Jiyo S Athertya1, Ya-Jun Ma1, Amir Masoud Afsahi1, Alicia Ji1, Eric Y Chang1,2, Jiang Du1, and Hyungseok Jang1
1Radiology, University of California San Diego, San Diego, CA, United States, 2Radiology Service, VA San Diego Healthcare System, San Diego, CA, United States
Synopsis
Quantitative
ultrashort echo time (qUTE) imaging suffers from long acquisition time due to multiple
acquisitions required for parameter estimation. In this study, feasibility of accelerated
qUTE Cones imaging with compressed sensing (CS) reconstruction is investigated
for fast variable flip angle UTE-T1 mapping, adiabatic UTE-T1ρ
mapping, and UTE quantitative magnetization transfer (MT) modelling of
macromolecular fraction (MMF). We explored these biomarkers for qUTE-Cones
imaging of in vivo human knee joints at various undersampling rates. The
performance of CS-reconstruction and parameter mapping was evaluated in
tendons, ligaments, menisci, and cartilage.
Introduction
The
ultrashort echo time (UTE) sequences allow direct imaging of short-T2
components due to the use of significantly shortened echo times1. Recently,
quantitative UTE (qUTE) imaging techniques such as UTE-T12,
UTE-adiabatic-T1ρ (UTE-Adiab-T1ρ)3 and UTE
quantitative magnetization transfer4 (UTE-qMT)
modelling have surfaced as new biomarkers to characterize short-T2 musculoskeletal
(MSK) tissues such as the deep cartilage, menisci, ligaments, tendons and bone
which show little or no signal with conventional MRI sequences.
3D
UTE-T1 mapping based on a variable flip angle (VFA) approach has
been demonstrated to reliably quantify T1 relaxation times of both
short-T2 and long-T2 knee joint tissues2. UTE-Adiab-T1ρ
allows magic angle-insensitive evaluation of T1ρ relaxation times of
various knee joint tissues5. Moreover, UTE-qMT
modelling allows magic angle-insensitive assessment of macromolecular fraction
(MMF) for all the principal knee joint tissues6. Unfortunately,
qUTE imaging typically requires multiple acquisitions with a long acquisition
time, which is a major challenge in translating these techniques into clinical
use.
Compressed
sensing (CS) exploits sparsity in MR image space. Wavelet-based CS with
parallel imaging (PI) has proven to be successful in MRI reconstruction7. While many
studies have focused primarily on Cartesian imaging 8,9, this work deals
with non-Cartesian 3D spiral cones imaging. In this study, feasibility of wavelet-CS
reconstruction combined with PI was investigated, aiming quantitative parameter
mapping of T1, adiab-T1ρ, and MMF for 3D qUTE-Cones knee imaging. Methods
In
this study, 15 healthy volunteers were recruited following guidelines issued by our Institutional
Review Board for knee MRI on a 3T
GE-MR750 scanner. An 8-channel knee coil was used for RF transmission and
signal reception. The 3D UTE-Cones sequence was used to acquire k-space data
for each knee joint with full-sampling using the following imaging parameters: field
of view (FOV)=15×15×10.8 cm3, matrix=256x256x32, receiver bandwidth =166 kHz; 1) VFA-UTE-T1:
TR=20 ms, flip angle (FA)=5°, 15°, 30°, scan time=6min 8sec; 2) UTE-Adiab-T1ρ:
FA=10°, number-of-spokes per preparation (Nsp)=25, TR=500ms,
spin-locking time (TSL)=0, 24, 48, 96ms, scan time=8min 54sec; 3) UTE-qMT:
MT power=1500°, 500°, MT frequency
offsets=2, 5, 10, 20, 50kHz, scan time=9min 38sec. Figure 1(a) shows the 3D UTE-Cones sequence used for imaging. Figures
1(b) and 1(c) show pulse sequences used for UTE-Adiab-T1ρ and UTE-qMT
imaging. Figure 1(d) shows cones trajectory.
The
k-space data were retrospectively undersampled at three different levels (i.e.,
25%, 50% and 61%) using a pseudo-random, bit reversal ordering scheme. This was
followed by iterative density compensation10 which is crucial due
to non-Cartesian nature of cones trajectory that does not possess uniform
distribution of data points. Coil sensitivity was estimated using the complex image
reconstructed with zero-filling in each channel using non-uniform FFT11.
CS
reconstruction with penalties based on l1 norm was posed as :
$$\left | PFSx-y \right |_{2}^{2}+\lambda \left | \phi x \right |_{1}$$
Where: $$$F$$$ - Fourier transform; $$$P$$$ - Sampling operator; $$$S$$$ - Coil sensitivity; $$$x$$$ - Image to be reconstructed; $$$y$$$ – k-space data; $$$\lambda$$$ – Regularization parameter; $$$\phi$$$ – Wavelet transform operator.
BART12 toolbox was used to
perform Wavelet-CS reconstruction .The regularization parameters, $$$\lambda$$$, was optimized empirically to suit the current application and remained constant for all subjects. The
reconstructed images were input to the subsequent quantification process. Figure
1(e) shows a complete block diagram representation for the entire flow.
Data analysis was performed using MATLAB.
Ten different regions of interest (ROIs) (i.e., anterior cruciate ligament (ACL), anterior
femoral cartilage (AFC), medial femoral cartilage (MFC), patellar cartilage, posterior
femoral cartilage (PFC), tibial plateau cartilage (TPC), anterior meniscus,
posterior meniscus, posterior cruciate ligament (PCL), and patellar tendon)
were drawn in the in vivo knee samples from 15 subjects, and mean and standard
deviation were calculated. Pearson’s correlations were calculated between
parameters with fully-sampled and undersampled data using mean parameter values
in all ROIs.Results
For all reconstructed datasets, CS provided a
discernible morphological improvement in reconstruction. Figure 2 shows images
from a representative volunteer with various undersampling rates. Zero-filled
reconstruction has pronounced streaking artifacts at higher undersampling rates
than its counterpart. Figure 3 illustrates the ROI based mapping of T1,
T1ρ and MMF parameters. Figure 4 provides the mean and standard
deviation values as well as mean percent error obtained in ROIs for each
parameter at different undersampling level. Most of the ROIs exhibited percent
error below 5%. PCL and posterior meniscus exhibited relatively higher error
presumably due to the partial volume effect and the small tissue size, more
susceptible to the reconstruction errors. Figure 5 depicts the scatter plots
with Pearson’s correlation for different parameters at various undersampling
levels. Each ROI is coded with different color to identify the outlier points.
Amongst all ROIs, PCL seemed to possess a larger number of outliers at
different quantification maps due to abovementioned reasons. Discussion and Conclusion
We
have demonstrated the feasibility and efficacy of CS reconstruction for
quantitative 3D UTE-Cones imaging of the knee. The results showed that images
can be reconstructed from undersampled data with highly reasonable imaging
standard to allow robust UTE parameter mapping with minimal error (correlation
> 0.95 with 50% undersampling). With 50% undersampling, CS
reconstruction is expected to shorten the scan time down to 3min 4 sec, 4 min 27sec
and 4min 49sec for UTE-T1, Adiab-UTE-T1ρ, and UTE-qMT
respectively, which is more suitable for clinical MRI workflow. Acknowledgements
The authors
acknowledge grant support from the NIH (R01AR062581, R01AR068987, R01AR075825, R01AR078877,
and R21AR075851), Veterans Affairs (I01RX002604, I01CX002211, and I01CX001388), and GE Healthcare.References
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