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86
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Introduction
Additional affiliations
October 2016 - October 2017
September 2011 - August 2016
Education
September 2005 - August 2010
Publications
Publications (86)
Background:
Myocardial infarction (MI) is a major risk factor for the development of heart failure with reduce ejection fraction (HFrEF). While previous studies have focused on HFrEF, the cardiovascular effects of ketone bodies in acute MI are unclear. We examined the effects of oral ketone supplementation as a potential treatment strategy in a sw...
Background
Late gadolinium enhancement cardiac magnetic resonance imaging is an effective and reproducible method for characterizing myocardial infarction. However, gadolinium‐based contrast agents are contraindicated in patients with acute and chronic renal insufficiency. In addition, several recent studies have noted tissue deposition of free gad...
Purpose
To investigate the feasibility of combining simultaneous multislice (SMS) and region‐optimized virtual coils (ROVir) for single breath‐hold CINE imaging.
Method
ROVir is a recent virtual coil approach that allows reduced‐field of view (FOV) imaging by localizing the signal from a region‐of‐interest (ROI) and/or suppressing the signal from...
Purpose
To substantially shorten the acquisition time required for quantitative three‐dimensional (3D) chemical exchange saturation transfer (CEST) and semisolid magnetization transfer (MT) imaging and allow for rapid chemical exchange parameter map reconstruction.
Methods
Three‐dimensional CEST and MT magnetic resonance fingerprinting (MRF) datas...
Molecular phenotyping by imaging of intact tissues has been used to reveal 3D molecular and structural coherence in tissue samples using tissue clearing techniques. However, clearing and imaging of cardiac tissue remains challenging for large-scale (>100 mm ³ ) specimens due to sample distortion. Thus, directly assessing tissue microstructural geom...
Background: Exercise promotes cardioprotective benefits for the adult heart; however, the exercise-induced molecular and microstructural remodeling processes have yet to be fully characterized. This study sought to define the spatial interactions between molecular and microstructural remodeling that are induced by exercise and might result in cardi...
Introduction: Myocardial infarction (MI) is a major risk factor for the development of heart failure with reduce ejection fraction (HFrEF). While previous studies have focused on HFrEF, the role of ketone bodies in MI is unclear.
Hypothesis: K etone may exert some cardioprotective effects following MI.
Methods: Male Yorkshire pigs underwent percuta...
Preclinical models of aortic stenosis can induce left ventricular pressure
overload and coarsely control the severity of aortic constriction. However,
they do not recapitulate the haemodynamics and flow patterns associated
with the disease. Here we report the development of a customizable soft
robotic aortic sleeve that can mimic the haemodynamics...
Purpose
Powerful MRI gradient systems can surpass the International Electrotechnical Commission (IEC) 60601‐2‐33 limit for cardiac stimulation (CS), which was determined by simple electromagnetic simulations and electrode stimulation experiments. Only a few canine studies measured magnetically induced CS thresholds in vivo and extrapolating them to...
Objective:
Soft-tissue sarcoma spreads preferentially along muscle fibers. We explore the utility of deriving muscle fiber orientations from diffusion tensor MRI (DT-MRI) for defining the boundary of the clinical target volume (CTV) in muscle tissue.
Approach:
We recruited eight healthy volunteers to acquire MR images of the left and right thigh...
Purpose: To substantially shorten the acquisition time required for quantitative 3D chemical exchange saturation transfer (CEST) and semisolid magnetization transfer (MT) imaging and allow for rapid chemical exchange parameter map reconstruction. Methods: Three-dimensional CEST and MT magnetic resonance fingerprinting (MRF) datasets of L-arginine p...
Both exercise-induced molecular mechanisms and physiological cardiac remodeling have been previously studied on a whole heart level. However, the regional microstructural tissue effects of these molecular mechanisms in the heart have yet to be spatially linked and further elucidated. We show in exercised mice that the expression of CITED4, a transc...
Objective: Soft-tissue sarcoma spreads preferentially along muscle fibers. We explore the utility of deriving muscle fiber orientations from diffusion tensor MRI (DT-MRI) for defining the boundary of the clinical target volume in muscle tissue. Approach: We recruited eight healthy volunteers to acquire MR images of the left and right thigh. The ima...
