Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI

<strong>Purpose</strong> To validate a multiparametric automated algorithm—ENhancement of Automated Blood fLow Estimates (ENABLE)—that identifies useful and poor arterial spin‐labeled (ASL) difference images in multiple postlabeling delay (PLD) acquisitions and thereby improve clinical A...

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Main Authors: Shirzadi, Z, Stefanovic, B, Chappell, MA, Ramirez, J, Schwindt, G, Masellis, M, Black, SE, MacIntosh, BJ
Format: Journal article
Published: Wiley 2017
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author Shirzadi, Z
Stefanovic, B
Chappell, MA
Ramirez, J
Schwindt, G
Masellis, M
Black, SE
MacIntosh, BJ
author_facet Shirzadi, Z
Stefanovic, B
Chappell, MA
Ramirez, J
Schwindt, G
Masellis, M
Black, SE
MacIntosh, BJ
author_sort Shirzadi, Z
collection OXFORD
description <strong>Purpose</strong> To validate a multiparametric automated algorithm—ENhancement of Automated Blood fLow Estimates (ENABLE)—that identifies useful and poor arterial spin‐labeled (ASL) difference images in multiple postlabeling delay (PLD) acquisitions and thereby improve clinical ASL. <strong>Materials and Methods</strong> ENABLE is a sort/check algorithm that uses a linear combination of ASL quality features. ENABLE uses simulations to determine quality weighting factors based on an unconstrained nonlinear optimization. We acquired a set of 6‐PLD ASL images with 1.5T or 3.0T systems among 98 healthy elderly and adults with mild cognitive impairment or dementia. We contrasted signal‐to‐noise ratio (SNR) of cerebral blood flow (CBF) images obtained with ENABLE vs. conventional ASL analysis. In a subgroup, we validated our CBF estimates with single‐photon emission computed tomography (SPECT) CBF images. <strong>Results</strong> ENABLE produced significantly increased SNR compared to a conventional ASL analysis (Wilcoxon signed‐rank test, P &lt; 0.0001). We also found the similarity between ASL and SPECT was greater when using ENABLE vs. conventional ASL analysis (n = 51, Wilcoxon signed‐rank test, P &lt; 0.0001) and this similarity was strongly related to ASL SNR (t = 24, P &lt; 0.0001). <strong>Conclusion</strong> These findings suggest that ENABLE improves CBF image quality from multiple PLD ASL in dementia cohorts at either 1.5T or 3.0T, achieved by multiparametric quality features that guided postprocessing of dementia ASL.
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spelling oxford-uuid:af8a3446-6d65-42eb-a566-6216d781a6792022-03-27T03:50:15ZEnhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRIJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:af8a3446-6d65-42eb-a566-6216d781a679Symplectic Elements at OxfordWiley2017Shirzadi, ZStefanovic, BChappell, MARamirez, JSchwindt, GMasellis, MBlack, SEMacIntosh, BJ<strong>Purpose</strong> To validate a multiparametric automated algorithm—ENhancement of Automated Blood fLow Estimates (ENABLE)—that identifies useful and poor arterial spin‐labeled (ASL) difference images in multiple postlabeling delay (PLD) acquisitions and thereby improve clinical ASL. <strong>Materials and Methods</strong> ENABLE is a sort/check algorithm that uses a linear combination of ASL quality features. ENABLE uses simulations to determine quality weighting factors based on an unconstrained nonlinear optimization. We acquired a set of 6‐PLD ASL images with 1.5T or 3.0T systems among 98 healthy elderly and adults with mild cognitive impairment or dementia. We contrasted signal‐to‐noise ratio (SNR) of cerebral blood flow (CBF) images obtained with ENABLE vs. conventional ASL analysis. In a subgroup, we validated our CBF estimates with single‐photon emission computed tomography (SPECT) CBF images. <strong>Results</strong> ENABLE produced significantly increased SNR compared to a conventional ASL analysis (Wilcoxon signed‐rank test, P &lt; 0.0001). We also found the similarity between ASL and SPECT was greater when using ENABLE vs. conventional ASL analysis (n = 51, Wilcoxon signed‐rank test, P &lt; 0.0001) and this similarity was strongly related to ASL SNR (t = 24, P &lt; 0.0001). <strong>Conclusion</strong> These findings suggest that ENABLE improves CBF image quality from multiple PLD ASL in dementia cohorts at either 1.5T or 3.0T, achieved by multiparametric quality features that guided postprocessing of dementia ASL.
spellingShingle Shirzadi, Z
Stefanovic, B
Chappell, MA
Ramirez, J
Schwindt, G
Masellis, M
Black, SE
MacIntosh, BJ
Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI
title Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI
title_full Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI
title_fullStr Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI
title_full_unstemmed Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI
title_short Enhancement of automated blood flow estimates (ENABLE) from arterial spin‐labeled MRI
title_sort enhancement of automated blood flow estimates enable from arterial spin labeled mri
work_keys_str_mv AT shirzadiz enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT stefanovicb enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT chappellma enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT ramirezj enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT schwindtg enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT masellism enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT blackse enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri
AT macintoshbj enhancementofautomatedbloodflowestimatesenablefromarterialspinlabeledmri