Abstract:Purpose
A standard MRI system phantom has been designed and fabricated to assess scanner performance, stability, comparability and assess the accuracy of quantitative relaxation time imaging. The phantom is unique in having traceability to the International System of Units, a high level of precision, and monitoring by a national metrology institute. Here, we describe the phantom design, construction, imaging protocols, and measurement of geometric distortion, resolution, slice profile, signal‐to‐noise ratio (S… Show more
“…Across all measurements, reported temperature of either the MRI room or of the bulk water in the phantom ranged from 17.1°C to 23.3°C. Previous research demonstrated that the T 1 of NiCl 2 solutions vary by ± 4% over this experimental range [ 20 ]. Therefore, we expect that the variation of T 1 due to temperature is negligible compared to other sources of measurement error (see S1 Fig for additional details).…”
Section: Resultsmentioning
confidence: 93%
“…The focus of this study was the NiCl 2 array (previously called the T 1 array) in the ISMRM/NIST system phantom. The NiCl 2 array was chosen since it has a smaller temperature and field dependence than other available reference arrays [ 20 ]. The NiCl 2 array contains 14 spheres that are doped with varying concentrations of NiCl 2 to achieve a progression of T 1 values from approximately 20 ms to 2000 ms at 1.5 T. The reference T 1 times at 1.5 T and 3 T were determined using the NMR-based relaxation time measurement service provided by NIST.…”
Section: Methodsmentioning
confidence: 99%
“…Incorrect temperature measurement (e.g., measuring the temperature of the room rather than the temperature of the phantom) did not require reacquisition of the data. Temperature changes are not expected to impact our study, as T 1 times for NiCl 2 are known to be relatively insensitive to temperature over the range 16°C to 26°C, and the 10 highest NiCl 2 concentration spheres have less than ± 4% variation over this range [ 20 ].…”
Section: Methodsmentioning
confidence: 99%
“…For each of these spheres, the regions of interest were defined as the collection of pixels within each sphere and well-separated from the boundary. Previous publications describe the details of the ROI identification algorithm [ 18 ] and [ 20 ]. In brief, we applied a gradient filter to the measured image, then thresholded the result to define a binary image of region edges.…”
Section: Methodsmentioning
confidence: 99%
“…The purpose of this study was to determine the variability in T 1 measurements on a variety of MRI systems to ascertain the feasibility of applying diagnostic threshold T 1 measurements across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/NIST) system phantom [ 20 ] to assess variations of T 1 measurements across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18).…”
Recent innovations in quantitative magnetic resonance imaging (MRI) measurement methods have led to improvements in accuracy, repeatability, and acquisition speed, and have prompted renewed interest to reevaluate the medical value of quantitative T1. The purpose of this study was to determine the bias and reproducibility of T1 measurements in a variety of MRI systems with an eye toward assessing the feasibility of applying diagnostic threshold T1 measurement across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/NIST) system phantom to assess variations of T1 measurements, using a slow, reference standard inversion recovery sequence and a rapid, commonly-available variable flip angle sequence, across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18). We compared the T1 measurements from inversion recovery and variable flip angle scans to ISMRM/NIST phantom reference values using Analysis of Variance (ANOVA) to test for statistical differences between T1 measurements grouped according to MRI scanner manufacturers and/or static field strengths. The inversion recovery method had minor over- and under-estimations compared to the NMR-measured T1 values at both 1.5 T and 3 T. Variable flip angle measurements had substantially greater deviations from the NMR-measured T1 values than the inversion recovery measurements. At 3 T, the measured variable flip angle T1 for one vendor is significantly different than the other two vendors for most of the samples throughout the clinically relevant range of T1. There was no consistent pattern of discrepancy between vendors. We suggest establishing rigorous quality control procedures for validating quantitative MRI methods to promote confidence and stability in associated measurement techniques and to enable translation of diagnostic threshold from the research center to the entire clinical community.
