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1.
Turbulent flow, characterized by velocity fluctuations, accompanies many forms of cardiovascular disease and may contribute to their progression and hemodynamic consequences. Several studies have investigated the effects of turbulence on the magnetic resonance imaging (MRI) signal. Quantitative MRI turbulence measurements have recently been shown to have great potential for application both in human cardiovascular flow and in engineering flow. In this article, potential pitfalls and sources of error in MRI turbulence measurements are theoretically and numerically investigated. Data acquisition strategies suitable for turbulence quantification are outlined. The results show that the sensitivity of MRI turbulence measurements to intravoxel mean velocity variations is negligible, but that noise may degrade the estimates if the turbulence encoding parameter is set improperly. Different approaches for utilizing a given amount of scan time were shown to influence the dynamic range and the uncertainty in the turbulence estimates due to noise. The findings reported in this work may be valuable for both in vitro and in vivo studies employing MRI methods for turbulence quantification.  相似文献   

2.
PurposeTo investigate velocity encoded and velocity compensated variants of multi-spoke RF pulses that can be used for flip-angle homogenization at ultra-high fields (UHF). Attention is paid to the velocity encoding for each individual spoke pulse and to displacement artifacts that arise in Fourier transform imaging in the presence of flow.Theory and methodsA gradient waveform design for multi-spoke excitation providing an algorithm for minimal TE was proposed that allows two different encodings. Such schemes were compared to an encoding approach that applies an established scheme to multi-spoke excitations. The impact on image quality and quantitative velocity maps was evaluated in phantoms using single- and two-spoke excitations. Additional validation measurements were obtained in-vivo at 7 T.ResultsPhantom experiments showed that keeping the first gradient moment constant for all k-space lines eliminates any displacements in phase-encoding and slice-selection direction for all spoke pulses but leads to artifacts for non-zero velocity components along readout direction. Introducing variable but well-defined first gradient moments in the phase-encoding direction creates displacements along the velocity vector and thus minimizes velocity-induced geometrical distortions. Phase-resolved mean volume flow in the ascending and descending aorta obtained from two-spoke excitation showed excellent agreement with single-spoke excitation over the cardiac cycle (mean difference 0.8 ± 16.2 ml/s).ConclusionsThe use of single- and multi-spoke RF pulses for flow quantification at 7 T with controlled displacement artifacts has been successfully demonstrated. The presented techniques form the basis for correct velocity quantification and compensation not only for conventional but also for multi-spoke RF pulses allowing in-plane B1+ homogenization using parallel transmission at UHF.  相似文献   

3.
PurposeTo introduce a simple analytical formula for estimating T2 from a single Double-Echo in Steady-State (DESS) scan.MethodsExtended Phase Graph (EPG) modeling was used to develop a straightforward linear approximation of the relationship between the two DESS signals, enabling accurate T2 estimation from one DESS scan. Simulations were performed to demonstrate cancellation of different echo pathways to validate this simple model. The resulting analytic formula was compared to previous methods for T2 estimation using DESS and fast spin-echo scans in agar phantoms and knee cartilage in three volunteers and three patients. The DESS approach allows 3D (256 × 256 × 44) T2-mapping with fat suppression in scan times of 3–4 min.ResultsThe simulations demonstrated that the model approximates the true signal very well. If the T1 is within 20% of the assumed T1, the T2 estimation error was shown to be less than 5% for typical scans. The inherent residual error in the model was demonstrated to be small both due to signal decay and opposing signal contributions. The estimated T2 from the linear relationship agrees well with reference scans, both for the phantoms and in vivo. The method resulted in less underestimation of T2 than previous single-scan approaches, with processing times 60 times faster than using a numerical fit.ConclusionA simplified relationship between the two DESS signals allows for rapid 3D T2 quantification with DESS that is accurate, yet also simple. The simplicity of the method allows for immediate T2 estimation in cartilage during the MRI examination.  相似文献   

4.
5.

Purpose

The objective of this study was to compare multiple methods for estimation of PWV from 4D flow MRI velocity data and to investigate if 4D flow MRI-based PWV estimation with piecewise linear regression modeling of travel-distance vs. travel time is sufficient to discern age-related regional differences in PWV.

Methods

4D flow MRI velocity data were acquired in 8 young and 8 older (age: 23 ± 2 vs. 58 ± 2 years old) normal volunteers. Travel-time and travel-distance were measured throughout the aorta and piecewise linear regression was used to measure global PWV in the descending aorta and regional PWV in three equally sized segments between the top of the aortic arch and the renal arteries. Six different methods for extracting travel-time were compared.

