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8 February 2017 Jean-David Jutras, Ph.D. Sherwood Park, Alberta, Canada Cell# 1-780-952-9080 Email: [email protected] Education Sept. 2011-Dec. 2016: Ph.D. in Medical Physics. Thesis title: “Volumetric Quantitative Brain Magnetic Resonance Imaging−Application to Cancer.” Supervisor: Dr. Nicola De Zanche. University of Alberta, department of Oncology, Edmonton, Canada. 2011-2008: M.Sc. in Medical Physics. Thesis title: “Efficient Data Acquisition, Transmission and Post-Processing for Quality Spiral Magnetic Resonance Imaging.1” University of Alberta, department of Oncology, Edmonton, Canada. 2008-2003: B.Sc. Honors in Applied Physics, University of Alberta, Edmonton, Canada. Research/Work Experience September 2013-August 2014: worked part-time as a Quality Assurance Assistant Physicist for the department of Medical Physics, Cross Cancer Institute, Edmonton, Canada. July 2012-April 2013: worked part-time as a Quality Assurance Assistant Physicist for the department of Medical Physics, Cross Cancer Institute, Edmonton, Canada. May 2008-August 2008: worked under the supervision of Dr. Alan Wilman in the department of Biomedical Engineering, University of Alberta, doing research in Magnetic Resonance spectroscopy. May 2007-August 2007: worked under the supervision of Dr. John Beamish in the department of Physics, University of Alberta, doing research in low-temperature condensed matter physics. Awards/Scholarships 1 February 2015: awarded an educational stipend by the International Society of Magnetic Resonance in Medicine (value: $220). September 2014-August 2016: awarded a 2014 The Catherine M. Pearson Cancer Research Graduate Studentship by the Alberta Cancer Foundation (value: $57,000). September 2013: awarded a Queen Elizabeth II graduate scholarship by the University of Alberta (value: $15,000). February 2013: awarded an educational stipend by the International Society of Magnetic Resonance in Medicine (value: $430). September 2011: awarded a Graduate Recruitment Scholarship by the University of Alberta (value: $10,000). September 2011: awarded a Queen Elizabeth II graduate scholarship by the University of Alberta (value: $15,000). Open access at https://era.library.ualberta.ca/files/dj52w5188#.V94TECgrKM9 8 February 2017 April 2011: awarded a Brian and Gail Heidecker Graduate Travel Award (value: $500). February 2011: awarded an educational stipend by International Society of Magnetic Resonance in Medicine (value: $460). May 2010: awarded an Alberta Advanced Education and Technology Graduate Scholarship 2009-2010 (value: $3000). January 2010: awarded a Faculty of Medicine and Dentistry 75th Anniversary Graduate Student Award (value: $7000). April 2007: awarded an Undergraduate Student Research Award (USRA) from NSERC (value: $8000, including University contribution). November 2006: awarded The Jason Lang Scholarship for academic success in the year 2005-2006 (value: $1000). September 2006: awarded The Dr Kenneth Newbound Memorial Scholarship in Physics (value: $500). September 2005: awarded the India Community Prize (value: $500). September 2005: awarded The Jason Lang Scholarship for academic success in the year 20042005 (value: $1000). September 2004: awarded The Jason Lang Scholarship for academic success in the year 20032004 (value: $1000). September 2003: received the Dow Chemical Award for achieving the highest grade in Chemistry 30 (99%) in the Elk Island Public Schools System (value: $500). August 2003: awarded the Alexander Rutherford Scholarship for high school achievement (value: $2100). June 2003: received a Special Merit Award by the Chemical Institute of Canada (CIC) for displaying exceptional achievement (tied for 3rd place in Northern Alberta) in the National High School Chemistry Examination. Leadership/Volunteering October 2012-October 2013: I served as graduate student councilor representing the Department of Oncology at the Graduate Student Association council meetings of the University of Alberta. This volunteer work requires being present at every council meeting and providing positive feedback, comments and questions concerning the council minutes. September 2013-November 2015: I served as a representative for the department of Oncology on the Faculty of Medicine and Dentistry Graduate Student Advisory Committee. May 2016-present: I have been serving as a deacon (diaconate board member) for the Orthodox Reformed Church of Edmonton, Alberta, Canada. Skills Proficient in: Microsoft Word, Excel, and PowerPoint, MATLAB, and 3D Slicer. Some Experience with: Mathematica, SPM12 and FSL. Courses (on-site training): 8 February 2017 1. Pulse Programming Course (April 2012). A 5-day course offered by Gyrotools LLC, Zurich, Switzerland, which provides background information on the Philips MR system and introduction to basic pulse sequence programming. 