Sam Sedaghat1, Fang Liu2, Annette von Drygalski3, Hans-Ulrich Kauczor1, Eric Y Chang3, Jiang Du3, and Hyungseok Jang3
1University Hospital Heidelberg, Heidelberg, Germany, 2Harvard Medical School, Boston, MA, United States, 3University of California San Diego, San Diego, CA, United States
Synopsis
Keywords: Whole Joint, Joints, QSM, UTE, UTE-QSM, artifact reduction
Motivation: Quantitative susceptibility mapping (QSM) in MRI is valuable for characterizing tissue composition in the human body. Ultrashort echo time (UTE) is crucial for QSM of short T2 tissues in the musculoskeletal system.
Goal(s): As UTE-QSM is susceptible to motion-related streaking artifacts, our study aimed at reducing those artifacts.
Approach: A novel approach called Streaking Artifact Reduction using Edge Detection (SARED) is proposed to mitigate such artifacts. The method involves edge detection, exclusion of pixels near edges, and two-step QSM processing.
Results: Experimental results from knee and ankle joint imaging showed that SARED significantly reduces streaking artifacts, improving the accuracy of UTE-QSM.
Impact: The proposed Streaking Artifact Reduction
using Edge Detection (SARED) approach
significantly reduced motion-induced streaking artifacts in ultrashort echo
time quantitative susceptibility mapping (UTE-QSM), enhancing accuracy in
characterizing musculoskeletal tissues.
INTRODUCTION
Quantitative susceptibility mapping
(QSM) has been investigated as a promising MRI technique for characterizing the
biochemical composition of tissues in the human body1–5. To apply QSM to short T2 tissues in the musculoskeletal
system, ultrashort echo time (UTE) imaging can be beneficial since it improves
sensitivity to signals from tissues, such as tendons, ligaments or bone6–9. Data acquisition for UTE-QSM typically involves multiple
repeated scans to achieve short echo spacing between UTE images. The multiple
scans may cause unwanted motion between scans, known as inter-scan motion,
leading to misregistration between images. This effect can adversely affect the
accuracy of UTE-QSM due to streaking artifacts caused by motion-contaminated
pixel-wise phase evolution, which becomes more critical near tissue boundaries.
While motion registration can be beneficial, achieving perfect motion
registration with images at different TEs with various T2-weighting and
chemical shift artifacts is challenging. In this study, we demonstrate the
feasibility of a novel approach to reduce motion-induced streaking artifacts in
UTE-QSM, termed Streaking Artifact Reduction using Edge Detection (SARED),
which takes into account information on tissue boundaries.METHODS
SARED QSM: Figure 1 illustrates the proposed SARED approach based on two-step UTE-QSM. First, image processing-based
edge detection is applied to a UTE image to yield a line edge map. Pixels near the detected edge are excluded from the initial QSM process (QSM1)
to prevent streaking artifacts caused by residual motions near the tissue
boundary. A second QSM processing (QSM2) is conducted,
including all tissue regions. Finally, any regions omitted from the initial QSM
(i.e., tissue boundaries) are filled with susceptibility values estimated from
QSM2.
Experimental Setup: Eight healthy volunteers participated in
knee joint UTE-QSM, and another seven healthy volunteers participated in
ankle joint UTE-QSM. A dual-echo UTE sequence based on
3D cones trajectory (Figure 1B) was used in a 3T clinical MRI scanner (GE
Healthcare, Milwaukee, WI, USA). To acquire six input images for UTE-QSM, three
scans were performed in the manner of interleaved TEs. The imaging parameters
were as follows: 1) Knee UTE-QSM: 8-channel T/R knee coil, FA=10°, TR=10ms, TE=0.032,0.2,0.6,2.7,3.7,4.7 ms, FOV=150x150x86.4 mm3, matrix=220x220x96; 2) Ankle
UTE-QSM: 8-channel receive-only ankle coil, parameters matched with knee
UTE-QSM. Scan time: 17 min each.
