1
|
Grover J, Liu P, Dong B, Shan S, Whelan B, Keall P, Waddington DEJ. Super-resolution neural networks improve the spatiotemporal resolution of adaptive MRI-guided radiation therapy. Commun Med (Lond) 2024; 4:64. [PMID: 38575723 PMCID: PMC10994938 DOI: 10.1038/s43856-024-00489-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 03/22/2024] [Indexed: 04/06/2024] Open
Abstract
BACKGROUND Magnetic resonance imaging (MRI) offers superb non-invasive, soft tissue imaging of the human body. However, extensive data sampling requirements severely restrict the spatiotemporal resolution achievable with MRI. This limits the modality's utility in real-time guidance applications, particularly for the rapidly growing MRI-guided radiation therapy approach to cancer treatment. Recent advances in artificial intelligence (AI) could reduce the trade-off between the spatial and the temporal resolution of MRI, thus increasing the clinical utility of the imaging modality. METHODS We trained deep learning-based super-resolution neural networks to increase the spatial resolution of real-time MRI. We developed a framework to integrate neural networks directly onto a 1.0 T MRI-linac enabling real-time super-resolution imaging. We integrated this framework with the targeting system of the MRI-linac to demonstrate real-time beam adaptation with super-resolution-based imaging. We tested the integrated system using large publicly available datasets, healthy volunteer imaging, phantom imaging, and beam tracking experiments using bicubic interpolation as a baseline comparison. RESULTS Deep learning-based super-resolution increases the spatial resolution of real-time MRI across a variety of experiments, offering measured performance benefits compared to bicubic interpolation. The temporal resolution is not compromised as measured by a real-time adaptation latency experiment. These two effects, an increase in the spatial resolution with a negligible decrease in the temporal resolution, leads to a net increase in the spatiotemporal resolution. CONCLUSIONS Deployed super-resolution neural networks can increase the spatiotemporal resolution of real-time MRI. This has applications to domains such as MRI-guided radiation therapy and interventional procedures.
Collapse
Affiliation(s)
- James Grover
- Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
| | - Paul Liu
- Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia
| | - Bin Dong
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia
| | - Shanshan Shan
- Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia
- State Key Laboratory of Radiation Medicine and Protection, School for Radiological and Interdisciplinary Sciences (RAD-X), Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education Institutions, Soochow University, Suzhou, Jiangsu, China
| | - Brendan Whelan
- Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia
| | - Paul Keall
- Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia
| | - David E J Waddington
- Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Physics, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia
| |
Collapse
|
2
|
Brighi C, Waddington DEJ, Keall PJ, Booth J, O’Brien K, Silvester S, Parkinson J, Mueller M, Yim J, Bailey DL, Back M, Drummond J. The MANGO study: a prospective investigation of oxygen enhanced and blood-oxygen level dependent MRI as imaging biomarkers of hypoxia in glioblastoma. Front Oncol 2023; 13:1306164. [PMID: 38192626 PMCID: PMC10773871 DOI: 10.3389/fonc.2023.1306164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 12/04/2023] [Indexed: 01/10/2024] Open
Abstract
Background Glioblastoma (GBM) is the most aggressive type of brain cancer, with a 5-year survival rate of ~5% and most tumours recurring locally within months of first-line treatment. Hypoxia is associated with worse clinical outcomes in GBM, as it leads to localized resistance to radiotherapy and subsequent tumour recurrence. Current standard of care treatment does not account for tumour hypoxia, due to the challenges of mapping tumour hypoxia in routine clinical practice. In this clinical study, we aim to investigate the role of oxygen enhanced (OE) and blood-oxygen level dependent (BOLD) MRI as non-invasive imaging biomarkers of hypoxia in GBM, and to evaluate their potential role in dose-painting radiotherapy planning and treatment response assessment. Methods The primary endpoint is to evaluate the quantitative and spatial correlation between OE and BOLD MRI measurements and [18F]MISO values of uptake in the tumour. The secondary endpoints are to evaluate the repeatability of MRI biomarkers of hypoxia in a test-retest study, to estimate the potential clinical benefits of using MRI biomarkers of hypoxia to guide dose-painting radiotherapy, and to evaluate the ability of MRI biomarkers of hypoxia to assess treatment response. Twenty newly diagnosed GBM patients will be enrolled in this study. Patients will undergo standard of care treatment while receiving additional OE/BOLD MRI and [18F]MISO PET scans at several timepoints during treatment. The ability of OE/BOLD MRI to map hypoxic tumour regions will be evaluated by assessing spatial and quantitative correlations with areas of hypoxic tumour identified via [18F]MISO PET imaging. Discussion MANGO (Magnetic resonance imaging of hypoxia for radiation treatment guidance in glioblastoma multiforme) is a diagnostic/prognostic study investigating the role of imaging biomarkers of hypoxia in GBM management. The study will generate a large amount of longitudinal multimodal MRI and PET imaging data that could be used to unveil dynamic changes in tumour physiology that currently limit treatment efficacy, thereby providing a means to develop more effective and personalised treatments.
