Oscar Jalnefjord1,2, Amina Warsame1, and Louise Rosenqvist1
1Department of Medical Sciences, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden
Synopsis
Keywords: Data Processing, Diffusion/other diffusion imaging techniques
Signal drift has been identified as a
confounding factor in diffusion MRI (dMRI), causing increases variance and
potential bias in derived parameter maps. In this work, we show that temporal signal
drift is spatially dependent in human brain images for dMRI, thus calling for
spatiotemporal corrections. We also show that signal drift can have a
substantial effect on short-term repeatability of ADC and IVIM f obtained from
data acquired with a protocol ordered by b-value as is commonly done in
clinical practice.
Introduction
Signal drift has been identified as
a confounding factor in diffusion MRI (dMRI), causing increases variance and
potential bias in derived parameter maps1,2. Global signal drift was observed and corrected for
in phantom and human brain by Vos et al.1, while spatially varying signal drift in phantom later
was addressed by Hansen et al.2. In this work, we study the spatial variations in
signal drift for dMRI of the human brain and ways to correct for it, as well as
the effects on estimates of the apparent diffusion coefficient (ADC) and the
intravoxel incoherent motion (IVIM) perfusion fraction (f)3.Methods
Diffusion-weighted
images of the brain in six healthy volunteers (6 males, 21-25 years) were
acquired on a Philips MR7700 3T MR scanner with a 32-channel head coil. The
study was approved by the Swedish ethical review authority (Dnr 2020-00029). The
imaging protocol included three b-values (0, 200, 800 s/mm2) and six diffusion
encoding direction (sides of a cube), with repetitions of b-values according
to the ratio 2:3:1 given by optimization of an IVIM acquisition in the brain4. Repeatability was assessed by a
second equal scan in direct succession.
Signal
drift was assessed and corrected for using the b=0 images, which are intended
to be equal throughout a scan. Three correction methods were applied 1) a
global temporal polynomial correction where a 2nd order polynomial was fitted
to the brain median signal value of each b=0 image and then applied to the full
scan as described by Vos et al.1, 2) a voxelwise temporal polynomial
correction similar to the first method, but where a separate polynomial was
fitted for each voxel, and 3) a spatiotemporal polynomial correction where
instead a 2nd order polynomial in both time and space was used as described by
Hansen et al.2.
The
influence of acquisition order was evaluated by comparison of data acquired from
the original protocol with b-values and diffusion encoding directions mixed
(mixed protocol), to data corresponding to a protocol ordered by b-value and
with all diffusion encoding directions acquired in direct succession for each
b-value separately (ordered protocol). Data for the ordered protocol was
generated by applying the inverse voxelwise temporal polynomial correction to
corrected data after a reordering according to b-value.
Parameter
maps of the apparent diffusion coefficient (ADC) were estimated from images
with b-values 200 and 800 s/mm2, and the extrapolated signal at b=0 in
combination with the measured signal at b=0 was used to estimate the IVIM
perfusion fraction (f)5. Results
Signal drift with a magnitude of
around five percent over a single scan was observed in all subjects (Fig. 1).
There were distinct spatial variations in signal drift which could not be
corrected for with the global temporal polynomial correction, while the
voxelwise temporal polynomial correction appeared to produce stable results
(Figs. 1 and 2). The spatiotemporal polynomial correction was, in general, able
to capture the overall spatial variations in signal drift as seen when compared
with the voxelwise temporal polynomial correction (Fig. 2), but appeared less
stable and therefore failed to produce the corresponding reduction in signal
drift after correction (Fig. 1).
The
acquisition order had substantial effects on how signal drift affected the repeatability
of estimated parameters. Both ADC and IVIM f had about 50 % larger variations
between repeated scans for the protocol where acquisitions were ordered by
b-value as compared with the protocol where b-values and diffusion encoding
directions were mixed (Fig. 3). The choice of correction method had little
effect on repeatability for the mixed protocol (Fig. 4). Weak trends towards
smaller residuals could be seen for the order protocol compared with the mixed
protocol, and for the voxelwise temporal polynomial correction compared with
the other correction methods (Fig. 5).Discussion
The magnitude of the signal drift observed
in the current study was similar to that reported by Vos et al. even though
their scans were three times as long1. This might be explained by the observation that
signal drift can be of opposite signs in different parts of the brain. Analysis
of global averages may thus result in underestimation of the local signal
drifts.
The spatiotemporal polynomial
correction suggested by Hansen et al.2 appeared to be able to capture the overall pattern as
seen in Figure 2, but was also associated with overcompensations as seen in
Figure 1. The implementation suggested by Hansen et al. is intended to be robust
to outliers, but additional improvements might be needed to avoid overfitting
to particular voxels, e.g. those in the rim of the brain.
The weak trend towards smaller residuals for the
ordered protocol is expected as signal drift has a smaller impact per b-value
for an ordered protocol, for which drift instead introduces a bias. Similarly, smaller
residuals for the voxelwise temporal polynomial correction can be explained by reduced
signal variations per b-value.Conclusion
Temporal signal drift in images for
dMRI is spatially dependent, which calls for spatiotemporal corrections. Signal
drift can have a substantial effect on short-term repeatability of ADC and IVIM
f obtained from data acquired with a protocol ordered by b-value as is commonly
done in clinical practice.Acknowledgements
The study was financed by grants from the Assar
Gabrielsson Foundation, the Sahlgrenska University Hospital Research Fund, the
Royal Society of Arts and Sciences in Gothenburg (KVVS), and the Swedish state
under the agreement between the Swedish government and the county councils, the
ALF-agreement.References
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