Gastao Cruz1, Haikun Qi1, Olivier Jaubert1, Aurelien Bustin1, Thomas Kuestner1, Torben Schneider2, René M. Botnar1, and Claudia Prieto1
1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Philips Healthcare, Guildford, United Kingdom
Synopsis
Cardiac Magnetic Resonance Fingerprinting (cMRF)
has been proposed for simultaneous myocardial T1 and T2 mapping. This approach
uses ECG-triggering to synchronize data acquisition to a small mid-diastolic
window, reducing cardiac motion artefacts but also limiting the amount of
acquired data per heartbeat. This low scan efficiency can limit the spatial
resolution achievable in a breath-held scan. Here we introduce a novel approach
for contrast-resolved motion-corrected reconstruction, that combines the
generalized matrix description formulism for non-rigid motion correction with
low-rank compression of temporally varying contrast. This approach enables longer
acquisition windows and higher scan efficiency in cMRF, correcting for cardiac
motion.
INTRODUCTION:
Cardiac Magnetic Resonance Fingerprinting1
(cMRF) enables simultaneous and co-registered myocardial T1 and T2 mapping in a
single breath-hold scan. This approach uses ECG-triggering to synchronize data
acquisition to a small mid-diastolic window (~200ms), reducing cardiac motion
artefacts but also limiting the amount of acquired data per heartbeat. This low
scan efficiency can limit the spatial resolution achievable in a breath-held
scan and/or result in long acquisition times. Here we propose to double the cMRF
acquisition window for improved scan efficiency by integrating non-rigid cardiac
motion correction directly in the reconstruction of the contrast-resolved
images. This is achieved with a so-called Low Rank Motion Corrected reconstruction
(LR-MC), combining elements of low rank modelling2,3,4 (to resolve
contrast) and dense motion fields5,6,7 (for elastic motion
correction). Preliminary evaluation of the proposed approach was performed in four
healthy subjects in comparison to non-motion corrected low rank MRF.METHODS:
In the proposed
framework 2D cMRF data is acquired in a similar fashion to previous ECG-triggered
2D/3D cMRF approaches1,9. Different inversion recovery (IR) and T2
preparation (T2prep) pulses are applied at each heartbeat to encode T1 and T2,
whereas a spectral presaturation with IR (SPIR) pulse is used before data
acquisition to minimise aliasing artefacts originating from fat signal (Fig.1a).
Different to previous approaches, a long acquisition window of ~425 ms is employed
here. The reconstruction framework proposed here consists of two parts: 1) motion
resolved reconstruction for non-rigid cardiac motion estimation, and 2) LR-MC
reconstruction. Motion estimation: data is binned into three cardiac
bins of equal size; each cardiac phase is reconstructed with Low Rank Inversion
(LRI4) regularized with HDPROST10 independently, producing a set of cardiac motion resolved singular
images (Fig.1c). Singular images from each cardiac phase are then decompressed
to the time-points domain and the second heartbeat after the first inversion
recovery, where image contrast is approximately black-blood11
(Fig1.d), is used to estimate non-rigid cardiac motion via image registration12
(Fig.1e). LR-MC reconstruction (Fig.1f): the estimated motion
fields for each cardiac bin b are then incorporated
into the proposed low rank motion corrected reconstruction with HDPROST regularization,
formulated as:
$$\bf{x} = argmin_x \parallel \bf{\sum_b A_bU_rFCM_bx-k} \parallel _2^2 + \lambda \sum_p \parallel \bf{T_px} \parallel _*$$
where, $$$U_r$$$, $$$F$$$ and $$$C$$$ are dictionary-based compression, non-uniform
Fast Fourier Transform and coil sensitivity operators; $$$x$$$ are the
temporally compressed singular images for the cardiac motion corrected MRF
data, $$$k$$$ is the acquired k-space, and $$$A_b$$$ and $$$M_b$$$ are respectively the sampling
matrices and the sparse motion matrices
for the b-th motion state. For HDPROST regularization, $$$T_p$$$ constructs 3D local tensor around each voxel p in
the motion corrected image by concatenating local (within a patch), non-local
(between similar patches) and contrast (along the singular value domain) voxels
along each dimension. T1 and T2 maps (Fig.1g) are obtained from the LR-MC
reconstructed
singular images via MRF template matching.EXPERIMENTS:
Four healthy subjects were scanned at a 1.5T scanner
(Philips Ingenia). Imaging parameters included field of view (FOV) = 315x315 mm2; 8 mm slice thickness; resolution
= 1.75x1.75 mm2; TE/TR = 0.9/7.1 ms; gradient echo readout; 6-10º sinusoidally
varying flip angle; acquisition window = 425 ms; 1080 time-points; nominal scan time 18s. Acquired data was
reconstructed with the proposed LR-MC and without motion correction via
LRI-HDPROST (i.e. omitting steps c),d) and e) in Fig.1) applied to the
full acquisition window. RESULTS:
Residual motion artefacts observed in the
singular images obtained with non-motion corrected LRI-HDPROST were reduced
with the proposed LR-MC approach (Fig.2). Motion artefacts in non-motion corrected
LRI-HDPROST propagated to the resulting T1 and T2 maps, whereas these artefacts
were reduced with the proposed LR-MC reconstruction (Fig.3) in both T1 and T2
maps, improving delineation of the myocardium and papillary muscles (arrows). T1
and T2 maps for a second representative subject are shown in Fig.4. Significant
motion artefacts are observed with non-motion corrected LRI-HDPROST,
particularly in the infero-lateral wall of the myocardium. The proposed LR-MC approach
restores the visualization of the infero-lateral wall and improves the overall
sharpness of the myocardium and papillary muscles (Fig.4, arrows).CONCLUSION:
A novel contrast resolved, motion corrected
reconstruction was proposed and investigated for cardiac motion correction in
2D cMRF with extended acquisition windows (~425 ms). Preliminary results show
improved parametric maps for the proposed LR-MC approach and thus the increased
scan efficiency could be leveraged into increased resolution or reduced scan
time. Future work will investigate further extending the acquisition window and
validating the proposed approach in heathy subjects and patients with cardiovascular
disease. The proposed contrast resolved, motion corrected LR-MC reconstruction could
be applied to other multi-contrast/multi-parametric applications and will be investigated
as future work.Acknowledgements
ACKNOWLEGDMENTS:
This work was
supported by EPSRC (EP/P001009, EP/P032311/1) and Wellcome EPSRC Centre for
Medical Engineering (NS/ A000049/1).References
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