Results

Methods for estimation of travel-time that use information about the whole flow waveform systematically overestimate PWV when compared to methods restricted to the upslope-portion of the waveforms (p < 0.05). In terms of regional PWV, a significant interaction was found between age and location (p < 0.05). The age-related differences in regional PWV were greater in the proximal compared to distal descending aorta.

Conclusion

Care must be taken as different classes of methods for the estimation of travel-time produce different results. 4D flow MRI-based PWV estimation with piecewise linear regression modeling of travel-distance vs. travel time can discern age-related differences in regional PWV well in line with previously reported data.  相似文献   

6.
PurposeWe exploited 4-dimensional flow magnetic resonance imaging (4D Flow), combined with a standardized in vitro setting, to establish a comprehensive benchmark for the systematic hemodynamic comparison of surgical aortic bioprosthetic valves (BPVs).Materials and methods4D Flow analysis was performed on two small sizes of three commercialized pericardial BPVs (Trifecta™ GT, Carpentier-Edwards PERIMOUNT Magna and Crown PRT®). Each BPV was tested over a clinically pertinent range of continuous flow rates within an in vitro MRI-compatible system, equipped with pressure transducers. In-house 4D Flow post-processing of the post-valvular velocity field included the quantification of BPV effective orifice area (EOA), transvalvular pressure gradients (TPG), kinetic energy and viscous energy dissipation.ResultsThe 4D Flow technique effectively captured the 3-dimensional flow pattern of each device. Trifecta exhibited the lowest range of velocity and kinetic energy, maximized EOA (p < 0.0001) and minimized TPGs (p ≤ 0.015) if compared with Magna and Crown, these reporting minor EOA difference s (p ≥ 0.042) and similar TPGs (p ≥ 0.25). 4D Flow TPGs estimations strongly correlated against ground-truth data from pressure transducers; viscous energy dissipation proved to be inversely proportional to the fluid jet penetration.ConclusionThe proposed 4D Flow analysis pinpointed consistent hemodynamic differences among BPVs, highlighting the not negligible effect of device size on the fluidynamic outcomes. The efficacy of non-invasive 4D Flow MRI protocol could shed light on how standardize the comparison among devices in relation to their actual hemodynamic performances and improve current criteria for their selection.  相似文献   

7.
The aim of this study was to evaluate intracranial arterial stenoses and aneurysms with accelerated time-resolved three-dimensional (3D) phase-contrast MRI or 4D flow. The 4D flow technique was utilized to image four normal volunteers, two patients with intracranial stenoses and two patients with intracranial aneurysms. In order to reduce scan time, parallel imaging was combined with an acquisition strategy that eliminates the corners of k-space. In the two patients with intracranial stenoses, 4D flow velocity measurements showed that one patient had normal velocity profiles in agreement with a previous magnetic resonance angiogram (MRA), while the second showed increased velocities that indicated a less significant narrowing than suspected on a previous MRA, as confirmed by catheter angiography. This result may have prevented an invasive angiogram. In the two patients with 4-mm intracranial aneurysm, one had a stable helical flow pattern with a large jet, while the other had a temporally unstable flow pattern with a more focal jet possibly indicating that the second aneurysm may have a higher likelihood of rupture. Accelerated 4D flow provides time-resolved 3D velocity data in an 8- to 10-min scan. In the stenosis patients, the addition of 4D flow to a traditional MRA adds the velocity data provided from transcranial Doppler ultrasound (TCD) possibly allowing for more accurate grading of stenoses. In the aneurysm patients, visualization of flow patterns may help to provide prognostic information about future risk of rupture.  相似文献   

