Associate Professor Imperial College London and Royal Brompton Hospital London, England, United Kingdom
Need statement: In Cardiovascular magnetic resonance (CMR) at 3.0 Tesla, bSSFP cine imaging is important for evaluating myocardial function and structure. These sequences provide high contrast and temporal resolution.However, increased B0 inhomogeneity and frequency sensitivity at 3.0T can lead to prominent off-resonance effects, resulting in banding artifacts.These artifacts can affect diagnostic details, particularly in regions with different magnetic suspectibility e.g. the region near myoacardal tissue interfaces or metallic implants. Current practices rely on manual selection of the optimal centre frequency offset from scout images acquired across a range of frequency offsets. This process is subjective and time-consuming, and likely to vary between operators. This process is subjective and time-consuming, and likely to vary between operators. This inefficiency affects patients requiring 3.0T imaging, and those with implanted devices where the severity of the artifact is intensified, and clinical settings where reliable imaging is essential for efficient throughput.This lack of dynamic method to set frequency gives rise to additional time in scanning, causing discomfort to patients and sometimes errors in diagnosis, thus emphasizing a need for deep learning based approach to optimize frequency offset selection in 3.0T cine imaging.
Measurable Goal: Our goal would be to achieve an accuracy greater than 85%. Our method would work on multiple
planes including long axis(4ch, 3ch, 2 ch), Short axis and other planes.
Current vs. Goal Capabilities: Currently manual practices for selecting frequency offset include visual inspection of images
obtained from frequency scout scan.The operator then manually uses the frequency offset
with the best signal and least artifact based on his own judgement for CINE imaging.This
process is challenged by subjectivity, time consumption, and sensitivity to field inhomo-
geneities. Our approach would use deep learning to automate this process. Our final goal
would be to identify the optimal offset with minimal artifacts, guided by expert-labeled
ground truths or automated quality metrics (e.g., SNR, sharpness).
Must-Have Features: Our approach would include a pipeline having automatic ROI(Region of Interest) segmen-
tation to accurately localize the left ventricle in each mri slice using a segmentation model,
followed by preprocessing and ROI extraction to enhance generalization. The final step,
frequency tuning, analyzes a stack of 7-16 ROI images across different frequency offsets to
identify the optimal offset with minimal artifacts.
Nice-to-Have Features: Our approach could include the capability to segment all the images simultaneously, enhanc-
ing efficiency across multiple slices. The method could handle respiratory variations, improv-
ing reliability in free-breathing exams. It also might extend to support explainable Artificial Intelligence (XAI)
to provide insights into decision-making processes, aiding clinician diagnostic value and interpretation.