Collapse
Affiliation(s)
- Caterina Brighi
- Image X Institute, Sydney School of Health Sciences, The University of Sydney, Sydney, NSW, Australia
| | - David E. J. Waddington
- Image X Institute, Sydney School of Health Sciences, The University of Sydney, Sydney, NSW, Australia
| | - Paul J. Keall
- Image X Institute, Sydney School of Health Sciences, The University of Sydney, Sydney, NSW, Australia
| | - Jeremy Booth
- Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, NSW, Australia
- Institute of Medical Physics, School of Physics, The University of Sydney, Sydney, NSW, Australia
| | | | - Shona Silvester
- Image X Institute, Sydney School of Health Sciences, The University of Sydney, Sydney, NSW, Australia
| | - Jonathon Parkinson
- Department of Neurosurgery, Royal North Shore Hospital, Sydney, NSW, Australia
- The Brain Cancer Group Sydney, St Leonards, NSW, Australia
| | - Marco Mueller
- Siemens Healthcare Pty Ltd, Brisbane, QLD, Australia
| | - Jackie Yim
- Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, NSW, Australia
- The Brain Cancer Group Sydney, St Leonards, NSW, Australia
- Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia
| | - Dale L. Bailey
- Department of Nuclear Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
| | - Michael Back
- Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, NSW, Australia
- The Brain Cancer Group Sydney, St Leonards, NSW, Australia
| | - James Drummond
- Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, NSW, Australia
- The Brain Cancer Group Sydney, St Leonards, NSW, Australia
- Department of Neuroradiology, Royal North Shore Hospital, Sydney, NSW, Australia
| |
Collapse
|
3
|
Brighi C, Puttick S, Woods A, Keall P, Tooney PA, Waddington DEJ, Sproule V, Rose S, Fay M. Comparison between [ 68Ga]Ga-PSMA-617 and [ 18F]FET PET as Imaging Biomarkers in Adult Recurrent Glioblastoma. Int J Mol Sci 2023; 24:16208. [PMID: 38003399 PMCID: PMC10671181 DOI: 10.3390/ijms242216208] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 11/08/2023] [Accepted: 11/09/2023] [Indexed: 11/26/2023] Open
Abstract
The aim of this prospective clinical study was to evaluate the potential of the prostate specific membrane antigen (PSMA) targeting ligand, [68Ga]-PSMA-Glu-NH-CO-NH-Lys-2-naphthyl-L-Ala-cyclohexane-DOTA ([68Ga]Ga-PSMA-617) as a positron emission tomography (PET) imaging biomarker in recurrent glioblastoma patients. Patients underwent [68Ga]Ga-PSMA-617 and O-(2-[18F]-fluoroethyl)-L-tyrosine ([18F]FET) PET scans on two separate days. [68Ga]Ga-PSMA-617 tumour selectivity was assessed by comparing tumour volume delineation and by assessing the intra-patient correlation between tumour uptake on [68Ga]Ga-PSMA-617 and [18F]FET PET images. [68Ga]Ga-PSMA-617 tumour specificity was evaluated by comparing its tumour-to-brain ratio (TBR) with [18F]FET TBR and its tumour volume with the magnetic resonance imaging (MRI) contrast-enhancing (CE) tumour volume. Ten patients were recruited in this study. [68Ga]Ga-PSMA-617-avid tumour volume was larger than the [18F]FET tumour volume (p = 0.063). There was a positive intra-patient correlation (median Pearson r = 0.51; p < 0.0001) between [68Ga]Ga-PSMA-617 and [18F]FET in the tumour volume. [68Ga]Ga-PSMA-617 had significantly higher TBR (p = 0.002) than [18F]FET. The [68Ga]Ga-PSMA-617-avid tumour volume was larger than the CE tumour volume (p = 0.0039). Overall, accumulation of [68Ga]-Ga-PSMA-617 beyond [18F]FET-avid tumour regions suggests the presence of neoangiogenesis in tumour regions that are not overly metabolically active yet. Higher tumour specificity suggests that [68Ga]-Ga-PSMA-617 could be a better imaging biomarker for recurrent tumour delineation and secondary treatment planning than [18F]FET and CE MRI.
Collapse
Affiliation(s)
- Caterina Brighi
- Image X Institute, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney 2015, Australia; (P.K.); (D.E.J.W.)
| | - Simon Puttick
- AdvanCell Isotopes Pty Ltd., Sydney 2000, Australia; (S.P.); (S.R.)
| | - Amanda Woods
- GenesisCare, Newcastle 2290, Australia; (A.W.); (V.S.); (M.F.)
| | - Paul Keall
- Image X Institute, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney 2015, Australia; (P.K.); (D.E.J.W.)
| | - Paul A. Tooney
- MHF Centre for Brain Cancer Research, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle 2308, Australia;
| | - David E. J. Waddington
- Image X Institute, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney 2015, Australia; (P.K.); (D.E.J.W.)
| | - Vicki Sproule
- GenesisCare, Newcastle 2290, Australia; (A.W.); (V.S.); (M.F.)
| | - Stephen Rose
- AdvanCell Isotopes Pty Ltd., Sydney 2000, Australia; (S.P.); (S.R.)
| | - Michael Fay
- GenesisCare, Newcastle 2290, Australia; (A.W.); (V.S.); (M.F.)
- MHF Centre for Brain Cancer Research, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle 2308, Australia;
| |
Collapse
|
4
|
Lombardo E, Liu PZY, Waddington DEJ, Grover J, Whelan B, Wong E, Reiner M, Corradini S, Belka C, Riboldi M, Kurz C, Landry G, Keall PJ. Experimental comparison of linear regression and LSTM motion prediction models for MLC-tracking on an MRI-linac. Med Phys 2023; 50:7083-7092. [PMID: 37782077 DOI: 10.1002/mp.16770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 08/30/2023] [Accepted: 09/17/2023] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND Magnetic resonance imaging (MRI)-guided radiotherapy with multileaf collimator (MLC)-tracking is a promising technique for intra-fractional motion management, achieving high dose conformality without prolonging treatment times. To improve beam-target alignment, the geometric error due to system latency should be reduced by using temporal prediction. PURPOSE To experimentally compare linear regression (LR) and long-short-term memory (LSTM) motion prediction models for MLC-tracking on an MRI-linac using multiple patient-derived traces with different complexities. METHODS Experiments were performed on a prototype 1.0 T MRI-linac capable of MLC-tracking. A motion phantom was programmed to move a target in superior-inferior (SI) direction according to eight lung cancer patient respiratory motion traces. Target centroid positions were localized from sagittal 2D cine MRIs acquired at 4 Hz using a template matching algorithm. The centroid positions were input to one of four motion prediction models. We used (1) a LSTM network which had been optimized in a previous study on patient data from another cohort (offline LSTM). We also used (2) the same LSTM model as a starting point for continuous re-optimization of its weights during the experiment based on recent motion (offline+online LSTM). Furthermore, we implemented (3) a continuously updated LR model, which was solely based on recent motion (online LR). Finally, we used (4) the last available target centroid without any changes as a baseline (no-predictor). The predictions of the models were used to shift the MLC aperture in real-time. An electronic portal imaging device (EPID) was used to visualize the target and MLC aperture during the experiments. Based on the EPID frames, the root-mean-square error (RMSE) between the target and the MLC aperture positions was used to assess the performance of the different motion predictors. Each combination of motion trace and prediction model was repeated twice to test stability, for a total of 64 experiments. RESULTS The end-to-end latency of the system was measured to be (389 ± 15) ms and was successfully mitigated by both LR and LSTM models. The offline+online LSTM was found to outperform the other models for all investigated motion traces. It obtained a median RMSE over all traces of (2.8 ± 1.3) mm, compared to the (3.2 ± 1.9) mm of the offline LSTM, the (3.3 ± 1.4) mm of the online LR and the (4.4 ± 2.4) mm when using the no-predictor. According to statistical tests, differences were significant (p-value <0.05) among all models in a pair-wise comparison, but for the offline LSTM and online LR pair. The offline+online LSTM was found to be more reproducible than the offline LSTM and the online LR with a maximum deviation in RMSE between two measurements of 10%. CONCLUSIONS This study represents the first experimental comparison of different prediction models for MRI-guided MLC-tracking using several patient-derived respiratory motion traces. We have shown that among the investigated models, continuously re-optimized LSTM networks are the most promising to account for the end-to-end system latency in MRI-guided radiotherapy with MLC-tracking.
