MR Coordinating Committee Mark Rosen, MD PhD May 16, 2018 Topics - - PDF document

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MR Coordinating Committee Mark Rosen, MD PhD May 16, 2018 Topics - - PDF document

5/16/2018 MR Coordinating Committee Mark Rosen, MD PhD May 16, 2018 Topics of Discussion Change in composition of BCs and TFs; role of MR CC 1 5/16/2018 Meta-analysis Performed New BCs created from legacy PDF Meta-analysis Performed 2


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SLIDE 1

5/16/2018 1

MR Coordinating Committee

Mark Rosen, MD PhD May 16, 2018

Topics of Discussion

  • Change in composition of BCs and TFs; role of MR CC
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SLIDE 2

5/16/2018 2

Meta-analysis Performed Meta-analysis Performed

New BCs created from legacy PDF

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SLIDE 3

5/16/2018 3

“Whole Body” metrics

Brain metrics

Liver metrics

Joint/MSK metrics Meta-analysis Performed

Augment MR CC… Leverage Areas of Specialization within MR CC

Topics of Discussion

  • Change in composition of BCs and TFs; role of MR CC
  • Plans for progression of BC activity beyond profiles
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SLIDE 4

5/16/2018 4

Meta-analysis Performed

Progressing to Profiles…and Beyond …stopping point of some BC activity prior to claim/clinical confirmation

Topics of Discussion

  • Change in composition of BCs and TFs; role of MR CC
  • Plans for progression of BC activity beyond profiles
  • Challenges in anatomic specific vs. generic measurands
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SLIDE 5

5/16/2018 5

“Whole Body” metrics

Brain metrics

Liver metrics

Joint/MSK metrics

DWI: brain claim DWI: liver claim DWI: prostate claim

Meta-analysis Performed

Topics of Discussion

  • Change in composition of BCs and TFs; role of MR CC
  • Plans for progression of BC activity beyond profiles
  • Challenges in anatomic specific vs. generic measurands
  • New biomarkers in MR?
  • Biomarkers vs. Phenotypes?
  • Multi-measurand imaging protocols (e.g liver, prostate, brain)
  • Role of radiomics
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SLIDE 6

5/16/2018 6

“Whole Body” metrics

Brain metrics

Liver metrics

Joint/MSK metrics

CV T1  CV Ktrans

Meta-analysis Performed

CV T2*  CV PDFF fMRI(motor/language)  Resting state fMRI

Topics of Discussion

  • Change in composition of BCs and TFs; role of MR CC
  • Plans for progression of BC activity beyond profiles
  • Challenges in anatomic specific vs. generic measurands
  • New biomarkers in MR?
  • Biomarkers vs. Phenotypes?
  • Multi-measurand imaging protocols (e.g liver, prostate, brain)
  • Role of radiomics
  • Adapting profiles for technological advancements in MR
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SLIDE 7

5/16/2018 7

Profiles v2.0 in MR

  • DCE: re-evaluate claims for modern imaging
  • 3T and B1 heterogeneity
  • Groundwork project  challenge of B1 compensation
  • Effect of FOV: brain vs body imaging
  • Vendor-specific differences in B1 mapping protocols
  •  strong effect on VFA correlations

Profiles v2.0 in MR

  • Next generation of MR imaging
  • Multi-band excitation/parallel imaging/etc.
  • Need to recreate claim generation process (“from scratch”?)
  • Metrology concern: “bias creep” in using last methodology

as new ground truth

  • Liver examples: MRE and PDFF become the “gold standard”
  • FDA example: leveraging prior knowledge?
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5/16/2018 8