Shira Nemirovsky-Rotman1, Elad Rotman1, Onur Afacan2, Sila Kurugol2, Simon Warfield2, and Moti Freiman1
1Biomedical Engineering, Technion, Haifa, Israel, 2Boston's Children's Hospital, Harvard Medical School, Boston, MA, United States
Synopsis
Quantitative Diffusion-Weighted MRI
with the Intra-Voxel Incoherent Motion (IVIM) model shows potential to produce
quantitative biomarkers for multiple clinical applications. Recently, deep-learning (DL) models were
proposed for the estimation of the IVIM model parameters from DW-MRI data. While
the DL models produce more accurate parameter estimates compared to classical
methods, their capability to generalize the IVIM model to different acquisition
protocols is very limited. For that end, we introduce a physically motivated DL
model, by incorporating the acquisition protocol into the network architecture.
Our approach provides a DL-based method for IVIM parameter estimates that is
agnostic to the acquisition protocol.
Introduction
Body Diffusion-weighted MRI
(DW-MRI) has the potential to enable detailed characterization of the tissue
cellular architecture due to its sensitivity to the random movement of
individual water molecules [1]. According
to the Intra-Voxel Incoherent Motion (IVIM) model, the overall MRI attenuation may
be expressed as the a bi-exponential decay [2] related to the diffusion and
pseudo-diffusion components:
si=s0(Fpexp(-bi(Dp+D))+(1-Fp)exp(-biDp)) , (1)
where si is the signal at
b-value bi; s0 is the signal
without sensitizing the diffusion gradients; D is the diffusion coefficient, an indirect
measure of tissue cellularity; Dp is the
pseudo-diffusion coefficient, an indirect measure of blood flow in the
micro-capillaries network; and Fp is the fraction of the contribution of the
pseudo-diffusion to the signal decay. The IVIM model
parameters have recently been shown to serve as promising quantitative imaging
biomarkers for various clinical applications, such as tumor analysis [3], [4] assessment of liver
cirrhosis [5] and Crohn’s disease [6], [7].
However, obtaining voxel-wise IVIM parameter estimates from DW-MRI data with the classical
non-linear least-squares (NLLS) regression approach [8] results in noisy and unreliable parameter estimates due to the non-linearity of the IVIM model and low
signal-to-noise ratio (SNR) observed in body DW-MRI [9]. In addition, Bayesian
approaches, such as the Bayesian Shrinkage Prior (BSP) [10] and the Fusion Bootstrap Moves (FBM) [11], are computational expensive and highly sensitive to the choice of prior distributions. Recently, the use of deep-neural-networks (DNNs) has been
proposed for IVIM parameter estimation by Bertleff [12] and Barbieri [13]. While these DNN-based approaches show
improved performance in terms of accuracy and computational time, they fail in
predicting the IVIM model parameters from DW-MRI data acquired with a set of
b-values that was not used during the DNN training. This limits their practical
usage in clinical settings, where variations in the acquisition protocol are
common. In this work, we
introduce an improved DNN-based model for the IVIM signal decay by
incorporating the DW-MRI acquisition parameters into the DNN architecture input
in addition to the attenuated signals. Methods
A feed-forward back-propagation deep neural network was
trained using data generated according to the IVIM model (Eq. 1). The network is comprised of five
fully-connected hidden layers, an extended input layer and an output layer (see
Fig. 1). The input layer is composed of
the neurons which receive the normalized diffusion-weighted signals , as well as the values of the
acquisition parameters. The output layer is comprised of 3 neurons, which hold
the estimations of the IVIM model parameters: D, Dp and Fp . An Adam optimizer was applied for the training, with a loss function
computed as the mean square error between the normalized signal input and the normalized
predicted output according to the IVIM model (Eq. (1)).
The proposed network was
trained and tested on simulated diffusion-weighted signals, according to the
IVIM model, with randomly varying b-values vectors. The IVIM parameters were chosen
as uniformly distributed random variables over the following intervals: 0.0005≤D≤0.002 mm2/sec, 0.01≤Dp≤0.1 mm2/sec, 0.1≤Fp≤0.4. These parameters values were chosen
in agreement with reported abdominal DW-MRI data [14].
During the training process, uniformly
distributed random variations in the b-values vectors were injected to the network. Rician noise was added to the IVIM signals during the training process.Results
The proposed deep neural network
was successfully trained for the IVIM model, with a b-values variability bias
of 25%. In Fig. 2, an example of the proposed method’s parameter estimations
compared to Barbieri’s method is shown. The proposed method achieves improved
estimations of the IVIM parameters with respect to the ground truth (GT) data,
compared to previous network estimations. In Fig. 3, the Root-Mean-Square-Error
(RMSE) of the IVIM parameters over different tested parameters variability is
shown, for Barbieri’s and the proposed method. As may be seen, the
proposed method achieves improved RMSEs for the DP estimations compared to Barbieri’s method over the
tested parameters variabilities. Similar results are obtained for D, Fp.
In Fig. 4, box plots for the standard deviations (STDs) of the estimated
parameters maps are shown for different parameter variations, where for
each variation, Rician noise is generated and added to the IVIM signal over 100 iterations. The STDs are
calculated over uniform areas in the parameters’ maps, in order to demonstrate
the sensitivity of the two compared methods for the Rician noise. As may be seen,
the proposed method achieves lower STDs for all tested variations, for the Dp estimate. Similar results are obtained for D, Fp.Conclusions
We introduced a deep learning model capable to “learn” the IVIM
signal model decay by incorporating the acquisition parameters into the network
architecture. In a major shift from previous work, which focused on accurate
prediction of the IVIM model parameters in a specific setting (i.e., a set of
b-values), our approach is capable to “learn” the IVIM model and as a result,
be agnostic to variations in the acquisition protocols. Thus, the
proposed DNN-based model of the IVIM signal-decay model may be used to estimate
the IVIM model parameters from DW-MRI data, without requiring an additional
training session according to the specific acquisition protocol parameters. The proposed approach can be extended directly to additional
parametric MRI quantitative mappings.Acknowledgements
This
research was supported in part by a grant from the United States-Israel
Binational Science Foundation (BSF), Jerusalem, IsraelReferences
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