In MRI, motion correction for fet al body poses a particular challenge due to the presence of local non-rigid transformations of organs caused by bending and stretching. The existing slice-to-volume (SVR) reconstruction methods provide efficient solution for the fet al brain that undergoes only rigid transformation or 4D fet al heart with rigid states correlated to cardiac phases. However, for fet al body reconstruction, rigid registration cannot resolve the issue of misregistrations due to deformable motion. This results in propagation of registration error to the reconstructed volume and subsequent degradation of features. We propose a novel approach for non-rigid motion correction in 3D volumes based on an extension of the classical SVR method with hierarchical deformable registration scheme and structure-based outlier rejection. Deformable SVR (DSVR) method allows high resolution reconstruction of the fet al trunk and the robust scheme for structure-based rejection of misregistered slices minimises the impact of registration error. The method performance is evaluated by comparison to the SVR and patch-to-volume registration methods for reconstruction of fet al trunk on a series of fet al MRI datasets from 28-30 weeks gestational age (GA) range with varying degree of motion corruption. An additional phantom study with simulated non-rigid motion is used for the assessment of consistency of DSVR reconstructed volumes.
In this paper, we present a novel method for the correction of motion artifacts that are present in fet al magnetic resonance imaging (MRI) scans of the whole uterus. Contrary to current slice-to-volume registration (SVR) methods, requiring an inflexible anatomical enclosure of a single investigated organ, the proposed patch-to-volume reconstruction (PVR) approach is able to reconstruct a large field of view of non-rigidly deforming structures. It relaxes rigid motion assumptions by introducing a specific amount of redundant information that is exploited with parallelized patchwise optimization, super-resolution, and automatic outlier rejection. We further describe and provide an efficient parallel implementation of PVR allowing its execution within reasonable time on commercially available graphics processing units, enabling its use in the clinical practice. We evaluate PVR’s computational overhead compared with standard methods and observe improved reconstruction accuracy in the presence of affine motion artifacts compared with conventional SVR in synthetic experiments. Furthermore, we have evaluated our method qualitatively and quantitatively on real fet al MRI data subject to maternal breathing and sudden fet al movements. We evaluate peak-signal-to-noise ratio, structural similarity index, and cross correlation with respect to the originally acquired data and provide a method for visual inspection of reconstruction uncertainty. We further evaluate the distance error for selected anatomical landmarks in the fet al head, as well as calculating the mean and maximum displacements resulting from automatic non-rigid registration to a motion-free ground truth image. These experiments demonstrate a successful application of PVR motion compensation to the whole fet al body, uterus, and placenta. Abstract Recent advances in fet al magnetic resonance imaging (MRI) open the door to improved detection and characterization of fet al and placental abnormalities. Since interpreting MRI data can be complex and ambiguous, there is a need for robust computational methods able to quantify placental anatomy (including its vasculature) and function. In this work, we propose a novel fully-automated method to segment the placenta and its peripheral blood vessels from fet al MRI. First, a super-resolution reconstruction of the uterus is generated by combining axial, sagittal and coronal views. The placenta is then segmented using 3D Gabor filters, texture features and Support Vector Machines. A uterus edge-based instance selection is proposed to identify the support vectors defining the placenta boundary. Subsequently, peripheral blood vessels are extracted through a curvature-based corner detector. Our approach is validated on a rich set of 44 control and pathological cases: singleton and (normal monochorionic) twin pregnancies between 25–37 weeks of gestation. Dice coefficients of 0.82 ± 0.02 and 0.81 ± 0.08 are achieved for placenta and its vasculature segmentation, respectively. A comparative analysis with state of the art convolutional neural networks (CNN), namely, 3D U-Net, V-Net, DeepMedic, Holistic3D Net, HighRes3D Net and Dense V-Net is also conducted for placenta localization, with our method outperforming all CNN approaches. Results suggest that our methodology can aid the diagnosis and surgical planning of severe fet al disorders. We propose a method for the reconstruction of volumetric fet al MRI from 2D slices, comprising super-resolution reconstruction of the volume interleaved with slice-to-volume registration to correct for the motion. The method incorporates novel intensity matching of acquired 2D slices and robust statistics which completely excludes identified misregistered or corrupted voxels and slices. The reconstruction method is applied to motion-corrupted data simulated from MRI of a preterm neonate, as well as 10 clinically acquired thick-slice fet al MRI scans and three scan-sequence optimized thin-slice fet al datasets. The proposed method produced high quality reconstruction results from all the datasets to which it was applied. Quantitative analysis performed on simulated and clinical data shows that both intensity matching and robust statistics result in statistically significant improvement of super-resolution reconstruction. The proposed novel EM-based robust statistics also improves the reconstruction when compared to previously proposed Huber robust statistics. The best results are obtained when thin-slice data and the correct approximation of the point spread function is used. This paper addresses the need for a comprehensive reconstruction algorithm of 3D fet al MRI, so far lacking in the scientific literature. Purpose Development of a MRI acquisition and reconstruction strategy to depict fet al cardiac anatomy in the presence of maternal and fet al motion. Methods The proposed strategy involves i) acquisition and reconstruction of highly accelerated dynamic MRI, followed by image-based ii) cardiac synchronization, iii) motion correction, iv) outlier rejection, and finally v) cardiac cine reconstruction. Postprocessing entirely was automated, aside from a user-defined region of interest delineating the fet al heart. The method was evaluated in 30 mid- to late gestational age singleton pregnancies scanned without maternal breath-hold. Results The combination of complementary acquisition reconstruction and correction rejection steps in the pipeline served to improve the quality of the reconstructed 2D cine images, resulting in increased visibility of small, dynamic anatomical features. Artifact-free cine images successfully were produced in 36 of 39 acquired data sets; prolonged general fet al movements precluded processing of the remaining three data sets. Conclusions The proposed method shows promise as a motion-tolerant framework to enable further detail in MRI studies of the fet al heart and great vessels. Processing data in image-space allowed for spatial and temporal operations to be applied to the fet al heart in isolation, separate from extraneous changes elsewhere in the field of view. Magn Reson Med 79:327–338, 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.