Zhitao Li1, Johe Pauly2, and Shreyas Vasanawala1
1Department of Radiology, Stanford University, Stanford, CA, United States, 2Electrical Engineering, Stanford University, Stanford, CA, United States
Synopsis
Keywords: CEST & MT, Brain, T1
A model-based technique for rapid magnetization transfer corrected T1
mapping is proposed, the T1 maps generated from the proposed technique
is free of the under-estimation caused by MT effect. The technique is
validated in both simulation and in-vivo experiments.
Introduction
Spin-lattice relaxation time (T1) has been shown to be
a valuable biomarker for various diseases such as myocardial infarction1,
liver cirrhosis2, neural tissue inflammation3 and
neurological disorders4. Fast T1 measurement algorithms has been
developed to measure T15–8, those algorithms are based on the Look-Locker technique and uses a
spoiled or balanced gradient echo (GRE) sequence for data sampling. Magnetization
transfer (MT) is known to cause a large underestimation in T19,10,
however, those T1 measurement techniques didn’t take MT effect into
consideration.
In this abstract, we propose a fast model-based
technique that uses both the T1 recovery model and the MT model in the
reconstruction. The resulting T1 map is thus MT-corrected. This technique is
able to acquire high resolution MT-corrected T1 maps in under 3 seconds.
Technique and Methods
The T1 recovery model can be expressed as
$$s(t)=A-Be^{(-\frac{TI}{T_{1}^{*}})}$$
where $$$I_{0}{\cdot}T_{1}^{*}/T_{1}$$$, $$$I_{0}(1+T_{1}^{*}/T_{1})$$$, and T1* is the
apparent T1 when an imaging flip angle is repeatedly applied to the spins. The
true T1 can then be calculated using $$$T_{1}=T_{1}^{*}(B/A-1)$$$.
The cross-relaxation between a bound water pool and free
water pool in the MT effect is modeled by using EPG-X11. In this model, the water
molecules associated with macromolecules is considered to have a very short T2,
and assumed to have no transverse magnetization.
The reconstruction is formulated as a subspace low-rank
optimization problem with a L1 total variation as a regularization term. Once
the T1 recovery curves are reconstructed, a dictionary that covers the literature
reported MT parameter ranges12 was generated for curve fitting. Other MT
parameters such as the exchange rate (kf), fractional pool size (f) were
treated as nuisance parameters.
For the computer simulation, a BrainWeb digital phantom with
labels for gray and white matter was used, literature reported MT parameter
values12
were used to fill the BrainWeb phantom for simulation.
For in vivo study, data were collected using a 3T scanner (Premier,
GE Healthcare, Waukesha WI). An inversion recovery spoiled gradient echo
sequence with a tiny golden angle (23.63) radial readout were used for data
collection . Imaging parameter used are TE=2.1ms, TR=4.7ms, TI=10ms, receiver
bandwidth=976.6Hz/pixel, base resolution = 256, FOV=220mm. A total of 512
radial projections were acquired. A volunteer were scanned under IRB approval
with informed consent.Results
Figure 1 shows the T1 recovery curve with and without MT
effect. As indicated by the arrow, when the MT effect is taken into
consideration in the T1 model, the T1 recovery appears to be faster at the
beginning. This is due to the bound pool water not been fully inverted by the
inversion RF pulse, while exchanging with the free pool water. Thus creating a
faster initial recovery.
Figure 2 shows the simulation results. As can be seem that
the T1 values for both the gray and white matter in the digital phantom is
underestimated when the T1 curve fitting model didn’t take the MT effect into
consideration. The MT corrected T1 showed a slight overestimation against the
truth.
In Figure
3 we present results from the in vivo experiment. The left most image shows the
T1 map from a traditional T1 reconstruction, the middle image presents the T1
map with MT effect corrected. The relative difference between these two T1 maps
are calculated and presented to the right. As can be seem there is a
significant underestimation in the T1 map that does not take MT effect into
consideration.
The underestimation is further demonstrated in an ROI
analysis shown in Figure 4. Ten ROIs are drawn in the T1 map as presented in
the Figure 4(a), and the mean values and standard deviations for the ROIs are
presented in Figure 4(b).
A Bland-Altman analysis for the mean values of the ROIs are
also presented in Figure 5. An average of 25% T1 estimation bias can be
observed in the T1 map with and without MT effect correction.Discussion and Conclusion
In this
work a MT effect corrected T1 mapping technique is presented. With this new
technique, underestimations in the T1 due to MT effect can be removed. The
small overestimation in the MT corrected T1 map is likely due to our curve
fitting treated other MT related parameters as nuisance parameters. A future
work that can more accurately estimate the MT related parameters may help
reducing this bias.Acknowledgements
This work was supported in part by NIH research grants:
R01-EB009690, U01-EB029427 and GE
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