Kevin M Koch1 and S S Kaushik1
1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States
Synopsis
Slab selection is a crucial component of 3D-MSI metal
artifact reduction sequences, due to the need to reduce phase-encoded fields of
view for body imaging applications in the hip, spine, and shoulder. However, existing commercial 3D-MSI sequences
are prone to signal loss at the edges of prescribed slabs. Here, we explain the source of this signal
loss and demonstrate a calibration algorithm that can be used to reduce this
slab-boundary signal loss in 3D-MSI. The presented methods are demonstrated on
a calibrated 3D-MSI total hip replacement dataset acquired at 1.5T. Introduction
3D-MSI metal artifact reduction sequences are increasingly
being utilized to assess bone and soft tissue in the near vicinity of metallic
implants. There are a variety of sources of remaining signal loss in 3D-MSI,
some of which remain elusive to recover [1].
However, one commonly encountered and avoidable source of signal loss in
3D-MSI occurs at the edges of thin slabs prescribed tightly around large
orthopedic implants. Figure 1 demonstrates this effect, using a set of 3D-MSI
images of a total hip replacement at 1.5T.
Coronal in-plane acquired images are shown, along with reformatted axial
slab images. Both images were acquired
with identical acquisition parameters (including the number of MSI spectral
bins) with the exception of the number of slab encodes. In the displayed coronal slice on the
posterior edge of the implant, there is clear signal loss (white arrows) in the
thinner-slab acquisition (right, 6cm slab thickness). This signal is clearly recovered in the
thicker lab acquisition (left, 14.4cm slab thickness), which accurately depicts
the implant boundary in this slice.
The source of the signal loss visualized in Figure 1 is
graphically illustrated in Figure2.
Ultimately, the signal loss is an issue of spectral coverage that is
compromised by the presence of the slab-selective gradient. The use of slab-selective gradients in MAVRIC
SL [2] or SEMAC 3D-MSI [3] sequences superimpose an additional linear off-resonance
distribution onto the native implant-induced distribution that must be covered
with the 3D-MSI spectral acquisition window.
Figure 2 provides frequency offset histograms across a set of slabs of
varying sizes. The non-selective
histogram shows a tight distribution, which is successively broadened by selective
slabs of decreasing thickness. The
purple line in the zoomed histogram edge indicates a frequency cutoff estimated
from a 3D-MSI external calibration process [4].
When slabs of increasingly reduced thickness are prescribed, the
off-resonance distribution moves well beyond the native frequency cutoff. The lack of excitation of these off-resonance
components manifests as signal loss, typically at the edges of slabs.
Methods
This source of signal loss in 3D-MSI is deterministic and
can be predicted, and subsequently avoided using external spectral calibration
procedures [4]. Briefly, external 3D-MSI
calibration requires the acquisition of a low-resolution non-selective 3D-MSI
calibration scan. This calibration scan
is used to generate 3D-MSI field maps [2], mask relevant field information, and
determine frequency offset cutoffs using cumulative distribution function
analysis of the frequency offset maps.
To predict and avoid slab-selection induced signal loss, the
slab-selective gradient must be incorporated into the spectral calibration
algorithm. More directly, the minimum
slab thickness, at a given slab-center location, that will avoid signal loss
can be computed using the cumulative distribution function analysis. Here, the minimum slab thickness is
determined through an iterative process whereby the slab is reduced until the
cutoff analysis indicates that signal will be missed in the 3D-MSI acquisition.
Data was collected from a clinical research subject who provided written
informed consent into a protocol approved by the MCW IRB.
Results
Figure 3 displays a 3D-MSI calibration dataset on the hip
arthroplasty shown in Figure 1. The
calibration acquisition required ~1:20 of total acquisition time. Coronal in-plane images are shown for the
magnitude data and 3D-MSI field map.
Reformatted axial planes are shown to highlight the acquired and determined
slab thicknesses. The aforementioned algorithm was utilized to compute a minimal
slab thickness, which is displayed in the axial plane, along with the two slabs
acquired for the images shown in Figure 1.
The minimal slab thickness was computed to be 13.25 cm, which is just
under the thick slab acquired in Figure 1 (14.4 cm). The
thin slab from Figure 1 (6.0 cm) is well under this minimal threshold, which
explains the signal missing from the displayed edge slice in Figure 1.
Discussion
The presented methods can be utilized to prospectively guide
prescriptions for slab-selective 3D-MSI.
With the acquisition of a relatively short calibration scan, the
requisite number of spectral bins can efficiently be determined simultaneously
with a minimum slab thickness that will avoid any edge signal loss. For MAVRIC SL
3D-MSI, the minimal slab-thickness to avoid edge signal loss is independent of
the computed number of spectral bins, which is because the MAVRIC SL slab-gradient
depends on the number of spectral bins, which introduces a “chasing condition”
into the bin/slab computation.
Alternatively, SEMAC can independently determine requisite spectral
coverage based on the calibration and a desired spatial excitation region. It is anticipated that the presented methods
can aid in the robust acquisition of high-quality 3D-MSI in routine clinical
settings.
Acknowledgements
Advancing a Healthier Wisconsin Research and Education
Fund, #5520357
Cathy Marszalkowski for assistance with subject recruitment.
References
[1] KM Koch, KF King, M Carl, & BA Hargreaves. . Imaging near metal: The impact of extreme static local field gradients on frequency encoding processes. Magnetic Resonance in Medicine, 71(6), (2014), 2024–2034.
[2] K. M. Koch, A. C. Brau, W. Chen, and G. E. Gold. Imaging near metal with a MAVRIC-SEMAC hybrid. Magnetic Resonance in Medicine, 65:71–82, 2011.
[3] W. Lu, K. B. Pauly, G. E. Gold, J. Pauly, and B. Hargreaves. SEMAC: Slice encoding for metal artifact correction in MRI. Magnetic Resonance in Medicine, 62(4):66–76, 2009.
[4] S. Kaushik, C Marszalkowski, K.M Koch, External Calibration of the Spectral Coverage for 3D Multi-Spectral Magnetic Resonance Imaging, Magn. Reson. Med (in press)