Ludger Starke1, Joao dos Santos Periquito1, Christian Prinz1, Andreas Pohlmann1, Thorald Niendorf1,2, and Sonia Waiczies1
1Berlin Ultrahigh Field Facility (B.U.F.F.), Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association, Berlin, Berlin, Germany, 2Charité Campus Buch, Experimental and Clinical Research Center (ECRC), Berlin, Germany
Synopsis
Fluorine-19 (19F) MRI is an established
tool for tracking inflammatory cells in vivo due to its excellent detection
specificity. Nonetheless, low signal-to-noise ratios remain a major challenge, especially when studying inflammatory cell distribution in the
brain. It was shown that compressed sensing (CS) increases 19F MRI
sensitivity, yet
prospective undersampling using dedicated CS sequences has only been reported in
proof of concept experiments. Since false positives were observed in CS
reconstructions, this work provides a thorough assessment of detection
performance of in vivo CS as a tool for enhancing 19F MRI
sensitivity.
Introduction
Fluorine-19 (19F) MRI is an
established tool for tracking inflammatory cells in vivo due to its excellent
detection specificity. Nonetheless, low achievable signal-to-noise ratios
remain a major challenge1, especially when studying inflammatory cell distribution in the
brain. It was shown that compressed sensing (CS) increases 19F MRI
sensitivity2-4. Most
of the previous in vivo studies using prospective undersampling with dedicated CS
sequences reported on proof of concept experiments, where SNR was the only
quantitative metric and no multiple undersampling factors were compared2,3. SNR
does not convey information about edge preservation and reconstruction
reliability. Since false positives were observed in CS reconstructions3, this
work provides a thorough assessment of detection performance of in vivo CS as a
tool for enhancing 19F MRI sensitivity.Methods
All animal experiments were carried out in
accordance with local animal welfare guidelines (LaGeSo). EAE was induced in 4 SJL/J
mice and perfluoro-15-crown-5-ether rich nanoparticles were administered daily
starting on day 5 following EAE induction5 and in
vivo data acquired on day 12 to 14.
Undersampling patterns were computed using
the 1D distribution p(kp)∝(1-|kp|)3/2,
where
kp∈[-1,1] denotes the position of the k-space line in
phase encoding direction. 10% of the sampled lines were assigned deterministically
to the k-space center. MR experiments were performed on a 9.4T animal
scanner (Bruker BioSpin, Ettlingen, Germany). A purpose-built 2D-RARE CS protocol
was employed for 19F MRI: TR=1020ms, TE=5.2ms,
ETL=40, FOV=(20×20)mm2, (128×128) matrix, 3.2mm slice thickness, 6 slices. 296,
592 and 1184 averages were acquired with no, 2-fold and 4-fold undersampling (TA=20min).
Fully sampled measurements were repeated 4 times as reference (80min). A pure
noise scan was acquired to determine the noise level6.
CS reconstructions of undersampled data
were computed using the accelerated alternating direction method of multipliers7 with equally weighted isotropic total variation8 and image
-norm regularization. The
discrepancy principle was used to determine the optimal regularization strength9.
Rician noise bias correction was applied to
all Fourier reconstructions of fully-sampled data10. The reference scan was thresholded at SNR=3.5 and groups of less
than 3 connected pixels were removed as outliers. To calculate signal level
specific TPRs and FDRs using a sliding window approach, CS reconstructions were
thresholded at 2 times the noise standard deviation and Fourier reconstructions
at SNR=3.5. We computed the root-mean-square deviation (RMSD) of
reconstructions from the reference and compared different balances of false
discovery rate (FDR) and true positive rate (TPR) by varying detection
thresholds.
Undersampling
patterns, reconstructions and analyses were programmed in MATLAB 2018a (The
MathWorks, USA).Results
Compared to conventional Fourier
reconstructions, the number of detected 19F signal voxels was
greatly enhanced by CS with 2-fold undersampling (Fig.1A and B). Slight
blurring was only present at the edges of enhanced true positive features. The
number of true positives was further increased with 4-fold undersampling, but
so was the blurring effect. These findings were supported by our quantitative
analysis. Applying the same thresholds as in Fig.1, CS showed superior
detection at all signal levels (Fig.2A).
FDRs in CS reconstructions on the other hand were elevated at low signal
levels, especially for 4-fold undersampling (Fig.2B). The RMSD from the reference was consistently reduced by CS
(Fig.3A) and the effect size was
independent of the undersampling factor. Similar reduction of the RMSD was
measured when considering the full images, signal voxels only or background
voxels only. CS offered superior results especially at FDRs >15%, with 2-fold
undersampling consistently performing better than 4-fold undersampling (Fig.3B). In situations where FDRs
<12.7%, conventional Fourier reconstructions yielded higher TPRs. The
intersection of TPRs and FDRs for Fourier reconstructions and CS with 2-fold
undersampling corresponds to an SNR of 2.8 in the Fourier reconstruction (Fig.3B).Discussion
For most 19F MRI research
applications, the distribution and concentration range of 19F voxels
is not known a priori. Typically 19F is available at a µM or even nM
range. Therefore, it would be beneficial to lower detection thresholds. In this
study we show that CS outperformed conventional reconstructions, particularly
at low SNR regimes. False positives in CS reconstructions only occurred at the
edges of true features as slight blurring; false positives in Fourier
reconstructions on the other hand occur as entirely new false positive 19F
features. Therefore, the SNR below which CS reconstructions are optimal will be
higher than the measured value of 2.8 but depends on the application and the
analysis priorities. It is expected that CS will perform even better when using
a 3D RARE sequence due to the improved incoherence achievable by undersampling
in two phase encoding dimensions.Conclusion
These results confirm and expand published
findings based on retrospective undersampling and show that CS can be reliably applied
to in vivo applications that require 19F signal quantification. While
conventional Fourier reconstructions are preferable when all 19F signals
are well above the detection thresholds, CS with 2-fold undersampling offered
reliable and easily interpretable results with considerably improved detection
performance. The demonstrated improvement in signal sensitivity and detection
performance of CS holds promise for other 19F MRI applications, particularly
those involving the detection of small quantities of 19F, such as in
studies investigating the distribution of CNS-acting drugs in the brain.Acknowledgements
This
study was funded in part by the Deutsche Forschungsgemeinschaft to SW and AP
(DFG WA2804, DFG PO1869). The funders had no role in study design, data
collection and analysis, decision to publish, or preparation of the manuscript.
Thoralf Niendorf was supported by an advanced grant from the European
Research Council (EU project 743077 – ThermalMR).References
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