Johanna Stimm1, Sebastian Kozerke1, and Christian Stoeck1,2
1Institute for Biomedical Engineering, University and ETH Zurich, Zuerich, Switzerland, 2Division of Surgical Research, University Hospital Zurich, University Zurich, Zurich, Switzerland
Synopsis
To
address the challenge of low resolution and limited number of slices in in-vivo
cDTI, and the need for 3D structural information in image-based modeling, we
compare five interpolation techniques of predominant cardiomyocyte orientation:
two low-rank models, one rule-based method and two tensor interpolation
approaches. The direct tensor interpolation approaches result in the smallest
errors, followed by the low-rank models and the rule-based method. In view of an
optimal experimental design in-vivo, the ex-vivo experiments suggest a larger benefit
of increasing in-plane resolution rather than SNR, and a non-linear increase in
error for less than five short-axis slices.
Introduction
Cardiac
microstructure influences cardiac function. Including cardiac microstructure in
computational cardiac models provides a great opportunity to understand disease
progression or predict treatment outcome. In-vivo cardiac Diffusion Tensor
Imaging (cDTI) allows to non-invasively measure microstructure, however, the method
requires trading-off coverage of the ventricle, spatial resolution, signal-to-noise
ratio (SNR) and scan time. Since biomechanical models rely on structural
information on a high-resolution mesh, interpolation of cDTI data is necessary
for image-based simulations. In view of optimal experimental design, this
raises the question of optimal imaging settings. Therefore, we compare and
analyze two low-rank models1, one rule-based method (RBM)2
and two tensor interpolation approaches3,4 to interpolate the first
eigenvector of the diffusion tensor (ev1), of ex-vivo and an in-vivo cDTI data.Methods
Five porcine hearts were imaged on a clinical 1.5T MR
system. Data was retrospectively collected from previous studies1,5.
In-vivo imaging was performed with a second-order motion-compensated spin-echo
sequence6,7. Ten consecutive short-axis slices were acquired in interleaved
fashion. After fixation by retrograde perfusion under hydrostatic pressure approx.
15min after cardiac arrest, ex-vivo imaging was performed with a 3D multi-shot
diffusion-weighted spin-echo sequence and EPI readout (Figure 1).
The LV myocardium was segmented, and two shape-adapted
coordinate systems were defined (Figure 1): Heat flux coordinates (HFC), by
solving the Laplace equation with Dirichlet Boundary conditions, for each
direction; Prolate Spheroidal Coordinates (PSC), by three angles relative to a
truncated ellipsoid.
For the ex-vivo interpolation comparison, we generated
input data with reduced resolution (1.5×1.5×8 mm3/ 2.5×2.5×8
mm3) by k-space truncation and through slice averaging, varying SNR (10;15;20;25;30)
by adding Gaussian noise and reduced number of short-axis slices (3 to 9) through
equidistant sampling. The ev1 was interpolated to the voxel centers of the 3D high-resolution
data, providing ground truth. For the in-vivo interpolation comparison, a
mid-ventricular slice was extracted to serve as reference data.
The two low-rank models1, a POD model and
a PGD model using HFC, were obtained by extracting a truncated basis of the ev1
across 8 hearts (excluded from the analysis) from high-resolution cDTI data. The
PGD model is based on a Proper Generalized Decomposition (PGD) within each
heart and a Singular Value Decomposition across the training data. To fit the
weights a modified PGD directly using the SVD basis instead of a Galerkin basis
was applied. The POD model used a Proper Orthogonal Decomposition (POD) across
hearts. A gappy POD8 was applied to fit the POD model.
The RBM describes the local ev1 orientation by two linear
functions of transmural helix and transverse angle variation and HFC2.
A least square fit of the helix and transverse angles across the data was
performed.
The direct tensor interpolation was performed in PSC3,4
and in HFC (IPSC/IHFC). The tensor at each target position is given by a
weighted mean of the input tensors, transformed into the shape-adapted
coordinates, in log-Euclidian space. The weights result from an anisotropic
Gaussian kernel function and depend on the distance between input and target
point and a pre-defined weighting kernel. This weighting kernel was optimized4
on one ex-vivo data set at 14 sampling points in the range of used SNR and
number of slices for both resolutions. The remaining weighting kernels were
approximated by a 2D second order polynomial fit.Results
Figure
2 shows the interpolation error for the ex-vivo comparison for different input
data settings of SNR, resolution, and number of slices. The tensor
interpolations result in the smallest errors, followed by the low-rank models.
The RBM shows the highest errors. Figure 3 depicts the error mapped onto the left
ventricle (LV) for one heart. A region of elevated errors is observed at the
apex for all methods. The affected area is the largest for the RBM. Figure 4
shows the interpolated ev1 for one in-vivo case. The ev1 obtained from the
tensor interpolation follows the original vector field, the POD model and more
severely the RBM underestimates the helix at the boundaries. Figure 5 compares
the interpolation errors of the in-vivo and ex-vivo comparisons. The ex-vivo
input data was chosen to match the settings of the in-vivo data. For all methods
the error of the in-vivo interpolation is higher compared to the ex-vivo
interpolation (case averages: (ex-vivo/in-vivo): IPSC:11.1°/12.9°, IHFC: 10.6°/13.7°,
RBM: 23.9°/24.8°, PGD: 14.4°/17.9°, POD: 15.4°/19.0°). Discussion and Conclusion
The direct tensor interpolation
methods show the best results with minor differences between the two coordinate
systems. The low-rank models use a prior of ev1 orientation from other hearts
and are less flexible when adapted to data, however, can be used as generative
models. The RBM, most used in cardiac modelling, has few degrees of freedom and
is not capable of capturing details of ev1 orientation leading to average
errors of >23° and low sensitivity to input data quality.
Higher interpolation errors
in-vivo might originate from a higher data uncertainty in-vivo, supported by a
similar trend when estimating the cone of uncertainty9 from the
data: ex-vivo: 7.6°/in-vivo: 8.6°.
The ex-vivo experiments suggest a
higher advantage of increase in in-plane resolution compared to increase in SNR
of the input data (Figure 2). Reducing the number of short-axis slices below
five, results in a non-linear increase in error of the 3D estimate.Acknowledgements
This work has been supported by the Swiss National Science Foundation: PZ00P2_174144, CR23I3_166485.References
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