8.
AimsTo develop a high-resolution, 3D late gadolinium enhancement (LGE) cardiovascular magnetic resonance imaging (MRI) technique for improved assessment of myocardial scars, and evaluate its performance against 2D breath-held (BH) LGE MRI using a surgically implanted animal scar model in the right ventricle (RV).Methods and resultsA k-space segmented 3D LGE acquisition using CENTRA-PLUS (Contrast ENhanced Timing Robust Acquisition with Preparation of LongitUdinal Signal; or CP) ordering is proposed. 8 pigs were surgically prepared with cardiac patch implantation in the RV, followed in 60 days by 1.5 T MRI. LGE with Phase-Sensitive Inversion Recovery (PSIR) were performed as follows: 1) 2DBH using pneumatic control, and 2) navigator-gated, 3D free-breathing (3DFB)-CP-LGE with slice-tracking. The animal heart was excised immediately after cardiac MR for scar volume quantification. RV scar volumes were also delineated from the 2DBH and 3DFB-CP-LGE images for comparison against the surgical standard. Apparent scar/normal tissue signal-to-noise ratio (aSNR) and contrast-to-noise ratio (aCNR) were also calculated.3DFB-CP-LGE technique was successfully performed in all animals. No difference in aCNR was noted, but aSNR was significantly higher using the 3D technique (p < 0.05). Against the surgical reference volume, the 3DFB-CP-LGE-derived delineation yielded significantly less volume quantification error compared to 2DBH-derived volumes (15 ± 10% vs 55 ± 33%; p < 0.05).ConclusionCompared to conventional 2DBH-LGE, 3DFB-LGE acquisition using CENTRA-PLUS provided superior scar volume quantification and improved aSNR.  相似文献   

9.
ObjectivesWe validate a 4D strategy tailored for 3 T clinical systems to simultaneously quantify function and infarct size in wild type mice after ischemia/reperfusion, with improved spatial and temporal resolution by comparison to previous published protocols using clinical field MRI systems.MethodsC57BL/6J mice underwent 60 min ischemia/reperfusion (n = 14) or were controls without surgery (n = 6). Twenty-four hours after surgery mice were imaged with gadolinium injection and sacrificed for post-mortem MRI and histology with serum also taken for Troponin I levels. The double ECG- and respiratory-triggered 3D FLASH (Fast Low Angle Shot) gradient echo (GRE) cine sequence had an acquired isotropic resolution of 344 μm, TR/TE of 7.8/2.9 ms and acquisition time 25–35 min. The conventional 2D FLASH cine sequence had the same in-plane resolution of 344 μm, 1 mm slice thickness and TR/TE 11/5.4 ms for an acquisition time of 20–25 min plus 5 min for planning. Left ventricle (LV) and right ventricle (RV) volumes were measured and functional parameters compared 2D to 3D, left to right and for inter and intra observer reproducibility. MRI infarct volume was compared to histology.ResultsFor the function evaluation, the 3D cine outperformed 2D cine for spatial and temporal resolution. Protocol time for the two methods was equivalent (25–35 min). Flow artifacts were reduced (p = 0.008) and epi/endo-cardial delineation showed good intra and interobserver reproducibility. Paired t-test comparing ejection volume left to right showed no significant difference for 3D (p = 0.37), nor 2D (p = 0.30) and correlation slopes of left to right EV were 1.17 (R2 = 0.75) for 2D and 1.05 (R2 = 0.50) for 3D.Quantifiable ‘late gadolinium enhancement’ infarct volume was seen only with the 3D cine and correlated to histology (R2 = 0.89). Left ejection fraction and MRI-measured infarct volume correlated (R2 > 0.3).ConclusionsThe 4D strategy, with contrast injection, was validated in mice for function and infarct quantification from a single scan with minimal slice planning.  相似文献   

10.
This experimental study was carried out to investigate the turbulent wake generated by a vertical sharp-edged flat plate suspended in a shallow channel flow with a gap near the bed. The objective of this study is to understand the effect of the gap flow on the turbulent wake by studying two different gap heights between the channel bed and the bottom edge of the bluff body. These two cases were compared to the no-gap case which is considered as a reference case. The maximum flow velocity was 0.45 m/s and the Reynolds number based on the water depth was 45,000. Extensive measurements of the flow field in the vertical mid-plane and in the horizontal near-bed, mid-depth, and near-surface planes were made using particle-image velocimetry (PIV). This paper is the second part of an extensive study to characterise the gap-flow effects and is primarily focused on the mean and instantaneous turbulence quantities as well as coherent structures.

The results revealed that the gap flow increased the transfer of the turbulent kinetic energy (TKE) from the streamwise to the vertical component along the vertical mid-plane. In addition, there is a corresponding increase and spread of the transverse component in the transverse direction as the flow evolves in the downstream direction. The momentum exchange by the Reynolds stress is significantly weak in the vertical mid-plane particularly in the lower half of the water depth, but the gap flow enhanced the momentum exchange in the upper half of the water depth by up to 1% of the freestream velocity squared. Furthermore, the intensity and bursting direction of the turbulence fluctuations in the far field are also affected by the gap flow when it is large. Furthermore, the proper orthogonal decomposition results revealed that the flow contains a large number of structures, and their interactions are responsible for deforming and/or tearing apart the structures, and transferring fluid throughout the velocity field.  相似文献   


