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Dalboni da Rocha JL, Lai J, Pandey P, Myat PSM, Loschinskey Z, Bag AK, Sitaram R. Artificial Intelligence for Neuroimaging in Pediatric Cancer. Cancers (Basel) 2025; 17:622. [PMID: 40002217 PMCID: PMC11852968 DOI: 10.3390/cancers17040622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2024] [Revised: 02/06/2025] [Accepted: 02/07/2025] [Indexed: 02/27/2025] Open
Abstract
BACKGROUND/OBJECTIVES Artificial intelligence (AI) is transforming neuroimaging by enhancing diagnostic precision and treatment planning. However, its applications in pediatric cancer neuroimaging remain limited. This review assesses the current state, potential applications, and challenges of AI in pediatric neuroimaging for cancer, emphasizing the unique needs of the pediatric population. METHODS A comprehensive literature review was conducted, focusing on AI's impact on pediatric neuroimaging through accelerated image acquisition, reduced radiation, and improved tumor detection. Key methods include convolutional neural networks for tumor segmentation, radiomics for tumor characterization, and several tools for functional imaging. Challenges such as limited pediatric datasets, developmental variability, ethical concerns, and the need for explainable models were analyzed. RESULTS AI has shown significant potential to improve imaging quality, reduce scan times, and enhance diagnostic accuracy in pediatric neuroimaging, resulting in improved accuracy in tumor segmentation and outcome prediction for treatment. However, progress is hindered by the scarcity of pediatric datasets, issues with data sharing, and the ethical implications of applying AI in vulnerable populations. CONCLUSIONS To overcome current limitations, future research should focus on building robust pediatric datasets, fostering multi-institutional collaborations for data sharing, and developing interpretable AI models that align with clinical practice and ethical standards. These efforts are essential in harnessing the full potential of AI in pediatric neuroimaging and improving outcomes for children with cancer.
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Affiliation(s)
- Josue Luiz Dalboni da Rocha
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
| | - Jesyin Lai
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
| | - Pankaj Pandey
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
| | - Phyu Sin M. Myat
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
| | - Zachary Loschinskey
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
- Department of Chemical and Biomedical Engineering, University of Missouri-Columbia, Columbia, MO 65211, USA
- Department of Biomedical Engineering, Boston University, Boston, MA 02215, USA
| | - Asim K. Bag
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
| | - Ranganatha Sitaram
- Department of Radiology, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA; (J.L.); (P.P.); (P.S.M.M.); (Z.L.); (A.K.B.)
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Petzold J, Schmitter S, Silemek B, Winter L, Speck O, Ittermann B, Seifert F. Investigation of alternative RF power limit control methods for 0.5T, 1.5T, and 3T parallel transmission cardiac imaging: A simulation study. Magn Reson Med 2024; 91:1659-1675. [PMID: 38031517 DOI: 10.1002/mrm.29932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 10/09/2023] [Accepted: 10/31/2023] [Indexed: 12/01/2023]
Abstract
PURPOSE To investigate safety and performance aspects of parallel-transmit (pTx) RF control-modes for a body coil atB 0 ≤ 3 T $$ {B}_0\le 3\mathrm{T} $$ . METHODS Electromagnetic simulations of 11 human voxel models in cardiac imaging position were conducted forB 0 = 0.5 T $$ {B}_0=0.5\mathrm{T} $$ ,1.5 T $$ 1.5\mathrm{T} $$ and3 T $$ 3\mathrm{T} $$ and a body coil with a configurable number of transmit channels (1, 2, 4, 8, 16). Three safety modes were considered: the 'SAR-controlled mode' (SCM), where specific absorption rate (SAR) is limited directly, a 'phase agnostic SAR-controlled mode' (PASCM), where phase information is neglected, and a 'power-controlled mode' (PCM), where the voltage amplitude for each channel is limited. For either mode, safety limits were established based on a set of 'anchor' simulations and then evaluated in 'target' simulations on previously unseen models. The comparison allowed to derive safety factors accounting for varying patient anatomies. All control modes were compared in terms of theB 1 + $$ {B}_1^{+} $$ amplitude and homogeneity they permit under their respective safety requirements. RESULTS Large safety factors (approximately five) are needed if only one or two anchor models are investigated but they shrink with increasing number of anchors. The achievableB 1 + $$ {B}_1^{+} $$ is highest for SCM but this advantage is reduced when the safety factor is included. PCM appears to be more robust against variations of subjects. PASCM performance is mostly in between SCM and PCM. Compared to standard circularly polarized (CP) excitation, pTx offers minorB 1 + $$ {B}_1^{+} $$ improvements if local SAR limits are always enforced. CONCLUSION PTx body coils can safely be used atB 0 ≤ 3 T $$ {B}_0\le 3\mathrm{T} $$ . Uncertainties in patient anatomy must be accounted for, however, by simulating many models.
