Adam Scott Bernstein1,2, Loi V Do2, Nan-kuei Chen2, and Theodore P Trouard2
1NICHD, National Institutes of Health, Rockville, MD, United States, 2Biomedical Engineering, University of Arizona, Tucson, AZ, United States
Synopsis
In this
study, we design a unique bootstrapping method to approximate the distributions
of diffusion MRI parameters derived from scans that utilize simultaneous
multislice techniques compared to the distribution of parameters fit from a
single slice EPI sequence. While there are no statistically significant
differences between accelerated and non-accelerated datasets, there are some
subtle differences that may warrant closer inspection.
Introduction
Simultaneous Multislice (SMS) acquisition methods are rapidly gaining
popularity in both functional MRI and diffusion MRI because of the significant
time savings and/or increased temporal resolution they can provide1.
Increasing the speed of diffusion imaging acquisition makes multidirection,
multishell diffusion techniques more feasible for both research and clinical
applications. However, a need remains for quantitative validation of the
microstructural tissue parameter maps derived from accelerated techniques such as
SMS. In this work, we improve upon past evaluation using a bootstrap analysis
to compare diffusion MRI parameters derived from images collected with and
without SMS methods.Methods
Data Collection:
A single healthy volunteer was repeatedly scanned on a clinical 3T system
in a single session. A multiple-direction, multiple-shell diffusion experiment
was designed with 6 b=0 s/mms, 40 b=1000 , 60 b=2000, and
80 b=3000 s/mms images collected. The diffusion directions were
determined using a multishell electrostatic repulsion scheme similar to that
described in [2]. This experiment was run once with slice acceleration
(TR/TE = 3600/115 ms, acceleration factor of 3, FOV shift of ½ ) and once
without (TR/TE = 10700/115 ms). An in-plane GRAPPA acceleration of 2, matrix
size of 128x128x69, and 2mm isotropic resolution was used for both scans.
Data Preprocessing:
The diffusion weighted images were corrected for EPI distortions using
FSL’s TOPUP3, eddy currents using FSL’s eddy4, denoised
using an in house implementation of LPCA denoising5, and corrected
for signal intensity bias using ANTs’ N4 technique6.
Data Analysis:
We randomly sampled 2 b=0, 20 b=1000, 30 b=2000,
and 40 b=3000 s/mm2 from both the accelerated and non accelerated
data 50 times to generate 50 unique datasets. Each of these datasets were
processed with in house diffusion tensor analysis to generate FA and MD maps
and with in house MAP MRI analysis to generate propagator anisotropy (PA),
non-gaussianity (NG), return-to-origin probability (RTOP) and return-to-axis probability
(RTAP)7. These parameter maps were used to generate voxel-wise
distributions of parameters for voxel-wise statistical analysis. For each
parameter map, we performed permutation testing and corrected for multiple
comparisons using a single threshold test8 to generate voxel-wise
maps of statistical differences in the data generated from standard and
accelerated acquisitions. All statistical analysis was performed using MATLAB
2017a.
Results
Figure 1 shows the parameter maps produced from the entire
non-accelerated and accelerated acquisitions. Figure 2 presents a demonstration
of the parameter distributions in various brain regions generated by the
bootstrapping technique described above. Figure 3 plots parameter values from
the accelerated dataset against the same values from the non accelerated
dataset in order to visualize an bias caused by using one technique vs the
other. Finally, Figure 4 maps the difference in standard deviations of the
bootstrapped distributions to identify the relative degree of uncertainty when
estimating different parameters. Voxel-wise statistical analysis revealed no
brain regions that were statistically significantly different between the two
acquisitions, so statistical maps have been left out.Discussion
Statistical analysis suggests that the parameter maps derived from an
accelerated acquisition are largely the same as those derived from an
unaccelerated acquisition. Nevertheless, there are a few patterns in the data
to note. Several of the bootstrap-derived distributions shown in Figure 2
appear to be significantly different while other distributions are almost
identical, and it depends somewhat on which part of the brain is being analyzed
as well as which microstructural parameter is being evaluated. Additionally, as
shown in Figure 3, the mean diffusivity appears to be slightly underestimated
by the accelerated data while propagator anisotropy and non-gaussianity appear,
in general, to be overestimated. Finally, we note that aside from the mean
diffusivity, the uncertainty in microstructural parameter estimation is
generally larger when using slice acceleration. This may not be a major issue, as
others have demonstrated the relatively good test re-test of slice-accelerated
data9.Conclusion
The huge time savings and lack of statistical differences between data
acquired may very well outweigh any of the potential downsides to SMS imaging
discussed above. Without investigating effects of different relaxation times,
magnetization transfer, and partial volume effects it is difficult to pinpoint
the source of the subtle differences noted between the two techniques. Acknowledgements
No acknowledgement found.References
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