Background
Functional dyspepsia (FD) is a disorder of gut–brain interaction, and its putative pathophysiology involves dysregulation of gastric motility and central processing of gastric afference. The vagus nerve modulates gastric peristalsis and carries afferent sensory information to brainstem nuclei, specifically the nucleus tractus solitarii (...
Electrocardiographic imaging (ECGI) is a noninvasive technique to assess the bioelectric activity of the heart which has been applied to aid in clinical diagnosis and management of cardiac dysfunction. ECGI is built on mathematical models that take into account several patient specific factors including the position of the heart within the torso. E...
Introduction:
Cardiac diffusion tensor imaging (DTI) is an emerging technique for the in vivo characterisation of myocardial microstructure, and there is a growing need for its validation and standardisation. We sought to establish accuracy, precision, repeatability and reproducibility of state-of-the-art pulse sequences for cardiac DTI between te...
Objective:
To investigate cardiac activation maps estimated using electrocardiographic imaging and to find methods reducing line-of-block (LoB) artifacts, while preserving real LoBs.
Methods:
Body surface potentials were computed for 137 simulated ventricular excitations. Subsequently, the inverse problem was solved to obtain extracellular poten...
Background
The sequence of myocardial activation and recovery can be studied in detail by invasive catheter recordings of cardiac electrograms (EGMs), or noninvasive inverse reconstructions thereof with electrocardiographic imaging (ECGI). Local activation and recovery times are obtained from a unipolar EGM by the moment of maximum downslope of the...
Objective: To investigate cardiac activation maps estimated using electrocardiographic imaging and to find methods reducing line-of-block (LoB) artifacts, while preserving real LoBs. Methods: Body surface potentials were computed for 137 simulated ventricular excitations. Subsequently, the inverse problem was solved to obtain extracellular potentia...
Purpose
For in vivo cardiac DTI, breathing motion and B0 field inhomogeneities produce misalignment and geometric distortion in diffusion‐weighted (DW) images acquired with conventional single‐shot EPI. We propose using a dimensionality reduction method to retrospectively estimate the respiratory phase of DW images and facilitate both distortion co...
Cardiomyocyte growth can occur in both physiological (exercised-induced) and pathological (e.g., volume overload and pressure overload) conditions leading to left ventricular (LV) hypertrophy. Studies using animal models and histology have demonstrated the growth and remodeling process at the organ level and tissue–cellular level, respectively. How...
Existing models of aortic stenosis (AS) are limited to inducing left ventricular pressure overload. As they have reduced control over the severity of aortic constriction, the clinical relevance of these models is largely hindered by their inability to mimic AS hemodynamics and recapitulate flow patterns associated with congenital valve defects, res...
Accuracy of estimating the heart’s electrical activity with Electrocardiographic Imaging (ECGI) is challenging due to using an error-prone physics-based model (forward model). While getting better results than the traditional numerical methods following the underlying physics, modern deep learning approaches ignore the physics behind the electrical...
Electrocardiographic imaging (ECGI) is an effective tool for noninvasive diagnosis of a range of cardiac dysfunctions. ECGI leverages a model of how cardiac bioelectric sources appear on the torso surface (the forward problem) and uses recorded body surface potential signals to reconstruct the bioelectric source (the inverse problem). Solutions to...
Reflectance confocal microscopy (RCM) is an effective, non-invasive pre-screening tool for skin cancer diagnosis, but it requires extensive training and experience to assess accurately. There are few quantitative tools available to standardize image acquisition and analysis, and the ones that are available are not interpretable. In this study, we u...
Abstract
Background
Diffusion‐weighted MRI (DW‐MRI) of the kidneys is a technique that provides information about the microstructure of renal tissue without requiring exogenous contrasts such as gadolinium, and it can be used for diagnosis in cases of renal disease and assessing response‐to‐therapy. However, physiological motion and large geometric...
Introduction:
Electrocardiographic imaging (ECGI) requires a model of the torso, and inaccuracy in the position of the heart is a known source of error. We previously presented a method to localize the heart when body and heart surface potentials are known. The goal of this study is to extend this approach to only use body surface potentials.