Collapse
Affiliation(s)
- Elia Lombardo
- Department of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany
| | - Paul Z Y Liu
- Image X Institute, University of Sydney Central Clinical School, Sydney, New South Wales, Australia
- Department of Medical Physics, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| | - David E J Waddington
- Image X Institute, University of Sydney Central Clinical School, Sydney, New South Wales, Australia
- Department of Medical Physics, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| | - James Grover
- Image X Institute, University of Sydney Central Clinical School, Sydney, New South Wales, Australia
- Department of Medical Physics, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| | - Brendan Whelan
- Image X Institute, University of Sydney Central Clinical School, Sydney, New South Wales, Australia
- Department of Medical Physics, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| | - Esther Wong
- Department of Medical Physics, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| | - Michael Reiner
- Department of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany
| | - Stefanie Corradini
- Department of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany
| | - Claus Belka
- Department of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany
- German Cancer Consortium (DKTK), partner site Munich, a partnership between DKFZ and LMU University Hospital Munich, Munich, Germany
- Bavarian Cancer Research Center (BZKF), Munich, Germany
| | - Marco Riboldi
- Department of Medical Physics, Faculty of Physics, Ludwig-Maximilians-Universität München, Garching, Germany
| | - Christopher Kurz
- Department of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany
| | - Guillaume Landry
- Department of Radiation Oncology, LMU University Hospital, LMU Munich, Munich, Germany
| | - Paul J Keall
- Image X Institute, University of Sydney Central Clinical School, Sydney, New South Wales, Australia
- Department of Medical Physics, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
| |
Collapse
|
5
|
Shan S, Gao Y, Liu PZY, Whelan B, Sun H, Dong B, Liu F, Waddington DEJ. Distortion-corrected image reconstruction with deep learning on an MRI-Linac. Magn Reson Med 2023; 90:963-977. [PMID: 37125656 PMCID: PMC10860740 DOI: 10.1002/mrm.29684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 03/29/2023] [Accepted: 04/11/2023] [Indexed: 05/02/2023]
Abstract
PURPOSE MRI is increasingly utilized for image-guided radiotherapy due to its outstanding soft-tissue contrast and lack of ionizing radiation. However, geometric distortions caused by gradient nonlinearities (GNLs) limit anatomical accuracy, potentially compromising the quality of tumor treatments. In addition, slow MR acquisition and reconstruction limit the potential for effective image guidance. Here, we demonstrate a deep learning-based method that rapidly reconstructs distortion-corrected images from raw k-space data for MR-guided radiotherapy applications. METHODS We leverage recent advances in interpretable unrolling networks to develop a Distortion-Corrected Reconstruction Network (DCReconNet) that applies convolutional neural networks (CNNs) to learn effective regularizations and nonuniform fast Fourier transforms for GNL-encoding. DCReconNet was trained on a public MR brain dataset from 11 healthy volunteers for fully sampled and accelerated techniques, including parallel imaging (PI) and compressed sensing (CS). The performance of DCReconNet was tested on phantom, brain, pelvis, and lung images acquired on a 1.0T MRI-Linac. The DCReconNet, CS-, PI-and UNet-based reconstructed image quality was measured by structural similarity (SSIM) and RMS error (RMSE) for numerical comparisons. The computation time and residual distortion for each method were also reported. RESULTS Imaging results demonstrated that DCReconNet better preserves image structures compared to CS- and PI-based reconstruction methods. DCReconNet resulted in the highest SSIM (0.95 median value) and lowest RMSE (<0.04) on simulated brain images with four times acceleration. DCReconNet is over 10-times faster than iterative, regularized reconstruction methods. CONCLUSIONS DCReconNet provides fast and geometrically accurate image reconstruction and has the potential for MRI-guided radiotherapy applications.
