Elastography
Contrast Mechanisms Monday, 17 May 2021
Oral
27 - 36
Digital Poster
1013 - 1032

Oral Session - Elastography
Contrast Mechanisms
Monday, 17 May 2021 12:00 - 14:00
  • About the origin of viscosity in MR-Elastography: tissue absorption or vascular scattering?
    Giacomo Annio1,2, Omar Darwish2, Elijah Van Houten3, Knut Solna4, Sverre Holm5, and Ralph Sinkus1,2
    1LVTS, INSERM U1148, Paris, France, 2Department of Biomedical Engineering, King's College London, London, United Kingdom, 3Département de Génie Mécanique, Université de Sherbrooke, Sherbrooke, QC, Canada, 4Department of Mathematics, University of California at Irvine, Irvine, CA, United States, 5Department of Physics, University of Oslo, Oslo, Norway
    We explore the origin of viscosity as quantified via MRE and show that its majority is originating from scattering and not from absorption (conversion to heat), fundamentally changing its interpretation. We propose a nonlocal viscoelastic model to describe the dispersion in scattering media.
    Figure 2: Results of the MRE acquisition depicting the z-component of the curl of the displacement vector in the pure ultrasound gel and in the ultrasound gel with the embedded scattering structure.
    Figure 5: Dispersion curves (with a power law fittings) and the corresponding frequency evolution of the phase angle for the pure ultrasound gel, ultrasound gel with embedded fractal structure, and a bovine tissue specimen. Magnitude coronal sections of the three specimens are shown on the first column.
  • A Multiphase Radial DENSE Sequence and harmonic motion based compressed sensing for fast magnetic resonance elastography
    Runke Wang1, Suhao Qiu1, Zhiyong Zhang1, and Yuan Feng1
    1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
    A multiphase radial DENSE sequence was proposed to accelerate the MRE acquisition. The sparsity of the harmonic motion combined with compressed sensing was used for the reconstruction of undersampled wave images. Phantom and brain images showed a 4-fold acceleration could be achieved.
    Figure 2. The reconstruction procedure of the proposed method. In the first step, the acquired spokes are rearranged to 8 k-spaces belonging to different phase images. The k-data encoded by negative MEGs are then resorted and concatenated to the data with positive MEGs encoding to form a pseudo continuous wave. In the second step, the rearranged k-data are reconstructed simultaneously. The modified TV transform and temporal FFT are the sparsifying transforms.
    Figure 1. Sequence diagram of the MRD-MRE. The motion encoding gradient (MEG) Ge is applied under a static state and decoded by all the following motion decoding gradients (MDG) Gdn. With a golden angle radial sampling pattern, the spokes belonging to different phase offset are acquired continuously and rearranged after the scan for reconstruction of different phase images. The time interval Δt between the trigger time and MDG determines the phase offset of each spokes.
  • Respiratory Motion-Resolved Free-Breathing MR Elastography Of Liver
    Yi Sui1, Jiahui Li1, Joshua D. Trzasko1, Arvin Arani1, Kevin Glaser1, Phillip J. Rossman1, Ziying Yin1, Meng Yin1, and Richard L. Ehman1
    1Radiology, Mayo Clinic, Rochester, MN, United States
    A free-breathing 3D MR elastography technique (TURBINE-MRE) was developed for liver MRE, providing motion-resolved wave images and stiffness maps in single 4-minute free breathing acquisition.
    Figure 3: Results of free-breathing TURBINE-MRE from a healthy volunteer. The animation shows the magnitude, x-, y-, z- components of curl wave information, and stiffness maps at 5 respiratory states. The contours on the wave images and stiffness map delineate the boundaries of the liver and other organs. (High definition movie can be found at https://youtu.be/yw9yOhGvAi8 )
    Figure 2: Respiratory motion estimation from k-space data. (a) Flow chart for respiratory motion estimation. (b) TURBINE k-space trajectory. The center Kz lines (dashed line) from all EPI blades were taken out for motion estimation. (c) Mzt: 1D z-projection of whole imaging volume along time. PC: The largest principal component of Mzt. PCbc block-wise baseline-corrected PC. Each colored ribbon marks a MRE direction as a block. The respiratory motion (blue) was estimated from all channels using a coil clustering method and was consistent with the respiratory bellows signal (orange).
  • Prepared MR Elastography
    Tanguy Boucneau1, Brice Fernandez2, Luc Darrasse1, and Xavier Maître1
    1Université Paris-Saclay, CEA, CNRS, Inserm, BioMaps, Orsay, France, 2Applications & Workflow, GE Healthcare, Orsay, France
    Magnitude contrast MR Elastography was developed on the basis of a motion-sensitizing magnetization preparation to subsequently make use of any type of imaging sequence, like UTE or ZTE, to mechanically characterize tissues, otherwise inaccessible with standard MRE.
    Figure 2: Representation of one segment of the UTE-based MSPrep-MRE pulse sequence and delimitation of its three main parts: the motion preparation and residual magnetization spoiling, the train of MRI repetitions and the stand-by time (200 ms and 150 ms for HoP and HeP acquisitions respectively).
    Figure 4: MR magnitude images, wave maps directionally filtered along the up-to-down direction and Young’s modulus maps obtained for the heterogeneous phantom (HeP) at 150 and 180 Hz. Two sagittal planes with three and two inclusions are presented. A Maximum Intensity Projection (MIP) in the coronal view clearly depicts the five inclusions.
  • Regional Brain Mechanical Properties Throughout Maturation from Childhood to Adulthood
    Grace McIlvain 1, Julie M Schneider2, Melanie A Matyi 3, Melissa S DiFabio1, Peyton L Delgorio1, Matthew DJ McGarry 4, Jeffrey M Spielberg3, Zhenghan Qi2, and Curtis L Johnson1
    1Biomedical Engineering, University of Delaware, Newark, DE, United States, 2Department of Linguistics, University of Delaware, Newark, DE, United States, 3Department of Psychology, University of Delaware, Newark, DE, United States, 4Thayer School of Engineering, Dartmouth College, Hanover, NH, United States
    Brain mechanical properties measured through MR elastography have not been comprehensively studied in the pediatric population. Here we report notable maturational related regional differences in brain stiffness and damping ratio in people ages 5-21.
    Bar chart displays group viscoelastic shear stiffness values in three groups for the whole brain, the cerebral white matter and the cerebral cortex, with significance difference between groups indicated with * (p < 0.05). Stiffness maps were registered to the MNI standard space template and averaged across subjects of same age group.
    Bar chart displays group viscoelastic shear stiffness values in three groups for the subcortical grey matter structures including the amygdala, hippocampus, caudate, putamen, pallidum and thalamus, with significance difference between groups indicated with * (p < 0.05). Stiffness maps were registered to the MNI standard space template and averaged across subjects of same age group.
  • Quantification of in-vivo myocardial stiffness in the rat heart using transient mechanical waves
    Anna Sophie Wittgenstein1, Marco Barbero Mota2, Giacomo Annio2, Guillaume Rucher2, Rachida Aid-Launais2, Rami Mustapha3, David Alexander Nordsletten1,4, and Ralph Sinkus1,2
    1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2INSERM-Université de Paris, Paris, France, 3chool of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom, 4Department of Biomedical Engineering and Cardiac Surgery, University of Michigan, Ann Habor, MI, United States
    The current methodology allows to actually sample several punches throughout the cardiac cycle whereby enabling a simple way to quantify changes in biomechanics during systole and diastole, without prolongation of data acquisition time.
