Daniel Polak1, Marcel Dominik Nickel1, Daniel Nicolas Splitthoff1, Jeanette Deck1, Bryan Clifford2, Yantu Huang3, Wei-Ching Lo2, Susie Y. Huang4, John Conklin4, Lawrence L. Wald5, and Stephen F. Cauley2
1Siemens Healthineers, Erlangen, Germany, 2Siemens Medical Solutions, Boston, MA, United States, 3Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, 4Massachusetts General Hospital, Boston, MA, United States, 5A. A. Martinos Center for Biomedical Imaging, Boston, MA, United States
Synopsis
Keywords: Alzheimer's Disease, MR Value
Motivation: Rising medical imaging utilization and increasing use of automated support systems demand high-quality, fast, and reproducible/robust MRI techniques. Despite rapid scanning afforded by deep learning, motion remains a common source of artifacts.
Goal(s): Integrate retrospective motion correction into a deep learning reconstruction to facilitate high-quality, fast, and motion-robust brain imaging.
Approach: Scout and guidance line-based motion correction was implemented into MPRAGE, SPACE and SWI to enable rapid motion trajectory estimation. A data-consistency driven neural network reconstruction was adapted to perform network regularized motion correction.
Results: Improved SNR and reduced motion artifacts are demonstrated in vivo using 4-6-fold accelerated scans with instructed subject motion.
Impact: Retrospective
motion correction was integrated into a deep learning reconstruction to
facilitate fast and motion-robust 3D brain imaging across T1, T2, T2 FLAIR and
T2*/SWI. This should add clinical value to routine brain exams and emerging
neuro-degenerative screening protocols (ARIA).
Background
In an era of
rising medical imaging utilization (e.g., regular MR screenings for Alzheimer’s
drug treatment) and increasing use of quantitative disease biomarkers &
clinical support systems (e.g., brain morphometry, and hemorrhage, edema, tumor
identification/segmentation), there is demand for high-quality, fast, and reproducible/robust
MRI techniques. Motion during MRI examinations remains one of the largest
sources of image quality degradation, especially in patients with
neuro-degenerative diseases. This can negatively affect the radiologist’s image
interpretation/diagnosis but also the quality of automated post-processing
algorithms1. Deep learning image reconstruction has enabled reduced scan times
while maintaining high image quality and is now widely accepted in clinical settings.
While faster scanning has been associated with reduced likelihood of patient
motion, it cannot solve the motion problem completely2. SAMER3,4 is a retrospective motion correction technique for brain imaging.
It enables very rapid motion estimation and artifact correction without
external tracking hardware and with minimal disruption to standard clinical protocols.
In this work, we integrate the SAMER technique into a deep learning image reconstruction
and demonstrate highly accelerated motion-robust 3D brain imaging across MPRAGE,
SPACE (T2w and T2 FLAIR) and T2*/SWI. These sequences represent the core of both
routine brain and neuro-degenerative disease screening exams1. Methods
Motion estimation:
SAMER is based
on SENSE5 parallel imaging, where rigid body motion operators are added to
describe motion within the forward model6 (Fig. 1A). Estimating the motion trajectory and the motion-free
image is achieved by minimizing the deviation between the physics model
prediction and the acquired k-space data. To avoid a computationally costly
joint optimization7,8, SAMER acquires additional k-space encoding lines (motion guidance
lines) and an ultra-fast scout scan which serves as a prior to guide the motion
search (Fig. 1B). This facilitates very rapid trajectory estimation (~1
sec/shot).
In the 3D
multi-shot sequences MPRAGE (Fig. 1C) and SPACE, the data collection is divided
into echo trains (shots), each containing ~200 phase/partition encoding lines. A
limited number of additional guidance lines are added to each echo train which
does not affect image quality/contrast or acquisition time. In SWI (Fig. 1D), guidance
line information is obtained from an additional gradient-echo played before the
imaging-echo. This approach again maintains the original contrast and scan efficiency.
The ultra-fast low-resolution scout scans (~2 sec for MPRAGE) match the
contrast of the guidance lines and were acquired once before every imaging
sequence.
Deep learning reconstruction:
To facilitate
highly accelerated motion-robust imaging we integrate deep learning into the
SAMER motion-mitigated image reconstruction (Fig. 2). Here, a state-of-the-art unrolled
network architecture9 was used which alternates between classical conjugate-gradient
SENSE optimization and deep learning based update of the image prior. The final
image is obtained after a fixed number of reconstruction instances, each
containing a separate neural network regularizer (3D UNet10). The neural networks were pre-trained on motion-free data while motion-correction
was performed during inference. Specifically, the data fidelity term (Fig. 2) was
adapted to use the SENSE+motion model which is dependent on the estimated motion
trajectories.
In vivo experiments:
At 3T (MAGNETOM
Vida; Siemens Healthineers, Erlangen, Germany), high-resolution MPRAGE, SPACE
and SWI data were collected at R=2x2 and R=3x2 acceleration using a 20-channel
head/neck coil. With written consent, in vivo measurements with instructed
step, nodding and unsupervised free motion were conducted on three healthy
volunteers.
Results
Figure 3 compares
the individual image quality improvements afforded by different components of
the image reconstruction. We compare the benefits of “DL-only”, “Moco-only” and
“DL+Moco” using R=2x2 accelerated MPRAGE data with instructed step motion. Improved
SNR (“DL-only”) and increased image sharpness (“Moco-only”) were both obtained with
the proposed “DL+Moco” reconstruction.
Figures 4 and 5 show
the combined “DL+Moco” reconstructions of R=2x2 and R=3x2 accelerated acquisitions
under various instructed motion patterns. Across all contrasts, “DL+Moco” consistently
reduced noise amplification and mitigated motion artifacts leading to improved image
quality.Conclusions
We integrated SAMER
retrospective motion correction into a data-consistency driven neural network reconstruction
and demonstrated highly accelerated motion-robust brain imaging. In this work, the
scout and guidance line-based motion estimation framework4 was extended to both the SPACE and SWI sequences. This enables retrospective
motion correction across the principal clinical contrasts T1, T2, T2 FLAIR and T2*/SWI.
Integration into a deep learning reconstruction allowed up to 6-fold acceleration
with the standard vendor 20-channel head/neck coil, while retaining high
quality and good SNR. Our suite of fast and motion-robust sequences should add clinical
value to routine brain exams which typically contain all imaging contrasts from
this work. Moreover, they directly align with emerging neuro-degenerative
disease screening protocols, e.g., detection of ARIA (amyloid related imaging abnormalities)
in Alzheimer’s patients.Acknowledgements
No acknowledgement found.References
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