Cornelis A.T. van den Berg1 and Stefano Mandija1
1Centre for Image Sciences, UMC Utrecht, Utrecht, Netherlands
Synopsis
This study gives an overview of the principles of Electrical Properties Tomography. The aim is to introduce researchers new to EPT in the basic EPT reconstruction principles, EPT artifacts and new directions.
It reviews Helmholtz based reconstruction, B1+ phase and transceive phase, boundary errors of EPT, forward vs inversion based EPT reconstruction and the synergy of EPT at high fields.
Objectives
-
Obtain knowledge of various EPT reconstruction
frameworks and understand their strengths and weaknesses.
-
Understand the assumptions behind transceive
approximation and methodologies to obtain direct B1+ phase.
- Understand the nature of reconstruction error at tissue boundaries
-
Understand the differences between forward and
inverse EPT approaches.
-
Understand the performance of EPT for increasing
field strength.
Introduction
Electrical Properties Tomography
seeks to reconstruct the electrical conductivity and dielectric permittivity of
human tissue from MRI based measurements of the B1+ transmit fields. The
earliest attempt is the study by Haacke et al. but due to “spurious phase
effects” was unable to demonstrate the feasibility [1]. Wen [2] showed first
experimental results in 2003 but systematic research on socalled Electrical
Property Tomography (EPT) only began in 2009 with the study by Katscher et al.
[3] Since then the topic has gained traction and numerous
studies have been published focusing mainly on acquisition and reconstruction
aspects of EPT[4-8].
More recently more applications oriented papers have been published. In this
educational talk some of the underlying principles of EPT, key
electromagnetical aspects and assumptions and recent technical progress on EPT
will be discussed.Helmholtz based Electrical Properties Tomography
Helmholtz based Electrical Properties Tomography
Most of the published EPT
approaches are based on the so-called full Helmholtz wave equation:
$$
-\triangle \overrightarrow{B}=\mu_{0}\omega k\overrightarrow{B}+\frac{\triangledown k}{k}\left(\triangledown\times \overrightarrow{B}\right)$$
which can be defined for a
time-harmonic, source free magnetic field B=(Bx, By, Bz) and a complex permittivity (k=ωε-iσ) at an angular frequency ω.
The second term in this wave equation couples different magnetic field
components at regions where EP transitions occur. As this equation is valid for each Cartesian component,
a similar equation can be drafted also for the positive circularly polarized
component B1+ = (Bx + iBy)/2. A so-called
truncated Helmholtz equation (eq. 2) can be formulated for the B1+ field for
areas where gradient in k is zero, i.e. a piece-wise constant medium is
assumed:$$-\triangle B_{1}^{+}=\mu_{0}\omega k B_{1}^{+}$$
With this truncated Helmholtz
equation the complex permittivity k
can be easily isolated. Unfortunately, several fundamental and technical issues
complicate matters. These will be described in more detail below.
