Milica Medved1,2, Aritrick Chatterjee1,2, Ajit Devaraj3, Ambereen Yousuf1,2, Aytekin Oto1,2, and Gregory S Karczmar1,2
1Department of Radiology, The University of Chicago, Chicago, IL, United States, 2Sanford J. Grossman Center of Excellence in Prostate Imaging and Image Guided Therapy, The University of Chicago, Chicago, IL, United States, 3Philips Research NA, Cambridge, MA, United States
Synopsis
Development
of quantitative QC methods for prostate DWI is important in clinical practice, necessitating
reliable estimates of spatially heterogenous noise. In data obtained at 3T with
the use of an endo-rectal coil, we use raw noise measurements to simulate
pure-noise k-space datasets that are post-processed to yield noise maps. Good
agreement is found between noise levels measured from noise maps in the central
prostate and the estimates of noise produced from the anterior rectal ROIs in
high TE / high b-value DWI. Thus, noise can be estimated from an anterior
rectum region when the endo-rectal coil is used.
INTRODUCTION
Multi-parametric MRI (mp-MRI) is a critical step
in prostate cancer diagnosis, with diffusion weighted imaging (DWI) and the
resulting apparent diffusion coefficient (ADC) maps being an essential diagnostic
tool.1,2 In DWI and ADC maps, variability can arise
from both noise in the data and physiological (microscopic) and gross anatomic motion.
Efforts to establish quality assurance (QA)
processes for prostate mp-MRI are necessary and underway.3-5 For many specific quantitative quality
control (QC) techniques, estimates of electronic noise (primarily from lossy
coupling of detector arrays to the body) are needed to accurately estimate added
contributions to variability from motion and other artifacts. These
measurements are difficult due to a priori unknown spatial heterogeneity
of noise propagation under SENSE reconstruction.6,7
Here, we propagate Gaussian noise measured from raw signal through the reconstruction
pipeline for SENSE-accelerated data to produce spatially heterogeneous noise
maps. These maps correspond to noise levels in clinical images and are used here
to evaluate suitability of four ROI locations for noise estimation in DWI.METHODS
Patients
scheduled for radical prostatectomy underwent mp-MRI of the prostate on a 3T
dStream Philips Ingenia scanner, with multi-element anterior and posterior coils
and an endo-rectal coil inflated with barium sulfate suspension. The protocol included a hybrid DWI series8-10 that mapped
DWI signal dependence over a 4x4 matrix of TE and b values (FOV 180x180x102 mm3,
resolution 1.5x1.5x3 mm3, SENSE factor 2.2, 34 slices, b-values(number
of averages) (0(1)/150(1)/1000(1)/1500(4) s/mm2; TR 5000 ms; TE 57/70/150/200
ms). Raw data, including from reference and coil sensitivity scans, was captured
using the ReconFrame patch (Gyrotools, Zurich, Switzerland) and post-processed using
the MRecon Matlab library (Gyrotools).
Coil
element-specific standard deviation (SD) was measured in raw noise data and used
to generate simulated k-space datasets containing only random complex Gaussian noise. Both this ‘pure noise’ and actual acquired k-space
data were processed through the MRecon pipeline to produce noise maps (averaged over 12 simulated EPI readouts per
slice) and DW images (with high TE / high b-value DW images, where little
signal is expected, averaged over 3 directions with 4 averages per direction).
Four ROIs were defined in DW images: two in the rectum
(RA, anterior rectum; RP; posterior rectum), and two in pelvic regions with low
signal (A, anterior to the prostate; P, posterior to the rectum and the endorectal
coil), for slices containing the prostate, but not bladder. Estimates of noise were
obtained from DW images as signal SD in the four low-signal ROIs: SDRA, SDRP, SDA,
and SDP were calculated in RA, RP, A, and P,
respectively. The “ground truth”
estimate of noise was obtained from noise maps as SD in one ROI: SDT
was calculated in the central prostate (T).
SDs of the signal in the four non-prostate ROIs were
compared between noise maps and high TE / high b-value images via the Pearson’s
correlation coefficient. Bland-Altman
plots were generated to evaluate the suitability of SDRA, SDRP,
SDA, and SDP as estimates of SDT.RESULTS
Figure
1 shows actual reconstructed DW images at four levels of the prostate, for TE =
200 ms and b = 0, 1500 s/mm2 (a, b) and the corresponding noise maps
(c). Excellent correspondence in spatial
distribution of noise is observed between (b) and (c), indicating that the
spatial heterogeneity in low signal areas in high TE/ high b-value images arises
predominantly through electronic noise propagation.
Figure 2 shows the b = 0 and 1500 s/mm2
DW images (a, b) and the corresponding noise map (c), of a representative
slice, with ROI locations outlined in color. Figure 3 shows the correlation plot between
values measured in noise maps and DW images, for SDRA, SDRP,
SDP, and SDA (r = 0.94, p < 0.001, for all ROIs
combined). In Figure 4, Bland-Altman
plots are shown for SDRA, SDRP, SDP, and SDA as estimates of SDT, with biases of 2%, -29%, -32%, and -149%, respectively. SDRA performs the best as the estimate
of noise in the prostate region, with the noise levels being underestimated by ‑2%,
26%, 28%, and 85%, for SDRA, SDRP, SDP, and SDA,
respectively.DISCUSSION AND CONCLUSION
Regions
of low signal are sometimes used for noise estimation in DWI and ADC maps, but this
method is unreliable due to the spatial heterogeneity resulting from the SENSE-accelerated
acquisition using coil elements with varying sensitivity and lossy inductive coupling.
Noise mapping using the MRecon post-processing library revealed that the areas
of low signal represent mostly noise, even when outlines of organs (e.g.,
bladder) are visible. Due to the spatial
inhomogeneity of the noise levels resulting from the post-processing algorithm,
careful selection of the ROI location for noise estimation is necessary. The anterior rectal ROI provided the best
estimate of noise in the prostate region, with a minimal bias of 2%. High TE /
high b-value images can be easily acquired and can provide noise level data for
clinical QC.
In conclusion, in prostate DWI acquired with the
use of an endo-rectal coil, the anterior rectal region in the high TE / high
b-value DW images can be used to estimate noise levels in the prostate tissue. This finding can facilitate development of quantitative
QC methods for prostate DWI.Acknowledgements
This
research is supported by the University of Chicago Cancer Research Center and
the NIH (R01CA172801; S10OD018448; P30CA014599).References
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