Prasiddhi Neupane1, Utsav Shrestha1, and Aaryani Tipirneni-Sajja1,2
1Biomedical Engineering, The University of Memphis, Memphis, TN, United States, 2St. Jude Children's Research Hospital, Memphis, TN, United States
Synopsis
Keywords: Data Analysis, Data Analysis
Multispectral fat-water-R2* models are used for the confounder-free assessment
of hepatic iron overload. In this study, Monte Carlo-based virtual liver
iron overload models were created, MRI signals were synthesized for GRE and UTE
acquisitions, and the R2* values estimated using the monoexponential and the multispectral
fat-water models were analyzed. Our results demonstrate that both multispectral
models exhibit high accuracy and precision for UTE acquisition at both 1.5T and
3T.
Introduction
Multispectral fat-water
techniques based on non-linear square (NLSQ) fitting and autoregressive moving
average (ARMA) modeling have been proposed for the simultaneous quantification
of R2* and fat fraction (FF) by accounting for the confounding effects of both
iron and fat on MRI signals1,2. The NLSQ model assumes a single R2*
for both fat and water peaks to avoid model complexity, whereas the ARMA model
estimates independent R2* for fat and water peaks1,3,4. Although
these models performed well for mild and moderate iron overload conditions, they
seem to produce inaccurate R2* values at high iron overload due to rapid signal
decay before the shortest possible TE of ~1ms for multi-echo gradient echo (GRE)
acquisition4. Multi-echo ultrashort echo time (UTE) imaging with TEmin~0.1
ms has been shown to improve the accuracy and precision of R2* estimation over
a wider clinical range of hepatic iron concentration (HIC) than conventional GRE
acquisitions5,6,7. However, multispectral models have not been
thoroughly investigated for estimating R2* using UTE for the full clinically
relevant range of HICs. Therefore, the purpose of this study is to evaluate the
performances of multispectral models for R2* estimation for GRE and UTE acquisitions
using a virtual iron overload model and synthesizing MRI signal via Monte Carlo
simulations, and also validating their accuracies against published in vivo
R2*-HIC calibration8.Methods
Monte Carlo model developed by Ghugre et. al was
reproduced in our study to construct virtual liver models with iron overload and
synthesize MRI signals9,10,11. For HICs ranging from 1-40 mg Fe/g dry
liver weight, iron spheres were placed inside an 80 µm*80 µm*80 µm liver volume
based on previously reported gamma distribution functions for size, nearest
neighbor distance and cellular anisotropy, and virtual iron overload models
were created9,10,11. MRI signals were synthesized at both 1.5 T
and 3 T using Monte
Carlo simulations in Python by considering magnetic field
inhomogeneities induced by iron deposits, water proton mobility, phase accrual
of protons10,11. 5000 protons were randomly distributed in
the liver volume to perform a random walk following unrestricted diffusion for
10 ms. MRI signals for
GRE (TEmin = 1 ms) and UTE (TEmin = 0.1 ms) acquisitions were extracted with ΔTE = 0.5 ms and TEmax = 10 ms and R2*
values were calculated using monoexponential with constant offset, ARMA, and
NLSQ models in MATLAB3,4,8. NLSQ model was implemented from the
ISMRM Fat-Water Toolbox and ARMA model was implemented as an iterative approach
with a maximum of 7 peaks3,4. Each simulation was repeated three
times and the mean R2* value was taken to reduce bias introduced by random variation.
Accuracy of the fitting models was evaluated using linear regression analysis
between estimated R2* and simulated HICs. R2* vs. HIC calibration published by
Wood et al. was used as reference to evaluate the accuracy of our model predicted
R2* vs. HIC relationship in comparable GRE acquisition8,10.
Precision was evaluated using coefficient of variation (CoV, %) of R2* values across
the three simulations plotted against HICs. Results and Discussion
Virtual liver models mimicking published
human histological statistics were simulated for different iron concentrations
ranging from 1-40 mg Fe/ g (Figure 1). Synthesized MRI signals decayed faster for
higher HICs and at higher magnetic field strengths, as expected. R2* values estimated
using our monoexponential model showed an excellent agreement and fell within
95% confidence interval of Wood et al. R2*-HIC calibration at 1.5T for GRE
acquisition, demonstrating the accuracy of our Monte Carlo-based model (Figure
2, Table 1)8. The multispectral model predicted R2* values also
showed an excellent correlation with HIC values and fell within Wood’s 95%
confidence interval at lower HICs. At HICs > 20 mg Fe/g, NLSQ model deviated
from the confidence bounds while ARMA was still within the bounds. At 3T,
predicted R2* values by all three models for GRE acquisition did not increase
linearly with HICs for HICs > 12.5 mg Fe/g. Precision of all three models
was significantly lower for GRE than UTE acquisition, particularly at 3T
(Figure 3). In contrast, all three models produced similar R2* results for UTE
acquisition at 1.5T and 3T. Furthermore, for UTE, ARMA and monoexponential
models exhibited similar trends of high precision, which was comparatively
higher than the NLSQ model. In conclusion, UTE acquisition produced more
reliable R2* results at both field strengths across the full HIC range, agreeing
with earlier studies that were done using the monoexponential model6,7,12.
Both NLSQ and ARMA signal models produced accurate and precise R2* results at
both 1.5 T and 3 T in UTE acquisitions, with ARMA model exhibiting similar R2*
vs HIC relationships as the monoexponential model.Conclusion
Our findings show that both multispectral
models displayed excellent precision and accuracy in R2* quantification for UTE
acquisition across the full clinical spectrum of HIC at both 1.5T and 3T, with
ARMA model behaving similar to the monoexponential model. Future work involves simulating liver models in
coexisting conditions of iron overload and steatosis and evaluating the
performances of ARMA and NLSQ multispectral models for accurate and
simultaneous quantification of R2* and FF. Acknowledgements
Supported by grant #1R21EB031298 from the
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