In this work, we address the question if variable density sampling of 2D Cartesian knee sequences can improve deep learning-based MRI reconstruction. Our results suggest that incoherent artifacts introduced by variable density sampling are beneficial to reconstruct highly accelerated sequences. Additionally, we show that our learning-based approach for regular sampling improves reconstruction results compared to classical compressed sensing methods with variable density sampling for our target application.
Many clinical protocols use a regular sampling scheme with fully-sampled k-space center to estimate coil sensitivity profiles (see Figure 1a). However, this sampling scheme leads to characteristic backfolding artifacts illustrated by the point-spread function (PSF) in Figure 1c. Using a variable density sampling pattern (Figure 1b) that has the same fully-sampled k-space center and the same amount of phase encoding steps as the regular sampling scheme introduces more incoherent artifacts (Figure 1c). The variable density sampling pattern is generated according to Lustig et al$$$^1$$$.
In order to perform retrospective downsampling experiments, we obtain fully-sampled data from 10 patients part of a study approved by the IRB using a clinical 3T system (Skyra, Siemens Healthineers) and a 15-channel knee coil. We acquire the following sequences: Proton density weighted (PD) coronal scans with sequence parameters TR=2800ms, TE=27ms, TF=4, matrix size 320x288 and PD with fat saturation (FS) coronal scans with sequence parameters TR=2870, TE=33ms, TF=4, matrix size 320x288. We train individual variational networks$$$^3$$$ using regular and variable density random sampling patterns for acceleration factors $$$R\in\{3,4\}$$$ on 100 slices from 5 patients. The network architecture consists of 10 gradient descent steps. In each of these steps, we learn the regularization term that consists of 48 filter kernels of size $$$11\times 11$$$ along with their corresponding activation functions and the regularization parameter that balances between data fidelity and regularization term. The network architecture is trained to minimize the mean-squared error (MSE). Testing is performed on the remaining 5 patients resulting in a total of 160 slices for PD and 148 slices for FS.
As a reference parallel imaging combined CS method (PI-CS), we use Total Generalized Variation (TGV) reconstruction$$$^4$$$. All regularization parameters are individually selected for each contrast, acceleration factor and sampling pattern such that the results minimize the MSE.
We report quantitative results in terms of the MSE, normalized root-mean squared error (NRMSE) and Structural Similarity Index (SSIM) for PD in Figure 2 and FS in Figure 3. Both sequences show the same behavior: Regular sampling outperforms variable density random sampling for $$$R=3$$$ in terms of all quantification measures. The introduced randomness improves the reconstruction results for both PI-CS TGV and our learned network for $$$R=4$$$.
Qualitative results for a PD scan are illustrated for $$$R=3$$$ in Figure 4 and $$$R=4$$$ in Figure 5. These results verify the previous observations: For acceleration factor $$$R=3$$$, results based on regular sampling appear sharper. The k-space of regular sampling verifies the improved reconstruction quality: The k-space for regularly sampled network reconstruction in Figure 4i appears homogeneous, while the k-space for randomly sampled network reconstruction results shows inhomogeneities where larger gaps are present (Figure 4j). Results for $$$R=4$$$ illustrated in Figure 5 indicate the improved reconstruction quality of randomly sampled data. The variational network reconstructions appear sharper and more natural compared to the PI-CS method in all cases. Additionally, our networks learned for regular sampling $$$R=4$$$ outperform (PD) and are on par (FS) with TGV for variable density random sampling $$$R=4$$$. Figure 5i and Figure 5j show the k-spaces of the regularly and randomly sampled network reconstructions.
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