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Proceedings Paper

Registration pipeline for pulmonary free-breathing 1H MRI ventilation measurements
Author(s): Fumin Guo; Dante P. I. Capaldi; Robert Di Cesare; Aaron Fenster; Grace Parraga
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Paper Abstract

Objectives: Our aim was to develop a clinically-practical and physiologically-relevant approach for regional structure-function measurements of the lung using Fourier decomposition of free-breathing pulmonary magnetic resonance imaging (FDMRI). Methods: Ten patients with chronic obstructive pulmonary disease provided written informed consent to a study protocol approved by Health Canada and completed pulmonary function tests, 1H/hyperpolarized noble gas and free-breathing pulmonary magnetic resonance imaging (MRI) during a single 2-hour visit. Free-breathing 1H MRI was simultaneously segmented using a multi-region coupled continuous max-flow approach by exploring primal/dual analysis and convex optimization techniques. The segmented free-breathing 1H MRI lung was registered using deformable registration approach that was developed using dual and convex optimization methods to compensate for respiratory/cardiac motion. Fourier decomposition of the co-registered lung was used to generate pulmonary functional information that was quantified as ventilation-defect-percent (VDP). The pipeline was implemented on a GPU for speed-up. Lung segmentation accuracy was measured by comparing algorithm and manual lung masks using Dice-similarity-coefficient (DSC). FD-VDP was compared to 3He-VDP using Pearson correlation coefficient and Bland-Altman analysis. The reproducibility of our algorithm was measured using coefficient of variation (CoV) and intraclass correlation coefficient (ICC) for DSC and FD-VDP. Results: The pipeline yielded a whole lung DSC of 95.7±1.7% and FD-VDP that were correlated with 3He-VDP (r = 0.81, p = 0.004). CoV (ICC) were 0.4% (0.98) and 4.1% (0.98) for whole lung DSC and FD-VDP, respectively. The proposed approach requires ~45 min for parallel implementation with minimal user interaction. Conclusion: The proposed approach provides a clinically-practical pipeline to generate regional pulmonary structure-function measurements using free-breathing pulmonary 1HMRI with promising potential for widespread clinical translation.

Paper Details

Date Published: 13 March 2017
PDF: 8 pages
Proc. SPIE 10137, Medical Imaging 2017: Biomedical Applications in Molecular, Structural, and Functional Imaging, 101370A (13 March 2017); doi: 10.1117/12.2253879
Show Author Affiliations
Fumin Guo, The Univ. of Western Ontario (Canada)
Dante P. I. Capaldi, The Univ. of Western Ontario (Canada)
Robert Di Cesare, The Univ. of Western Ontario (Canada)
Aaron Fenster, The Univ. of Western Ontario (Canada)
Grace Parraga, The Univ. of Western Ontario (Canada)

Published in SPIE Proceedings Vol. 10137:
Medical Imaging 2017: Biomedical Applications in Molecular, Structural, and Functional Imaging
Andrzej Krol; Barjor Gimi, Editor(s)

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