The transceive approximation
The transceiver phase approximation. Contrary to e.g. parallel transmission where the relative B1+ phase between different coil channels need to be mapped for proper RF shimming (see Figure 1a ) ,the B1+ phase required in EPT is the B1+ phase difference between two spatial location (See Figure 1b). However, in an MRI experiment, the radiofrequency field weighs into the signal formulation through the transmit field B1+ as well as the coil’s receive sensitivity, the B1- field. Therefore the total RF related signal phase arises from the phase of the B1+ transmit and B1- receive fields (See Figure 1c). We can define this phase as the socalled transceiver phase:$$\phi_{0}=\frac{\left(\phi_{+}+\phi_{-}\right)}{2}$$ where $$$\phi_{+}$$$ and $$$\phi_{-}$$$are the phase of the B1+ and B1- phase respectively. An often applied approximation in EPT, first introduced by Wen [2] called the transceiver phase approximation $$\phi_{+}\approx\frac{\phi_{0}}{2}$$We can analyze the physical rationale behind the transceive phase approximation by analyzing the B1+ transmit field and B1- receive field in more detail. In this analysis we assume for simplicity purpose that the transmission and reception takes place through the body coil (BC). Note that often a reception is performed through dedicated receiver array. However, when one applies receive field bias removal by a complex division by the receiver array’s sensitivity pattern, the effective receive field that enters is again the receive field of the body coil. This is the result of the way receiver array’s sensitivity pattern are typically determined. Typically, an image of a low flip GRE sequence recorded by the receiver array, is divided by an identical image recorded by the body coil. Assuming the body has a homogeneous receive field, this should result in a map of the receiver’s array sensitivity pattern. The body coil is typically of birdcage design and its two orthogonal channels are driven in quadrature. To be able to explain the principle of the transceive phase approximation, we follow the formulation of Overall et al, in the designation of the transverse magnetic field component for a quadrature birdcage coil. If we assume port $$$\alpha$$$ has an incident transverse magnetic field along the x-direction, the interaction of the incident field with the object results in an effective magnetic field $$$B_{x}^{\alpha}$$$ in the primary direction and a secondary field $$$\delta B_{y}^{\alpha}$$$ in the y-direction. This secondary field appears due to scatter currents in the objects (e.g. eddy currents). For port $$$\beta$$$, a similar formalism holds and we denote the primary field by $$$B_{y}^{\beta}$$$ and the secondary field $$$\delta B_{x}^{\beta}$$$. Assuming that a phase shift –i is applied in transmit to port $$$\beta$$$ in quadrature, the total transmit B1+ field $$$ B_{1}^{+}(_{quadTx})$$$ is given by:$$B_{1}^{+}(_{quadTx})=\frac{B_{x}^{\alpha}+B_{y}^{\beta}}{2}-i\left(\frac{\delta B_{x}^{\beta}-\delta B_{x}^{\alpha}}{2}\right)=K-iL$$ where we have denoted the term related to primary fields by K and the term related to the secondary field by L. Similarly, in receive mode a phase shift +i is applied to port $$$\beta$$$ , and the total receive field $$$ B_{1}^{-}(_{quadRx})$$$ is given by: $$B_{1}^{+}(_{quadRx})=\frac{B_{x}^{\alpha}+B_{y}^{\beta}}{2}+i\left(\frac{\delta B_{x}^{\beta}-\delta B_{x}^{\alpha}}{2}\right)=K+iL$$ Substituting these equations into the transceive phase we see that the only possibility for the transceive phase to reflect the B1+ phase is by setting the term L related to the secondary field equal zero. In that case, the transceive phase is indeed: $$$\phi_{+}=\frac{\phi_{0}}{2}$$$ This analysis demonstrates that the transceive phase approximation assumes the term L to zero. Physically, this can be achieved in a situation where the secondary fields are negligible which is generally the case for low field strengths (£ 1.5 T) and low conductive objects. Another possibility is that the secondary fields of channels a and b cancels each other over the objects which sets certain requirements with respect to their mutual amplitude and phase and therefore their position with respect to object. Such a situation is achieved for a spherical or cylindrical object placed symmetrical with respect to the ports.
For an elliptical object which is
a more realistic approximation for anatomies such as the head, some caution
should be respected. This is further
illustrated in the figure 2 for a 7T quadrature birdcage coil. Given
typical diagonal location of the ports $$$\alpha$$$
and $$$\beta$$$ of birdcage with respect
to the major and minor axes of the ellipse, a mirror symmetry is apparent. It
is observed that the secondary fields are minimal on the major and minor axis.
Thus, given this mirror symmetric placement of the ports with respect to the
ellipse, we see that the transceive phase approximation typically holds in the center
of the ellipse but its approximation will deteriorate in more peripheral
regions, especially in diagonal regions. For human anatomies such as the head
or the pelvis, the ellipse is of course a first order approximation. Still, similar
considerations have shown to hold for these anatomical regions[10,11].
