We present a magnetic resonance elastography approach for tissue characterization that is inspired by seismic noise correlation and time reversal. The idea consists of extracting the elasticity from the natural shear waves in living tissues that are caused by cardiac motion, blood pulsatility, and any muscle activity. In contrast to other magnetic resonance elastography techniques, this noise-based approach is, thus, passive and broadband and does not need any synchronization with sources. The experimental demonstration is conducted in a calibrated phantom and in vivo in the brain of two healthy volunteers. Potential applications of this "brain palpation" approach for characterizing brain anomalies and diseases are foreseen.elastography | brain | correlation T he complexity of wave fields can sometimes be an advantage for imaging. Such is the case in multiple scattering or reverberating media, where wave fields contain information about their sources and the medium itself. Turning this wave noise into useful measurements through correlation techniques has provided a breakthrough in a wide variety of domains, which range from seismology (1) to acoustics (2, 3) and electromagnetism (4). Living tissue is also full of unexploited vibrations. Their detection with ultrafast ultrasound scanners that can reach thousands of frames per second (5-7) has recently opened up the medical field to correlation techniques and therefore, passive elastography (8). However, ultrasound is not suitable for brain imaging. MRI can image the brain, but its relatively low acquisition rate of a few frames per second is an issue. Synchronization with the shear-wave source is, thus, necessary (9, 10), which penalizes its potential implementation based on natural shear waves.We describe a magnetic resonance elastography (MRE) -based method that is free from the need for synchronization and any controlled source. This approach extracts information related to the mechanical properties of the soft tissue from hundreds of snapshots of randomly fluctuating shear-wave fields. The key to decrypting the complex field is correlation or similarly but from a physical point of view, time reversal (11, 12). Not only does this wide-band approach maximize the signal-to-noise ratio, as any matched filter would, but it also avoids the Nyquist-Shannon problem that is inherent to slow imaging devices. Indeed, although time information is definitely lost, the spatial information is still present and allows shear-wavelength tomography to be conducted. This wavelength is closely related to the shear elasticity and thus, the intuitive estimation of the stiffness felt by physicians during palpation examination. To start, this concept is shown using MRI in a calibrated elastography phantom under randomly sampled vibrations. Arterial pulsation can produce motion in the brain as high as 1 mm (13); the resulting natural shear-wave field is analyzed through correlation algorithms, and passive brain palpation reconstructions are presented.
ResultsPhantom Experiments. As s...