Bing Wu1, Dandan Zheng1, and Zhenyu Zhou1
1GE healthcare MR Research China, Beijing, China, People's Republic of
Synopsis
In
this work, the stability of simultaneously obtained R2* and susceptibility are
investigated and compared across 10 sites with identical experiment setup and post-processing hardware, as may be the case for a multi-center study.
Introduction
R2*
and susceptibility may be used to as means to probe myelin and iron in white
matter and grey matter [1], which are important biomarker for studying the
brain’s development and neurological disorders. Multi-center studies are often
advantageous for involving participant of varying pathological and geological
conditions, and becoming popular in neurological studies. Hence stability of
the obtained quantitative R2* and susceptibility is a key issue for their
widespread applications, given the many factors that may introduce variance to
the final measurements. Previous studies [2,3] have involved only limited
number of scanners from different vendors and coils, and reported varying level
of variance of the two measures. In this work, the stability of simultaneously
obtained R2* and susceptibility are investigated and compared across 10 sites
that are equipped with the same scanner and receiver coil, and also the same
processing software was used to achieve consistency of experimental setup to test
the stability.
Experiment
Two
healthy adult volunteers (one male and
female, age 31 and 29) participated in this study. Multi-echo 3D SPGR
acquisitions were performed at
10 different sites installed with a MR 750 3.0 T scanner (GE, Milwaukee)
equipped with an 8-channel head coil. 12 echoes were acquired with a final TE
of 29.7ms and TR of 35ms. 1mm isotropic whole brain coverage was achieved. All the acquired complex images were first
registered using FLIRT software based on the magnitude image from the 10th
echo. Then various ROIs (Fig.1) were
defined on the susceptibility images and then transferred to the R2* images.
Average values within the ROIs were taken as the measurements. R2* maps were
obtained using voxel wise mono-exponential fitting, whereas susceptibility maps
were derived using the STI suite toolbox available online.
Results
In order to better
visualize the level of variance of R2* and susceptibility across different
sites, all the measurements in different ROIs were first normalized by their median
value, and then the box-whisker plots normalized measurements are made (Fig.2a). In this way, different
measurements from different ROIs are set the same level, so their comparative
variance may be better visualized. Firstly, it can be seen that the variance of
all measurements from different sites, as indicated by the extent of the two
whiskers, fall within $$$\pm$$$20% from the
median value, including two outliers that are outside 99.3% data percentile as
indicated by the red markers; in many cases, the variances of the measurements
were constrained within $$$\pm$$$10% from the
median value. Secondly, it is seen that the stability of R2* and susceptibility
varies across different ROIs and subjects. Thirdly, it was observed that R2*
showed a better level of stability as compared to the susceptibility, as
indicated by the extents of the whiskers. In Fig.2b, strong positive linear
correlations were observed between susceptibility and R2*, and visually the
resulting linear fitting were in great consistency among measurements from
different sites. The variations of the fitting were assessed by the mean and
standard derivations of the slopes and intercepts of the resulting linear
fitting as shown in the top left corner of the plots. The level of variance of
the fitted linear model is in the similar range to those of the direct
measurements, and similar level of stability of the fitted linear model is
observed in the two subjects.
Discussion and conclusion
In-vivo
stability of R2* and susceptibility at 3T were great: for susceptibility
measure, the largest variations of measurements in all the chosen ROIs fall
within $\pm$20%, which translate to about $$$\pm$$$20ppb for GP and as little as for $$$\pm$$$4ppb CN, this is considerably smaller than the
previously reported variations as blessed by the more consistent experiment
setup; the stability of R2* was slightly better due to its deterministic
computation. Also similar level of stability is achieved in the linear fitting
between R2* and susceptibility. Given all the controllable factors that may
affect the susceptibility measurements have been accounted for, other
inevitable sources of error include noise, registration error, field
inhomogeneity, subject orientation and computation bias may contribute to the
measurement variations.
Acknowledgements
No acknowledgement found.References
[1]
C Liu, et al. JMRI. 2015;
[2] K. Def, et al. JMRI 2015;
[3] P. Lin, et al. AJNR
2015