Joseph W Plummer1,2, Abdullah S Bdaiwi1,2, Mariah L Costa1,2, Matthew M Willmering1, Zackary I Cleveland1,2,3, and Laura L Walkup1,2,3,4
1Center for Pulmonary Imaging Research, Department of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Biomedical Engineering, University of Cincinnati, Cincinnati, OH, United States, 3Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 4Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States
Synopsis
Hyperpolarized
129Xe-MRI is prone to B1-inhomogeneity-induced signal
artifacts, that often obscure pulmonary abnormalities. B1-inhomeogeneity
can be corrected by calculating a flip-angle map and rescaling the images.
Current methods to acquire a flip-angle map in 2D-spiral sequences require two-successive
images to be collected in a single breath-hold, doubling scan duration. We
demonstrate that flip-angle maps can be calculated from a single image
acquisition using keyhole reconstruction. Furthermore, analytical methods can
be used to minimize the amount of required oversampling. This approach enables
accurate B1-artifact correction, with minimal impact to scan-duration,
making it especially useful for short breath-hold studies.
Introduction
Hyperpolarized 129Xe-MRI is a powerful imaging technique, most-well
known for its ability to characterize regional gas-uptake and airway-obstruction
in the lungs from a single breath-hold image1-3. Its feasibility is particularly benefitted by
center-out sequences, such as 2D-spiral, where sampling-efficiency and scan-duration,
and thus breath-hold duration, are improved. However, 129Xe-MRI is highly sensitive to regional
differences in applied flip-angle caused by B1-field inhomogeneity.
This may cause signal artifacts that obscure pulmonary abnormalities, including ventilation deficits, and therefore require correction.
An
accurate means to correct for B1-variations is to measure a
flip-angle map, and retrospectively rescale the acquired image. When acquisition-time
is much less than the in-vivo T1 (~20s)4, flip-angle
maps can be generated by acquiring two images within the same breath-hold, and
calculating signal decay between them5. While
this ‘paired-image’ approach produces accurate flip-angle maps, it doubles the
scan-duration – increasing
the length and difficulty of the breath-hold maneuver. Here,
we propose using keyhole-reconstruction combined with either uniform or
variable-density 2D-spiral sequences to generate the two images from a single-image
acquisition6,7.Theory
In
keyhole-reconstruction, dynamic low-frequency k-space data is divided into K
‘keys’ and combined with the high-frequency k-space data (‘keyhole’) to
generate K key-images (K=2 for this work). Voxel-by-voxel signal
decay between key-images can be used to calculate a flip-angle map (Fig. 1). The
level of spatial detail that can be resolved in the flip-angle map is
controlled by the key-radius, rkey. To prevent aliasing artifacts
that arise from Nyquist-undersampling inside the key, the 2D-spiral sequence
must be oversampled. The degree of oversampling depends on the shape,
direction, and sampling-density of the trajectories, and the post-processing
details: rkey, and K. A general equation for the
degree of oversampling required is given by:
$$1 = \int_{0}^{1} R(r) \,dr, \tag{1}$$
where R(r) is the undersample
factor of an Archimedean spiral at normalized radial-position, r, from
the center of k-space. A fully-sampled spiral sequence has R=1, an
oversampled uniform spiral sequence has R<1, and a variable-density
spiral sequence has non-constant R(r) (Fig. 2(A,B)). The division of low-frequency
k-space into K keys means that R(r) can be represented as
piecewise function from the center of k-space, to rkey, to
the edge of k-space. Once a sufficient rkey is chosen, Eq. 1
can be solved to determine the required oversampling profile (Fig. 2(C)).Methods
Simulations
were performed in MATLAB (Mathworks, Natick, MA), using a digital-phantom with
a spatially varying applied flip-angle (Figs. 1&2). Matrix=2002,
spiral-interleaves=100, K=2, rkey=0.1-0.9, R=0.9,
uniform-density spiral-out. Calculated flip-angle maps were compared against
the applied map using the voxel root-mean square-difference, μdiff2,
and the variance difference, σdiff2.
