Dynamic Contrast-Enhanced (DCE) MR perfusion has shown early promise in evaluation of spinal metastatic disease and can improve prediction of treatment responses and post-treatment complications. However, spinal DCE-MRI exams frequently suffer from suboptimal image quality due to factors including cerebral spinal fluid (CSF) and vascular pulsation, respiration, bowel motion and patient bulk motion. Independent component analysis has been successfully used as a method to identify and remove motion artifacts from functional MR images. In this work, we combine ICA with an unsupervised machine learning method to automatically identify image components arising from contrast-enhancing tissues and those due to artifacts.
DCE-MRI Acquisition
DCE-MRI was performed on a 3T Ingenia scanner (Philips Medical Systems, Best, the Netherlands) using a fat-suppressed 3D T1-weighted fast gradient echo readout (4D THRIVE) allowing a 6-s temporal resolution and 1.5 mm2 spatial resolution. An example anatomical DCE image (left), and the temporal signal enhancement of tumor (arrow) are shown in Figure 1.
ICA & Unsupervised Clustering
FastICA algorithm (convergence tolerance=0.001) is applied to each 4D DCE-MRI dataset extracting 30 independent component spatial maps sk and their associated temporal mixing weights ak(t). We use an unsupervised clustering algorithm to separate the resulting components into signal and artifact components. Each component is first mapped into feature space, and k-means clustering is used to compute clusters based on the Euclidean distance in feature space. Engineered features consist of signal statistical features derived from the temporal mixing weights ak(t).
K-means clustering with three target clusters is used to cluster the independent components. We initialize with three clusters to represent the three groups of components we expect to see: signal related to lesion enhancement, signal related to vascular enhancements, and noise due to motion artifacts. The enhancement profile of vasculature, like arteries and veins, is distinguishable from those of lesions, and are characterized by an immediate spike in voxel intensity.
Because an unsupervised model is used, no labels are provided for any of the the components. The outputs of the clustering algorithm are grouped by cluster and the clusters sorted by size. The two smaller clusters of components are labeled as the signal cluster.
A full list of features and feature descriptions is given in Table 1. These features were computed over the ICA mixing weights. Many features are typical statistics of time series, such as mean, variance, skewness, kurtosis, etc, and some are features that attempt to measure trend in the time series, such as slope. The Augmented Dickey-Fuller test is a test of stationarity in time series, and is used as well. Figure 2 shows an example output of the ICA pipeline. A total of 30 components were extracted, and each component is displayed relative to the temporal mean of the raw image. Unsupervised clustering identified six components as signal components, more likely to correspond to vascular structures, such as lesions, vertebrae, or arteries and veins. Figure 3 shows several signal components and their temporal mixing values in greater detail.
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