Evan Cummings1,2, Gastao Cruz1, Sydney Kaplan1,2, Jacob Richardson1, Jesse Hamilton1,2, and Nicole Seiberlich1,2
1Radiology, University of Michigan, Ann Arbor, MI, United States, 2Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States
Synopsis
Keywords: MR Fingerprinting, MR Fingerprinting, Sparse & Low-Rank Models, Heart, Quantitative Imaging
Motivation: Breathholds limit the amount of data which can be acquired in cardiac MRF, which can impact the precision of fat/water separated T1, T2, and T2* maps.
Goal(s): We developed a regularization method to reconstruct accurate maps from multi-echo cMRF data without introducing blurring into the resulting tissue property maps.
Approach: A k-means cluster-based approach is used to group the signal evolutions during reconstruction and a low-rank constraint is applied to each cluster. We compared our method to existing approaches in 23 healthy volunteers.
Results: This approach can be used to generate accurate myocardial T1, T2, and T2* maps using rosette MRF data.
Impact: Traditional cardiac MRF reconstructions can fail when
working with multi-echo rosette MRF data due to insufficient sampling. We developed
a reconstruction method which enables T1, T2, and T2*
maps to be collected in a single breathhold without compromising accuracy.
Intoduction
In clinical practice, myocardial T1, T2,
and T2* maps are used to assess a variety of conditions, including myocarditis,
myocardial edema, and iron deposition1,2. In current practice, a
separate breathheld scan is required to collect each of these maps. Previously,
MR Fingerprinting3 has been used to estimate T1 and T2
properties in the heart4,5, and recent works have extended MRF to
include T2* mapping6. Some MRF reconstruction techniques use
locally low-rank models to enhance image quality7. However, in
rosette MRF, the image series is also decomposed into images using data
collected in each rosette echo8, leading to higher acceleration
rates for individual MRF images. This high level of undersampling demands high
degrees of regularization in low-rank reconstructions, which can cause blurring
in the final maps. We propose a regularization method that clusters voxels with
similar signal evolutions, and apply low-rank constraints to each cluster
individually. We demonstrate that this cluster-based technique can be used in
conjunction with rosette MRF to reconstruct tissue property maps with reduced
noise and improved precision.Methods
Rosette MRF scans were acquired using a 1.5T Sola scanner
(Siemens Healthineers, Erlangen, Germany) using the ISMRM/NIST MRI system
phantom and in 23 healthy volunteers. In vivo scans were acquired over 15
heartbeats and were breathheld and ECG-gated. Sequence parameters were: TR=20.4ms,
TE1=1.74ms, ΔTE=0.79ms, rosette echo train length=22, FOV=300x300mm2,
voxel size=1.56x1.56mm2, 8mm slice thickness, 180 excitations (12
per heartbeat), flip angle range 5.7°-20°. The MRF dictionary was
corrected for slice profile and inversion efficiency effects9.
Images were reconstructed by solving the following
optimization problem using the proximal optimized gradient method10:
$$\hat{x}=\mathrm{argmin}\frac{1}{2}||Ex-y||_2^2+\beta\sum_{i=1}^k||C_ix||_*$$
Where E represents the encoding matrix, including the
NUFFT11, coil sensitivity encoding, SVD compression12,
and B0 correction13 operations. x represents the
image series, and y represents the acquired k-space data. At each
iteration, k-means clustering is performed to group similar fingerprints; Ci
represents the operation to select voxels within the ith
cluster.
The reconstructed image series is then used to estimate the
tissue property maps. First, T2* maps are calculated using a
curve-fitting algorithm14. Next, Hierarchical IDEAL is used to generate
fat/water separated MRF images13, which are used in a pattern
matching step to estimate T1 and T2 maps.
Reference values for the ISMRM/NIST phantom were acquired
using inversion recovery T1, spin-echo T2, and GRE T2*
sequences. Reference scans were collected in each volunteer using Siemens
Myomaps (MOLLI15 T1, T2-prep bSSFP T216,
and GRE T2*). A Bland-Altman analysis was used to compare myocardial
values for the study population. Results and Discussion
Figure 2 shows regressions between rosette MRF and standard
measurements in the ISMRM/NIST phantom. T1 and T2 show
good agreement with regression slopes of 1.033 and 0.957, respectively; T2*
shows lower agreement with a regression slope of 0.872 due to an
underestimation by rosette MRF at high T2* values.
Maps from a healthy subject are shown in Figure 3. Using the
proposed reconstruction, we report average myocardial values for the healthy
subjects of T1=1071±50ms, T2=46.6±2.9ms,
T2*=24.6±4.8ms. Reference scans in the same subjects had values of
T1=1017±26ms, T2=48.3±1.6ms, T2*=30.9±3.8ms.
Figure 4 shows the results of Bland-Altman analysis of
myocardial values for the entire study population. For T1, the bias
of measured MRF values with respect to MOLLI is 54ms, and the 95% confidence
interval (CI) is ±104ms. This bias is within bounds previously reported in
literature9,17. For T2, the bias of MRF with respect to T2-prep
bSSFP is -1.7ms, and the 95%CI is ±6.4ms. For T2*, the bias of
MRF with respect to GRE mapping is -6.2ms, and the 95%CI is ±10.8ms.
One potential explanation for this disagreement is that in vivo GRE
measurements are plagued with artifacts (as seen in Figure 3). Moreover, this
implementation of rosette MRF may be less sensitive to T2* values
above 20 ms as seen in the phantom study.
Figure 5 shows a comparison between the direct4,
patch-based8, and the proposed cluster-based reconstruction.
Compared to the direct reconstruction in a septal ROI, the patch-based
reconstruction reduces the standard deviation in T1 and T2,
but overestimates both properties due to blurring. In the cluster-based
reconstruction, the standard deviation of T1 and T2 are reduced,
but the mean values are similar to those obtained with a direct reconstruction.
Note that while the T2* values vary between the reconstructions, the
cluster-based reconstruction exhibits the lowest noise level.Conclusion
We introduce a novel cluster-based regularization approach to
reconstruct multi-echo rosette MRF data with improved precision compared to previous
reconstruction techniques. This approach can be used to generate accurate
myocardial water and fat T1, T2, and T2* maps
using rosette MRF data.Acknowledgements
NIH NHLBI R01HL153034-04
NIH NHLBI R01HL163991-02
Siemens Healthineers
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