    Figure 4: Magnitude images with a resolution of 1x1mm and the waterfall diagram along the indicated path (pink) (A) The location of the transducer underneath the torso is indicated by the block and the direction of vibration by the arrow in the magnitude image.(B) Magnitude image at the start of diastole with the wave plane through slices (pink cross) and the path for the waterfall-diagram (C) Magnitude image of the rats’ shape of the heart at end diastole, showing the left and right ventricle. (D) Waterfall-diagram, showing the travelled distance over time along the path indicated in B.
    Figure 1: TTL: Transistor-transistor logic trigger; A) ECG+respiratory gated acquisition. Delaying 100 ms each mechanical push (200 Hz) trigger with respect to R spike (TTL) ensures consistent diastolic acquisition. 10 acquisition repetitions with an increment of 0.7 ms delays among them artificially lower temporal resolution to 0.7 ms. B) Diagram of the anesthetized rat and how thoracic excitation is executed for generation of internal shear waves that travel towards and through the heart.
  • Stiffness and Fluidity of Hepatic Fibrosis Elucidated by In Vivo Multifrequency MR Elastography
    Rolf Reiter1, Mehrgan Shahryari1, Heiko Tzschätzsch1, Matthias Haas1, Christian Bayerl1, Britta Siegmund2, Bernd Hamm1, Patrick Asbach1, Jürgen Braun1, and Ingolf Sack1
    1Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Gastroenterology, Charité - Universitätsmedizin Berlin, Berlin, Germany
    Although cirrhosis is associated with liver stiffening and transition towards rigid material properties, our results indicate high mechanical friction. This biophysical signature might provide a prognostic biomarker for the detection of end-stage fibrosis independent of stiffness. 
    Figure 1. Representative cases. Fibrosis stage F0: 51-year-old female healthy volunteer. F2: 31-year-old female patient with autoimmune hepatitis. F3: 53-year-old female patient with toxic liver disease. F4: 73-year-old female patient with diffuse liver metastases. For presented cases with F0/F2/F3/F4, fluidity (φ) was 0.60, 0.62, 0.63, 1.01 rad, and shear-wave speed (SWS) was 1.46, 1.64, 1.91, 3.22 m/s, respectively.
    Figure 2. SWS Dispersion. Dispersion of stiffness (SWS) for F0, F1-3, and F4 is displayed over single frequencies from 35 to 60 Hz.
  • Liver Stiffness Measurement by Magnetic Resonance Elastography is not Affected by Hepatic Steatosis
    Jie Chen1,2, Alina Allen3, Terry Therneau4, Jun Chen2, Jiahui Li2, Jingbiao Chen2, Xin Lu2, Zheng Zhu2, safa Hoodeshenas2, Sudhakar Venkatesh2, Bin Song1, Richard Ehman2, and Meng Yin2
    1Department of Radiology, West China Hospital, Sichuan University, Chengdu, China, 2Department of Radiology, Mayo Clinic, Rochester, MN, United States, 3Devision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States, 4Devision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States
    This large cross-sectional study demonstrates that unlike ultrasound based elastography, MRE-based measurements of liver stiffness are not affected by the presence and severity hepatic steatosis. 
    Figure 4. The Locally Weighted Scatterplot smoothing of liver stiffness measurement (LSM) versus proton density fat fraction (PDFF) in all cases (a), and within each fibrosis stage (b). In the gray area where PDFF is less than 5% (mostly S0 cases), there are many F3 and F4 patients, and the slight decrease in LSM in patients with cirrhosis is due to the biased distribution of high LSM and low PDFF, also known as the “burned-out” NASH.
    Table 1. Results of linear regressions with liver stiffness measurement as the dependent variable in patients with diagnosed steatosis (PDFF≥5%), and in different subgroups.
  • Tumor stiffness and stiffness change using 3D MR elastography are markers of tumor lymphocyte infiltration and immunotherapy response in HCC.
    Paul Kennedy1, Muhammed Shareef1, Octavia Bane1, Guillermo Carbonell1, Elizabeth Miller2, Israel Lowy2, Stephen Ward1, M. Isabel Fiel1, Miriam Merad1, Thomas Marron1, and Bachir Taouli1
    1Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Regeneron Pharmaceuticals Inc., Tarrytown, NY, United States
    Tumor stiffness measured with 3D MRE correlates with grade of tumor infiltrating lymphocytes, and tumor stiffness changes are associated with degree of tumor necrosis following immunotherapy. 
    Figure 1: Example pre- and post-immunotherapy images from an 83 yr old female with hepatitis B. A 7cm hepatocellular carcinoma is seen in the right lobe (white outline). A moderate decrease in tumor stiffness (TS) is noted post immunotherapy however liver stiffness (LS) remains unchanged. At resection the tumor was 100% necrotic.
    Figure 2: Boxplot showing elevated baseline stiffness in tumors with high density of tumor infiltrating lymphocytes at resection.
  • Value of Liver MR Elastography for Predicting Development of Cirrhosis and Decompensation in Patients with Alcohol-associated Liver Disease
    Jingbiao Chen1, Mahmoud Adam Tahboub Amawi2, Xin Lu2, Jie Chen3, Jiahui Li2, Zheng Zhu2, Safa Hoodeshenas2, Jin Wang4, Douglas A Simonetto2, Vijay H Shah2, Richard L Ehman2, and Meng Yin2
    1Radiology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China, 2Mayo Clinic, Rochester, MN, United States, 3West China Hospital, Chengdu, China, 4the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
    Liver stiffness measured by 2D-MRE is a significant and independent prognostic factor for the development of cirrhosis or decompensated cirrhosis in patients with alcohol-associated liver disease.
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Digital Poster Session - Elastography: Applications
Contrast Mechanisms
Monday, 17 May 2021 13:00 - 14:00
  • In vivo MR elastography of the murine hippocampus is sensitive to the microscopic mechanical properties of dentate gyrus subzones
    Anna Morr1, Marcin Nowicki2, Gergely Bertalan1, Rafaela Vieira da Silva1, Carmen Infante Duarte1, Stefan Paul Koch1, Philipp Boehm-Sturm1, Ute Krügel2, Jürgen Braun1, Barbara Steiner1, Josef Käs2, Thomas Fuhs2, and Ingolf Sack1
    1Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Universität Leipzig, Leipzig, Germany
    Subregional and microscopic stiffness of the murine dentate gyrus was detected by in vivo by MRE and ex vivo by atomic force microscopy. Both methods consistently revealed marked soft-solid properties of the subgranular zone, a neurogenic niche in mammalians.
    A Representative c-map showing the DG mask and its diminution in a pixel-wise manner. B there is significant decrease in stiffness (c in m/s) when down-sizing the mask. C Representative ϕ-map showing the erosion of the DG mask in a pixel-wise manner. D There is significant decrease in the loss angle, when the mask is eroded. **** ≦ 0.0001, *** ≦ 0.001, ** ≤ 0.01, ≤ 0.05*
    A AFM set-up on the left, on the right a sketch, the brain slice is placed in a petri dish on the sample scanner stage of the AFM. The AFM-cantilever is probing the brain slice from above. An upright fluorescent microscope allows imaging the GFP-signal, optical and AFM-Image are registered with pixel-precision. B Exemplary fluorescent image of a brain slice overlaid with the local Young‘s Modulus. C The SGZ (high fluorescence signal) is softer compared to neighboring regions(low fluorescence signal) in the dentate gyrus, paired Wilcoxon-test was performed. *** ≦ 0.001
  • Are multiple sclerosis lesions stiffer or softer than surrounding brain tissue?