Collapse
Affiliation(s)
- Shanshan Shan
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
- State Key Laboratory of Radiation Medicine and Protection, School for Radiological and Interdisciplinary Sciences (RAD‐X), Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education InstitutionsSoochow UniversitySuzhouJiangsuChina
- Department of Medical PhysicsIngham Institute of Applied Medical ResearchLiverpoolNew South WalesAustralia
- School of Information Technology and Electrical EngineeringThe University of QueenslandBrisbaneQueenslandAustralia
| | - Yang Gao
- School of Information Technology and Electrical EngineeringThe University of QueenslandBrisbaneQueenslandAustralia
- School of Computer Science and EngineeringCentral South UniversityChangshaHunanChina
| | - Paul Z. Y. Liu
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
- Department of Medical PhysicsIngham Institute of Applied Medical ResearchLiverpoolNew South WalesAustralia
| | - Brendan Whelan
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
- Department of Medical PhysicsIngham Institute of Applied Medical ResearchLiverpoolNew South WalesAustralia
| | - Hongfu Sun
- School of Information Technology and Electrical EngineeringThe University of QueenslandBrisbaneQueenslandAustralia
| | - Bin Dong
- Department of Medical PhysicsIngham Institute of Applied Medical ResearchLiverpoolNew South WalesAustralia
| | - Feng Liu
- School of Information Technology and Electrical EngineeringThe University of QueenslandBrisbaneQueenslandAustralia
| | - David E. J. Waddington
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia
- Department of Medical PhysicsIngham Institute of Applied Medical ResearchLiverpoolNew South WalesAustralia
| |
Collapse
|
6
|
Waddington DEJ, Hindley N, Koonjoo N, Chiu C, Reynolds T, Liu PZY, Zhu B, Bhutto D, Paganelli C, Keall PJ, Rosen MS. Real-time radial reconstruction with domain transform manifold learning for MRI-guided radiotherapy. Med Phys 2023; 50:1962-1974. [PMID: 36646444 PMCID: PMC10809819 DOI: 10.1002/mp.16224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 12/07/2022] [Accepted: 12/27/2022] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND MRI-guidance techniques that dynamically adapt radiation beams to follow tumor motion in real time will lead to more accurate cancer treatments and reduced collateral healthy tissue damage. The gold-standard for reconstruction of undersampled MR data is compressed sensing (CS) which is computationally slow and limits the rate that images can be available for real-time adaptation. PURPOSE Once trained, neural networks can be used to accurately reconstruct raw MRI data with minimal latency. Here, we test the suitability of deep-learning-based image reconstruction for real-time tracking applications on MRI-Linacs. METHODS We use automated transform by manifold approximation (AUTOMAP), a generalized framework that maps raw MR signal to the target image domain, to rapidly reconstruct images from undersampled radial k-space data. The AUTOMAP neural network was trained to reconstruct images from a golden-angle radial acquisition, a benchmark for motion-sensitive imaging, on lung cancer patient data and generic images from ImageNet. Model training was subsequently augmented with motion-encoded k-space data derived from videos in the YouTube-8M dataset to encourage motion robust reconstruction. RESULTS AUTOMAP models fine-tuned on retrospectively acquired lung cancer patient data reconstructed radial k-space with equivalent accuracy to CS but with much shorter processing times. Validation of motion-trained models with a virtual dynamic lung tumor phantom showed that the generalized motion properties learned from YouTube lead to improved target tracking accuracy. CONCLUSION AUTOMAP can achieve real-time, accurate reconstruction of radial data. These findings imply that neural-network-based reconstruction is potentially superior to alternative approaches for real-time image guidance applications.
Collapse
Affiliation(s)
- David E. J. Waddington
- Image X Institute, Faculty of Medicine and HealthThe University of SydneySydneyAustralia
- Department of Medical PhysicsIngham Institute for Applied Medical ResearchLiverpoolNSWAustralia
- A. A. Martinos Center for Biomedical ImagingMassachusetts General HospitalCharlestownMassachusettsUSA
| | - Nicholas Hindley
- Image X Institute, Faculty of Medicine and HealthThe University of SydneySydneyAustralia
- A. A. Martinos Center for Biomedical ImagingMassachusetts General HospitalCharlestownMassachusettsUSA
| | - Neha Koonjoo
- A. A. Martinos Center for Biomedical ImagingMassachusetts General HospitalCharlestownMassachusettsUSA
| | - Christopher Chiu
- Image X Institute, Faculty of Medicine and HealthThe University of SydneySydneyAustralia
| | - Tess Reynolds
- Image X Institute, Faculty of Medicine and HealthThe University of SydneySydneyAustralia
| | - Paul Z. Y. Liu
- Image X Institute, Faculty of Medicine and HealthThe University of SydneySydneyAustralia
- Department of Medical PhysicsIngham Institute for Applied Medical ResearchLiverpoolNSWAustralia
| | - Bo Zhu
- A. A. Martinos Center for Biomedical ImagingMassachusetts General HospitalCharlestownMassachusettsUSA
| | - Danyal Bhutto
- A. A. Martinos Center for Biomedical ImagingMassachusetts General HospitalCharlestownMassachusettsUSA
- Department of Biomedical EngineeringBoston UniversityBostonMassachusettsUSA
| | - Chiara Paganelli
- Dipartimento di Elettronica, Informazione e BioingegneriaPolitecnico di MilanoMilanItaly
| | - Paul J. Keall
- Image X Institute, Faculty of Medicine and HealthThe University of SydneySydneyAustralia
- Department of Medical PhysicsIngham Institute for Applied Medical ResearchLiverpoolNSWAustralia
| | - Matthew S. Rosen
- A. A. Martinos Center for Biomedical ImagingMassachusetts General HospitalCharlestownMassachusettsUSA
- Department of PhysicsHarvard UniversityCambridgeMassachusettsUSA
- Harvard Medical SchoolBostonMassachusettsUSA
| |
Collapse
|
7
|
Goodburn RJ, Philippens MEP, Lefebvre TL, Khalifa A, Bruijnen T, Freedman JN, Waddington DEJ, Younus E, Aliotta E, Meliadò G, Stanescu T, Bano W, Fatemi‐Ardekani A, Wetscherek A, Oelfke U, van den Berg N, Mason RP, van Houdt PJ, Balter JM, Gurney‐Champion OJ. The future of MRI in radiation therapy: Challenges and opportunities for the MR community. Magn Reson Med 2022; 88:2592-2608. [PMID: 36128894 PMCID: PMC9529952 DOI: 10.1002/mrm.29450] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 08/17/2022] [Accepted: 08/22/2022] [Indexed: 01/11/2023]
Abstract
Radiation therapy is a major component of cancer treatment pathways worldwide. The main aim of this treatment is to achieve tumor control through the delivery of ionizing radiation while preserving healthy tissues for minimal radiation toxicity. Because radiation therapy relies on accurate localization of the target and surrounding tissues, imaging plays a crucial role throughout the treatment chain. In the treatment planning phase, radiological images are essential for defining target volumes and organs-at-risk, as well as providing elemental composition (e.g., electron density) information for radiation dose calculations. At treatment, onboard imaging informs patient setup and could be used to guide radiation dose placement for sites affected by motion. Imaging is also an important tool for treatment response assessment and treatment plan adaptation. MRI, with its excellent soft tissue contrast and capacity to probe functional tissue properties, holds great untapped potential for transforming treatment paradigms in radiation therapy. The MR in Radiation Therapy ISMRM Study Group was established to provide a forum within the MR community to discuss the unmet needs and fuel opportunities for further advancement of MRI for radiation therapy applications. During the summer of 2021, the study group organized its first virtual workshop, attended by a diverse international group of clinicians, scientists, and clinical physicists, to explore our predictions for the future of MRI in radiation therapy for the next 25 years. This article reviews the main findings from the event and considers the opportunities and challenges of reaching our vision for the future in this expanding field.
