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Diagnostics
  • Article
  • Open Access

25 October 2019

Accelerated Reliability Growth Test for Magnetic Resonance Imaging System Using Time-of-Flight Three-Dimensional Pulse Sequence

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,
and
1
College of Information and Communication Engineering, Sungkyunkwan University, Suwon 16419, Korea
2
College of Software, Sungkyunkwan University, Suwon 16419, Korea
3
IBA Community College Naushahro Feroze, Sukkur IBA University, Sindh 65200, Pakistan
*
Author to whom correspondence should be addressed.
This article belongs to the Section Medical Imaging and Theranostics

Abstract

A magnetic resonance imaging (MRI) system is a complex, high cost, and long-life product. It is a widely known fact that performing a system reliability test of a MRI system during the development phase is a challenging task. The major challenges include sample size, high test cost, and long test duration. This paper introduces a novel approach to perform a MRI system reliability test in a reasonably acceptable time with one sample size. Our approach is based on an accelerated reliability growth test, which consists of test cycle made of a very high-energy time-of-flight three-dimensional (TOF3D) pulse sequence representing an actual hospital usage scenario. First, we construct a nominal day usage scenario based on actual data collected from an MRI system used inside the hospital. Then, we calculate the life-time stress based on a usage scenario. Finally, we develop an accelerated reliability growth test cycle based on a TOF3D pulse sequence that exerts highest vibration energy on the gradient coil and MRI system. We use a vibration energy model to map the life-time stress and reduce the test duration from 537 to 55 days. We use a Crow AMSAA plot to demonstrate that system design reaches its useful life after crossing the infant mortality phase.

1. Introduction

A system reliability test of a high-cost and long-life repairable product during the development phase and prior to product launch is a big challenge [1,2,3,4]. A magnetic resonance imaging (MRI) system costs approximately one million USD and has more than 10 years of product life [1]. Several attempts are made by top MRI companies in the world to perform their systems’ reliability tests during the product development phase. However, these companies face several challenges in terms of test cost, test time, and sample size [1,2,3]. Higher system reliability of a product results in higher availability and less maintainability [3]. Hence, higher system reliability results in less cost to the customer [3]. As on today, MRI companies perform parts and software reliability tests to achieve product reliability. Parts and software reliability tests are relatively well proven concepts, easy to perform, take less test time and cost less compared to a system reliability test [4]. However, they lack the capacity to identify unknown and hidden failures especially due to complex interaction between hardware–hardware, hardware–software, and software–software in a product. These unknown and hidden failures result in product defects and hence poor reliability [4]. To perform a MRI system reliability test during product development phase, we learned several system reliability test techniques from other industries. These techniques are reliability growth test [4,5,6,7], reliability demonstration test [2], Crow Army Material Systems Analysis Activity (AMSAA) test [8,9,10,11], life test [12,13], accelerated life test [14], and burn in test [15] etc. One of the challenges to perform the MRI system reliability test is sample size due to very high sample cost. To resolve the sample size issue, we research further and find a solution to perform the reliability growth and demonstration test on one sample size for a high-cost and long-life product [2].
We propose a novel approach to perform a MRI system accelerated reliability growth test based on a hospital usage scenario on one sample size in a reasonably acceptable time. First, we develop a MRI usage scenario based on actual uses inside the hospital. Based on the usage scenario, we identify the stress conditions and parameters. MRI systems stress heavily while running pulse sequences during a patient scan. After analyzing further, we discover that during pulse sequences, MRI gradient coil vibration energy represents best the stress parameters. Once stress conditions and parameters are identified, we estimate the life-time stress for a MRI system as per hospital usage scenario. Based on life-time stress, we calculate the time to complete the MRI system reliability growth test. The test duration was 537 days, which was extremely high and unacceptable to any product development company. To resolve this issue, we identify a time-of-flight three-dimensional (TOF3D) pulse sequence stress. Hence, using TOF3D pulse sequence, we developed a test cycle to accelerate the reliability growth test. The test time reduced from 537 day to 55 days. The approach was successfully tested on a MRI system. During the test, several hidden and unknown failures were discovered. Test results were further analyzed using the Crow AMSAA concept by plotting failures with respect to test time. A Crow AMSAA plot shows graphically that system reliability and design maturity were achieved, which also helped to terminate the test.
The rest of the paper is organized as follows. Section 2 presents a brief overview of a MRI system and different types of system level reliability tests as part of related work. Our proposed method for developing nominal usage scenario of a MRI system based on hospital field data and workflow is described in Section 3. This section also presents the current challenges to perform a MRI system reliability growth test in addition to identifying the system stress condition and stress parameters. In Section 3, test sequence using a TOF3D pulse sequence is developed and accelerated reliability growth test is performed. Section 4 presents the test results and failures followed by a Crow AMSAA plot. Finally, Section 5 concludes the paper.