11.
PurposeTo demonstrate the clinical feasibility of a new non-Cartesian cylindrically-distributed spiral 3D pseudo-continuous arterial spin labeling (pCASL) magnetic resonance imaging (MRI) pulse sequence in pediatric patients in quantifying cerebral blood flow (CBF) response to an acetazolamide (ACZ) vasodilator challenge.Materials and methodsMRI exams were performed on two 3 Tesla Philips Ingenia systems using 32 channel head coil arrays. After local institutional review board approval, the 3D spiral-based pCASL technique was added to a standard brain MRI exam and evaluated in 13 pediatric patients (average age: 11.7 ± 6.4 years, range: 1.4–22.2 years). All patients were administered ACZ for clinically indicated reasons. Quantitative whole-brain CBF measurements were computed pre- and post-ACZ to assess cerebrovascular reserve.Results3D spiral pCASL data were successfully reconstructed in all 13 cases. In 11 patients, CBF increased 2.8% to 93.2% after administration of ACZ. In the two remaining patients, CBF decreased by 2.4 to 6.0% after ACZ. The group average change in CBF due to ACZ was approximately 25.0% and individual changes were statistically significant (p < 0.01) in all patients using a paired t-test analysis. CBF perfusion data were diagnostically useful in supporting conventional MR angiography and clinical findings.Conclusion3D cylindrically-distributed spiral pCASL MRI provides a robust approach to assess cerebral blood flow and reserve in pediatric patients.  相似文献   

12.
This study intended to suggest a better method of measuring the precise peak velocity of the bloodstream of a patient suffering from aortic stenosis (AS) with a view to improving the reliability of the magnetic resonance imaging (MRI) scan. The study targeted 23 patients whose direction of the stenotic flow jet was different from that of the blood vessel among the patients who were diagnosed with a moderate or higher level of AS on echocardiography. The phase-contrast (PC) MRI was used for quantitatively measuring the bloodstream velocity. The examination was accomplished according to the two different image plane selection methods in the same patient. After placing the image planes perpendicular to the blood vessel and the stenotic flow jet, respectively, we obtained the two velocity encoded images to calculate the peak blood velocities to compare them with the measurement results from an echocardiography scan. According to the comparison results of the peak blood velocities, echocardiography showed a mean peak blood velocity of 4.19 ± 1.05 m/s. On the PC MRI scan, the peak blood velocity was 3.11 ± 0.77 m/s when the image plane was perpendicular to the blood vessel and 3.58 ± 0.87 m/s when the image plane was placed perpendicular to the stenotic flow jet. As a result, if PC MRI is used to measure the peak blood velocity for patients with AS, then the image plane must be placed perpendicular to the stenotic flow jet, instead of perpendicular to the blood vessel, to provide a more precise value of a low blood velocity.  相似文献   

13.
PurposeTo develop a regularized image reconstruction algorithm for improved scan acceleration of phase-contrast (PC) flow MRI.MethodsBased on the magnitude similarity between bipolar-encoded k-space data, magnitude-difference regularization was incorporated into the conventional compressed sensing (CS) reconstruction. The gradient of the magnitude regularization was derived so the reconstruction problem can be solved using non-linear conjugate gradient with backtracking line search. Phase contrast flow data obtained in the peripheral arteries of healthy and patient subjects were retrospectively undersampled for testing the proposed reconstruction method. Three-dimensional velocity-encoded PC flow MRI was performed with prospective 4-fold undersampling for measuring arotic flow velocity in a healthy volunteer.ResultsIn the femoral arteries of healthy volunteers, the root-mean-square (RMS) errors of mean velocities were 0.56 ± 0.09 cm/s with CS-only reconstruction and 0.46 ± 0.08 cm/s with addition of magnitude regularization for three-fold acceleration; 1.34 ± 0.17 cm/s (CS only) and 1.08 ± 0.15 cm/s (magnitude regularized) for four-fold acceleration. In the iliac arteries of the patient, the RMS errors of mean velocities were 0.72 ± 0.12 cm/s and 0.56 ± 0.10 for three-fold acceleration, and 1.75 ± 0.21 and 1.24 ± 0.19 cm/s for four-fold acceleration (in the order of CS-only and magnitude regularized reconstructions). In the popliteal arteries, the RMS errors were 0.61 ± 0.10 cm/s and 0.42 ± 0.11 for three-fold acceleration, and 1.41 ± 0.19 and 1.12 ± 0.17 cm/s for four-fold acceleration. The maximum through-plane mean flow velocities were measured as 63.2 cm/s and 84.5 cm/s in ascending and descending aortas, respectively.ConclusionThe addition of magnitude-difference regularization into conventional CS reconstruction improves the accuracy of image reconstruction using highly undersampled phase-contrast flow MR data.  相似文献   

