Sandeep Panwar Jogi1, Qi Peng2, Ramin Jafari3, Ricardo Otazo1,4, and Can Wu1
1Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, United States, 3MR Clinical Science, Philips Healthcare, Cambridge, MA, United States, 4Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, United States
Synopsis
Keywords: Data Acquisition, Quantitative Imaging, T1rho, Reproducibility, TSLs Sampling, Magnetization Preparation
Motivation: Reproducibility of T1rho measurements is crucial for longitudinal studies, as highly reproducible measurements are needed to detect treatment-induced changes in tissue properties.
Goal(s): To evaluate two novel sampling schemes of spin-locking times (TSLs) to improve the reproducibility of T1rho quantification in inhomogeneous fields (B1/B0) compared to previously reported TSL-sampling schemes.
Approach: T1rho sequences with three different T1rho preparation modules and four TSL-sampling schemes were used for repeated scans of phantom and volunteers to evaluate reproducibility in each case.
Results: The proposed TSL-sampling schemes produced significantly better reproducibility (i.e., lower coefficient of variation) than the previously reported TSL-sampling schemes.
Impact: The
proposed novel TSL-sampling schemes may enable T1rho relaxation parameter as a
robust biomarker of imaging tissues with a slow-motional process despite B1/B0
inhomogeneities.
INTRODUCTION
Reproducibility
of MR parameter quantification is paramount for application as a clinical
biomarker. T1rho-relaxation is sensitive to slow-motional water-macromolecular interactions1,
and previous studies have demonstrated the clinical potential of T1rho-imaging in
the brain, heart, liver, and knee1-4. However, T1rho-prepared
magnetization oscillates in the presence of B1/B0 inhomogeneities, leading to “banding-artifacts,”
which increase T1rho measurement variability5. Previously reported, precision-guide-sampling
(PG)6 has shown SNR advantage over linear-sampling (LS),
leading to more accurate measurement of T1rho-values6. However, it
doesn't improve reproducibility. Therefore, an alternative scheme which has
high SNR and reproducibility is needed.
This study
presents two novel TSL-sampling schemes to improve the reproducibility of T1rho-imaging.
A combination of three commonly used T1rho-preparation modules and four
TSL-sampling schemes was used to compare the T1rho-quantification reproducibility
using phantom and volunteer experiments.METHODS
The three T1rho-preparation modules used in
this study were: composite-spin-locking with positive (CSLP) and negative (CSLN)
magnetizations and balanced-spin-locking (BSL)5,7, as shown in Figure 1A-C. This
study compares LS and PG-sampling schemes with two newly proposed TSL-sampling
schemes: precision-guided random sampling (PGR) and precision- and
reproducibility-guided sampling (PRG)8, as shown in Figure 1D-G.
This study used LS as five-TSLs sampled in a constant time interval between 0ms
and the maximum TSL (TSLmax), whereas PG has 0ms and four repeated TSLs
around TSLmax6. Departed from PG-sampling, the higher
TSLs are randomly chosen close to TSLmax in PGR-sampling. Whereas,
in PRG-sampling, higher TSLs were chosen to be an equal time interval of ΔTSL=1/(2*fosc),
near TSLmax, where fosc represents the frequency of magnetization
oscillations which is approximately half of spin-locking frequency based on
simulation8.
The volunteer
and phantom studies used a 3T-MRI scanner (Ingenia Elition X, Philips
Healthcare, Best, The Netherlands). In the phantom study, eight repeated scans
were conducted on a phantom with three pairs of tubes with different T1rho-values
(Figure 2A). In each repeated scan, the RF pulses were intentionally adjusted to
the nominal B1 with scaling factors of 1.0, 0.9, and 0.8 times to assess B1-offest’s
impact on T1rho quantification. T1rho-maps were generated for five slices (0, ±1.8cm,
±3.6cm from the center).
Three volunteers’ thigh muscles
underwent five-repeated scans using 3D T1rho-imaging, 3D T1-weighted imaging,
and mDixon sequences. Fixation modules and image registration were deployed for
consistent positioning. The muscle regions were segmented using mDixon images
to compare T1rho-values at the pixel level and evaluate reproducibility (Figure
2B). B0-maps from mDixon defined the ranges of B0 field
inhomogeneities (0-200Hz).
Table 1 presents scan details and
parameters for both studies. Before curve-fitting to generate T1rho-map using a
complex-valued data9, the 3D-volumes of TSLs were registered using
Elastix10. The coefficient of variation (CoV) of T1rho-values for
each B0/B1 field region was evaluated. Additionally, a paired t-test was
used to determine the statistical significance of the phantom study. RESULTS
The
phantom study presented consistently lower mean CoV for PGR- and PRG-schemes
(2.7% and 2.6%) than LS and PG (4.1% and 3.1%) for all cases with different
T1rho-preparations and B1-offsets. Moreover, PGR and PRG showed statistically
lower COV than PG for B1-scaling=0.8. Figure 3 presents the detailed results
with different B1-offsets.
Volunteer
study also observed lower mean CoV in PGR (9.3%) and PRG (9.2%) compared to LS (10.9%)
and PG (10.2%). These differences were higher in large B0-offsets (>50Hz).
Figure 4 shows the means CoV of T1rho-values for the three volunteers. The CoV-values
were reduced by 30% (CSLP), 24% (CSLN), and 12% (BSL), with the proposed
sampling schemes compared to linear-sampling. DISCUSSION
The reproducibility
of T1rho measurements is crucial, especially when considering the increased
T1rho variability caused by B0/B1-offsets. This study demonstrated that PGR-
and PRG-schemes produce more consistent T1rho measurements compared to LS- and
PG-schemes, particularly in scenarios with higher B0/B1 inhomogeneities. It
was also confirmed that PG performed better than LS-scheme since it uses higher
TSLs to avoid high signal oscillation at lower TSLs. The proposed methods, PGR
and PRG, further improved on PG to take advantage of multiple sampling points
at high TSLs to average out the oscillation, leading to more consistent T1rho
measurement, even with high B0/B1 inhomogeneities. The results consistently showed lower
T1rho-quantification variations with PGR- and PRG-schemes, especially with
50-125Hz B0-offsets in the volunteer study, and phantom study with B1-scaling=0.8.
Although there were instances where LS- or PG-schemes (BSL-preparation-module)
performed slightly better with >125Hz B0-offsets, these cases were rare; over
99% of pixels fell within <125Hz B0-offsets.CONCLUSION
The study demonstrated
that the proposed two novel TSL-sampling schemes significantly improved the
reproducibility of T1rho-quantification in both phantom and volunteer studies.
This makes quantitative T1rho-imaging a promising technique for assessing treatment
responses in longitudinal studies.Acknowledgements
The work
was supported by NIH Grant R01-AR076328.References
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