Nashwan Naji1, M. Louis Lauzon2,3, Peter Seres1, Emily Stolz1, Richard Frayne2,3, Catherine Lebel4, Christian Beaulieu1, and Alan H. Wilman1
1Department of Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 2Departments of Radiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 3Seaman Family MR Research Centre, Foothills Medical Centre, Calgary, AB, Canada, 4Department of Radiology, Alberta Children’s Hospital Research Institute and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada
Synopsis
R2* and QSM provide noninvasive ways to measure
iron concentration in human brain. Performing multi-center studies help
exploring wider demographical and pathological conditions. However, data pooled
from multiple sites typically contain local acquisition sequence variations. In
this study, the reproducibility of R2* and QSM at 3T are evaluated in 21
healthy adults (“traveling phantoms”) scanned 2x per site using independently site-optimized sequences from
three sites and two scanner vendors. Mean R2* and susceptibility measurements
in four deep grey matter structures were found to be highly correlated (r2
≥ 0.98) and reproducible with SD of 1.2 s-1 and 4.1 ppb, respectively.
INTRODUCTION
The transverse relaxation rate (R2*) and susceptibility (using quantitative
susceptibility mapping, QSM) can be used to estimate iron load in deep grey
matter associated with aging and/or pathology. Both R2* and QSM can be reconstructed
from a multi-echo gradient-echo (MEGE) sequence, but the sequence is sensitive
to variations in B0 inhomogeneity, gradient nonlinearity, acquisition
parameters and motion. Several studies have assessed the repeatability1-3 and
reproducibility of R2* and QSM across different sites,3-5 vendors,3,4,6
acquisition methods7 and field strengths.6,8,9 These studies demonstrated
that R2* and QSM are reproducible when measurements were collected using
similar MEGE sequences. However, practical amalgamation of data between sites
and vendors requires managing local sequence variations. In this study, we
evaluate the reproducibility of R2* and QSM at 3T using three independent
site-optimized sequences. METHODS
Subjects and Imaging Setup
Twenty-one
healthy subjects (10 males, aged 20 to 49 years) were analyzed after being
scanned twice (in different sessions; mean interval 18.7 ± 26.3 days) at each
of three sites. The study was approved by the local ethics committee and all
subjects gave written informed consent prior to imaging. Imaging was done at 3T
with non-harmonized protocols optimized separately by each site (scanners and
imaging parameters are listed in Table 1). Each protocol included two whole
brain 3D sequences: T1w MPRAGE (for tissue segmentation) and MEGE (for R2* and
QSM).
R2* and QSM Processing
Complex images from different coil elements were combined using the
default method for each scanner. Two scenarios of TE selection were tested:
processing data from all TEs, or only from the 5 comparable TEs (underlined in
Table 1). R2* maps were produced using the ARLO fitting method.10 To exclude
unreliable regions, brain masks were produced using FSL's BET from the
magnitude of the longest comparable TE between protocols (TE~26 ms). The local phase shift was extracted from
averaged Laplacian-unwrapped phase images using V-SHARP with maximum kernel
radius of 12 mm, then inverted into a susceptibility map using the iLSQR
algorithm.11
Registration and Analysis
Segmentations of four deep grey matter regions (caudate, putamen, thalamus,
globus pallidus) were obtained from the T1w volume of a single scan per
individual (chosen as the reference) using VolBrain’s online tool.12 MEGE
magnitude images at TE1 of the six scans were rigidly registered to the
reference T1w volume using ANTs,13 after which the R2* and susceptibility
images were mapped into the T1w space using the obtained transformation
matrices. Mean R2* and susceptibility values were recorded by pooling over both
hemispheres. Repeated scans were compared pairwise using Student’s paired
t-test (with significance level set to α= 0.05). RESULTS AND DISCUSSION
Fig.1 shows sample scan-rescan images from the first echo MEGE
magnitude, R2* maps and QSM of one subject. Broad differences in magnitude
contrast were evident, while quantitative maps appeared similar across all
sites. Small differences were observed around veins and brain edges,
particularly in QSM, due to the strong susceptibility-gradient in these regions.
Cross-site variability was reduced when QSM reconstruction used
only the comparable TEs (SD: 4.1 vs 6.6 ppb; slope:0.96 vs 0.89), as suggested
previously.9 For R2* however, processing all TEs was slightly better (SD:1.2
vs 1.3 s-1; slope: no change). Therefore, the rest of this analysis
was carried using the comparable TEs for QSM and the full TEs for R2*.
Within-site and cross-site regional measurements are compared in
Figs 2 and 3, respectively. Results demonstrate that R2* and QSM measurements
are highly reproducible, indicating an absolute bias <1 s-1 (p<0.01)
and ≤3 ppb (p<0.01) in R2* and QSM, respectively. The SD of
differences for R2* were <1.0 s-1 and ≤1.2 s-1 for
within-site and cross-site, respectively. For QSM these values were ≤2.2 ppb
and ≤4.1 ppb, respectively. Measurements were also highly correlated with r2
values ≥0.98 and ≥0.99 for R2* and QSM, respectively. Overall higher
variability was observed cross-site due to differences in hardware and imaging
setup, including B0, coil set, shimming and gradient system.
A slight cross-vendor deviation in the slope of R2* measurements
was observed, which can be attributed to B0 differences between different
vendors (i.e., $$$B0_{Site2} /B0_{Site3}$$$ = 1.04). The QSM measurements
from Site1 were slightly lower (slope 0.96) than Site2. In a post-hoc analysis,
head position was generally found to be more forward-tilted at Site1 (difference:5.5° ± 4.0°,
p<0.001). Relative to B0-direction, head orientation effect on white matter is
evident in both R2* and QSM due to fiber anisotropy,14,15 but can also add
variation to QSM in other tissues through remnant angle-dependent streaking
artifacts (Fig.4). Furthermore, susceptibility-induced sinus artifacts were
found closer to deep grey matter structures by 3.7 ± 1.8 voxels
(p<0.001) in Site1 vs Site2. Cross-site differences in B0 shimming and head
orientation influence the shape and extent of the air-tissue sinus artifacts.
Combined with the declining toward-edge performance of background removal
methods,16 the extended sinus artifacts could cause underestimation in deep
grey matter measurements. CONCLUSION
R2* and QSM measurements in deep grey matter from twenty-one
healthy subjects obtained with different protocols across three sites and two scanner
vendors were found to be highly correlated and reproducible. Post-processing
steps such as excluding unreliable regions, matching the echo-times and
minimizing streaking artifacts in QSM help in reducing cross-site variability. Acknowledgements
No acknowledgement found.References
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