have any negative effect on diagnostic image quality, as no significant difference in diagnostic quality was seen between scans -iMOCO and +iMOCO with no deliberate movement.
Conclusion:
The evaluation showed that iMOCO enables substantial improvements in image quality in scans affected by subject movement, recovering important diagnostic information in an otherwise unusable scan.
Insights
The iMOCO system significantly improves diagnostic image quality in magnetic resonance (MR) brain imaging affected by subject movement. This prospective motion correction technology recovers usable diagnostic information from otherwise unusable scans.
Area of Science:
- Medical Imaging
- Neuroimaging
- Magnetic Resonance Imaging
Background:
- Subject movement during magnetic resonance (MR) brain imaging causes severe artifacts, compromising diagnostic image quality.
- Prospective motion correction systems aim to mitigate these artifacts in real-time.
Purpose of the Study:
- To evaluate the diagnostic image quality of T1-weighted, T2-weighted, and time-of-flight (TOF) angiographic MR sequences using a flexible, navigator-based prospective motion correction system (iMOCO).
Main Methods:
- Five healthy volunteers underwent MR brain scans with and without the iMOCO system activated under various movement scenarios.
- An experienced neuroradiologist assessed image quality using a four-grade scale, focusing on grey-white matter discrimination, basal ganglia, and small structure/vessel delineation.
Main Results:
- iMOCO significantly improved general image impression and anatomical grading across T1, T2, and TOF sequences when deliberate motion was present (p<0.01 for most).
- Non-diagnostic image quality decreased from 91% without iMOCO to 4% with iMOCO in scans with motion.
- iMOCO showed no negative impact on image quality in scans without deliberate movement.
Conclusions:
- The iMOCO system substantially enhances MR brain imaging quality in the presence of subject motion.
- This technology effectively recovers diagnostic information from scans that would otherwise be rendered unusable due to artifacts.
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