Collapse
Affiliation(s)
- Rosie J. Goodburn
- Joint Department of PhysicsInstitute of Cancer Research and Royal Marsden NHS Foundation TrustLondonUnited Kingdom
| | | | - Thierry L. Lefebvre
- Department of PhysicsUniversity of CambridgeCambridgeUnited Kingdom
- Cancer Research UK Cambridge Research InstituteUniversity of CambridgeCambridgeUnited Kingdom
| | - Aly Khalifa
- Department of Medical BiophysicsUniversity of TorontoTorontoOntarioCanada
| | - Tom Bruijnen
- Department of RadiotherapyUniversity Medical Center UtrechtUtrechtNetherlands
| | | | - David E. J. Waddington
- Faculty of Medicine and Health, Sydney School of Health Sciences, ACRF Image X InstituteThe University of SydneySydneyNew South WalesAustralia
| | - Eyesha Younus
- Department of Medical Physics, Odette Cancer CentreSunnybrook Health Sciences CentreTorontoOntarioCanada
| | - Eric Aliotta
- Department of Medical PhysicsMemorial Sloan Kettering Cancer CenterNew YorkNew YorkUSA
| | - Gabriele Meliadò
- Unità Operativa Complessa di Fisica SanitariaAzienda Ospedaliera Universitaria Integrata VeronaVeronaItaly
| | - Teo Stanescu
- Department of Radiation Oncology, University of Toronto and Medical Physics, Princess Margaret Cancer CentreUniversity Health NetworkTorontoOntarioCanada
| | - Wajiha Bano
- Joint Department of PhysicsInstitute of Cancer Research and Royal Marsden NHS Foundation TrustLondonUnited Kingdom
| | - Ali Fatemi‐Ardekani
- Department of PhysicsJackson State University (JSU)JacksonMississippiUSA
- SpinTecxJacksonMississippiUSA
- Department of Radiation OncologyCommunity Health Systems (CHS) Cancer NetworkJacksonMississippiUSA
| | - Andreas Wetscherek
- Joint Department of PhysicsInstitute of Cancer Research and Royal Marsden NHS Foundation TrustLondonUnited Kingdom
| | - Uwe Oelfke
- Joint Department of PhysicsInstitute of Cancer Research and Royal Marsden NHS Foundation TrustLondonUnited Kingdom
| | - Nico van den Berg
- Department of RadiotherapyUniversity Medical Center UtrechtUtrechtNetherlands
| | - Ralph P. Mason
- Department of RadiologyUniversity of Texas Southwestern Medical CenterDallasTexasUSA
| | - Petra J. van Houdt
- Department of Radiation OncologyNetherlands Cancer InstituteAmsterdamNetherlands
| | - James M. Balter
- Department of Radiation OncologyUniversity of MichiganAnn ArborMichiganUSA
| | - Oliver J. Gurney‐Champion
- Imaging and Biomarkers, Cancer Center Amsterdam, Amsterdam UMCUniversity of AmsterdamAmsterdamNetherlands
| |
Collapse
|
8
|
Keall PJ, Brighi C, Glide-Hurst C, Liney G, Liu PZY, Lydiard S, Paganelli C, Pham T, Shan S, Tree AC, van der Heide UA, Waddington DEJ, Whelan B. Integrated MRI-guided radiotherapy - opportunities and challenges. Nat Rev Clin Oncol 2022; 19:458-470. [PMID: 35440773 DOI: 10.1038/s41571-022-00631-3] [Citation(s) in RCA: 40] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2022] [Indexed: 12/25/2022]
Abstract
MRI can help to categorize tissues as malignant or non-malignant both anatomically and functionally, with a high level of spatial and temporal resolution. This non-invasive imaging modality has been integrated with radiotherapy in devices that can differentially target the most aggressive and resistant regions of tumours. The past decade has seen the clinical deployment of treatment devices that combine imaging with targeted irradiation, making the aspiration of integrated MRI-guided radiotherapy (MRIgRT) a reality. The two main clinical drivers for the adoption of MRIgRT are the ability to image anatomical changes that occur before and during treatment in order to adapt the treatment approach, and to image and target the biological features of each tumour. Using motion management and biological targeting, the radiation dose delivered to the tumour can be adjusted during treatment to improve the probability of tumour control, while simultaneously reducing the radiation delivered to non-malignant tissues, thereby reducing the risk of treatment-related toxicities. The benefits of this approach are expected to increase survival and quality of life. In this Review, we describe the current state of MRIgRT, and the opportunities and challenges of this new radiotherapy approach.
