Zhigang Wu1, Peng Sun1, Yajing Zhang2, Xiuquan Hu1, Jing Zhang1, Guangyu Jiang3, Yan Zhao3, and Jiazheng Wang1
1Philips Healthcare, Beijing, China, 2MR Clinical Science, Philips Healthcare (Suzhou), Suzhou, China, 3MR R&D, Philips Healthcare (Suzhou), Suzhou, China
Synopsis
Diffusion-weighted imaging (DWI) using single-shot EPI
(ssEPI) has suffered from distortion, blurring, and signal loss caused by B0
inhomogeneity. SENSE can be used to reduce distortion. However, it also suffers
from noise breakthrough issues when the accelerator factor is high. It’s still
a challenge to get DWI images with reduced distortion and high SNR without
significantly increasing the scan time. We propose a framework that combines FSL
top-up technique, Compressed Sensing and
SENSE framework simultaneously to overcome these challenges. This framework
allows a new solution for ssEPI based diffusion imaging with high resolution,
low distortion, and without noise breakthrough issue.
Purpose
The goal of this work is to provide a new solution which
combines the Echo Planar Imaging Correction using FSL top-up correction (EPIC),Compressed Sensing (CS) and SENSE simultaneously
(EPICS+) simultaneously to reduce distortion and overcome the noise
breakthrough issue at the same time. Introduction
Diffusion weighted imaging (DWI) based on ssEPI has been
widely used for oncological applications and microstructure study1. But
it suffers severe geometry distortion, image blurring, and signal voids which
are caused by the local B0 inhomogeneity1. To improve resolution and reduce the
distortion of DWI, several methods have been used, such as Multi-shot DWI2,
reduced FOV3, parallel imaging4, and Echo Planar Imaging
Correction using top-up (EPIC) 5. However, the scan time will be
increased for multi-shot DWI. DWI with reduced FOV can only be used for small
FOV. The top-up based DWI combined with conventional parallel imaging is one
promising method to reduce the distortion with high time efficiency, and has
been widely used. However, it does not work well when the B0 inhomogeneity is
large. In addition, for high b value diffusion image, it also often suffers
from increased noise-like artifacts on the center of the images due to the high
geometry factor when large reduction factors are used with respect to the coil
geometry characteristics5. ssEPI utilizing CS and SENSE framework (EPICS)
has been used to solve the noise breakthrough issues when large reduction
factors are used6. We propose a new scheme that combines EPIC, CS and
SENSE framework simultaneously with high acceleration factor to produce DWI
images with low distortion and relative high SNR.Methods
CS could dramatically reduce noise-like artifacts, so it can
be used for much higher accelerator combined with SENSE than conventional
parallel imaging methods, which is called as CS SENSE framework. DWI with CS
SENSE framework could have less distortion and higher SNR than DWI with conventional
parallel imaging methods when the acceleration factor is same. We combined FSL
top-up correction method, CS SENSE framework simultaneously (we called it EPICS+),
the reconstruction and postprocessing pipeline as Fig 1. In this scheme the
blip-up images were acquired for only b value equals 0. The blip-down images
were acquired for all b value. Both blip-up and blip down acquisition were reconstructed
with Compressed SENSE framework. Then the module of FSL topup7,8 was
used to realize the top up correction using the images of blip-up and blip-down.
Finally the corrected images were output by the pipeline.
To evaluate the performance of EPICS+, conventional DWI
based on ssEPI, EPIC, EPICS and our proposed EPICS+ were acquired on a Philips
3.0T Elition system (Philips Healthcare, Suzhou, China) with a 16-ch head and
spine coil. The characteristics of these techniques were summarized on Table 1.
For conventional DWI using ssEPI, SENSE was used, the SENSE factor is 2. For
EPIC, it also uses SENSE, SENSE factor 4 was used. For EPICS, it also uses CS
SENSE framework for reconstruction, acceleration factor equals 4 was use. For
our proposed EPICS+, acceleration factor equals 4 was used, both for blip up
and down acquisition. TSE has also been scanned. Detailed scan parameters were
summarized in Table 2.Results
Fig. 2 shows the comparison between conventional DWI
based on ssEPI, EPIC, EPICS and our proposed EPICS+. Compared with other
techniques, our proposal EPICS+ has the best SNR and lower distortion. The
image quality was dramatically improved with EPICS+, as the dashed red line and
dashed yellow line showed. Compared with anatomical T2W images, conventional
DWI with ssEPI has good SNR but with severe distortion, EPIC with SENSE 4 shows
noise breakthrough issue with good distortion performance, EPICS with acceleration
factor 4 shows good SNR but it has larger distortion than EPICS+. The results
shows that our proposed EPICS+ has best performance on SNR and minimum distortion
level than other methods. Although further clinical investigation is needed, EPICS+
might be clinically useful and promising in high resolution, low distortion DWI
and without noise breakthrough issue.Discussion and conclusions
The proposed method EPICS+ shows lower distortion
and also higher SNR for DWI imaging compared with conventional DWI, EPIC and
EPICS. This strategy could enhance the applicability and offer a new solution
of DWI in applications that is expected for high resolution and low distortion,
such as brain, spine, prostate etc. Because this method doesn’t increase the
scan time, it should also be promising for fMRI.Acknowledgements
No.References
1. Bihan DL, Poupon C, Amadon A, Artifacts and pitfalls in
diffusion MRI, J. Magn. Reason., 2006; 24: 478-488.
2. Jeong HK, Gore JC, Anderson AW, High-resolution human
diffusion tensor imaging using 2-D navigated multishot SENSE EPI at 7T, Magn.
Reason. Med. 2013; 69: 793-802.
3. Wu ZG, Zhang J, Fang WX, Huang F, B1 insensitive zoomed
FOV imaging, ISMRM., 2015; 0953.
4. Pruessmann KP, Weiger M, Scheidegger M, Boesiger P,SENSE: sensitivity encoding for fast
MRI, Magn. Reason. Med., 1999;42(5):952-62.
5. Andersson JLR, Skare S, Ashburner J, How to correct
susceptibility distortions in spin-echo echo-planar images: application to
diffusion tensor imaging, NeuroImage, 2003; 20(2):870-888.
6. Yoneyama M, Morita K, Peeters J, Nakaura T, Cauteren MV,
Noise Reduction
in Prostate Single-Shot DW-EPI utilizing Compressed SENSE
Framework, Proc.
ISMRM. ,2019;1634. https://archive.ismrm.org/2019/1634.html.
7. De Luca M, Drobnjak I, Flitney DE, Niazy R, Saunders J,
Vickers J, Zhang Y, et. al., Advances in functional and structural MR image
analysis and implementation as FSL. NeuroImage, 2004; 23(S1):208-219.
8. Tournier JD, Smith R, Raffelt D, Tabbara R, et.al., MRtrix3:
A fast, flexible and open software framework for medical image processing and visualization,
NeuroImage, 2019; 202:116137.