Jo-Hua Peng1, Chun-Jung Juan1,2,3, Yi-Jui Liu4, Ruey-Hwang Chou5, Hing-Chiu Chang6, Chang-Hsien Liou2,7, Szu-Hsien Chou1,2, Yen-Ting Wu1,2, Bai-Wen Wu2, and Hsu-Hsia Peng1
1Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Department of Medical Imaging, China Medical University Hsinchu Hospital, Hsinchu, Taiwan, 3Department of Radiology, School of Medicine, China Medical University, Taichung, Taiwan, 4Department of Automatic Control Engineering, Feng Chia University, Taichung, Taiwan, 5Institute of Cancer Biology, China Medical University, Taichung, Taiwan, 6Department of Biomedical Engineering, Chinese University of Hong Kong, Sha Tin, Hong Kong, 7Institute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, Taiwan
Synopsis
Although a single-function phantom for
either ADC or fat content is popular, it is crucial to develop a
multiple-function phantom to simulate the real situation of human tissue in
vivo. The aim of our study was to design a novel phantom containing different
fat fractions and cellularity to evaluate the effect of fat content on ADC
measurement in vivo as in human tissue environment. In conclusion, the
influence of fat contents and glass beads density on ADC values was examined in
our dual-function phantom, which can be
helpful to improve the accuracy of ADC quantification in clinical practice.
Introduction
By measuring tissue characteristics in
addition to anatomic information, MRI has provided some imaging biomarkers1 quantifying
brain volume2, tumor volume3, functional network connectivity4, fat
fraction5 and diffusion of tissue water6. Diffusion-weighted imaging
(DWI) can measure proton diffusion information (i.e., apparent diffusion
coefficient, ADC)6, while IDEAL IQ sequence allows us to measure the fat fraction
of tissue7. In order to increase the reliability and comparability of data
gathered from MR biomarkers, standardization of imaging protocols and calibration
of measures using MR phantoms are necessary to validate the accuracy of these measures
in vivo8. For example, diffusion phantom and water-fat phantom have been designed
for measuring ADC9 and fat fraction10, respectively. Clinically, the ADC
measurement in fatty tissue, such as breast11 and parotid gland12, has
been shown to be influenced by the fat content. Although a single-function
phantom for either ADC or fat content is popular, it is crucial to develop a
multiple-function phantom to simulate the real situation of human tissue in
vivo. The aim of our study was to design a novel phantom containing different fat
fractions and cellularity to evaluate the effect of fat content on ADC measurement
in vivo as in human tissue environment. Materials and Methods
Phantom
design: An ensemble of phantoms consisting of six
different fat fractions (FF, 0%, 10%, 20%, 30%, 40%, and 50%) and five
different glass bead densities (GBD, 0, 0.1, 0.25, 0.5 and 1.0 g/50cc.) was
created using mixtures of soybean oil, glass particles (#K37,3M microspheres,
Easy Composites Ltd.)9, and water together with an emulsifying agent (Trion
X-100)13 and a coagulant (agarose)14.
MRI
scans: All
images were performed by a 1.5 Tesla MR scanner (GE Signa MR450w, GE Healthcare).
IDEAL IQ sequence was applied to quantify the fat fraction of phantom8. The
IDEAL IQ method was a three-dimensional fast spoiled gradient-echo (3D-FSPGR)
sequence employing a six-echo acquisition (1.1ms-6.38ms) with imaging
parameters including TR of 19.6ms, FOV of 210×210 mm2, matrix size of 128×128, bandwidth
of 90.91 kHz, flip angle of 5, and slice thickness of 10mm. DWI was performed
using single-shot echo planar imaging with water excitation and the scanning
parameters of TR of 4000 ms, TE of 78.1 ms, b values of 0 and 1000 $$$s/mm^{2}$$$, FOV of 210×210 mm2, slice thickness of 10 mm, matrix
size of 128×128, and bandwidth of 250 kHz.
Data
processing: Proton density fat fraction (PDFF) maps
were automatically produced by the MRI scanner. ADC maps were generated via
pixel-by-pixel computation from b0 and b1000 images based
on the Stejskal–Tanner relationship:$$$ADC=ln[S_{b=1000}/S_{b=0}]/(-b)$$$. A slice containing the largest cross-sectional area of the phantom
was chosen for ROI selection to circle whole tube in every DWI and IDEAL IQ scans. Then the values of mean and standard deviations (SD) were
calculated for analysis. Linear regression analysis was used to evaluate the
relationship among the fat, GBD, and ADC measures.Result
Five
cylinders containing solidified agarose-based emulsions with FF of 10%, 20%, 30%,
40%, and 50% from left to right, respectively, were demonstrated (Fig.1a). Microscopic
images of 10% (right column) and 50% (left column) FF tubes with GBD of 0
(upper row), 0.1 g/50cc (middle row), and 0.5 g/50cc (lower row) were
illustrated (Fig. 1b), showing the distribution and arrangement of fat
droplets, glass beads, and water in the emulsion. Scatter plots show high
linearity (slope 1~1.05) and small bias (-0.17%~2.04%) of FF between PDFF maps
and phantoms at different GBDs (Fig. 2). Fig. 3 displays the relationship
between ADC and FF without glass beads (GBD=0). Fig. 4 displays the
relationship between ADC and GBD without fat content (FF=0). Fig. 5 displays
the relationship between ADCs and FF at different GBDs.Discussion and Conclusion
In
this study, an innovative, dual-function phantom was designed for the quantitative
measurement of ADC and fat fraction. Results showed the high accuracy of fat
fraction in our phantom (Fig. 2) irrelevant to glass particles. In the
diffusion phantom, the ADC decreased as the density of glass beads increased
because of the reduction in diffusion space of proton, which is similar to a previous
study9. However, our results that ADC in phantom with GBD of 0 is negatively
proportional to the fat fraction of phantom due to the characteristic of tiny
diffusion in oil15 and that ADC decreased by effects from both fat fraction
and glass density are unique. In conclusion, the influence of fat contents and
glass beads density on ADC values was examined in our dual-function
phantom, which can be helpful to improve the accuracy of ADC quantification in
clinical practice.Acknowledgements
No acknowledgement found.References
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