Collapse
Affiliation(s)
- Paul J Keall
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia.
| | - Caterina Brighi
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia
| | - Carri Glide-Hurst
- Department of Human Oncology, University of Wisconsin, Madison, WI, USA
| | - Gary Liney
- Ingham Institute of Applied Medical Research, Sydney, New South Wales, Australia
| | - Paul Z Y Liu
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia
| | - Suzanne Lydiard
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia
| | - Chiara Paganelli
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy
| | - Trang Pham
- Faculty of Medicine and Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Shanshan Shan
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia
| | - Alison C Tree
- The Royal Marsden NHS Foundation Trust and the Institute of Cancer Research, London, UK
| | - Uulke A van der Heide
- Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - David E J Waddington
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia
| | - Brendan Whelan
- ACRF Image X Institute, The University of Sydney, Sydney, New South Wales, Australia
| |
Collapse
|
9
|
Brighi C, Keall PJ, Holloway LC, Walker A, Whelan B, de Witt Hamer PC, Verburg N, Aly F, Chen C, Koh ES, Waddington DEJ. An investigation of the conformity, feasibility, and expected clinical benefits of multiparametric MRI-guided dose painting radiotherapy in glioblastoma. Neurooncol Adv 2022; 4:vdac134. [PMID: 36105390 PMCID: PMC9466270 DOI: 10.1093/noajnl/vdac134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background New technologies developed to improve survival outcomes for glioblastoma (GBM) continue to have limited success. Recently, image-guided dose painting (DP) radiotherapy has emerged as a promising strategy to increase local control rates. In this study, we evaluate the practical application of a multiparametric MRI model of glioma infiltration for DP radiotherapy in GBM by measuring its conformity, feasibility, and expected clinical benefits against standard of care treatment. Methods Maps of tumor probability were generated from perfusion/diffusion MRI data from 17 GBM patients via a previously developed model of GBM infiltration. Prescriptions for DP were linearly derived from tumor probability maps and used to develop dose optimized treatment plans. Conformity of DP plans to dose prescriptions was measured via a quality factor. Feasibility of DP plans was evaluated by dose metrics to target volumes and critical brain structures. Expected clinical benefit of DP plans was assessed by tumor control probability. The DP plans were compared to standard radiotherapy plans. Results The conformity of the DP plans was >90%. Compared to the standard plans, DP (1) did not affect dose delivered to organs at risk; (2) increased mean and maximum dose and improved minimum dose coverage for the target volumes; (3) reduced minimum dose within the radiotherapy treatment margins; (4) improved local tumor control probability within the target volumes for all patients. Conclusions A multiparametric MRI model of GBM infiltration can enable conformal, feasible, and potentially beneficial dose painting radiotherapy plans.
Collapse
Affiliation(s)
- Caterina Brighi
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney , Australia
- Ingham Institute for Applied Medical Research , Sydney , Australia
| | - Paul J Keall
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney , Australia
- Ingham Institute for Applied Medical Research , Sydney , Australia
| | - Lois C Holloway
- Ingham Institute for Applied Medical Research , Sydney , Australia
- Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres , Liverpool , Australia
- Centre for Medical Radiation Physics, University of Wollongong , Wollongong, Australia
| | - Amy Walker
- Ingham Institute for Applied Medical Research , Sydney , Australia
- Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres , Liverpool , Australia
- Centre for Medical Radiation Physics, University of Wollongong , Wollongong, Australia
| | - Brendan Whelan
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney , Australia
- Ingham Institute for Applied Medical Research , Sydney , Australia
| | - Philip C de Witt Hamer
- Brain Tumor Center Amsterdam , Amsterdam UMC, Amsterdam , The Netherlands
- Department of Neurosurgery , Amsterdam UMC, Amsterdam , The Netherlands
| | - Niels Verburg
- Brain Tumor Center Amsterdam , Amsterdam UMC, Amsterdam , The Netherlands
- Department of Neurosurgery , Amsterdam UMC, Amsterdam , The Netherlands
| | - Farhannah Aly
- Ingham Institute for Applied Medical Research , Sydney , Australia
- Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres , Liverpool , Australia
| | - Cathy Chen
- Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres , Liverpool , Australia
| | - Eng-Siew Koh
- Ingham Institute for Applied Medical Research , Sydney , Australia
- Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres , Liverpool , Australia
| | - David E J Waddington
- ACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney , Australia
- Ingham Institute for Applied Medical Research , Sydney , Australia
| |
Collapse
|
10
|
Liu PZY, Dong B, Nguyen DT, Ge Y, Hewson EA, Waddington DEJ, O'Brien R, Liney GP, Keall PJ. First experimental investigation of simultaneously tracking two independently moving targets on an MRI‐linac using real‐time MRI and MLC tracking. Med Phys 2020; 47:6440-6449. [DOI: 10.1002/mp.14536] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 09/16/2020] [Accepted: 10/01/2020] [Indexed: 12/25/2022] Open
Affiliation(s)
- Paul Z. Y. Liu
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
- Department of Medical Physics Ingham Institute for Applied Medical Research Liverpool NSW Australia
| | - Bing Dong
- Department of Medical Physics Ingham Institute for Applied Medical Research Liverpool NSW Australia
| | - Doan Trang Nguyen
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
- School of Biomedical Engineering Faculty of Engineering and IT University of Technology Sydney NSW Australia
| | - Yuanyuan Ge
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
- Nelune Comprehensive Cancer Centre Prince of Wales Hospital Randwick NSW Australia
| | - Emily A. Hewson
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
| | - David E. J. Waddington
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
- Department of Medical Physics Ingham Institute for Applied Medical Research Liverpool NSW Australia
| | - Ricky O'Brien
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
| | - Gary P. Liney
- Department of Medical Physics Ingham Institute for Applied Medical Research Liverpool NSW Australia
- Liverpool Cancer Therapy Centre, Radiation Physics Liverpool NSW Australia
- School of Medicine University of New South Wales Sydney NSW Australia
- Centre for Medical Radiation Physics University of Wollongong Wollongong NSW Australia
| | - Paul J. Keall
- ACRF Image X InstituteUniversity of Sydney Central Clinical School Sydney NSW Australia
- Department of Medical Physics Ingham Institute for Applied Medical Research Liverpool NSW Australia
| |
Collapse
|
11
|
Waddington DEJ, Boele T, Maschmeyer R, Kuncic Z, Rosen MS. High-sensitivity in vivo contrast for ultra-low field magnetic resonance imaging using superparamagnetic iron oxide nanoparticles. Sci Adv 2020; 6:eabb0998. [PMID: 32733998 PMCID: PMC7367688 DOI: 10.1126/sciadv.abb0998] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 06/03/2020] [Indexed: 05/04/2023]
Abstract
Magnetic resonance imaging (MRI) scanners operating at ultra-low magnetic fields (ULF; <10 mT) are uniquely positioned to reduce the cost and expand the clinical accessibility of MRI. A fundamental challenge for ULF MRI is obtaining high-contrast images without compromising acquisition sensitivity to the point that scan times become clinically unacceptable. Here, we demonstrate that the high magnetization of superparamagnetic iron oxide nanoparticles (SPIONs) at ULF makes possible relaxivity- and susceptibility-based effects unachievable with conventional contrast agents (CAs). We leverage these effects to acquire high-contrast images of SPIONs in a rat model with ULF MRI using short scan times. This work overcomes a key limitation of ULF MRI by enabling in vivo imaging of biocompatible CAs. These results open a new clinical translation pathway for ULF MRI and have broader implications for disease detection with low-field portable MRI scanners.
