Munendra Singh1, Peter van Zijl1, Shanshan Jiang1, Jinyuan Zhou1, and Hye-Young Heo1
1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States
Synopsis
Keywords: CEST & MT, CEST & MT
Conventional saturation
transfer MRI approaches, such as magnetization transfer contrast (MTC) and
chemical exchange saturation transfer (CEST) MRI, acquire qualitative contrast
weighted images, without specific information on the quantitative parameters
affecting contrast, namely proton exchange rate and concentration. In addition,
the contrast weighted images are highly dependent on scan parameters and data
acquisition strategies. Here, we developed a fast, quantitative saturation
transfer (ST) imaging technique based on MR fingerprinting principles to simultaneously
estimate free bulk water, semisolid macromolecule, and amide proton-related
parameters. The approach was evaluated with Bloch simulation and synthetic MRI
analysis using in vivo human brains.
Introduction
Saturation transfer (ST)
MRI provides unique and flexible contrast mechanisms, including semisolid
magnetization transfer contrast (MTC) and chemical exchange saturation transfer
(CEST)1,2. Conventionally, the saturation transfer effects are measured
with contrast weighted images, which have a dependence on multiple parameters,
including proton concentration, average exchange rate, and free water
relaxation properties3,4. To make matters worse, the qualitative measurement is
influenced by imaging scan parameters, particularly RF saturation conditions5-7. Recently, quantitative saturation transfer imaging
techniques has been developed by integrating an RF saturation scheme with MR
fingerprinting (MRF)8-14. Although recent advances in deep-learning improved
reconstruction accuracy and time, the reliable estimation of tissue parameters
in a complex multiple-exchange model needs a deeper and more complex network
that can extract information of the low concentration of solute protons from MRF.
Herein, we proposed a Bloch-equation-informed deep learning framework that simultaneously
estimated free bulk water, semisolid MTC, amide proton-related parameters, and
B0 inhomogeneity in a single scan. In vivo tissue parameters
were evaluated by synthetic MRI analysis because a “true” gold standard does
not currently exist for absolute APT quantification of in vivo brain
tissue. Methods
Nine
healthy volunteers (four females and five males, age: 36.4 ± 3.8 years) were
recruited for the study after informed consent was obtained in accordance with
the IRB requirement. 3D MRF images were acquired with a multi-shot turbo
spin-echo sequence with an RF saturation-encoded MRF schedule. Each frequency offset (Ω) was applied along with varied saturation
strengths (B1), saturation times (Ts), and relaxation delay
times (Td) to produce significant spatial and temporal incoherence. A
deep-learning architecture consisted of reconstruction and Bloch
simulator (deepBS) networks to estimate tissue parameters and synthesize MR
fingerprints, respectively (Fig. 1). The deepBS was pre-trained and
integrated in the architecture because the three-pool exchange model with a
super-Lorentzian symmetric MTC lineshape requires high computational cost. The
reconstruction networks estimated semisolid
macromolecular proton exchange rates (kmw), concentration (M0m),
T2 relaxation times (T2m), free water T1
relaxation times (T1w), B0 map, amide proton
exchange rates (ksw), concentration (M0s) and
T2 relaxation times (T2s) parameters. The framework was trained on 30 million
simulated datasets. The Bloch simulation was performed with
randomly generated tissue parameters from their maximum to minimum range: kmw
[5, 100] Hz, M0m [2, 17] %, T2m
[1, 100] µs, T1w [0.2, 3] s, B0
[-0.5, 0.5] ppm, ksw [5, 500] Hz, M0s [1, 500]
mM and, T2s [0.01, 1] s. The performance of the deepBS and MRF
reconstruction was evaluated using numerical phantoms. For evaluation of in
vivo results, synthesized saturation transfer contrast-weighted images were
compared with the experimental measurement acquired from new imaging scan
parameters. Results and Discussion
For the simulations, MRF estimated
from the deepBS were in excellent agreement with the ground-truths as shown in Fig. 2. Notably, the deepBS achieved
significantly higher computation efficiency (~388x) than the conventional Bloch
simulation. The normalized root mean square error (nRMSE) were 8.33% for kmw,
3.08% for M0m, 1.03% for T2m, 0.72%
for T1w, 20.33% for ksw, 13.21% for M0s,
35.73% for T2s, and 0.57% for B0 at SNR of
194. The reconstruction accuracy was evaluated on numerical phantoms as shown
in Fig.3. Overall, the nRMSE values
of the estimation of the amide proton parameters were lower than those of the
estimation of the free water and semisolid MTC parameters due to the lower MR