    Helge Herthum1, Stefan Hetzer2, Michael Scheel1, Friedemann Paul3, Heiko Tzschätzsch1, Tom Meyer1, Mehrgan Shahryari1, Jürgen Braun4, and Ingolf Sack1
    1Experimentelle Radiologie, Charité Universitätsmedizin Berlin, Berlin, Germany, 2Berlin Center for Advanced Neuroimaging (BCAN), Berlin, Germany, 3NeuroCure Clinical Research Center and Clinical and Experimental Multiple Sclerosis Research Center, Berlin, Germany, 4Institut für medizinische Informatik, Charité Universitätsmedizin Berlin, Berlin, Germany
    We investigated the possibility to differentiate lesions of multiple sclerosis from surrounding tissue by MRE but could not find any evidence for a systematic pattern related to mechanical changes in MS lesions compared to brain tissue.
    Mean MRE magnitude, maps of |G*| and φ and the registered mean diffusivity (MD) in two selected slices for one patient from each subgroup. Top rows group 1 (2x2x2 mm3 voxel size). Bottom rows group 2 (1.5x1.5x2 mm3 voxel size). Lesion masks are demarcated in red and the masks for the surrounding tissue is demarcated in green. Grayscale colorbar (black to white) is as follows: |G*| in Pa: 0 – 2000, φ in rad: 0.16 – 1.6, MD in 10-3*mm*s-1: 0.2 – 1.4.
    Relative intensity difference (rID) of lesions compared to surrounding tissue for group 1 (2x2x2 mm3 voxel size) shown as histogram (top) and bar-chart (bottom) for |G*|, φ, T2w intensity from mean MRE magnitude image and mean diffusivity (MD). Mean ± SD of rID are given in the figure. rID thresholds for bar-charts are 5%.
  • Brain MR-Elastography in microgravity analogous conditions
    Fatiha Andoh1, Claire Pellot-Barakat1, and Xavier Maître1
    1Université Paris-Saclay, CEA, CNRS, Inserm, BioMaps, Orsay, France
    Brain fluid overpressure and resulting loss of water contents in CSF and orbital compartments were confirmed by T2 mapping in head down tilt position. The overall brain mechanical response in such microgravity analogous conditions, cerebral tissue stiffening, was revealed by whole brain MRE.
    Figure 1: Axial maps at slices 12, 25, 28 and 40 of the absolute variation of the MR signal lifetime, ΔT2, between 0° and 17° positions (top row). ΔT2 is essentially zero everywhere but in the CSF and orbital compartments where it exhibits a clear T2 decrease in HDT position. Shear velocity, Vs, and viscoelastic moduli, G’ and G”, maps reveal a global mechanical increase between 0° supine and 17° HDT in the cerebral tissues (bottom rows).
    Figure 2: Relative variation of the median MR transverse relaxivity (R2 = 1/T2) (black), of the mean shear velocity ‹Vs› (green), the mean shear elasticity ‹G’› (dark orange) and shear viscosity ‹G”› (light orange) across the inferior-superior axial slices. While T2 positively varies only locally in the CSF and orbital compartments, ‹Vs›, ‹G’› and ‹G”› increase everywhere in the cerebral tissues, remain rather constant in cerebellum and decrease around the tentorium.
  • Micro MR elastography of the zebrafish brain
    Jakob Jordan1, Gergely Bertalan1, Heiko Tzschätzsch1, Tom Meyer1, Anton Gauert2, Anja Heeren-Hagemann2, Jürgen Braun3, and Ingolf Sack1
    1Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Department of Hematology/Oncology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 3Institute of Medical Informatic, Charité - Universitätsmedizin Berlin, Berlin, Germany
    We show shear wave speed (SWS) maps of the zebrafish brain with an in-plane resolution of 40 × 40 µm³. After defining anatomical regions of interest, we found a mean SWS of 1.2 ± 0.3 m/s for the whole brain, which is surprisingly stiffer than that of skeletal muscle fiber at 0.89 ± 0.09 m/s.
    Figure 3: Shear wave speed maps of the zebrafish brain and skeletal muscle, with slice a) being most caudal and slice d) most cranial. The optic tectum is marked in green, the telencephalon in blue and a representative slice through the muscle in red.
    Figure 4: Mean SWS of different brain regions and back muscle of sampled zebrafish. Muscle tissue could not be measured in all fish due to placement in the glass tube. While we found no statistical difference between identified brain regions, a clear difference between the full brain and skeletal muscle tissue was found using the Wilcoxon rank sum test. *indicates p<0.05.
  • Heterogeneity of Viscoelastic Properties in Prostate Cancer Assessed by Ex Vivo MR Elastography
    Rolf Reiter1,2, Shreyan Majumdar2, Steven Kearney2, Andre Kajdacsy‐Balla3, Virgilia Macias3, Michael Abern4, Simone Crivellaro4, Thomas J. Royston2, and Dieter Klatt2
    1Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Bioengineering, University of Illinois at Chicago, Chicago, IL, United States, 3Pathology, University of Illinois at Chicago, Chicago, IL, United States, 4Urology, University of Illinois at Chicago, Chicago, IL, United States
    We aimed to evaluate the heterogeneity of viscoelastic tissue properties of fresh prostatectomy specimens using MR elastography. Our results suggest that prostate cancer is characterized by a stiff yet homogeneous biomechanical signature. 
    Figure 1. Coefficient of variation (CV) vs. magnitude of the complex shear modulus (|G*|) for healthy (blue circles) and cancerous segments (red crosses). The line shows linear correlation with r = -0.48 and p < 0.001.
  • MR elastography of abdominal aortic aneurysm specimens
    Dilyana B. Mangarova1,2, Julia Brangsch1, Marcus R. Makowski1,3, Bernd Hamm1, Ingolf Sack1, Jürgen Braun 4, and Gergely Bertalan1
    1Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Department of Veterinary Pathology, Free University of Berlin, Berlin, Germany, 3Department of Diagnostic and Interventional Radiology, Technical University of Munich, Berlin, Germany, 4Institute for Medical Informatics, Charité - Universitätsmedizin Berlin, Berlin, Germany
    We demonstrate the feasibility of MR elastography (MRE) to determine pathologically altered stiffness in abdominal aortic aneurysm samples. Aortic wall stiffness is increased and thrombus morphology in MRE correlates with accumulation of extracellular matrix components in histology.
    (a) Group values of SWS of aortic wall of controls and AAA. (b) Regional analysis based on Elastica-van-Gieson stainings of three AAAs for regions with high (red ROIs) and low content (blue ROIs) of extracellular matrix (ECM) components.
    Experimental setup. (a) Abdominal aorta samples of control mice and mice with AAA were transferred in glass tubes with an inner diameter of 3.2 mm and embedded in ultrasound gel (details see text). (b) Upper row: transducer system for vibration generation with inserted sample tube. Main components of the transducer system include a piezo actuator which is connected by a transducer rod to a movable sample holder. Lower row: position of the transducer system in the quadrature volume coil with inner diameter of 20 mm.
