The present invention relates to an imaging method and system calculating T2 maps.
Magnetic resonance (MR) images reflect important biology, but the information in these images is also affected by the details of how the images are acquired, such as MRI (Magnetic Resonance Imaging) hardware, protocol settings, etc. Variations in these parameters make it difficult to train effective and generalizable AI (Artificial Intelligence) for MR image analysis because an AI algorithm trained on data from one site may not perform well on data from a different site.
Images from routine clinical MRI scans could be a massive data source for machine learning, with nearly 40 million MRI studies conducted annually in the U.S. Smith-Bindman Rebecca, Kwan Marilyn L., Marlow Emily C., et al. Trends in Use of Medical Imaging in US Health Care Systems and in Ontario, Canada, 2000-2016. JAMA. 2019; 322(9):843-856. The vast majority of the clinical protocols produce qualitative images whose contrast and intensity are subject to the scanner hardware and scanning protocol. Cashmore Matt T., McCann Aaron J., Wastling Stephen J., McGrath Cormac, Thornton John, Hall, Matt G. Clinical quantitative MRI and the need for metrology. The British Journal of Radiology. 2021; 94(1120):20201215. This heterogeneity hinders the direct translation of routine clinical MR images into large-scale datasets, and image standardization that removes scanner- and/or protocol specific variance is required. Twari Pallavi, Verma Ruchika. The Pursuit of Generalizability to Enable Clinical Translation of Radiomics. Radiology: Artificial Intelligence. 2021; 3(1):e200227. Publisher: Radiological Society of North America; Onofrey John A., Casetti-Dinescu Dana I., Lauritzen Andreas D., et al. Generalizable Multi-Site Training and Testing Of Deep Neural Networks Using Image Normalization. In: 2019 IEEE 16th International Symposium on Biomedical Imaging (ISBI 2019):348-351; 2019; Venice, Italy. A universal approach to standardization is to reveal the underlying quantitative physical properties that are invariant across scans, e.g. relaxivity. Instead of time-consuming quantitative mapping, reconstructing quantitative maps from routine clinically acquired data obviates changes to scanning protocols and provides standardized images.
The Turbo Spin Echo (TSE) is a common sequence included in most clinical protocols. To improve smoothness in k-space, acquisitions at the same echo time usually sample adjacent lines of k-space that constitute a band, with each band corresponding to a certain echo time (TE). This sampling pattern is named as band-sampling. Elsaid Nahla M. H., Tagare Hemant D., Galiana Gigi. A Physics-Based Algorithm to Universally Standardize Routinely Obtained Clinical T2-Weighted Images. Academic Radiology. 2024; 31(2):582-595. The multi-echo data follows exponential T2-decay and the direct image reconstruction of k-space collapsed over the TE-dimension generates T2-weighted (T2w) images. However, the standardization of clinical TSE data by generating the T2 map is not trivial. State-of-the-art methods for undersampled reconstruction of T2 maps rely on trajectories that sample the k-space center at every echo, ensuring a relatively uniform intensity across echoes. Wang Xiaoqing, Tan Zhengguo, Scholand Nick, Roeloffs Volkert, Uecker Martin. Physics-based reconstruction methods for magnetic resonance imaging. Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences. 2021; 379(2200):20200196. Publisher: Royal Society; Huang Chuan, Graff Christian G., Clarkson Eric W., Bilgin Ali, Altbach Maria I. T2 mapping from highly undersampled data by reconstruction of principal component coefficient maps using compressed sensing. Magnetic Resonance in Medicine. 2012; 67(5):1355-1366; Block K. T., Uecker M., Frahm J. Model-based iterative reconstruction for radial fast spin-echo MRI IEEE Transactions on Medical Imaging. 2009; 28(11):1759-1769. Direct translation of these algorithms to clinical TSE data is hindered by the significantly different intensity across echoes due to the band-sampling pattern, which overshadows the signal evolution model (as seen in FIG. 1 of Elsaid Nahla M. H., Tagare Hemant D., Galiana Gigi. A Physics-Based Algorithm to Universally Standardize Routinely Obtained Clinical T2-Weighted Images. Academic Radiology. 2024; 31(2):582-595).
