4D-MRI could inform online treatment plan adaptation on MRI guided radiotherapy systems, but long iterative reconstruction times (> 10 minutes) limit its use. A deep convolutional neural network was trained to learn the joint MoCo-HDTV algorithm and high-quality 4D-MRI (1.25x1.25x3.3 mm3, 16 respiratory phases) were reconstructed from gridded raw data in 27 seconds. Calculated 4D-MRI exhibited a high structural similarity index (0.97 ± 0.013) with the iteratively reconstructed test images and only a minor loss of fine details. Despite exclusively training the network on data from a diagnostic scanner, 4D-MRI were successfully reconstructed from raw data acquired on an MR-linac.
A volumetric radial T1w stack-of-stars spoiled gradient echo sequence8 was employed on a 1.5 T diagnostic scanner (45 patient and 25 healthy volunteer scans) and on a 1.5 T MR-linac (2 healthy volunteers) (Table 1). Raw data were corrected with an adaptive gradient-delay compensation9 and then sorted into 20 overlapping respiratory phases using a self-gating signal5. 4D magnitude images were calculated for all data sets acquired on the diagnostic scanner with both a gridding reconstruction (Gridded) and the joint MoCo-HDTV algorithm2 (MoCo).
To comply with the dCNN’s architecture, respiratory phases 5, 10, 15 and 20 were discarded and Gridded and MoCo 4D-MRI were scaled on a subject-by-subject basis by 0.67*maximum Gridded intensity value. Afterwards, 4D-MRI were split into training (74 %), validation (17 %) and test sets (9 %). A 3D U-net architecture10 was implemented using Tensorflow11 to learn the joint MoCo-HDTV reconstruction (Figure 1). Network inputs and outputs were the scaled Gridded and MoCo 4D-MRI, respectively, with dimensions: 2D in-plane matrix-size x respiratory phase (256x256x16) and were looped in mini-batches over all slices and subjects. The Adam optimiser12 was chosen with mean square error as the loss function. Network hyper-parameters were optimised by monitoring training and validation error: learning rate = 10-5, drop-out rate= 0.25-0.5, epochs = 50 and batch-size = 2. Training and testing were performed on an NVIDIA Quadro P6000 GPU with 24 GB memory.
For validation purposes, the results of passing the scaled Gridded test-data through Dracula were compared to the corresponding MoCo test-data both visually and in terms of the structural similarity index (SSIM)13. The SSIM is scaled between 0 and 1, where the SSIM of two images = 1, if they are identical in terms of contrast, luminance and structure.
The feasibility of training Dracula on diagnostic data and then applying it to reconstruct MR-linac data was investigated. Gridded MR-linac 4D-MRI were reconstructed, scaled and used as input to Dracula as per the diagnostic data. The appearances of the Dracula-reconstructed 4D-MRI were then compared qualitatively to the input Gridded MR-linac 4D-MRI.
We have presented a method to rapidly calculate high-quality 4D-T1w MRI by training a 3D dCNN to learn the joint MoCo-HDTV reconstruction. Dracula is faster (< 27 seconds) than state-of-the-art compressed-sensing reconstructions, such as GRASP3-4 (≈ 10 minutes) and joint MoCo-HDTV2 (unoptimised prototype ≈ 10 hours), making it an ideal candidate for applications where short reconstruction times are required. For instance, Dracula might be employed on MRgRT systems to obtain 4D-T1w MRI for online radiotherapy treatment plan adaptation and position verification. We demonstrated the feasibility of this scenario by successful application of Dracula to greatly reduce heavy streaking artefacts in MR-linac data.
The high SSIM between Dracula-reconstructed and MoCo images supports the hypothesis that the joint MoCo-HDTV reconstruction was well approximated. Remaining differences might be reduced by including information from adjacent slices.
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