As a variant of multi-shot echo-planar imaging, DIADEM (Distortion-free Imaging: A Double Encoding Method) enables high-resolution distortion-free imaging, but the prolonged scan time can be a major challenge. Recently, a novel parallel imaging approach, termed tilted-CAIPI, was suggested to unfold highly accelerated DIADEM data and to substantially reduce the acquisition time. However, the reconstructed image still suffers from eddy-current-induced geometric distortions in diffusion-weighted data. In this work, it is demonstrated that the DIADEM reconstruction becomes more efficient and practical after combining the tilted-CAIPI with the eddy-current calibration approaches.
Theory and Methods
For a DIADEM dataset, neglecting finite sampling, discretization, and T2* blurring effects, the multi-shot, spin-warp (SW) phase-encoded EPI images without Inon-DW(y,ks) and with DW gradient IDW(y1,ks) can be approximately described, at any readout position, respectively as:
Inon-DW(y,ks)=I(y)×exp(-iγ∆B(y)tTE)×exp(-iksy), where y=s+∆(s)suscep (1)
and
IDW(y1,ks)=I(y1)×exp(-i(γ∆B(y1)tTE+∆Ømotion(y1,ks)))×exp(-iksy1), where y1=s+∆(s)suscep+∆(s)eddy. (2)
Diffusion gradient eddy-current effects ∆(s)eddy are calibrated in advance using a phantom and obtained by subtraction between the two distortion maps calculated from the DIADEM data with and without DW gradient (i.e. ∆(s)DW and ∆(s)suscep)4:
∆(s)eddy=∆(s)DW-∆(s)suscep (3)
The geometry between the non-DW and DW images is matched after the eddy-current correction (ECC) using the calibrated distortion map ∆(s)eddy, which results in y1=y in Eq. 2. Because of the matched geometry, the phase variations between shots are simply estimated by division of the DW images by the non-DW images.
Ưmotion(y,ks)=arg(IDW(y,ks)/Inon-DW(y,ks)) (4)
After compensating the phase variations directly to the DW-DIADEM data (fully-sampled along y), both the geometry and the phase are matched and a tilted-CAIPI kernel is applied for both the non-DW and the DW-DIADEM data reconstruction along ks. Finally, a distortion-free image I(s) is calculated from each DIADEM data in the SW-PE dimensions (s). A phantom calibration and two healthy in-vivo scans were performed using an 8-channel coil (Invivo, Gainesville, FL) on a compact 3T5-7 with concomitant field compensation8,9 and higher-order gradient non-linearity correction10. Imaging parameters (Fig. 3) of the in-vivo and eddy-current calibration scans were identical, except for the acceleration factor (32 in in-vivo and 16 in the calibration to unfold the DIADEM data without tilted-CAIPI reconstruction). After the tilted-CAIPI reconstruction of the DIADEM data without and with ECC, the images in the EPI phase-encoding (PE) I(y) and the SW-PE I(s) dimensions were obtained from the unfolded DIADEM data and the corresponding DTI scalars were calculated using FSL11 for comparisons.
Results and Discussion
Non-negligible eddy-current-induced distortions ranging from -7.3 to 3.6 pixels were measured by the phantom calibration on the compact 3T (Fig. 2). After the tilted-CAIPI reconstruction, varying eddy-current-induced distortions still appeared in DW-images calculated from the unfolded DW-DIADEM data in both the EPI-PE (Fig. 3B-i) and the SW-PE dimensions (Fig. 3B-ii). In the proposed scheme, reliable distortion correction was performed by the phantom calibration approach before the tilted-CAIPI reconstruction and significant distortion effects were not observed in the final reconstructed images (Figs. 3C-i and 3C-ii). Therefore, the proposed reconstruction scheme could strongly mitigate both susceptibility-induced and eddy-current-induced distortions, even for the highly accelerated DIADEM data (Fig. 4). In addition, a single set of tilted-CAIPI kernels was used for both the non-DW and DW-DIADEM reconstruction without updating the kernel. Compared to other post-processing methods of eddy-current-induced distortion correction such as in FSL11, the calibration data in this work can be incorporated into the in-line reconstruction on the scanner for realtime correction. In previous study3, negligible level of distortions was obtained with a high in-plane acceleration factor of 4. However, this may not be same on different gradient systems and limits the flexibility of choosing the acceleration factor when combined with multi-band imaging12. Therefore, the proposed combination will allow increased flexibility and be more practical for clinical use.Conclusion
This study demonstrates the feasibility and advantage of combining the tilted-CAIPI reconstruction with eddy-current calibration to unfold the highly accelerated DIADEM data for high-resolution distortion-free diffusion imaging. Since the eddy-current calibration approach not only makes the tilted-CAIPI reconstruction more efficient, but also supports the in-line reconstruction to unfold the highly accelerated DIADEM data, the combination will be beneficial for practical use of high-resolution diffusion imaging using DIADEM.