Dominik Weidlich1, Mark Zamskiy1, Marcus Maeder2, Stefan Ruschke1, Steffen Marburg2, and Dimitrios C. Karampinos1
1Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany, 2Chair of Vibroacoustics of Vehicles and Machines, Technical University of Munich, Munich, Germany
Synopsis
Diffusion
gradients are known to yield MR hardware vibrations, which may lead to signal
loss in DW measurements especially at high b-values. The present work proposes
to mitigate vibration-induced signal loss by introducing a vibration matching
gradient (VMG). Laser interferometry was employed to measure the displacements
induced by high b-value DW MR spectroscopy, focusing on the quantification of
lipids ADC. The measured displacement patterns during the two diffusion
gradients were more similar when using the VMG. The application of VMG showed an
improvement in lipid ADC quantification in both a water-fat phantom and a
volunteer’s tibial bone marrow.
Purpose
Diffusion-weighted
(DW) magnetic resonance (MR) is a powerful tool for the non-invasive assessment
of tissue microstructure and is widely applied in clinical routine and research(1). Sensitizing
the measurement to diffusion requires strong diffusion gradients bringing up
technical challenges related to increased sensitivity to motion(2), eddy
currents(3) and scanner
table vibrations(4).
Specifically, diffusion gradients were shown to yield scanner hardware vibrations(5,6). The
observed influences of vibration-induced motion include reports of signal loss
in brain DW images(7,8) and
increased lipid ADC in regions close to the scanner table(4). Multiple
research applications require high b-value DW measurements, including high
resolution diffusion tensor imaging(9) or the
assessment of fat microstructure(10-12). Specifically,
measuring lipid diffusion properties has proven to be challenging because fat
has a diffusion coefficient approximately two orders of magnitude lower than
water(4,13). The
assessment of fat microstructure is important in the study of adipose tissue
and ectopic lipids in both health and metabolic dysfunction. Particularly, the
quantification of lipid droplet size is of great interest in skeletal muscle(14), metabolic(15) and bone
marrow research(16). Measuring
high resolution diffusion features or diffusion restriction effects requires
the acquisition of an artifact-free high b-value DW signal. Motion during DW
induces accumulated phase and eventually leads to signal cancellations due to
intravoxel dephasing(17). The present
work proposes an additional gradient, called vibration matching gradient (VMG),
placed before the diffusion sensitizing period to mitigate vibration-induced
signal loss.Methods
Theory:
Fig.1 shows the induced vibrations by the first diffusion gradient
(DG1) that are present during the second diffusion gradient (DG2).
The vibration-induced
displacements lead to accumulated phase during DG2 not present in DG1.
By applying the VMG, the displacement patterns in DG1 and DG2
match and therefore the signal loss is mitigated.
Pulse
sequence:
A bipolar DW stimulated echo acquisition mode (STEAM) MRS sequence
(Figure 1) was employed. The sequence was based on a STEAM sequence with
gradients added after the first and third RF pulse to induce DW (18). A VMG with
identical properties as DG1 was added. The data processing included
zero order phasing, apodization and frequency alignment. Quantification was
performed on the real spectrum fitting eight fat peaks (18). Only the
methylene peak (1.3ppm) was analysed for the ADC quantification.
Interferometry:
The
displacements on an agar phantom surface were measured by a laser doppler
interferometer with 1,550nm wavelength (PSV-500-3D-Xtra, Polytec, Waldbronn).
All experiments were performed on a 3T scanner (Ingenia Elition, Philips, Best)
using an 8-channel wrist coil on the scanner table and on a wooden decoupling
table that decoupled the sample and the vibrating scanner table. The sequence
parameters were: VOI: (15mm)3, TE/TM/TR: 60/300/1800ms. First, the
agar phantom was placed on the scanner table and a high b-value (50,000s/mm2)
DW MRS experiment was performed with varying timing of the VMG (TVMG:
50ms to 650ms in 5ms steps). The displacements during both diffusion gradients
were extracted and the theoretical accumulated phase was calculated. To access
lipid diffusion, the experiment was repeated in an 80% fat fraction water–fat
(WF) phantom. Second, TVMG matched the diffusion time (Δ) and
the displacements were acquired on the whole phantom open surface. Three different
scenarios were measured: phantom placed on scanner table without and with VMG
and placed on a decoupling table without VMG. The local accumulated phase and
total signal was then calculated.
Lipid ADC measurements:
The lipid ADC was measured in a WF phantom and a
volunteer’s tibia bone marrow. The phantom experiment was performed for the
three interferometer measurement scenarios. In vivo, three repeated scans were
performed using an 8-channel extremity coil without and with the VMG and with
additional weight on the scanner table (0/10/20kg) to change the mechanical
loading. Parameters differing from the interferometer measurements were averages: 16, b-values: 10,000/20,000/40,000/60,000s/mm2.Results
Interferometry:
Fig.2 shows the displacements during both diffusion gradients for
three TVMG. The displacement patterns varied when TVMG was
unequal to Δ.
When TVMG approached Δ,
the displacement curves were similar. Fig.3 shows the accumulated phase and
methylene signal. The accumulated phase oscillated with a similar but inverted
pattern as the methylene signal. When TVMG matched Δ, maximum
signal and corresponding minimum accumulated phase values were observed. Fig.4 shows the accumulated phase for the 2D surface. Relative to the scenario on
the decoupling table without VMG, a reduction of 5% (without VMG) and 1% (with
VMG) was observed on the scanner table.
Lipid ADC measurements:
Fig.5A shows that the lipid ADC was
overestimated by 119% without VMG compared to a relative error of 5.5% with VMG
when the WF phantom was measured on the scanner table. Figure 5B shows that
without VMG the in vivo ADC was depending on the additional loading. Combing
all measurements, the ADC was 14.8±0.4x10-6mm2/s
without VMG compared to 14.6±0.2x10-6mm2/s
with VMG (coefficient of variation was reduced by 35%).Discussion & Conclusion
A method was proposed to mitigate signal loss induced by
scanner table vibrations in DW measurements. When placing the VMG before the
actual high b-value DW, interferometry revealed that the displacements during
the diffusion gradients were more similar. With the VMG the lipid ADC
quantification was improved in phantom and in vivo. The proposed approach can
be theoretically applied in other DW MR sequences.Acknowledgements
We would like to thank the company Polytec GmbH for
their support in performing the laser interferometer measurements. We would
also like to thank Professor Rainer Burgkart for his help in the construction
of the decoupling table and Curtis L. Johnson for the valuable discussion. The present work was supported by the European
Research Council (grant agreement No 677661, ProFatMRI). This work reflects
only the authors view and the EU is not responsible for any use that may be
made of the information it contains. The authors acknowledge finally research
support from Philips Healthcare.References
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