2. Research Tools and Data Handling Course (April 2012). A 4-day course offered by Gyrotools LLC, Zurich, Switzerland, which provides background knowledge and hand-on of several research options on Philips MR systems.(http://www.gyrotools.com/courses/gtresearch.html) Languages: English (spoken and written), French (spoken and written). Publications Peer-Reviewed Journals Jutras, J.-D., K. Wachowicz, G. Gilbert, N. De Zanche. (2016) SNR Efficiency of combined bipolar gradient echoes: Comparison of three-dimensional FLASH, MPRAGE and multiparameter mapping with VFA-FLASH and MP2RAGE. Magnetic Resonance in Medicine (Early View). DOI: 10.1002/mrm.26306 Jutras, J.-D., K. Wachowicz, N. De Zanche. (2016) Analytical corrections of banding artifacts in driven equilibrium single pulse observation of T2 (DESPOT2). Magnetic Resonance in Medicine 76(6):17901804. DOI: 10.1002/mrm.26074 Jutras, J.-D., B.G. Fallone, N. De Zanche. (2011) Efficient data compression for distributed detection in wireless high-density arrays. Concepts in Magnetic Resonance Part B 39B(2):64-77 Conference Proceedings/Abstracts/Posters Jutras, J.-D., K. Wachowicz, N. De Zanche. (April 2017) SNR Efficiency of Combined Bipolar Gradient Echoes: Theoretical Expressions and Experimental Verification. International Society of Magnetic Resonance in Medicine 25th Annual meeting. Honolulu, Hawaii. (In Press) Jutras, J.-D., K. Wachowicz, G. Gilbert, N. De Zanche. (April 2017) SNR Efficiency in Multi-Parameter Mapping (PD, T1 & T2*) at 3T: Comparison of MP2RAGE and VFA-FLASH. International Society of Magnetic Resonance in Medicine 25th Annual meeting. Honolulu, Hawaii. (In Press) Jutras, J.-D., A. D. Murtha, N. De Zanche (July 2016) Fast Quantitative MRI Acquisition and Processing Pipeline for Radiation Treatment Planning and Simulation. Canadian Organization of Medical Physicists, 62th Annual meeting, St. John’s, Newfoundland. Jutras, J.-D., K. Wachowicz, N. De Zanche. (May 2015) Analytical Correction of Banding Artifacts in Driven Equilibrium Single Pulse Observation of T2 (DESPOT2). International Society of Magnetic Resonance in Medicine 23rd Annual meeting. Toronto, Canada. p.3240 Jutras, J.-D., K. Wachowicz, B.G. Fallone, N. De Zanche. (May 2013) Complete T1, T2* and ProtonDensity Maps of Bone and Soft Tissues from UTE and Standard FLASH. International Society of Magnetic Resonance in Medicine 21st Annual meeting. Salt Lake City, USA. p.2451 Jutras, J.-D., B.G. Fallone, N. De Zanche. (May 2011) Efficient data compression for distributed detection in wireless high-density arrays. International Society of Magnetic Resonance in Medicine 19th Annual meeting. Montreal, Canada. p.1814 8 February 2017 Jutras, J.-D., C.C. Hanstock, J. J. Snyder, A. H. Wilman. (May 2009) PRESS Spectroscopy of Glutamate: Effects of Voxel Location and Field Strength. International Society of Magnetic Resonance in Medicine 17th Annual meeting. Honolulu, Hawaii. p.4283 Conference Oral Presentations Jutras, J.-D., A. D. Murtha, N. De Zanche. (July 21, 2016) “Fast Quantitative MRI Acquisition and Processing Pipeline for Radiation Treatment Planning and Simulation.” Canadian Organization of Medical Physicists, 62th Annual meeting, St. John’s, Newfoundland. Jutras, J.-D., N. De Zanche. (May 11, 2015) “Quantitative (M0, T1, T2* & T2) 3D structural brain MR imaging with corrections for RF and static field inhomogeneities and motions at 3T.” Alberta Imaging Symposium, Calgary, AB. Jutras, J.-D., K. Wachowicz, B.G. Fallone, & N. De Zanche. (October 22, 2013) “3D Quantitative MRI: Application to Image-Guided Radiation Therapy.” Alberta Cancer Foundation Cancer Research Conference, Banff, AB. Jutras, J.-D., B.G. Fallone, N. De Zanche. (June 8, 2012) Efficient Data Compression for Distributed Detection in Wireless High-Density Arrays: A simulated Study. Alberta Imaging Symposium, Calgary, AB. Referees Name: Dr. Nicola De Zanche, PhD, MCCPM, PEng Title or Position: Associate Professor Institution: University of Alberta Department: Oncology Address: 11560 University Avenue, Edmonton Alberta, Canada T6G 1Z2 Phone Number: 1-780-989-8155 Email Address: [email protected] Name: Dr. Richard Thompson, PhD Title or Position: Associate Professor Institution: University of Alberta Department: Biomedical Engineering Address: 1098 Research Transition Facility, Edmonton Alberta, Canada T6G 2V2 Phone Number: 1-780-492-8665 Email Address: [email protected] Name: Dr. B. Gino Fallone, OMRI, PhD, PPhys, FCCPM, DABMP, DABR, FAAPM, FCOMP