3. Proposed MRI System Accelerated Reliability Growth Test

3.1. Development of Nominal Day Usage Scenario for a MRI System

To perform system reliability test of MRI system, it is essential to analyze the actual hospital usage scenario, and workflow to correctly perform the reliability test. To do this, we collected the following data from different sources.
  • Hospital 1: 50,867 exams on 8 MRI systems in a year
  • Hospital 2: 53,099 exams on 8 MRI systems in a year
  • NHS, England (Multiple Hospitals): 1,980,000 exams on 304 systems [26]
Hospital 1 and 2 are busy hospitals in the Republic of Korea and United States. Both hospitals have 8 MRI systems. Hospitals 1 and 2 have performed 50,867 and 53,099 exams in one year, respectively. We also collected MRI exams data from National Health Service (NHS), England. As per the NHS, approximately 1.98 million MRI exams are performed in one year by approximately 304 MRI systems. Based on these hospitals’ data, we developed a MRI system nominal day usages workflow strategy as shown in Figure 2.
Figure 2. Strategy to develop ‘nominal day usage’ of a magnetic resonance imaging (MRI) system.

3.1.1. MRI Exam Distribution

We collected yearly data of MRI exams performed in two different hospitals. Based on collected data, we develop exam distribution. In hospital 1, approximately 50,867 exams and hospital 2 approximately 53,099 exams are performed in one year. These exams include brain, head/neck, spine (cervical or lumbar), extremities (hand, wrist, knee, ankle, shoulder and thigh), MR angiography, abdomen and other body parts as shown in Table 1. After data mining, exam distribution is developed based on the data of hospitals 1 and 2. Then, the exam distribution is further normalized with data obtained from other web sources. These web sources include the European Magnetic Resonance Forum (EMRF) [27] and Diagnostic Imaging Dataset (DID) of NHS England [26]. The normalization and data mining from different sources make MRI exam distribution very realistic as shown in Table 1. Our next step is to find out the average number of MRI exams performed in a day.
Table 1. MRI exam distribution (%).

3.1.2. Average Number of MRI Exams in a Day

Typically, MRI systems are used 6 days in a week and 50 weeks in a year in most of the hospital. Below is the analysis to determine average number of exams performed in a nominal day at different hospitals.
  • Number of exams per day per system in Hospital 1 = 50867 50   ×   6   ×   8 = 21.2
  • Number of exams per day per system in Hospital 2 = 53099 50   ×   6   ×   8 = 22.1
  • Number of exams per day per system as per NHS data = 1980000 50   ×   6   ×   304 = 21.7
  • Average number of exams per day = 21.2 + 22.1 + 21.7 3 = 21.6
Hospital 1 and 2 performed approximately 21.2 and 22.1 exams per day on a MRI system. As per NHS, England, on average 21.7 exams are performed on 304 systems. Further averaging of these data gives the average number of exams perform in a day for our project. In our work, we consider 21 exams are performed in a nominal day on a MRI system.

3.1.3. Nominal Day Usage Distribution

We develop nominal day usage distribution as shown in Table 2 as per MRI exam distribution in Table 1 and average number of exams performed in a day as derived in Section 3.1.2. A typical target diagnosis is also defined with each exam type to determine correct pulse sequence technique to make it more realistic. Table 2 consists of 21 different exams, which are divided into 10 brain exams, 1 head and neck exam, 3 spine exams, 2 extremity exams, 3 abdomen exams, and 2 angiography exams.
Table 2. Nominal day exam distribution.