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Affiliation(s)
- Johannes Petzold
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
- Biomedical Magnetic Resonance, Otto von Guericke University Magdeburg, Magdeburg, Germany
| | - Sebastian Schmitter
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Berk Silemek
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Lukas Winter
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Oliver Speck
- Biomedical Magnetic Resonance, Otto von Guericke University Magdeburg, Magdeburg, Germany
| | - Bernd Ittermann
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Frank Seifert
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
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Vu J, Sanpitak P, Bhusal B, Jiang F, Golestanirad L. Rapid prediction of MRI-induced RF heating of active implantable medical devices using machine learning. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2023; 2023:1-4. [PMID: 38082837 PMCID: PMC10848153 DOI: 10.1109/embc40787.2023.10340900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
The interaction between an active implantable medical device and magnetic resonance imaging (MRI) radiofrequency (RF) fields can cause excessive tissue heating. Existing methods for predicting RF heating in the presence of an implant rely on either extensive phantom experiments or electromagnetic (EM) simulations with varying degrees of approximation of the MR environment, the patient, or the implant. On the contrary, fast MR thermometry techniques can provide a reliable real-time map of temperature rise in the tissue in the vicinity of conductive implants. In this proof-of-concept study, we examined whether a machine learning (ML) based model could predict the temperature increase in the tissue near the tip of an implanted lead after several minutes of RF exposure based on only a few seconds of experimentally measured temperature values. We performed phantom experiments with a commercial deep brain stimulation (DBS) system to train a fully connected feedforward neural network (NN) to predict temperature rise after ~3 minutes of scanning at a 3 T scanner using only data from the first 5 seconds. The NN effectively predicted ΔTmax-R2 = 0.99 for predictions in the test dataset. Our model also showed potential in predicting RF heating for other various scenarios, including a DBS system at a different field strength (1.5 T MRI, R2 = 0.87), different field polarization (1.2 T vertical MRI, R2 = 0.79), and an unseen implant (cardiac leads at 1.5 T MRI, R2 = 0.91). Our results indicate great potential for the application of ML in combination with fast MR thermometry techniques for rapid prediction of RF heating for implants in various MR environments.Clinical Relevance- Machine learning-based algorithms can potentially enable rapid prediction of MRI-induced RF heating in the presence of unknown AIMDs in various MR environments.
