Joint Annual Meeting ISMRM-ESMRMB & ISMRT 31st Annual Meeting • 07-12 May 2022 • London, UK

2022 Joint Annual Meeting ISMRM-ESMRMB and 31st ISMRT Annual Meeting

Weekend Course

Cardiovascular Anatomy & Function with CMR

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Cardiovascular Anatomy & Function with CMR
Weekend Course
ORGANIZERS: Pim van Ooij, Ruud van Heeswijk, Anthony Christodoulou, Andrew Scott
Sunday, 08 May 2022
ICC Capital Suite 8-9
12:30 -  16:29
Moderators: 
On Tubes & Flow: Daniel Ennis
A Map of Your Heart: Krishna Nayak
Drawing Fewer Circles: Mariya Doneva
Harder, Better, Faster, Stronger: Jochen Keupp
Skill Level: Intermediate
Session Number: WE-23
 

Session Number: WE-23

Overview
In this course, advanced MRI sequences such as MRA, 4D flow, T1/ECV-mapping, T2/T2*/T1rho-mapping will be presented and discussed. Furthermore, the (clinical) applicability of deep learning and radiomics to various types of CMR data will be presented and discussed.

Target Audience
This course is for M.D.s and Ph.D.s who are interested in the diagnosis of cardiovascular disease by state-of-the-art MRI techniques.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain how advanced MRI sequences assess biomarkers for disease;
- Explain how data processing can be improved by deep learning image reconstruction and image analysis;
- Describe radiomics for image analysis; and
- Review how clinical workflows can be improved by artificial intelligence.

    On Tubes & Flow
12:30   MR Angiography: The Ins & Outs

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Giles Roditi
12:55 Flow: 2D, 4D & Beyond

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Susanne Schnell
Phase-contrast MRI uses bipolar gradients to encode tissue or fluid motion into the MRI signal phase. If measured in 2D with 1-directional encoding this is termed 2D Phase-Contrast MRI. Extended to a time-resolved heart-or pulse rate triggered 3D sequence with 3-directional velocity encoding, this is termed 4D flow MRI. Error sources will be described throughout the course as well as data analysis and quantification approaches. Further extensions such as dual- and multi-venc, and 5D flow MRI will be described. Finally applications in the thorax, head, and abdomen will be introduced.
    A Map of Your Heart
13:20   T1 & ECV Mapping

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Vanessa Ferreira
13:45 T2, T2* & T1ρ Mapping

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Graham Wright
MRI measures of signal decay without refocusing, with intermittent refocusing and with continuous refocusing reflected by time constants T2*, T2, and T1ρ can yield important clinical information about  cardiac tissue damage and response to injury. Reduced T2* reflects localized susceptibility effects as seen in hemorrhage and iron overload. T2 can depict changes in blood oxygenation reflecting ischemia and changes in water mobility reflecting inflammation. T1ρ can highlight chemical and spin exchange effects, increasing contrast between healthy and infarcted myocardium. Recently,  higher dimensional and multi-parameter imaging methods have been developed for improved differentiation of myocardial pathophysiologies.
  14:10   Break & Meet the Teachers
 
    Drawing Fewer Circles
14:35 Deep Learning for CMR Reconstruction and Super-Resolution

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Guang Yang
Cardiovascular Magnetic Resonance (CMR) is a safe technique, which can provide non-invasive gold-standard assessment of cardiac structure and function in patients with cardiovascular disease. While standard CMR imaging is relatively robust, some CMR techniques are inherently less reliable and image quality can be reduced. Besides, for high-resolution or 3D imaging, the acquisition duration is long and image quality may be further compromised. Recently, deep learning based methods have gained performance dividends in medical image analysis. In this talk, I will introduce the basic ideas of deep learning and its development and applications in CMR reconstruction and super-resolution towards future perspectives.
15:00   Radiomics for CMR Image Analysis

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Bettina Baeßler
    Harder, Better, Faster, Stronger
15:25   Deep Learning for CMR Image Analysis

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Avan Suinesiaputra
Deep learning has become an ubiquitous tool for image analysis, including CMR. The method is capable to learn specific human tasks from a large amount of data, provided sufficient computational power. Image segmentation and recognition are the two most used applications, but there are more creative solutions. Deep learning can learn to reconstruct MRI, leading to a faster MR acquisition. It can generate realistic contrast-enhanced MRI without using the actual contrast agent. In this course, we are going to learn how deep learning can be applied to solve CMR image analysis to derive cardiac function and anatomy of the heart.
15:50   Translating AI to the Clinic

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Steffen Petersen
Research and development into artificial intelligence (AI) algorithms for the classification, analysis and prediction of disease using medical data carries with it the expectation of transformative benefits to healthcare. The increasing activity in this field is, in part, driven by the improved accessibility of machine learning frameworks and skilled practitioners but translation to clinical use is restrained by data access, regulatory, ethical and privacy concerns. This talk highlights the key milestones in this path from concept to AI prototype to clinical decision-making tool.

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