Imaging
was performed on a Philips-Achieva 3T scanner, with hyperpolarized-129Xe
(25-35% polarization8, via Polarean 9820A,
Durham, NC). Scans were performed on 129Xe-gas phantoms (1-L Tedlar
bag) and in-vivo (healthy male, 30years and cystic-fibrosis female, 21years), under protocol
approved by our local Institutional Review Board (with FDA IND-123,577).
Imaging parameters: Field-of-view (FOV)=(350-400)x(350-400)x200mm3,
resolution=3x3x15mm3, acquisition-time=5ms, echo-time=1.52ms, repetition-time=11.0ms,
spiral-interleaves=13-29, flip-angles=9-18⁰. Images were reconstructed using
open-source non-cartesian software9.Results
Nyquist-undersampling
effects that occur by not meeting Eq. 1 are shown using simulations in Fig. 3. Alias-free
flip-angle map reconstructions were achieved using rkey=0.1,
with R=0.9 applied uniform-oversampling (μdiff2=0.07⁰,
σdiff2=0.46⁰) (Fig. 3(A)). Figs. 3(B,C) show reconstructions
for the same R, but rkey=0.5 and rkey=0.9.
Here, aliasing artifacts are generated within the supported-FOV of the
point-spread-functions, and the accuracy of the flip-angle maps decreased, respectively:
μdiff2=0.09⁰, σdiff2=0.65⁰, and μdiff2=0.11⁰,
σdiff2=0.69⁰.
The effects
of reconstructing with various rkey are shown in Fig. 4. Optimal
flip-angle maps were obtained using the largest rkey:
rkey=0.5, R=0.67, at a scan-duration of t=4.25s (μdiff2=0.02⁰,
σdiff2=0.61⁰ against the paired-image flip-angle map).
Shorter scan-durations were possible with rkey=0.25, R=0.8,
t=3.6s and rkey=0.1, R=0.91, t=3.1s; however, these flip-angle
maps were less accurate (μdiff2=0.06⁰, σdiff2=0.93⁰,
and μdiff2=0.08⁰, σdiff2=1.34⁰,
respectively).
Uniform and variable-density (via Hanning-window) 2D-spiral
images were collected in-vivo to test keyhole-reconstruction (Fig. 5). Comparisons
between the keyhole and paired-image generated flip-angle maps gave: healthy
uniform: μdiff2=1.79⁰, σdiff2=14.44⁰;
variable-density: μdiff2=0.59⁰, σdiff2=4.22⁰;
cystic-fibrosis uniform: μdiff2=5.12⁰, σdiff2=15.97⁰;
variable-density: μdiff2=1.43⁰, σdiff2=8.57⁰.
Variable-density spirals had ~3-fold greater accuracy and ~20% shorter scan-durations
than uniform spirals.Discussion
In
general, keyhole-reconstructions produced spatially similar flip-angle maps to
the paired-image approach. Notably, reconstructions with a larger key-radius delivered
greater accuracy. However, these required a greater degree of initial
oversampling to prevent Nyquist-undersampling artifacts from propagating into
the flip-angle map. In turn, this increased the scan-duration. To minimize
scan-duration and prevent map artifacts, the key-radius must be balanced with
the amount of initial oversampling.
Accuracy and
scan-duration was enhanced by using variable-density spirals, with increased
density at center. This was more efficient for keyhole-reconstruction, as only
the central k-space information needed oversampling to avoid aliasing in the
key-images. Consequently, scan-durations were shortened by >20%, and
accuracy was improved ~3-fold, when compared to uniform-density spirals.Conclusion
Keyhole-reconstruction can be used to calculate
accurate flip-angle maps from a single 2D-spiral image-acquisition. Such maps are
generated with minimal impact to scan-duration and can be optimized further for
various sequence parameters. This is especially useful in 129Xe-MRI
studies where short scan-durations are necessary, such as for children and
patients with compromised respiratory-function. This work can be used to apply corrections
for B1-inhomogeneity, with minimal impact to scan-duration. Acknowledgements
The authors would like to thank Dustin J. Basler for polarizing 129Xe for this study. Additionally, we would like to thank the following sources for research funding and support: R01HL131012 and R01HL143011.References
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