signal from low-concentration amide protons, which is very sensitive to the
noise level. Quantitative tissue parameter maps obtained from ST-MRF are shown
in Fig. 4. A sufficient number of dynamic scans (93 scans) was acquired
to extract APT parameter information, since the sensitivity of the amide proton
exchange rate and concentration to MRF signal intensities is inherently low. Total
scan time was ~10 min for nine slices with a resolution of 1.8x1.8x4 mm3
and reconstruction time was ~132 sec for 256x256x9x93. The amide proton
exchange rates for gray and white matter were 206 ± 45 Hz and 115 ± 18 Hz,
respectively, and concentrations of 74 ± 19 mM and 106 ± 16 mM, respectively. To
evaluate the proposed method, the contrast weighted images were synthesized and
compared with experimental measurements (Fig. 5). The tissue parameters
were estimated by ST-MRF acquired from MRF schedule A, and then ten contrast-weighted
images were synthesized by inserting the tissue estimates into the forward
Bloch transform with a new MRF schedule B. The synthetic images were in
excellent agreement with the experimentally measured images and the average
nRMSE was only 2.3%. The estimation of the in vivo tissue parameters
satisfied the new RF saturation conditions that would guarantee a solution of
the ill-posed inverse Bloch equation problem. Conclusions
We developed a saturation
transfer MRF framework to simultaneously estimate multiple tissue parameters in
a single scan. The deep Bloch simulator significantly reduced the computation
time for the generation of training datasets and the reconstruction network
demonstrated remarkable quantification accuracy on the numerical phantom. This
study obtained reasonable in vivo results and shows promise to advance
quantitative saturation transfer imaging. The proposed ST-MRF will allow
quantitative assessment of exchange rates and concentrations in disease, which
may have clinical applications.Acknowledgements
This work was supported in
part by grants from the National Institutes of Health.References
1. van
Zijl PCM, Lam WW, Xu J, Knutsson L, Stanisz GJ. Magnetization Transfer Contrast
and Chemical Exchange Saturation Transfer MRI. Features and analysis of the
field-dependent saturation spectrum. Neuroimage 2018;168:222-241.
2. Ward KM, Aletras AH, Balaban RS. A new
class of contrast agents for MRI based on proton chemical exchange dependent
saturation transfer (CEST). J Magn Reson 2000;143:79-87.
3. Zhou J, Heo HY, Knutsson L, van Zijl
PCM, Jiang S. APT-weighted MRI: Techniques, current neuro applications, and
challenging issues. J Magn Reson Imaging 2019;50(2):347-364.
4. Zu Z. Towards the complex dependence of
MTRasym on T1w in amide proton transfer (APT) imaging. NMR Biomed
2018;31(7):e3934.
5. Heo HY, Lee DH, Zhang Y, Zhao X, Jiang
S, Chen M, Zhou J. Insight into the quantitative metrics of chemical exchange
saturation transfer (CEST) imaging. Magn Reson Med 2017;77(5):1853-1865.
6. Zaiss M, Xu J, Goerke S, Khan IS,
Singer RJ, Gore JC, Gochberg DF, Bachert P. Inverse Z-spectrum analysis for
spillover-, MT-, and T1 -corrected steady-state pulsed CEST-MRI - application
to pH-weighted MRI of acute stroke. NMR Biomed 2014;27:240-252.
7. Sun PZ, van Zijl PCM, Zhou J.
Optimization of the irradiation power in chemical exchange dependent saturation
transfer (CEST) experiments. J Magn Reson 2005;175:193-200.
8. Kim B, Schar M, Park H, Heo HY. A deep
learning approach for magnetization transfer contrast MR fingerprinting and
chemical exchange saturation transfer imaging. Neuroimage 2020;221:117165.
9. Cohen O, Huang S, McMahon MT, Rosen MS,
Farrar CT. Rapid and quantitative chemical exchange saturation transfer (CEST)
imaging with magnetic resonance fingerprinting (MRF). Magn Reson Med
2018;80(6):2449-2463.
10. Heo HY, Han Z, Jiang S, Schar M, van Zijl
PCM, Zhou J. Quantifying amide proton exchange rate and concentration in
chemical exchange saturation transfer imaging of the human brain. Neuroimage
2019;189(1):202-213.
11. Perlman O, Farrar CT, Heo HY. MR
fingerprinting for semisolid magnetization transfer and chemical exchange
saturation transfer quantification. NMR Biomed 2022:e4710.
12. Perlman O, Zhu B, Zaiss M, Rosen MS,
Farrar CT. An end-to-end AI-based framework for automated discovery of rapid
CEST/MT MRI acquisition protocols and molecular parameter quantification
(AutoCEST). Magn Reson Med 2022;87(6):2792-2810.
13. Kang B, Kim B, Park H, Heo HY.
Learning-based optimization of acquisition schedule for magnetization transfer
contrast MR fingerprinting. NMR Biomed 2022;35(5):e4662.
14. Kang
B, Kim B, Schar M, Park H, Heo HY. Unsupervised learning for magnetization
transfer contrast MR fingerprinting: Application to CEST and nuclear Overhauser
enhancement imaging. Magn Reson Med 2021;85(4):2040-2054.