  • Viscoelastic Differences in Human Gray and White Matter at Different Spatial Resolutions
    Shruti Mishra1,2, Bin Deng2,3,4, W. Scott Hoge1,2,3, Giacomo Annio5, Ralph Sinkus5, and Samuel Patz1,2
    1Department of Radiology, Brigham & Women's Hospital, Boston, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Athinoula A. Marginos Center for Biomedical Imaging, Charlestown, MA, United States, 4Radiology, Massachusetts General Hospital, Boston, MA, United States, 5Laboratory for Vascular Translational Science (LVTS), Institut National de la Santé et de la Recherche Médicale (INSERM), Paris, France
    High resolution MRE of the brain in healthy volunteer subjects results in a lower mean estimation of wavelength (and therefore stiffness) for a given brain region and greater discriminability between adjacent cortical gray matter and subcortical white matter.
    Figure 1: Estimated wavelength ($$$\lambda$$$) overlaid on high-resolution T1 MPRAGE for MRE sequences obtained at 2.5 mm (left), 2.0 mm (middle), and 1.5 mm (right) isotropic resolutions on two healthy adult subjects.
    Figure 3: Mean and standard deviation of the estimated wavelength (mm) in each of the left and right hemisphere lateral occipital cortex ROIs and adjacent white matter, depicted in Figure 2, from MRE scans done at 2.5, 2.0, and 1.5 mm resolutions, respectively, for each of the two subjects.
  • Assessment of Obesity-Related Inflammation in Subcutaneous Adipose Tissue with MR Elastography (MRE)
    Jiahui Li1, Prachi Singh2, Marzanna Obrzut1, Xin Lu1, Kevin J. Glaser1, Alina Allen3, Sudhakar K. Venkatesh1, Taofic Mounajjed4, Jun Chen1, Armando Manduca1, Vijay Shah3, Richard L. Ehman1, and Meng Yin1
    1Radiology, Mayo Clinic, Rochester, MN, United States, 2Sleep and Cardiometabolic Health, Pennington Biomedical Research Center, Baton Rouge, LA, United States, 3Gastroenterology, Mayo Clinic, Rochester, MN, United States, 4Anatomic Pathology, Mayo Clinic, Rochester, MN, United States
    MRE-based assessment of subcutaneous adipose tissue provides biomarkers that show promise for improving the diagnosis of NASH and assessing systemic metabolic dysfunction in obese patients.
    Figure 3. Receiver Operating Characteristic (ROC) of NASH prediction models and effect test for various models. ROC analyses for the diagnosis of NASH based on the nominal logistic fit models. PDFFliver, fat fraction of liver; SSliver, liver stiffness; SSfat, subcutaneous fat stiffness. *, p < 0.05.
    Figure 1. Examples of ROI placement to measure liver and fat shear stiffness and fat fraction. The white area (A) and pink area (B) represent the ROIs used to report the shear stiffness and fat fraction, respectively, for subcutaneous adipose tissue. The yellow areas (A and B) represent the ROIs for the liver.
  • Anisotropic stiffness of the supraspinatus muscle estimated via MR elastography and transversely isotropic nonlinear inversion.
    Elijah Van Houten1, Cyril Tous2,3, Alexandre Jodoin4, Matthew McGarry5, Philip Bayly6, Keith Paulsen5,7, Curtis Johnson8, and Nathalie Bureau2,4
    1Mechanical Engineering, Université de Sherbroke, Sherbrooke, QC, Canada, 2Centre de recherche du Centre hospitalier de l’Université de Montréal, Montréal, QC, Canada, 3Université de Montréal, Montréal, QC, Canada, 4Department of Radiology, Centre hospitalier de l’Université de Montréal, Montréal, QC, Canada, 5Thayer School of Engineering, Dartmouth College, Hanover, NH, United States, 6Department of Mechanical Engineering & Materials Science, Washington University in St. Louis, St. Louis, MO, United States, 7Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States, 8Department of Biomedical Engineering, University of Delaware, Newark, DE, United States
    MR elastography imaging of the anisotropic properties of the supraspinatus muscle shows stable mechanical stiffness and anisotropy values across repeat imaging exams. The quantitative imaging values agree with independently published wavelength-based estimates.
    Figure 1: Transversely isotropic (top row) and isotropic (bottom row) NLI-MRE reconstructions from a healthy volunteer. DTI fiber orientations are indicated by black lines. The results show the storage modulus ($$$\mu_R$$$) and loss modulus ($$$\mu_I$$$) distributions for the two reconstructions, as well as the distribution of the OSS-SNR. (Note that the color scales differ between isotropic and anisotropic reconstruction images.)
    Figure 2: Transversely isotropic (top row) and isotropic (bottom row) NLI-MRE reconstructions from a repeat imaging exam of the same healthy volunteer shown in Figure 1. DTI fiber orientations are indicated by black lines. The results show the storage modulus ($$$\mu_R$$$) and loss modulus ($$$\mu_I$$$) distributions for the two reconstructions, as well as the distribution of the OSS-SNR. (Note that the color scales differ between isotropic and anisotropic reconstruction images.)
  • Assessment of Shear Strain in Intervertebral Discs In Vivo with Magnetic Resonance Elastography
    Yuan Le1, Jun Chen1, Phillip J. Rossman1, Ziying Yin1, Kevin J. Glaser1, Joshua D. Trzasko1, Yi Sui1, Stephan Kannengiesser2, Bradley D. Bolster, Jr.3, Joel P. Felmlee1, and Richard L. Ehman1
    1Radiology, Mayo Clinic, Rochester, MN, United States, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Siemens Medical Solutions USA, Inc., Salt Lake City, UT, United States
    This study assessed the feasibility of visualizing shear strain in intervertebral discs using MR elastography methods, towards a goal of using this information as a way to quantitatively assess disc degeneration.
    Figure 2. (Left to right) Anatomical T2w water image, MRE magnitude image, MRE phase difference image, strain images and N-strain map.
    Figure 4 N-strain maps and the N-strain values vs. volunteer’s age.
  • 3D-MRE as independent predictor of direct portal venous pressure compared to Biopsy derived Fibrosis Measurements
    Giacomo Annio1,2, Ahmed Hamimi3, Khaled Z. Abd-Elmoniem 3, Theo Heller3, Elliot Levy 3, David E. Kleiner4, Ohad Etzion5, Rabab Ali6, Ralph Sinkus1,2, and Ahmed M. Gharib3
    1LVTS, INSERM U1148, Paris, France, 2Department of Biomedical Engineering, King's College London, London, United Kingdom, 3Biomedical and Metabolic Imaging Branch, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD, United States, 4Center for Cancer Research, National Cancer Institute, Bethesda, MD, United States, 5Department of Gastroenterology and Liver Diseases, Ben-Gurion University of the Negev, Be'er Sheva, Israel, 6Department of Internal Medicine, Duke University, Durham, NC, United States
    The gold standard for the assessment of liver fibrosis and inflammation are invasive measurements of portal venous pressure (PVP). In this work we show that liver stiffness quantified via 3DMRE is a strong independent predictor of PVP compared to invasive biopsy. 
    Figure 2: Correlation curves of Gd and Ishak fibrosis score vs DPVP, with the relative linear fit, the R-squared value and the respective Spearman's coefficient of rank correlation (rho).
