Hayato Nozaki1,2, Yasuhiko Tachibana3, Yujiro Otsuka4, Wataru Uchida1,2, Yuya Saito1, Koji Kamagata1, and Shigeki Aoki1
1Department of Radiology, Graduate School of Medicine, Juntendo University, Tokyo, Japan, 2Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan, 3Department of Molecular Imaging and Theranostics National Institute of Radiological Sciences National Institutes for Quantum and Radiological Science and Technology, Chiba, Japan, 4Miliman, Tokyo, Japan
Synopsis
Deep learning-based noise reduction
technique for DWI contains a risk of outputting values that are greatly
deviating from what it should be because of the instability problem of deep
learning. The neural network model was designed in this study to suppress this
risk which can fix the generated value for each pixel within the range of
values of neighboring pixels in the original image. The results of the
volunteer study suggested that the proposed method has potential to provide
effective denoising beside suppressing the instability risk.
Introduction
The deep learning-based noise reduction for
diffusion-weighted images is a topic that has been well discussed. 1-3 However, due
to the instability problem in deep learning, 4 it was difficult to exclude the risk that
some of the obtained values deviate greatly from what they should be. To solve
this problem, we have developed a neural network model which can limit the
range of the value of each pixel to the range of values of the neighboring
pixels in the original data. The purpose of this study was to conduct an
initial investigation whether the proposed model can reduce noise
appropriately.Method
Data acquisition
Ten healthy volunteers (man 6, woman 4, age
21-33 year) were included as subjects, and their brain DWI was acquired using a clinical
3T scanner equipped with a 64-channel head coil. The major parameters were,
echo-planner imaging, TR /TE: 3900 /7 ms, matrix: 116x116 (2x2 mm), thickness:
2 mm, b-values: 0, 1000, and 2000 s/mm2, diffusion encoding directions: 30, and
number of excitation (NEX): 8.
Network architecture, and training and testing
The
proposed neural network model was designed to convert a NEX1 image to an image
equivalent to NEX8 image (deep learning-based noise reduction image: dNR)
(Figure 1). The training was performed for each b-value separately using NEX1
and NEX8 images as inputs and targets, respectively. The loss to be minimized were,
1. Mean absolute error between the output and target images, and 2. Euclid
distance between the diffusion tensors calculated from those images. The
training and testing were performed by leave-one-out cross validation.
Optimization was performed by Adam algorithm (initial learning rate: 0.0001). 5
ROI-based analysis
Isotropic DWI, and diffusional parameters
related to DTI, 6 DKI, 7 and NODDI, 8 were obtained from NEX1, NEX8, and
dNR images, respectively (Figure 2). The following ROIs were defined manually
for each subject according to the previous study. 9 Additionally, the mean value for
each ROI was calculated for isotropic DWI and parameter maps: 1. Corpus
callosum, 2. Deep white matter, 3. Periventricular white matter, 4. Deep gray
matter, and 5. Cortical gray matter.
Tract analysis
Tractography analysis was performed for
NEX1, NEX8, and dNR series of each patient. The seed and target ROIs were
defined manually at cerebral peduncle and precentral gyrus, respectively, and
100,000 probabilistic tracts were drawn under the MSMT-CSD algorithm, 10 which
employed second-order integration over the FOD (iFOD2) algorithm 11 using: step
size, 1.0mm; maximum curvature, 45° per step; length, 4–200mm; and fiber
orientation distribution threshold, 0.1. The number of the successfully
obtained tracts was recorded.
Statistics
The ROI-based values of isotropic DWI and
parameter maps were compared statistically among NEX1, NEX8, and dNR. Wilcoxon
signed-rank test was used and P<.05 was considered as significant.
The recorded number of tracts in tract analysis was also compared similarly.Results
Visually, dNR was less noisy than NEX1 in
both DWI and parameter maps, which enabled identifying the detailed anatomical
structures as well as NEX8 (Figure 3). This merit was particularly noticeable
in regions around the center of the brain.
In ROI-based analysis, dNR was closer to
NEX8 than NEX1 in most regions and parameter maps, and not a few of the
significant differences seen between NEX1 and NEX8 became non-significant in
between dNR and NEX8 (Figure 4). On the other hand,
dNR was particularly not successful in deep
white matter and periventricular white matter regions in ODI, because the
difference compared to NEX8 was significant in dNR and not in NEX1.
Tract analysis showed that the number of
tracts obtained by dNR was significantly larger than that of NEX1 (P<.001)
and comparable to that of NEX8 (Figure 5).Discussion
The proposed method can reduce the risk of
outputting an outlying value due to the instability problem, because the value
of each pixel in dNR do not exceed the range of the neighboring pixels’ values
in the original image, which is advantageous in clinics.
The
visual evaluation showed that image quality was greatly improved in dNR.
Moreover, the results of the ROI-based study which dNR showed advantage to NEX1
in both isotropic DWI and parameter maps suggest that the proposed method not
only removes apparent noise but also effectively preserves the functional
information contained in NEX1 image. The superiority of dNR for DTI metrics was
observed even in the deep gray matter, which is considered to be superior to
the previous research. 12
Furthermore, the results of tract analysis
suggest that the functional information is retained not only within slices but
also across slices, which further supports the effectiveness of the proposed
method. On the other hand, ODI value in some regions showed negative results
for dNR. The reason is not obvious and further improvement is desirable.
However, the reproducibility of NODDI parameters was not evaluated in previous studies,
so it is unclear whether the proposed method is inferior in this respect.
Another limitation of this study is that it included only 10 healthy subjects.
Further validation using larger data including patients is required.Conclusion
The proposed method reduces the uncertainty
problem of Deep Learning and has the potential to provide effective denoising.Acknowledgements
The research was supported by a Grant-in-Aid for Scientific Research (Kakenhi #17K10385, #18H02772) from the Japan Society for the Promotion of Science (JSPS) and Japanese Government , and by AMED (#JP19lk1010025h9902).
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