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Motion‐corrected simultaneous cardiac positron emission tomography and coronary MR angiography with high acquisition efficiency

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      PurposeDevelop a framework for efficient free‐breathing simultaneous whole‐heart coronary magnetic resonance angiography (CMRA) and cardiac positron emission tomography (PET) on a 3 Tesla PET‐MR system.MethodsAn acquisition that enables nonrigid motion correction of both CMRA and PET has been developed. The proposed method estimates translational motion from low‐resolution 2D MR image navigators acquired at each heartbeat and 3D nonrigid respiratory motion between different respiratory bins from the CMRA data itself. Estimated motion is used for correcting the CMRA as well as the emission and attenuation PET data sets to the same respiratory position. The CMRA approach was studied in 10 healthy subjects and compared for both left and right coronary arteries (LCA, RCA) against a reference scan with diaphragmatic navigator gating and tracking. The PET‐CMRA approach was tested in 5 oncology patients with 18F‐FDG myocardial uptake. PET images were compared against uncorrected and gated PET reconstructions.ResultsFor the healthy subjects, no statistically significant differences in vessel length and sharpness (P > 0.01) were observed between the proposed approach and the reference acquisition with navigator gating and tracking, although data acquisition was significantly shorter. The proposed approach improved CMRA vessel sharpness by 37.9% and 49.1% (LCA, RCA) and vessel length by 48.0% and 36.7% (LCA, RCA) in comparison with no motion correction for all the subjects. Motion‐corrected PET images showed improved sharpness of the myocardium compared to uncorrected reconstructions and reduced noise compared to gated reconstructions.ConclusionFeasibility of a new respiratory motion‐compensated simultaneous cardiac PET‐CMRA acquisition has been demonstrated. Magn Reson Med 79:339–350, 2018. © 2017 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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          The authors define ordered subset processing for standard algorithms (such as expectation maximization, EM) for image restoration from projections. Ordered subsets methods group projection data into an ordered sequence of subsets (or blocks). An iteration of ordered subsets EM is defined as a single pass through all the subsets, in each subset using the current estimate to initialize application of EM with that data subset. This approach is similar in concept to block-Kaczmarz methods introduced by Eggermont et al. (1981) for iterative reconstruction. Simultaneous iterative reconstruction (SIRT) and multiplicative algebraic reconstruction (MART) techniques are well known special cases. Ordered subsets EM (OS-EM) provides a restoration imposing a natural positivity condition and with close links to the EM algorithm. OS-EM is applicable in both single photon (SPECT) and positron emission tomography (PET). In simulation studies in SPECT, the OS-EM algorithm provides an order-of-magnitude acceleration over EM, with restoration quality maintained.

            Author and article information

            [ 1 ] Division of Imaging Sciences and Biomedical Engineering King's College London London United Kingdom
            [ 2 ] MR Research Collaborations, Siemens Healthcare Frimley United Kingdom
            [ 3 ] PET Centre, St Thomas' Hospital, King's College London & Guys and St Thomas' NHS Foundation Trust London United Kingdom
            [ 4 ] Escuela de Ingenieria, Pontificia Universidad Catolica de Chile Santiago Chile
            Author notes
            [* ]Correspondence to: Camila Munoz, M.Res., Division of Imaging Sciences and Biomedical Engineering, 4th Floor, Lambeth Wing, St Thomas' Hospital, London, SE1 7EH, United Kingdom. E‐mail: camila.munoz@
            Magn Reson Med
            Magn Reson Med
            Magnetic Resonance in Medicine
            John Wiley and Sons Inc. (Hoboken )
            20 April 2017
            January 2018
            : 79
            : 1 ( doiID: 10.1002/mrm.v79.1 )
            : 339-350
            © 2017 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine

            This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

            Figures: 10, Tables: 0, Pages: 12, Words: 7585
            Funded by: EPSRC
            Award ID: #EP/N009258/1
            Funded by: King's College London & Imperial College London EPSRC Centre for Doctoral Training in Medical Imaging
            Award ID: #EP/L015226/1
            Funded by: Centre of Excellence in Medical Engineering funded by the Wellcome Trust and EPSRC
            Award ID: #WT 088641/Z/09/Z
            Funded by: National Institute for Health Research (NIHR)
            Funded by: King's College London and King's College Hospital NHS Foundation Trust
            Full Paper
            Full Papers—Imaging Methodology
            Custom metadata
            January 2018
            Converter:WILEY_ML3GV2_TO_NLMPMC version:5.2.8 mode:remove_FC converted:11.01.2018


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