Juan Liu1, Robin Karr2, Brad Swearingen2, Andrew Nencka1,2, and Kevin Koch1,2
1Joint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, WI, United States, 2Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States
Synopsis
Quantitative Susceptibility
Mapping (QSM) can estimate tissue susceptibility distributions and reveal pathology in conditions such as Parkinson's disease and multiple sclerosis. QSM reconstruction is an ill-posed
inverse problem due to a mathematical singularity of the requisite dipole convolution
kernel. State-of-art QSM reconstruction methods either suffer from image
artifacts or long computation times. To overcome the limitations of these existing
methods, a deep-learning-based approach is proposed and demonstrated in this
work. 200 QSM datasets were utilized to compare
current QSM reconstruction methods (TKD, closed-form L2, and MEDI) with the
proposed deep-learning approach using visual scoring assessment of streaking
artifacts and image sharpness. These multi-reader study results showed that the
deep learning solution can produce QSM images with improved scores in both
streaking artifacts and image sharpness evaluation while providing an almost
instantaneous inversion computation through neural network inferencing.
Purpose
Quantitative Susceptibility Mapping (QSM) can estimate tissue susceptibility distributions
and reveal pathology such as Parkinson's
disease and multiple sclerosis1. QSM reconstruction is an ill-posed
inverse problem due to a mathematical singularity of the dipole
kernel. State-of-art QSM reconstruction methods either suffer from image
artifacts or long computation times, which limits QSM clinical translation
efforts. To overcome these limitations of existing methods, a
deep-learning-based approach is proposed. Methods
- Neural Network: A encoder-decoder neural
network structure with skip connections was adopted, illustrated in Fig.1. The simulated susceptibility
distributions were modeled to mimic the spatial frequency patterns of in-vivo brain
susceptibility distributions. Spatial frequency power spectra were estimated
using 50 QSM MEDI datasets. The
simulated susceptibility maps were then generated using inverse Fourier
transform of the square root of these cohort-averaged power spectral density estimates
with element-wise random phase swaps. Forward field maps of the simulated susceptibility patches
were used as the
network input. The network was trained to independently invert 3D parcels of 192x192x64. In
the prediction stage of the network, the whole tissue field volumes were segmented into 192x192x64 parcels with 32x32x32 overlap regions. After QSM inference using the trained network, the parcels were
combined to form a composite image. To avoid edge artifacts in the combined QSM maps, 8x8x8 voxel boundaries
were discarded before parcel combination. Linear regression utilizing the
overlapping regions between blocks was used to adjust the relative scaling and
bias between neighboring parcels. Final QSM maps were then computed via
k-space substitution. A hard threshold of 0.2 was utilized to
define the region of k-space where the forward field maps of the composite QSM estimation was
substituted into the k-space of input field maps. This approach is
denoted as ASPEN, standing for Approximated Susceptibility through Parcellated
Encoder-decoder Networks.
- Datasets: 200 QSM datasets were acquired on
high-school students with sports-related concussion and healthy controls at a
3T MRI scanner using commercially available SWI protocol with data acquisition
parameters: in-plane data matrix = 320x256, FOV = 24 cm, voxel size =
0.5x0.5x2.0 mm3, TEs = [10.4, 17.4, 24.4, 31.4] ms, TR =
58.6 ms, autocalibrated parallel imaging factors = 3x1, acquisition
time = 3.5 min. Complex multi-echo images were reconstructed from
raw k-space data. The brain masks were obtained using the SPM tool. After
background field removal using LBV method2, susceptibility inversion
was performed using TKD3, closed-L24, MEDI5 and
ASPEN. QSM toolbox6,7 was used to calculate TKD, closed-L2 and MEDI results.
- Evaluation: Two raters were trained to perform ranking
of each technique of the level of streaking artifacts and sharpness
for 200 QSM datasets. The computed QSM maps were
randomly displayed for each dataset. For streaking artifacts evaluation, four
QSM maps were ranked from one to four, with four being the best appearing map. For sharpness, the maps were also ranked from one to four, with four
being the sharpest map.
Results and Discussion
Fig.2 shows the QSM images of the four techniques in axial,
coronal and sagittal views. Compared with TKD, L2 and MEDI, the ASPEN results
show substantially reduced streaking artifacts, and preserve fine microstructures.
Fig.3 shows an axial view of the QSM maps, with the zoomed-in
visualization clearly showing that the ASPEN map has the best sharpness. TKD shows compromised integrity
at tissue boundaries. The closed-L2 and MEDI images have substantial image
blurring due to their heavy use of spatial regularization to reduce streaking
artifacts. In Fig.4, a sagittal view of QSM maps shows that ASPEN has minimal streaking
artifacts, while other methods have clearly visible streaking artifacts.
Fig.5 shows the results of the multi-reader study. For streaking
assessment, ASPEN achieved the highest score compared with other methods from
two raters, indicating ASPEN can greatly suppress streaking artifacts. TKD received
the second highest score in streaking artifacts assessment, followed by MEDI
and closed-L2. For image sharpness assessment, ASPEN also achieved the highest
score, TKD received the second highest score, followed by MEDI, closed-L2.
Conclusion
The proposed ASPEN approach requires no regularization or
threshold parameter tuning and can infer susceptibility maps in near real-time
on routine GPU hardware. The use of
physics-based training for QSM neural networks opens a host of potential
applications, whereby QSM can be tailored for specific applications and may
allow improved utilization of QSM outside the brain. Acknowledgements
The authors would like to acknowledge Michael McCrea for sharing of concussion study QSM data.References
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6. QSM Toolbox. http://pre.weill.cornell.edu/mri/pages/qsm.html.
7. Closed-form l2-Regularized QSM code. https://www.martinos.org/~berkin/software.html.