Emma Metcalfe-Smith1,2,3, Niloufar Zarinabad2,3, Jan Novak2,3, Hamid Dehghani1,4, and Andrew Peet2,3
1Physical Sciences for Health Doctoral Training Centre, University of Birmingham, Birmingham, United Kingdom, 2Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom, 3Department of Oncology, Birmingham Children's Hospital, Birmingham, United Kingdom, 4School of Computer Science, Birmingham, United Kingdom
Synopsis
Multi-compartment modelling of Diffusion-Weighted MRI data
can provide additional diffusion related parameters. However, to ensure
meaningful parameters are attained, multi-compartment models have to make
several assumptions prior to fitting, including initial parameter values and
multi-step fitting procedures. The novel
Autoregressive Discrete Acquisition Points Transformation (ADAPT) method was
applied to in vivo data. ADAPT demonstrated that it could infer the number of
compartments within the data. When 1-
and 2-compartment ADAPT models were investigated, the ADAPT coefficients were
found to correlate with the parameters attained by the Apparent Diffusion
Coefficient (ADC) and the Intravoxel Incoherent Motion (IVIM) models.
Introduction
An apparent diffusion coefficient (ADC) image is the
simplest way to observe the diffusive behaviour of biological tissue. The ADC
provides a single parameter to describe the average diffusivity for each voxel1.
The diffusion signal detected will be the combination of many different
occurring water-moving processes, such as intracellular and extracellular movement
and motion within blood vessels2. If information for each of these
compartments can be extracted from the signal, a greater understanding of the
fundamental nature and structure of tissue can be attained. The Intravoxel Incoherent Motion (IVIM) model
is a bi-exponential model commonly used to explain the phenomena of diffusion
and perfusion within tissue and has been shown to have clinical relevance3. However,
such a model needs prior knowledge with the requirement of a multistep fitting
procedure and estimation of initial parameter values. The complexity and
variability presented by multi-exponential models thus results in the
prevalence of the ADC model.
In the presented study a novel fitting method for modelling
the multi b-value diffusion weighted imaging, The ‘Autoregressive Discrete
Acquisition Points Transformation’ (ADAPT), method. Such a method treats the
diffusion signal as a function of acquisition points(n)4, thus allowing each
data point to be modelled as a function of the b-values and previous signal
values(lags). As the ADAPT fitting method infers all information from the
lagged data points; no prior information or multistep fitting processes are
required.
The aim of this study was to evaluate a range of different
compartment ADAPT models and compare its resulting parameters to those of the
ADC and IVIM fitting methods.Method
A
volunteer brain scan (age 25), SNR≈50, was acquired
on a Philips Achieva 3T TX MRI scanner at Birmingham Children’s Hospital using
a 32-multichannel receiver head coil. The diffusion-weighted MRI sequence used
a sensitivity-encoded (SENSE) approach with the following parameters: b-values=[0,20,40,80,110,140,170,200,300,
500, 1000], FOV 230x230mm , TR/TE 3,214/84ms, matrix size 256x256, 5mm slice
thickness and in plane resolution 0.9x0.9mm . ADC and IVIM fitting methods were
applied to the diffusion-weighted image. The IVIM model was fitted using a
non-linear least squares minimisation with the Levenberg-Marquardt algorithm,
and a constrained 2-parameter fitting method5. The ADAPT method was fitted
using matrix minimisation techniques for the equation:
$$$ln(S_n)=\sum_{i=0}^{Q} β_ib_{n-i} + \sum_{j=1}^{P} α_jln(S_{n-j})$$$
The Signal value can be modelled as a linear
summation of previous Signal and b-values. Sn-Signal at acquisition
point n; bn-b-value at acquisition point n. αj,βi-minimisation
coefficients. P,Q-the number of lag terms. A range of ADAPT(P,Q) orders from (0,0) to (3,3) were
investigated. The optimum order was selected with the corrected Akaike
Information Criterion (AICc)6.
Results
The
ADC and IVIM model were fitted to the diffusion-weighted image and the optimum
model was selected for each voxel using the AICc. The parametric map in Figure-1c
demonstrates that the majority of voxels are best fitted by the IVIM model when
compared to the ADC model. A range of ADAPT orders were also considered (Figure-1b).
Regions considered to be mono-exponential in the multiexponential analysis
correlated to ADAPT(0,0). Most tissue was found to be best represented by
ADAPT(1,0), although some higher order behaviour was observed.
ADAPT(0,0)
was applied to a whole brain
imaging slice (Figure-2b)
and the β0 parametric map was found to
correlated strongly with the ADC values (r=0.99) (Figure-4). ADAPT(1,0) was
also applied to the same slice , creating β0 and α1 parametric maps (Figure-3). The ADAPT(1,0) parametric maps were
compared to the IVIM parametric maps of f, D and D*. A very strong correlation
between ADAPT(1,0)-β0 and D was observed (r=0.94)
and α1 had a substantial
correlation to the IVIM-f map (r=0.72).
Discussion
The
optimum ADAPT model appears to infer to the number of components within the
data, with some regions containing cerebrospinal fluid (CSF) exhibiting
ADAPT(0,0) behaviour. This is to be expected as ADAPT(0,0) is mathematically
equivalent to the ADC model. Individual voxels exhibiting higher order
behaviour are most likely to be explained by noise. The cluster of ADAPT(3,0)
(Figure-1) on the edge of the CSF could potentially be caused by partial volume
effects in which compartments from both brain matter and the CSF are detected7.
The strong correlation between the ADAPT(1,0) and IVIM-f and IVIM-D parameters
indicate that a relationship between ADAPT(1,0) and the IVIM model exists. Conclusion
The
novel ADAPT model has be found to model in
vivo data, with the number of ADAPT terms correlating to the number of
exponential terms observed. The relationship between the ADAPT and IVIM
parameters suggest that complex diffusion biomarkers can be obtained by making
no prior assumptions about the nature of the data.Acknowledgements
This work was funded by the Engineering and Physical
Sciences Research Council (EPSRC) through a studentship from the
Sci-Phy-4-Health Centre for Doctoral Training (EP/L016346/1), the National
Institute for Health Research (NIHR) via a research professorship (13-0053),
the Paediatric Experimental Cancer Medicine Centre and Free Radio in
conjunction with Help Harry Help Others (HHHO).References
1. Sener RN, Comput Med
Imaging Graph;25 (4): 299-326 (2001)
2. Koh DM
et al., AJR; 196(6): 1351-1361 (2011)
3. Pang Y
et al, Magn Reson Med 69(2) 553-562
(2013)
4. Stearns
SD, Digitial Signal Processing with examples in MATLAB, CRC Press(2003)
5. Meeus EM
et al, J Magn Reson Imaging 45(5)
1325-1334 (2017)
6. Cavanaugh JE, Stats
Probab Lett, 33(2) 201-208 (1997)
7. Metcalfe-Smith E et al. “A novel method
for the detection of the number of compartments in diffusion MRI data”, ISMRM
2018 abstract (ID: 2881)