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Alessandro Sbrizzi

Publications and source records attributed to Alessandro Sbrizzi.

At least 19 recordsLinked to original sources

Towards an effective medium theory for in-vivo Magnetic Resonance: Characterizing Admissible Magnetization Dynamics

The classical Bloch equation forms the foundation of magnetic resonance theory but may be insufficient to capture the complex effective dynamics observed in heterogeneous materials such as biological tissue. Here an effective-medium strategy is proposed to describe magnetic resonance dynamics from observations at macro-scale (order 1 mm$^3$). In this framework, the classical Larmor torque is retained while the relaxation term is replaced by a general nonlinear field (i.e. the effective medium term). This field is required to preserve key physical properties, including rotational symmetry, global stability of thermal equilibrium, and dissipativity. These requirements lead to a complete characterization of admissible relaxation fields and provide a constructive framework for generating nonlinear relaxation models. The resulting theory recovers classical Bloch dynamics as a special case and provides a principled foundation for effective-medium descriptions of magnetic resonance phenomena.

physics.app-ph

Model-based Dynamic 3D MRI Reconstructions using Neural Fields and Tensor Product Expansions

Conventional MRI reconstruction methods treat images and coil sensitivities as discrete objects, leading to high memory demands and limited structural awareness that hamper effective regularization. These limitations hinder accurate reconstruction in highly undersampled scenarios, such as dynamic 3D cardiac magnetic resonance (CMR). We introduce a discretization-free, memory-efficient, model-based framework for dynamic 2D and 3D MRI reconstruction from highly undersampled data. We represent magnetization and coil sensitivities as continuous objects -- differentiable functions -- using tensor products of univariate neural fields. This tensor product structure enables scalable optimization in high-dimensional spatiotemporal settings. Our method outperforms state-of-the-art model-based reconstructions in dynamic 2D and 3D MR settings, preserving structure and motion even under aggressive undersampling (e.g., acceleration factor 16).

eess.IV

Feasibility of Continuous Ventricular Volumetric Quantification in Arrhythmias using Real-Time 3D CMR-MOTUS

Conventional cardiovascular magnetic resonance (CMR) cine imaging combines data across multiple heartbeats, an assumption that can fail in arrhythmia because beat-to-beat variation causes motion artifacts and obscures functional heterogeneity. Although 2D real-time cine resolves individual beats, stacked slices are suboptimal for capturing complex 3D cardiac dynamics. We investigated continuous beat-to-beat volumetric quantification in patients with premature ventricular contractions (PVCs) using free-running 3D real-time CMR. CMR-MOTUS was extended to jointly reconstruct time-resolved 3D motion fields and a motion-corrected reference image from continuously acquired data without breath-holding or ECG gating. Data were acquired with a variable-density Cartesian trajectory and either 3D spoiled gradient-echo or balanced steady-state free-precession imaging. Ventricular volumes were obtained by propagating one manual reference-image segmentation through all reconstructed frames. The method was evaluated in a cardiac motion phantom with static ground-truth acquisitions, 10 healthy volunteers, and 10 patients with PVCs; all in vivo scans were performed after contrast administration. Phantom ejection fraction (EF) agreed closely with ground truth (17.86% versus 17.27%). Healthy volunteers showed narrow beat-to-beat EF distributions, whereas patients with PVCs showed broader and sometimes bimodal distributions. Simultaneous ECG recordings supported the temporal correspondence between volume irregularities and PVC episodes. Free-running joint 3D motion-field and image reconstruction enables continuous beat-to-beat volumetric assessment and can reveal functional heterogeneity obscured by gated or heartbeat-averaged methods. Larger studies are required to establish clinical validity and determine its role alongside standard 2D cine analysis.

