skip to main content

Title: TH-A-BRF-12: Assessment of 4D-MRI for Robust Motion and Volume Characterization

Purpose: Precise radiation therapy for abdominal lesions is complicated by respiratory motion and poor soft tissue contrast from 4DCT whereas 4DMRI provides superior tissue discrimination. We evaluated a novel 4D-MRI algorithm for MR-SIM motion management. Methods: Respiratory-triggered, T2-weighted single-shot Turbo Spin Echo 4D-MRI was evaluated for open high-field 1.0T MR-SIM. A programmable platform pulled objects on a trolley ∼2 cm superior-inferior (S-I) for “regular” (sinusoidal, (1-cos{sup 2}), 3-5 second periods) and “irregular” breathing patterns (exaggerated (1-cos{sup 2}) and patient curves), while a respiratory waveform was generated via a pressure sensor device. Coronal 4D-MRIs (2–12;10 phases, TE/TR/α = 35−61/6100 ms/90°, voxel=1×1×4 mm{sup 3}) were acquired for 54 unique phantom cases. Abdominal 4D−MRIs were evaluated for 5 healthy volunteers and 1 liver cancer patient (6–10 phases, TE/TR/α = 30−96/4500−6100 ms/90°, voxel=1×1×5–10 mm{sup 3}) on an IRB-approved protocol. Duty cycle, scan time, and excursion were evaluated between phase acquisitions and compared to coronal cine-MRI (∼1 frame/sec). Maximum intensity projections (MIPs) were analyzed. Results: In phantom, average duty cycle was 42.6 ± 11.4% (range: 23.6–69.1%). Regular, periodic breathing (sinusoidal, (1-cos{sup 2})) yielded higher duty cycles than irregular (48.5% and 35.9%, respectively, p<0.001) and fast periods had higher duty cycles than slow (50.4% for 3smore » and 39.4% for 5s, p<0.001). ∼4-fold acquisition time increase was measured for 10-phase versus 2-phase. MIP renderings revealed that SI object extent was underestimated a maximum of 4% (3mm) and 8% (6mm) for cine and 2-phase 4D-MRI, respectively, with respect to 10-phases. However, this was waveform dependent. A highly irregular breathing volunteer yielded lowest duty cycle (23%) and longest 10-phase scan time (∼14 minutes), although 6-phase acquisition for a liver cancer patient was reasonable (50% and 7.4 minutes, respectively). Conclusion: 4D-MRI offers potential for excursion characterization, although results suggest the use of adequate phases is important. Further application and clinical validation are warranted. Research supported in part by a grant from Philips HealthCare (Best, Netherlands) and an Internal Mentored Grant from Henry Ford Health System.« less
; ; ;  [1] ; ;  [2]
  1. Henry Ford Health System, Detroit, MI (United States)
  2. Washington University in St Louis, St Louis, MO (United States)
Publication Date:
OSTI Identifier:
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 41; Journal Issue: 6; Other Information: (c) 2014 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States