Collapse
Affiliation(s)
- David E. J. Waddington
- Institute of Medical Physics, School of Physics A28, University of Sydney, Sydney, NSW 2006, Australia
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- ACRF Image X Institute, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Thomas Boele
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney, Sydney, NSW 2006, Australia
| | - Richard Maschmeyer
- Institute of Medical Physics, School of Physics A28, University of Sydney, Sydney, NSW 2006, Australia
| | - Zdenka Kuncic
- Institute of Medical Physics, School of Physics A28, University of Sydney, Sydney, NSW 2006, Australia
- The University of Sydney Nano Institute, Sydney, NSW 2006, Australia
| | - Matthew S. Rosen
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- Department of Physics, Harvard University, 17 Oxford St., Cambridge, MA 02138, USA
- Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA
| |
Collapse
|
12
|
Waddington DEJ, Sarracanie M, Salameh N, Herisson F, Ayata C, Rosen MS. An Overhauser-enhanced-MRI platform for dynamic free radical imaging in vivo. NMR Biomed 2018; 31:e3896. [PMID: 29493032 DOI: 10.1002/nbm.3896] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Revised: 12/20/2017] [Accepted: 12/21/2017] [Indexed: 06/08/2023]
Abstract
Overhauser-enhanced MRI (OMRI) is an electron-proton double-resonance imaging technique of interest for its ability to non-invasively measure the concentration and distribution of free radicals. In vivo OMRI experiments are typically undertaken at ultra-low magnetic field (ULF), as both RF power absorption and penetration issues-a consequence of the high resonance frequencies of electron spins-are mitigated. However, working at ULF causes a drastic reduction in MRI sensitivity. Here, we report on the design, construction and performance of an OMRI platform optimized for high NMR sensitivity and low RF power absorbance, exploring challenges unique to probe design in the ULF regime. We use this platform to demonstrate dynamic imaging of TEMPOL in a rat model. The work presented here demonstrates improved speed and sensitivity of in vivo OMRI, extending the scope of OMRI to the study of dynamic processes such as metabolism.
Collapse
Affiliation(s)
- David E J Waddington
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, The University of Sydney, Sydney, NSW 2006, Australia
| | - Mathieu Sarracanie
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA
- Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA
| | - Najat Salameh
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA
- Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA
| | - Fanny Herisson
- Stroke and Neurovascular Regulation Laboratory, Departments of Radiology and Neurology, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA 02129, USA
| | - Cenk Ayata
- Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA
- Stroke and Neurovascular Regulation Laboratory, Departments of Radiology and Neurology, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA 02129, USA
| | - Matthew S Rosen
- A. A. Martinos Center for Biomedical Imaging, 149 Thirteenth St., Charlestown, MA 02129, USA
- Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA
- Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA
| |
Collapse
|
13
|
Waddington DEJ, Sarracanie M, Zhang H, Salameh N, Glenn DR, Rej E, Gaebel T, Boele T, Walsworth RL, Reilly DJ, Rosen MS. Nanodiamond-enhanced MRI via in situ hyperpolarization. Nat Commun 2017; 8:15118. [PMID: 28443626 PMCID: PMC5414045 DOI: 10.1038/ncomms15118] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Accepted: 03/01/2017] [Indexed: 11/05/2022] Open
Abstract
Nanodiamonds are of interest as nontoxic substrates for targeted drug delivery and as highly biostable fluorescent markers for cellular tracking. Beyond optical techniques, however, options for noninvasive imaging of nanodiamonds in vivo are severely limited. Here, we demonstrate that the Overhauser effect, a proton–electron polarization transfer technique, can enable high-contrast magnetic resonance imaging (MRI) of nanodiamonds in water at room temperature and ultra-low magnetic field. The technique transfers spin polarization from paramagnetic impurities at nanodiamond surfaces to 1H spins in the surrounding water solution, creating MRI contrast on-demand. We examine the conditions required for maximum enhancement as well as the ultimate sensitivity of the technique. The ability to perform continuous in situ hyperpolarization via the Overhauser mechanism, in combination with the excellent in vivo stability of nanodiamond, raises the possibility of performing noninvasive in vivo tracking of nanodiamond over indefinitely long periods of time. Hyperpolarized magnetic resonance imaging can enhance imaging contrast by orders of magnitude, but applications are limited by the thermal relaxation of hyperpolarized states. Here, Waddington et al. demonstrate the on-demand hyperpolarization of hydrogen spins through the Overhauser effect with nanodiamonds.