physics.med-ph

An in vivo validation dataset for dynamic volumetric MRI

Dynamic volumetric MRI provides valuable information on in vivo motion and biomechanics, with applications spanning cardiac, musculoskeletal, or pulmonary imaging, amongst others. Developing reconstruction methods for time-resolved volumetric MRI is challenging due to the inherently slow acquisition process of MRI, which makes it an active area of research. However, in vivo validation of these methods remains challenging due to the lack of publicly available datasets with fully sampled ground-truth images. Here, we present a publicly available in vivo dataset designed to facilitate the development and validation of dynamic volumetric MRI reconstruction algorithms. Controlled and repeatable deformations of the muscles in the thigh were induced using a pneumatic pressure cuff, enabling the acquisition of both undersampled dynamic data and fully sampled validation images. The dataset comprises multichannel undersampled k-space data from nine healthy volunteers across four different dynamic deformations, with fully sampled validation data for one deformation. Additionally, an anatomical reference scan and muscle segmentation masks are provided for each subject. To illustrate a possible image reconstruction and validation approach, a binning-based reconstruction was performed on the undersampled data from six dynamic repetitions. The resulting images were consistent with the corresponding fully sampled validation images. This dataset offers possibilities for validating and advancing time-resolved volumetric MRI reconstruction methods.

physics.med-ph

Quantitative mapping from conventional MRI using self-supervised physics-guided deep learning: applications to a large-scale, clinically heterogeneous dataset

Magnetic resonance imaging (MRI) is a cornerstone of clinical neuroimaging, yet conventional MRIs provide qualitative information heavily dependent on scanner hardware and acquisition settings. While quantitative MRI (qMRI) offers intrinsic tissue parameters, the requirement for specialized acquisition protocols and reconstruction algorithms restricts its availability and impedes large-scale biomarker research. This study presents a self-supervised physics-guided deep learning framework to infer quantitative T1, T2, and proton-density (PD) maps directly from widely available clinical conventional T1-weighted, T2-weighted, and FLAIR MRIs. The framework was trained and evaluated on a large-scale, clinically heterogeneous dataset comprising 4,121 scan sessions acquired at our institution over six years on four different 3 T MRI scanner systems, capturing real-world clinical variability. The framework integrates Bloch-based signal models directly into the training objective. Across more than 600 test sessions, the generated maps exhibited white matter and gray matter values consistent with literature ranges. Additionally, the generated maps showed invariance to scanner hardware and acquisition protocol groups, with inter-group coefficients of variation $\leq$ 1.1%. Subject-specific analyses demonstrated excellent voxel-wise reproducibility across scanner systems and sequence parameters, with Pearson $r$ and concordance correlation coefficients exceeding 0.82 for T1 and T2. Mean relative voxel-wise differences were low across all quantitative parameters, especially for T2 ($<$ 6%). These results indicate that the proposed framework can robustly transform diverse clinical conventional MRI data into quantitative maps, potentially paving the way for large-scale quantitative biomarker research.

physics.med-ph

Quasi-static in vivo elastography from internal displacement information only

As disease often alters the structural properties of soft tissue, noninvasive elastography techniques have emerged to quantitatively assess in vivo mechanical properties. Magnetic Resonance Elastography (MRE) based on dynamic deformations is the standard technique for imaging mechanical properties, but the viscoelastic nature of soft tissue makes the results dependent on the actuation frequency, which can be limiting. In this proof-of-principle study we propose a noise robust framework for reconstructing relative stiffness properties from quasi-static in vivo displacement fields captured on a physiological time scale. The acquisition is performed using a pneumatic pressure cuff to induce tissue deformation in a controlled manner. The reconstruction does not require boundary information which is generally hard to access in vivo nor spatial derivatives of displacement fields that are known to amplify noise. The validity of our framework is corroborated with in silico experiments on a numerical phantom. In vivo experiments on the thigh of a volunteer demonstrate the repeatability of the method. As an application, the quantitative change in muscle stiffness during isometric knee flexion is investigated which yielded physiologically meaningful results.

physics.med-ph

Free-Running Time-Resolved First-Pass Myocardial Perfusion Using a Multi-Scale Dynamics Decomposition: CMR-MOTUS

We present a novel approach for the reconstruction of time-resolved free-running first-pass myocardial perfusion MRI, named CMR-MOTUS. This method builds upon the MR-MOTUS framework and addresses the challenges of a contrast varying reference image. By integrating a low-rank plus sparse (L+S) decomposition, CMR-MOTUS efficiently captures both motion fields and contrast variations. This innovative technique eliminates the need for acquiring a motion-static reference image prior to the examination, thereby reducing examination time and complexity for cardiac MRI examinations. Our results demonstrate that CMR-MOTUS can successfully disentangle different dynamic components, offering high-quality motion fields and motion correct a myocardial first-pass perfusion image series.

