Katherine L. Wright1, Peter Schmitt2, Dan Ma1, Anagha Deshmane3, Vikas Gulani1, and Mark Griswold1
1Radiology, Case Western Reserve University, Cleveland, OH, United States, 2Siemens Healthcare, Erlangen, Germany, 3Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States
Synopsis
This work proposes a method for the calculation
of a single color image using quantitative T1 and T2 measurements acquired with
Magnetic Resonance Fingerprinting. Quantitative MRF parameters are transformed
and scaled with the goal of making normal tissues appear in grayscale and
tissues with different T1 and T2 values (lesions) appear in color. Introduction
Magnetic Resonance Fingerprinting (MRF) is a platform for
obtaining multiple simultaneous quantitative measurements of MR properties (1),
and has been used for direct calculation
of T1 and T2 (1,2,3) maps as well as tissue fraction maps for gray matter (GM), white
matter (WM), and CSF (4,5). Another possibility is that these coregistered maps can
be used to produce single images in which color is used to encode the multidimensional
quantitative information, to ease visual interpretation. In this study, a color
conversion is derived, in which normal T1 and T2 values in GM, WM and CSF are mapped to grayscale values, and areas where the
relaxation parameters vary significantly from normal appear colored. This algorithm
was used to generate colored images in both normal volunteers and patients with
brain tumors, and the method was found to be reproducible and sensitive to tissue
changes. The combination of the MRF sequence with the color display shown here
has the potential to simplify both the acquisition and interpretation of
clinical brain exams.
Methods
Experiments were performed on a 3T Siemens Verio and Skyra (Siemens,
Erlangen, Germany) on a healthy volunteers and brain tumor patients (n=6). Using previously
published MRF acquisition and reconstruction methods (1,3), T1 and T2 maps were
generated by matching MRF time courses to a dictionary of signals that
encompasses a large range of parameter values.
Tissue fractions of GM, WM, and CSF were computed using a 3-component
decomposition as previously described in (4,5). For generation of the hybrid
color images, each property map was transformed to values between 0 and 1. The
respective parameter values found in WM, GM and CSF were then mapped to
predefined target intensities of 0.7, 0.5 and 0.1, respectively, using a cubic
interpolation, thus creating an image with a T1-weighted appearance. While multiple combinations of parameters can
be visualized with this method, two initial results are shown here. For Figure 1, an inversion recovery T1-weighted intensity map was used for the green color
component, T2-weighted intensity map was used for blue, while the average
intensity of all the IR and T2 parameters was assigned to the red color
channel. For Figure 2, green and blue channels were similar to Figure 1, but a
weighted average of the WM and GM fraction maps was assigned to the red color
channel.
Results
Example
quantitative T1 and T2 maps and a hybrid color image from a normal volunteer are
shown in Figure 1. It can be seen that normal brain tissue appears similar to a
traditional T1- weighted image. However, blood vessels appear red and the
putamen appears slightly blue, demonstrating the desired color behavior in tissues that do not have the reference GM, WM
or CSF relaxation rates. Figure 2 shows a color image of a patient with a glioblastoma (GBM) using the second
combination of factors. In this example, the lesion appears in bright purple
and red shades, and is obvious in comparison to healthy tissues.
Discussion and Conclusion
This
work demonstrates a potential method for the calculation of color images based
on T1, T2 and tissue fraction maps. The goal is to obtain images in which brain
tissue with normal relaxation appears nearly in grayscale, while any deviation
from normal results in a residual color. These maps have the potential to
simplify the interpretation of clinical brain MR, since information about three
of the most relevant parameters are presented in a single, easy to interpret
view. This type of display is particularly useful in combination with MRF,
since the impact of misregistration due to interscan motion and differences in
slice profiles between maps is eliminated. Further optimization and extensive
testing in patients will be necessary to determine robustness in a wide variety
of clinical settings. Other schemes to map normal tissue are possible, but the concept
of mapping normal tissue to greyscale while channeling pathology to color could
provide potentially clinically relevant information and easy interpretation of
quantitative maps.
Acknowledgements
The authors would like to acknowledge funding from Siemens Healthcare and NIH grants NIH 1R01EB016728-01A1 and NIH 5R01EB017219-02.References
(1) Ma D. et. al.
Nature (2013) 495, 187–192.
(2) Badve C, et al. ISMRM 2015, pg 2254.
(3) Jiang Y. et. al. Magn. Reson. Med. (2014). doi: 10.1002/mrm.25559.
(4) Deshmane,
A, et. al. ISMRM 2014, pg94.
(5) Deshmane, A et
al. ISMRM 2015, pg 71.