Melissa T. Hooijmans1,2, Crystal L. Coolbaugh3, Xingyu Zhou2,4, Mark K. George2, and Bruce M. Damon4,5,6
1Department of Radiology & Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, Amsterdam, Netherlands, 2Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 3Vanderbilt University Institute of Imaging Sciences, Nashville, TN, United States, 4Department of Biomedical Engineering, Vanderbilt University Medical Center, Nashville, TN, United States, 5Department of Radiology & Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 6Department of Molecular Physiology & Biophysics, Vanderbilt University Medical Center, Nashville, TN, United States
Synopsis
SPAMM, combined with HARP,
is primarily used for strain quantification in the myocardium; but applications
in other soft tissues, including skeletal muscle, are increasing. HARP suffers
from artifacts due to usage of inappropriate filters and should therefore be optimized
especially for skeletal muscle. We simulated strains ranging from -0.156 to +0.156
(decimal strain) in dynamically acquired line- and grid-tagged SPAMM images, and
optimized elliptical filter parameters were determined for skeletal muscle. With
this filter, differences between the measured strain and absolute strain were
small for the low strain values and increased with the actual strain values and
number of dynamics.
Introduction
Spatial Modulation of Magnetization (SPAMM) is used
to measure strain in soft tissues including the myocardium and skeletal muscle1-3.
In skeletal muscle, SPAMM has been used to gain understanding in muscle
mechanics by measuring strain in relation to architectural features4,5.
Various analysis approaches exist for SPAMM MRI, including template matching,
active geometry and Harmonic Phase (HARP)6-8. In HARP, magnitude
images are Fourier-transformed and the first harmonic peak is isolated using a filter.
Strain maps obtained using HARP can suffer from artifacts due to phase
unwrapping, image noise, low tag contrast and interference from neighboring
spectral peaks9-10. Consequently, an essential aspect for accurate
strain quantification using HARP is the selection of an appropriate filter to
isolate the first harmonic peak from the central peak in k-space, as unsuitable
filters will influence the deformation information. A variety of filters exits for
this interference reduction, including Band-pass filters, Gabor filter banks and
elliptical filters11-13. In this study, we determined optimal
elliptical filter parameters to minimize strain errors in skeletal muscle by
simulating strain in SPAMM images.Methods
MR data were acquired in the
right lower leg of 5 healthy participants (age: 24.2 ± 1.1years) on a 3T MRI
system (Philips, Best, the Netherlands) using a 16-channel receive coil and 10-channel
table top coil. Resting SPAMM images (2D; FE-EPI; TR/TE 250/27ms; FA 20°; tag
spacing 7mm; FOV 192x192x7mm, 20 dynamics) were acquired in both the axial (grid
profile) and sagittal planes (line profile).Data-analysis
Post-processing was performed using MATLAB (The
Mathworks, Inc., Natick, MA) in two steps: 1) Strain simulation and 2) Strain
quantification using HARP. Strain was simulated by resizing the SPAMM images in
the direction of the tags. Four different resize levels were used, including
both positive and negative decimal strain values ranging from -0.156 to +0.156.
Strain quantification is illustrated in Figure 1. The magnitude image (A) was Fourier
Transformed (FT; B); an elliptical filter (C) was created and multiplied by
k-space. An inverse FT was taken of the modified k-space to generate magnitude
and phase images (D). The phase data were unwrapped (E) and the gradient, dφ/dx
is measured. Strain was measured using HARP as 1 – dφRS/dx/dφ/dx,
where the subscript RS indicates the resized image. For each strain level the
analysis was repeated for varying elliptical filter sizes (4 filter widths, heights and Gaussian Variances; all had units of pixels); all combinations
were tested. The error between observed strain and actual strain was used to
assess the performance of each of the filter parameters. A factorial analysis was performed to
determine the optimal filter settings for strain quantification in skeletal
muscle for all directions and all strain values (positive and negative
together). Lastly the filter’s performance was assessed by
comparing the measured strain with the actual strain values for all dynamics. Results
The optimal filter parameters
varied for the directions (Figure 2). For the X-direction, the smallest average
error was seen using radii of 12 pixels wide and eight pixels high, with a
Gaussian Variance of four. In the Y-direction, radii of four pixels wide and 16
pixels high with a Gaussian Variance of six generated the smallest average
error. For the Z-Direction the average error was essentially insensitive to the
filter parameters. Over the first five dynamics and for all strain values, the
optimal filter had radii of 12 pixels and a Gaussian variance of four. Using
these filter parameters, differences between the measured strain and absolute strain
were small for the low strain values and increased with actual strain values
(Figure 3). The difference between measured and actual strain increased with
the number of dynamics. The largest difference between actual and measured
strain occurred for negative strain in the X-direction and positive strain in
the Y-Direction.Discussion
We simulated strain in
resting SPAMM images to determine optimal elliptical filter settings for HARP
based strain measurements in skeletal muscle. The optimal filter settings
consisted of intermediate radii in the width and height directions (each 12
pixels) and a Gaussian Variance of four pixels. This filter performed
well in the lower strain ranges, for both positive and negative values but less
well for higher strain values, reflected by the larger difference between
measured and actual strain. This could be due to the larger spread of the
deformed tag in the frequency domain for larger strain values10.
Furthermore, larger differences between measured strain and actual strain were
observed in the later dynamics, likely due to the lower contrast in these
images. Both these phenomena were clearly visible for the large negative and
positive strains in the X-direction and Y-direction, respectively. Another possible
factor influencing strain quantification in these directions is some
deformation in the tagging grid due to artifacts such as eddy currents. In the
future, registration approaches can be explored to reduce the grid deformation
prior to filtering13-14. Conclusion
Our simulation approach found optimized elliptical
filter parameters for accurate strain quantification in skeletal muscle in a
range of strain levels. This approach is easily translatable to other filter
types or areas-of-interest. Acknowledgements
Development and Application of Muscle
Diffusion Tensor MRI (Grant number: 1 R01 AR073831); National Institutes of
Health/National Institute of Arthritis and Musculoskeletal and Skin Diseases.References
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