Magnetic Resonance Imaging (MRI) machine learning (ML)/artificial intelligence (AI) requires careful standardization of large image datasets. P. Lambin, R. T. H. Leijenaar, T. M. Deist, J. Peerlings, E. E. C. de Jong, J. van Timmeren, S. Sanduleanu, R. Larue, A. J. G. Even, A. Jochems, Y. van Wijk, H. Woodruff, J. van Soest, T. Lustberg, E. Roelofs, W. van Elmpt, A. Dekker, F. M. Mottaghy, J. E. Wildberger, and S. Walsh, Radiomics: the bridge between medical imaging and personalized medicine, Nat Rev Clin Oncol, vol. 14, no. 12, pp. 749-762, December, 2017; T. Jo, K. Nho, and A. J. Saykin, Deep Learning in Alzheimer's Disease: Diagnostic Classification and Prognostic Prediction Using Neuroimaging Data, Frontiers in Aging Neuroscience, vol. 11, 2019—August—481 20, 2019; W. Yassin, H. Nakatani, Y. Zhu, M. Kojima, K. Owada, H. Kuwabara, W. Gonoi, Y. Aoki, H. Takao, T. Natsubori, N. Iwashiro, K. Kasai, Y. Kano, O. Abe, H. Yamasue, and S. Koike, Machine-learning classification using neuroimaging data in schizophrenia, autism, ultra-high risk and first-episode psychosis, Translational Psychiatry, vol. 10, no. 1, pp. 278, 2020/08/17, 2020. One source of standardized datasets is MRI studies, in which the acquisition variables are carefully controlled across machines and sites. D. C. Van Essen, S. M. Smith, D. M. Barch, T. E. Behrens, E. Yacoub, and K. Ugurbil, The WU-Minn Human Connectome Project: an overview, Neuroimage, vol. 80, pp. 62-79, Oct. 15, 2013.488; T. Sarwar, Y. Tian, B. T. T. Yeo, K. Ramamohanarao, and A. Zalesky, Structure-function coupling in the 489 human connectome: A machine learning approach, NeuroImage, vol. 226, pp. 117609, 2021 Feb. 1, 2021. Unfortunately, such datasets are expensive to acquire, not only for the cost of custom-ordered scanning but also for the painstaking organizational and administrative efforts needed to ensure a uniform acquisition protocol.
An alternative source of images for ML/AI is clinical exams (˜30 million annually in the US alone). The challenge with using clinical MRI for ML/AI is that most clinical scans are not quantitative, so variations in image intensity depend not only on the biological parameters of interest (e.g., T2 or proton density), but also on hardware and acquisition variables. P. Twari, and R. Verma, The Pursuit of Generalizability to Enable Clinical Translation of Radiomics, Radiol Artif Intell, vol. 3, no. 1, pp. e200227, January 2021; P. Chirra, P. Leo, M. Yim, B. N. Bloch, A. R. Rastinehad, A. Purysko, M. Rosen, A. Madabhushi, and S. E. Viswanath, Multisite evaluation of radiomic feature reproducibility and discriminability for identifying peripheral zone prostate tumors on MRI, J Med Imaging (Bellingham), vol. 6, no. 2, pp. 024502, April, 2019; H. Um, F. Tixier, D. Bermudez, J. O. Deasy, R. J. Young, and H. Veeraraghavan, Impact of image preprocessing on the scanner dependence of multi-parametric MRI radiomic features and covariate shift in multi-institutional glioblastoma datasets, Phys Med Biol, vol. 64, no. 16, pp. 165011, Aug. 21, 2019. These variations have been shown to significantly impact AI algorithm performance, even for tasks, such as organ segmentation, that would be expected to rely on intra-image contrast. J. A. Onofrey, D. I. Casetti-Dinescu, A. D. Lauritzen, S. Sarkar, R. Venkataraman, R. E. Fan, G. A. Sonn, P. C. Sprenkle, L. H. Staib, and X. Papademetris, Generalizable Multi-Site Training And Testing Of Deep Neural Networks Using Image Normalization, Proc IEEE Int Symp Biomed Imaging, vol. 2019, pp. 348-351, April, 2019.
Several methods have been proposed to harmonize images, i.e., remove site-dependent intensity variations that do not reflect biologically important contrast. However, these methods decide apriori which image features should be uniform across the dataset. R. T. Shinohara, E. M. Sweeney, J. Goldsmith, N. Shiee, F. J. Mateen, P. A. Calabresi, S. Jarso, D. L. Pham, D. S. Reich, and C. M. Crainiceanu, Statistical normalization techniques for magnetic resonance imaging, Neuroimage Clin, vol. 6, pp. 9-19, 2014; W. E. Johnson, C. Li, and A. Rabinovic, Adjusting batch effects in microarray expression data using empirical Bayes methods, Biostatistics, vol. 8, no. 1, pp. 118-127, 2006; J.-P. Fortin, D. Parker, B. Tune, T. Watanabe, M. A. Elliott, K. Ruparel, D. R. Roalf, T. D. Satterthwaite, R. C. Gur, R. E. Gur, R. T. Schultz, R. Verma, and R. T. Shinohara, Harmonization of multi-site diffusion tensor imaging data, NeuroImage, vol. 161, pp. 149-170, 2017 Nov. 1, 2017. The principles of nuclear magnetism: Oxford University. As a result, there is no guarantee that a given harmonization strategy will be appropriate for a new dataset or learning task, and it is also possible to wash away true biological variability.
