Investigation of the XCAT phantom as a validation tool in cardiac MRI tracking algorithms. (January 2018)

• Record Type: Journal Article
• Authors: Lowther, Nicholas; Ipsen, Svenja; Marsh, Steven; Blanck, Oliver; Keall, Paul
• Is Part Of: Physica medica. Volume 45(2018)
• Page Start: 44
• Page End: 51
• Publication Date: 2018-01
• Subjects: Tracking evaluation -- Digital phantom -- Cardiac tracking -- MRI-guided radiotherapy; AF atrial fibrillation -- AP anterior posterior -- DICOM Digital Imaging and Communications in Medicine -- ECG electrocardiogram -- FLASH fast low-angle shot -- LA left atrium -- LR left right -- MRI magnetic resonance imaging -- MRI-linac MRI linear accelerator -- SI superior inferior -- TrueFISP fast steady-state free precession -- XCAT 4D digital extended cardio torso; Medical physics -- Periodicals; Biophysics -- Periodicals; Biophysics -- Periodicals; Imagerie médicale -- Périodiques; Radiothérapie -- Périodiques; Rayons X -- Sécurité -- Mesures -- Périodiques; Physique -- Périodiques; Médecine -- Périodiques; 610.153
• DOI: 10.1016/j.ejmp.2017.12.003
• Languages: English
• ISSNs: 1120-1797

Abstract

Highlights: A method of validating MRI cardiac tracking applications is proposed. Future MRI tracking strategies are likely to benefit from this virtual validation. Optimal MRI cardiac tracking algorithms may be patient-specific. Abstract: Purpose: To describe our magnetic resonance imaging (MRI) simulated implementation of the 4D digital extended cardio torso (XCAT) phantom to validate our previously developed cardiac tracking techniques. Real-time tracking will play an important role in the non-invasive treatment of atrial fibrillation with MRI-guided radiosurgery. In addition, to show how quantifiable measures of tracking accuracy and patient-specific physiology could influence MRI tracking algorithm design. Methods: Twenty virtual patients were subjected to simulated MRI scans that closely model the proposed real-world scenario to allow verification of the tracking technique's algorithm. The generated phantoms provide ground-truth motions which were compared to the target motions output from our tracking algorithm. The patient-specific tracking error, ep, was the 3D difference (vector length) between the ground-truth and algorithm trajectories. The tracking errors of two combinations of new tracking algorithm functions that were anticipated to improve tracking accuracy were studied. Additionally, the correlation of key physiological parameters with tracking accuracy was investigated. Results: Our original cardiac tracking algorithm resulted in a mean tracking error of 3.7 ± 0.6 mm over all virtual patients. The two combinations of tracking functions demonstrated comparable mean tracking errors however indicating that the optimal tracking algorithm may be patient-specific. Conclusions: Current and future MRI tracking strategies are likely to benefit from this virtual validation method since no time-resolved 4D ground-truth signal can currently be derived from purely image-based studies.