Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network

ABSTRACT: Background: Cardiovascular magnetic resonance (CMR) phase contrast is used to quantify blood flow. We sought to develop a complex-difference reconstruction for inline super-resolution of phase-contrast flow (CRISPFlow) to accelerate phase-contrast imaging. Methods: CRISPFlow was built on...

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Main Authors: Manuel A. Morales, Fahime Ghanbari, Ömer Burak Demirel, Jordan A. Street, Tess E. Wallace, Rachel Davids, Jennifer Rodriguez, Scott Johnson, Patrick Pierce, Warren J. Manning, Reza Nezafat
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Cardiovascular Magnetic Resonance
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Online Access:http://www.sciencedirect.com/science/article/pii/S1097664724011554
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author Manuel A. Morales
Fahime Ghanbari
Ömer Burak Demirel
Jordan A. Street
Tess E. Wallace
Rachel Davids
Jennifer Rodriguez
Scott Johnson
Patrick Pierce
Warren J. Manning
Reza Nezafat
author_facet Manuel A. Morales
Fahime Ghanbari
Ömer Burak Demirel
Jordan A. Street
Tess E. Wallace
Rachel Davids
Jennifer Rodriguez
Scott Johnson
Patrick Pierce
Warren J. Manning
Reza Nezafat
author_sort Manuel A. Morales
collection DOAJ
description ABSTRACT: Background: Cardiovascular magnetic resonance (CMR) phase contrast is used to quantify blood flow. We sought to develop a complex-difference reconstruction for inline super-resolution of phase-contrast flow (CRISPFlow) to accelerate phase-contrast imaging. Methods: CRISPFlow was built on the super-resolution generative adversarial network. The model was trained and tested (4:1 ratio) using retrospectively identified phase-contrast images from 2020 patients (56 ± 16 years; 1131 men) referred for clinical 3T CMR at a single center from 2018 to 2023. For testing, ascending aortic flow images collected with 2.5 × 1.9 mm2 resolution using generalized autocalibrating partially parallel acquisitions (GRAPPA) were used to synthesize images with 7.5 × 1.9 mm2 resolution. CRISPFlow subsequently restored spatial resolution. In a prospective validation study of 38 participants (57 ± 15 years; 14 men) and 16 healthy individuals (42 ± 16 years; 6 men), CRISPFlow was applied to phase-contrast images collected with 7.5 × 1.9 mm2 resolution with use of GRAPPA and was compared to GRAPPA-accelerated images collected with 2.3 × 1.9 mm2 resolution. A blur metric was used to quantify sharpness. Aortic flow measurements were obtained semi-automatically. Statistical evaluation included analysis of variance, Bland-Altman analysis, and Pearson correlation coefficient (r). Results: CRISPFlow reconstruction was successful in all cases. CRISPFlow reduced blurring in retrospective (0.35 vs 0.47, P < 0.001) and prospective (0.34 vs 0.48, P < 0.001) images with 7.5 × 1.9 mm2 resolution. Blurring in CRISPFlow images was similar to blurring in images with 2.5 × 1.9 mm2 (0.35 vs 0.35, P = 0.4082) and 2.3 × 1.9 mm2 (0.34 vs 0.32, P < 0.001) resolution. Bland-Altman differences in forward volume (−2 mL [−8 to 3 mL]), regurgitant volume (0 mL [−3 to 2 mL]), and a fraction (0% [−5 to 4%]) showed good agreement between the two techniques in a retrospective cohort. Differences in forward volume (1 mL [−11 to 14 ml]) also showed good agreement in the prospective cohort. There was a strong correlation (all r > 0.90) between GRAPPA and CRISPFlow measurements of flow in both studies. Conclusion: We demonstrated the potential of CRISPFlow to accelerate phase contrast CMR.