Title or Position: Professor/Director Institution: University of Alberta/Cross Cancer Institute Department: Oncology Phone Number: 1-780-432-8750 Address: 11560 University Avenue, Edmonton Alberta, Canada T6G 1Z2 Email Address: [email protected] 8 February 2017 [email protected] Name: Dr. Richard Frayne, PhD Title or Position: Professor/Director Institution: University of Calgary Department: Radiology/ Clinical Neuroscience Address: MRG 007 Seaman Family MR Centre (Foothills Medical Centre) 1403 29 Street NW Calgary, Alberta, Canada T2N 2T9 Phone Number: 1-403-944-8321 Email Address: [email protected] Research Interests 1. Multi-Parameter Mapping and its Clinical Applications My Ph.D. project focused especially on quantitative parametric mapping of the brain using conventional 3D MRI sequences (especially FLASH and bSSFP). Dating as far back as 1987, the Variable Flip Angle of technique (VFA) originally proposed by Wang et al [1] enables mapping proton-density (PD) and T1 from as few as two FLASH sequences. If multiple echoes are acquired, T2* can also be mapped simultaneously. A magnetization transfer saturation map (MTsat) can also be obtained using a third FLASH sequence with an MT module, as demonstrated by Weiskopf et al [2]. Finally, T2 can also be mapped using bSSFP and the known T1. Using the phase information from the multi-echo FLASH data, quantitative susceptibility can also be obtained simultaneously (QSM). Therefore, a total of six parametric maps, (PD, T1, T2*, T2, MTsat and QS) can all be obtained from as few as 7 sequences, (2 FLASH, 1 MT-FLASH and 4 bSSFP). Using parallel imaging, the total scan time can be constrained to within 30 minutes, for a typical brain-size field-of-view and 1 mm isotropic resolution. There are many other parametric-mapping methods and pulse sequences (e.g. MR-Fingerprinting, MP2RAGE, MOLLI, etc…), and different schools of thought exist regarding which method should be used and why. I am particularly interested in concentrating on the methods that already offer sufficient speed and accuracy to be implemented within the clinic and in developing new clinical applications. I am also interested in reconciling the discrepancies in reported brain tissue T1 and T2 values across different techniques. While the VFA technique appears simple on the surface typical challenges include: Accurately correcting for RF inhomogeneity (both B1+ and B1-). This can be done using a fast B1mapping sequence or a bias-field correction algorithm (e.g. UNICORT) [3]. However, no B1 inhomogeneity correction method is perfect. Sensitivity to motion (especially the T2* and T2 map). Inter-scan motion can be corrected retrospectively using image registration, but intra-scan motion can only be minimized using a prospective motion correction (PMC) system [4]. The accuracy of the T1, M0 and T2 quantification can be biased by higher-order effects such as MT, and non-ideal RF spoiling. 8 February 2017 At the Cross Cancer Institute, we have started a clinical trial with a cohort of 30 primary brain tumor patients. The patients are being scanned on a 3T scanner with the above protocol at different time points, including a pre-treatment baseline scan (see Figure 2 and 3), 3 months (Figure 3), 6 months and 1 year after their treatment in the hope to gain further insights into how the cancer responds to the treatment and how changes in the tumor is correlated to changes in the parameters. An important question is whether multi-parameter mapping could be used to more accurately distinguish pseudoprogression (psPD) from true progression of brain tumors, following treatment. As a future research avenue, the technique could be implemented on a PET-MR scanner with a radioactive tracer, which could provide more information concerning perfusion and tumor cell metabolism. Alternatively, an MRI contrast agent could also be added, (such as Gd-DTPA or Iron oxide nanoparticles), to gain further insight into contrast uptake by the tumor. The technique could also be optimized and implemented on other parts of the anatomy, such as the knee or the pelvis. Another interesting avenue of quantitative MRI research would be to investigate the feasibility of mapping multiple parameters (e.g. T1, T2, etc.) from 3D pulse sequences of the spin echo family (such as 3D T2w TSE, T1w TSE or FLAIR TSE sequences [5], [6]). Spin echo pulse sequences are becoming less popular in quantitative MRI, probably because of their lower sampling efficiency and the fact that the signal is difficult to model mathematically, making closed-form analytical solutions generally nonexistent. However, TSE sequences do carry some interesting properties that make them advantageous over GRE sequences, notably an intrinsic robustness to static field inhomogeneity. Single-slice or multislice 2D TSE sequence (e.g. CPMG) are frequently used to map T2 but no one has yet attempted to map multiple relaxation parameters simultaneously from 3D spin echo sequences. However, by using a combination of different 3D TSE weightings (and their signal ratios), I believe it should be possible to accurately estimate proton-density, T1, T2 and B1 inhomogeneity via a multi-dimensional look-up table derived from Bloch equation simulations. 