Studies have demonstrated task-related fMRI signal changes and spatially coherent signal fluctuations in resting-state fMRI at frequencies above 0.3 Hz. However, it has been shown that whole-band linear nuisance regression used in high-frequency resting-state fMRI can result in the introduction of artifactual connectivity in the high-frequency regime.
Resting-state functional MRI (rsfMRI) has emerged as an adjunct to task-based fMRI, allowing for simultaneous mapping of functional connectivity across dozens of resting-state networks (RSNs) to study a wide range of neuroscience and clinical applications with more than one hundred resting-state networks identified in group studies and interindividual differences in network topology detectable in individual subjects. Advances in high-speed fMRI, which enable unaliased sampling of physiological signal fluctuations, have increased sensitivity for mapping functional connectivity and detecting dynamic changes compared with conventional echo-planar imaging (EPI) techniques. Recently, several studies using high-speed fMRI techniques have reported different potential resting-state networks (RSNs) at high frequencies (up to 5 Hz) suggesting that functional integration between brain regions at rest occurs over broader frequency bands than previously thought.
The majority of published studies on high-frequency resting-state fMRI (hfrsfMRI) has utilized nuisance regression. Concerns have been raised on the use of conventional regression techniques in the preprocessing of rapidly sampled fMRI data. In particular, it was demonstrated that the use of whole-band linear regression in motion and physiological noise correction can pass structured network patterns from the conventional low frequency band artificially to higher frequencies and introduces artifactual high frequency connectivity above those predicted from the canonical model which sets an upper limit at 0.3 Hz. Alternate methods such as conventional FIR filtering suffer from extensive data losses as large portions of the spectra may be contaminated with respiration, cardiac pulsation, and their harmonics.
Physiological noise (primarily due to respiration and cardiac pulsation) typically encompasses bands of frequencies and regressing respiratory variation and heart rate variability can significantly alter functional connectivity maps of the default mode network. Regression over shorter time intervals may be exploited to reduce the loss of resting-state signal fluctuations or introduction of false positive signal during as the physiological noise bands are narrower in shorter intervals. It motivated the recent development of harmonic regression with autoregressive noise (HRAN) using temporally segmented regression, which has been shown to remove physiological noise while leaving the neural signal intact, thereby increasing detection of task-driven voxels. However, application of HRAN to high-speed resting-state fMRI have not been investigated.
Resting-state fMRI is highly sensitive to movement which obscure networks as well as create false positive correlations. Motion regression utilizing up to 24 realignment parameters, spike regression, motion scrubbing, PCA based regression of nuisance signals using aCompCor and a range of ICA based approaches have been developed to remove motion-related artifacts in resting-state fMRI. However, the applicability of these approaches to high-frequency resting-state fMRI remains insufficiently characterized.
In one embodiment, the present invention provides linear nuisance regression relying on spectral and temporal segmentation of the motion parameters, the physiological noise signals, and hardware related signal fluctuations.
In other embodiments, the present invention provides a technique that both reduces data losses and improves the suppression of physiological noise and motion in resting-state fMRI. The technique minimizes the loss of intrinsic resting-state signal fluctuations and mitigates the introduction of false positive signals through segmentation of the regression vectors in the spectral domain.
In other embodiments, the present invention provides a technique that exploits the fact that physiological noise tends to have narrower spectral bands over shorter time periods due to the decreased variability and relies on segmenting the scan data in time into n segments within which frequency and amplitude fluctuations of motion parameters and physiological noise are reduced compared to the entire scan.
In other embodiments, the above method is implemented using a sliding window in the time domain.
In other aspects, the present invention provides an approach for the suppression of motion and physiological noise in high-frequency resting-state fMRI. The approach improves the suppression of noise and avoids the introduction of spurious components due to shared regression weights between different parts of the spectral domain when sufficient number of spectral bands of the regression vectors is used.
In another embodiment, the present invention provides a method of performing functional magnetic resonance imaging, comprising the steps of: a. Measuring and reconstructing a time series of high-speed functional MRI scan data sets in human or animal brain using an acquisition rate that enables spectral separation of physiological noise signals, including, but not limited to respiratory and cardiac pulsatility, and hardware related signal fluctuations; b. Measuring a plurality of rigid body movement parameters for translations and rotations in different directions in the data sets relative to one of the data sets; c. Spatially segmenting the data sets into multiple brain regions, including, but not limited to gray matter, white matter and cerebrospinal fluid containing regions; d. Measuring the physiological noise signals and the hardware related signal fluctuations in the regions; e. Spectrally and temporally segmenting the motion parameters, the first derivatives of the plurality of rigid body movement parameters, the physiological noise signals and the hardware related signal fluctuations, resulting in multiple regression vectors for each temporal segment and each of the regions; f. Temporally segmenting the functional MRI scan data sets into the temporal segments; and g. Performing linear regression within each temporal segment and spatial region of the data sets using the regression vectors.