“…Across all measurements, reported temperature of either the MRI room or of the bulk water in the phantom ranged from 17.1°C to 23.3°C. Previous research demonstrated that the T 1 of NiCl 2 solutions vary by ± 4% over this experimental range [ 20 ]. Therefore, we expect that the variation of T 1 due to temperature is negligible compared to other sources of measurement error (see S1 Fig for additional details).…”
Section: Resultsmentioning
confidence: 93%
“…The focus of this study was the NiCl 2 array (previously called the T 1 array) in the ISMRM/NIST system phantom. The NiCl 2 array was chosen since it has a smaller temperature and field dependence than other available reference arrays [ 20 ]. The NiCl 2 array contains 14 spheres that are doped with varying concentrations of NiCl 2 to achieve a progression of T 1 values from approximately 20 ms to 2000 ms at 1.5 T. The reference T 1 times at 1.5 T and 3 T were determined using the NMR-based relaxation time measurement service provided by NIST.…”
Section: Methodsmentioning
confidence: 99%
“…Incorrect temperature measurement (e.g., measuring the temperature of the room rather than the temperature of the phantom) did not require reacquisition of the data. Temperature changes are not expected to impact our study, as T 1 times for NiCl 2 are known to be relatively insensitive to temperature over the range 16°C to 26°C, and the 10 highest NiCl 2 concentration spheres have less than ± 4% variation over this range [ 20 ].…”
Section: Methodsmentioning
confidence: 99%
“…For each of these spheres, the regions of interest were defined as the collection of pixels within each sphere and well-separated from the boundary. Previous publications describe the details of the ROI identification algorithm [ 18 ] and [ 20 ]. In brief, we applied a gradient filter to the measured image, then thresholded the result to define a binary image of region edges.…”
Section: Methodsmentioning
confidence: 99%
“…The purpose of this study was to determine the variability in T 1 measurements on a variety of MRI systems to ascertain the feasibility of applying diagnostic threshold T 1 measurements across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/NIST) system phantom [ 20 ] to assess variations of T 1 measurements across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18).…”
Recent innovations in quantitative magnetic resonance imaging (MRI) measurement methods have led to improvements in accuracy, repeatability, and acquisition speed, and have prompted renewed interest to reevaluate the medical value of quantitative T1. The purpose of this study was to determine the bias and reproducibility of T1 measurements in a variety of MRI systems with an eye toward assessing the feasibility of applying diagnostic threshold T1 measurement across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/NIST) system phantom to assess variations of T1 measurements, using a slow, reference standard inversion recovery sequence and a rapid, commonly-available variable flip angle sequence, across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18). We compared the T1 measurements from inversion recovery and variable flip angle scans to ISMRM/NIST phantom reference values using Analysis of Variance (ANOVA) to test for statistical differences between T1 measurements grouped according to MRI scanner manufacturers and/or static field strengths. The inversion recovery method had minor over- and under-estimations compared to the NMR-measured T1 values at both 1.5 T and 3 T. Variable flip angle measurements had substantially greater deviations from the NMR-measured T1 values than the inversion recovery measurements. At 3 T, the measured variable flip angle T1 for one vendor is significantly different than the other two vendors for most of the samples throughout the clinically relevant range of T1. There was no consistent pattern of discrepancy between vendors. We suggest establishing rigorous quality control procedures for validating quantitative MRI methods to promote confidence and stability in associated measurement techniques and to enable translation of diagnostic threshold from the research center to the entire clinical community.
To determine baseline accuracy and reproducibility of T 1 and T 2 relaxation times over 12 months on a dedicated radiotherapy MRI scanner. Methods: An International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/NIST) System Phantom was scanned monthly on a 3T MRI scanner for 1 year. T 1 was measured using inversion recovery (T 1 -IR) and variable flip angle (T 1 -VFA) sequences and T 2 was measured using a multi-echo spin echo (T 2 -SE) sequence. For each vial in the phantom, accuracy errors (%bias) were determined by the relative differences in measured T 1 and T 2 times compared to reference values. Reproducibility was measured by the coefficient of variation (CV) of T 1 and T 2 measurements across monthly scans. Accuracy and reproducibility were mainly assessed on vials with relaxation times expected to be in physiological ranges at 3T. Results: A strong linear correlation between measured and reference relaxation times was found for all sequences tested (R 2 > 0.997). Baseline bias (and CV[%]) for T 1 -IR, T 1 -VFA and T 2 -SE sequences were +2.0% (2.1), +6.5% (4.2), and +8.5% (1.9), respectively. Conclusions: The accuracy and reproducibility of T 1 and T 2 on the scanner were considered sufficient for the sequences tested. No longitudinal trends of variation were deduced, suggesting less frequent measurements are required following the establishment of baselines.
BackgroundThere exist several fMRI quality assurance measures to assess scanner stability. Because they have practical and/or theoretical limitations, a different and more practical measure for instability would be desirable.PurposeTo develop and test a sensitive, reliable and widely applicable temporal instability measure (TIM) for fMRI quality assurance.Study TypeTechnical development.PhantomSpherical gel phantom.PopulationA total of 120 datasets from a local Philips scanner with two different receive‐only head coils (32ch and 8ch, 60 datasets per coil) were collected as well as 29 additional datasets with three different receive‐only head coils (20ch, 32ch, and 64ch) from two additional sites with GE (seven runs with 32ch) and Siemens scanners (seven runs with 32ch and Multiband imaging, five runs with 20ch, 32ch, and 64ch) were borrowed.Field Strength/Sequence2D Echo‐planar‐imaging (EPI).AssessmentA new TIM was proposed that is based on the eigenratio of the correlation coefficient matrix, where each entry of the matrix is a correlation coefficient between two time‐points of the time‐series.Statistical TestsNonparametric bootstrap resampling was used twice to estimate confidence intervals (CI) of the TIM values and to assess the improved sensitivity of this measure. Differences in coil performance were assessed via a nonparametric bootstrap two‐sample t‐test. P‐values <0.05 were considered significant.ResultsThe TIM values ranged between 60 parts‐per‐million and 10,780 parts‐per‐million across all 149 experiments. The mean CI was 2.96% and 2.16% for the 120 and 29 fMRI datasets, respectively (the repeated bootstrap analysis gave 2.9% and 2.19%, respectively). The 32ch coils of the local Philips data provided more stable measurements than the 8ch coil (observed two‐sample t‐values = 26.36, −0.2 and −6.2 for TIM, tSNR, and RDC, respectively. PtSNR = 0.58).Data ConclusionThe proposed TIM is particularly useful for multichannel coils with spatially nonuniform receive sensitivity and overcomes several limitations of other measures. As such, it provides a reliable test for ascertaining scanner stability for fMRI experiments.Evidence Level5.Technical EfficacyStage 1.
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