physics.med-ph

Time-efficient, high-resolution 3T whole-brain relaxometry using Cartesian 3D MR-STAT with CSF suppression

Purpose: Current 3D Magnetic Resonance Spin TomogrAphy in Time-domain (MR-STAT) protocols use transient-state, gradient-spoiled gradient-echo sequences that are prone to cerebrospinal fluid (CSF) pulsation artifacts when applied to the brain. This study aims at developing a 3D MR-STAT protocol for whole-brain relaxometry that overcomes the challenges posed by CSF-induced ghosting artifacts. Method: We optimized the flip-angle train within the Cartesian 3D MR-STAT framework to achieve two objectives: (1) minimization of the noise level in the reconstructed quantitative maps, and (2) reduction of the CSF-to-white-matter signal ratio to suppress CSF signal and the associated pulsation artifacts. The optimized new sequence was tested on a gel/water-phantom to evaluate the accuracy of the quantitative maps, and on healthy volunteers to explore the effectiveness of the CSF artifact suppression and robustness of the new protocol. Results: A new optimized sequence with both high parameter encoding capability and low CSF intensity was proposed and initially validated in the gel/water-phantom experiment. From in-vivo experiments with five volunteers, the proposed CSF-suppressed sequence shows no CSF ghosting artifacts and overall greatly improved image quality for all quantitative maps compared to the baseline sequence. Statistical analysis indicated low inter-subject and inter-scan variability for quantitative parameters in gray matter and white matter (1.6%-2.4% for T1 and 2.0%-4.6% for T2), demonstrating the robustness of the new sequence. Conclusion: We presented a new 3D MR-STAT sequence with CSF suppression that effectively eliminates CSF pulsation artifacts. The new sequence ensures consistently high-quality, 1mm^3 whole-brain relaxometry within a rapid 5.5-minute scan time.

physics.med-ph

Time-Resolved Reconstruction of Motion, Force, and Stiffness using Spectro-Dynamic MRI

Measuring the dynamics and mechanical properties of muscles and joints is important to understand the (patho)physiology of muscles. However, acquiring dynamic time-resolved MRI data is challenging. We have previously developed Spectro-Dynamic MRI which allows the characterization of dynamical systems at a high spatial and temporal resolution directly from k-space data. This work presents an extended Spectro-Dynamic MRI framework that reconstructs 1) time-resolved MR images, 2) time-resolved motion fields, 3) dynamical parameters, and 4) an activation force, at a temporal resolution of 11 ms. An iterative algorithm solves a minimization problem containing four terms: a motion model relating the motion to the fully-sampled k-space data, a dynamical model describing the expected type of dynamics, a data consistency term describing the undersampling pattern, and finally a regularization term for the activation force. We acquired MRI data using a dynamic motion phantom programmed to move like an actively driven linear elastic system, from which all dynamic variables could be accurately reconstructed, regardless of the sampling pattern. The proposed method performed better than a two-step approach, where time-resolved images were first reconstructed from the undersampled data without any information about the motion, followed by a motion estimation step.

physics.med-ph

Real-time myocardial landmark tracking for MRI-guided cardiac radio-ablation using Gaussian Processes

