SCRUB: A Structural Correlation and Empirical Robust Bayesian Method for ASL Data
Sudipto Dolui1,2, David A. Wolk2, and John A. Detre1,2

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States

Synopsis

We propose SCRUB, a data cleaning technique to improve cerebral blood flow (CBF) estimation based on arterial spin labeling (ASL) data. The method consists of (i) an outlier detection and removal stage and (ii) a subsequent voxel-wise empirical robust Bayesian estimation step. Compared to alternative options, SCRUB provided (i) better retest agreement between CBF values obtained from ASL scans of elderly Controls in ADNI database acquired 3 months apart, and (ii) better discrimination between Controls and patients with Alzheimer’s disease (AD) based on CBF values in several regions of interest which are sensitive to AD related changes.

Purpose

We propose and validate a data cleaning strategy for arterial spin labeling data.

Introduction

Arterial Spin Labeling (ASL)1 provides non-invasive quantification of regional cerebral blood flow (CBF). It’s characteristic low signal to noise ratio (SNR) is compensated by acquiring and signal averaging multiple tag-control pairs. However the process is often undermined by large spatially constrained artifacts present in some or potentially all of the CBF volumes in the time series. In 2, we proposed structural correlation based outlier rejection (SCORE) for detecting and discarding outlier volumes contributing to the artifacts. However, it is based on either keeping or discarding an entire CBF volume in the time series. Some volumes are also retained to improve SNR at the expense of preserving the artifact. Hence further improvement is potentially feasible based on signal processing on individual voxel level. In this abstract, we propose Structural Correlation with RobUst Bayesian (SCRUB) estimation, an Empirical Robust Bayesian approach on the voxels after application of SCORE.

Materials and Methods

SCRUB is compared with simple average (SA), mean and standard deviation based filter (MSD),3 Huber’s M Estimation (HME) 4 and SCORE using pulsed ASL data from Alzheimer’s Disease Neuroimaging Initiative (ADNI) study (http://adni.loni.usc.edu). The superiority of SCRUB is demonstrated by (i) visual comparison and by comparing (ii) variability in mean CBF in several regions of interest (ROIs) from ASL data acquired 3 months apart, measured using coefficient of variation (CV), for 52 control subjects, and (iii) ability to differentiate 61 Controls and 49 AD patients by comparing the effect sizes in hippocampus, posterior cingulate cortex (PCC) and precuneus, which are sensitive to AD related changes.5 For preprocessing, raw label-control time series were motion corrected,6 and then the CBF time series were estimated following the model in 7. Separately acquired T1 weighted MPRAGE images were segmented to obtain tissue probability maps (TPMs) for grey matter (GM), white matter (WM) and cerebrospinal fluid (CSF), and then coregistered to the native space for use in SCRUB.

SCRUB Algorithm

SCRUB consists of (i) SCORE and (ii) a subsequent empirical Robust Bayesian estimation8 step. SCORE first discards CBF volumes, whose GM means are 2.5 standard deviation away from the median of the GM means. Thereafter it iteratively removes volumes that are most structurally correlated to the intermediate mean CBF map unless the variance within each tissue type starts increasing (which implies an effect of white noise removal as opposed to outlier rejection). Then SCRUB estimates CBF at voxel $$$(x,y,z)$$$ as $$\hat{CBF}_{x,y,z}=\arg\min_\theta \sum_{t=1}^N \rho(CBF_{x,y,z,t}-\theta)+\lambda_{x,y,z}(\theta-\mu_{x,y,z})^2\hspace{3cm}(1)$$

$$\mu_{x,y,z}=\sum_{i\in {\rm Tissue~type}}p_{x,y,z,i}\mu_i\hspace{5cm}(2)$$

$$ \lambda_{x,y,z}=\begin{cases}\eta_{x,y,z}^4 & \eta \leq1\\ 4\eta_{x,y,z}-3 & \eta > 1\end{cases}\hspace{4.5cm}(3)$$