Quantitative MRI (qMRI) methods solve directly for the biologically relevant physical parameters that are captured in a typical MR image. These method have been shown to remove acquisition dependence while retaining all MR-sensitive biological variability, so they are an ideal alternative to image-based harmonization. However, quantitative MRI requires specialized sequences, which has limited its adoption into routine clinical practice. On a national scale, a very small fraction of MRI exams includes a T2 mapping scan that is commonly used to calculate the T2 times of a certain tissue and display them voxel-vice on a parametric map, while nearly all include some kind of T2w (T2 weighted) image scan that relies upon the transverse relaxation of the net magnetization vector.
Conventional quantitative T2 mapping uses a series of images (see for example those shown in
where ITE(x) is the image brightness at a given TE, I0(x) is the image brightness at TE=0, and T2(x) is a constant that reflects the tissue microstructure in that voxel. A. Abragam, The principles of nuclear magnetism: Oxford university press, 1961. As discussed below, this model can act as a physics-based mathematical constraint in the reconstruction algorithm.
The simplest form of T2 mapping acquires an echo train sampling the full k-space of magnetization at each echo time. Because this approach requires long scan times, many groups have shown the feasibility of generating T2 maps and images from accelerated experiments, where only a fraction of k-space is acquired at echo, typically in distributed interleaved patterns that favor parallel imaging reconstruction of the individual echo images while providing complementary spatial information across echoes (
Similar to accelerated T2 mapping, clinical T2w imaging (T2w-TSE), which is included in most MR exams, also acquires an echo train with different and complementary lines of k-space at each echo time (
While the k-space sampling patterns in
It is, therefore, an object of the present invention to provide an imaging method that calculates T2 maps using only data from a T2w image scan.
In some embodiments calculating uses an exact but linear expression to capture an exponential decay model.
In some embodiments calculating is biconvex so that it can be alternately minimized.
In some embodiments calculating applies a stepwise initialization process that avoids spurious local minima due to the significant gaps in k-space.
In some embodiments calculating includes a signal evolution model constraint that is enforced directly by projected gradient descent.
In some embodiments calculating includes virtual conjugate coils.
It is another object to provide an MRI system that includes a magnet housing, a superconducting magnet, shim coils, RF coils, receiver coils, a patient support, and measurement circuitry producing data used to reconstruct images displayed on a display. The measurement circuitry integrates either expanding-constrained alternating minimization for parameter mapping or expanding-constrained alternating minimization for parameter mapping with projected gradient descent.
In some embodiments expanding-constrained alternating minimization for parameter mapping or expanding-constrained alternating minimization for parameter mapping with projected gradient descent calculates T2 maps using only data from the T2w image scan.
In some embodiments expanding-constrained alternating minimization for parameter mapping or expanding-constrained alternating minimization for parameter mapping with projected gradient descent uses an exact but linear expression to capture an exponential decay model.
In some embodiments expanding-constrained alternating minimization for parameter mapping or expanding-constrained alternating minimization for parameter mapping with projected gradient descent is biconvex so that it can be alternately minimized.
In some embodiments expanding-constrained alternating minimization for parameter mapping or expanding-constrained alternating minimization for parameter mapping with projected gradient descent applies a stepwise initialization process that avoids spurious local minima due to the significant gaps in k-space.
In some embodiments expanding-constrained alternating minimization for parameter mapping with projected gradient descent includes a signal evolution model constraint that is enforced directly by projected gradient descent.
In some embodiments expanding-constrained alternating minimization for parameter mapping with projected gradient descent includes virtual conjugate coils.
Other objects and advantages of the present invention will become apparent from the following detailed description when viewed in conjunction with the accompanying drawings, which set forth certain embodiments of the invention.
The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawing(s) will be provided by the Office upon request and payment of the necessary fee.
Similarly,
The detailed embodiments of the present invention are disclosed herein. It should be understood, however, that the disclosed embodiments are merely exemplary of the invention, which may be embodied in various forms. Therefore, the details disclosed herein are not to be interpreted as limiting, but merely as a basis for teaching one skilled in the art how to make and/or use the invention.