3.1.4. Nominal Day Usage Workflow

Table 3 shows the workflow of nominal day usage, which is developed based on nominal day exam distribution in Table 2. Table 3 consists of exam number (#), exam type, target diagnosis, contrast used, RF coil type, and description of each exam step. The description/scan protocol column also defines the pulse sequences used in each exam.
Table 3. Nominal day usage workflow of MRI system.
We determine the type of RF coil and contrast needed for each exam as per target diagnosis. We have several RF coils named as head, neck, spine, or extremities RF coils. Some exams use contrast based on target diagnosis. All these variations are listed in Table 3 to make usage scenario more realistic before conducting a reliability test. Table 3 has approximately 393 rows, which are not shown in this paper. We listed all steps for exam 1 and few steps of exam 2 and 21 to give an understanding of nominal day usage workflow developed for a MRI system.

3.1.5. Hospital Visit to Validate the Workflow

In the last step of developing the nominal day usage scenario, we went to four different hospitals and validated the daily usage workflow. During validation, we found brain exams are performed more than spine exams. Hence, a small adjustment is undertaken by increasing one brain exam and reducing a spine exam in Table 2 and Table 3.

3.2. MRI System Reliability Growth Test and Current Challenges

In order to perform a reliability growth test based on nominal day usage as developed in Table 3, we need to find out test time to complete 21 exams in a day. After careful study, we understand that out of all steps in Table 3, pulse sequence steps stress the MRI system extensively. These pulse sequence steps for exam 1 are the localizer, T1 spin echo transverse (T1 SE TRA), T2 fluid-attenuated inversion recovery transverse (T2 Flair TRA), T2 turbo spin echo transverse (T2 TSE TRA), diffusion-weighted imaging (DWI), T2* fast low-angle shot 2-dimensional transverse (T2* FL2D TRA). Based on these understandings, Table III is reconstructed considering pulse sequences (PS) steps as shown in Table 4. We added time required to complete each pulse sequence in Table 4 column entitled “PS Time”. This gives one nominal day test time as 15,387 s or 4.27 h.
Table 4. Nominal day test time calculation.
We assume that the test is performed 24 h per day and 7 days per week, then time to complete the reliability test can be calculated by Equation (6) as below.
T =   L   ×   W   ×   D   ×   T D H
TD   = i = 1 ,   j = 1 i = n ,   j = m T i j =   T 11 +   T 12 + +   T 1 n + +   T m 1 +   T m 2 + +   T m n
Here,
  • L = MRI system life in years
  • W = Number of weeks per year for MRI system usage
  • D = Number of nominal days per week MRI System usage
  • n = Number of exams performed in a nominal day
  • m = Number of pulse sequence in each exam
  • i = ith exam performed in a nominal day
  • j = jth pulse sequence
  • PSij = jth pulse sequence of ith exam
  • Tij = Time taken by jth pulse sequence in ith exam
  • TD = Time to complete all exams in a nominal day
  • T = Time (in days) to complete the reliability growth test
  • H = Number of test hours in a day
As per Equation (7), TD is calculated in Table 4 in PS Time column.
TD = 15,387 s = 4.27 h.
Usually, MRI system service life is at least 10 years [1]. As per Section 3.1.2 of this paper, MRI system yearly usages are defined as 50 weeks in a year and 6 days per week. Average number of exams perform in a day is 21.
  • L = 10 years
  • W = 50 weeks/year
  • D = 6 days/week
  • n = 21
  • H = 24 h
From Equation (6), Test Time (T) = 537 days.
We consider 537 days a very long test duration to perform a system reliability test during the product development phase. Most of the MRI product manufacturers cannot afford 537 days to undertake a long reliability test due to limitations like the pressure of the product launch, cost etc.

