Faculty Bibliography

PURPOSE/OBJECTIVE:To introduce a method for the estimation of the ideal current patterns (ICP) that yield optimal signal-to-noise ratio (SNR) for realistic heterogeneous tissue models in MRI. THEORY AND METHODS/METHODS:The ICP were calculated for different surfaces that resembled typical radiofrequency (RF) coil formers. We constructed numerical electromagnetic (EM) bases to accurately represent EM fields generated by RF current sources located on the current-bearing surfaces. Using these fields as excitations, we solved the volume integral equation and computed the EM fields in the sample. The fields were appropriately weighted to calculate the optimal SNR and the corresponding ICP. We demonstrated how to qualitatively use ICP to guide the design of a coil array to maximize SNR inside a head model. RESULTS: CONCLUSION/CONCLUSIONS:ICP can be calculated for human tissue models, potentially guiding the design of application-specific RF coil arrays.

We propose Physics-Informed Fourier Networks for Electrical Properties (EP) Tomography (PIFON-EPT), a novel deep learning-based method for EP reconstruction using noisy and/or incomplete magnetic resonance (MR) measurements. Our approach leverages the Helmholtz equation to constrain two networks, responsible for the denoising and completion of the transmit fields, and the estimation of the object's EP, respectively. We embed a random Fourier features mapping into our networks to enable efficient learning of high-frequency details encoded in the transmit fields. We demonstrated the efficacy of PIFON-EPT through several simulated experiments at 3 and 7 T (T) MR imaging, and showed that our method can reconstruct physically consistent EP and transmit fields. Specifically, when only 20% of the noisy measured fields were used as inputs, PIFON-EPT reconstructed the EP of a phantom with ≤ 5% error, and denoised and completed the measurements with ≤ 1% error. Additionally, we adapted PIFON-EPT to solve the generalized Helmholtz equation that accounts for gradients of EP between inhomogeneities. This yielded improved results at interfaces between different materials without explicit knowledge of boundary conditions. PIFON-EPT is the first method that can simultaneously reconstruct EP and transmit fields from incomplete noisy MR measurements, providing new opportunities for EPT research.

Different pathologies of the hip are characterized by the abnormal shape of the bony structures of the joint, namely the femur and the acetabulum. Three-dimensional (3D) models of the hip can be used for diagnosis, biomechanical simulation, and planning of surgical treatments. These models can be generated by building 3D surfaces of the joint's structures segmented on magnetic resonance (MR) images. Deep learning can avoid time-consuming manual segmentations, but its performance depends on the amount and quality of the available training data. Data augmentation and transfer learning are two approaches used when there is only a limited number of datasets. In particular, data augmentation can be used to artificially increase the size and diversity of the training datasets, whereas transfer learning can be used to build the desired model on top of a model previously trained with similar data. This study investigates the effect of data augmentation and transfer learning on the performance of deep learning for the automatic segmentation of the femur and acetabulum on 3D MR images of patients diagnosed with femoroacetabular impingement. Transfer learning was applied starting from a model trained for the segmentation of the bony structures of the shoulder joint, which bears some resemblance to the hip joint. Our results suggest that data augmentation is more effective than transfer learning, yielding a Dice similarity coefficient compared to ground-truth manual segmentations of 0.84 and 0.89 for the acetabulum and femur, respectively, whereas the Dice coefficient was 0.78 and 0.88 for the model based on transfer learning. The Accuracy for the two anatomical regions was 0.95 and 0.97 when using data augmentation, and 0.87 and 0.96 when using transfer learning. Data augmentation can improve the performance of deep learning models by increasing the diversity of the training dataset and making the models more robust to noise and variations in image quality. The proposed segmentation model could be combined with radiomic analysis for the automatic evaluation of hip pathologies.

Far more publications are available for osteoarthritis of the knee than of the hip. Recognizing this research gap, the Arthritis Foundation (AF), in partnership with the Hospital for Special Surgery (HSS), convened an in-person meeting of thought leaders to review the state of the science of and clinical approaches to hip osteoarthritis. This article summarizes the recommendations gleaned from 5 presentations given in the "early hip osteoarthritis" session of the 2023 Hip Osteoarthritis Clinical Studies Conference, which took place on February 17 and 18, 2023, in New York City. It also summarizes the workgroup recommendations from a small-group discussion on clinical research gaps.

BACKGROUND:Magnetic resonance fingerprinting (MRF) is a method to speed up acquisition of quantitative MRI data. However, MRF does not usually produce contrast-weighted images that are required by radiologists, limiting reachable total scan time improvement. Contrast synthesis from MRF could significantly decrease the imaging time. PURPOSE/OBJECTIVE:To improve clinical utility of MRF by synthesizing contrast-weighted MR images from the quantitative data provided by MRF, using U-nets that were trained for the synthesis task utilizing L1- and perceptual loss functions, and their combinations. STUDY TYPE/METHODS:Retrospective. POPULATION/METHODS:Knee joint MRI data from 184 subjects from Northern Finland 1986 Birth Cohort (ages 33-35, gender distribution not available). FIELD STRENGTH AND SEQUENCE/UNASSIGNED:A 3 T, multislice-MRF, proton density (PD)-weighted 3D-SPACE (sampling perfection with application optimized contrasts using different flip angle evolution), fat-saturated T2-weighted 3D-space, water-excited double echo steady state (DESS). ASSESSMENT/RESULTS:Data were divided into training, validation, test, and radiologist's assessment sets in the following way: 136 subjects to training, 3 for validation, 3 for testing, and 42 for radiologist's assessment. The synthetic and target images were evaluated using 5-point Likert scale by two musculoskeletal radiologists blinded and with quantitative error metrics. STATISTICAL TESTS/METHODS:Friedman's test accompanied with post hoc Wilcoxon signed-rank test and intraclass correlation coefficient. The statistical cutoff P <0.05 adjusted by Bonferroni correction as necessary was utilized. RESULTS:The networks trained in the study could synthesize conventional images with high image quality (Likert scores 3-4 on a 5-point scale). Qualitatively, the best synthetic images were produced with combination of L1- and perceptual loss functions and perceptual loss alone, while L1-loss alone led to significantly poorer image quality (Likert scores below 3). The interreader and intrareader agreement were high (0.80 and 0.92, respectively) and significant. However, quantitative image quality metrics indicated best performance for the pure L1-loss. DATA CONCLUSION/CONCLUSIONS:Synthesizing high-quality contrast-weighted images from MRF data using deep learning is feasible. However, more studies are needed to validate the diagnostic accuracy of these synthetic images. EVIDENCE LEVEL/METHODS:4. TECHNICAL EFFICACY/UNASSIGNED:Stage 1.