As discussed above, quantitative MRI (qMRI) requires specialized sequences, which has limited its adoption into routine clinical practice. On a national scale, a very small fraction of MRI exams includes a T2 mapping scan, while nearly all include some kind of T2w image scan. The present method and system, which is also referred to herein as e-CAMP (expanding-Constrained Alternating Minimization for Parameter mapping), overcomes this issue and calculates T2 maps using only data from the T2w image scan. Calculating T2 maps directly from the clinical T2w image data makes it much easier to collect large numbers of standardized images (i.e., images suitable for machine learning) from routine clinical practice.
In addition, previous research from other groups has shown that quantitative MRI (qMRI) is minimally affected by hardware and protocol settings. The problem with qMRI is that it comes from scans that are not routinely acquired. So getting a large number of them to train an AI algorithm is difficult, and such an AI would have limited utility. The present method and system provides a way to calculate qMRI from routine clinical MRI scan data.
As the following demonstrates, the present method and system takes on the highly challenging task of modeling scan data from a typical MR scan as if it was data from a (diabolically undersampled) qMRI scan. To make this feasible, the present invention introduces a novel cost function which converts the exponential model into a linear constraint, and the present invention also develops an initialization that gradually grows the data being considered. However, the novelty of the present invention goes beyond the specific implementation disclosed herein. The result of the present invention is that hardware and protocol settings are removed on the image, and the image is thus standardized.
The method associated with the implantation of e-CAMP does not require additional scans or any kind of training data. It can standardize individual images without requiring additional images or any extra information, and is guaranteed to keep all biological variability. It is also quite accurate.
The method and system of the present invention allows the underlying algorithm associated with e-CAMP to be added on to the software on the MRI machine, providing a bonus qMRI map alongside each standard and unmodified regular MR image. It could alternately be marketed as a standalone package to convert MR data into standardized qMRI maps, providing standardized MR images. Finally, it could be used as a competitive advantage in software providing some AI tasks. As such, and as those skilled in the art will appreciate the present invention is implemented via a computer, for example, operating with an Intel Core i7-8700 CPU and 32 GB RAM, and processing times are relatively quick.
As will be explained below in greater detail, e-CAMP standardizes the T2-weighted images from TSE scans. Converting the exponential T2-decay to a linear model, e-CAMP forms a biconvex minimization problem of data fidelity and T2-decay model coherence. In addition, it adopts a strategy of gradually expanding the acquired k-space data into the reconstruction scope to avoid spurious local minima.
As explained below in detail, the present invention substantially modifies an algorithm called CAMP which stands for Constrained Alternating Minimization for Parameter mapping, that was previously reported. N. Dispenza, G. Galiana, D. Peters, R. Constable, and H. Tagare, Accelerated R1 or R2 Mapping with Geometric Relationship Constrained Reconstruction Method. As discussed above, the modified algorithm is called expanding-Constrained Alternating Minimization for Parameter mapping (e-CAMP). The e-CAMP cost function is notable for using an exact but linear expression to capture the exponential decay model and for being biconvex so that it can be alternately minimized relative to the image series or the T2 map. A key feature distinguishing CAMP from e-CAMP is that the latter applies a stepwise initialization process that avoids spurious local minima due to the significant gaps in k-space. e-CAMP is iterative, and the first iteration begins with the echoes that span the middle of k-space, generating a blurry estimate of these images and the map that relates them (
Results using e-CAMP show that the undersampled reconstruction problem can be solved accurately using classical constrained-optimization methods. Both simulations and experiments show that e-CAMP can reconstruct accurate T2 maps acquired with different parameters, such as echo spacing or echo train length. e-CAMP T2 maps are also directly generated from single-image T2w scans supplied by the MRI manufacturer (Siemens). These have been demonstrated in both phantoms and the human brain, showing good correspondence to the fully sampled T2 mapping experiments. In addition, these latter studies included the acquisition of gold-standard spin-echo T2 maps, i.e. single echo per acquisition rather than an echo train.
Many physical parameters such as T1, B0, B1, and diffusion will affect the TSE signal. A generalized echo modulation (EMC) based on Bloch simulation is necessary to reduce these effects and emphasize the T2 decay. N. Ben-Eliezer, D. K. Sodickson, and K. T. Block, Rapid and accurate T2 mapping from multi-spin-echo data using Bloch-simulation-based reconstruction, Magn Reson Med, vol. 73, no. 2, pp. 809-17, February, 2015. It is shown that with appropriate correction by an EMC Bloch dictionary, e-CAMP T2 maps show good agreement with gold standard results in both the phantom and the human brain. These results strongly support the idea that e-CAMP generates maps that reflect a ground truth physical variable, so they can be used to standardize images from variable acquisition settings. Furthermore, because the maps are based on processing a type of data acquired in nearly every clinical protocol, e-CAMP could be a powerful tool in the aggregation of datasets suitable for large-scale analysis methods.