using an iterative reweighted least square method. Here $$$CBF_{x,y,z,t}$$$ is the CBF at voxel location $$$(x,y,z)$$$ and time $$$t$$$, $$$p_{x,y,z,i}$$$ is the tissue probability of the $$$i$$$th tissue ($$$i\in$$$ {GM, WM, CSF}) at location $$$(x,y,z)$$$ and $$$\mu_i$$$ is the mean CBF for $$$i$$$th tissue estimated from SCORE output. The first term on the right hand side in Equation (1) is a data fidelity term. The second term is a prior term (Bayesian framework), which ensures that the solution is not too different from the expected value based on tissue probabilities and tissue global means. $$$\rho$$$ is set to Tukey’s bisquare function, which is less sensitive to large errors (compared to square error function) and thus imposing robustness to the solution. $$$\lambda$$$ is a weighting parameter and $$$\eta_{x,y,z}$$$ is the ratio of temporal variance at $$$(x,y,z)$$$ and the overall variance for all the voxels. Higher $$$\eta$$$ implies higher temporal variance compared to the global variance, and hence a less reliable voxel, and thus assigns more weight (higher $$$\lambda$$$) on the prior term.

Results and Discussion

Figure 1 provides visual comparison of the different reconstruction algorithms. The top row of Figure 1 demonstrates an example of artifact, which was caused by outliers and hence was corrected by SCORE itself and where SCRUB produced very similar result. The artifact in the bottom row, on the other hand, was not solely due to outlier volumes, and hence although SCORE improved the map compared to other methods, SCRUB provided a much better CBF map. Figure 2 shows the CVs (higher CV implies more disagreement between different sessions) corresponding to different ROIs. The number of subjects rejected from the calculation of combined CV because of high values (CV>$$$100\%$$$) for those subjects are shown above each bar. In each case, SCRUB provided the best reliability and also discarded the lowest number of subjects. Finally, figure 3 shows the effect sizes for Control-AD discrimination for all the algorithms. SCRUB provided better discrimination on an average for the ROIs sensitive to AD.

Acknowledgements

R01 MH080729 and P41 EB015893 and Alzheimer’s Disease Neuroimaging Initiative study

References

1. Detre, J.A., Leigh, J.S., Williams, D.S. & Koretsky, A.P. Perfusion imaging. Magnetic resonance in medicine 1992; 23(1): 37-45.

2. Dolui, S., Wang, Z., Wolk, D.A. & Detre, J.A. An Outlier Rejection Algorithm for ASL Time Series: Validation with ADNI Control Data. In Proceedings of the International Society for Magnetic Resonance in Medicine (ISMRM), Toronto, Canada, 2015; 2356.

3. Tan, H. et al. A fast, effective filtering method for improving clinical pulsed arterial spin labeling MRI. Journal of Magnetic Resonance Imaging 2009; 29(5): 1134-1139.

4. Maumet, C., Maurel, P., Ferre, J.C. & Barillot, C. Robust estimation of the cerebral blood flow in arterial spin labeling. Magnetic resonance imaging 2014; 32(5): 497-504.

5. Wolk, D.A. & Detre, J.A. Arterial spin labeling MRI: an emerging biomarker for Alzheimer's disease and other neurodegenerative conditions. Current opinion in Neurology 2012; 25(4): 421-428.

6. Wang, Z. Improving cerebral blood flow quantification for arterial spin labeled perfusion MRI by removing residual motion artifacts and global signal fluctuations. Magnetic resonance imaging 2012; 30(10): 1409-1415.

7. Alsop, D.C. et al. Recommended implementation of arterial spin-labeled perfusion MRI for clinical applications: A consensus of the ISMRM perfusion study group and the European consortium for ASL in dementia. Magnetic resonance in medicine 2015; 73(1): 102-116.

8. Yuanxi, Y. Robust Bayesian Estimation. Bulletin géodésique 1991; 65(3): 145-150.

Figures

Figure 1. Estimation of CBF maps using (left to right) simple average, MSD, HME, SCORE and SCRUB. (Top row) Artifact (shown by the yellow arrows) is mostly because of few outliers. (Bottom row) Artifacts (shown by the red and green arrows) are not solely because of outliers. SCRUB removed artifact in both the cases whereas SCORE was successful only in the first case.

Figure 2. Coefficient of variation for test-retest of CBF in grey matter (GM), whole brain (Global), hippocampus (HP), posterior cingulate cortex (PCC) and precuneus (PCN) for each method. The number above each bar shows the number of subjects eliminated (because of high individual CV) from the computation of combined CV.

Figure 3. Effect sizes in Control-AD discrimination based on CBF in precuneus, PCC and hippocampus.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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