The high speed of cardiorespiratory motion introduces a unique challenge for cardiac stereotactic radio-ablation (STAR) treatments with the MR-linac. Such treatments require tracking myocardial landmarks with a maximum latency of 100 ms, which includes the acquisition of the required data. The aim of this study is to present a new method that allows to track myocardial landmarks from few readouts of MRI data, thereby achieving a latency sufficient for STAR treatments. We present a tracking framework that requires only few readouts of k-space data as input, which can be acquired at least an order of magnitude faster than MR-images. Combined with the real-time tracking speed of a probabilistic machine learning framework called Gaussian Processes, this allows to track myocardial landmarks with a sufficiently low latency for cardiac STAR guidance, including both the acquisition of required data, and the tracking inference. The framework is demonstrated in 2D on a motion phantom, and in vivo on volunteers and a ventricular tachycardia (arrhythmia) patient. Moreover, the feasibility of an extension to 3D was demonstrated by in silico 3D experiments with a digital motion phantom. The framework was compared with template matching - a reference, image-based, method - and linear regression methods. Results indicate an order of magnitude lower total latency (<10 ms) for the proposed framework in comparison with alternative methods. The root-mean-square-distances and mean end-point-distance with the reference tracking method was less than 0.8 mm for all experiments, showing excellent (sub-voxel) agreement. The high accuracy in combination with a total latency of less than 10 ms - including data acquisition and processing - make the proposed method a suitable candidate for tracking during STAR treatments.

physics.med-ph

A three-dimensional MR-STAT protocol for high-resolution multi-parametric quantitative MRI

Magnetic Resonance Spin Tomography in Time-Domain (MR-STAT) is a multiparametric quantitative MR framework, which allows for simultaneously acquiring quantitative tissue parameters such as T1, T2 and proton density from one single short scan. A typical 2D MR-STAT acquisition uses a gradient-spoiled, gradient-echo sequence with a slowly varying RF flip-angle train and Cartesian readouts, and the quantitative tissue maps are reconstructed by an iterative, model-based optimization algorithm. In this work, we design a 3D MR-STAT framework based on previous 2D work, in order to achieve better image SNR, higher though-plan resolution and better tissue characterization. Specifically, we design a 7-minute, high-resolution 3D MR-STAT sequence, and the corresponding two-step reconstruction algorithm for the large-scale dataset. To reduce the long acquisition time, Cartesian undersampling strategies such as SENSE are adopted in our transient-state quantitative framework. To reduce the computational burden, a data splitting scheme is designed for decoupling the 3D reconstruction problem into independent 2D reconstructions. The proposed 3D framework is validated by numerical simulations, phantom experiments and in-vivo experiments. High-quality knee quantitative maps with 0.8 x 0.8 x 1.5mm3 resolution and bilateral lower leg maps with 1.6mm isotropic resolution can be acquired using the proposed 7-minute acquisition sequence and the 3-minute-per-slice decoupled reconstruction algorithm. The proposed 3D MR-STAT framework could have wide clinical applications in the future.

physics.med-ph

Generalizable synthetic MRI with physics-informed convolutional networks

In this study, we develop a physics-informed deep learning-based method to synthesize multiple brain magnetic resonance imaging (MRI) contrasts from a single five-minute acquisition and investigate its ability to generalize to arbitrary contrasts to accelerate neuroimaging protocols. A dataset of fifty-five subjects acquired with a standard MRI protocol and a five-minute transient-state sequence was used to develop a physics-informed deep learning-based method. The model, based on a generative adversarial network, maps data acquired from the five-minute scan to "effective" quantitative parameter maps, here named q*-maps, by using its generated PD, T1, and T2 values in a signal model to synthesize four standard contrasts (proton density-weighted, T1-weighted, T2-weighted, and T2-weighted fluid-attenuated inversion recovery), from which losses are computed. The q*-maps are compared to literature values and the synthetic contrasts are compared to an end-to-end deep learning-based method proposed by literature. The generalizability of the proposed method is investigated for five volunteers by synthesizing three non-standard contrasts unseen during training and comparing these to respective ground truth acquisitions via contrast-to-noise ratio and quantitative assessment. The physics-informed method was able to match the high-quality synthMRI of the end-to-end method for the four standard contrasts, with mean \pm standard deviation structural similarity metrics above 0.75 \pm 0.08 and peak signal-to-noise ratios above 22.4 \pm 1.9 and 22.6 \pm 2.1. Additionally, the physics-informed method provided retrospective contrast adjustment, with visually similar signal contrast and comparable contrast-to-noise ratios to the ground truth acquisitions for three sequences unused for model training, demonstrating its generalizability and potential application to accelerate neuroimaging protocols.

physics.med-ph

Towards retrospective motion correction and reconstruction for clinical 3D brain MRI protocols with a reference contrast

