Efe Ilicak1, Jascha Zapp1, Lothar R. Schad1, and Frank Zoellner1
1Computer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany
Synopsis
Lung
functions have significant clinical value for diagnosis of pulmonary diseases.
Fourier Decomposition is a non-contrast-enhanced method for assessing pulmonary
functions from time-resolved images. However, its performance depends on
temporal resolution. Here we propose two compressed sensing reconstruction strategies
based on low-rank and sparse matrix decomposition. Retrospective demonstrations
on in vivo acquisitions demonstrate the performance of these techniques,
enabling improved scan efficiency without degrading image quality.
Introduction
Assessment
of pulmonary functions has significant clinical value for diagnosis of
pulmonary diseases and can be helpful for follow-up investigations1. Although the gold standard for functional lung
imaging depends on methods using radioactive nuclides, MRI based methods are
highly desirable and promise great clinical utility2. To this end, Fourier Decomposition (FD) MRI method was
demonstrated to be a useful non-ionizing and non-contrast-enhanced method
capable of achieving local functional ventilation and perfusion information
during free breathing3. This method
utilizes 2D fast imaging sequences to obtain time-resolved images during free
breathing. Afterwards, these images are registered and analyzed voxel-wise
using Fourier transform to obtain periodic signal variations corresponding to
respiratory and cardiac signal modulations, consequently enabling ventilation-
and perfusion-weighted images.
Although
numerous studies have validated the FD method against well-established methods,
its robustness depends on temporal resolution4.
Some recent studies have proposed using compressed sensing approaches to
improve the acquisition time and consequently the temporal resolution5,6. However, these methods can suffer from
elevated interference at higher acceleration rates. In this work, we propose two
new reconstruction strategies based on low-rank and sparse matrix
decomposition. In vivo results are presented to demonstrate the performance and
feasibility of the proposed strategies.Methods
2D
balanced steady-state free precession images were acquired from two healthy
volunteers during free-breathing using a 1.5 T scanner (Magnetom Avanto,
Siemens Healthineers, Erlangen, Germany). Two datasets were obtained using TR/TE
= 1.88/0.8ms, slice thickness 15mm, matrix size = 128X128, bandwidth = 1302
Hz/Px, FA = 50°; and a third dataset was obtained using TR/TE = 2.13/0.92ms,
matrix size = 192X192, FA = 30°. For all datasets, a total of 210 images were
acquired with 100ms pause between measurements.
Datasets
were retrospectively undersampled in the phase encoding dimension to yield
acceleration rates (R) between 2 to 6. Sampling masks were generated using
variable density random sampling with different sampling pattern at each time
point to extent k-space coverage7. Afterwards,
undersampled data were reconstructed using two proposed approaches. General workflows
can be seen at Figure 1.
Our
first proposed reconstruction strategy (RS1) obtains reconstructions by solving
the following optimization problem based on low-rank plus sparse matrix
decomposition8:
$$\min\parallel
F_p\cdot(L+S)-y\parallel^2_2+\lambda_L\parallel L
\parallel_*+\lambda_S\parallel T\space S\parallel_1$$
Here,
$$$F_p$$$ is Partial Fourier operator, $$$L+S$$$ is the reconstruction with
$$$L$$$ and $$$S$$$ representing low-rank and sparse components respectively.
$$$y$$$ is acquired k-space, $$$\lambda_L$$$ and $$$\lambda_S$$$ are empirically
selected regularization weights, and $$$T$$$ represents temporal total
variation as the sparsifying transform.
The
second reconstruction strategy (RS2), utilizes a locally low-rank approach9:
$$\min\parallel
F_p\cdot(L+S)-y\parallel^2_2+\lambda_L\parallel C\space L\parallel_*+\lambda_S\parallel
T\space S\parallel_1$$
Where $$$C$$$ acts as an operator that reformats $$$L$$$ into its
Casorati form. The neighborhood size for local low rank was empirically
selected as 4. For both approaches, the S-component represents the dynamics of
the images, which contains information needed for ventilation- and
perfusion-weighted images and L-component contains slowly-varying features,
which are needed for registration purposes. Following the nonlinear reconstructions,
the images were registered using a stand-alone non-rigid registration software10.
