Gastao Cruz1, Jesse Hamilton1, Evan Cummings1, Yuchi Liu1, Vikas Gulani1, and Nicole Seiberlich1
1Department of Radiology, University of Michigan, Ann Arbor, MI, United States
Synopsis
Keywords: Heart, Low-Field MRI
Real-time MR applications are often highly undersampled due to the high
temporal resolution required. Here, we propose a novel linear forward model
combining virtual coils and multi-scale low-rank to enable highly accelerated
real-time cardiac MR. The virtual coil concept leverages Hermitian symmetry,
whereas multi-scale low-rank attempts to model real-time motion as a
combination of subspaces across multiple image scales. Experiments in five
healthy subjects demonstrate a considerable improvement in image quality over
conventional iterative SENSE, enabling real-time cardiac imaging at 0.55T.
INTRODUCTION:
Cardiac MR is a powerful
technique for the evaluation of myocardial structure and function, where cine imaging
is key for functional assessment. Cine data are commonly acquired during a
breath-hold, using ECG-gating to ensure k-space data are assigned to the
appropriate cardiac phase. However, respiratory drifts may occur and the
cardiac cycle is susceptible to variations due to underlying disease and/or
natural respiratory sinus arrhythmia.
Free-breathing, real-time
cardiac MR is an alternative approach that can bypass the limitations of
breath-hold, gated cine scans. However,
it is challenging in practice to collect MRI data at a high enough spatial
resolution in real-time to both resolve motion and provide high-resolution
images. This is particularly challenging at lower field strengths, due to
reduced SNR and the reduced channel count on lower cost commercial systems. At 1.5T and above, methods using coil
sensitivity variations (iterative SENSE1, through-time GRAPPA2),
spatio-temporal redundancy (k-t PCA3), compressed sensing (k-t
Sparse SENSE4), joint image/coil reconstructions (NLINV5),
partial separability (PS-Sparse6), and low-rank plus sparse methods (L+S7)
have been applied to enable real-time cardiac imaging. Most of these methods
rely on computationally demanding non-linear formulations, limiting practical
application. However, it may be possible to reduce the complexity of the
problem by leveraging multiple low-rank subspaces in a linear formulation. These
subspaces can be created over multiple image scales, from small
neighbourhoods up to the global (image) scale. Such Multi-Scale Low-Rank
approaches8 have been shown to offer superior performance compared
to methods such as low-rank plus sparse.
In this work, we incorporate
a multi-scale low-rank approach into the forward model to form spatially
resolved subspaces (i.e. one subspace per pixel location). Additionally, we
combine this model with the Virtual Coil Concept, which leverages Hermitian
symmetry to further improve the well-posedness of highly undersampled real-time
reconstructions, while maintaining the advantages of a linear formulation. We
demonstrate the use of this model for real-time cardiac MRI at 0.55T.METHODS:
The proposed virtual-coil multi-scale low-rank approach can be described
by the following formulation:
$$\boldsymbol{\hat{y}=argmin_y}\begin{Vmatrix}\boldsymbol{SF\begin{bmatrix}\boldsymbol{P}\\\boldsymbol{P*}\end{bmatrix}\begin{bmatrix}\boldsymbol{C}\\\boldsymbol{C*}\end{bmatrix}U_{MS}y-\begin{bmatrix}\boldsymbol{s}\\\boldsymbol{s'}\end{bmatrix}}\end{Vmatrix}_2^2,[eq.1]$$
where $$$\boldsymbol{S}$$$ is
the sampling trajectory; $$$\boldsymbol{F}$$$ is the Fourier transform; $$$\boldsymbol{P}$$$
is the image phase; $$$\boldsymbol{C}$$$ are coil sensitivities;
$$$\boldsymbol{s}$$$ are the acquired data, where $$$\boldsymbol{s'(k)=s^*(-k)}$$$ (with $$$\boldsymbol{k}$$$
denoting k-space coordinate); and $$$\boldsymbol{U_{MS}=[U_1,U_2,...U_{Ns}]^T}$$$, considering $$$N_s$$$ scales, where $$$\boldsymbol{U_s}$$$ corresponds to the subspace estimated at a given
image scale. Moreover, $$$\boldsymbol{U_s}$$$
contains pixel-resolved subspaces, i.e. it is a
matrix of size NyNxNtxNr, where Ny and Nx are image dimensions, Nt is
the number of frames in the real-time series and Nr is
the rank of the subspace. Conversely, $$$\boldsymbol{y=[y_1,y_2,...y_{Ns}]^T}$$$
, where $$$\boldsymbol{y_s}$$$
are the singular images of the real-time series,
relative to the s-th compression. Different $$$\boldsymbol{U_s}$$$ will capture motion of the real-time
series at different scales, and with different levels of robustness to noise.
Here, we have considered $$$N_s=6$$$ windows (scales) to estimate
pixel-wise subspaces $$$\boldsymbol{U_s}$$$, using window sizes of [3, 5, 9, 17, 33, 65]. The effective rank at
each pixel location and each scale was automatically determined by the
Marchenko-Pastur distribution.9 In the proposed framework (Fig.1), these
subspaces are estimated from a preliminary virtual coil concept reconstruction.