    Figure 1: Anatomy, y-component of the curl of the displacement vector, shear stiffness and viscosity, for two selected patients with low (Pat A) and high DPVP (Pat B) (Pat A: DPVP 3mmHg and fibrosis score 1, Pat B: DPVP 28 mmHg and fibrosis score 6).
  • Estimating Aortic Stiffness Using Aortic MR Elastography Using an Inversion without Considering the Geometry
    Huiming Dong1, Prateek Kalra1, Richard D White1, and Arunark Kolipaka1
    1Radiology, The Ohio State University Wexner Medical Center, Columbus, OH, United States
    We demonstrated a new inversion strategy for aortic MRE to reduce the impact of aorta (abdominal aortic aneurysm) geometry on stiffness estimation.
    Figure 1. Flow Diagram of the Proposed Aortic MRE Inversion Strategy.
    Figure 4. Aortic Stiffness in Healthy Subjects and in AAA Patients. MRE wave images were overlaid on the anatomical image for each subject. Higher stiffness was observed in senior healthy subject (a vs. b). For patients, vascular surgeons were blind to AAA stiffness measurements. EVAR repairs were recommended to the patients based on AAA diameters and growth rate. In patients with small or stable AAAs (c, d and f), AAA stiffness was considerably higher than that in patient who has a rapidly growing AAA (e). All stiffness estimation were performed using the proposed inversion technique.
  • Preliminary MR elastography investigation on HIV+ cohort with cerebral small vessel disease
    Abrar Faiyaz1, Irteza Enan Kabir1, Marvin M Doyley1, Ingolf Sack2, Md Nasir Uddin3, and Giovanni Schifitto3
    1Department of ECE, University of Rochester, Rochester, NY, United States, 2Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 3Department of Neurology, University of Rochester, Rochester, NY, United States
    MR-Elastography has the potential to detect HIV related brain injury by abnormally low stiffness values. The study explored this potential and reports promising results compared to the diffusion derived metrics with DTI or NODDI.
    Figure 1: Representative stiffness |G*| maps (both coronal and axial views) from a healthy control (A, B) and HIV+ subject (C, D) with respective probability histograms (E) overlayed on respective T1w images. Intensity scales are also shown. HC: healthy control; HIV+: HIV-infected individual.
    Figure 4: Significant |G*|, and fISO changes in GM and WM ROIs: The group comparison for significant regions of (A) WM, (B) Subcortical GM and (C) Cortical GM are shown. Significant regions for A, B and C are overlayed with respective legends in (D) on standard space with Coronal, Sagittal and Axial view. Relevant parameters are |G*|, $$$\phi$$$ and fISO, only significant changes are shown.
  • A Learned Phase Correction Algorithm Outperforms a Conventional Filter for 3D Vector MRE
    Jonathan M Trevathan1, Jonathan M Scott1, Joshua D Trzasko1, Armando Manduca1, John Huston1, Richard L Ehman1, and Matthew C Murphy1
    1Mayo Clinic, Rochester, MN, United States
    A convolutional neural network was trained to estimate a phasor corresponding to noise-free displacements given noisy, complex-valued MRE data. The net outperformed its filtering counterpart in noisy and noise-free simulation data, and decreased test-retest repeatability error in vivo.
    Simulated data with noise. Top) Left: Correlation with no filter. Middle: Correlation with LPS filter. Right: Correlation with neural net denoising. Bottom) from left to right: Original displacements, no filter, LPS filter, neural net denoising.
    Sagittal view of calculated x component of the curl from in vivo data. Left: No Filter. Middle: LPS filter. Right: Neural net denoised.
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Digital Poster Session - Elastography: Methods
Contrast Mechanisms
Monday, 17 May 2021 13:00 - 14:00
  • MR Elastography Reconstruction Based on a Linear Integral Equation Derived from the Helmholtz Identity
    Motofumi Fushimi1, Naohiro Eda1, and Takaaki Nara1
    1The University of Tokyo, Tokyo, Japan

    A novel MRE reconstruction method that solves a linear integral equation derived from Helmholtz’s identity without calculating higher-order derivatives of the data, nor solving a nonlinear minimization problem is presented. Our preliminary study showed the feasibility of the method.

    Figure 2: Shear modulus and viscosity maps for the cylinder model when no noise is added. (a) The true maps, (b) the reconstruction results of the conventional method, and (c) the reconstruction results of the proposed method. The table at the bottom shows the normalized L2 errors associated with each method.
    Figure 4: Shear modulus and viscosity maps for the sphere model when 1% Gaussian noise is added. Each figure shows results for all eight slices. (a) The true maps, (b) the reconstruction results of the proposed method with no regularization and (c) the reconstruction results of the proposed method with TV regularization.
  • Viscoelastic MRE Phantoms with Tunable Damping Ratio Independent of Shear Stiffness
    L. Tyler Williams1, Zheng Cao1, Matthew D. J. McGarry2, Elise A. Corbin1, and Curtis L. Johnson1
    1Biomedical Engineering, University of Delaware, Newark, DE, United States, 2Thayer School of Engineering, Dartmouth College, Hanover, NH, United States
    Validation study on the use of LPAA/PAA gels as viscoelastic MRE phantoms with independently tunable shear stiffness and damping ratio. Phantoms show strong MR signal and wave motion. Damping ratio increases with increasing LPAA concentration while shear stiffness remains constant. 
    Figure 1. Representative wave motion, damping ratio, and shear stiffness maps from each of the four phantoms with varying LPAA concentration from 0% to 6%.
    Figure 3. Loss modulus frequency dependence. The four LPAA/PAA phantoms exhibit increasing loss moduli with increasing frequency from 600 to 900 Hz, indicative of viscoelastic behavior.
  • Investigation of Motion as a Source of Error in MR Elastography
    Emily Chan1, Daniel Fovargue1, Matt Kelly2, Ralph Sinkus1,3, and Julia A Schnabel1
    1School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom, 2Perspectum, Oxford, United Kingdom, 3INSERM U1148, Laboratory for Vascular Translational Science, University Paris Diderot, University Paris 13, Paris, France
    Care should be taken to account for motion between breath-hold acquisitions in magnetic resonance elastography.
    Figure 5: Magnitude images for one extreme case for each breath-hold at the highest simulated motion level and the original magnitude image for reference. The average Dice score over the breath-holds was 0.58. The elasticity maps before and after motion are also shown.
    Figure 4: Violin plots comparing elasticity for all cases within each region to the ground truth (GT) for increasing motion. The average Dice overlaps between regions before and after motion are shown in blue. A table of the bulk motion and deformation applied for each motion level is also shown.
  • A viscoelastic phantom of the healthy human liver for elastography in MRI and ultrasound
    Anna Morr1, Helge Herthum1, Felix Schrank1, Steffen Görner1, Jürgen Braun1, Ingolf Sack1, and Heiko Tzschätzsch1
    1Charité - Universitätsmedizin Berlin, Berlin, Germany
    The proposed elastography phantom has viscous and elastic properties in a wide frequency range similar to that of the human liver. The novel phantom facilitates technical developments and improvements of MRE and USE.
    Comparison of the proposed phantom with in vivo literature data and conventional phantoms by means of shear wave speed (SWS) and penetration rate (PR). The CIRS phantom showed no measurable shear wave damping (due to an inverse relation between damping and PR, this corresponds to an infinity PR). Therefore, the PR for CIRS phantom was not shown.
