Development and evaluation of an automated phase contrast magnetic resonance imaging algorithm for pediatric and adult cerebral blood flow measurement.

Purpose: Accurate Cerebral Blood Flow (CBF) measurements are essential for studying pediatric cerebral hemodynamics. Phase Contrast (PC) imaging is a fast, non-invasive, and non-radiating technique for measuring flows. PC image processing traditionally includes manually segmenting, identifying, and...

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Publicado en:Neuroradiology Vol. 68; no. 7; pp. 1835 - 1848
Autores principales: Liu, Joseph, Torres, Isabel, Ranganathan, Sudarshan, Sussman, Bethany L., Doyle, Eamon K., Karnwal, Abhishek, Nimmo, Samantha T., Tamrazi, Benita, De Souza, Bradley J., Chiarelli, Peter A., Braskie, Meredith N., Yassine, Hussein N., Wood, John C., Peterson, Bradley S., Borzage, Matthew T.
Formato: algorithm diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
      vid: 68
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-026-03948-3
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        atl: Development and evaluation of an automated phase contrast magnetic resonance imaging algorithm for pediatric and adult cerebral blood flow measurement.
      aug:
        au:
          Liu, Joseph
          Torres, Isabel
          Ranganathan, Sudarshan
          Sussman, Bethany L.
          Doyle, Eamon K.
          Karnwal, Abhishek
          Nimmo, Samantha T.
          Tamrazi, Benita
          De Souza, Bradley J.
          Chiarelli, Peter A.
          Braskie, Meredith N.
          Yassine, Hussein N.
          Wood, John C.
          Peterson, Bradley S.
          Borzage, Matthew T.
        affil: https://ror.org/00412ts95 Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Los Angeles, USA
      sug:
        subj:
          Cerebrovascular Circulation Evaluation
          Cerebrovascular Circulation Evaluation
          Cerebral Arteries Radiography
          Magnetic Resonance Imaging Methods
          Image Processing, Computer Assisted
          Algorithms
          Human
          Male
          Female
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Middle Age
          United States
          Secondary Analysis
          Validation Studies
          Academic Medical Centers
          Hospitals, Pediatric
          Funding Source
          Intraclass Correlation Coefficient
          Two-Way Analysis of Variance
          Descriptive Statistics
          Data Analysis Software
          Automation
          Power Analysis
          Blood Flow Velocity
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: Accurate Cerebral Blood Flow (CBF) measurements are essential for studying pediatric cerebral hemodynamics. Phase Contrast (PC) imaging is a fast, non-invasive, and non-radiating technique for measuring flows. PC image processing traditionally includes manually segmenting, identifying, and unaliasing vessels of interest, which are challenging in children and involve intra- and inter-observer variation. Methods: We acquired 3 T PC images from 59 children and 39 adults (mean and standard deviation 3.43 ± 2.60 and 57.28 ± 3.87 years). Our algorithm identified voxels that skew the PC image intensity, refined vessels with active contours (Chan-Vese), split adjacent vessels with watershedding, and used a heuristic to identify the correct arteries based on vessel characteristics. We developed an automated algorithm to process PC images, thereby ensuring high precision. Images were processed images manually (two analysts) and algorithmically to compare performance overall and for each component. Results: Total CBF measurements were correlated between ground truth and algorithm versus between two analysts (Intraclass Correlation Coefficient = 0.748—0.817 vs 0.810—0.919). A two-way analysis of variance indicated no difference between human and algorithm for total CBF (p = 0.1558). The performance of algorithm versus two human analysts were similar across components: segmentation (Matthew's Correlation Coefficient = 0.777—0.849 vs 0.830—0.890), unaliasing (Mean Absolute Error = 0.355—0.538 vs 0.410—0.555), and vessel identification in adults (Intraclass Correlation Coefficient = 1.000 vs 1.000). Analysts were similar versus algorithm at vessel identification in children (Intraclass Correlation Coefficient = 1.000 vs 0.983). Conclusion: Automated algorithm components performed similarly to gold standard manual analysis and ensured high precision.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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