SoHyun Han1 and HyungJoon Cho1
1Biomedical Engineering, Ulsan National Institute Science and Technology, Ulsan, Korea, Republic of
Synopsis
In
vivo estimation
of Gd-concentration in dynamic contrast enhanced (DCE)-MRI are often
compromised from non-negligible T2* effect
and limited temporal resolution. In this study, we introduce
compressed sensing assisted turbo spin echo (CS-TSE) acquisition to provide accurate
Gd-concentration estimation without the need of additional signal calibration,
and to achieve a sub-second temporal resolution with extended slice coverage. Phantom
verification followed by in vivo arterial
input function (AIF) studies validated the faithful concentration estimation
of CS-TSE. Robust measurement of first-pass kidney feeding AIF with increased
temporal resolution was demonstrated with sub-second temporal resolution.Purpose
Dynamic
contrast-enhanced (DCE) MRI is an attractive technique in quantitative in vivo microvascular characterization
by pharmacokinetic modeling for diagnosing disease and monitoring its progress
1-2. Additionally,
a quantitative approach with arterial input function (AIF) improves the reproducibility
and reliability of DCE-MRI
3. In
general, gradient-echo based T1-weighted
sequence for DCE-MRI is conventionally used with the careful control of
administration dose of contrast agent to keep the concentration low enough to
neglect T2*-relaxation
artifact. On the other hand, low dose assumption is not satisfied
simultaneously both in arterial and tissue regions whose different T2*-relaxation
would hamper accurate pharmacokinetic analysis. Furthermore, AIF measurement in
a rodent model is challenging due to their high heart rates (up to
600beats/min) and requirement for high spatial resolution4. In this
study, we propose the new strategy to achieve sub-second temporal resolution
without compromising slice coverage of DCE-MRI applications by replacing turbo
factor with compressed sensing (CS) accelerations for calibration-free turbo
spin echo (TSE) acquisitions.
Methods
The sparse sampling scheme was retrospectively
optimized from fully sampled dynamic TSE; the resulting scheme was implemented
for DCE-MRI applications (0.96 s, 128×128, 4 slices). The feasibility of
calibration-free quantification of Gd-concentration and the degree of contrast
enhancement were compared among fast low-angle shot (FLASH), TSE, and CS-TSE
acquisitions with multiple phantoms (0.1–6 mM). The kidney-feeding AIF was
measured at multiple administration doses (0.1–0.3 mmol/kg) to evaluate the
benefit of CS-TSE for quantifying rapidly changing high Gd-concentrations in a
rodent model.
Results
In phantom studies, both TSE and CS-TSE showed
significantly improved contrast enhancement over FLASH from reduced T2*
relaxation as shown in Fig 1(A). In case of FLASH in Fig 1(B),
Gd-concentrations above 2mM were underestimated due to T2*-relaxation
effect. In contrast, both calibration-free and calibrated approaches estimated
equivalent Gd-concentrations for CS-TSE (scatter plot slope = 0.9801, r2
= 0.9998) plotted in Fig 1(C). In in vivo studies, four-fold
higher temporal resolution (0.96 s) of CS-TSE over the corresponding TSE enabled
robust measurement of AIF first-pass peak and resulting peak enhancement with
CS-TSE were observed in Fig 2(A), with 1.1439 and 2.1258-fold times higher than
those with TSE and FLASH acquisitions, respectively (0.1 mmol/kg dose) as
plotted in Fig 2(B). Calibration-free estimates of AIF peak concentration with
CS-TSE were in good agreement with the calibrated approach at multiple
administration doses (scatter plot slope = 0.7800, r2 =
0.8014) as shown in Fig 2(C).
Discussion and Conclusion
The results of this study
show the benefit of CS-TSE acquisition for DCE-MRI applications, including (1)
enhanced temporal resolution without compromising slice coverage with respect
to conventional TSE acquisition, (2) calibration-free estimation of
Gd-concentration, and (3) improved contrast enhancements over FLASH
acquisitions. The dose-independency in AIF
with CS-TSE would be beneficial as the concentration
gradient between the arterial and tissue signal would not further hamper
accurate pharmacokinetic analysis, potentially leading to more accurate quantification of MR perfusion. In conclusion, the
present work validates the feasibility of practical CS-TSE for its application
to calibration-free DCE-MRI for sub-second acquisition, without compromising
slice coverage, by complementing turbo factor with CS accelerations.
Acknowledgements
This work was supported by the National Research
Foundation of Korea Grants funded by the Korean Government (No. 2010-0028684
and No.
2014 R1A1A1 008255).References
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