Jyoti Mangal1,2, Sila Ayse Dokumaci1,2, David Leitao1,2, Raphael Tomi-Tricot1,2,3, Amer Ajanovic1,2, Stephen Ogier1,2, Tom Wilkinson1,2, Sharon Giles1,2, Pip Bridgen1,2, Claudia Prieto1, Joseph V Hajnal1,2, Shaihan Malik1,2, and David W Carmichael1,2
1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2London Collaborative Ultra high field System (LoCUS), King’s College London, London, United Kingdom, 3MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom
Synopsis
Quantitative MRI at 7T has advantages of enhanced resolution and uniform tissue contrast however protocol optimisation can be challenging as B1(+) field variability is increased. We maximized the precision of T1 estimation for a dual flip angle SPGR acquisition using Cramer-Rao Lower Bound framework and validated the results using a Monte Carlo simulation and both phantom and in-vivo experiments. For a TR of 20ms, simulations suggested optimal flip angles of 4° and 26° similar to in-vivo results of 4° and 28°. By accounting for other parameters, the CRLB framework can be flexibly extended to optimize more complex mapping protocols.
Introduction
Quantitative MRI at 7T may have important clinical applications owing to enhanced resolution and the potential for uniform tissue characterization. However, optimizing protocols to achieve precise parameter mapping across the whole brain with high resolution remains challenging, particularly due to large variability in transmit field (B1+). In this abstract, we aimed to validate the Cramer-Rao Lower Bound (CRLB) approach to optimize T1 mapping for a dual flip angle SPGR acquisition in the context of B1 inhomogeneity. Validation was performed in simulations, phantom and in vivo.Methods
All simulations were performed in MATLAB 2021b (www.mathworks.com).
Monte Carlo simulation: A spoiled gradient echo sequence (SPGR) was simulated as a function of longitudinal relaxation time (T1), flip-angle (α), transmit B1 bias factor (κ), equilibrium magnetization (M0) using the Ernst equation [1] assuming perfect spoiling and a steady state. Signals were obtained with α=3°,4°..,26° and 100,000 instances of gaussian noise (σ=0.001) were added. Variance in T1 estimation was calculated for each possible combination of SPGR signals {Si(αi), Sj(αj)} such that {αi,αj}∈α. CRLB simulation: Based on the framework [2], the T1 parameter precision estimate was calculated for the same set of α ‘s and same gaussian noise (σ=0.001) was assumed.
A first set of simulations (CRLB and Monte Carlo) were performed with TR=20ms and a set of T1s corresponding to phantom values: T1s= 440ms, 550ms, 760ms, 1200ms, 2200ms and M0=1.0 (a.u.) assuming no B1(+) variability. The worst case variance was obtained as a 2D grid corresponding to the two flip angles. The normalized inverse of this variance was used as a measure of precision for each {αi, αj} with the peak value being the optimal. A second simulation was performed (CRLB only) with a TR=20ms and T1=1200ms, 2130ms [3] and M0 = 0.69,0.82 corresponding to 7T brain white matter and gray matter values. Here, B1(+) variability was incorporated by summing the worst-case variances calculated with κ∈{0.46, 0.63, 0.8, 0.97, 1.14} corresponding to the B1(+) map.
Experimental validation of the simulations was performed using a 120mm diameter cylindrical phantom, length 137mm, (Gold Standards Phantoms) containing eight equally-spaced test tubes filled with varying concentrations of MnCl2 (0.01mM, 0.05 mM, 0.1mM, 0.15 mM, 0.2 mM) and the remaining space was filled with rapeseed oil in order to minimize the B1(+) variability. B1(+) field homogeneity was mapped using the actual flip angle imaging method with αnom=50° [4]. The T1 and PD values of each solution was determined using a conventional long-TR 2D inversion recovery experiment [5] at multiple TI times (100,200..,3000ms). Images were obtained with a 6-echo SPGR protocol (0.6mm isotropic, TR=20ms) for α’s = 3°,4°,5°,18°,24° and 26°. Only the first image (TE=2.4ms) was used further. ROIs around each test-tube were obtained using imfindcircles.m and imerode.m functions, removing outer voxels compromised by fat-water shifts. T1 was estimated for each possible {αi, αj} using a linearized approximation of Ernst equation at short TR and low flip angles [6]. The corresponding precision heatmap was calculated to measure the optimal flip angles.
Using the same SPGR acquisition protocol (but 1mm isotropic resolution), in vivo data was acquired from a healthy volunteer adult at a TR = 20ms for α’s = 3°,4°,5°,6°,12°,18°,24°,26°and 28°. The SPGR images were coregistered and segmented using spm12. T1 was estimated for each possible pair of SPGR images and the normalized precision was calculated for each tissue.Results
The results of the simulations and phantom validation are shown in Fig. 1 which depicts the T1 precision heatmap for different flip angles pairs {αi,αj} and phantom T1 range. The optimal flip angles from both simulations were consistently found to be 3° & 18° while experimental results in the phantom were 4° & 18°. Fig.2(a-b) shows representative phantom SPGR images for flip angles 4° and 18°, residual B1(+) correction map in Fig. 2(c) and the T1 map in Fig. 2(d).
The results of optimization for human brain T1 precision using the CRLB simulation are shown in Fig. 3 together with in-vivo white matter, gray matter and combined precision. The optimal flip angles from the simulation were 4° and 26°, while experimental optimal flip angles were 4° and 28°. Fig.4(a-b) shows representative in-vivo SPGR images for flip angles 4° and 28° with the B1(+) map in Fig4(c) and the T1 map shown in Fig. 4(d). Discussion
In this abstract, we showed a method to minimize the parameter estimate variance and obtain the optimal flip angles for quantitative T1 mapping using Monte Carlo and CRLB calculation. We validated simulation results by measuring T1 precision in a phantom and in vivo in the context of B1(+) variability. Modest discrepancies in the T1 precision map for in vivo data may be due to the way in which B1(+) distribution across the whole brain were accounted for in the simulation. Error in the B1(+) field mapping [7] may offer an alternative explanation. The CRLB approach provides a framework that can be extended to optimize multiple sequence parameters (e.g. TR and TE) and parameter maps (e.g. T2* and PD) to maximize precision for the development of more complex mapping protocols.Acknowledgements
The author J.M. would like to acknowledge Aishwarya Mishra for valuable help in the preparation of the phantom and Dr. Tobias Wood for valuable discussions about the work.
This work was supported by the CDT for Smart Medical Imaging, King's Health Partners, Wellcome Trust Collaboration in Science grant [WT201526/Z/16/Z], and by the National Institute for Health Research (NIHR) Biomedical Research Centre based at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London and/or the NIHR Clinical Research Facility. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
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