Matthijs H.S. de Buck1, Peter Jezzard1, and Aaron T. Hess2
1Wellcome Centre for Integrative Neuroimaging, FMRIB Division, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2Oxford Centre for Clinical Magnetic Resonance Research, Department of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom
Synopsis
Personalized electromagnetic simulation models can be
generated by segmenting MR-images. However, it is unclear how many tissue types
are required for accurate 7T head models. Here, a clustering approach is used
to determine the error in the simulated pTx SAR for models with different
numbers of tissue types (clusters). Models consisting of only four different
tissue types plus air were found to consistently generate low errors for human
body-models of different ages and genders. Using the proposed method, it should
be possible to operate scanners closer to the true SAR limits due to improved
estimations of the actual patient-specific SAR.
Introduction
The Specific Absorption Rate (SAR) is a limiting factor
in many MRI scans. Computational simulations based on high-resolution human
body models can be used to estimate SAR, but such models are not available for
individual patients in a clinical setting. To account for inter-patient
variability, which makes it difficult to accurately determine the pTx SAR distribution
for individual patients, an additional uncertainty margin of up to 50%1
is required. Previous work has generated personalized SAR models from fat,
lung, and water images for 3T whole-body MRI2, and based on fat,
muscle, and skin-images for prostate at 7T3, but it remains unclear
how this translates to 7T-pTx4 in the head. Warping of well-characterised
models to match the anatomy of individual patients has been studied for 7T-pTx head
coils5, but was found to result in limited improvement in accuracy
of the simulations. Here, we determine a minimum number of tissue compartments required
to accurately predict SAR for 7T-pTx. These results are useful for identifying
a minimum set of tissue contrasts required to generate personalized SAR models
by segmenting MR images. Methods
High-resolution human body models from the Virtual Population v3.0 (ViP)
provided by the IT’IS Foundation (Zurich, Switzerland)6 were used
for simulations. The approximately 40 different tissue types within the
simulated head regions of the ViP Duke (male, 34 y, 1.77 m), Ella (female, 26
y, 1.63 m), and Thelonious (male, 6 y, 1.15 m) models were grouped into simplified
clusters of tissues using a k-means7 clustering approach in a
conductivity-permittivity-density hyperspace, in which models consisting of
between 1 and 6 clusters were generated. The tissues in each cluster were assigned
optimized values for the dielectric properties based on the results of the
k-means clustering. Electromagnetic SAR simulations were carried out using the
software package Sim4Life by Zurich MedTech (ZMT, Zurich, Switzerland) at the 7T
hydrogen frequency of 298 MHz. An optimized 8-channel pTx-coil with a
normalized total input power of 1 W was used to carry out the simulations. The
simulation setup with Duke in the coil is shown in Figure 1. For each clustered
model, a comparison was made between the simulation results of the full
40-tissue model and those of the respective simplified n-cluster model. After running simulations in Sim4Life, a Q-matrix8
was calculated9 for every voxel in the model to determine the voxel’s
overall maximum SAR for all possible B1-shims10,11. In
addition, the Q-matrices were used to assess the peak-SAR and the SAR distribution
for 500 random, normalized B1 shims. 10-gram averaging volumes,
determined in accordance with the IEEE/IEC 62704-1 standard12, were
used for calculating all SAR values. Once the optimal set of clusters was
established for Duke, the model was applied to both Ella and Thelonious, and
the resulting SARs were compared to the simulation results for the respective
full models.Results
The ‘ground truth’ SAR distributions for the original 40-tissue
Duke model are shown in Figure 2. The clustered segmentation of these tissues
in Duke for both the original model and a 5-cluster case can be seen in Figure 3.
Figure 4 shows that when clustering the tissues of Duke and Ella, both the
overall peak-SAR and the peak SAR for the 500 random B1 shims
converge to close to the full model-values (errors of 4.1±4.3%) for ≥5 clusters.
Analysis of those 5 k-means clusters showed that they roughly consist of adipose
tissues, liquids, soft tissues, bone, and air, with numerically optimized dielectric
properties that closely approximate the dielectric properties of fat, CSF, grey
matter, cortical bone, and air in the original model13. The
simulation results when segmenting Duke using the original values of those
tissues also reproduce the SARs with high accuracy (Figure 5). For all models,
the peak SAR for the 500 random B1 shims can be determined with an
absolute error of less than 12% for over 99% of the shims. Figure 5b shows that
this result is found to also be consistent for Ella and Thelonious, and when
running simulations using different simulation settings. The overall peak SAR
for all voxels in the simplified cluster model is 3.5% lower than in the
original model for Duke, 3.4% lower for Ella, and 2.2% lower for Thelonious. Discussion
The k-means-based segmentations indicate that no more
than five different tissue types (including air) are required to accurately estimate
SAR in the head region at 7T. When using clusters consisting of adipose tissues, liquids, soft
tissues, and bone for this, the resulting errors are significantly smaller than
the 50%-error margin which has previously been reported for determining individual-subject
SAR based on electromagnetic simulations from a generic model. The errors in
the extreme case of the overall highest SAR value for any possible B1
shim are even smaller. These results seem consistent for models of different
genders and ages, and when using different simulation settings. For the
proposed segmentation, we envisage that an automated segmentation based on
preliminary MR-images for individual patients should be possible.Conclusions
It was found that a minimum number of five tissue
compartments (including air) is required to generate personalized SAR models. These
results should enable MR scanners to operate closer to the true SAR-limits.Acknowledgements
No acknowledgement found.References
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