    Setup and post processing for USE and clinical MRE. A vibration plate was inserted in the phantom to create plane shear waves. Shear wave fields for all vibration frequencies are acquired within the $$$x-z$$$-plane. After frequency selection by Fourier transformation a profile was drawn parallel to the wave propagation (shown wave fields based on MRE). Viscoelastic properties (shear wave speed, penetration rate) are obtained by fitting profile data (circles) with a damped complex shear wave (solid lines).
  • Simultaneous acquisition for magnetic resonance elastography and fat quantification of the liver
    Shuo Li1, Suhao Qiu1, Chenfei Shen1, Yuan Feng1, and Yiping P. Du1
    1School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
    The feasibility of simultaneous acquisition for MR elastography and fat quantification without increasing scan time was demonstrated.
    Figure 2. Water images, fat fraction maps, wave images and elastograms in four subjects.
    Figure 3. Fat fraction maps of lower-extremity with actuator turned off and on in four subjects.
  • Effect of different driver power amplitudes on the measurement of liver stiffness in pediatric liver MR elastography
    Dong Kyu Kim1, Kyunghwa Han2, Haesung Yoon3, Mi-Jung Lee3, and Hyun Joo Shin3
    1Radiology, Armed Forces Capital Hospital, Seongnam, Korea, Republic of, 2Center for Clinical Imaging Data Science, Severance Hospital, Seoul, Korea, Republic of, 3Radiology, Severance Hospital, Seoul, Korea, Republic of
    This study investigated whether the difference of driver power amplitudes would influence on the liver stiffness measurements in pediatric MRE. Liver stiffness values in two different driver power amplitudes on MRE showed good reliability.
    Fusion images of stiffness map and T2-weighted images of the liver in 11 years old boy who had nonalcoholic steatohepatitis. His fat signal percentage in the liver MRI was 51%, which was above the normal limit of 6%. (a-d) Images from 20% driver power amplitudes showed mean liver stiffness of 1.9 kPa in the area of 122.5 cm2. (e-h) Images from 56% driver power amplitudes showed mean liver stiffness value of 2.3 kPa in the area of 74.5 cm2
    Fusion images of stiffness map and T2-weighted images of the liver in 11 years old girl who had the Kasai operation from biliary atresia. (a-d) Images from 20% driver power amplitudes showed mean liver stiffness of 5.0 kPa in the area of 63.9 cm2. (e-h) Images from 56% driver power amplitudes showed mean liver stiffness value of 4.7 kPa in the area of 23.6 cm2
  • Optimal multiple motion encoding in phase contrast MRI
    Helge Herthum1, Hugo Carrillo2, Axel Osses2, Sergio Uribe3, Ingolf Sack1, and Cristóbal Bertoglio4
    1Experimentelle Radiologie, Charité Universitätsmedizin Berlin, Berlin, Germany, 2Center for Mathematical Modeling, Universidad de Chile, Santiago, Chile, 3Department of Radiology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile, 4Bernoulli Institute, University of Groningen, Groningen, Netherlands
    Applying the OMME method to MRE in phantom and in vivo experiments provides wrap-free phase-contrast images with high motion-to-noise ratio. Reconstructed shear wave speed maps show better detail resolution by overcoming the unwrapping problem in MRE.
    SWS maps for OMME (MEGs=4,8,16,32mT/m) and Laplace and Flynn unwrapping (MEG=32mT/m) at different slices. The anatomical reference from MRE magnitude is included (region of interest demarcated in red for noise estimation). Red arrows indicate where OMME shows greater contrast in the SWS map. A) Volunteer 1 for vibration frequency 25Hz at two different slices. Grayscale ranges from 0.3-1.8m/s. B) Volunteer 2 for vibration frequency 30Hz at two different slices. Grayscale ranges from 0.2-2.2 m/s.
    Multiple motion encoding reconstruction in the phantom for two MEGs 8 and 16 mT/m and three MEGs 8, 16 and 32 mT/m in comparison to phase contrast images. Color scale is set in the interval 80% of the dynamic range of the MEG=8 image. Large positive values are colored in yellow and negative values in blue, while green being zero. The bottom left image shows the T2 weighted MRE magnitude as geometric reference.
  • In Silico Evaluation of Magnetic Resonance Elastography of the Kidney
    Deirdre McGrath1, Christopher Bradley1, and Susan Francis1
    1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom
    Magnetic resonance elastography of the kidney is simulated using finite element modelling with an anthropomorphic model, to allow evaluation of the errors on acquired MRE measures, and to inform optimisation of renal MRE methodology.
    Figure 5: Simulated data with added noise (a) Elastograms (with smoothing) for added noise with MM-SNR level= 5, 10, 20, 30, 40 and 50 (chosen to approximately match the acquired data); (b) mean |G*|SM over left and right kidney volumes versus MM-SNR, for 60 Hz, and compared to ground truth value (dashed line); (c) similar to (b) but for 90 Hz. (Eroded masks are applied for display and for mean values.)
    Figure 4: Simulated MRE elastograms (generated by direct inversion on the simulated displacements) with no added noise for varying voxel dimensions, with mean ± standard deviation |G*| over kidney volume, without smoothing and with smoothing of the displacements with a 3D box filter, and % difference of mean with ground truth. Eroded masks are applied for display and mean value calculations, to remove edge values which are affected by errors at the simulated kidney boundaries.
  • Optimization of GRE-MRE in the pancreas
    Anne-Sophie van Schelt1, Nienke Wassenaar1, Eric M Schrauben1, Marian Troelstra1,2, Jules L. Nelissen1, Ralph Sinkus2,3, Jaap Stoker4, Aart J Nederveen1, and Jurgen H Runge1
    1Radiology and Nuclear Medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands, 2Department of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 3Inserm U1148, LVTS, University Paris Diderot, Paris, France, 4Radiology and Nuclear medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands
    The aim of this study is to optimize pancreatic GRE-MRE to provide an in-depth analysis of the propagation and registration of shear waves using a combination of frequency, wave-phase offsets, and TE. The optimal combination was found to be at 40Hz, TE6.9ms and 4 or 5 offsets.
    Figure 4. a) Example T2 weighted image with the SWS map on the pancreas (top left) b) and SWS map (bottom left) in one volunteer. c) The average SWS per scan-protocol. The SWS is higher for 50Hz as expected compared to scans using 40Hz.
    Figure 1. a) Example shear wave amplitude map. The line-profile is given in black. b) The average amplitude measured in the pancreas head plotted for each volunteer for each scan. c) The shear wave amplitude was measured and a line-profile was made from the liver to the pancreatic head. The blue line indicates the line-profile for a protocol with a frequency of 40Hz and the red line is for a frequency of 50Hz.
  • An Electromagnetic Actuator for Brain Magnetic Resonance Elastography
    Suhao Qiu1, Zhao He1, Runke Wang1, Ruokun Li2, Fuhua Yan2, and Yuan Feng1
    1the Institute for Medical Imaging Technology, Shanghai Jiao Tong University, Shanghai, China, 2the Department of Radiology, Ruijin Hospital, Shanghai, China
    An electromagnetic actuator was designed, tested, and verified for brain magnetic resonance elastography (MRE). The actuator is easy to use, comfort to wear, and can carry out multi-frequency MRE with high accuracy.
