Diffusion kurtosis imaging (DKI) captures more complex microstructural properties than the widely used diffusion tensor imaging (DTI) but requires a longer acquisition time. To accelerate its acquisition, and thus facilitate its practical clinical use, a hierarchical convolution neural network (H_CNN) reconstruction method was proposed. The results showed that the H_CNN method provides efficient reconstruction of all eight DTI and DKI measures using as few as nine DWIs, with improved robustness against noise and the retention of fine structures, compared to artificial neural network-based methods. The H_CNN method potentially enables DKI clinical applications with an acquisition time of one minute.
In the DKI model, the signal equation and eight important measures are defined in Table 1. To exploit the commonalities among the measures and improve the generalizability 4, all eight measures were output together in a single network. Since adjacent voxels typically share a similar micro-tissue structure, using the intrinsic spatial correlation of neighboring voxels achieves better statistical power. 5 Considering the above discussion, we proposed a CNN-like network with a partially shared hierarchical structure to make use of the correlation of spatial neighborhoods and target measures, which we called a hierarchical convolutional neural network (H_CNN). An overview of the proposed H_CNN is presented in Figure 2.
The ethics committee of the local institute approved this human study. MRI data were collected on a MAGNETOM Prisma 3T MR scanner (Siemens Healthcare, Erlangen, Germany) equipped with a 64-channel head-neck coil. Three healthy subjects were scanned over three repetitions with a simultaneous-multi-slice EPI sequence: TR/TE=5400/71 ms; FOV=220 × 220 mm2; resolution = 1.5 × 1.5 × 1.5 mm3; number of slices = 93; and SMS factor = 3. Diffusion weightings of b = 1000, 2000, and 3000 s/mm2 were applied in 30 directions respectively 6, with six b=0 volumes equally entered, resulting in 96 DWIs. Images of both opposite phase-encoding directions were acquired.
Image preprocessing for motion and distortion correction as well as alignment across the three scans were conducted in FSL (https://fsl.fmrib.ox.ac.uk/fsl/fslwiki/). 7, 8 DKI model fitting was performed using a constrained linear least-square method implemented in DKE (http://academicdepartments.musc.edu/cbi/dki/dke.html). 9 The averaged results of three fully sampled model outputs were taken as the ground truth. Two of the subjects’ data were used as the training set, and the third was used as a test set. Keras 10 was used for training and testing with Tensorflow 11 running backend. All the codes were run on a platform with an NVIDIA GTX-1080 graphics card and the CUDA Deep Neural Network library 12 installed.
As shown in Figure.3, the H_CNN achieved good estimation performance, even when the number of DWIs decreased to nine. In contrast, the conventional DKI fitting method would be underdetermined with fewer than 24 DWIs. Figure 4 demonstrates the superiority of the H_CNN structure. Both the CNNs and ANNs with more than three hidden layers had higher capacities than the needed capacity of the estimation task, and the CNNs always achieved an approximately 8% improvement on the root-mean-squared error. In addition, the table shows that by separating the scalar measures into two different depths based on complexity, the hierarchical structure achieves a lower root-mean-squared error on all the scalar measures than the CNNs with two or three hidden layers.
As shown in Figure 5, errors of the H_CNN were lower than those of the q-DL, and the gap increased from 0.0003 to 0.04 when the DWIs decreased from 96 to only 1. An overall error of 0.124 with 6 DWIs in the H_CNN is comparable to the error of 12 DWIs in the q-DL network. When the number of DWIs was reduced, the RK difference maps from the q-DL network became much noisier, with smaller values in some white matter skeletons, resulting in a lower contrast to gray matter and loss of some subtle structures. Both the numerical and graphical results showed that the proposed H_CNN outperformed the q-DL network. Although a visually comparable performance could be achieved with only 6 DWIs, a more modest choice of 9 DWIs is recommended to retain some fine structures.
In this study, subsampled DWIs were used
as inputs. A subject for future research would be training a network with
b-values and directions as auxiliary information that is applicable to various
subsampling schemes, thus improving the generalizability.
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