Juan Pablo Meneses1,2, Cristobal Arrieta1,2, Gabriel della Maggiora1,2, Pablo Irarrazaval1,2,3,4, Cristian Tejos1,2,4, Marcelo Andia1,2,5, Carlos Sing Long1,2,3,6,7, and Sergio Uribe1,2,5
1Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 2ANID – Millennium Science Initiative Program – Millennium Nucleus for Cardiovascular Magnetic Resonance, Santiago, Chile, 3Institute for Biological and Medical Engineering, Pontificia Universidad Catolica de Chile, Santiago, Chile, 4Department of Electrical Engineering, Pontificia Universidad Catolica de Chile, Santiago, Chile, 5Radiology Department, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile, 6Institute for Mathematical & Computational Engineering, Pontificia Universidad Catolica de Chile, Santiago, Chile, 7ANID – Millennium Science Initiative Program – Millennium Nucleus for Discovery of Structure in Complex Data, Santiago, Chile
Synopsis
Proton
density fat fraction (PDFF) and $$$R_2^*$$$, key
biomarkers associated to liver disease, can be obtained by solving the
water/fat separation problem. Convolutional Neural Networks (CNN) have been
proposed for solving this problem. However, proposed solutions have not achieved
accurate $$$R_2^*$$$ mapping. We introduce MDWF-Net, a CNN model
for computing high quality water-fat, $$$R_2^*$$$ and field mapping from abdominal acquisitions.
The results were evaluated considering error and structural similarity and
compared against a U-Net. We also evaluated ROIs in the liver for PDFF and $$$R_2^*$$$. The
proposed MDWF-Net overperforms the original U-Net, especially for $$$R_2^*$$$ maps, even with fewer echoes.
Introduction
Proton density fat fraction (PDFF) and $$$R_2^*$$$ signal decay are important biomarkers associated to non-alcoholic fatty
liver disease and iron overload1. Both are measured by solving a water/fat
separation problem with field map ($$$\Delta f$$$) corrections, from gradient echo multi-echo
acquisitions2. Recently, deep learning methods have
been proposed for water/fat separation problem3–6. Most of them are based on convolutional
neural networks (CNN) that used a U-Net architecture3,4. This architecture allows for getting water/fat
images at a minimal computational cost and high accuracy, after a computationally
demanding training process. However, these approaches tend to generate blurred
and underestimated results for $$$R_2^*$$$ and field maps,
and thus, the solutions are useful for accurate PDFF calculations only.
We
propose a CNN with a novel architecture that enables a highly accurate solution of the water/fat separation problem and, remarkably, accurate, non-blurred and artifact-free $$$R_2^*$$$ mapping. We trained our model with abdominal
multi-slice acquisitions and compared the results against the U-Net model.Methods
We introduce Multiple Decoded Water/Fat Net
(MDWF-Net), a CNN architecture based on U-Net with multiple decoders for water/fat, $$$R_2^*$$$ and $$$\Delta f$$$ (Figure 1). Change
for this improvement allows for parameter disentangling, which increase the
model’s capabilities to describe the particular behavior of each map.
This study used 2D multi-slice axial abdomen images of
101 volunteers, acquired with a gradient echo multi-echo sequence with six echo
times (TE1/$$$\Delta$$$TE/TR = 1.3/2.1/30 ms) at 1.5T
scanner (Achieva, Philips Healthcare). The final database included 2237 complex
images that were rescaled to 128x128 pixels by subsampling in the K-space. The
water/fat separation references were obtained with Graph Cut method2. From the overall complex images, 1790
were used for training, 223 for validation and 224 for testing. The loss
function was the mean absolute error of the outputs (water, fat, $$$R_2^*$$$, $$$\Delta f$$$). The training setting was as follows: Adam optimizer
($$$\beta_1=0.9$$$, $$$\beta_2=0.999$$$), cosine learning rate decay starting at 0.0005, 120
epochs, batch size of 32. Data augmentation was performed, including vertical
and horizontal reflections and vertical translations in the range of $$$\pm 20$$$ pixels. We trained
MDWF-Net considering 3,4,5 and 6 echoes, prospectively. All networks were
trained using a Tesla T4 GPU.