3.3. MRI System Stress Parameters and Life-Time Stress Analysis

To accelerate the MRI system reliability test and reduce the test duration, it is essential to identify the system stress parameters. Using these stress parameters, we need to calculate the life-time stress for a MRI system using nominal day usage scenario.

3.3.1. Identifying Stress Parameters

As discussed in Section 2.1, MRI system undergoes through various kinds of stress every day. Based on our analysis, we found that some of these stresses are; magnet pressure, cold head temperature, gradient coil temperature, gradient coil vibration, RF coil applied power, RF power, gradient power, and input current etc. These stresses are at peak, while pulse sequence is applied as explained in Section 3.2. To reduce the system reliability test duration (537 days as calculated in Section 3.2), we need to accelerate the test. We found vibration energy of the gradient coil as the most suitable stress parameter, which gives the highest acceleration factor to accelerate the reliability test.

3.3.2. Establishing Relation Between Pulse Sequences and Vibration Energy

We develop a simulation model to calculate vibration energy exerted on a gradient coil by different pulse sequence parameters. Figure 3 shows vibration energy is applied on gradient coil by different pulse sequences. As demonstrated in Figure 3, the TOF3D pulse sequence (highlighted) exerts maximum vibration energy of 58J to the gradient coil as compared to all other pulse sequence techniques. Hence, we constructed a reliability growth test cycle using TOF3D pulse sequence to get a high acceleration factor.
Figure 3. Sequence vs. vibration energy of MRI gradient coil.

3.3.3. Life-Time Analysis using Vibration Energy

Table 4 depicts the nominal day usage profile, which consists of 21 exams. Each exam has predefined pulse sequences based on target diagnosis of anatomy. Gradient coil vibration energy is calculated for each pulse sequences of all exams in the last column of Table 4 tilted as “vibration energy”. The total vibration energy in a day is calculated in Equation (8), which is the sum of all energy in the last column of Table 4. Based on one nominal day’s vibration energy, life-time vibration energy is calculated in Equation (9).
V E D   = i = 1 , j = 1 i = n , j = m V E i j       =   V E 11 +   V E 12 + +   V E 1 n + +   V E m 1 +   V E m 2 + +   V E m n
V E T   = L   ×   W   ×   D   ×   V E D
Here,
  • VEij = Vibration energy exerted on gradient coil during jth pulse sequence in ith exam
  • VED = Total vibration energy exerted on gradient coil in a nominal day
  • VET = Total vibration energy exerted on gradient coil in entire life

3.4. MRI System Accelerated Reliability Growth Test

We need to develop a reliability growth test cycle, which can stress the system as much possible but within the system design limit.

3.4.1. Developing Test Cycle to Accelerate the Reliability Test

As discussed in Section 3.3.2, vibration energy applied on the MRI system is highest during TOF3D pulse sequence. Based on many permutations and combinations, a test cycle is developed consisting of 10 TOF3D pulse sequences and idle time as shown in Table 5. The first column of Table 5 defines the steps between TOF3D and idle time. Each TOF3D pulse sequence takes approximately 410 s to complete and exerts 58.03 joules of vibration energy on a gradient coil as shown in second and third column of Table 5. Cumulative energy is total energy consumed by gradient until the ongoing step as shown in last column of Table 5. An idle time of 60 s is planned between two TOF3D pulse sequences. It is obvious that vibration energy during idle duration is zero. It takes approximately 8240 s or 2.29 h to complete a test cycle. During a test cycle, the gradient coil undergoes through approximately 580.3 joules of vibration energy. To prevent the magnet quench, each test cycle has one hour break time for system to cool down as added in the last row of Table 5.
Table 5. Test cycle to perform accelerated reliability growth test.