An additional consideration in
the validity of the transceive phase approximation is the effect of field
strength A study by Van Lier et al. [12] has shown that in generally
the transceive phase approximation remains fairly valid in the head at 3T, but
a 7T is no longer valid and leads to erroneous conductivity and permittivity
reconstructions (see figure 3 above). In the human abdomen and pelvis the
approximation already deteriorates at 3T as the larger dimensions approach the
“optical” wavelength. In general, one
can state that the attractive feature of the transceive phase approximation is
that it enables EPT with standard radiofrequency hardware. However, its
validity at field strengths higher than 3T is very limited.
A relevant aspect to mention here
is the so-called phase-only EPT. As observed by Wen et al, conductivity information is primarily derived
from RF phase information. As shown in detail by Voigt et al. [13] .
in cases where the gradients in the B1+ magnitude are negligible, the
conductivity \sigma can be simply calculated
by taking the Laplacian on the transceive phase, which is referred to as the
phase-only EPT. As demonstrated below, the linearity of this phase based EPT
enables the circumvention of the transceive phase approximation: $$\sigma=\frac{\phi_{0}}{2\mu_{0}\omega}=\frac{\left(\phi_{+}+\phi_{-}\right)}{2\mu_{0}\omega}=\frac{\sigma}{2}+\frac{\sigma}{2}$$
In recent years various groups have
shown ways to access directly the B1+ phase. An approach based on Gauss’ law
was published by Zhang et al [14] that replaced the transceive approximation
by the assumption that the gradients in Hz are negligible. For high
field this might be advantageous as one can manage the validity of this
assumption through proper RF coil design.
Other methodologies are generally based on the fact that several
transmit (Tx) channels are available and each Tx channel should result in
identical EPT reconstructions. This situation is often the case for 7T where
parallel transmit setups are quite common. A first study exploiting this concept
was by Zhang et al. calling it the “Dual excitation algorithm” of [15],
where it was applied to the EPT boundary problem. Later [16, 17],
this concept was used to isolate the receive phase (common for all TX channels)
and facilitating absolute H+ phase maps. The approach presented by
[Marques14] differentiates itself by reconstructing EP maps based solely on relative
sensitivity maps of receive coils. This has the advantage that (in contrast to
map TX coil sensitivities) all coil sensitivities can be mapped simultaneously
in a fast single scan, and thus, the method was dubbed “Single Acquisition
Electrical Properties mapping” (SAEP). A more generalized methodology was
presented by [18,19] aiming to reconstruct even more
electromagnetic quantities by considering the general case of anisotropy and
gradient in EPs, called (generalized) “Local Maxwell Tomography” (LMT).
Boundary error
A key disadvantage of the
truncated Helmholtz reconstruction framework is that it fails at dielectric
interfaces because of the invalidity of the reconstruction model. At the
location of the interfaces, the full Helmholtz equation should be used. The
error, this invalidity creates, has been investigated by several authors.
Recently more advanced EPT reconstruction frameworks which take into
consideration this boundary term have been presented. A framework for EPT,
called gradient-based Electrical Properties Tomography (gEPT) was introduced by
Liu et al.[20]. It is based upon the full Helmholtz equation, thus including gradients
in electrical properties (Eps) at tissue boundaries. Assuming that derivatives
of dH±/dz are much smaller dH±/dx, dH±/dy , which is generally true for most
coil types in the central imaging zone, they demonstrated that all three
spatial EP gradients could be reconstructed from multi-channel transceiver H+ or H- field data . By subsequent spatial integration
starting from certain seed points with known EP, the complete EP distribution
can be recovered. Furthermore, the gEPT
framework is free of any phase assumptions. In their work, the authors present
7T brain results that demonstrate the superiority of their gEPT approach over
conventional EPT.
Another approach which takes into
consideration also gradients of conductivity at interfaces has been presented
by Gurler et al. [21] This approach is based on transceive phase data and is
intended for conductivity reconstruction only. The final reconstruction
requires the solution of a partial differential equation forming a convection-reaction-diffusion
equation where only the transceive phase appears in the equation. This equation
is solved with a finite difference scheme on a grid. In this approach also
several assumptions are being made: (a) |\triangledown B_{1}^{+}| \approx0, |\triangledown B_{1}^{-}| \approx0 , (b) all derivatives with respect to Hz are ignored and (c) \sigma >> \omega \epsilon.