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Gokyar S, Voss HU, Taracila V, Robb FJL, Bernico M, Kelley D, Ballon DJ, Winkler SA. A pathway towards a two-dimensional, bore-mounted, volume body coil concept for ultra high-field magnetic resonance imaging. NMR IN BIOMEDICINE 2022; 35:e4802. [PMID: 35834176 DOI: 10.1002/nbm.4802] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 07/08/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
Lack of a body-sized, bore-mounted, radiofrequency (RF) body coil for ultrahigh field (UHF) magnetic resonance imaging (MRI) is one of the major drawbacks of UHF, hampering the clinical potential of the technology. Transmit field (B1 ) nonuniformity and low specific absorption rate (SAR) efficiencies in UHF MRI are two challenges to be overcome. To address these problems, and ultimately provide a pathway for the full clinical potential of the modality, we have designed and simulated two-dimensional cylindrical high-pass ladder (2D c-HPL) architectures for clinical bore-size dimensions, and demonstrated a simplified proof of concept with a head-sized prototype at 7 T. A new dispersion relation has been derived and electromagnetic simulations were used to verify coil modes. The coefficient of variation (CV) for brain, cerebellum, heart, and prostate tissues after B1 + shimming in silico is reported and compared with previous works. Three prototypes were designed in simulation: a head-sized, body-sized, and long body-sized coil. The head-sized coil showed a CV of 12.3%, a B1 + efficiency of 1.33 μT/√W, and a SAR efficiency of 2.14 μT/√(W/kg) for brain simulations. The body-sized 2D c-HPL coil was compared with same-sized transverse electromagnetic (TEM) and birdcage coils in silico with a four-port circularly polarized mode excitation. Improved B1 + uniformity (26.9%) and SAR efficiency (16% and 50% better than birdcage and TEM coils, respectively) in spherical phantoms was observed. We achieved a CV of 12.3%, 4.9%, 16.7%, and 2.8% for the brain, cerebellum, heart, and prostate, respectively. Preliminary imaging results for the head-sized coil show good agreement between simulation and experiment. Extending the 1D birdcage coil concept to 2D c-HPLs provides improved B1 + uniformity and SAR efficiency.
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Affiliation(s)
- Sayim Gokyar
- Department of Radiology, Weill Cornell Medicine, New York, New York, USA
- USC Mark and Mary Stevens Neuroimaging and Informatics Institute, Los Angeles, California, USA
| | - Henning U Voss
- College of Human Ecology, Cornell University, Ithaca, New York, USA
| | | | | | | | | | - Douglas J Ballon
- Department of Radiology, Weill Cornell Medicine, New York, New York, USA
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Brink WM, Yousefi S, Bhatnagar P, Remis RF, Staring M, Webb AG. Personalized local SAR prediction for parallel transmit neuroimaging at 7T from a single T1-weighted dataset. Magn Reson Med 2022; 88:464-475. [PMID: 35344602 PMCID: PMC9314883 DOI: 10.1002/mrm.29215] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/20/2022] [Accepted: 02/13/2022] [Indexed: 11/26/2022]
Abstract
Purpose Parallel RF transmission (PTx) is one of the key technologies enabling high quality imaging at ultra‐high fields (≥7T). Compliance with regulatory limits on the local specific absorption rate (SAR) typically involves over‐conservative safety margins to account for intersubject variability, which negatively affect the utilization of ultra‐high field MR. In this work, we present a method to generate a subject‐specific body model from a single T1‐weighted dataset for personalized local SAR prediction in PTx neuroimaging at 7T. Methods Multi‐contrast data were acquired at 7T (N = 10) to establish ground truth segmentations in eight tissue types. A 2.5D convolutional neural network was trained using the T1‐weighted data as input in a leave‐one‐out cross‐validation study. The segmentation accuracy was evaluated through local SAR simulations in a quadrature birdcage as well as a PTx coil model. Results The network‐generated segmentations reached Dice coefficients of 86.7% ± 6.7% (mean ± SD) and showed to successfully address the severe intensity bias and contrast variations typical to 7T. Errors in peak local SAR obtained were below 3.0% in the quadrature birdcage. Results obtained in the PTx configuration indicated that a safety margin of 6.3% ensures conservative local SAR estimates in 95% of the random RF shims, compared to an average overestimation of 34% in the generic “one‐size‐fits‐all” approach. Conclusion A subject‐specific body model can be automatically generated from a single T1‐weighted dataset by means of deep learning, providing the necessary inputs for accurate and personalized local SAR predictions in PTx neuroimaging at 7T.
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Affiliation(s)
- Wyger M Brink
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Sahar Yousefi
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands.,Division of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Prernna Bhatnagar
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands.,Circuits and Systems Group, Department of Microelectronics, Delft University of Technology, Delft, the Netherlands
| | - Rob F Remis
- Circuits and Systems Group, Department of Microelectronics, Delft University of Technology, Delft, the Netherlands
| | - Marius Staring
- Division of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Andrew G Webb
- C.J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
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