    Figure 1. (a) A 3D rendering of the electromagnetic actuator for brain MRE in working position. The vibration plates wrap around the human head inside a head coil. (b) A volunteer wearing the actuator before moving into the MR bore for MRE. The vibration plates are fixed on the head with soft bandages. The part of the actuator that extrudes out of the head coil is 7.5 cm in height, leaving enough space for positioning.
    Figure 5. The first line and the second line are the typical MRE results from the phantom and a volunteer, respectively. Column 1 is the magnitude image. Column 2-4 are the real part of the first harmonic component of the displacement field in x, y, and z direction, respectively. Column 5 is the LFE inversion results after smoothing. The locations of these three agar inclusions are indicated by white circles.
  • Magnetic resonance elastography of the in vivo human brain using multifrequency wavenumber analysis in 2D and 3D.
    Helge Herthum1, Heiko Tzschätzsch1, Tom Meyer1, Mehrgan Shahryari1, Lisa Stencel1, Jing Guo1, Jürgen Braun2, and Ingolf Sack1
    1Experimentelle Radiologie, Charité Universitätsmedizin Berlin, Berlin, Germany, 2Institut für medizinische Informatik, Charité Universitätsmedizin Berlin, Berlin, Germany
    We here present multifrequency wavenumber analysis for MR elastography of the human brain in 2D and 3D. Reproducibility and detail resolution of the new methods are better than obtained from standard multifrequency inversion methods.
    Results from MDEV (|G*|) and 2D and 3D k-MDEV (SWS) inversion in different slices (1.5-Tesla). Magnitude images are shown on the left side together with segmented regions for white matter (red) and gray matter (yellow). The last row shows results for the measurement at 3.0-Tesla with 1.6x1.6x2mm3 voxel size. Increased resolution allows to easily identify anatomical regions in deep gray matter characterized by stiff properties such as the putamen and caudate nucleus (indicated by arrows).
    2D and 3D k-MDEV. The phase of the MRE data is smoothed (Butterworth lowpass, threshold 250 m-1, order 3) and the harmonic wave field is extracted using the Fourier transform. For 3D, inter-phase discontinuities (IPD) and slice offsets [13] are removed as shown in the sagittal view. A bandpass filter (Butterworth, lower threshold 15 m-1, upper threshold 200 m-1, order 3) suppresses compression waves and the remaining shear wave field is directionally filtered in 8 (2D) or 20 (3D, right, dodecahedron) directions. SWS is reconstructed from the phase gradient in 2D and 3D.
  • Deep Learning Automation for Human Brain Masking of Multi-Band MR Elastography
    Aaron Thomas Anderson1,2, Siddharth Muralidaran3, Alexander M Cerjanic1,4, Bradley P Sutton1,4, Mark A Anastasio1,4, and Frank J Brooks1,4
    1Beckman Institute for Advanced Science & Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Stephens Family Clinical Research Institute, Carle Foundation Hospital, Urbana, IL, United States, 3Electrical & Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 4Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States
    A deep learning network was trained to automate brain masking for multiband, multishot spiral MR elastography displacement imaging.  The automated masking did not change displacement data quality and saves hours of manual masking.
    Figure 2: (left) Example of 4-channel input image; (right) Corresponding 2-channel output predicted by the U-net; (center) U-net architecture – blue boxes represent feature maps with the number of channels denoted on top of the box. The arrows represent operations as described by the legend.
    Figure 3: (top) Comparing manual mask with deep learning method mask: agreement (green) and overshoot (blue) and undershoot (red) of the deep learning method. Elastograms of the manual mask (middle) and deep learning mask (bottom). Both the manual and the deep learning mask have similar elastograms.
  • Effect of Spatial Inhomogeneity Models on Performance of Machine Learning Based Inversion Algorithms for Brain Magnetic Resonance Elastography
    Jonathan M Scott1, Joshua D Trzasko1, Armando Manduca1, Matthew L Senjem1, Clifford R Jack1, John Huston III1, Richard L Ehman1, and Matthew C Murphy1
    1Mayo Clinic, Rochester, MN, United States
    While the specific spatial inhomogeneity assumption used in training machine-learning MRE inversion algorithms affects stiffness estimates, our in vivo results show only modest impact on repeatability and observed biological effects when relatively small spatial footprints are used.
    The piecewise smooth inversion produces the best contrast to noise ratio (CNR) for inclusions in the brain simulating phantom. The piecewise smooth inversion produces the best CNR in 4 of the 6 inclusions and is a close second in a fifth. The only inclusion where the piecewise smooth inversion did not perform well was difficult for all inversions, as no inversion produced a CNR better than 1.
    Different inversion material property assumptions produce no difference in repeatability. While stiffness maps in an individual case are appreciably different (bottom row), there is no significant difference in coefficient of variation (CV) between the inversions in any of the 35 gray matter regions of interest. The box plot (line=median, box edges = 25th/75th percentiles, whiskers=extremes, +=outlier) shows the mean of the mean CVs in the 35 regions for the four inversions in 10 subjects.
  • Cerebral inversion recovery MR elastography for cortical stiffness quantification
    Ledia Lilaj1, Helge Herthum2, Tom Meyer2, Mehrgan Shahryari2, Gergely Bertalan2, Alfonso Caiazzo2, Jürgen Braun3, Thomas Fischer2, Sebastian Hirsch4,5, and Ingolf Sack2
    1Radiology, Charité – Universitätsmedizin Berlin, Berlin, Germany, 2Charité – Universitätsmedizin Berlin, Berlin, Germany, 3Institute of Medical Informatics, Charité – Universitätsmedizin Berlin, Berlin, Germany, 4Berlin Center for Advanced Neuroimaging, Charité – Universitätsmedizin Berlin, Berlin, Germany, 5Bernstein Center for Computational Neuroscience, Berlin, Germany
    Inversion recovery magnetic resonance elastography (IR-MRE) performs MRE while nulling a tissue signal based on its T1. In the brain, it reduced the effect of fluid vibration in CSF-filled areas and improved stiffness estimation in the cortex.
    Representative brain images obtained by MRE and IR-MRE in the same volunteer. The magnitude signals in IR-MRE show solid tissue without freely moving water, leading to significantly improved depiction of fluid-solid boundaries in SWS maps (arrows). Note that sulci and ventricles are narrower in IR-MRE than MRE due to suppressed phase discontinuities, similar to the phantom experiments shown in Figure 3.
    Group values of parameters quantified in this study. *** p < 0.001.
  • Multi-Excitation Actuator Design for Anisotropic Brain MRE
    Diego A. Caban-Rivera1, Daniel R. Smith1, Keshav A. Kailash2, Ruth J. Okamoto2, Matthew D.J. McGarry 3, Lance T. Williams1, Charlotte Guertler2, Grace Mcilvain1, Damian Sowinski3, Elijah E.W. Van Houten 4, Keith D. Paulsen3,5, Philip V. Bayly2, and Curtis L. Johnson1
    1Biomedical Engineering, University of Delaware, Newark, DE, United States, 2Mechanical Engineering and Material Science, Washington University in St. Louis, St. Louis, MO, United States, 3Thayer School of Engineering, Dartmouth College, Hanover, NH, United States, 4Mechanical Engineering, Université de Sherbrooke, Sherbrooke, QC, Canada, 5Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States
    Thorough examination of a novel customized multi-excitation MRE actuator combining both left-right and anterior-posterior drivers for anisotropic mechanical property estimations in white matter tracts of the human brain.