While the present method and system focuses on quantitative T2-mapping, the CAMP algorithm which preceded the present invention (that is, e-CAMP), is broadly applicable to other image series that are related by a signal evolution model. CAMP applies to a dataset that acquires k-space for images sampling different values of a parameter weighting related to signal evolution, e.g., different TEs. The images are related by a signal model characterized by one or several parameter maps, e.g., a T2 map. CAMP alternates between optimizing the image series and the parameter map. However, it minimizes a single cost function that incorporates both (1) consistency between each parameter image and its k-space data and (2) adherence of the image series to the relaxometry model for each pixel. Thus, the CAMP objective function consists of three terms: the first is concerned with data fidelity, the second is regularization, and the third is imposing the model constraint.
Data Fidelity Term The complete MRI signal vector S(k) is regarded as a series of signal vectors Sp(k), each acquired at the pth parameter weighting, e.g., the pth TE. Each Sp(k) samples some k-space for the corresponding complex image mp, and these encodings are contained in a matrix Ep. There are a total of P images, where P is also the number of parameter weightings and signal vectors.
The encoding matrix Ep(k) used in parameter mapping includes the effects of gradient encodings and coil sensitivities. K. P. Pruessmann, M. Weiger, P. Börnert, and P. Boesiger, Advances in sensitivity encoding with arbitrary k-space trajectories, Magn Reson Med, vol. 46, no. 4, pp. 638-51, October, 2001; B. P. Sutton, D. C. Noll, and J. A. Fessler, Fast, iterative image reconstruction for MRI in the presence of 541 field inhomogeneities, IEEE Transactions on Medical Imaging, vol. 22, no. 2, pp. 178-188, 2003. This encoding matrix has complex entries with a potentially different and complementary set of encodings for each p. Thus, the noisy signal vectors can be written as
where ε is the additive noise.
Accordingly, the data fidelity term J1 measures the error between the acquired data sets and our current estimate of the images.
where ( )H refers to the complex conjugate transpose of a matrix. The L_2 norm in equation (2) may be replaced by other suitable norms, such as the L_1 norm.
To minimize the effect of MR noise, the solution is regularized by adding TV regularization.
where TV(mp)=Σx=1N|∇mp(x)|, || refers to the modulus, and N is the number of pixels. J2 promotes the sharpness of edges while reducing the effect of noise, however it does introduce an additional weighting parameter T that must be chosen appropriately. Note that J1+J2 is a convex function of each mp. M. Lustig, D. Donoho, and J. M. Pauly, Sparse MRI: The application of compressed sensing for rapid MR imaging, Magnetic Resonance in Medicine, vol. 58, no. 6, pp. 1182-1195, 2007.
The physical model relating echo images provides information sharing among the undersampled images. For an image series with proton density PD experiencing T2 relaxation sampled at equally spaced TE, mp(x) is given by:
Similarly, mp+1(x) has the form:
and is related to mp(x) as follows:
where
and 0≤α(x)≤1. Notably, α is a map related to the T2 map via a simple transformation:
A given (fixed) α(x) imposes an affine constraint on the sequence of mp images.
We impose the constraints of (5) using a penalty term J3:
where λ>0 scales the penalty.
In this penalty function approach to imposing the constraints, the scale λ of the penalty term is set low in the initial minimization iterations and then increases as the iterations proceed.
The overall objective function for CAMP is:
The objective function J can be minimized by alternately minimizing with respect to mp (fixed α) and then with respect to α (fixed mp), keeping in mind that α is real and constrained to 0≤α(x)≤1.
For fixed α, the function J is convex in each mp, and we minimize it with respect to mp using a nonlinear conjugate-gradient method (Polak-Ribiere). E. Polak, and G. Ribiere, “Note sur la convergence de méthodes de directions conjuguées,” ESAIM: 545 Mathematical Modelling and Numerical Analysis—Modélisation Mathématique et Analyse Numérique, vol. 546 3, no. 1, pp. 35-43, 1969. Gradients of various terms that are required for the conjugate-gradient method are as follows:
where ° is the Hadamard product.