To
comparatively demonstrate reconstructions, we have implemented the previously
reported approach based on temporal total variation alone5. The
reconstruction strategies were compared based on peak signal to noise ratio
(PSNR), structural similarity index metric (SSIM) calculated over
reconstructions. For all comparisons, fully sampled reference data (R=1) was
taken as the reference, and the number of iterations were kept same among all
reconstruction strategies.Results
Table 1 shows PSNR and SSIM metrics. These values were
calculated across all reconstructed slices after normalization. Figure 2 shows a reference slice with
ventilation- and perfusion-weighted images for a single subject across
acceleration rates, where R=1 denotes the reference case. Although RS2 performs
worse in terms of PSNR and SSIM metrics, it is able to maintain perfusion
information at higher acceleration rates. Figure 3 shows the comparison of
different reconstruction strategies with the reference case at R=5. In ventilation
maps, all methods achieve similar performance, although all methods suffer from
interference artifacts and registration errors. This is further pronounced in
regions closer to the diaphragm. In perfusion maps, temporal total variation
method suffers from blurring, while RS1 and RS2 are able to display finer
structures. Overall, our results indicate that low-rank based reconstructions
can be utilized to improve the reconstruction quality and may enable higher
undersampling factors in functional lung imaging.Discussion and Conclusion
In
this work, we have developed and demonstrated two reconstruction strategies for
functional lung imaging. We used retrospective undersampling to show the
feasibility and performance of proposed methods. While we did not utilize any
special sampling mask design, it might improve the reconstruction quality,
especially for prospective studies11.
Our
initial observations indicate that the locally low rank approach decomposes the
images more successfully, while the global low rank approach is less sensitive
to regularization weight selection. Future studies are warranted investigating
a combination of the two proposed methods, since the S- and L-components can be
obtained separately.
In
summary, our results indicate that the proposed methods can improve the
reconstruction quality and can enable higher acceleration rates for free
breathing non-contrast-enhanced functional lung imaging studies. These
techniques promise higher temporal resolution with increased clinical value for
the diagnosis and follow-up of pulmonary diseases.Acknowledgements
This work was supported by Deutsche
Forschungsgemeinschaft (grant
number: DFG 397806429).References
1.Weis, M. et al. Lung perfusion MRI after
congenital diaphragmatic hernia repair in 2-year-old children with and without
extracorporeal membrane oxygenation therapy. American Journal of Roentgenology
206, 1315–1320 (2016).
2.Nyilas, S. et al. Novel magnetic resonance
technique for functional imaging of cystic fibrosis lung disease. European
Respiratory Journal 50, (2017).
3. Bauman, G. et al. Non-contrast-enhanced
perfusion and ventilation assessment of the human lung by means of Fourier
decomposition in proton MRI. Magnetic Resonance in Medicine 62, 656–664 (2009).
4. Kjørstad, Å. et al. Quantitative lung
ventilation using Fourier decomposition MRI; comparison and initial study.
Magnetic Resonance Materials in Physics, Biology and Medicine 27, 467–476
(2014).
5. Ilicak E. et al. Compressed Sensing
reconstruction in non-contrast-enhanced functional lung MRI using Fourier
Decomposition: An initial study Proceedings of the ISMRM 27th Annual
Meeting & Exhibition, 1897 (2019).
6. Voskrebenzev, A. et al. Real-Time Imaging
during Free Breathing for Patient-Friendly V/Q Scan of the Whole Lung in One
Minute at 3T. Proceedings of the ISMRM 27th Annual Meeting &
Exhibition, 4081 (2019).
7. Lustig, M., Santos, J. M., Donoho, D.
& Pauly, J. M. k-t SPARSE: high frame rate dynamic MRI exploiting
spatio-temporal sparsity. Proceedings of ISMRM, Seattle 50, 2420 (2006).
8. Otazo, R., Candès, E. & Sodickson,
D. K. Low-rank plus sparse matrix decomposition for accelerated dynamic MRI
with separation of background and dynamic components. Magnetic Resonance in
Medicine 73, 1125–1136 (2015).
9. Yaman, B., Weingartner, S., Kargas, N.,
Sidiropoulos, N. D. & Akcakaya, M. Low-Rank Tensor Models for Improved
Multi-Dimensional MRI: Application to Dynamic Cardiac T1 Mapping. IEEE
Transactions on Computational Imaging 1–1 (2019). doi:10.1109/tci.2019.2940916
10. Chefd’hotel, C., Hermosillo, G. &
Faugeras, O. Flows of diffeomorphisms for multimodal image registration. in
Proceedings - International Symposium on Biomedical Imaging 2002-January, 753–756
(IEEE Computer Society, 2002).
11. Ahmad, R. et al. Variable density
incoherent spatiotemporal acquisition (VISTA) for highly accelerated cardiac
MRI. Magnetic Resonance in Medicine 74, 1266–1278 (2015).