Collapse
Affiliation(s)
- David E J Waddington
- A.A. Martinos Center for Biomedical Imaging, Suite 2301, 149 13th Street, Charlestown, Massachusetts 02129, USA.,ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney, Sydney, New South Wales 2006, Australia.,Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA
| | - Mathieu Sarracanie
- A.A. Martinos Center for Biomedical Imaging, Suite 2301, 149 13th Street, Charlestown, Massachusetts 02129, USA.,Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA.,Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA
| | - Huiliang Zhang
- Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA.,Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, Massachusetts 02138, USA
| | - Najat Salameh
- A.A. Martinos Center for Biomedical Imaging, Suite 2301, 149 13th Street, Charlestown, Massachusetts 02129, USA.,Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA.,Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA
| | - David R Glenn
- Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA.,Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, Massachusetts 02138, USA
| | - Ewa Rej
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Torsten Gaebel
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Thomas Boele
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Ronald L Walsworth
- Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA.,Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, Massachusetts 02138, USA
| | - David J Reilly
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney, Sydney, New South Wales 2006, Australia
| | - Matthew S Rosen
- A.A. Martinos Center for Biomedical Imaging, Suite 2301, 149 13th Street, Charlestown, Massachusetts 02129, USA.,Department of Physics, Harvard University, 17 Oxford Street, Cambridge, Massachusetts 02138, USA.,Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA
| |
Collapse
|
14
|
Abstract
The widespread use of nanodiamond as a biomedical platform for drug-delivery, imaging, and subcellular tracking applications stems from its nontoxicity and unique quantum mechanical properties. Here, we extend this functionality to the domain of magnetic resonance, by demonstrating that the intrinsic electron spins on the nanodiamond surface can be used to hyperpolarize adsorbed liquid compounds at low fields and room temperature. By combining relaxation measurements with hyperpolarization, spins on the surface of the nanodiamond can be distinguished from those in the bulk liquid. These results are likely of use in signaling the controlled release of pharmaceutical payloads.
Collapse
Affiliation(s)
- Ewa Rej
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney , Sydney, New South Wales 2006, Australia
| | - Torsten Gaebel
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney , Sydney, New South Wales 2006, Australia
| | - David E J Waddington
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney , Sydney, New South Wales 2006, Australia
| | - David J Reilly
- ARC Centre of Excellence for Engineered Quantum Systems, School of Physics, University of Sydney , Sydney, New South Wales 2006, Australia
| |
Collapse
|
15
|
Sarracanie M, LaPierre CD, Salameh N, Waddington DEJ, Witzel T, Rosen MS. Low-Cost High-Performance MRI. Sci Rep 2015; 5:15177. [PMID: 26469756 PMCID: PMC4606787 DOI: 10.1038/srep15177] [Citation(s) in RCA: 139] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Accepted: 09/18/2015] [Indexed: 11/09/2022] Open
Abstract
Magnetic Resonance Imaging (MRI) is unparalleled in its ability to visualize anatomical structure and function non-invasively with high spatial and temporal resolution. Yet to overcome the low sensitivity inherent in inductive detection of weakly polarized nuclear spins, the vast majority of clinical MRI scanners employ superconducting magnets producing very high magnetic fields. Commonly found at 1.5-3 tesla (T), these powerful magnets are massive and have very strict infrastructure demands that preclude operation in many environments. MRI scanners are costly to purchase, site, and maintain, with the purchase price approaching $1 M per tesla (T) of magnetic field. We present here a remarkably simple, non-cryogenic approach to high-performance human MRI at ultra-low magnetic field, whereby modern under-sampling strategies are combined with fully-refocused dynamic spin control using steady-state free precession techniques. At 6.5 mT (more than 450 times lower than clinical MRI scanners) we demonstrate (2.5 × 3.5 × 8.5) mm(3) imaging resolution in the living human brain using a simple, open-geometry electromagnet, with 3D image acquisition over the entire brain in 6 minutes. We contend that these practical ultra-low magnetic field implementations of MRI (<10 mT) will complement traditional MRI, providing clinically relevant images and setting new standards for affordable (<$50,000) and robust portable devices.
Collapse
Affiliation(s)
- Mathieu Sarracanie
- MGH/A.A. Martinos Center for Biomedical Imaging, 149 13th St, Suite 2301, Charlestown MA 02129, USA.,Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA
| | - Cristen D LaPierre
- MGH/A.A. Martinos Center for Biomedical Imaging, 149 13th St, Suite 2301, Charlestown MA 02129, USA.,Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA
| | - Najat Salameh
- MGH/A.A. Martinos Center for Biomedical Imaging, 149 13th St, Suite 2301, Charlestown MA 02129, USA.,Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA.,Institute of Physics of Biological Systems, Ecole Polytechnique Fédérale de Lausanne, CH-1015 Lausanne, Switzerland
| | - David E J Waddington
- MGH/A.A. Martinos Center for Biomedical Imaging, 149 13th St, Suite 2301, Charlestown MA 02129, USA.,Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA.,School of Physics, University of Sydney, Physics Rd, Sydney NSW 2006, Australia
| | - Thomas Witzel
- MGH/A.A. Martinos Center for Biomedical Imaging, 149 13th St, Suite 2301, Charlestown MA 02129, USA
| | - Matthew S Rosen
- MGH/A.A. Martinos Center for Biomedical Imaging, 149 13th St, Suite 2301, Charlestown MA 02129, USA.,Department of Physics, Harvard University, 17 Oxford St, Cambridge, MA 02138, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA
| |
Collapse
|
16
|
Carrad DJ, Burke AM, Reece PJ, Lyttleton RW, Waddington DEJ, Rai A, Reuter D, Wieck AD, Micolich AP. The effect of (NH4)2Sx passivation on the (311)A GaAs surface and its use in AlGaAs/GaAs heterostructure devices. J Phys Condens Matter 2013; 25:325304. [PMID: 23860377 DOI: 10.1088/0953-8984/25/32/325304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
We have studied the efficacy of (NH4)2Sx surface passivation on the (311)A GaAs surface. We report XPS studies of simultaneously-grown (311)A and (100) heterostructures showing that the (NH4)2Sx solution removes surface oxide and sulfidizes both surfaces. Passivation is often characterized using photoluminescence measurements; we show that while (NH4)2Sx treatment gives a 40-60 × increase in photoluminescence intensity for the (100) surface, an increase of only 2-3 × is obtained for the (311)A surface. A corresponding lack of reproducible improvement in the gate hysteresis of (311)A heterostructure transistor devices made with the passivation treatment performed immediately prior to gate deposition is also found. We discuss possible reasons why sulfur passivation is ineffective for (311)A GaAs, and propose alternative strategies for passivation of this surface.
Collapse
Affiliation(s)
- D J Carrad
- School of Physics, University of New South Wales, Sydney NSW 2052, Australia
| | | | | | | | | | | | | | | | | |
Collapse
|