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Magnetic Resonance Imaging01:24

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Author Spotlight: Noninvasive Cerebral Blood Flow Determination in Human Functional Brain Region for Diagnosis of Neurological Disorders
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Multi-stage automated local arterial input function selection in perfusion MRI.

Rami Tabbara1, Alan Connelly2,3, Fernando Calamante1,4,5

  • 1The Florey Institute of Neuroscience and Mental Health, 245 Burgundy Street, Heidelberg, Melbourne, VIC, 3084, Australia.

Magma (New York, N.Y.)
|November 14, 2019
PubMed
Summary
This summary is machine-generated.

This study introduces a new automated method for selecting arterial input functions in dynamic-susceptibility contrast MRI. The novel approach enhances cerebral blood flow quantification by reducing image artifacts in patients with cerebrovascular disease.

Keywords:
Arterial input functionBolus dispersionCerebral blood flowPerfusion MRIStroke

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Area of Science:

  • Neuroimaging
  • Medical Physics
  • Radiology

Background:

  • Dynamic-susceptibility contrast MRI enables cerebral blood flow (CBF) quantification using model-independent deconvolution.
  • Local arterial input function (AIF) deconvolution methods identify unique arterial regions and their corresponding AIFs for improved accuracy.
  • Current automated local AIF methods often rely on surrogate measures or custom scoring functions, limiting clinical application.

Purpose of the Study:

  • To introduce a novel, fully automated, multi-stage local AIF method for cerebral blood flow quantification.
  • To address the limitations of existing automated local AIF methods in clinical settings.
  • To improve the robustness and accuracy of perfusion quantification in patients with cerebrovascular disease.

Main Methods:

  • A fully automated, multi-stage local AIF method was developed, integrating signal-based cluster analysis and priority flooding.
  • The method defines arterial regions and their vascular supply origins efficiently.
  • The proposed method was validated on data from four patients with cerebrovascular disease exhibiting artifacts with a prevailing automated method.

Main Results:

  • The proposed local AIF method successfully eliminated image artifacts observed with a pre-existing automated method.
  • Absence of artifacts indicates improved AIF selection and more reliable perfusion quantification.
  • The method demonstrated superior performance in challenging cases with significant image artifacts.

Conclusions:

  • The developed multi-stage local AIF method offers a more robust approach to perfusion quantification.
  • This automated solution enhances the clinical applicability of local AIF deconvolution in MRI.
  • The findings suggest a significant advancement over current fully automated local AIF techniques for CBF estimation.