Florian Wiesinger1, Sandeep Kaushik2, Anne Menini1, Sangtae Ahn3, Lishui Cheng3, Cristina Cozzini1, Thomas Hope4, Jaewon Yang4, Peder Larson4, and Dattesh Shanbhag2
1GE Global Research, Munich, Germany, 2GE Global Research, Bangalore, India, 3GE Global Research, Schenectady, NY, United States, 4University of California San Francisco, San Francisco, CA, United States
Synopsis
Recently we presented a method for zero TE MR bone imaging
in the head. In this abstract, we
describe the extension of this work towards whole body skeletal imaging as
required for applications like PET/MR Attenuation Correction, or MR-based Radiation Therapy Planning.Purpose
MR-based
bone imaging is hampered by 1) low proton density (~20% relative to water) and
2) short signal live time (~0.4ms at 3T) [Du et al]. Accordingly, skeletal imaging is typically
based on X-ray radiography or computed tomography (CT). Nevertheless, there are an increasing number
of applications requiring MR-based bone imaging; often not for diagnostic
purposes but rather for accompanying calibration or planning purposes. Examples include MR-based PET attenuation
correction (MR-AC) in hybrid PET/MR imaging, MR-based radiation therapy
planning and MR-guided focused ultrasound.
For these applications, bone presents the tissue with the highest
attenuation effect that typically cannot be neglected. In this abstract, we describe a zero TE based
method for whole body skeletal imaging and demonstrate its performance in volunteer
scans.
Methods
Recently, we described a novel method for MR bone imaging in
the head [Wiesinger et al]. Different to
conventional ultra-short TE (UTE) echo subtraction (based on T2 contrast), the
method explores 1) proton density (PD) contrast between soft tissues & body
fluids (~80-100%) and bone (~20% relative to water) and 2) contrast inversion for bone enhancement to mimic CT image appearance. Zero TE imaging is used for efficient PD
imaging; especially for short T2 tissues. Whole body,
in vivo volunteer experiments were conducted on a GE M750w 3T scanner (GE
Healthcare, Waukesha, WI) with zero TE imaging parameters set to: FOV=50cm, res=2.6mm, FA=0.5deg, BW=±125kHz, 110592
radial spokes, 7 bed positions acquired in 1min24sec per bed.
For segmentation purposes, the zero TE images
were bias corrected and normalized via division by a low-pass filtered version of
the original image. The lungs were
identified as the largest, low-intensity connected comment within the chest region
and removed.
Results
Figure 1 shows coronal views of zero TE image in linear
and inverted grayscale acquired in the pelvis
comparing different imaging BW of ±125kHz (left), ±62.5kHz (middle), ±31.25kHz
(right) with all other imaging parameters unchanged. For the highest imaging BW of ±125kHz soft
tissue appears most uniform.
Decreasing imaging bandwidth, and hence longer readout duration, off-resonance artifacts increase; especially apparent at organ/tissue
interfaces and the bitmarks at the edge of the imaging FOV.
Figure 2 shows a whole-body, Maximum Intensity Projection (MIP) of the skeleton using above described image processing method. Apparently, the method is able to correctly
identify all major bone structures in the human; including the skull, scapula,
humerus, spine, ribs and the sternum, pelvic bones, femur, tibia, fibula, among
others. Remaining air cavities can be
removed via thresholding or using prior knowledge (such as bone
probability maps).
Discussion & Conclusions
Adding a fast and robust bone imaging method to MRI’s
arsenal of contrast mechanisms will certainly help MRI to expand its role
towards treatment planning in radiation oncology and high-intensity focused
ultrasound. In addition it will allow
more accurate PET attenuation correction in hybrid PET/MR imaging.
Acknowledgements
No acknowledgement found.References
F. Wiesinger et al. "Zero TE MR bone imaging in the
head." Magnetic Resonance in Medicine (2015).
Du, Jiang, et al. "Qualitative and quantitative ultrashort echo time (UTE) imaging of cortical bone." Journal of Magnetic Resonance 207.2 (2010): 304-311.