2. Synthetic CT from UTE MRI for Dose Simulation in RTP The development of PET-MR scanners and MRI simulators for Radiation Treatment Planning (RTP) has stirred a considerable interest in the generation of synthetic CT (sCT), (a.k.a. substitute-CT or pseudo-CT) from MRI, in order to perform linear-attenuation corrections in PET and direct dose inhomogeneity correction in RTP. Many different pulse sequences and classification methods have already been developed for generating sCT from MRI. Ultra-short TE radial MR sequences are of particular interest for generating sCT, as they can be used to estimate bone density. As part of my PhD project, I improved upon a previous technique by Berker et al [7] to generate continuous-valued sCT using a triple-echo UTE Dixon sequence (UTILE-Dixon). So far, the method has been quite successful in brain imaging (see Figure 2), but has encountered poor results in other parts of the anatomy, such as the pelvis. The lack of success is owing primarily to the larger static-field inhomogeneity and susceptibility effects that tend to worsen with the size of the field-of-view, and additional hardware limitations, such as gradient delays. A future research avenue would be to overcome the technical challenges associated with the application of this technique to other regions of the human anatomy (e.g. pelvis). 8 February 2017 Figure 1: Comparison of the actual CT and the sCT generated using (a) the Berker’s original method (MAE=158HU), (b) the FCM1 pipeline (MAE=140HU) and (c) the FCM2 pipeline (MAE=139HU). MAE stands for “Mean Absolute Error” in Hounsfield Units. 8 February 2017 Figure 2: Axial slices of the parametric maps taken through primary brain tumors in 5 patients. Note that M0 is in percent (%), MTsat is unitless, while T1, T2 and T2* are in milliseconds (ms). The tumors are clearly defined, despite motion artifacts being present in the M0 and T2* maps of p1 and in the T2 maps of p3 and p5. 8 February 2017 Figure 3: Example of a brain tumor patient scanned with an MPM protocol before the start of the radiation therapy (baseline scan) and 3 months after the end of the treatment (about 4 months later). Significant structural changes (anatomical shifts) and increased relaxometry in and around the tumor are clearly visible in the difference map. 8 February 2017 References [1] H. Z. Wang, S. J. Riederer, and J. N. Lee, “Optimizing the precision in T1 relaxation estimation using limited flip angles.,” Magn. Reson. Med., vol. 5, no. 5, pp. 399–416, 1987. [2] G. Helms, H. Dathe, and P. Dechent, “Modeling the influence of TR and excitation flip angle on the Magnetization Transfer Ratio (MTR) in human brain Obtained from 3D spoiled gradient echo MRI,” Magn. Reson. Med., vol. 64, no. 1, pp. 177–185, 2010. [3] N. Weiskopf, A. Lutti, G. Helms, M. Novak, J. Ashburner, and C. Hutton, “Unified segmentation based correction of R1 brain maps for RF transmit field inhomogeneities (UNICORT).,” Neuroimage, vol. 54, no. 3, pp. 2116–24, Feb. 2011. [4] M. F. Callaghan, O. Josephs, M. Herbst, M. Zaitsev, N. Todd, and N. Weiskopf, “An evaluation of prospective motion correction (PMC) for high resolution quantitative MRI,” Front. Neurosci., vol. 9, no. March, pp. 1–9, 2015. [5] J. Park, J. P. Mugler, W. Horger, and B. Kiefer, “Optimized T1-weighted contrast for single-slab 3D turbo spin-echo imaging with long echo trains: Application to whole-brain imaging,” Magn. Reson. Med., vol. 58, no. 5, pp. 982–992, 2007. [6] H. Lee, E.-Y. Kim, K.-S. Yang, and J. Park, “Susceptibility-resistant variable-flip-angle turbo spin echo imaging for reliable estimation of cortical thickness: a feasibility study.,” Neuroimage, vol. 59, no. 1, pp. 377–88, Jan. 2012. [7] Y. Berker, J. Franke, A. Salomon, M. Palmowski, H. C. W. Donker, Y. Temur, F. M. Mottaghy, C. Kuhl, D. Izquierdo-Garcia, Z. a Fayad, F. Kiessling, and V. Schulz, “MRI-based attenuation correction for hybrid PET/MRI systems: a 4-class tissue segmentation technique using a combined ultrashort-echo-time/Dixon MRI sequence.,” J. Nucl. Med., vol. 53, no. 5, pp. 796–804, May 2012.