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Fusion imaging in brain structure measurements on a fetus phantom, combining real-time ultrasound with magnetic resonance imaging

Arechvo, Anastasija LU ; Lingman, Göran LU ; Thurn, Lars LU orcid ; Jansson, Tomas LU and Jokubkiene, Ligita LU (2021) In Australasian Journal of Ultrasound in Medicine 24(3). p.161-172
Abstract

Objectives: To assess synchronisation of MRI and US in measuring foetus phantom head structures; inter-method, intra- and inter-observer differences on biparietal diameter (BPD), head diameter, anterio-posterior head diameter (HAP) and lateral ventricle structures (VS). Methods: Fusion Imaging (FI) has been performed by combining MRI and US simultaneously. Axial scans of 1.5 Tesla MRI on a foetus phantom were acquired and uploaded on a US machine (EPIQ 7G, Philips). A PercuNav US tracker allowed the system to recognise and display the position of the transducer. A fetal phantom tracker was used as a phantom reference. Real-time US of the phantom head was performed by synchronising the uploaded MRI images using different landmarks.... (More)

Objectives: To assess synchronisation of MRI and US in measuring foetus phantom head structures; inter-method, intra- and inter-observer differences on biparietal diameter (BPD), head diameter, anterio-posterior head diameter (HAP) and lateral ventricle structures (VS). Methods: Fusion Imaging (FI) has been performed by combining MRI and US simultaneously. Axial scans of 1.5 Tesla MRI on a foetus phantom were acquired and uploaded on a US machine (EPIQ 7G, Philips). A PercuNav US tracker allowed the system to recognise and display the position of the transducer. A fetal phantom tracker was used as a phantom reference. Real-time US of the phantom head was performed by synchronising the uploaded MRI images using different landmarks. Synchronisation has been assessed by taking measurements after rotating the US probe by 90. Measurements were taken by three different observers twice. Differences in measurements between MRI and US, inter-, intra-observer differences in all measurements were assessed. Results: BPD, HAP and VS measurements before rotation were 0.13 ± 0.06 cm, 0.46 ± 0.09 cm and 0.4 ± 0.23 cm (width) and mean 0.6 ± 0.25 cm (length) larger at MRI than at US using any number of landmarks. After US probe rotation VS were 0.3 ± 0.24 cm in width and 0.3 ± 0.27 cm in length. Intra- and inter-observer differences in all measurements were small. Conclusions: FI showed good synchronisation in measurements. BPD, HAP and VS were larger at MRI than US, likely a result of the way images are generated. Intra-, inter-observer differences between measurements were small. This can be important when reporting geometric measures from FI.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
fetal brain, fusion imaging, MRI, phantom, ultrasound
in
Australasian Journal of Ultrasound in Medicine
volume
24
issue
3
pages
161 - 172
publisher
Australasian Society for Ultrasound in Medicine
external identifiers
  • scopus:85106333228
  • pmid:34765426
ISSN
1836-6864
DOI
10.1002/ajum.12246
language
English
LU publication?
yes
id
0a264dc7-8738-4a4b-a049-384714dc90da
date added to LUP
2021-12-08 15:26:34
date last changed
2024-06-01 21:35:46
@article{0a264dc7-8738-4a4b-a049-384714dc90da,
  abstract     = {{<p>Objectives: To assess synchronisation of MRI and US in measuring foetus phantom head structures; inter-method, intra- and inter-observer differences on biparietal diameter (BPD), head diameter, anterio-posterior head diameter (HAP) and lateral ventricle structures (VS). Methods: Fusion Imaging (FI) has been performed by combining MRI and US simultaneously. Axial scans of 1.5 Tesla MRI on a foetus phantom were acquired and uploaded on a US machine (EPIQ 7G, Philips). A PercuNav US tracker allowed the system to recognise and display the position of the transducer. A fetal phantom tracker was used as a phantom reference. Real-time US of the phantom head was performed by synchronising the uploaded MRI images using different landmarks. Synchronisation has been assessed by taking measurements after rotating the US probe by 90. Measurements were taken by three different observers twice. Differences in measurements between MRI and US, inter-, intra-observer differences in all measurements were assessed. Results: BPD, HAP and VS measurements before rotation were 0.13 ± 0.06 cm, 0.46 ± 0.09 cm and 0.4 ± 0.23 cm (width) and mean 0.6 ± 0.25 cm (length) larger at MRI than at US using any number of landmarks. After US probe rotation VS were 0.3 ± 0.24 cm in width and 0.3 ± 0.27 cm in length. Intra- and inter-observer differences in all measurements were small. Conclusions: FI showed good synchronisation in measurements. BPD, HAP and VS were larger at MRI than US, likely a result of the way images are generated. Intra-, inter-observer differences between measurements were small. This can be important when reporting geometric measures from FI.</p>}},
  author       = {{Arechvo, Anastasija and Lingman, Göran and Thurn, Lars and Jansson, Tomas and Jokubkiene, Ligita}},
  issn         = {{1836-6864}},
  keywords     = {{fetal brain; fusion imaging; MRI; phantom; ultrasound}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{161--172}},
  publisher    = {{Australasian Society for Ultrasound in Medicine}},
  series       = {{Australasian Journal of Ultrasound in Medicine}},
  title        = {{Fusion imaging in brain structure measurements on a fetus phantom, combining real-time ultrasound with magnetic resonance imaging}},
  url          = {{http://dx.doi.org/10.1002/ajum.12246}},
  doi          = {{10.1002/ajum.12246}},
  volume       = {{24}},
  year         = {{2021}},
}