Only J3 is relevant when minimizing J with respect to α(x). Note that J3 is a sum of spatially independent terms, each term of the type Σp=1P−1∥mp+1(x)−α(x)mp(x)∥2, and these terms are uncoupled as far as α(x) is concerned. Thus, to minimize J3 we can minimize each term independently with respect to α(x). This minimization requires some care since α(x) is required to be real, while the set of mp images is complex. Furthermore, α(x) is required to satisfy 0≤α(x)≤1. We deal with this in two steps. First, the real-valued nature of α(x) is handled by allowing α(x) to be complex while imposing the constraint that the imaginary entries of α(x) be equal to zero. In the second step, α(x) is constrained to be between 0 and 1.
The α(x) that minimizes the term Σp=1P−1∥mp+1(x)−α(x)mp(x)∥2 has a closed-form solution, which is easily expressed in matrix notation. We denote the real and imaginary parts of mp(x), α(x) by subscripts r and i:
Next, the real and imaginary parts of these are used to define the following:
to be a matrix made out of the real and imaginary parts of A(x), it is a straightforward matrix calculation to show that (Y(x)−H(x)X(x))T (Y(x)−H(x)X(x))=Σp=1P−1∥mp+1(x)−α(x)mp(x)∥2, which is the term we wish to minimize. Finally, requiring the imaginary part of α(x) to be zero can be expressed as a constraint on X(x) by defining
and requiring wTX(x)=0.
Thus, minimizing each term in J3 corresponds to minimizing (Y(x)−H(x)X(x))T (Y(x)−H(x)X(x)) with respect to X(x) subject to the constraint wTX(x)=0. We solve the constrained minimization by constructing the Lagrangian, (Y(x)−H(x)X(x))T (Y(x)−H(x)X(x))+2κ wTX(x), where κ is the Lagrange multiplier, and find the unconstrained minimum of the Lagrangian. The unconstrained minimum is given by:
The Lagrangian multiplier κ is found by imposing the constraint wTX(x)=0:
To summarize, CAMP reconstructs the complete data Sp by applying the following iterative procedure. Superscripts in this procedure refer to the iteration number, and the constraint penalty weight is increased in the following step (3.c) to impose the enforcement of the constraint.
The general formation of e-CAMP is recapitulated as follows. A clinical T2w imaging pulse sequence (T2w-TSE) acquires a band of k-space at each echo time, as illustrated in
Each coil sensitivity map ∈CN is vectorized to a diagonal matrix and stacked vertically to perform parallel imaging.
For each echo, the sampling mask {circumflex over (M)}∈RM is defined as 1 in the sampling region and 0 in the rest. It is vectorized to a diagonal matrix, with m non-zero rows extracted from the total M rows. It is then replicated C times and stacked vertically to form Mp∈RCm×M so that sampling is identical for all coils.
To preserve matrix multiplication, Fourier transform {circumflex over (F)}∈CM×N is replicated and stacked diagonally to yield a block-diagonal matrix F∈CCM×CN.
Taking the Gaussian noise εp∈CCm into consideration, the forward model is formulated as
The transformation is summarized as the encoding matrix Ep∈CCm×N.
In addition to the data fidelity term, a total variation (TV) regularization term is applied to the objective function to ensure the piecewise smooth nature of an image.
where ρp is the original 2D version of the vectorized image ρp. Multi-echo data conforms to the signal evolution model of exponential T2 decay, determined by the T2 map T2∈RN. The exponential decay model is transformed into a linear expression [Elsaid Nahla M. H., Tagare Hemant D., Galiana Gigi. A Physics-Based Algorithm to Universally Standardize Routinely Obtained Clinical T2-Weighted Images. Academic Radiology. 2024; 31(2):582-595, which is incorporated herein by reference] by creating a new variable α(x)=exp (−ΔTE/T2 (x)), 0<α(x)<1, α∈RN, and ΔTE is the echo spacing (ES).
In conclusion, the constrained minimization problem is formulated as
The previously described embodiment of e-CAMP enforced the constraint of Equation (22) by adding a corresponding penalty term to the objective function. The objective function was then minimized in an unconstrained fashion.
Given that the constrained optimization is non-convex, careful initialization is needed to ensure convergence to the global minimum. Although initialization based on zero-filled k-space is common, doing so with band-sampled Cartesian data leads to an image series that is significantly far away from the constraint and causes convergence to a spurious local minimum. e-CAMP addresses this issue by first reconstructing central echo images for which bands close to the center of k-space were acquired. This problem is allowed to converge, satisfying the constraint, and the result serves as initialization for subsequent iterations. In subsequent iterations, additional bands are recruited into the optimization problem in an expanding fashion. Note that while the above-mentioned process is tailored for T2 mapping, e-CAMP can be modified for other quantitative mapping scenarios with a signal evolution model.
