Yat Lam Wong1, Hing Chiu Charles Chang2, Weiwei Liu3, Weihu Wang3, Yibao Zhang3, Hao Wu3, Victor Ho Fun LEE4, Lai Yin Andy Cheung5, Tian Li1, and Jing Cai1
1Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong Kong, 2Department of Biomedical Engineering, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 3Peking University Cancer Hospital & Institute, Beijing, China, 4Department of Clinical Oncology, The University of Hong Kong, Hong Kong, Hong Kong, 5Department of Clinical Oncology, Queen Mary Hospital, Hong Kong, Hong Kong
Synopsis
Keywords: Data Processing, Data Processing, 4D-MRI
3D view-sharing sequences have been demonstrated its
great promise for abdominal 4D-MRI due to its high temporal resolution and
availability in clinical scanners. However, the sub-optimal sampling methods in
these sequences under free-breathing condition deteriorates the image quality
by ghost artifacts. Here, we propose a novel technique, Artifacts Map-guided
Nonlocal Mean (AM-NLM), to suppress motion artifacts and to increase image
quality of the 4D-MR images of liver cancer patients acquired by a 3D
view-sharing sequence, TRICKS, on a 1.5T scanner.
Purpose
This work aims to propose a novel technique, Artifacts
Map-guided Nonlocal Mean (AM-NLM), that can suppress motion artifacts and
enhance image quality of the 4D-MR images acquired by a clinically available 3D
view-sharing sequence.Methods
The proposed technique was validated on the 4D-MR
images of 28 liver cancer patients acquired by a clinically available 4D
view-sharing sequence, TRICKS, on a 1.5T scanner under free breathing
condition. The scanning parameters were as follows: TR = 2.30 ms; TE = 0.816 ms;
flip-angle = 10 o; matrix size = 256 × 256; voxel size = 1.37 × 1.37
× 5 mm3; acquisition time = 53 s; number of frames = 48; bandwidth =
488 Hz/pixel; temporal resolution = 1 s/volume.
The overview of the 4D-MRI workflow involving the
proposed AM-NLM is summarized in Fig.1.
The surrogate signal was extracted by the axial body
area (BA) method, 1-3 followed
by sorting the images into 8 respiratory phases (Fig.1(a)). Subsequently, pixel-wise
localized gradient entropy $$$\mathbf{H}(x,y,z)$$$ was calculated for every frames based on the
sliding window technique and Hanning filtration. 4 The artifacts
map was generated by normalization and histogram binning such that the maximum
value was equal to the noise power $$$\sigma^2$$$, which was
estimated in the background of the 4D-MR images. The frame with the global
minimum average magnitude of $$$\mathbf{H}(x,y,z)$$$,
namely $$$H_{avg}$$$, was
sequentially registered to the frames with the minimum in each phase, and the resultant
4D-MR images were named as “LLGE 4D-MR images” (Fig.2(b)). The registration was
performed using Elastix with B-spline interpolator. 5 In the final
step (Fig.2(c)), the AM-NLM was implemented on the LLGE 4D-MR images. The
proposed AM-NLM can be mathematically expressed as:
$$AMNLM(i)=\sum_{j,k\in I_p}w(i,j,k)v(j,k)$$ [1]
$$w(i,j,k)=\frac{1}{Z(i)}e^{-\frac{\widetilde{d}(i,j,k)}{[AM(i)]^2}}$$ [2]
, where $$$i$$$, $$$j$$$ and $$$k$$$ are the pixel index of the images $$$I_p$$$ in phase $$$p$$$, pixel
index of the search window’s frame of reference with respect to the center $$$i$$$, and the index of the frame
in phase $$$p$$$, respectively; $$$Z(i)$$$ is the normalization constant; $$$\widetilde{d}(i,j,k)$$$ is the approximated Euclidean distance; $$$AM$$$ is the artifacts map.
Image quality and motion accuracy of the 4D-MR images
were evaluated quantitatively. Image quality was evaluated by signal-to-noise
ratio (SNR), hepatic vein-to-liver parenchyma
contrast-to-noise ratio (CNR), average localized gradient entropy ($$$H_{avg}$$$), and the
perceptual blur metric (PBM). 6,7 The 4D-MR
images generated by the AM-NLM approach were compared with that generated by
other four approaches, namely conventional NLM, LLGE, simple averaging, and
original 4D-MR images. Motion accuracy
was evaluated by the deviation of BA (or diaphragm position, DP) of 4D-MR
images from the mean BA (or DP) of the corresponding phase, and the deviation
of BA (or DP) of 4D-MR images from the images with the minimum $$$H_{avg}$$$ of the corresponding phase (i.e. the
pre-registered image).Results
The 4D-MR images of a representative patient generated
using different approaches are presented in Fig.2. The 4D-MR images generated
by the proposed AM-NLM show significant improvement of image quality and
retention of image sharpness in all three planes and all phases as compared to
the other approaches. Despite better noise removal effect achieved by the CNLM
approach, some fine anatomic details were over-smoothed. The great ability of edge
preservation of the proposed AM-NLM was attributable to the guidance of the NLM
by the artifacts map, as the associated smoothing parameters were effectively
be suppressed at the locations with fine structures (Fig.3).
Quantitative measurements of the 4D-MR images
generated by different approaches are summarized in Fig.4. The AM-NLM 4D-MR
images show significant enhancement in average SNR (CNR) over all phases and
three planes as compared to the original 4D-MR images, with the magnitude of
25.9 ± 8.57 (13.0 ± 5.93) and 11.7 ± 3.86 (6.50 ± 3.27), respectively. The
average deviation in DP and the registration errors for the 4D-MR images
generated proposed AM-NLM approach were in a sub-pixel scale, indicating that a
high motion accuracy was achieved by the AM-NLM approach.Discussion
3D view-sharing sequences has been demonstrated its
potential application in abdominal 4D-MRI due to its sub-second acquisition
speed and clinical availability. 8,9 However,
the sub-optimal use of the sequence leads to a great vulnerability to
respiratory motion, and hence, a decrease in image quality. Here, we propose a
novel technique, AM-NLM, that particularly aims to mitigate the motion
artifacts of the TRICKS acquired 4D-MR images. Two
major modifications were made as compared to the conventional NLM. 10,11
First, the smoothing parameter in the denominator of the exponential factor was
replaced by the artifacts map. Second, the nonlocal searching patches were
extended to the image frames in the same phase bin. This leaded to an increase
of data availability for the averaging process. Moreover, the dynamic MR images
defined the average motion of organs and tissues by means of deformable vector
fields (DVFs) for the generation of LLGE 4D-MR images. Overall, the proposed
approach allowed a fully exploitation of the spatial and temporal information
of the acquired 4D-MR images for denoising.Conclusion
Both qualitative and quantitative results suggested
that AM-NLM technique was capable of suppressing motion artifacts and improving
image quality of the 4D-MR images acquired by a 3D view-sharing sequence.Acknowledgements
This work was
partly supported by research funding from the GRF (15102118 and 15102219), and the
HMRF (06173276).References
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