3.4.2. Calculating Acceleration Factor and Test Duration

As we calculate the vibration energy for the life time and a test cycle from Section 3.3.3 and Section 3.4.1, we estimate the acceleration factor (AFv) in Equation (10). We consider the inverse power law model of vibration energy to calculate the acceleration factor in Equation (10) [25]. Here p is the inverse power law coefficient [25]. Similarly, we can also calculate the acceleration factor due to time (AFT) in Equation (11) using hours of test in a day (H) and time to complete one test cycle (Tc). The daily acceleration factor for the test (AF) can be calculated in Equation (12) by multiplying acceleration factors due to vibration energy and time. Time to complete system reliability growth test (T) is calculated in Equation (13). Total test time (T) is the division of life in days divided by multiple of total acceleration factor (AF) and sample size (s). If we put VED from Equation (8) in Equation (10) then test time is calculated by Equation (14).
A F V = ( V E C V E D ) p
A F T = H T c
A F = A F V   ×   A F T
T = L   ×   W   ×   D A F   ×   s
T = L   ×   W   ×   D   ×   ( i = 1 , j = 1 i = n , j = m V E i j ) p   ×   T c V E C p   ×   H   ×   s
Here,
  • VEc = Total vibration energy in a test cycle
  • VED = Total vibration energy exerted on gradient coil in a nominal day
  • p = Inverse square law coefficient for vibration
  • Tc = Time to complete one test cycle
  • H = Number of test hours in a day
  • T = Time (in days) to complete the reliability growth test
  • AFV = Acceleration factor due to vibration energy
  • AFT = Acceleration factor due to time
  • AF = Total acceleration factor
  • s = Sample size (Number of test sample)
  • L = MRI system life in years
  • W = Number of weeks per year for MRI system usage
  • D = Number of nominal days per week MRI System usage
  • n = Number of exams performed in a nominal day
  • m = Number of pulse sequence in each exam
  • i = ith exam performed in a nominal day
  • j = jth pulse sequence
  • PSij = jth pulse sequence of ith exam
  • VEij = Vibration energy exerted on gradient coil during jth pulse sequence in ith exam
Following parameters are calculated for our accelerated growth test on a target MRI system:
  • VEc = 580.3 Joules (from Table 5)
  • VED = 193.3 Joules (from Table 4)
  • p = 1.5 [25]
  • Tc = 8240 s = 2.29 h (from Table 5)
  • H = 24 h/day
  • s = 1 (sample size as one for expensive system and long-life MRI product [2])
  • L = 10 years [1]
  • W = 50 weeks/year
  • D = 6 days/week
From Equations (10), (11), (12), and (13), test duration can be calculated as follows. Accelerated system reliability growth test duration is reduced from 537 days to 55 days, which is a remarkable achievement for a MRI system with one sample size.
A F V = ( 580.3 193.3 ) 1.5 = 5.2
A F T = 24 2.29 =   10.48
A F = 5.2   ×   10.48 = 54.5
T = 10   ×   50   ×   6 54.5   ×   1 = 55   d a y s

3.4.3. Performing an Accelerated Reliability Growth Test

Our growth test is performed as per the TOF3D-based pulse sequence test cycle developed in Section 3.4.1. We observed the system break down several times due to the magnet, gradient, RF, and software subsystems during the initial phase of the reliability growth test. These failures are fixed and the test is continued until it achieved system design maturity. The system has log capability to monitor many parameters to check performance of the system during the reliability growth test. Some of these parameters are listed below:
  • Magnet pressure;
  • Magnet body temperature;
  • Gradient coil temperature;
  • Heat exchanger unit coolant temperature;
  • RF amplifier coolant temperature;
  • Gradient amplifier coolant temperature;
  • Gradient coil coolant temperature;
  • Several other parameters for software and system.

4. Accelerated Reliability Growth Test Result and Discussion

The MRI system reliability growth test is performed for more than 55 days. Several parameters are logged. These parameters are analyzed every day to check for degradation or failure. During the test, both soft and hard failures have happened. Soft failures are those failures that are self-recoverable without any software or hardware modification after restarting or rebooting the subsystem or system [25]. Hard failures are those failures that are not self-recoverable and need software or hardware modifications to restart the test [25]. We observed 12 hard failures during the reliability growth test. Some of these failures are described in subsequent sections followed by the Crow AMSAA plot.

