Qing Dai1,2, Shu-Fu Shih1,2, Jiaqi Zhou3, Le Zhang1, and Holden H Wu1,2
1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Bioengineering, University of California, Los Angeles, Los Angeles, CA, United States, 3Department of Engineering Physics, Tsinghua University, Beijing, China
Synopsis
Keywords: Thermometry, Motion Correction, Multi-baseline Thermometry
Multi-baseline proton resonance frequency-shift (PRF) MR thermometry can reduce motion-induced temperature errors in moving organs during MR-guided thermal therapy. However, previous methods had to compromise the spatial coverage to increase the temporal resolution for resolving motion. This work developed a dynamic 3D stack-of-radial MRI method using compressed sensing reconstruction and image-based navigation to enable motion-resolved multi-baseline PRF thermometry with 1.4-sec true temporal resolution. The proposed method achieved stable thermometry with volumetric coverage in free-breathing liver MRI without heating.
Introduction
Proton resonance frequency-shift (PRF) thermometry is widely used to monitor heating during MR-guided thermal therapies1. However, thermometry in moving organs remains challenging due to motion-induced phase changes causing temperature errors2. Multi-baseline MR thermometry has been proposed to address this problem by correcting the mismatch between the baseline and the image during treatment3-5. Due to limited acquisition speed, most studies only acquire a few or even one 2D slice to maintain sufficient temporal and spatial resolution6.
Golden-angle-ordered 3D stack-of-radial MRI with k-space weighted image contrast (KWIC) reconstruction7-10 has been proposed for 3D MR thermometry with high spatiotemporal resolution. However, the true temporal resolution of KWIC reconstruction from view-sharing is still long and, therefore, susceptible to mixed contrast effects and motion blurring.
Compressed sensing (CS) reconstruction can be applied to thermometry to improve the true temporal resolution by reconstructing undersampled data. Previous studies have explored CS-based thermometry with additional phase constraints or temporal regularization11-15. However, these methods are sensitive to motion and have not been evaluated in moving organs.
In this study, we proposed a dynamic 3D stack-of-radial multi-baseline PRF MR thermometry framework using compressed sensing reconstruction and image-based navigation. The temperature mapping stability was evaluated in free-breathing liver MRI without heating.
Methods
Free-Breathing Liver MRI: In an IRB-approved and HIPAA-compliant study, free-breathing liver MRI was acquired in one healthy subject at 3T (Prisma, Siemens, Erlangen, Germany) without heating. A golden-angle-ordered 3D stack-of-radial sequence16 was used, with TR=6.19ms, TE=[1.23, 2.46, 3.69, 4.92]ms, resolution=1.88x1.88x3mm3, FOV=360x360x48mm3, and flip angle=10°. 1500 radial angles were acquired with a total scan time (min:sec) of 2:56.
Dynamic Image Reconstruction: After gradient calibration and correction16, the stream of radial data was divided into the baseline stage and the temperature mapping stage. The coil sensitivity maps were estimated using data acquired from the baseline stage. The radial data was split into sequential time frames, each containing consecutive radial angles for the desired temporal resolution (Fig. 1A and 1B).
The CS reconstruction was formulated as $$$m=argmin\left\{\left\| F\cdot S\cdot\widehat{m}-d \right\|^{2}_{2}+\lambda\left\|T\cdot\widehat{m}\right\|_{1}\right\}$$$, where m is the dynamic image to be reconstructed, d is multi-coil k-space data, F is the GPU-based NUFFT operator17, S is the estimated coil sensitivity map using a beamforming-based technique18, T is a total variation operation applied across three adjacent dynamic frames, and λ is the regularization parameter.
The reconstructed magnitude images were echo-combined using sum-of-squares. The reconstructed phase images were unwrapped along the echo direction and echo-combined7 to an effective TE=10ms.
Multi-Baseline PRF Thermometry using Image-Based Navigation: 48 frames were used to form the baseline library. A 2D image feature patch containing the liver dome was selected to characterize the motion in the superior/inferior (S/I) direction (Fig. 1C). The feature patch was used for baseline image selection using a structural similarity index measure (SSIM). The dynamic PRF temperature change (ΔT) maps were calculated on all slices. The same feature patch was also used to automatically track the S/I motion of tissue regions-of-interest (ROI) using a least-squares tracking algorithm19.
Analysis: Two 3x3-pixel ROIs were selected to measure temperature mapping stability over time (vs. constant body temperature) in terms of mean absolute error (MAE) and its standard deviation. The CS reconstruction results were compared with KWIC reconstruction using 13/144 radial angles for the innermost/outermost k-space regions.Results
For CS reconstruction, we found a good balance between image quality and temporal fidelity with 13 radial angles per frame (1.4-sec temporal resolution) and λ = 0.02. Figures 2 and 3 compare the image quality and temporal fidelity using different reconstruction methods. Figure 3 also shows the 2D motion navigation results. Figure 4 shows the PRF temperature mapping results from KWIC and CS reconstruction using single-baseline and multi-baseline methods. Figure 5 shows the dynamic temperature measurements from two ROIs. MAEs were 1.88±1.67°C (ROI-1) and 3.85±3.10°C (ROI-2) using CS reconstruction and multi-baseline PRF.Discussion
Our proposed 3D stack-of-radial PRF thermometry method with CS reconstruction achieved volumetric coverage (16 slices) with an in-plane resolution of 1.88x1.88mm2 and a true temporal resolution of 1.4sec/frame. The proposed CS reconstruction resolved the motion effects in the liver (Fig. 2A) and improved spatial and temporal phase consistency (Fig. 2B and 3C).
This is one of the first studies investigating motion-resolved CS-based PRF thermometry in moving organs. The proposed CS-based dynamic 3D thermometry framework successfully reduced motion-induced temperature errors across all slices (Fig. 4) and achieved better temperature stability (MAE<4°C) than KWIC (Fig. 5). The proposed image-based motion tracking technique could also be useful for monitoring thermal dose in moving organs during MR-guided thermal therapies.
There are several directions for improving the proposed method: 1) More subjects should be evaluated; 2) Improve spatial phase unwrapping. 3) The current reconstruction time was 7.1 seconds on average per slice per frame using GPU-NUFFT operation. The slice-by-slice reconstruction can be further accelerated by parallelization. 4) The proposed method should be validated in experiments with thermal therapy.Conclusion
We developed a dynamic 3D stack-of-radial multi-baseline PRF MR thermometry framework using CS reconstruction and image-based navigation, which demonstrated the potential to achieve stable thermometry in moving organs.Acknowledgements
This study was supported in part by Siemens Medical Solutions USA and the Department of Radiological Sciences at UCLA.References
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