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Magnetic Resonance Imaging (MRI) scans play a vital role in helping many ill children, by finding out what the problem is and helping plan their treatment. MRI is safe because it does not use radiation. MRI scans produce good-quality pictures or images of many parts of the body, including the brain, heart, spine, joints and other organs. The main problem is they take a long time - often over an hour. During the scan, the child has to keep very still and may even need to hold their breath many times. This is especially hard for children and unwell patients. Hence, younger children under 8 years old need a general anaesthetic, to put them to sleep during the scan. In many childhood diseases, for example in cancer, children may need many MRI scans to follow up disease progression and treatment. Being put to sleep for all of these scans is not pleasant for the child and may occasionally cause problems. It also puts a lot of pressure on hospitals who need to find the doctors, beds, equipment and funds for this. One way of overcoming these problems would be to speed up the MRI scans so the children do not have to keep still or hold their breath. The simplest way of doing this is to collect less data for each image, but this causes so much distortion in the images that they cannot be used. There are some ways of converting these into useful images, but these are complicated and take too long to use in a hospital. Machine Learning is an upcoming way of teaching computers to find complicated patterns in large amounts of information. Recent advances mean that computers are now so powerful that they can learn effectively. Machine Learning has been successfully used for analysing many types of images, for example to perform de-noising, interpolation, image classification and border identification. Despite its popularity, only a few recent studies have shown its potential for reconstruction of MRI images. This is partly due to the greater complexity of the problem and importantly, the large amounts of data required to 'learn' the solution. At Great Ormond Street Hospital, we have MRI images from over 100,000 children and scan an additional 10,000 children each year, all of which we could use to help train and test Machine Learning technologies. I have already shown that basic Machine Learning techniques can remove distortions from MRI scans of the heart, so I am well placed to develop Machine Learning techniques to reconstruct MRI images from other children's diseases, as well as developing more advanced Machine Learning techniques. I showed Machine Learning to be faster than existing reconstruction methods and the images were of better quality than more conventional state-of-the-art techniques. However, much more work is needed to get Machine Learning working reliably in children's scans and to make the most of the possible benefits. If we can use fast scanning with Machine Learning we could shorten scan times from 1 hour to about 10 minutes for children having MRI scans. They would not have to keep completely still for the scan and would not have to hold their breath, therefore reducing the need to put patients to sleep. This would make MRI scanning far less difficult and daunting for children, and would eliminate the cost and side effects from the anaesthetic. Quicker scans would help reduce waiting lists and costs for the NHS. It would also mean that MRI scanning would be used far more often, so it could help many more children. Additionally, these techniques could enable MRI scans to become affordable in some countries for the first time.
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