This study examines the performance of functional lung MRI using matrix pencil (MP) decomposition for the estimation of regional fractional ventilation and perfusion by exploring the relationship between the scanning time and the quantitative outcomes. Our results show excellent promise that the overall scan time for functional lung imaging using MP decomposition can be considerably shortened, which can allow for easier integration of MP MRI in clinical routine protocols.
MR data acquisition
Measurements were performed on 1.5T (MAGNETOM Aera and Avanto-Fit, Siemens Healthineers, Germany) MR-scanners using a combination of thorax and spine receiver coils. A healthy volunteer and a cystic fibrosis patient were scanned during free-breathing with a time-resolved 2D ufSSFP sequence using the following parameters: field-of-view=450×450mm2, slice thickness=12mm, TE/TR/TA=0.67/1.46/119ms, flip angle α=65º, bandwidth=2056Hz/pixel, matrix=128×128 (interpolated to 256×256), parallel imaging GRAPPA factor=2, 160 coronal images per slice, 3.33 images/s.
Image processing
Respiratory motion in the ufSSFP data was compensated with a non-rigid image registration. Subsequently, MP decomposition of the registered and segmented image series was performed voxel-wise to estimate the amplitude of the respiratory and cardiac signal modulations in the lung parenchyma and to create quantitative fractional ventilation (FV) and perfusion (Q) maps2,8. The signal distributions on the segmented FV and Q images were analyzed to estimate threshold values indicating functional impairment equal to 0.75 of median value from the voxel distributions. Eventually, values of relative impaired ventilation (RFV) and perfusion (RQ) were calculated. The performance of MP decomposition was analyzed in post-processed time-series of different length N between 75 to 150 images (cf. Figure 1).
For the whole lung functional assessment using MP MRI, typically a series of eight to twelve 2D series of 160 images are acquired; leading to about ten minutes of scan time. Using MP analysis, the time-series can be considerably shortened, without affecting the outcome values of the relative fractional ventilation and perfusion impairment. Our results show excellent promise that the overall scan time for functional lung imaging using MP decomposition can be considerably shortened. This can allow for easier integration of MP MRI in clinical routine protocols. The robustness of the MP approach will be further evaluated in data already acquired in different patient cohorts3-5.
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