4.1. Magnet Subsystem Performance

The magnet pressure and magnet body temperature over the period is illustrated in Figure 4. On the 17th test day, the magnet has quenched even though magnet pressure and temperature are within the range. The main root cause of the quench is coolant impurity due to repeated exams as the adsorber reached the end of its life. After replacing the adsorber (coolant filter), the test restarted and continued. This helps to determine the adsorber as a serviceable part with predefined planned maintenance every year.
Figure 4. Magnet subsystem performance during MRI system reliability growth test.

4.2. Gradient Subsystem Performance

Figure 5 shows the gradient coil temperature at seven different locations. Even though temperature is within the specified limits, the gradient coil terminal block caught fire on the thirteenth day of test. Terminal block is designed with suitable material and clearance between the phases in order to prevent this kind of failure. However, this hidden failure still occurred, which was discovered during the reliability growth test. The terminal block was redesigned and replaced, and the reliability growth test continued again. This catastrophic hidden failure was discovered and fixed proactively before it could happen at the customer’s location. Additionally, the heat exchanger unit (HEU) coolant flow rate was increased to extract the gradient coil heat out more efficiently. This reduced the temperature of the gradient coil and all its sensors’ reading for a stable performance as shown in Figure 5.
Figure 5. Gradient subsystem performance during MRI system reliability growth test.

4.3. Crow AMSAA Plot

During the MRI system reliability growth test, approximately 12 hard failures (N) were found in 60 days of the test. Hence, total test time (Ts) was approximately 60 days or 1440 h. All failures were recorded with respect to failure time (Ti). Based on these values (Ts and Ti), the shape parameter ( β ) was calculated as 0.304 as per Equation (2). The scale parameter ( α ) was calculated as 1.362 as per Equation (3). Putting the value α and β of in Equation (1) [8,9], the Crow AMSAA model for MRI system reliability test is presented in Equation (15).
  • N = 12
  • Ts = 1440 h
  • Ti = 2, 24, ….., 1080 h
From Equation (2) shape parameter was calculated,
β = 0.304
From Equation (3), scale parameter was calculated:
α = 12 1440 0.304 = 1.362
From Equation (1), failure intensity was calculated:
λ = 1.362   ×   0.304   ×   t 0.304 1
λ = 0.415   ×   t 0.696
From Equation (15), the Crow AMSAA plot was developed for MRI system reliability growth test. The plot is shown in Figure 6. From the Crow AMSAA plot, it is very clear that the MRI system has crossed the infant mortality phase (failure intensity decreasing rapidly) and reaches its useful life period (failure intensity is almost constant) as explained in Section 2.2.2. This proves that the MRI system has reached system design maturity.
Figure 6. Crow AMSAA plot for MRI system reliability growth test.

5. Conclusions

We presented a novel idea to perform a MRI system reliability growth test in an acceptable test time of 55 days. The test was performed during the product development phase on one sample size. We constructed a test cycle consisting of a high-energy TOF3D pulse sequence. This method accelerated the reliability growth test and reduced the test duration from 537 to 55 days. The accelerated reliability growth test was successfully performed on a MRI system for 60 days using the TOF3D test cycle representing a hospital usage scenario. Many hidden failures were discovered and fixed during the test. We successfully implemented the Crow AMSAA model and demonstrated that the MRI system reliability was in a useful life not an infant mortality phase. This concept of performing an accelerated system reliability growth test based on a field usage scenario can also be applied in other complex, long-life, and high-cost products.

Author Contributions

Conceptualization, P.K.A.; methodology, P.K.A.; formal analysis, P.K.A.; investigation, P.K.A.; resources, P.K.A.; data curation, P.K.A.; writing—original draft preparation, P.K.A.; writing—review and editing, N.S. and M.L.M.; supervision, D.R.S.; project administration, D.R.S.; funding acquisition, D.R.S.

Funding

This research received no external funding.

Acknowledgments

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2016R1D1A1B03935633). We are thankful to Samsung Medical Center and Samsung Health Medical Equipment for sharing MRI exam data and test result.

Conflicts of Interest

The authors declare no conflict of interest.

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