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spelling doaj-art-3cdca8dd8dae478b9d7a204c641ac1ab2025-01-07T04:17:11ZengElsevierJournal of Cardiovascular Magnetic Resonance1097-66472025-01-01271101128Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural networkManuel A. Morales0Fahime Ghanbari1Ömer Burak Demirel2Jordan A. Street3Tess E. Wallace4Rachel Davids5Jennifer Rodriguez6Scott Johnson7Patrick Pierce8Warren J. Manning9Reza Nezafat10Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USASiemens Medical Solutions USA, Inc., Boston, Massachusetts, USASiemens Medical Solutions USA, Inc., Chicago, Illinois, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA; Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USADepartment of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA; Corresponding author.ABSTRACT: Background: Cardiovascular magnetic resonance (CMR) phase contrast is used to quantify blood flow. We sought to develop a complex-difference reconstruction for inline super-resolution of phase-contrast flow (CRISPFlow) to accelerate phase-contrast imaging. Methods: CRISPFlow was built on the super-resolution generative adversarial network. The model was trained and tested (4:1 ratio) using retrospectively identified phase-contrast images from 2020 patients (56 ± 16 years; 1131 men) referred for clinical 3T CMR at a single center from 2018 to 2023. For testing, ascending aortic flow images collected with 2.5 × 1.9 mm2 resolution using generalized autocalibrating partially parallel acquisitions (GRAPPA) were used to synthesize images with 7.5 × 1.9 mm2 resolution. CRISPFlow subsequently restored spatial resolution. In a prospective validation study of 38 participants (57 ± 15 years; 14 men) and 16 healthy individuals (42 ± 16 years; 6 men), CRISPFlow was applied to phase-contrast images collected with 7.5 × 1.9 mm2 resolution with use of GRAPPA and was compared to GRAPPA-accelerated images collected with 2.3 × 1.9 mm2 resolution. A blur metric was used to quantify sharpness. Aortic flow measurements were obtained semi-automatically. Statistical evaluation included analysis of variance, Bland-Altman analysis, and Pearson correlation coefficient (r). Results: CRISPFlow reconstruction was successful in all cases. CRISPFlow reduced blurring in retrospective (0.35 vs 0.47, P < 0.001) and prospective (0.34 vs 0.48, P < 0.001) images with 7.5 × 1.9 mm2 resolution. Blurring in CRISPFlow images was similar to blurring in images with 2.5 × 1.9 mm2 (0.35 vs 0.35, P = 0.4082) and 2.3 × 1.9 mm2 (0.34 vs 0.32, P < 0.001) resolution. Bland-Altman differences in forward volume (−2 mL [−8 to 3 mL]), regurgitant volume (0 mL [−3 to 2 mL]), and a fraction (0% [−5 to 4%]) showed good agreement between the two techniques in a retrospective cohort. Differences in forward volume (1 mL [−11 to 14 ml]) also showed good agreement in the prospective cohort. There was a strong correlation (all r > 0.90) between GRAPPA and CRISPFlow measurements of flow in both studies. Conclusion: We demonstrated the potential of CRISPFlow to accelerate phase contrast CMR.http://www.sciencedirect.com/science/article/pii/S1097664724011554Super-resolutionPhase contrastFlowComplex differenceDeep learningAcceleration
spellingShingle Manuel A. Morales
Fahime Ghanbari
Ömer Burak Demirel
Jordan A. Street
Tess E. Wallace
Rachel Davids
Jennifer Rodriguez
Scott Johnson
Patrick Pierce
Warren J. Manning
Reza Nezafat
Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
Journal of Cardiovascular Magnetic Resonance
Super-resolution
Phase contrast
Flow
Complex difference
Deep learning
Acceleration
title Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
title_full Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
title_fullStr Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
title_full_unstemmed Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
title_short Accelerated phase-contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
title_sort accelerated phase contrast magnetic resonance imaging with use of resolution enhancement generative adversarial neural network
topic Super-resolution
Phase contrast
Flow
Complex difference
Deep learning
Acceleration
url http://www.sciencedirect.com/science/article/pii/S1097664724011554
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