Data Processing: Matlab was used for data processing. First, all images were motion registered utilizing an Affine transform-based rigid
registration algorithm. A 3D Canny eddy detection
algorithm with a threshold of 0.3 was applied to the images at the last TE (4.7ms). Then, the initial edge map was processed with a morphological 3D dilation
algorithm with a spherical structural element with a radius of 2 pixels to
include the neighboring pixels. QSM was performed based on homemade Matlab code
utilizing both IDEAL10 and MEDI11 algorithms. After completing the two-step QSM, the two
susceptibility maps were merged using alpha blending with Gaussian filtering
(sigma=1pixel). The estimated susceptibility values were assessed in various
regions of interest (ROIs) within the knee and ankle joints, including the
patellar and Achilles tendon, posterior cruciate ligament, meniscus, and muscles.RESULTS
Figure 2 displays the magnitude and
phase images obtained at six different TEs, along with the resultant field map
from IDEAL and the susceptibility map from MEDI. Figures 3 and 4 illustrate
UTE-QSM results with and without SARED in the knee and ankle joints from six
representative subjects. SARED effectively reduced the streaking artifacts
(highlighted by red arrows). Figure 5 presents susceptibility values estimated
in all ROIs. SARED yielded significantly different results in all ROIs
(p < 0.05).DISCUSSION AND CONCLUSION
Inter-scan
motion is a major challenge in UTE-QSM due to the interleaved echo imaging
scheme required for obtaining multiple UTE images with a short echo spacing
(~200-300 µs). Unfortunately, achieving precise motion registration is
difficult, especially in joints with complex kinetic movement. Non-rigid motion
in soft tissues is particularly challenging. The uncorrected
rigid and non-rigid motions can introduce critical errors in the phase
evolution information, leading to strong streaking artifacts, particularly in
pixels near tissue boundaries with strong susceptibility (e.g., bone) or a
strong chemical shift (e.g., fat). The proposed SARED approach significantly
improved UTE-QSM in musculoskeletal (MSK) imaging by suppressing streaking
artifacts, as demonstrated in our study. While SARED
effectively reduces the effect of streaking artifacts, it doesn't directly
remove the source of error caused by misregistration. Therefore, when combined
with more advanced registration methods like Elastix12,13, SARED is expected to deliver even
better results. Other sources of errors causing streaking, such
as low signal-to-noise ratio (SNR) and errors in the estimated B0 field map
from IDEAL, will be further investigated in future studies to enhance UTE-QSM
for MSK imaging.Acknowledgements
The authors
acknowledge grant support from the NIH (R01AR078877), the DFG (SE 3272/1-1), and
GE Healthcare.References
1. Wang
Y, Liu T. Quantitative susceptibility mapping (QSM): Decoding MRI data for a
tissue magnetic biomarker. Magn. Reson. Med. 2015;73:82–101 doi:
10.1002/mrm.25358.
2. Langkammer C, Liu T, Khalil M, et al.
Quantitative
Susceptibility Mapping in Multiple Sclerosis. Radiology 2013;267:551–559 doi:
10.1148/radiol.12120707.
3. Acosta-Cabronero J, Betts MJ, Cardenas-Blanco A, Yang S,
Nestor PJ. In Vivo MRI Mapping of Brain Iron Deposition across the Adult
Lifespan. J. Neurosci. 2016;36:364–374 doi:
10.1523/JNEUROSCI.1907-15.2016.
4. Deistung A, Schweser F, Wiestler B,
et al. Quantitative
Susceptibility Mapping Differentiates between Blood Depositions and
Calcifications in Patients with Glioblastoma Kleinschnitz C, editor. PLoS One
2013;8:e57924 doi: 10.1371/journal.pone.0057924.
5. Liu S, Wang C, Zhang X, et al. Quantification of liver
iron concentration using the apparent susceptibility of hepatic vessels. Quant.
Imaging Med. Surg. 2018;8:123–134 doi: 10.21037/qims.2018.03.02.
6. Dimov A V., Liu Z, Spincemaille P, Prince MR, Du J, Wang
Y. Bone quantitative susceptibility mapping using a chemical species-specific
R2* signal model with ultrashort and conventional echo data. Magn. Reson. Med.
2018;79:121–128 doi: 10.1002/mrm.26648.
7. Jerban S, Lu X, Jang H, et al. Significant correlations
between human cortical bone mineral density and quantitative susceptibility
mapping (QSM) obtained with 3D Cones ultrashort echo time magnetic resonance
imaging (UTE-MRI). Magn. Reson. Imaging 2019;62:104–110 doi:
10.1016/j.mri.2019.06.016.
8. Lu X, Jang H, Ma Y, Jerban S, Chang E, Du J. Ultrashort
Echo Time Quantitative Susceptibility Mapping (UTE-QSM) of Highly Concentrated
Magnetic Nanoparticles: A Comparison Study about Different Sampling Strategies.
Molecules 2019;24:1143 doi: 10.3390/molecules24061143.
9. Jang H, Drygalski A, Wong J, et al. Ultrashort echo time
quantitative susceptibility mapping (UTE‐QSM) for detection of
hemosiderin deposition in hemophilic arthropathy: A feasibility study. Magn.
Reson. Med. 2020;84:3246–3255 doi: 10.1002/mrm.28388.
10. Reeder SB, Pineda AR, Wen Z, et al. Iterative
decomposition of water and fat with echo asymmetry and least-squares estimation
(IDEAL): Application with fast spin-echo imaging. Magn.
Reson. Med. 2005;54:636–644 doi: 10.1002/mrm.20624.
11. Liu J, Liu T, De Rochefort L, et al.
Morphology
enabled dipole inversion for quantitative susceptibility mapping using
structural consistency between the magnitude image and the susceptibility map. Neuroimage 2012;59:2560–2568 doi: 10.1016/j.neuroimage.2011.08.082.
12. Klein S, Staring M, Murphy K,
Viergever MA, Pluim JPW. Elastix: A toolbox for intensity-based medical image
registration. IEEE Trans. Med. Imaging 2010;29:196–205 doi:
10.1109/TMI.2009.2035616.
13. Wu M, Zhao W, Wan L, et al. Quantitative three‐dimensional ultrashort echo time cones imaging of the knee
joint with motion correction. NMR Biomed. 2020;33:1–11 doi: 10.1002/nbm.4214.