Ronja Berg1, Tobias Leutritz2, Stephan Kaczmarz1, Claus Zimmer1, Nikolaus Weiskopf2, and Christine Preibisch1
1School of Medicine, Department of Neuroradiology, Technical University of Munich, Munich, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurophysics, Leipzig, Germany
Synopsis
Measuring physical parameters quantitatively by
magnetic resonance imaging (MRI) has a high value for diagnostic applications
as it allows the detection of disease related systemic changes. However,
quantitative MRI mapping methods increase the scan time significantly compared
to conventional imaging. Therefore, we investigated the applicability of
Compressed SENSE (CS) acceleration in a multi-parametric mapping protocol for
R1, R2*, PD, and MTsat imaging. Our results demonstrate that absolute parameter
values remained constant in all evaluated regions-of-interest when applying CS.
Thus, CS can be used to almost halve the scan for R1, R2*, PD, and MTsat mapping
without loss of fidelity.
Introduction
Quantitative
magnetic resonance imaging (MRI) mapping techniques are highly promising for
clinical applications,1-3 as they provide absolute values of physical
quantities, which can function as biomarkers. Measured values are supposed to
be sequence and hardware independent,1-2 and are, thus, highly promising
for multi-center studies and for improving diagnosis and prediction of disease
development.
The
variable flip angle approach1-2 in combination with multiple gradient
echoes, can be used to map the longitudinal and transverse relaxation rates R1
(=1/T1) and R2* (=1/T2*) as well as the proton density (PD). With an additional
magnetization transfer (MT) weighted sequence, MT saturation (MTsat) can be
obtained as a supplementary parameter. However, such multi-parametric mapping
increases the protocol duration significantly compared to conventional MRI.
State-of-the-art acceleration techniques such as Compressed SENSE4 (CS) can
speed up acquisition, but might compromise precision. Therefore, the aim of our
study was to investigate the effect of CS acceleration on the fidelity of
quantitative multi-parametric mapping of R1, R2*, PD, and MTsat.Methods
Five
healthy subjects (aged 23-49) were scanned on a Philips 3T Ingenia Elition using
a 32-channel head-coil. For multi-parametric mapping, three 3D multi-echo
gradient-echo (FFE) acquisitions were acquired, two at TR=18ms with two different
flip-angles α1=4° and α2=25° and the third for MT-weighted data with α=6° and
TR=48ms. Common imaging parameters were voxel size 1x1x1mm³, 6 echoes, TE1/ΔTE
= 2.4ms/2.4ms. B1-mapping was performed with voxel size 3.5x3.5x5mm³, α=60°,
TE/TR1/TR2 = 2.3ms/30ms/150ms and the actual flip angle imaging (AFI) method.6 Three
sets of measurements were performed in each subject, comparing standard SENSE
(S=2.5) and two different compressed SENSE accelerations with factors CS=4 and
CS=6. Total scan time for all three FFE sequences and B1-mapping was 20min for
SENSE, 15:40min for CS=4, and 10:30min for CS=6.
Quantitative parameter maps
were computed using the histology MRI (hMRI) toolbox,3,7 correcting for
B1-inhomogeneities and insufficient RF spoiling.1-2 Gray matter (GM) and
white matter (WM) probability maps were obtained from segmentation of R1 data using
SPM12.8 All voxels with a probability of at least 0.75 in the GM or WM
probability map were included in the respective masks. Areas with major
susceptibility artefacts in GM were excluded by the additional constraint R2*<40s-1 (T2*>25ms). Parameter maps from different
accelerations were compared visually and quantitatively by extracting average parameter
values from whole-brain GM, WM, and manually defined volumes-of-interest
(VOI)s using Vinci4.439 (Fig.2).Results
For
all subjects, parameter maps obtained with different
accelerations appeared visually very comparable (Fig.1). At the group level, quantitative
values of R1, R2*, PD, and MTsat in automatically segmented whole-brain GM and
WM agreed well between scan protocols and depend neither on acceleration
technique nor factor (Fig.3). Similar results were found by comparing average
R1, R2*, PD, and MTsat in manually selected VOIs in GM and WM (Fig.4).
Generally,
the largest standard deviation of VOI-average parameter values across subjects, $$$σ$$$, was found with SENSE, especially in the
manually drawn VOIs ($$$σ_{GM}$$$(R1)
= 0.065s-1 (9%), $$$σ_{WM}$$$(R1)
= 0.109s-1 (10%), $$$σ_{GM}$$$(R2*)
= 2.14s-1 (10%), $$$σ_{WM}$$$(R2*)
= 1.00s-1 (4%), $$$σ_{GM}$$$(PD)
= 2.12p.u. (3%), $$$σ_{WM}$$$(PD)
= 0.81p.u. (1%), $$$σ_{GM}$$$(MTsat)
= 0.37p.u. (9%), $$$σ_{WM}$$$(MTsat)
= 0.56p.u. (11%), Fig.4).
CS
reduced the VOI-average standard deviation across subjects, especially for R1 (51%
in GM, 81% in WM) and MTsat values (60% in GM, 76% in WM) in whole-brain
segmentation with CS=6 (Fig.3a,d) as well as in manually drawn VOIs (R1: 83% in
GM and 75% in WM, MTsat: 60% in GM and 56% in WM, Fig.4a,d).
Overall,
the standard deviations of parameter values within
whole-brain GM and WM segmentations were very similar across accelerations
(Fig.5).Discussion
Generally, our quantitative MRI protocols
with different accelerations reveal comparable, high quality parameter maps. The measured physical parameter
values depend neither on acceleration technique (SENSE vs. CS) nor factor (CS=4
vs. CS=6) and agree well with the literature.1,10-13 Our
results suggest that compressed SENSE, with acceleration factors up to at least
6, can be used for quantitative mapping of R1, R2*, PD, and MTsat without loss
of fidelity but with the advantage of clearly reduced
scan times. These findings are in good accordance with studies investigating
the impact of CS acceleration on other imaging sequences.14-16 The
larger inter-subject variability in data accelerated
with standard SENSE, especially in the manually drawn VOIs (Fig.4), can be
caused by differences in the placement and size of the elliptical volumes-of-interest
as they were not co-registered across different accelerations. Another factor
could be residual unfolding artifacts in standard SENSE, which are generally
more prominent than the CS artifacts, which are distributed more incoherently
over the whole image.4 This also matches the increased variations in the
standard deviations with standard SENSE acceleration (Fig.5).
However, a larger subject cohort is needed to further determine if SENSE
and CS actually have different effects on the inter-subject variability and how
such differences are caused.Conclusion
Compressed
SENSE with acceleration factors up to at least 6, is highly promising for
quantitative R1, R2*, PD, and MTsat parameter mapping within clinically
feasible scan times. Differences in inter-subject variability require future comparisons
with non-accelerated sequences in a larger subject cohort. Furthermore, we will
investigate the CS fidelity for studying quantitative parameter changes of
pathologies in diseases such as multiple sclerosis.Acknowledgements
This
project was supported by the Friedrich-Ebert-Stiftung and has received funding
from European Union’s Horizon 2020 research and innovation program and from the
European Research Council under the Grant Agreement No 681094.References
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