Met...
Purpose
We aimed to develop a novel free‐breathing cardiac diffusion tensor MRI (DT‐MRI) approach, M2‐MT‐MOCO, capable of whole left ventricular coverage that leverages second‐order motion compensation (M2) diffusion encoding and multitasking (MT) framework to efficiently correct for respiratory motion (MOCO).
Methods
Imaging was performed in 16 h...
Despite a long history of ECG-based monitoring of acute ischemia quantified by several widely used clinical markers, the diagnostic performance of these metrics is not yet
satisfactory, motivating a data-driven approach to leverage underutilized information in the electrograms. This study introduces a novel metric for acute ischemia, created using...
Early identification of kidney function deterioration is essential to determine which newborn patients with congenital kidney disease should be considered for surgical intervention as opposed to observation. Kidney function can be measured by fitting a tracer kinetic (TK) model onto a series of Dynamic Contrast Enhanced (DCE) MR images and estimati...
Cross-scanner and cross-protocol variability of diffusion magnetic resonance imaging (dMRI) data are known to be major obstacles in multi-site clinical studies since they limit the ability to aggregate dMRI data and derived measures. Computational algorithms that harmonize the data and minimize such variability are critical to reliably combine data...
Goal:
To evaluate state-of-the-art signal processing methods for epicardial potential-based noninvasive electrocardiographic imaging reconstructions of single-site pacing data.
Methods:
Experimental data were obtained from two torso-tank setups in which Langendorff-perfused hearts (n=4) were suspended and potentials recorded simultaneously from...
Activation times (AT) describe the sequence of cardiac depolarization and represent one of the most important parameters for analysis of cardiac electrical activity. However, estimation of ATs can be challenging due to multiple sources of noise such as fractionation or baseline wander. If ATs are estimated from signals reconstructed using electroca...
Background:
Evaluation of kidney function in newborns with hydronephrosis is important for clinical decisions. Dynamic contrast-enhanced (DCE) MRI can provide the necessary anatomical and functional information. Golden angle dynamic radial acquisition and compressed sensing reconstruction provides sufficient spatiotemporal resolution to achieve ac...
Objective:
To describe a technique for performing magnetic resonance urogram (MRU) in infants without sedation or anesthesia.
Methods:
Eighteen infants underwent MRU in the absence of sedating medications using a 'feed and wrap' technique (FW-MRU). Dynamic contrast enhanced images were obtained. Dynamic radial VIBE and compressed sensing image r...
Early identification of kidney function deterioration is essential to determine which newborn patients with dilation of the renal pelvis (hydronephrosis) should undergo surgery. Kidney function can be measured by fitting a tracer kinetic (TK) model onto a series of Dynamic Contrast Enhanced (DCE) MR images and deriving the glomerular filtration rat...
Synopsis Dynamic Radial VIBE (DRV) DCE-MRI allows to image with sufficient spatio-temporal resolution for functional imaging of kidneys. However, fast movements of babies during the scan corrupt individual lines in k-space and severely compromise the quality of the reconstructed images and limits the clinical utility of non-sedated imaging. In this...
We present a summary of competition results in the multi-shell diffusion MRI harmonisation and enhancement challenge (MUSHAC). MUSHAC is an open competition intended to stimulate the development of computational methods that reduce scanner- and protocol-related variabilities in multi-shell diffusion MRI data across multi-site studies. Twelve differ...
There exist many problems in science and engineering that involve optimization of an unknown or partially unknown objective function. Recently, Bayesian Optimization (BO) has emerged as a powerful tool for solving optimization problems whose objective functions are only available as a black box and are expensive to evaluate. Many practical problems...
The underlying pathophysiology of myocardial ischemia is incompletely understood, resulting in persistent difficulty of diagnosis. This limited understanding of underlying mechanisms encourages a data driven approach, which seeks to identify patterns in the ECG data that can be linked statistically to disease states. Laplacian Eigen-maps (LE) is a...