Steps may include the following: using a minimum acquisition rate that corresponds to Nyquist frequency for measuring cardiac pulsatility; minimizing the loss of intrinsic resting-state signal fluctuations and mitigating the introduction of false positive signal fluctuations by the segmentation of the regression vectors in the spectral and temporal domain; segmenting the scan data in time into n segments within which frequency and amplitude fluctuations of motion parameters and physiological noise are reduced compared to the entire scan; employing a temporally segmented regression of the scan data using spectral segmentation of the motion parameters, the physiological noise signals and the hardware related signal fluctuations into k spectral segments with no overlap; the scan data is segmented in time into n segments with no overlap and the length of each segment is chosen such that it is long enough to resolve features in the spectral domain and short enough for respiration rate, cardiac pulsation and hardware related signal fluctuations, to be sufficiently stable; and employing a sliding window for temporal segmentation.
Other methods to enhance the effectiveness of the present invention also include the following: using regression vectors constructed from the motion parameters and their higher order derivatives wherein each motion parameter is filtered into k number of segments in the spectral domain to obtain an independent regression vector for each spectral band; using a non-causal filter to filter the motion parameters, the physiological noise signals and the hardware related signal fluctuations by applying FFT to the motion parameter time course, the physiological noise signal time courses and the hardware related signal fluctuation time courses, zeroing the spectral components outside of the spectral band of interest, then using inverse FFT to obtain the segment of interest; using a temporally segmented regression of the filtered motion parameters to obtain motion-corrected data; generating using a spatial mask of the labeled feature based on an anatomical brain atlas and used to obtain a spatially averaged signal to construct a representative regression vector; generating a mask based on a power-spectral integral threshold relative to a labeled non-physiological noise frequency range; for the average signal within the mask, pass-band filtering in the frequency range of the labeled feature to construct a regression vector for the feature within the segment; phase shifting individually constructed regression vectors for each slice of the functional MRI scan data sets to minimize the power spectral integral in the frequency range of the feature in the corrected signal across the entire slice; determining the maximum number of spectral bands using self-regression testing where regression vectors are segmented into a varying number of spectral bands and regressed using each set of spectrally segmented regression vectors with the maximum number of spectral bands decided based on the tolerated residual correlation between the original regression vector and resulting regressed signal.
In the drawings, which are not necessarily drawn to scale, like numerals may describe substantially similar components throughout the several views. Like numerals having different letter suffixes may represent different instances of substantially similar components. The drawings illustrate generally, by way of example, but not by way of limitation, a detailed description of certain embodiments discussed in the present document.
Detailed embodiments of the present invention are disclosed herein; however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which may be embodied in various forms. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a representative basis for teaching one skilled in the art to variously employ the present invention in virtually any appropriately detailed method, structure, or system. Further, the terms and phrases used herein are not intended to be limiting, but rather to provide an understandable description of the invention.
In one embodiment, the present invention provides a linear nuisance regression relying on spectral and temporal segmentation of the motion parameters and the physiological noise signals. The embodiment is shown in simulations and analysis of in vivo resting-state multi-slab echo-volumar-imaging and multi-band EPI data with TR as short as 205 ms to not only avoid the injection of artifactual connectivity, but it also substantially improves the removal of motion effects and physiological noise throughout the whole frequency spectrum even when uncertainties are present in part of the spectral domain of the regression vectors. Connectivity at high frequencies in 5 healthy controls and 2 patients with brain tumors was consistent with that in traditional low-frequency networks. A comparison with recently developed temporally segmented Harmonic-Regression-with-Autoregressive-Noise (HRAN) shows that the new approach is particularly powerful for regressing nuisance signals that cover a broad frequency spectrum. Combination of this regression approach with averaged sliding-window correlation further enhances confound suppression and improves mapping of resting-state networks at frequencies above 0.3 Hz.