Motion artifacts often spoil the radiological interpretation of MR images, and in the most severe cases the scan needs be repeated, with additional costs for the provider. We discuss the application of a novel 3D retrospective rigid motion correction and reconstruction scheme for MRI, which leverages multiple scans contained in a MR session. Typically, in a multi-contrast MR session, motion does not equally affect all the scans, and some motion-free scans are generally available, so that we can exploit their anatomic similarity. The uncorrupted scan is used as a reference in a generalized rigid-motion registration problem to remove the motion artifacts affecting the corrupted scans. We discuss the potential of the proposed algorithm with a prospective in-vivo study and clinical 3D brain protocols. This framework can be easily incorporated into the existing clinical practice with no disruption to the conventional workflow.

eess.IV

Acceleration Strategies for MR-STAT: Achieving High-Resolution Reconstructions on a Desktop PC within 3 minutes

MR-STAT is an emerging quantitative magnetic resonance imaging technique which aims at obtaining multi-parametric tissue parameter maps from single short scans. It describes the relationship between the spatial-domain tissue parameters and the time-domain measured signal by using a comprehensive, volumetric forward model. The MR-STAT reconstruction solves a large-scale nonlinear problem, thus is very computationally challenging. In previous work, MR-STAT reconstruction using Cartesian readout data was accelerated by approximating the Hessian matrix with sparse, banded blocks, and can be done on high performance CPU clusters with tens of minutes. In the current work, we propose an accelerated Cartesian MR-STAT algorithm incorporating two different strategies: firstly, a neural network is trained as a fast surrogate to learn the magnetization signal not only in the full time-domain but also in the compressed lowrank domain; secondly, based on the surrogate model, the Cartesian MR-STAT problem is re-formulated and split into smaller sub-problems by the alternating direction method of multipliers. The proposed method substantially reduces the computational requirements for runtime and memory. Simulated and in-vivo balanced MR-STAT experiments show similar reconstruction results using the proposed algorithm compared to the previous sparse Hessian method, and the reconstruction times are at least 40 times shorter. Incorporating sensitivity encoding and regularization terms is straightforward, and allows for better image quality with a negligible increase in reconstruction time. The proposed algorithm could reconstruct both balanced and gradient-spoiled in-vivo data within 3 minutes on a desktop PC, and could thereby facilitate the translation of MR-STAT in clinical settings.

physics.med-ph

Gaussian Processes for real-time 3D motion and uncertainty estimation during MR-guided radiotherapy

Respiratory motion during radiotherapy causes uncertainty in the tumor's location, which is typically addressed by an increased radiation area and a decreased dose. As a result, the treatments' efficacy is reduced. The recently proposed hybrid MR-linac scanner holds the promise to efficiently deal with such respiratory motion through real-time adaptive MR-guided radiotherapy (MRgRT). For MRgRT, motion-fields should be estimated from MR-data and the radiotherapy plan should be adapted in real-time according to the estimated motion-fields. All of this should be performed with a total latency of maximally 200 ms, including data acquisition and reconstruction. A measure of confidence in such estimated motion-fields is highly desirable, for instance to ensure the patient's safety in case of unexpected and undesirable motion. In this work, we propose a framework based on Gaussian Processes to infer 3D motion-fields and uncertainty maps in real-time from only three readouts of MR-data. We demonstrated an inference frame rate up to 69 Hz including data acquisition and reconstruction, thereby exploiting the limited amount of required MR-data. Additionally, we designed a rejection criterion based on the motion-field uncertainty maps to demonstrate the framework's potential for quality assurance. The framework was validated in silico and in vivo on healthy volunteer data (n=5) acquired using an MR-linac, thereby taking into account different breathing patterns and controlled bulk motion. Results indicate end-point-errors with a 75th percentile below 1mm in silico, and a correct detection of erroneous motion estimates with the rejection criterion. Altogether, the results show the potential of the framework for application in real-time MR-guided radiotherapy with an MR-linac.

physics.med-ph

Real-time non-rigid 3D respiratory motion estimation for MR-guided radiotherapy using MR-MOTUS