The performance of MDWF-Net was evaluated
considering the mean square and absolute errors (MSE, MAE), and the structural
similarity index measure (SSIM)7 of the resulting maps with respect to reference
results. For
comparison purposes, a U-net was trained with the same training
setting than MDWF-Net, considering 3 and 6 echoes (Table 1). For an evaluation more compatible with clinical
practice, we also considered the error of PDFF and $$$R_2^*$$$ at regions of interest (ROIs), considering one ROI per image and discarding slices
with negligible hepatic tissue.Results
MDWF-Net outperforms the original U-Net,
especially for $$$R_2^*$$$ (Figure 2),
even with a reduced number of echoes (Figure 3). Compared to the Graph Cut references, MSE, MAE and SSIM showed better performance for the proposed model,
with a remarkable improvement in $$$R_2^*$$$ (Table 1). SSIM
of $$$R_2^*$$$ highlights the
major improvement in deblurring and artifact reduction produced by MDWF-Net
compared to U-Net, even with 3 echoes (Table 1).
PDFF and $$$R_2^*$$$ values at liver
ROIs showed lower mean absolute error for our proposed model. Considering the
different number of echoes, MDWF-Net achieved lower errors and standard
deviations than U-Net for all cases, especially for $$$R_2^*$$$ (Figure 4). Results
showed that similar quality $$$R_2^*$$$ mapping can be
achieved with 5 echoes.Discussion
MSE, MAE and SSIM showed that MDWF-Net with 3 echoes
overperformed U-Net with 6 echoes (Table 1). They also showed that MDWF-Net was
capable of computing high quality water and fat images even with 3 echoes, but $$$R_2^*$$$ and $$$\Delta f$$$ maps were more
affected by the reduction of echoes. Nevertheless, a similar accuracy in $$$R_2^*$$$ could be
achieved with 5 echoes. In the case of field map, even a reduction of one echo
affects the performance. Despite these results, $$$R_2^*$$$ and $$$\Delta f$$$ maps were qualitatively acceptable even with
fewer echoes, while water and fat estimations remained accurate (Figure 3).
Finally, the mean and standard deviation of the
absolute errors in ROIs corroborated the high precision of $$$R_2^*$$$ mapping, particularly in the hepatic tissue
(Figure 4b). The results also showed that the PDFF precision of the MDWF-Net overperformed
U-Net, which is noticeable with the lower standard deviations (Figure 4b). PDFF
error in ROIs showed that MDWF-Net performance remained unaffected with fewer echoes.Conclusion
We proposed MDWF-Net, a U-Net based architecture with
multiple decoders, to solve the water/fat separation problem. MDWF-Net generates
more accurate and precise estimations of the PDFF and $$$R_2^*$$$ at the hepatic
tissue, compared with the original U-Net.
Even with considerably less echoes, MDWF-Net
still achieved high quality quantifications, especially for $$$R_2^*$$$. This could be a considerable advantage for
shortening the gradient echo acquisitions required to solve the water/fat
separation problem.
In future
work, we will incorporate simulated data to the training of the model to
improve the quality of the training process, increasing the number of data
samples and the robustness of the resulting CNN. The inclusion of simulated
data will also allow to have completely accurate ground-truth labels and to test
with other echo times.Acknowledgements
This
work was funded by ANID – Millennium Science Initiative Program – NCN17_129 and
PIA/Anillo ACT 192064. C.A. was partially funded by CONICYT FONDECYT
Postdoctorado 2019 #3190763, CONICYT PCI REDES 180090, and ANID – Millennium
Science Initiative Program – NCN17_129. C.SL. was partially funded by ANID –
Millennium Science Initiative Program – NCN17_059.References
1. Starekova,
J. & Reeder, S. B. Liver fat quantification: where do we stand? Abdom.
Radiol. 45, 3386–3399 (2020).
2. Hernando,
D., Kellman, P., Haldar, J. P. & Liang, Z. P. Robust water/fat separation
in the presence of large field inhomogeneities using a graph cut algorithm. Magn.
Reson. Med. 63, 79–90 (2010).
3. Andersson,
J., Ahlström, H. & Kullberg, J. Separation of water and fat signal in
whole-body gradient echo scans using convolutional neural networks. Magn.
Reson. Med. 82, 1177–1186 (2019).
4. Goldfarb,
J. W., Craft, J. & Cao, J. J. Water–fat separation and parameter mapping in
cardiac MRI via deep learning with a convolutional neural network. J. Magn.
Reson. Imaging 50, 655–665 (2019).
5. Cho,
J. J. & Park, H. W. Robust water–fat separation for multi-echo
gradient-recalled echo sequence using convolutional neural network. Magn.
Reson. Med. 82, 476–484 (2019).
6. Liu,
K. et al. Robust water–fat separation based on deep learning model
exploring multi-echo nature of mGRE. Magn. Reson. Med. 1–14 (2020)
doi:10.1002/mrm.28586.
7. Wang,
Z., Bovik, A. C., Sheikh, H. R. & Simoncelli, E. P. Image quality
assessment: From error visibility to structural similarity. IEEE Trans. Image
Process. 13, 600–612 (2004).