In a preferred embodiment, the present invention employs temporally segmented regression of the scan data using spectrally segmented nuisance parameters. The scan data is segmented in time into n segments with no overlap. The length of each segment is chosen such that it is long enough to resolve features in the spectral domain and short enough for respiration rate and cardiac pulsation to be sufficiently stable. In case the data is not divisible into n segments, the remainder images are discarded from the beginning or end of the scan.
The regression process involves the generation of a set of regression vectors, , temporal segmentation of the data and regression vectors, calculation of regression coefficients, and subtraction of the regression series from the original signal, j, to obtain the corrected signal, sj, as expressed in Equation 1.
where j is an index for the temporal segment, ij a calculated weighting coefficient, and Lj is the number of regression vectors within segment j. The corrected signal in a voxel is the concatenation of sj in time as expressed in Equation 2.
The coefficients of regression can be obtained by minimizing the quadratic form |j−Sjj|2 as explained by Gembris et al. Magnetic Resonance in Medicine 2000 for the conventional approach. This minimization results in Equation 3.
Regression vectors are constructed from motion parameters measured experimentally during the scan for translations and rotations in different directions. Each motion parameter is filtered into k number of segments in the spectral domain to obtain an independent regression vector for each spectral band. A non-causal filter is used to filter the motion parameters by applying FFT to the motion parameter time course then using inverse FFT to obtain the segment of interest. Temporally segmented regression of the filtered motion parameters is then applied to obtain motion-corrected data. Spectral segmentation of motion parameters allows for independent regression in different spectral bands which mitigates the injection of artifactual connectivity when uncertainties in the regression vectors are present in a frequency range. Spectral bands of uniform or non-uniform bandwidth can be used. In case the spectral domain is divided into bands of uniform width, the number of bands must be such that bands of interest in post-processing are independent of other bands that may introduce artifactual connectivity into the bands of interest. In addition, regression vectors can be constructed from higher order derivatives of these motion parameters.
Using a large number of narrow bands, relative to width of bands of interest, can make it easy to meet this independence criterion but may compromise the effectiveness of the regression process if an excessive number of bands is used as discussed later in self-regression tests in the simulations. In addition to nuisance regressors, the set of motion regression vectors always includes a constant vector of ones. This step is equivalent to subtraction of the average of each signal prior to regression and is necessary to zero-center the signals for regression.
Regression of Physiological Noise
In other embodiments, the present invention reduces data losses during regression of physiological noise by employing temporal segmentation of the signals. After the motion-corrected data is divided into temporal segments, respiratory and the cardiac noise in each segment is labeled in the frequency domain. No frequency segmentation within the labeled physiological noise bands is performed. A spatial mask of the labeled feature is generated and used to obtain a spatially averaged signal to construct a representative regression vector. The mask is generated based on a power-spectral integral threshold relative to a labeled non-physiological noise frequency range. The average signal within the mask is pass-band filtered in the frequency range of the labeled feature to construct a regression vector for the feature within the segment. The constructed regression vectors are phase shifted individually for each slice such to minimize the power spectral integral in the frequency range of the feature in the corrected signal across the entire slice. Iterative minimization is used to search for optimal phase shifts, constrained to an arbitrary range. This phase shifting approach accounts for inter-slice time delays in physiological signal pulsation. In addition to nuisance regressors, the set of physiological noise regression vectors always includes a constant vector of ones. This step is equivalent to subtraction of the average of each signal prior to regression and is necessary to zero-center the signals for regression.
In addition, hardware related signal fluctuations in different frequency bands can be regressed using the above approach. The above method can also be applied using a sliding window in the time domain for temporal segmentation.
The present method was implemented into an in-house developed MATLAB-based framework for the post-processing of fMRI scans named TurboFilt. Data in TurboFilt were processed without spatial smoothing.
Simulations were conducted to verify that the proposed method mitigated the injection of artifactual connectivity into higher frequencies and effectively recovered the original signals prior to injection of noise. A 2-slice Rician brain model was generated with an intensity range from 0 to 5. Each generated signal consisted of 3000 points with a TR of 0.205 sec resulting in a frequency bandwidth of 2.43 Hz. A first network consisted of two seed regions defined in anterior brain regions that were correlated at frequencies >0.3 Hz while a second network consisted of two seed regions defined in posterior brain regions that were correlated at frequencies <0.3 Hz. This was achieved by mixing the signals associated with the voxels under the seeds with a Rician correlation vector that was either high passed (>0.3 Hz) or low passed (<0.3 Hz) with a mixing coefficient, β, of 0.3 according to Equation 4.
