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Conditions de validité de l'Élastographie par Résonance Magnétique

Abstract : Magnetic Resonance Elastography (MRE) is a imaging technique, recognized as a pertinent method for the mechanical characterization of human tissue in vivo. It offersa particular interest in clinical diagnosis because the development of a pathological process is often accompanied by modifications of the mechanical properties of diseased tissues. MRE consists of recording, along the three spatial dimensions, the displacement field induced by the propagation of a shear wave generated by excitation of the investigated tissue. Mechanical parameters such as shear wave velocity, v, and shear moduli, G' and G'', can then be mapped. The quantification of the mechanical parameters depends on the frequency of the mechanical excitation, fexc, the spatial resolution, a, the amplitude of the induced displacement field, A and the amplitude of the curl field displacement, q, with associated measurement errors, ΔA and Δq, (related to the signal-to-noise ratio, SNR) and finally the reconstruction method. All these parameters were considered to determine the precision and the accuracy of the estimated mechanical moduli and to establish the conditions of validity of MRE following the inversion of the differential equations of the displacement field. In this work, first A and A/ΔA were considered to define a validity threshold for MRE. The influence of A and A/ΔA was studied on a heterogeneous phantom acquired using a 1.5 T MRI with two different types of coils. In a first study, the displacement fields were acquired as a function of A using motion-sensitized spin-echo (REF) and gradient-echo (FFE) sequences for an isotropic spatial resolution of 1 mm. In a second study, the displacement field was acquired as a function of A using RFE for three different spatial resolutions. These studies revealed the existence of a threshold in A/ΔA beyond which the extracted parameters (G', G'') reach a plateau and the MRE is reliable. Then the number of voxels per wavelength, λ/a was considered as a parameter determining the conditions of validity of MRE. This parameter was studied according to the quality of the acquired data characterized by the ratio q//Δq. Simulations were carried in a homogeneous and isotropic elastic medium with a SNR between 5 and 30. The accuracy and the precision of the measurements were found optimal for 6 to 9 voxels per wavelength. The simulation conditions were experimentally reproduced at 2 kHz on a home-made polyvinyl alcohol phantom. The displacement fields were acquired at 11.7 T using a motion-sensitized RFE sequence with spatial resolutions ranging from 150 μm to 300 μm in order to obtain a λ/a ratio ranging from 1 to 20. The experimental results fully confirm the predictions of the simulation. The shear wave velocity decreases with λ/a. It tends towards the expected reference value when the acquisition is performed in the optimal condition, namely here when a is less than or equal to 200 μm. In addition, the standard deviation of the shear wave velocity is reduced for the optimal conditions. Therefore, accurate estimation of mechanical parameters could be deduced. This thesis first demonstrates that the precision and accuracy of MRE are optimal when the acquisitions are performed or processed for a certain wavelength sampling range determined by the SNR. We also showed that for fair comparison of the results, MRE must be carried out in a similar range of q/Δq. Taking into account the conditions of validity of MRE, determined by the ratios λ/a and q/Δq, leads to an effective quantitative measurement of the mechanical parameters making it possible to establish a relevant clinical diagnosis within the same organ, the same subject, between subjects or over time.
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Submitted on : Wednesday, November 21, 2018 - 6:54:09 PM
Last modification on : Wednesday, October 14, 2020 - 4:10:37 AM
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  • HAL Id : tel-01930356, version 1

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Felicia Julea. Conditions de validité de l'Élastographie par Résonance Magnétique. Physique Médicale [physics.med-ph]. Université Paris Saclay (COmUE), 2018. Français. ⟨NNT : 2018SACLS053⟩. ⟨tel-01930356⟩

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