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Biochemical Imaging of Gliomas Using MR Spectroscopic Imaging for Radiotherapy Treatment Planning Open Access


Other title
MR scectroscopic imaging
Compressed Sensing
Type of item
Degree grantor
University of Alberta
Author or creator
Heikal, Amr A
Supervisor and department
Wachowicz, Keith (Oncology)
Fallone, B. Gino (Oncology)
Examining committee member and department
Marchand, Richard (Physics)
Riauka, Terence (Oncology)
Robinson, Donald (Oncology)
Department of Physics
Medical Physics
Date accepted
Graduation date
Doctor of Philosophy
Degree level
This thesis discusses the main obstacles facing wide clinical implementation of magnetic resonance spectroscopic imaging (MRSI) as a tumor delineation tool for radiotherapy treatment planning, particularly for gliomas. These main obstacles are identified as 1. observer bias and poor interpretational reproducibility of the results of MRSI scans, and 2. the long scan times required to conduct MRSI scans. An examination of an existing user-independent MRSI tumor delineation technique known as the choline-to-NAA index (CNI) is conducted to assess its utility in providing a tool for reproducible interpretation of MRSI results. While working with spatial resolutions typically twice those on which the CNI model was originally designed, a region of statistical uncertainty was discovered between the tumor and normal tissue populations and as such a modification to the CNI model was introduced to clearly identify that region. To address the issue of long scan times, a series of studies were conducted to adapt a scan acceleration technique, compressed sensing (CS), to work with MRSI and to quantify the effects of such a novel technique on the modulation transfer function (MTF), an important quantitative imaging metric. The studies included the development of the first phantom based method of measuring the MTF for MRSI data, a study of the correlation between the k-space sampling patterns used for compressed sensing and the resulting MTFs, and the introduction of a technique circumventing some of side-effects of compressed sensing by exploiting the conjugate symmetry property of k-space. The work in this thesis provides two essential steps towards wide clinical implementation of MRSI-based tumor delineation. The proposed modifications to the CNI method coupled with the application of CS to MRSI address the two main obstacles outlined. However, there continues to be room for improvement and questions that need to be answered by future research.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
Citation for previous publication
A. A. Heikal, K. Wachowicz and B. G. Fallone, "MTF behavior of compressed sensing MR spectroscopic imaging," Med Phys 40 (5), 052302 (2013).

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