Thomas Martin1,2, Andres Saucedo1, Tess Armstrong1, Holden Wu2, Danny Wang3, and Kyunghyun Sung2
1Biomedical Physics, UCLA, Los Angeles, CA, United States, 2Radiological Sciences, UCLA, Los Angeles, CA, United States, 3Neurology, UCLA, Los Angeles, CA, United States
Synopsis
Respiratory
motion is one of the biggest confounders of liver DCE-MRI. There are methods that use a 3D radial
self-gated signal (SGS) to compensate for respiratory motion. However, SGS
includes both
respiratory motion and contrast uptake in DCE-MRI, and
it is not trivial to perfectly
separate the two from SGS,
leading to inaccuracies of respiratory motion. In this work, we propose
a method to extract the respiratory motion only from SGS using golden
angle radial acquisition with two-point Dixon
separation. The
proposed method utilizes the fact the
fat-only SGS does
not include contrast uptake while
including the same respiratory motion.Introduction
Liver
dynamic contrast enhancement MRI (DCE-MRI) is a promising non-invasive imaging technique
that can be used to qualitatively and quantitatively assess hepatocellular
carcinoma (HHC) and other liver diseases [1].
Accurate liver perfusion quantification has been challenging largely due
to the respiratory motion. A 3D radial “stack-of-stars” (SOS) trajectory has
great potential to be used in liver DCE-MRI because of its inherent motion
robustness, and furthermore, self-gating during free breathing can be
accomplished due to the acquisition of the center of k-space every TR [2-4]. However, the self-gated signal (SGS) from the
center of k-space includes both respiratory motion and contrast uptake in
DCE-MRI, and it is not trivial to perfectly separate two from SGS [5], leading
to inaccuracies of respiratory motion. In this work, we propose a method to
extract the respiratory motion only from SGS using golden angle radial
acquisition with two-point Dixon separation. The proposed method utilizes the
fact the fat-only SGS does not include contrast uptake while including the same
respiratory motion.
Methods
Two echoes (S
1: in-phase and S
2:
out-of-phase) were acquired using a 3D Golden Angle (GA) Radial VIBE Dixon WIP
sequence on a 3T Siemens Skyra scanner (Siemens Healthcare, Erlangen, Germany).
The proposed fat-only SGS method consists of the following steps; 1) the fat-only signal
(S
F) was computed as S
F = 0.5×|S
1 – S
2|
[6]. 2) The SGS was obtained by taking
the FFT of the center (kx = ky = 0) kz-axis of
the data and arranged in a time series [5] (Fig. 1), and the respiratory motion
was extracted using a weighted sum, Z intensity-weighted position (ZIP) [4].
The coil closest to the diaphragm was chosen to determine the respiratory
motion. 3) A low-pass hamming filter was applied to smooth out the noise. The
end-expiration state was reconstructed; by binning the data into that motion
state and then using an NUFFT.
To evaluate the effectiveness of the proposed
fat-only SGS, four in-vivo MRI studies were performed during free-breathing without
contrast injection. The scans had the following parameters: TR = 3.85ms, TE1
= 1.23ms, TE2 = 2.46ms, FOV 380 x 380 x 144 mm
3, 256 x
256 x 48 matrix size, 860 radial spokes, flip angle = 7°, and TA ≈ 2:40min.
Then we compared the fat-only (S
F) SGS with the conventional SGS from S
1. S
1 is assumed to
be the standard signal for SGS and to include both respiratory motion and
contrast uptake in DCE-MRI. To further validate the respiratory signal, each
subject was instructed to breath normally for the first 90 seconds, then to
breath-in deeply and exhale all the way, then to breath more rapidly for the
rest of the scan.
Results
Figure
2 compares the fat-only respiratory signal with S
1 respiratory
signal. The two signals are comparable
and have maximums and minimums at similar times. In figure 2b the fat signal
follows the instructed breathing patterns that were given to the subjects. Figure 3 shows the end-expiration reconstructed
image of S
1 using the binning from S
F and S
1
respiratory motion and no motion correction. There are more streaking artifacts
in the S
F and S
1 binned images compared to no motion
compensation due to the undersampling.
The
streaking artifacts can be removed using a more complex reconstruction, such as
compressed sensing. Despite the streaking artifacts, there is more blurring in the image with no motion
compensation. The images reconstructed by using
S
F and S
1 SGS’s are comparable in resolution, which is to
be expected.
Discussion
The
study shows that the changes in the respiratory signal could be clearly seen and
were at proper timing on both conventional and fat-only self-gating signals.
The proposed method can be advantageous in liver DCE-MRI due to its inherent
separation between respiratory motion and contrast uptake in fat. If there were
contrast injected then it would be expected that the S
1 SGS in
figure 2a would have a sharp change in signal during contrast uptake, and the S
F
SGS would remain the same. The limitations of this study are that there was no
direct comparison of the respiratory motion with ground truth, and no
validation scan using DCE-MRI. Future
studies will include DCE-MRI scans and accurate monitoring of respiratory
motion with a bellows system.
Conclusion
We have demonstrated that the respiratory
motion can be extracted using the fat-only self-gating signal acquired from
a two-point 3D GA Radial VIBE Dixon, which has implications of a more robust
motion correction for liver DCE-MRI.
Acknowledgements
This
study was supported in part by the National Institutes of Health (NIH) under
Grant No. NIH U01 HD087221 .References
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[2] Grimm et al. #3814, ISMRM 2012
[3] Grimm et al. #2232, ISMRM 2011
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2011
[5] Feng et al. MRM, 2015
[6] Ma, JMRI 28, p543,
2008