Motion parameters from an actual scan were introduced as noise in the simulations. Low-pass filtered (<0.3 Hz) translation parameters (tx, ty, and tz) were injected into two seed regions on the left slice as shown in
Additional simulations were conducted to further understand the effect of the bandwidth of the regression vectors on the effectiveness of the regression process. A Rician signal (TR: 0.4 sec, 2000 points) was generated and confounding features were added to the signal (
The self-regression tests demonstrated in the simulations could be applied to regression vectors used in in-vivo analysis. Criteria for the maximum number of spectral bands may be derived for any regression vector through self-regression tests. The process involves segmenting the whole-band regression vector into a varying number of spectral bands, performing regression of the whole-band regression vector using each set of the spectrally segmented regression vectors, correlating the resulting signals with the whole-band regression vector itself, and developing a correlation threshold for the residual correlation as a function of number of spectral bands. The maximum number of spectral bands could then be determined based on the tolerated residual correlation in the signal, i.e., on the maximum correlation below a preselected correlation threshold.
Resting-state scans were acquired in five male right-handed healthy controls aged 22 to 53 years, a male patient with a low grade glioma in insular, frontal and temporal cortex aged 46 years and a male patient with a glioblastoma in medial inferior temporal gyrus and temporo-occipital gyrus aged 54 years. Subjects were instructed to clear their mind and try not to think anything in particular, relax and fixate on a cross-hair presented on a computer screen during eyes open resting scans. One of the healthy controls was scanned during hypocapnic state induced by capnometry controlled hyperventilation (pETCO2: 19-25 mm Hg) to assess the robustness of the present method to increased and more variable levels of respiratory and cardiac signal pulsation.
Data were collected at the Mind Research Network on a 3T Siemens TIM Trio scanner (Siemens Healthineers, Malvern, PA) equipped with MAGNETOM Avanto gradient system and 32-channel head array coil. High-resolution T2-weighted Turbo Spin Echo scans were acquired for anatomical reference. FMRI data were acquired in AC/PC orientation using (a) multi-slab echo-volumar imaging (MS-EVI) (TR/TE: 246/25 ms, flip angle: 20°, no. of scans: 1000, 1100 or 1500, no. slabs: 4, spatial matrix per slab: 64×64×8, voxel size: 4×4×4 mm3, scan times: 4:10, 4:35 or 6:13 min; and (b) multi-band echo-planar imaging (MB-EPI) (https://www.cmrr.umn.edu/multiband/): TR/TE: 205/30 ms, flip angle: 15°, no. of scans: 3000, number of slices: 24, in-plane spatial matrix: 64×64, voxel size: 4×4×4 mm3, inter-slice gap: 0 mm, MB factor: 8, and scan time: 10:21 min. Real-time image transfer, motion correction, spatial normalization seed selection were performed. WM and CSF seeds for regression were manually delineated. The following atlas-based networks were mapped in subject-space: sensorimotor (SMN)-BA1-3, default mode (DMN)-BA7&31, visual (VSN)-BA17, and auditory (AUN)-BA41,42.
Preprocessed in vivo data were analyzed in TurboFilt without the use of spatial smoothing. Respiration and cardiac pulsation frequency ranges for the in vivo data were specified based on concurrently acquired respiratory and cardiac waveforms collected during the scans. White matter masks were manually generated. The whole brain mask was generated based on a 30th percentile intensity threshold applied to the time averaged brain image. Spectrally and temporally segmented regression of motion parameters and physiological noise was performed as described above. A conventional seed-based correlation analysis was performed and FIR filters were applied to assess connectivity in different frequency bands.
Spectrally and temporally segmented regression of motion parameters and physiological noise was performed in TurboFilt (see above). Preprocessed data were further analyzed in TurboFIRE using isotropic 5 mm Gaussian spatial smoothing, 8 s moving average time domain low pass filter with a 100% Hamming window width, and sliding window correlation using an 8 s window with moving averaging of up sliding-window correlation maps. Thresholded correlation maps (r=0.03-0.7) were obtained. A correlation threshold of 0.5 corresponds to a threshold of p<0.0001 (corrected for Family-wise error rates using an auto-regressive AR(3) model).
