Elizabeth Cole1, Frank Ong1, John Pauly1, and Shreyas Vasanawala2
1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States
Synopsis
Many deep learning-based
reconstruction methods require fully-sampled ground truth data for supervised training.
However, instances exist where acquiring fully sampled data is either difficult
or impossible, such as in dynamic contrast enhancement (DCE), 3D cardiac
cine, 4D flow, etc. for training a reconstruction network. We
present a deep learning framework for reconstructing MRI without using any
fully sampled data. We test the method in two scenarios, and find the method
produces higher quality images which reveal vessels and recover more anatomical
structure. This method has potential in applications, such as DCE,
cardiac cine, low contrast agent imaging, and real-time
imaging.
Introduction
Many
techniques exist for reconstruction in accelerated imaging, such as compressed
sensing (CS)1, parallel imaging2, and various deep learning (DL) methods.3–6 Most of these DL techniques require fully-sampled ground
truth data for training. This poses a problem for applications such as dynamic
contrast enhancement (DCE), 4D flow, etc. where the collection of fully-sampled
datasets is time-consuming, difficult, or impossible.
There
are three main ways to surmount this problem. First, CS can reconstruct the
ground truth in the DL framework. However, the reconstructed images are
unlikely to be better than CS images. The second way is to restrict DL
reconstruction to applications with fully-sampled training datasets, excluding
applications such as DCE or 4D flow. The third way is to formulate DL training to
use only undersampled datasets.7–11
We
describe a generative model for learned image reconstruction using only undersampled
datasets and no fully-sampled datasets. This allows for DL reconstruction when it
is impossible or difficult to obtain fully sampled data.Methods
We
have created a DL framework to reconstruct MR images using only undersampled
datasets for training. The input to this network is an undersampled
two-dimensional image and the output is a reconstructed two-dimensional image (Figure
1).
Complex
images from zero-filled reconstruction of undersampled data are input into the generator.
This reconstruction network attempts to generate an image, Xg, of
higher quality than the input. Next, a sensing matrix comprised of coil
sensitivity maps generated using ESPIRiT,14 an FFT, an undersampling mask, and an IFFT is applied to Xg
to generate measured image Yg. A different image from the same
dataset of undersampled images acts as the real measured image Yr.
Finally, the discriminator differentiates between generated and real measured images.15
The
loss functions of the generator and discriminator originate from the
Wasserstein GAN with gradient penalty (WGAN-GP).16 Here, Dloss = D(fake measurement) – D(real measurement) + gradient penalty and Gloss
= -D(fake measurement).
An unrolled network 3,17 based on the Iterative Shrinkage-Thresholding Algorithm
(ISTA) 18 is used as the generator architecture (Figure 2a), and the discriminator
is shown in Figure 2b.
We tested the framework in two scenarios. The first was fully
sampled 3T knee images acquired using a 3D FSE CUBE sequence with proton
density weighting including fat saturation.19 15 subjects were used for training;
each subject had a complex-valued volume of size 320x320x256 that was split
into axial slices. Because a fully-sampled ground truth exists for this scenario,
we can quantitatively validate our results. We created undersampled images by
applying pseudo-random Poisson-disc variable-density sampling masks to the
fully-sampled k-space. Although we initially use fully-sampled datasets to
create sub-sampled datasets, the generator and discriminator are never trained
with fully-sampled data.
The
second scenario consists of dynamic contrast enhanced (DCE) acquisitions of the
abdomen, with a fat-suppressed butterfly-navigated free-breathing SPGR
acquisition with an acceleration factor of 5. 886 subjects were used for
training. Because DCE is inherently undersampled, we have no ground truth to assess
performance. Instead, we compare to CS reconstruction and qualitatively evaluate
the sharpness of the vessels and other anatomical structures in the generated
images.Results
Representative
results in the knee scenario are shown in Figure 3 with an undersampling factor
of 2 in both ky and kz. The generator markedly improves
the image quality by recovering vessels and structures that were not visible
before but uses no ground truth data in the training. Figure 4 displays a
comparison between our results and CS with L1-wavelet regularization on our
test dataset.
Representative
DCE results are shown in Figure 5. The generator improves the image quality by recovering
sharpness and adding more structure to the input images.Discussion
In
the knee scenario, the generated images are quite similar to the ground truth.
In the DCE application, the generated images are sharper than those
reconstructed by CS and have higher diagnostic quality.
The
main advantage of this method over existing DL reconstruction methods is obviation
of fully-sampled data. Additionally, the method produces better quality
reconstruction compared to baseline CS methods.
While
the method has been demonstrated here for reconstructing undersampled fast spin
echo and DCE datasets, the discriminator can act on any simulated lossy measurement
as long as the measurement process is known. Therefore, this method could also
be useful for high noise environments where the acquisition of high SNR data is
difficult. Other adverse situations where ground truth data are precluded include
real-time imaging due to motion and arterial spin labeling due to low SNR.
Further applications where it is hard to fully sample are time-resolved MR
angiography, cardiac cine, low contrast agent imaging, EPI-based sequences,
diffusion tensor imaging, and fMRI.Conclusion
Our
method has applications in cases where fully-sampled datasets are difficult to
obtain or unavailable. We will continue refining the quality of the framework
as applied to these scenarios and other applications.Acknowledgements
We would like to acknowledge support from GE Healthcare and the National Institute of Health, specifically grants NIH R01 EB009690 and NIH R01 EB026136.References
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