The inverse problem of electrocardiography is ill-posed. Errors in the model such as signal noise can impact the accuracy of reconstructed cardiac electrical activity. It is currently not known how sensitive the inverse problem is to signal processing techniques. To evaluate this, experimental data from a Langendorff-perfused pig heart (n=1) suspen...
Machine learning (ML) methods have seen an explosion in their development and application. They are increasingly being used in many different fields with considerable success. However, although the interest is growing, their impact in the field of electrocardiographic imaging (ECGI) remains limited. One of the main reasons that ML has yet to become...
To overcome the ill-posed nature of the inverse problem of electrocardiography (ECG) and stabilize the solutions, regularization is used. Despite several studies on noise, effect of prefiltering of ECG signals on the regularized inverse solutions has not been explored. We used Bayesian estimation for solving the inverse ECG problem with and without...
The accurate generation of forward models is an important element in general research in electrocardiography, and in particular for the techniques for ElectroCardioGraphic Imaging (ECGI). Recent research efforts have been devoted to the reliable and fast generation of forward models. However, these model can suffer from several sources of inaccurac...
A continuing challenge in validating electrocardiographic imaging (ECGI) is the persistent error in the associated forward problem observed in experimental studies. One possible cause of this error is insufficient representation of the cardiac sources; cardiac source measurements often sample only the ventricular epicardium, ignoring the endocardiu...
Background:
Myocardial ischemia has a complex and time-varying electrocardiographic signature that is used to diagnose and stratify severity. Despite the ubiquitous clinical use of the ECG to detect ischemia, the sensitivity and specificity of ECG based detection of myocardial ischemia are still inadequate.
Purpose:
The purpose of this study was...
Reflectance confocal microscopy (RCM) is an effective, non-invasive pre-screening tool for skin cancer diagnosis, but it requires extensive training and experience to assess accurately. There are few quantitative tools available to standardize image acquisition and analysis, and the ones that are available are not interpretable. In this study, we u...
Respiratory motion is known to cause beat-to-beat variation of the ECG. This observation suggests that it may be possible to use this variation to track position and orientation of the heart. Electrocardiographic Imaging (ECGI) would benefit from such a reconstruction since one contribution to errors in its solutions is respiratory motion of the he...
There has been a recent upsurge in the development of electrocardiographic imaging (ECGI) methods, along with a significant increase in clinical application. To better assess the state-of-the-art, enable reliable progress, and facilitate clinical adoption, it is important to be able to compare results in a comprehensive manner, scientifically and c...
The underlying pathophysiology of ischemia and its electrocardiographic consequences are poorly understood, resulting in unreliable diagnosis of this disease. This limited knowledge of underlying mechanisms suggests a data driven approach, which seeks to identify patterns in the ECG that can be linked statistically to underlying behavior and condit...
A continuing challenge in validating ECG Imaging is the persistent error in the associated forward problem observed in experimental studies. One possible cause of error is insufficient representation of the cardiac sources, which is often measured from only the ventricular epicardium, ignoring the endocardium and the atria. We hypothesize that meas...
Goal:
Image the spatial distribution of TWA on the heart surface from ECG measurements.
Methods:
We introduced the inverse spectral method (ISM), a tailored inverse (or ElectroCardioGraphic Imaging) solution designed specifically to noninvasively image cases of TWA on the heart.
Results:
We evaluate the ISM on its capacity to reliably detect t...
Electrocardiographic imaging (ECGI) reconstructs epi-cardial potentials and electrograms from body-surface electrocardiograms and a torso-heart geometry. For clinical purposes, local activation and recovery times are often more useful than epicardial electrograms. However, noise and fractionation can affect estimation of activation and recovery tim...
Electrocardiographic imaging (ECGI) has recently gained attention as a viable diagnostic tool for reconstructing cardiac electrical activity in normal hearts as well as in cardiac arrhythmias. However, progress has been limited by the lack of both standards and unbiased comparisons of approaches and techniques across the community, as well as the c...
Electrocardiographic imaging (ECGI) has recently gained attention as a viable diagnostic tool for reconstructing cardiac electrical activity in normal hearts as well as in cardiac arrhythmias. However, progress has been limited by the lack of both standards and unbiased comparisons of approaches and techniques across the community, as well as the c...