Arun Joseph1,2,3, Quentin Raynaud4, Antoine Lutti4, Tobias Kober5,6,7, and Tom Hilbert5,6,7
1Advanced Clinical Imaging Technology, Siemens Healthcare AG, Bern, Switzerland, 2Translational Imaging Center, Sitem-Insel, Bern, Switzerland, 3Departments of Radiology and Biomedical Research, University of Bern, Bern, Switzerland, 4Laboratory for Neuroimaging Research, Department for Clinical Neuroscience, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland, 5Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 6Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 7LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
Synopsis
Quantitative
MRI (qMRI) provides biomarkers of microstructural properties of brain tissue
and enables in-vivo monitoring of microscopic brain changes due to disease in
patient populations. The widely used Multi Parameter Mapping qMRI protocol allows
the computation of MTSat, PD, R1, and R2* maps. While it allows the assessment
of multiple brain tissue properties, its acquisition time is excessive for
clinical applications. Here, we propose a compressed sensing scheme based on a
Cartesian spiral-phyllotaxis readout to reduce the total acquisition time of 1mm
isotropic whole brain maps. A preliminary qualitative and quantitative
validation is performed on healthy subjects.
Introduction
Quantitative
magnetic resonance imaging (qMRI), with its sensitivity to micro-structural
properties of brain tissues such as axon density, myelination, iron content,
and water concentration1, provides in-vivo imaging biomarkers
of microscopic brain changes due to brain disease. qMRI also improves reproducibility and
comparability of data across different hardware and imaging protocols2. The multi-parameter mapping (MPM) acquisition protocol
yields whole-brain maps of the longitudinal and effective transverse relaxation
rates R1 and R2*, proton density PD, and magnetization transfer (MT) saturation2,3. These maps can be
computed offline from the MRI images using the freely available hMRI-toolbox (https://hmri-group.github.io/hMRI-toolbox/)10. While it allows the
assessment of multiple brain tissue properties, its acquisition time is excessive
for clinical applications. Here, we propose an adapted compressed sensing (CS)
acquisition to reduce the acquisition time of MPM. Metrics of data consistency
are provided across a range of acceleration factors, computed from data on
healthy subjects.Methods
A Cartesian
spiral-phyllotaxis undersampling
scheme4 was implemented in a prototype gradient echo (GRE) sequence.
Three subjects were measured at 3T (MAGNETOM Prisma, Siemens Healthcare,
Erlangen, Germany) using a 64-channel head/neck-coil after obtaining written
informed consent. The protocol consisted of undersampled T1-weighted, PD, and
MT multi-echo acquisitions using the prototype sequence. The scan parameters
are shown in Table 1. The measurements were performed in the sagittal plane
with undersampling factors of [2, 4, 8], yielding total acquisition times (TA) of
[17:20, 8:44, 4:19] minutes. For comparison, reference data was acquired using
a product GRE sequence with GRAPPAx2 acceleration5 with TA = 15:32
minutes. An MP-RAGE sequence was acquired and used as anatomical reference (TR
2300 ms, TI 900 ms, flip angle 8°, 0.9 mm isotropic resolution). The protocol also
contained additional acquisitions for B1 maps (TA 2.14 min) and B1 bias
corrections (TA 0.20 s) as recommended
in the hMRI-toolbox guidelines10.
Image
reconstruction was performed inline on the scanner for all measurements. While the
GRAPPAx2 reference used the product reconstruction, CS reconstructions were performed
using a prototype iterative algorithm6-8 with a reconstruction time
of ~5-7 minutes for one
multi-echo dataset. The complex
coil sensitivity maps for the CS reconstruction were estimated using the
ESPIRiT algorithm9.
All
post-processing and analysis of images were performed using Matlab (MathWorks,
USA). The images obtained from the multi-echo acquisitions were used for
further post-processing in the hMRI-toolbox10 which is embedded in
the statistical parameter-mapping
framework, producing multi-parameter maps followed by spatial registration for
statistical analysis11.
A
region-of-interest (ROI) analysis was performed using the prototype MorphoBox12
segmentation algorithm on seven white matter (WM) and grey matter (GM) structures, namely: frontal-WM/GM, occipital-WM/GM,
parietal-WM/GM, and corpus callosum. The segmentation was performed on the MP-RAGE
image, the resulting label maps were transformed into the MPM volume spaces
using rigid registrations13. The mean and standard deviation from
all regions were extracted using the obtained masks, and subsequently averaged
across subjects for the different parameter maps, brain structures, and
acceleration methods for a quantitative comparison. Results and Discussion
Figure 1
shows example k-space undersampling schemes and trajectories used in the CS
acquisitions. The images of the first echo obtained with T1-weighted, PD-weighted,
and MT-weighted multi-echo GRE acquisitions for GRAPPAx2 and CS reconstructions
with acceleration factors 2, 4, and 8 are shown in Figure 2. Qualitatively, the
CS images show similar contrasts to the GRAPPA reference and provide good
anatomical details even at higher acceleration factors. Noise artifacts can be
observed in the center of the brain for higher acceleration factors (CS8).
Figure 3 shows the MTSat, PD, R1, and R2* maps obtained for GRAPPA and the CS
reconstructions. The CS-reconstructed maps are qualitatively comparable to the
reference GRAPPA. Increased blurring can be observed at higher acceleration
factors, especially in the cerebellum. The mean values of the MRI parameter
estimates, computed across three subjects for different ROIs and acceleration
factors, are shown in Figure 4. The mean values obtained with the CS
reconstructions were found within 4.2% (MTsat), 0.7% (PD), 5.9% (R1), and 7.3% (R2*)
of the reference values obtained with GRAPPAx2. The standard deviation of the
distribution of the estimates in each region, averaged across the three datasets
appears to be independent of the acceleration technique used. This indicates
good specificity to regional tissue differences.Conclusion
We implemented a compressed
sensing acquisition based on a Cartesian spiral-phyllotaxis readout scheme, that
allows the generation of whole-brain quantitative multi-parameter maps (MTSat,
PD, R1, and R2*) in a clinically acceptable acquisition time. Our preliminary results indicate that CS
reconstruction provides data similar to the reference among different
acceleration factors. Notably, at higher acceleration
factors (R>=8), blurring and noise increase in CS-based maps and these
effects should be considered depending on the clinical application. Further studies to validate reproducibility across
different time points with a larger cohort and patient data are required.Acknowledgements
No acknowledgement found.References
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