The algorithm and its initialization can also be augmented by the addition of a prior which relates voxel values in T2w images with corresponding voxel values in T2 images. This prior may take different forms for different tissue classes.
While CAMP is applicable to any encoding strategy, including TSE, the uneven sampling in the k-space bands initializes strong intensity biases between the images, which can be difficult to overcome. e-CAMP mitigates this by first applying CAMP only to the center k-space bands for a few iterations. These iterations reconstruct the center two mp images and an initial estimate of alpha. Subsequent iterations progressively include bands towards the edge of the k-space. Each cycle introduces an additional mp per k-space band, as illustrated in
The details of the above are as follows:
The center bands are initialized using a scale factor derived from the ratio of their l2 norms. Then any newly added mp is initialized using the derived α(x) from the previous cycle as well as the neighboring band. In addition, in some embodiments, the phase of each my is assumed to be that of the standard T2w image that results from treating all data as part of a single k-space. Accordingly, we incorporated that phase into Ep and forced each update to the mp series to have real values. This is referred to as strict enforcement of the phase prior.
Simulations were carried out using the proton density (PD) and T2 maps extracted from previously acquired fully sampled data. Coil weightings were derived from experimental coil profiles in an eight-channel coil. Data were simulated to mimic a T2w acquisition during monoexponential decay in each voxel, where k-space is acquired band-wise across eight echoes. Different patterns of acquisitions were simulated at echo spacings of 20 ms, 25 ms, 30 ms, and 35 ms, with the center of k-space acquired at the fifth echo. Random Gaussian noise with zero mean and a standard deviation of 5% of the l2-norm of the signal was added to the data.
The quality of the reconstructed map using the simulated undersampled k-space was compared to the reference map ground truth using normalized root mean square error (NRMSE).
In reality, partial volume effects are likely to compromise the monoexponential assumption in e-CAMP. Therefore, to assess the sensitivity of the reconstruction to partial volume, we carried out another simulation using PD and T2 values taken from the literature. J. Warntjes, O. Leinhard, J. West, and P. Lundberg, Rapid magnetic resonance quantification on the brain: Optimization for clinical usage, Magnetic Resonance in Medicine vol. 60, no. 2, pp. 320-329, 2008. For this partial volume simulation, a T1w image was segmented into five compartments: Cerebrospinal Fluid (CSF), CSF+gray matter (GM), GM, GM+white matter (WM), and WM. The segmentation maps were used to generate eight echo TSE data exhibiting 50/50 biexponential decay in the mixed compartments. e-CAMP, which is based on a monoexponential model of signal decay, was used for reconstruction. Random Gaussian noise of zero mean and 5% standard deviation of the l2-norm of the signal was added to the data.
All participants provided written informed consent according to procedures approved by our Institution's IRB.
Cartesian single Spin-Echo (SE) images were acquired on a 3 T MRI scanner (TIM Trio, Siemens Healthcare, Erlangen, Germany) using a 12-channel RF head coil in a circularly polarized mode so that four channels were acquired with combinations of the coil elements. Here, data were acquired using spin-echo sequences with TR=2500 ms, TE=25, 50, 75, and 100 ms, BW=280 Hz/pix, 250 mm2 field-of-view with a base resolution of 128, 3 mm slice thickness, and acquisition time=320 s. Fully sampled k-space was acquired at each TE and retrospectively undersampled (
In addition, Cartesian 8-echo images were acquired on a 3 T MRI scanner (MAGNETOM Prismafit; Siemens Healthcare, Erlangen, Germany) using a 20-channel RF head coil. In this experiment, T2w images were acquired using a Multi-Echo Spin-Echo (MESE) sequence with TR=3000 ms, TE=20, 40, 60, 80, 100 120, 140 160 ms, BW=480 Hz/pix, 220 mm2 field-of-view with a resolution of 128 pixels, and 3 mm slice thickness. These data were acquired with full k-space sampling at each echo, contrasts=8, and then retrospectively reconstructed with echo spacing of 40 ms (excluding odd echoes) as illustrated in
e-CAMP was used to reconstruct the T2 map using a T2w image that was acquired using the TSE Siemens product sequence (ETL=9, echo spacing=20 ms). TR=3000 ms, BW 219 Hz/pix, 220 mm2 field-of-view with a resolution of 128 pixels, and 3 mm slice thickness. For validation, we acquired fully sampled TSE images and fully sampled spin echo images.
The acquisition parameters of the fully sampled MESE were TR=3000 ms, 20, 40, 60, 80, 100 120, 140 160 ms, BW 219 Hz/pix, 220 mm2 field-of-view with a resolution of 128 pixels, and 3 mm slice thickness.
