Nahla M H Elsaid1, Hemant D Tagare1,2, and Gigi Galiana1,2
1Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States, 2Biomedical Engineering, Yale University, New Haven, CT, United States
Synopsis
T2w imaging could assist in the early diagnosis of multiple
sclerosis (MS). However, these scans are inherently qualitative, and variable
intensities in the images depend on hardware and acquisition parameters. On the
other hand, standardized quantitative T2 maps can serve as a
sensitive biomarker of MS and the longitudinal assessment of the disease
progression. In
this abstract, we present the first results demonstrating that calculating T2
maps from vendor T2w sequence is feasible, which could allow for an earlier
diagnosis of MS disease.
Introduction
Multiple
sclerosis (MS) is a neurodegenerative disease that causes a lack of integrity
in the myelin layer of the nerves. Although T2-weighted imaging can diagnose
most areas of the myelin damage1,2, it is inherently qualitative and depends on hardware and acquisition
parameters. In contrast, quantitative T2
mapping could be more sensitive to identifying MS disease. While
T2 mapping is fairly common after an MS diagnosis, the generation of T2 maps
from T2w images, routinely used for a wide range of neurological assessments,
could allow for earlier diagnosis of MS disease.
This abstract demonstrates the feasibility of obtaining an accurate T2
map from a single Turbo Spin Echo (TSE) k-space of a product sequence.
Conventional
quantitative T2 mapping uses a series of images (Fig. 1a) acquired with
different timings after excitation (echo-times, or TE) to fit a physics model
across time for each pixel:
$$I_{TE}(x)=I_{0}(x)e^{\frac{-TE}{T_{2}(x)}},$$ where $$$I_{TE}(x) $$$ is the image brightness at a given $$$TE$$$, $$$=I_{0}(x)$$$ is the image brightness at $$$TE=0$$$, and $$$T_{2}(x)$$$ is a constant that reflects the tissue microstructure in that voxel.3
A novel method dubbed e-CAMP (Fig
1d,e) was recently proposed to computationally normalize (standardize)
clinical MRI scans by computing a quantitative T2 map from a single TSE k-space.
Initial results showed that the method worked on simulations and
retrospective undersampling of single echo images taken with different echo
times. Here we compute T2 maps directly
from retrospectively undersampled multi-echo spin-echo (MESE) sequences and single image
T2w-TSE. These have been demonstrated in phantoms and the
human brain, corresponding well to the fully sampled T2
mapping experiments.Methods
The images are related by a signal model characterized by one or several
parameter maps, e.g., a T2 map. As previously proposed, the e-CAMP algorithm alternates between optimizing the image series and the parameter map.
However, it minimizes a single cost function that incorporates: (1)
consistency between each parameter image and its k-space data and (2) adherence
of the image series to the relaxometry model for each pixel. Thus, the algorithm's objective function $$$J=J_1+J_2+J_3$$$ where: $$$J_1$$$ is concerned with data fidelity, $$$J_2$$$ is regularization, and $$$J_3$$$
is imposing the model constraint.
The
data fidelity term $$$J_1$$$
measures the error between the acquired data sets and our current
estimate of the images.
$$$J_1=∑_{p=1}^P‖S_p-E_p m_p ‖^2= ∑_{p=1}^P(S_p-E_p m_p )^H (S_p-E_p m_p ),$$$ where $$$()^{H}$$$ refers
to the complex conjugate transpose of a matrix.
The regularization term $$$J_2$$$
minimizes the effect of MR
noise, and the solution is regularized by adding TV regularization. $$$J_2=τ∑_{p=1}^PTV(m_p) $$$, where $$$TV(m_p )=∑_{x=1}^N|∇m_p (x)|, |\Box|$$$ refers to the modulus, and $$$N$$$ is the number of pixels.
The constraint penalty is imposed using $$$J_3$$$, $$$J_3=λ∑_{x=1}^N∑_{p=1}^{P-1}‖m_{p+1} (x)-α(x) m_p (x)‖^2 $$$, where $$$λ>0$$$ scales the penalty.
Retrospective Human Brain Experiments
Cartesian spin-echo images were acquired on a 3T MRI scanner (TIM-Trio, Siemens Healthcare, Erlangen, Germany). Fully sampled k-space was
acquired at each TE and retrospectively undersampled (Fig. 2a).
Cartesian 8-echo MESE images were acquired on a 3T MRI scanner (MAGNETOM
Prismafit; Siemens Healthcare, Erlangen, Germany).
These
data were acquired with full k-space sampling at each echo, contrasts= 8. This
dataset was retrospectively reconstructed with an echo spacing of 40 ms, as
shown in Fig. 2b. The same dataset was retrospectively reconstructed with an
echo spacing of 20 ms, as in Fig. 2c.
Prospective Human Brain Experiments
e-CAMP was used to reconstruct the T2 map
using a T2w image acquired using the TSE Siemens product
sequence (ETL=9, echo spacing=20 ms). For validation, we acquired fully sampled MESE images and fully sampled spin echo images.
To compare the TSE reconstructions to the SE
reconstructions, we used the echo modulation curve (EMC)4
corrections to be applied to the T2w
images reconstructed using TSE image acquisitions, as shown in Fig. 3.
Phantom Experiments
A phantom was built in-house using six tubes filled with varying
concentrations of MnCl2 solutions immersed in an agar gel solution.
In addition, during the same
scanning exam, a set of fully sampled Cartesian 9-echo images were acquired
using a TSE sequence. Finally, a T2w image was acquired using a Siemens
product sequence (ETL=9, echo spacing=20 ms). Once again, the echo modulation
curve (EMC)4 corrections were applied to the T2w
images reconstructed using TSE image acquisitions, as shown in Fig. 4.Results
Fig. 2a (previously reported) shows images from retrospectively
undersampled single-echo data. Fig 2b-c shows experimentally acquired fully-sampled MESE sequences, where the k-space of each image was retrospectively
undersampled to a T2w-TSE k-space.
Fig. 2d shows e-CAMP results using T2w image data from a Siemens TSE product sequence (i.e., prospective undersampling). In addition, a separate scan acquired fully sampled echo train MESE
images for reference. These results agree with the e-CAMP image
series generated from the T2w image data. This study also acquired a
series of fully sampled spin echo images to generate a gold standard T2
map, shown on the left panel of Fig. 3.
Fig. 4 shows T2 maps generated from gold standard spin echo phantom
experiments, a MESE, and a product T2w
imaging experiment reconstructed with e-CAMP.Discussion and Conclusion
This abstract demonstrates the feasibility of
reconstructing quantitative T2 maps using only the data acquired in
a standard T2w acquisition.Acknowledgements
No acknowledgement found.References
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