3D whole-brain spectroscopic MRI can measure quantitative metabolite concentrations without any contrast agents and is useful in identifying occult glioblastoma beyond that seen on standard MRI. However, a key hurdle in its widespread adoption is spectral fitting, which can take up to an hour for scan consisting of ~10,000 voxels. In this work, we develop a deep learning architecture for rapid spectral fitting within the context of an a priori spectral model. We demonstrate that this architecture can perform whole-brain spectral fitting in <30 seconds, pushing spectroscopic MRI towards on-board scanner processing to fit in the rapid clinical workflow.
Echo planar spectroscopic imaging (EPSI) scans were performed on four normal subjects and six subjects with glioblastoma at Emory University. Spatial reconstruction of the data, B0 correction, co-registration with anatomic MRI, and lipid and water suppression were performed in the MIDAS (13, 14) software package. A total of 102,005 spectra were obtained and separated into three data subsets: 85,661 for training; 8,192 for validation; and 8,192 for testing. For assessing generalizability, additional data from subjects with glioblastoma from Emory University, the University of Miami, and the Johns Hopkins University, were evaluated.
A new neural network architecture, named a convolutional encoder – model decoder (CEMD) was developed (Figure 1). CEMD takes as input the real component of a spectrum and passes it through a convolutional neural network (CNN) to encode the signal into a latent space with 42 parameters. These 42 parameters are then explicitly used as coefficients for a Lorentzian-Gaussian peak model and for a wavelet-shrinkage baseline model, as previously described (5, 6). Using this model, the singlets for Choline (Cho), Creatine (Cr), and N-acetylaspartate (NAA) are parameterized to compute the relative concentration of each metabolite. The root mean squared error between the fitted and input spectrum is used as the cost function to train the weights of the CNN encoder. A software pipeline to perform CEMD fitting on whole-brain images and to generate volumetric metabolite and ratios maps was developed using Python.
The testing set achieved a mean RMSE of fit of 5.0% normalized to the amplitude of the largest peak in each spectrum in the testing set, with a standard deviation of 0.6%. Sample spectra from the testing set are shown in Figure 2, with the baseline (red) and peak + baseline (black) fit overlaid on the input spectra (gray). Sample spectra from three subjects with glioblastoma, not included in the training, testing, or validation sets, are shown in Figure 3. In patients with glioblastoma, voxels within the region of active tumor exhibit an increase in Cho and a concomitant decrease in NAA (3). The CEMD-fitted spectra (black) are overlaid on the input spectra (gray). Subject one (Figure 3A,B) was scanned at Emory University; subject two (Figure 3C,D) was scanned at the University of Miami; and subject three (Figure 3E,D) was scanned at the Johns Hopkins University.
The mean execution time for whole-brain spectral fitting was 20.6 seconds using the CEMD. Results of the CEMD analysis for studies of a subject with glioblastoma, not included in the training set, are shown in Figure 4, which shows the individual metabolite maps, the Cho/NAA ratio map, and corresponding contrast-enhanced T1-weighted (CE-T1w) and fluid-attenuated inversion recovery (FLAIR) MRI volumes.
1. Law M, Cha S, Knopp EA, Johnson G, Arnett J, Litt AW. High-grade gliomas and solitary metastases: differentiation by using perfusion and proton spectroscopic MR imaging. Radiology. 2002;222(3):715-21.
2. Soares DP, Law M. Magnetic resonance spectroscopy of the brain: review of metabolites and clinical applications. Clin Radiol. 2009;64(1):12-21.
3. Cordova JS, Shu H-KG, Liang Z, Gurbani SS, Cooper LAD, Holder CA, et al. Whole-brain spectroscopic MRI biomarkers identify infiltrating margins in glioblastoma patients. Neuro Oncol. 2016;18(8):1180-9.
4. Provencher SW. Automatic quantitation of localized in vivo1H spectra with LCModel. NMR Biomed. 2001;14(4):260-4.
5. Young K, Soher BJ, Maudsley AA. Automated spectral analysis II: application of wavelet shrinkage for characterization of non-parameterized signals. Magn Reson Med. 1998;40(6):816-21.
6. Soher BJ, Young K, Govindaraju V, Maudsley AA. Automated spectral analysis III: application to in vivo proton MR spectroscopy and spectroscopic imaging. Magn Reson Med. 1998;40(6):822-31.
7. Stefan D, Di Cesare F, Andrasescu A, Popa E, Lazariev A, Vescovo E, et al. Quantitation of magnetic resonance spectroscopy signals: the jMRUI software package. Measurement Science and Technology. 2009;20(10):104035.
8. Wilson M, Reynolds G, Kauppinen RA, Arvanitis TN, Peet AC. A constrained least-squares approach to the automated quantitation of in vivo 1H magnetic resonance spectroscopy data. Magnetic Resonance in Medicine. 2010;65(1):1-12.
9. Lam F, Liang ZP. A subspace approach to highâresolution spectroscopic imaging. Magnetic resonance in medicine. 2014;71(4):1349-57.
10. Reynolds G, Wilson M, Peet A, Arvanitis TN. An algorithm for the automated quantitation of metabolites in in vitro NMR signals. Magnetic Resonance in Medicine. 2006;56(6):1211-9.
11. Liou C-Y, Huang J-C, Yang W-C. Modeling word perception using the Elman network. Neurocomputing. 2008;71(16):3150-7.
12. Hinton GE, Salakhutdinov RR. Reducing the dimensionality of data with neural networks. Science. 2006;313(5786):504-7.
13. Maudsley AA, Domenig C, Govind V, Darkazanli A, Studholme C, Arheart K, et al. Mapping of brain metabolite distributions by volumetric proton MR spectroscopic imaging (MRSI). Magn Reson Med. 2009;61(3):548-59.
14. Sabati M, Sheriff S, Gu M, Wei J, Zhu H, Barker PB, et al. Multivendor implementation and comparison of volumetric whole-brain echo-planar MR spectroscopic imaging. Magn Reson Med. 2015;74(5):1209-20.