Similarly, the image phase required for the virtual coil component is estimated
from a preliminary zero-filled reconstruction. The proposed virtual-coil
multi-scale low-rank formulation (eq. [1]) can be solved with a standard
algorithm like the Conjugate Gradient.
EXPERIMENTS:
The proposed virtual-coils +
multi-scale low-rank formulation
was evaluated using data from five healthy subjects at 0.55T (Free.Max, MAGNETOM
Siemens, Erlangen, Germany) using a 6-channel cardiac array and 8-channels from
the spine array. Imaging parameters included one short
axis slice; field of view (FOV)
= 280x280 mm2; 8 mm slice thickness; resolution = 2.2x2.2 mm2;
TE/TR = 1.8/6.3 ms; flip angle = 105º; bSSFP readout; golden-angle spiral; 768 excitations acquired in 4.8s during free-breathing without ECG
gating. Real-time series were reconstructed with iterative SENSE, and with the
proposed approach targeting a ~60 ms temporal resolution (10 spiral interleaves
per frame). RESULTS:
Considerable aliasing remains after reconstruction using
iterative SENSE, producing noise amplification, and also coherent artefacts that
affect image contrast. However, the majority of these artefacts are suppressed
with the proposed virtual-coil + multi-scale low-rank, shown in Fig.2 and Fig.3.
Temporal profiles in these figures further indicate that the proposed approach
correctly resolves real-time cardiac and respiratory motion with higher fidelity
than iterative SENSE, while maintaining the dynamics of small structures like the papillary muscles. An animated series from a representative subject is shown in
Fig.4/Fig.5, where a considerable improvement in image quality is achieved with the
virtual-coils + multi-scale low-rank formulation. CONCLUSION:
By combining virtual
coils with multi-scale low-rank reconstruction, real-time cardiac MR imaging
can be performed at 0.55T without the need for a non-linear model. Given the
lower SNR and reduced channel count on this system, reconstruction approaches
which have been successful at higher field strengths such as iterative SENSE
may not perform as expected, and thus novel methods such as the approach explored
here may be required. One drawback is that the proposed framework requires
estimation of large subspaces; however, these can themselves be compressed (and
their computation optimized). Future work will explore properties of
multi-scale low-rank for motion resolved imaging in a larger subject cohort. Acknowledgements
This work was supported by the NIH (R01 HL153034,
R01HL163991, R01HL163030) and Siemens Healthcare. References
1.
Pruessmann KP, Weiger M, Börnert P, Boesiger P.
Advances in sensitivity encoding with arbitrary k‐space trajectories. Magnetic
Resonance in Medicine: An Official Journal of the International Society for
Magnetic Resonance in Medicine. 2001 Oct;46(4):638-51.
2.
Seiberlich N, Ehses P, Duerk J, Gilkeson R,
Griswold M. Improved radial GRAPPA calibration for real‐time free‐breathing cardiac
imaging. Magnetic resonance in medicine. 2011 Feb;65(2):492-505.
3.
Pedersen H, Kozerke S, Ringgaard S, Nehrke K,
Kim WY. k‐t PCA: temporally constrained k‐t BLAST reconstruction using
principal component analysis. Magnetic Resonance in Medicine: An Official
Journal of the International Society for Magnetic Resonance in Medicine. 2009
Sep;62(3):706-16.
4.
Feng L, Srichai MB, Lim RP, Harrison A, King W,
Adluru G, Dibella EV, Sodickson DK, Otazo R, Kim D. Highly accelerated real‐time
cardiac cine MRI using k–t SPARSE‐SENSE. Magnetic resonance in medicine. 2013
Jul;70(1):64-74.
5.
Zhang S, Uecker M, Voit D, Merboldt KD, Frahm
J. Real-time cardiovascular magnetic resonance at high temporal resolution:
radial FLASH with nonlinear inverse reconstruction. Journal of Cardiovascular
Magnetic Resonance. 2010 Dec;12(1):1-7.
6.
Zhao B, Haldar JP, Christodoulou AG, Liang ZP.
Image reconstruction from highly undersampled (k, t)-space data with joint
partial separability and sparsity constraints. IEEE transactions on medical imaging.
2012 Jun 8;31(9):1809-20.
7.
Otazo R, Candes E, Sodickson DK. Low‐rank plus
sparse matrix decomposition for accelerated dynamic MRI with separation of
background and dynamic components. Magnetic resonance in medicine. 2015 Mar;73(3):1125-36.
8.
Ong F, Lustig M. Beyond low-rank+ sparse:
Multiscale low-rank matrix decomposition. IEEE journal of selected topics in
signal processing. 2016 Mar 23;10(4):672-87.
9.
Marčenko
VA, Pastur LA. Distribution of eigenvalues for some sets of random matrices. Math USSR-Sbornik. 1967;1:457-483.