Abstract

A primary challenge for in vivo kidney magnetic resonance imaging (MRI) is the presence of different types of involuntary physiological motion, affecting the diagnostic utility of acquired images due to severe motion artifacts. Existing prospective and retrospective motion correction methods remain ineffective when dealing with complex large amplitude nonrigid motion artifacts. Here, we introduce an unsupervised deep learning-based image to image translation method between motion-affected and motion-free image domains, for correction of rigid-body, respiratory and nonrigid motion artifacts in vivo kidney MRI.High resolution (i.e., 156 × 156 × 370 μm) ex vivo 3 Tesla MRI scans of 13 porcine kidneys (because of their anatomical homology to human kidney) were conducted using a 3D T2-weighted turbo spin echo sequence. Rigid-body, respiratory and nonrigid motion-affected images were then simulated using the magnitude-only ex vivo motion-free image set. Each 2D coronal slice of motion-affected and motion-free image volume was then divided into patches of 128 × 128 for training the model. We proposed to add normalised cross-correlation loss to cycle consistency generative adversarial network structure (NCC-CycleGAN), to enforce edge alignment between motion-corrected and motion-free image domains.Our NCC-CycleGAN motion correction model demonstrated high performance with an in-tissue structural similarity index measure of 0.77 ± 0.08, peak signal-to-noise ratio of 26.67 ± 3.44 and learned perceptual image patch similarity of 0.173 ± 0.05 between the reconstructed motion-corrected and ground truth motion-free images. This corresponds to a significant respective average improvement of 34%, 23% and 39% (p < 0.05; paired t-test) for the three metrics to correct the three different types of simulated motion artifacts.We demonstrated the feasibility of developing an unsupervised deep learning-based method for efficient automated retrospective kidney MRI motion correction, while preserving microscopic tissue structures in high resolution imaging.

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