Tetiana Dadakova1, Ali Caglar Özen1, Axel Joachim Krafft1,2,3, Jan Gerrit Korvink4, and Michael Bock1
1Dept. of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2German Cancer Consortium (DKTK), Heidelberg, Germany, 3German Cancer Research Center (DKFZ), Heidelberg, Germany, 4Institute of Microstructure Technology, Karlsruhe Institute of Technology, Karlsruhe, Germany
Synopsis
MR-guided acoustic
radiation force imaging (ARFI) is used for the focal spot localization during high
intensity focused ultrasound (HIFU) therapies. The acoustic radiation force
related tissue displacement is measured with help of motion encoding gradients
(MEG). While MEGs are sensitive enough to detect micrometer-scale displacement,
the images acquired using MR-ARFI pulse sequences are often corrupted with
artifacts. The method described uses very short FID navigator readout for correction of ARFI images without any manual interaction. ARFI displacement maps corrected by
FID navigator have substantially less artifacts, 2.5 times higher SNR, and clearly visible HIFU focal spot.Purpose
Acoustic radiation
force imaging (ARFI) is a non-invasive tool to localize the ultrasound (US) focus
during high intensity focused ultrasound (HIFU) therapies. In MRI-ARFI the
US-induced tissue displacement is detected with motion encoding gradients (MEG)
with high amplitude and long duration. The MEG can lead to artifacts which are
mainly caused by bulk motion and eddy currents. An effective correction method applied
during ARFI post processing has been presented1, which extracts
a background phase for later subtraction after masking out the focal spot. This
method requires manual selection of the focal spot, which increases post-processing
time, introduces operator bias, and is severely hampered when the uncorrected
displacement data exhibit strong artifacts.
In this work we
propose an alternative method to correct artifacts in ARFI images that acquires a short FID navigator signal which is used later on for correction. The
navigator correction does not require any additional interaction and can be incorporated
into the MR-system’s image reconstruction process.
Methods
For the ARFI
measurements, a spoiled gradient echo (FLASH) sequence was modified to include
bipolar MEGs with interleaved polarities2. An FID navigator that
collects only 32 sampling points (duration 160 μs) was inserted after the slice
selection rewinder gradient prior to any encoding steps (Fig. 1), i.e., the
navigator signal does not contain any spatial encoding and represents the
integral signal over the entire excited volume.
With this sequence an ARFI
experiment was conducted at a clinical 3T MR system (Siemens PRISMA) in a
milk-gelatin phantom3 (gelatin bloom value 175). The slice-selection
direction and the direction of the MEG were parallel to the direction
of ultrasound, and the following parameters were used: TE/TR = 20/60 ms,
resolution 1.2×1.2×5 mm3, MEG duration 10 ms, MEG amplitude 40 mT/m.
The fixed-focus HIFU transducer (1.7 MHz, focal length 6 cm) was triggered by
the MR pulse sequence. Sonication started 4 ms after MEG start and lasted for 6
ms until the end of MEG.
During image
reconstruction the 32 data points within the FID navigator data of each repetition
m were averaged, and the phase φm was calculated. Since
artifacts are mainly caused by phase variations, the mean phase over all repetitions
(N – total number of repetitions) was
subtracted,
$$\triangle\varphi_m = \varphi_m - \frac{\sum_{m=1}^N\varphi_m}{N}, (1)$$
and the remaining phase
difference Δφm was subtracted in complex domain from the
corresponding k-space data acquired during the m-th imaging readout. Corrected imaging data was Fourier transformed
and ARFI displacement maps were reconstructed from the phase difference between
the two different MEG polarities.
Results
The measured phase difference
is shown as a function of the k-space line
index in Fig. 2. As can be seen, the phase change during data acquisition is on
the order of 20 mrad with standard deviation of 5 mrad. In Fig. 3 a comparison
of magnitude images and ARFI displacement maps before and after correction is
shown. Without correction, signal intensity varies substantially, and even
signal voids are present, whereas with correction barely any artifacts can be
seen. Furthermore, with correction the SNR near the focal spot increases by a
factor of about 2.5.
In the ARFI maps the effect of the
correction is even more pronounced: without correction, the ARFI map does not
show any distinct displacement information, whereas with correction a clear and
well-defined displacement is visible at the location of the US focus. At the
center of the focus, the measured displacement with FID correction amounted to 3μm.
Discussion and
Conclusion
In this work, a short
FID navigator is introduced into a FLASH sequence and used for artifact correction
in ARFI displacement images. Without correction the artifacts are very
pronounced and entirely overlay the focal region, so that image-based correction
methods as proposed by Chen et al
1 become difficult, because the
focal spot cannot be unambiguously identified. After navigator correction, the
focal spot is clearly visible and displacements can be reliably detected. The
proposed FID navigator has to be acquired prior to any encoding gradients, so
that the pulse sequences become slightly longer than their conventional
counterparts. However, in this implementation the additional time per TR
interval was only about 1 ms, which is a small fraction and extends the overall
acquisition time by only 1 s. As the navigator
correction method does not require any user input, it might be preferable over
manual correction methods and could be implemented in nearly any ARFI sequence
without substantially prolonging the acquisition duration.
Acknowledgements
This work was supported by the BMBF, Eurostars Project E!6620 PROFUS.References
1. Chen J, et al. Optimization of
encoding gradients for MR-ARFI. Magn Reson Med. 2010 Apr;63(4):1050-8
2. Auboiroux
V, et al. ARFI-prepared MRgHIFU in liver: simultaneous mapping of
ARFI-displacement and temperature elevation, using a fast GRE-EPI sequence. Magn
Reson Med. 2012 Sep;68(3):932-46
3. Farrer
AI, et al. Characterization and evaluation of tissue-mimicking gelatin phantoms
for use with MRgFUS. J Ther Ultrasound. 2015 Jun 16;3:9