The embodiments of the present invention were compared to that of HRAN using demonstration data provided with HRAN [https://github.com/LewisNeuro/HRAN] and motion-corrected data from in-vivo scans performed in the present work. In HRAN, the default parameters provided with the HRAN demo script were used: neural frequency=0.13 Hz representing the frequency of the visual task, a window length of 30 seconds with 75% overlap, cardiac range from 0.83 Hz to 1.3 Hz, respiration frequency range from 0.1 Hz to 0.3 Hz. The present method used 5 non-overlapping temporal segments (˜31 seconds each). Physiological noise (respiration and cardiac) was labeled automatically using the respiratory belt and cardiac rate data provided. The labels were created based on the minimum and maximum measured rates in each temporal segment. Regression vectors for respiration and cardiac pulsation were generated the same way described in the methods section through localizing labeled features and constructing an average signal. Spectrograms of the signals from the visual network were generated using the Chronux toolbox [http://chronux.org/]. Windows of 30 second length with 50% overlap were used in the denoising of in vivo data in HRAN.
Connectivity in the 2-slice Rician brain model at low (<0.3 Hz) and high (>0.3 Hz) frequencies for 4 different seed regions is shown in
The conventional approach which uses whole-band regression vectors (1 spectral band) is compared to the present approach which uses multiple spectral segments in
The embodiments of the present invention eliminate the injection of artifactual correlations to high frequencies (>0.3 Hz) and recovers the original low frequency connectivity (<0.3 Hz) when a sufficient number of spectral bands are used. In the example in
Self-regression tests were conducted using different numbers of uniform spectral segments in order to explore the limitations on the number of spectral segments. The non-causal filter employed in the segmentation process effectively has no transition band which allows for larger numbers of spectral segments to be used. The regression vectors in self-regression tests were based on spectral segmentation of the original signal.
where T is the maximum tolerated residual correlations, which may be decided based on the correlation threshold used in the correlation maps. Residual correlations were below 0.1 when 32 segments of 0.039 Hz bandwidth were used. When 128 segments of 0.00976 Hz were used, residual correlations approached 0.15.
The comparison of spectrally and temporally segmented regression with HRAN using demonstration data provided with HRAN shows that both approaches have similar performance for removing respiratory and cardiac pulsation that are within narrow frequency ranges (
A significant reduction in artifactual correlations due to motion, respiration and cardiac pulsation using spectrally and temporally segmented regression was obtained in all subjects studied. A comparison of spectrally and temporally segmented regression with HRAN using resting-state fMRI data from a subject during hypocapnic state with increased head movement and physiological noise induced by hyperventilation demonstrates the tolerance of the present approach to signal fluctuations that cover a wide spectral range. Respiration in this data is shifted to relatively higher frequencies up to 0.75 Hz due to hyperventilation.
A machine artifact was present at 0.52 Hz. Through inspection of the motion spectra in (
The detection of resting-state networks at different stages of spectrally and temporally segmented regression and in different frequency bands is shown in
Combination of spectrally and temporally segmented regression with averaged sliding window correlation further enhances confound suppression at frequencies above 0.3 Hz. Spectrally and temporally segmented regression in a healthy control shows bilateral connectivity in the auditory, default mode and sensorimotor networks at frequencies above 0.3 Hz (
Connectivity at high frequencies in the language and auditory networks was also detected in the two patients with brain tumors. Spatial displacements due to the tumor was seen at low and high frequencies when analyzed with unilateral seeds.
Motion regression of an MS-EVI data set with 1100 time points (scan time: 4:35 min) in TurboFilt using 12 spectral bands applied to 3 translation and 3 rotation parameters and 8 temporal segments (33.7 sec each) took 48.6 seconds per segment on a 2.30 GHz, 2×18 core Linux workstation with 64 GB RAM running on one CPU thread. Total processing time for motion regression was 389 seconds. Physiological noise regression for this data set took 69 seconds per segment, resulting in a total processing time for physiological noise regression with phase shifting of 552 seconds. The total number of motion regression vectors therefore was 73 vectors per temporal segment (6*12+1(constant vector)=73). Therefore, the processing time per temporal segment for both motion and physiological noise regression was 117.6 seconds, resulting in a total processing time of 940.8 seconds.
