Hongjiang Wei1, Luke Xie2, Yuyao Zhang1, and Chunlei Liu1,3
1Brain Imaging and Analysis Center, Duke University, Durham, NC, United States, 2Utah Center for Advanced Imaging Research, Department of Radiology, University of Utah, Salt Lake City, UT, United States, 3Department of Radiology, School of Medicine, Duke University, Durham, NC, United States
Synopsis
In the pulmonary tissue, strong-susceptibility-induced
field perturbation is mostly a source of artifact resulting in severe distortion.
Breathing artifacts pose further challenges, especially in pediatric
populations. These artifacts coupled with the intrinsic low proton SNR make it
extremely difficult to perform quantitative susceptibility mapping in the lung.
State-of-the-art STAR-QSM method combined with the recently developed locally low
rank parallel imaging method could further reduce motion artifacts and allow
free-breathing high resolution QSM of the lung.INTRODUCTION
Magnetic susceptibility is an intrinsic physical
property of tissue. In the pulmonary tissue, strong-susceptibility-induced
field perturbation is mostly a source of artifact resulting in severe distortion.
Breathing artifacts pose further challenges, especially in pediatric
populations. These artifacts coupled with the intrinsic low proton SNR make it
extremely difficult to perform quantitative susceptibility mapping in the lung.
One technique, called streaking artifact reduced quantitative susceptibility mapping
(STAR-QSM), is a promising tool that can characterize local tissue
susceptibility and can reduce the strong susceptibility effects that are found
in the lungs. STAR-QSM (1) combined with the recently developed locally low
rank parallel imaging method (2) could further reduce motion artifacts and
allow free-breathing high resolution QSM of the lung. To our knowledge, this is
the first study to examine susceptibility properties in human lungs
in vivo.
METHODS
The datasets were acquired on a 3T GE
MR750 scanner (GE Healthcare, Waukesha, WI) using a 32 channel cardiac coil
using a 3D modified SPGR sequence with motion navigation (Butterfly),
intermitted spectrally selective fat inversion pulses, and VDRad sapling
patterns were used during contrast injection. The datasets were accelerated in
both phase encoding directions with an overall reduction factor R 7.8~8 (2).
The imaging parameters were: FOV = 280 x 224 x 192 mm
3,
reconstructed matrix = 320 x 256 x 192, spatial resolution = 0.875 x 0.875 x 1
mm
3, coronal 192 slices. TR = 4.26 ms, TE = 0.98 ms, bandwidth =
62.5 kHz. Raw k-space data was reconstructed from under-sampled data using coil
compression technique (3) and locally low rank ESPIRiT for dynamic contrast
enhanced (DCE) images (2) integrated in the BART toolbox (https://mikgroup.github.io/bart/). Then 3D complex data was separated into magnitude
and phase. The resulting magnitude images were used to obtain the mask of the pulmonary regions. The phase was unwrapped using
Laplacian-based unwrapping and background phase was removed using V-SHARP (4).
The QSM images were reconstructed using a two-level streaking artifact
reduction for QSM algorithm (1).
RESULTS
The representative susceptibility maps between thresholded
k-space Division (TKD) (5), iLSQR (6) and STAR-QSM are shown in Fig. 1. For the
TKD and iLSQR methods, the streaking artifacts, especially form the lung/liver
interface, strongly contaminate the lung tissues. These artifacts were larger
eliminated by STAR-QSM (indicated by black arrows) and more vessels were revealed
by STAR-QSM as indicated by red arrows. With the improved image quality from
STAR-QSM, coronal slice susceptibility maps were compared with corresponding
magnitude images as illustrated in Fig. 2. The anatomical structure revealed by
QSM, e.g., major blood vessels, matches well with the magnitude image. Some of
the smaller blood vessels show paramagnetic susceptibility. These blood vessels
are not visible in the magnitude (indicated by yellow arrow in Fig. 2).
Moreover, pulmonary
tissues parenchyma is more visible in the
QSM image than magnitude (red arrows in Fig. 2). The major pulmonary vessels show a paramagnetic susceptibility of 2.8 ± 0.2
ppm while the pulmonary
tissues have a diamagnetic susceptibility
of -0.8 ± 0.46 ppm. Volume rendering by magnitude and magnitude overlaid with
QSM are shown in Fig. 3. The blood vessel network is revealed by magnitude.
Moreover, details of the pulmonary tissue can be seen when
QSM is overlaid on the magnitude image. For example, tissues with a more
diamagnetic susceptibility are visible near the lung boundaries (red arrow in
Fig. 3).
DISCUSSION
One of the main challenges with imaging pulmonary tissues with MRI is the low proton density and the fast signal
decay (short T2*) due to tissue-air interfaces (7). QSM takes advantage of the
field perturbation of tissue susceptibility in the presence of an externally
applied magnetic field. QSM provides a novel contrast that can be achieved at
short TE given the strong susceptibility variations in the lung, in which the
voxel intensity is linearly proportional to the underlying tissue magnetic
susceptibility. QSM combined with low-rank reconstruction allows highly
undersampled free-breathing lung susceptibility mapping, which is useful for
quantifying endogenous tissue property and external contrast agents.
CONCLUSIONS
In this study, we have demonstrated the
feasibility of obtaining QSM maps of pulmonary vessels and
tissue. Different susceptibility values
were observed for blood vessels and pulmonary tissues. QSM offers a new method
for in vivo quantification of
gadolinium or SPIO concentrations. e.g., DCE, pulmonary embolism or edema.
Acknowledgements
No acknowledgement found.References
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