The MR-Linac is a combination of an MR-scanner and radiotherapy linear accelerator (Linac) which holds the promise to increase the precision of radiotherapy treatments with MR-guided radiotherapy by monitoring motion during radiotherapy with MRI, and adjusting the radiotherapy plan accordingly. Optimal MR-guidance for respiratory motion during radiotherapy requires MR-based 3D motion estimation with a latency of 200-500 ms. Currently this is still challenging since typical methods rely on MR-images, and are therefore limited by the 3D MR-imaging latency. In this work, we present a method to perform non-rigid 3D respiratory motion estimation with 170 ms latency, including both acquisition and reconstruction. The proposed method called real-time low-rank MR-MOTUS reconstructs motion-fields directly from k-space data, and leverages an explicit low-rank decomposition of motion-fields to split the large scale 3D+t motion-field reconstruction problem posed in our previous work into two parts: (I) a medium-scale offline preparation phase and (II) a small-scale online inference phase which exploits the results of the offline phase for real-time computations. The method was validated on free-breathing data of five volunteers, acquired with a 1.5T Elekta Unity MR-Linac. Results show that the reconstructed 3D motion-field are anatomically plausible, highly correlated with a self-navigation motion surrogate (R = 0.975 +/- 0.0110), and can be reconstructed with a total latency of 170 ms that is sufficient for real-time MR-guided abdominal radiotherapy.

physics.med-ph

Fast and Accurate Modeling of Transient-State Gradient-Spoiled Sequences by Recurrent Neural Networks

Fast and accurate modeling of MR signal responses are typically required for various quantitative MRI applications, such as MR Fingerprinting and MR-STAT. This work uses a new EPG-Bloch model for accurate simulation of transient-state gradient-spoiled MR sequences, and proposes a Recurrent Neural Network (RNN) as a fast surrogate of the EPG-Bloch model for computing large-scale MR signals and derivatives. The computational efficiency of the RNN model is demonstrated by comparing with other existing models, showing one to three orders of acceleration comparing to the latest GPU-accelerated open-source EPG package. By using numerical and in-vivo brain data, two use cases, namely MRF dictionary generation and optimal experimental design, are also provided. Results show that the RNN surrogate model can be efficiently used for computing large-scale dictionaries of transient-states signals and derivatives within tens of seconds, resulting in several orders of magnitude acceleration with respect to state-of-the-art implementations. The practical application of transient-states quantitative techniques can therefore be substantially facilitated.

eess.IV

Non-rigid 3D motion estimation at high temporal resolution from prospectively undersampled k-space data using low-rank MR-MOTUS

With the recent introduction of the MR-LINAC, an MR-scanner combined with a radiotherapy LINAC, MR-based motion estimation has become of increasing interest to (retrospectively) characterize tumor and organs-at-risk motion during radiotherapy. To this extent, we introduce low-rank MR-MOTUS, a framework to retrospectively reconstruct time-resolved non-rigid 3D+t motion-fields from a single low-resolution reference image and prospectively undersampled k-space data acquired during motion. Low-rank MR-MOTUS exploits spatio-temporal correlations in internal body motion with a low-rank motion model, and inverts a signal model that relates motion-fields directly to a reference image and k-space data. The low-rank model reduces the degrees-of-freedom, memory consumption and reconstruction times by assuming a factorization of space-time motion-fields in spatial and temporal components. Low-rank MR-MOTUS was employed to estimate motion in 2D/3D abdominothoracic scans and 3D head scans. Data were acquired using golden-ratio radial readouts. Reconstructed 2D and 3D respiratory motion-fields were respectively validated against time-resolved and respiratory-resolved image reconstructions, and the head motion against static image reconstructions from fully-sampled data acquired right before and right after the motion. Results show that 2D+t respiratory motion can be estimated retrospectively at 40.8 motion-fields-per-second, 3D+t respiratory motion at 7.6 motion-fields-per-second and 3D+t head-neck motion at 9.3 motion-fields-per-second. The validations show good consistency with image reconstructions. The proposed framework can estimate time-resolved non-rigid 3D motion-fields, which allows to characterize drifts and intra and inter-cycle patterns in breathing motion during radiotherapy, and could form the basis for real-time MR-guided radiotherapy.

physics.med-ph