Abolfazl Mehranian1, Andrew J Reader1, and Enrico De Vita1
1Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
Synopsis
A MOtion-Corrected and High-resolution Anatomically-assisted (MOCHA)
reconstruction framework is proposed for ASL MRI. The method simultaneously accounts
and corrects for rigid motion and partial volume effects (PVE), and reduces
noise by guided high-resolution anatomical MR images without any need for
segmentation. The proposed method was compared with standard methods and a 3D
linear regression (3DLR) correction method using realistic simulations and
in-vivo data. Results show that MOCHA outperforms 3DLR not only in preservation
of structural and local details, including simulated lesions, but also in PVE correction of deep grey
matter structures, often subject to segmentation errors in conventional methods.
Introduction
Quantification of cerebral blood flow (CBF)
using ASL MRI is often adversely affected by low signal-to-noise ratio (SNR)
and partial volume effect (PVE). PVE is mainly caused by the relatively
low-resolution data acquisition and T2-induced blurring in long echo-train
3D-acquisition sequences. Existing PVE correction methods such as linear
regression (LR) [1] aim to correct for tissue-fraction effects (caused by
low-resolution acquisitions) using partial volume (PV) estimates obtained from
anatomical MR images mapped into the low-resolution ASL space. These methods
are subject to segmentation and registration errors [2] and often lead to over-smoothing [3]. In
this study, we propose a framework for reconstruction of ASL data in the
high-resolution space of the anatomical images, corrected simultaneously for
motion and PVE, with additional noise reduction, without need for segmentation
of the anatomical image.Methods
In the proposed MOtion-Corrected
and High-resolution Anatomically-assisted (MOCHA) ASL reconstruction framework, all $$$\small{N}$$$ low-resolution control-label ASL
pairs ($$$\small\boldsymbol{C},\boldsymbol{L}$$$) are simultaneously used to
reconstruct a single perfusion-weighted image ($$$\small\boldsymbol{x}$$$) using the following penalized weighted
least squares minimization: $$$\small\widehat{\boldsymbol{x}}\mathrm{=}{\mathop{\mathrm{argmin}}_{\boldsymbol{x}}
\left\{\frac{\mathrm{1}}{\mathrm{2}N}\sum^{\
}_i{{\left\|\boldsymbol{E}{\boldsymbol{M}}_i\boldsymbol{Bx}\mathrm{-}{\left(\boldsymbol{C}\boldsymbol{-}\boldsymbol{L}\right)}_i\right\|}^{\mathrm{2}}_{\boldsymbol{\
}}}\mathrm{+}\beta \sum^{\
}_j{{\left\|{\left(\boldsymbol{Dx}\right)}_j\right\|}^{\mathrm{2}}_{\boldsymbol{\omega
}}}\right\}\ }$$$.This method takes all data acquisition processes into account including
point-spread-function ($$$\small\boldsymbol{B}$$$), motion
($$$\small\boldsymbol{M}$$$) and MR Fourier encoding matrix ($$$\small\boldsymbol{E}$$$,
composed of Fourier bases, coil sensitivity profiles and k-space undersampling
masks). Additionally, a quadratic smoothness prior, weighted
($$$\boldsymbol{\omega }$$$) by an anatomical image, is utilized to guide
reconstruction of the target high-resolution perfusion image. $$$\small\boldsymbol{D}$$$ is a high-order finite differences,
and $$$\beta$$$ is a regularization parameter. MOCHA therefore removes the need for segmentation and downsampling of
the anatomical images into ASL space. Using realistic simulations and in-vivo datasets
MOCHA was compared with standard reconstruction and 3DLR PVE correction.
Experiments
Six healthy volunteers were scanned on a Siemens 3T
mMR scanner using PCASL labelling [3] and 3D-GRASE readout (TR: 4000ms, TE:
17.62ms, FA: 150°, matrix: 64×64×26, resolution: (4mm)3, FOV:
256×256×104 mm turbo-factor: 29, EPI-factor: 31, 2 shots/segments, background
suppression, labelling duration: 1500ms, post-labelling delay: 1800ms, 42
repeats). For one volunteer, a high-resolution ASL dataset with double
resolution in the partition direction was additionally acquired (parameters
unchanged except for 4 shots and double number of repeats to match SNR of the
lower-resolution acquisition). Calibration (M0) and T1-weighted images
(1.05×1.05×1.1 mm3) were also acquired. For motion transformation
estimation, all control and label images were rigidly registered to the
calibration scans with the ASL-toolbox [4]. Control-minus-label perfusion-weighted
images were then converted into CBF map based on the ASL consensus paper [5]. A
realistic simulation was designed to mimic the in-vivo data acquisition process
by: i) segmenting the T1-image of a volunteer dataset and assigning CBF values
to GM and white matter (WM); ii) introducing translational motion between 42 simulated
repeats.Results and Discussion
Fig.
1 compares simulation results of the standard, 3DLR and MOCHA methods, all
motion corrected. Results shows that the standard reconstruction method notably
suffers from PVE and loss of details, whereas the 3DLR method (kernel size of
5×5×5) corrects for PVE in grey matter, with the drawback of smoothing and reduced
lesion visibility. In contrast, MOCHA not only corrects for PVE but also
improves the resolution of the ASL data and hence recovers local details (see
arrows). Normalized-root-mean-squared error (NRMSE) results in Fig. 2 reiterates
the need for motion correction: if ignored it adversely affects all methods.
Motion-corrected results demonstrate that MOCHA outperforms 3DLR particularly
in deep GM structures, often subject to segmentation errors. Fig. 3 compares CBF
results for an example subject: MOCHA notably improves apparent resolution. Fig.
4 shows CBF values in different regions of the brain, averaged over all
subjects. As shown, 3DLR leads to higher mean CBF values in cortical GM but not
deep GM regions. Fig. 5 shows MOCHA's performance on standard resolution data
compared to higher-resolution data. MOCHA appears to reliably recover details
lost in the lower-resolution standard CBF maps and possibly also allow
visualisation of details not clearly visible in the high-resolution standard CBF
maps (where acquisition resolution is only improved in the through-plane
direction).Conclusions
Our
results suggest that the proposed MOCHA ASL reconstruction method improves spatial
resolution and anatomical fidelity of CBF maps taking into account motion and
PVE. MOCHA has potential to improve the diagnostic confidence and
quantification of current ASL protocols in clinical practice and further
validation with clinical dataset is planned.
Acknowledgements
This work is supported by the Engineering and
Physical Sciences Research Council (EPSRC) under grant EP/M020142/1 and the
Welcome EPSRC Centre for Medical Engineering at King’s College London (WT
203148/Z/16/Z). The authors acknowledge financial support from the Department
of Health via the National Institute for Health Research (NIHR) comprehensive
Biomedical Research Centre award to Guy's & St Thomas' NHS Foundation Trust
in partnership with King's College London and King’s College Hospital NHS Foundation
Trust.References
[1]
Asllani, I, et al, Magn Reson Med 60, 1362-1371, 2008.
[2]
Oliver, R.A. et al, Proc. Intl. Soc. Mag. Reson. Med, p. 3727. 2013
[3]
Wang, Z, et al, Magn Reson Imaging 26, 261-269, 2008.
[4]
Wang, Z, et al, Magn Reson Imaging 30, 1409-1415, 2012.
[5]
Alsop, D.C, et al. Magn Reson Med 73, 102-116, 2015.