14.
BackgroundIn B1 encoded MRI, a realistic non-linear phase RF encoding coil will generate an inhomogeneous B1 field that leads to spatially dependent flip angles. The non-linearity of the B1 phase gradient can be compensated for in the reconstruction, but B1 inhomogeneity remains a problem. The effect of B1 inhomogeneity on tip angles for conventional, B0 encoded MRI, may be minimized using composite pulses. The objective of this study was to explore the feasibility of using composite pulses with non-linear RF phase encoding coils and to identify the most appropriate composite pulse scheme.MethodsRF encoded signals were simulated via the Bloch equation for various symmetric, asymmetric and antisymmetric composite pulses. The simulated signals were reconstructed using a constrained least squares method.ResultsRoot mean square reconstruction errors varied from 6% (for an asymmetric composite pulse) to 9.7% (for an antisymmetric composite pulse).ConclusionAn asymmetric composite pulse scheme created images with fewer artifacts than other composite pulse schemes in inhomogeneous B0 and B1 fields making it the best choice for decreasing the effects of spatially varying flip angles. This is contrary to the conclusion that antisymmetric composite pulses are the best ones to use for spin echo sequences in conventional, B0 encoded, MRI.  相似文献   

15.
Locally focused magnetic resonance imaging (LF MRI) allows imaging with variable spatial resolution within the field of view (FOV). Because LF MRI uses a priori information to provide locally high resolution in regions with rapid spatial variations in intensity (e.g., blood/tissue interface), it allows accurate reproduction of intense sharp edges in the specimen without blurring and truncation artifacts. This study employs LF MRI for 3D imaging of stationary and pulsatile flow. In the implemented version of LF MRI analytically defined basis functions are used to determine image intensity in regions depicted with low or high resolution. It is demonstrated that LF MRI of flow allows a significant (i.e. 3-4 times) reduction in scan time as compared to conventional FT MRI. It is also shown that LF images of pulsatile flow have a decreased appearance of ghosting artifacts as compared to the images reconstructed by using the conventional method.  相似文献   

16.
PurposeIn this study we systematically investigated different Dynamic Contrast Enhancement (DCE)-MRI protocols in the spine, with the goal of finding an optimal protocol that provides data suitable for quantitative pharmacokinetic modelling (PKM).Materials and methodsIn 13 patients referred for MRI of the spine, DCE-MRI of the spine was performed with 2D and 3D MRI protocols on a 3T Philips Ingenuity MR system. A standard bolus of contrast agent (Dotarem - 0.2 ml/kg body weight) was injected intravenously at a speed of 3 ml/s. Different techniques for acceleration and motion compensation were tested: parallel imaging, partial-Fourier imaging and flow compensation. The quality of the DCE MRI images was scored on the basis of SNR, motion artefacts due to flow and respiration, signal enhancement, quality of the T1 map and of the arterial input function, and quality of pharmacokinetic model fitting to the extended Tofts model.ResultsSagittal 3D sequences are to be preferred for PKM of the spine. Acceleration techniques were unsuccessful due to increased flow or motion artefacts. Motion compensating gradients failed to improve the DCE scans due to the longer echo time and the T2* decay which becomes more dominant and leads to signal loss, especially in the aorta. The quality scoring revealed that the best method was a conventional 3D gradient–echo acquisition without any acceleration or motion compensation technique. The priority in the choice of sequence parameters should be given to reducing echo time and keeping the dynamic temporal resolution below 5 s. Increasing the number of acquisition, when possible, helps towards reducing flow artefacts. In our setting we achieved this with a sagittal 3D slab with 5 slices with a thickness of 4.5 mm and two acquisitions.ConclusionThe proposed DCE protocol, encompassing the spine and the descending aorta, produces a realistic arterial input function and dynamic data suitable for PKM.  相似文献   