Spectral and temporal segmentation of motion parameters and physiological noise signals represents a powerful and novel regression approach for minimizing confounding non-neuronal signal fluctuations in resting-state fMRI data. As results demonstrate, the approach is particularly powerful for removing head movement and respiration related signal changes that cover extended frequency ranges that cannot approximated by single frequency regression vectors. Data also show that this approach can be combined with averaged sliding window correlation analysis to further enhance confound suppression. This methodology preserves neuronal signal fluctuations of interest that are underlying the confounding signals and thus reduces data loss compared to FIR filtering, which takes out all signal in brain regions affected by movement related signal changes and physiological noise. Based on the simulations, the original signals and correlations appear recovered and not lost. In the real world, the effectiveness of the regression process will depend on the extent to which the regression vectors represent the local noise.
Rather than deciding a band of interest prior to processing which limits the usefulness of the post-processed data, systematic segmentation into many segments can achieve similar independence while allowing the data to be used to explore high frequency connectivity in arbitrary bands after processing. This is also advantageous because if the band of interest is too broad, there may be uncertainties in the regression vectors in part of the band. Segmentation into many spectral segments was shown here to effectively solve this problem with little downside as demonstrated in the self-regression tests. Co-linearity of motion parameters and respiratory signal pulsation may be present in the data, resulting in double regression. Generally, double regression should have no effect on the suppression of confounding signals as a zero weight would be calculated for the second regression vector.
The artifactual high frequency correlations in
The simulation of whole bandwidth regression in
The results in
When combined with temporal segmentation, the number of spectral bands may be additionally limited by the length of the temporal window in order for the system of equations not to be overdetermined. For this reason, phase shifting of regression vectors in physiological noise regression that is based on minimizing the power spectral integral in the frequency range of the labeled nuisance feature in the corrected signal across the entire slice is preferred to using a fixed array of phase shifts. Analyses performed during the development of the method showed that nearly similar results could be obtained using a fixed array of phase shifts with no iterative minimization but at the expense of substantially increasing the number of regression vectors.
For full-width whole-band regression to work, confounds in the signals should precisely match the regression vector23. The performance of full-width whole-band regression is significantly affected by uncertainties and/or delays in the measured motion parameters in any part of the frequency spectrum as demonstrated in
The methodology was developed to improve detection of signal changes above the traditional upper frequency limit of resting-state fMRI, which we have reported recently40. Given the considerable overlap between respiratory frequencies and the expected neuronally driven high-frequency signal changes it is not desirable to use FIR filter that would remove considerable portions of high-frequency connectivity. Furthermore, our study design in an ongoing related study is aimed at detecting changes in high-frequency connectivity as a function of global blood flow changes induced by hypo- and hypercapnia41,42, which increases respiratory signal pulsation. As our data in a subject undergoing hyperventilation show, although respiratory signal changes increase and spread over a larger spectral range than in resting-state fMRI data acquired during normocapnic conditions, spectral and temporal segmentation of motion parameters and physiological noise signals in conjunction with averaged sliding window correlation analysis strongly reduces confounding non-neuronal signal fluctuations in high-frequency resting-state fMRI data. The results shown in
TurboFilt is a multi-purpose, MATLAB-based framework developed in-house for the post-processing of fMRI data. The framework primarily serves as a graphical user interface-enabled test-bed for new methods for denoising and analyzing reconstructed fMRI signals. The code features functions for robust seed selection, spatial mask generation and application, conventional FIR filtering, time-course extraction and frequency analysis, spectral feature mapping, seed-based connectivity analysis with on-the-fly frequency range selection, principal component analysis, Rician noise simulation, motion regression, and physiological noise regression. TurboFilt enables multiple datasets to be processed within the same session. The present method has been implemented in the framework with a tutorial available in the TurboFilt manual.
While the foregoing written description enables one of ordinary skill to make and use what is considered presently to be the best mode thereof, those of ordinary skill will understand and appreciate the existence of variations, combinations, and equivalents of the specific embodiment, method, and examples herein. The disclosure should therefore not be limited by the above-described embodiments, methods, and examples, but by all embodiments and methods within the scope and spirit of the disclosure.
This application is a U.S. National Phase application of PCT/US2022/038740 filed Jul. 28, 2022, which claims priority to U.S. Provisional Application No. 63/229,379, filed on Aug. 4, 2021, the disclosures of which are incorporated by reference herein in their entireties.
This invention was made with government support by the NIH grant No. R21 EB022803. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2022/038740 | 7/28/2022 | WO |
Number | Date | Country | |
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63229379 | Aug 2021 | US |