Purpose
To present a method for spatio-temporal alignment of in-utero magnetic resonance imaging (MRI) time series acquired during maternal hyperoxia for enabling improved quantitative tracking of blood-oxygen-level dependent (BOLD) signal changes that characterize oxygen transport through the placenta to fetal organs.
Methods
The proposed pipeline for spatio-temporal alignment of images acquired with a single shot gradient echo echo-planar imaging includes (i) signal non-uniformity correction, (ii) intra-volume motion correction based on non-rigid registration, (iii) correction of motion and non-rigid deformations across volumes, and (iv) detection of the outlier volumes to be discarded from subsequent analysis. BOLD MRI time series collected from ten pregnant women during 3T scans were analyzed using this pipeline. To assess pipeline performance, signal fluctuations between consecutive time points were examined. In addition, volume overlap and distance between manual ROI delineations in a subset of frames and the delineations obtained through propagation of the ROIs from the reference frame were used to quantify alignment accuracy. A previously demonstrated rigid registration approach was used for comparison.
Results
The proposed pipeline improved anatomical alignment of placenta and fetal organs over the state-of-the-art rigid motion correction methods. In particular, unexpected temporal signal fluctuations during the first normoxia period were significantly decreased (p<0.01) and volume overlap and distance between region boundaries measures were significantly improved (p<0.01).
Conclusion
The proposed approach to align MRI time series enables more accurate quantitative studies of placental function by improving spatio-temporal alignment across placenta and fetal organs.