Diffusion Kurtosis Imaging (DKI) suffers from high sensitivity to noise and therefore requires long scanning times (up to 150 diffusion weighted images, DWIs). This work proposes a model-based denoising technique to overcome this limitation: A generalized multi-shell spherical deconvolution model is formulated and DWIs are denoised by a projection into the space spanned the model. We demonstrate noise reduction for DKI metrics yielding improved image quality of kurtosis maps from as few as 30 DWIs. This corresponds to greater than four-fold reduction in scan time as compared to the widely used 140-DWI acquisitions.
Spherical Deconvolution1,2 (SD) models HARDI-data as a linear superposition of elementary Gaussian decays with a fixed diffusion constant. While this is a highly simplified representation of the underlying microstructure, SD provides fiber orientation distributions (FODs) that allow resolution of (potentially crossing) white matter (WM) fiber directions. Recently the model was extended to a multi-shell multi-tissue (MSMT) approach3 by adding two isotropic basis functions (for gray matter (GM) and CSF, respectively) to successfully reduce partial-volume effects. This work proposes a further generalization of MSMT-SD called genSD, modelling the signal as
$$\hat{S}(b,q)=\sum_{j=1}^J\sum_{n=1}^N f_{aniso,j,n}\exp\left(\lambda_{\parallel,j} b(q^Tu_n)^2 \right)\exp(-\lambda_{\perp,j}b(1-(q^Tu_n)^2))+\sum_{k=1}^Kf_{iso,k}\exp(-\lambda_{iso,k}b)$$
with diffusion encoding direction q, b-value b, J≥1 series of anisotropic decays (diffusion constant pairs $$$\lambda_{\parallel,j}$$$, $$$\lambda_{\perp,j}$$$) in FOD-directions (tessellation of the unit sphere) and K≥1 isotropic decays (constants $$$\lambda_{iso,k}$$$). For J=1, K=2 this is equivalent to MSMT-SD and for J=1, K=0 to standard SD. Given measured multi-shell diffusion data $$$S(b,q)$$$ the unknown coefficients $$$f_{aniso,j,n}$$$ and $$$f_{iso,k}$$$ are computed using the Richardson-Lucy Algorithm2 . In contrast to SD and MSMT-SD the purpose of genSD is not to use the computed coefficients for tractography but to insert them into the forward model above and use $$$\hat{S}$$$, i.e. the projection of the data into the space spanned genSD, for tensor fitting.
DKI data were acquired from 20 healthy volunteers (3T GE MR750 (GE Healthcare, Milwaukee, WI, USA), 32-channel head coil (Nova Medical, Wilmington, MA, USA), single shot EPI, single spin echo, multiband factor 3, ASSET factor 2, 2.5 mm isotropic resolution) using a 3-shell 140-direction scheme4 (25-40-75 directions with b = 700, 1000, 2800 mm2/s, respectively) and 8 b=0 images.
After affine distortion correction, the 140-direction data sets were used to generate 16 “accelerated DKI acquisitions”, i.e. subsets of the original data comprising #D directions (c.f. Tab. 1). The subsampling was performed by randomly drawing the desired number of directions per shell. This drawing was repeated 1000 times and the sampling pattern with the lowest “electrostatic potential” both within and across shells5 was chosen, maximizing angular incoherence. The proposed genSD-denoising was applied to both, the 140-direction data and the accelerated data sets, using heuristically tuned parameters (c.f. Tab. 2). The diffusion and kurtosis tensor was fitted to all data using a weighted linear-least squares estimator6. Derived metrics were computed including Fractional Anisotropy (FA), parallel (Kpar) and orthogonal Kurtosis (Korth) and Kurtosis Anisotropy7 (FAK).
Fig. 1 displays FA and kurtosis maps of an exemplary subject and slice for #D=140, 100, 60, 40, 30 both with and without genSD denoising. The denoised maps appear less noisy, contain fewer outliers and better preserve the original contrast when going to higher accelerations. Fig. 2 shows scatter plots of the same metrics confirming the findings from Fig. 1, particularly the noise reduction (e.g. reduced FA in CSF marked with “A”) and the suppression of outliers (“C”, corresponding to a removal of “hot pixels” in the FAK maps). We also note increase of low-kurtosis values (“B”) corresponding to a reduction of signal voids in the maps. While genSD tends to add a small bias to the metrics, this loss in accuracy is small compared to the improved precision.
Fig. 3 displays the root mean squared error (RMSE) of the selected metrics (normalized by the voxel count) for all subjects as a function #D. Due to the lack of a ground truth, the #D=140 data (with and without denoising) serve as references for computing the RMSE. Using genSD the RMSE grows more slowly, indicating improved stability relative to the standard approach, as #D is reduced. These results are very consistent across all subjects, indicating the robustness of genSD using a fixed set of model parameters.
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