Assumptions (a) and (c) are also underlying the “phase-based conductivity
imaging” and lead to over-estimations of conductivity (e.g., approximately 20%
for white and gray matter at 3T).
As said, the above mentioned
reconstruction framework try to address the model invalidity of conventional
EPT at tissue boundaries. However, in addition to the resulting artifacts,
also the numerical approximation of
spatial derivatives places an important role. In practice, first and second
order derivatives are computed by convolving the reconstructed MR image on a
discretized grid with finite difference
schemes (kernels). The problem is that at tissue boundaries, the kernels used
to approximate spatial derivatives include voxels belonging to regions with
different electrical properties resulting in erroneous reconstructions.
This typically leads to under and over shooting of the reconstructed
conductivity and permittivity values at boundaries. The spatial extent of these
erroneous regions can be decreased by reducing the differentiation kernel, see
Fig. 4 for an illustration of this effect on simulated B1+ data of a phantom consisting of various conductivity
compartments. However, since the differentiation makes EPT very
susceptible to noise on B1+ data, typically a relatively large spatial
differentiation kernel has to be used resulting in severe blurring in final
reconstructions. Forward vs Inversion based reconstruction approaches
All the described EPT
reconstruction framework can be categorized as forward based approaches, i.e.
operations are performed on measured B1+ field data which suffers of course of
the presence of noise. An alternative approach, as proposed by various studies
[22-24], is a general inverse method,
running “forward” from tissue EPs to (measurable and non-measurable) fields.
Thus, this approach fits a model of the EP distribution to the B1 field avoiding any
differentiation on the measured B1
field. The fitting takes places by iteratively minimizing a large system
(over all voxels) of non-linear equations with iterative methods such as
conjugate gradient methods. The key advantage is that differentiations on
measured noisy B1+ data are avoided. However, this comes at the expense of
increasing computation costs due slow convergence and scale of the optimization
problem. Furthermore, this type of non-linear inverse approaches that work by
iterative optimization always have the risks of ending up in local minima.
However, some of these approaches have shown some good results with excellent
performance at tissue boundaries.
Applications at high fields.
EPT derives information of local EP from the local RF field
curvature. Since the RF field curvature increases at high field due to a higher
wavenumber, in addition to increased signal-to-noise of high static fields, the
sensitivity of EPT is expected to increase with field strength. The study of
Van Lier et al [12], demonstrated this aspect clearly. Using similar coils setups at
1.5, 3 and 7T they were able to show empirically that the sensitivity for
conductivity scales approximately linearly with field strength, while the
sensitivity to permittivity even scaled quadratically. This aspect was worked
out in more detail by Lee et al [25], demonstrating clearly the synergy of EPT with
increasing field strength. Of course a difficulty at higher field strength is
that some of the assumptions of conventional EPT such as the transceive phase
approximation start to break down. Fortunately, the recent new reconstruction
frameworks such as gEPT have found mitigation strategies for this issue, and it
seems that the route of successful development of EPT at high field lies open. Conclusions
EPT is a relatively young MRI technique that can
non-invasively probe electrical properties of tissues. This has potential
applications in RF safety assessment (local SAR determination) and more
importantly, offers a new endogenous contrast to characterize tissue
pathologies. The first EPT reconstruction framework was based upon the
truncated Helmholtz equation which fails at tissue boundaries and is
susceptible to noise amplification through its 2nd finite
differentiation. Recently, more sophisticated approaches such as gEPT have been
presented that address the boundary artefact. A new trend is the switch to inversion
approach as compared to the forward approaches. These type of approaches avoid
differentiation on measured noisy B1+ field data and are more flexible in their
formulation allowing e.g. the inclusion of regularization. Finally, in addition
to improved reconstruction techniques, much gain in terms of sensitivity can be
achieved by switching to higher field strengths.Acknowledgements
The authors thank Rob Remis and Ulrich Katscher for the open scientific exchange on EPT that helped to shape this abstract. References
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