17.
Fully resolved simulations of homogeneous shear turbulence (HST) laden with sedimenting spherical particles of finite size have been performed to clarify the effects of gravity on the development of particle-laden turbulent shear flows. We consider turbulence in a horizontal flow subjected to vertical or horizontal shear. Numerical results show that the development of HST laden with finite-size particles are significantly altered by gravity. The effects of gravity lead to a slower increase in the Taylor-microscale Reynolds number, whose value is found to be well correlated with the average particle Reynolds number. The gravity also causes a slower increase in the turbulence kinetic energy (TKE) through the enhancement of energy dissipation. The change in the Reynolds shear stress (RSS) due to particles also significantly contributes to the relative change in TKE. In vertically sheared cases, RSS has high values between counter-rotating trailing vortices behind the particles, which causes a transient relative increase in TKE. In horizontally sheared cases, on the other hand, RSS is reduced in the wakes of particles, which contributes to a significant relative reduction in TKE.  相似文献   

18.
PurposeTo improve the signal-to-noise ratio (SNR) and image sharpness for whole brain isotropic 0.5 mm three-dimensional (3D) T1 weighted (T1w) turbo spin echo (TSE) intracranial vessel wall imaging (IVWI) at 3 T.MethodsThe variable flip angle (VFA) method enables useful optimization across scan efficiency, SNR and relaxation induced point spread function (PSF) for TSE imaging. A convolutional neural network (CNN) was developed to retrospectively enhance the acquired TSE image with PSF blurring. The previously developed VFA method to increase SNR at the expense of blur can be combined with the presented PSF correction to yield long echo train length (ETL) scan while the acquired image remains high SNR and sharp. The overall approach can enable an optimized solution for accelerated whole brain high-resolution 3D T1w TSE IVWI. Its performance was evaluated on healthy volunteers and patients.ResultsThe PSF blurred image acquired by a long ETL scan can be enhanced by CNN to restore similar sharpness as a short ETL scan, which outperforms the traditional linear PSF enhancement approach. For accelerated whole brain IVWI on volunteers, the optimized isotropic 0.5 mm 3D T1w TSE sequence with CNN based PSF enhancement provides sufficient flow suppression and improved image quality. Preliminary results on patients further demonstrated its improved delineation for intracranial vessel wall and plaque morphology.ConclusionThe CNN enhanced VFA TSE imaging enables an overall image quality improvement for high-resolution 3D T1w IVWI, and may provide a better tradeoff across scan efficiency, SNR and PSF for 3D TSE acquisitions.  相似文献   

19.
V.I. Kruglov 《Physics letters. A》2011,375(45):4058-4064
Two mechanisms of transition of the superfluid liquid 4He to quantum turbulence regimes are proposed for the case when the influence of the normal fluid on superfluid flow is suppressed by introducing superleaks at the ends of the capillary. Using dimensional analysis it is found that in the roton mechanism the critical velocity depends on channel size as vcd−1/4, matching the experiments. For the second, super-flow mechanism, the analysis of independent parameters relevant for this phenomena leads to critical velocity depending on d as vcd−1. It is shown that turbulence for super-flow mechanism arises when a “quantum Reynolds number” exceeds some critical value which is about 103 for 1D geometry. The dimensional analysis of the equation for critical velocity of superfluid flow without superleaks at the ends of the capillary is also presented.  相似文献   

20.
PurposeReal-time spiral phase contrast MR (PCMR) enables rapid free-breathing assessment of flow. Target spatial and temporal resolutions require high acceleration rates often leading to long reconstruction times. Here we propose a deep artifact suppression framework for fast and accurate flow quantification.MethodsU-Nets were trained for deep artifact suppression using 520 breath-hold gated spiral PCMR aortic datasets collected in congenital heart disease patients. Two spiral trajectories (uniform and perturbed) and two losses (Mean Absolute Error -MAE- and average structural similarity index measurement -SSIM-) were compared in synthetic data in terms of MAE, peak SNR (PSNR) and SSIM. Perturbed spiral PCMR was prospectively acquired in 20 patients. Stroke Volume (SV), peak mean velocity and edge sharpness measurements were compared to Compressed Sensing (CS) and Cartesian reference.ResultsIn synthetic data, perturbed spiral consistently outperformed uniform spiral for the different image metrics. U-Net MAE showed better MAE and PSNR while U-Net SSIM showed higher SSIM based metrics.In-vivo, there were no significant differences in SV between any of the real-time reconstructions and the reference standard Cartesian data. However, U-Net SSIM had better image sharpness and lower biases for peak velocity when compared to U-Net MAE. Reconstruction of 96 frames took ~59 s for CS and 3.9 s for U-Nets.ConclusionDeep artifact suppression of complex valued images using an SSIM based loss was successfully demonstrated in a cohort of congenital heart disease patients for fast and accurate flow quantification.  相似文献   

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