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Xeni Deligianni

Publications and source records attributed to Xeni Deligianni.

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Vendor-agnostic 4D Phase Contrast MRI: a complete open-source pipeline for velocities, displacement, and strain analysis

Phase contrast MRI (PC MRI) enables quantitative assessment of tissue motion and strain. Although it is increasingly used, standardized, vendor-agnostic pipelines for accelerated acquisitions remain scarce. We present a fully open-source 4D flow PC-MRI pipeline integrating a compressed sensing-accelerated sequence implemented in PyPulseq, BART-based reconstruction, and strain analysis. Additionally, a gradient probing sequence was developed to ensure correct velocity sign assignment across scanner orientations and vendors. The pipeline was validated across two Siemens MRI systems (3T MAGNETOM Prisma and 3T Vida Fit) in two anatomical applications: forearm (Flexor Digitorum Superficialis, n=9) and thigh (Vastus Lateralis, n=10) during Neuromuscular Electrical Stimulation (NMES)-induced contractions. Compressed sensing reduced acquisition times from 35 and 80 minutes to 5 and 11 minutes for the arm and leg acquisitions, respectively. Muscle strain maps and sigmoid-fitted strain curves enabled extraction of peak strain, mean strain, and buildup rate. Strains in the Vastus Lateralis were approximately one order of magnitude higher than in the Flexor Digitorum Superficialis (median peak strain 0.49 vs. 0.063, mean strain 0.31 vs. 0.031). The pipeline demonstrates multi-platform compatibility and provides a reproducible, open framework for quantitative muscle imaging.

eess.IV

Deep Anatomical Federated Network (Dafne): An open client-server framework for the continuous, collaborative improvement of deep learning-based medical image segmentation

Purpose: To present and evaluate Dafne (deep anatomical federated network), a freely available decentralized, collaborative deep learning system for the semantic segmentation of radiological images through federated incremental learning. Materials and Methods: Dafne is free software with a client-server architecture. The client side is an advanced user interface that applies the deep learning models stored on the server to the user's data and allows the user to check and refine the prediction. Incremental learning is then performed at the client's side and sent back to the server, where it is integrated into the root model. Dafne was evaluated locally, by assessing the performance gain across model generations on 38 MRI datasets of the lower legs, and through the analysis of real-world usage statistics (n = 639 use-cases). Results: Dafne demonstrated a statistically improvement in the accuracy of semantic segmentation over time (average increase of the Dice Similarity Coefficient by 0.007 points/generation on the local validation set, p < 0.001). Qualitatively, the models showed enhanced performance on various radiologic image types, including those not present in the initial training sets, indicating good model generalizability. Conclusion: Dafne showed improvement in segmentation quality over time, demonstrating potential for learning and generalization.

eess.IV

Dynamic MR imaging of the skeletal muscle in young and senior volunteers during minimal synchronized neuromuscular electrical stimulation

$\textbf{Object}$ Neuromuscular electrical stimulation (NMES)-induced isometric contraction is feasible during MRI and can be combined with acquisition of volumetric dynamic MR data, in a synchronous and controlled way. Since NMES is a potent resource for rehabilitation, MRI synchronized with NMES presents a valuable validation tool. Our aim was to show how minimal NMES-induced muscle contraction characterization, as evaluated through phase contrast MRI, differs between senior and young volunteers. $\textbf{Materials and Methods}$ Simultaneous NMES of the quadriceps muscle and phase contrast imaging were applied at 3T to 11 senior (75 $\pm$ 3 years) and 6 young volunteers (29 $\pm$ 7 years). A current sufficient to induce muscle twitch without knee extension was applied to both groups. $\textbf{Results}$ Strain vectors were extracted from the velocity fields and strain datasets were compared with non-parametric tests and descriptive statistics. Strain values were noticeably different between both groups at both current intensities and significant differences were observed in the regions of interest between the two electrodes. $\textbf{Discussion}$ In conclusion, NMES-synchronized MRI could be successfully applied in senior volunteers with strain results clearly different from the younger volunteers. Also, differences within the senior group were detected both in the magnitude of strain and in the position of maximum strain pixels.

physics.med-ph