René Schranzer1,2, Günther Grabner1, Alexander Weber3, Kristian Bredies4, Gernot Reishofer5, and Alexander Rauscher3
1Department of Radiologic Technology, Carinthia University of Applied Sciences, Klagenfurt, Austria, 2Department of Engineering, University of Applied Sciences Wiener Neustadt, Wiener Neustadt, Austria, 3UBC MRI Research Centre, University of British Columbia, Vancouver, BC, Canada, 4Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria, 5Department of Radiology, Medical University of Graz, Graz, Austria
Synopsis
Myelin Water Imaging is the technique of choice
to measure myelination changes in healthy and abnormal situations in the brain.
However, calculation of myelin water fraction (MWF) maps is challenging due to the
low signal-to-noise ratio in the acquired data. Here, we demonstrate different
filter methods, such as TGV, Gaussian and Wiener to overcome this problem. 3D GRASE
images filtered with all three methods show significant enhanced fit-to-noise (FNR)
values compared to unfiltered, while TGV preserves sharper edges and detailed
structures. Finally, noise reduction and thus more reliable MWF maps can lead to
certain advantages in the field of MS.
Introduction
Over the last two decades, Myelin Water Imaging
has become an important tool in magnetic resonance imaging for visualizing the
myelination state of white matter in vivo. Several neurodegenerative diseases,
such as multiple sclerosis (MS), schizophrenia or stroke are associated with a
reduction of myelin water fraction (MWF).1 Usually, multi spin
echo (MSE) or GRASE techniques are used to acquire the T2-decay curve.1–3 Subsequently, MWF
maps are determined using a multicomponent T2 analysis approach by applying the
non-negative least squares algorithm (NNLS). However, a low signal-to-noise
ratio in the acquired data may decrease quality of MWF maps, which makes noise
reduction an important aspect during pre-processing.4–6 In this study, we
demonstrate the performance of the total generalized variation (TGV) concept 7 and compare it to
conventional Gaussian and Wiener filtering methods, regarding Fit-to-noise
(FNR), MWF values and visual inspection.
Material and Methods
3D GRASE data of a healthy subject was acquired
with a Philips Achieva 3T-MRI system. Scan parameters were TR = 1000 ms, 32
echo times with 10, 20, 30, …, 320 ms, GRASE factor = 3, SENSE factor = 2 and a
voxel size = 1.31mm x 1.31mm x 2.30mm. Before the calculation of the MWF maps
TGV, Wiener and Gaussian filtering was applied to all 32 echoes . Here we
started with conservative filtering parameters and increased them
systematically. Within
this work, the following filter parameters were used:
TGV: automatic evaluation of regularization parameter with 7% noise assumed;
Wiener: kernel size 3.93mm and Gaussian: FWHM 1.77mm. Finally, MWF (and FNR maps) were
calculated. For quantitative comparison of the individual filtered datasets, calculation
of the blur index 8 and both, mean MWF
and mean FNR values of certain regions in the brain were calculated. Regions of
Interests (ROIs) with an area of ≈1 cm² were defined in five bilateral
white matter structures (Genu, Splenium, frontal WM, occipital WM and parietal
WM), similar to the ROI localizations in 9. For each anatomical
region, an ANOVA was used to determine FNR differences between the individual filtering
methods. Bonferroni correction was applied and a p-value 0.05 was considered as
statistically significant.Results
Figure 1 gives an example of MWF and FNR maps
derived from two representative slices using TGV, Gaussian and Wiener filters.
As can be seen, image noise is higher in the unfiltered image which results in
low FNR values (a, e) and therefore MWF maps (A, E) with reduced accuracy.
Moreover, FNR values from whole brain WM tissue (Fig. 2A, B) and individual
ROIs are significantly higher after filtering with all three mentioned methods
(Fig. 3A - p<0.05) than those obtained in unfiltered images. TGV and Wiener
filtering achieved the best-fitted distribution of highest FNR (Fig. 2) and
performing better regarding edge preservation and definition of small brain
structures (Fig. 1C-D, G-H). Further, mean FNR values of all WM regions were
highest with TGV, while mean MWF values were, overall, constant between
unfiltered and filtered images (Fig. 3). Discussion
A large number of different filtering and
regularization approaches are available to improve MWF maps.5,6 This study demonstrates that
pre-filtering the acquired multi-echo data with TGV or Wiener filter creates
robust myelin water maps with simultaneously sharper edges and better
definition of small image structures, such as sulci, compared to Gaussian
filter.Conclusion
Goodness of fit from multi-echo 3D GRASE data
was shown to be substantially enhanced using TGV, Gaussian and Wiener filtering
methods. Moreover, the high edge preservation of the TGV filter is beneficial
in applications such as MWI of MS lesions, where exact and sharp lesion
boarders are important. Acknowledgements
This work was supported by
funds of the Österreichische Nationalbank (Austrian Central Bank, Anniversary
Fund, project number: 16153).References
1. MacKay AL, Laule C. Magnetic
Resonance of Myelin Water: An in vivo Marker for Myelin. Brain Plast.
2016;2(1):71-91.
2. Prasloski T, Rauscher A,
MacKay AL, et al. Rapid whole cerebrum myelin water
imaging using a 3D GRASE sequence. NeuroImage. 2012;63(1):533-539.
3. Laule C, Vavasour IM, Moore
GRW, et al. Water content and myelin water fraction in multiple sclerosis. A
T2 relaxation study. J Neurol. 2004;251(3):284-293.
4. Zhang J, Kolind SH, Laule C,
et al. Comparison of myelin water fraction from multiecho T2 decay curve and
steady-state methods. Magn Reson Med. 2015;73(1):223-232.
5. Bouhrara M, Reiter DA, Maring
MC, et al. Use of the NESMA Filter to Improve Myelin Water Fraction Mapping
with Brain MRI. J Neuroimaging. 2018.
6. Jones CK, Whittall KP, MacKay
AL. Robust myelin water quantification: averaging vs. spatial filtering. Magn
Reson Med. 2003;50(1):206-209.
7. Bredies K, Kunisch K, Pock T.
Total Generalized Variation. SIAM J. Imaging Sci. 2010;3(3):492-526.
8. Crete F, Dolmiere T, Ladret P,
et al. The blur effect: perception and estimation with a new no-reference
perceptual blur metric. Human Vision and Electronic Imaging XII: SPIE. 2007;6492-16.
9. Faizy TD, Kumar D, Broocks G,
et al. Age-Related Measurements of the Myelin Water Fraction derived from 3D
multi-echo GRASE reflect Myelin Content of the Cerebral White Matter. Sci Rep.
2018;8(1):14991.