    Figure 2: (A) AP and LR excitation wave characteristics for (matching slice, repetition): motion fields, wave propagation/polarization directions, isotropic inversion shear stiffness. (B) 3D vectors display average directions of wave propagation and polarization in the CST vs. fiber orientation (DTI). Light and dark arrows represent repetitions and averaged across all repetitions, respectively. We observe similar wave propagation directions between AP and LR excitations. Wave polarization directions are visibly differentiable and distinct from propagation.
    Figure 1: Schematic of the custom actuator design orientations (A, B, C) and a picture of the set-up inside the 20 channel head coil (D). The design allows the actuator to rest against the side of the subject’s head and is adjustable for different head sizes; it can be configured before the subject is laying in the coil which reduces set-up time and variability.
  • Intra-patient comparison of 3D and 2D MRE techniques for assessment of liver fibrosis
    Roberta Catania1, Amir A. Borhani1, Camila Lopes Vendrami1, Roger C Grimm2, Bradley D. Bolster3, and Frank Miller1
    1Northwestern University Feinberg School of Medicine, Chicago, IL, United States, 2Mayo Clinic, Rochester, MN, United States, 3Siemens Medical Solutions USA, Inc., Salt Lake City, UT, United States
    3D MRE provides liver stiffness measures with less susceptibility to artifacts and larger measurable areas of liver compared to 2D techniques. The Liver Stiffness Measures based on 3D MRE are lower than 2D techniques.
    Elastograms with overlying confidence maps obtained with 2D GRE (A), 2D EPI (B), and 3D EPI (C) MR elastography techniques in a 70-year-old male patient with non-alcoholic fatty liver disease. The liver parenchyma available for LSM measurement was significantly larger with 3D MRE.
    Bland-Altman plots showing magnitude of variation of LSMs between 3D EPI and 2D GRE (A), and between 3D EPI and 2D EPI (B). Arbitrary lines for 0.5 kPa and 1 kPa difference in LSMs are drawn.
  • Short echo time dual-frequency MR Elastography with Optimal Control RF pulses
    Pilar Sango Solanas1, Kevin Tse Ve Koon1, Eric Van Reeth1,2, Cyrielle Caussy3,4, and Olivier Beuf1
    1Univ Lyon, INSA‐Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, F‐69616, Lyon, France, 2CPE Lyon, Département Sciences du Numérique, Lyon, France, 3Univ Lyon, Laboratoire CarMen, Inserm, INRAe, INSA Lyon, Université Claude Bernard Lyon 1, Pierre-Bénite, France, 4Hospices Civils de Lyon, Département Endocrinologie, Diabète et Nutrition, Hôpital Lyon Sud, Pierre-Bénite, France
    An OC-based pulse able to encode motion into the phase of the NMR signal is exploited to perform simultaneous multifrequency MRE. The obtained shear waves patterns correspond to those found with classical MEG but with a shorter TE.
    Figure 2. A) Phase image of the composite excitation (rad). B) Then separed in phase images (rad) of every frequency component extracted after temporal fourier transform: top, 400 Hz; bottom, 600Hz. C) G' elastograms (kPa) reconstructed for each frequency component.
    Figure 1. Experimental setup: the shear wave propagates in the phantom along the x-axis. The shear wave-dephasing angle is defined as θi=2πxi/λ with xi representing a specific position.
  • Comparative analysis of indentation and magnetic resonance elastography for measuring viscoelastic properties
    Yu Chen1, Suhao Qiu1, Zhao He1, Fuhua Yan2, Ruokun Li2, and Yuan Feng1
    1Institute for Medical Imaging Technology, School of Biomedical Engineering, Shanghai Jiao Tog University, Shanghai, China, 2Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
           Using 2nd-order Prony series, sample frequency response measured from indentation was estimated and compared with that from MRE. In 50-100Hz frequency range, an apparent frequency-dependent behavior was observed by MRE, while no such phenomenon was observed by indentation.
    Figure 3. (a) The experimental and fitted ramp and relaxation curves from indentation tests. (b) Wave propagation images of MRE from 6 different actuation frequencies.
    Figure 4. Comparisons of the shear moduli of the gel phantom based on indentation and MRE measurements.
  • Development of robust MRE for measurement of high-speed functionally mediated changes in human brain viscoelasticity
    Bin Deng1,2,3, W. Scott Hoge3,4, Shruti Mishra3,4, Giacomo Annio5, Ralph Sinkus5, and Samuel Patz3,4
    1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Harvard Medical School, Boston, MA, United States, 4Radiology, Brigham and Women’s Hospital, Boston, MA, United States, 55. Laboratory for Vascular Translational Science (LVTS, Institut National de la Santé et de la Recherche Médicale (INSERM), Paris, France
    fMRE brain data from a healthy volunteer acquired at 1Hz switching frequency between two interleaved control paradigms at 1.5-mm isotropic high spatial resolution demonstrated both excellent intra- and inter-scan reproducibility of elastography measurements.
    Fig.2: Comparison of reconstructed wavelength maps (λ in mm) of a healthy volunteer acquired at three different spatial resolutions: (a) 2.5 mm isotropic; (b) 2 mm isotropic; and (c) 1.5 mm isotropic voxels. Axial T1 image of 0.5 mm in-plane resolution of the matching slice is shown in (d). Median and standard deviation of valid brain region voxels in the slice are shown on top right corner.
    Fig.1: Schematic of fMRE data acquisition with interleaved stimulus paradigms, i.e., PAR1 & PAR2, each containing 9 slices and 8 wave phases. A trigger signal is sent out at the beginning of each block shown to synchronize the k-space acquisition with mechanical vibrations for both paradigms with the loop hierarchy. This block is repeated for each k-space line acquisition and MEG-encoding direction. For fMRE scans with functional activation, a stimulus will be switched ON and OFF in sync with PAR1 and PAR2 sequence timing. In this study, no stimulus is used for either PAR1 or PAR2.
  • Anisotropic Mechanical Properties of White Matter Tracts Estimated with Multi-Excitation MRE and TI-NLI
    Daniel R. Smith1, Diego A. Caban-Rivera1, Matthew D. J. McGarry2, L. Tyler Williams1, Grace McIlvain1, Charlotte Guertler3, Ruth J. Okamoto3, Damian Sowinski2, Elijah Van Houten4, Phil V. Bayly3, Keith D. Paulsen2, and Curtis L. Johnson1
    1Biomedical Engineering, University of Delaware, Newark, DE, United States, 2Thayer School of Engineering, Dartmouth College, Hanover, NH, United States, 3Mechanical Engineering and Materials Science, Washington University in St. Lous, St. Louis, MO, United States, 4Mechanical Engineering, Universite de Sherbrooke, Sherbrooke, QC, Canada
    Using multi-excitation MRE and TI-NLI, we estimated and found significant differences in the anisotropic mechanical properties, substrate shear modulus μ, shear anisotropy φ, and tensile anisotropy ζ, within individual regions of interest of the human brain.
    Figure 3: Representative slice for each subject investigated showing each of the three anisotropic material parameters: μ, φ, and ζ.
    Figure 4: Representation of the three anisotropic material parameters (μ, φ, ζ) in WM tracts: corpus callosum (CC), corona radiata (CR), and superior longitudinal fasciculus (SLF).