The acquisition parameters of the SE images were TR=3000 ms, TE=40, 80, 120, 160 ms, BW 219 Hz/pix, 220 mm2 field-of-view with a resolution of 128 pixels, and 3 mm slice thickness.
To compare the TSE reconstructions to the SE reconstructions, we used the echo modulation curve (EMC) corrections to be applied to the T2w images reconstructed using TSE image acquisitions. N. Ben-Eliezer, D. K. Sodickson, and K. T. Block, “Rapid and accurate T2 mapping from multi-spin-echo data using Bloch-simulation-based reconstruction,” Magn Reson Med, vol. 73, no. 2, pp. 809-17, February, 2015. Inputting the nominal flip angles of the scan and a list of uniform T1 of 1000, 1500, 3000 ms, a dictionary of echo modulation curves was generated for T2 values between 1 and 300 ms. Using the echo train image series (either generated by e-CAMP or reconstruction of full k-space), the intensity of a pixel across echo times was matched to an entry in the dictionary. The T2 corresponding to the closest matching entry was taken to be the gold standard T2 of that pixel.
A phantom was built in-house using six tubes filled with varying concentrations of MnCl2 solutions immersed in an agar gel solution to gradually increase MRI signal intensity.
Phantom Cartesian spin-echo images were acquired on a 3 T MRI scanner (MAGNETOM Prismafit; Siemens Healthcare, Erlangen, Germany) using a 20-channel RF head coil. In addition, during the same scanning exam, a set of fully sampled Cartesian 10-echo images were acquired using a MESE sequence. Finally, a T2w image was acquired using a Siemens product TSE sequence (ETL=9, echo spacing=13 ms). TR=3000 ms, BW 219 Hz/pix, 180 mm2 field-of-view with a resolution of 128 pixels and 5 mm slice thickness. The acquisition parameters of the spin echo and the fully sampled MESE were TR=3000 ms, 20, 40, 60, 80, 100 120, 140 160 ms, BW 219 Hz/pix, 180 mm2 field-of-view with a resolution of 128 pixels, and 5 mm slice thickness. Once again, the echo modulation curve (EMC) corrections were applied to the T2w images that were reconstructed using TSE image acquisitions, as shown in
With GPU calculations enabled, calculations were performed in MATLAB (MathWorks Inc, Natick, Massachusetts, USA).
From the 8-echo retrospective human brain experiments, two retrospective TSE versions were created: one with ΔTE=40 ms using the k-space lines from images with TE=20, 60, 100, 160 ms, and the other with ΔTE=20 ms, using the k-space bands from the entire eight contrasts. In both cases, the central k-space was acquired at a TE of 100 ms. Separately measured complex sensitivity profiles were incorporated into the encoding matrix.
The data of 4-echo retrospective human brain experiments were undersampled to complementary bands with central k-space acquired at TE=75 ms.
In CAMP, the penalty weight λ was initialized by a value that maintains the value of J3 to be on the order of magnitude of that of J1 and then increased by 15% at each iteration. However, in e-CAMP, it is desirable to emphasize data fidelity during the first cycle that uses the central bands of k-space. Therefore, λ was used with an order of magnitude less than the rest of the iterations in that first cycle. Similarly, the TV-weight τ was chosen to maintain the value of J2 to be on the order of magnitude of J1 (τ˜0.001). After extensive numerical experimentation, these values were found to give stable convergence. The initial m0 was reconstructed with 10 CG iterations. Approximately ten iterations suffice to minimize J with respect to mp and 10-15 alternating minimizations over α, and the mp images were sufficient to achieve overall convergence.
Subspace-constrained and model-based reconstructions were implemented with the Berkeley Advanced Reconstruction Toolbox (BART). M. Uecker, F. Ong, J. I. Tamir, D. Bahri, P. Virtue, J. Y. Cheng, T. Zhang, and M. Lustig, Berkeley Advanced Reconstruction Toolbox. For subspace-constrained reconstruction, a dictionary simulating 1000 T2 values between 20-1000 ms was generated and used to identify 2 basis functions for 4 echo acquisitions (data of
The quality of the reconstructed map using the undersampled k-space was assessed using root mean square error (NRMSE) and SSIM. W. Zhou, A. C. Bovik, H. R. Sheikh, and E. P. Simoncelli, “Image quality assessment: from error visibility to structural similarity,” IEEE Transactions on Image Processing, vol. 13, no. 4, pp. 600-612, 2004. The NRMSE between the undersampled reconstructed map {tilde over (Y)} and the fully sampled reconstructed map Y are calculated using the following equation, as often defined in quantitative reconstruction literature [M. Lustig, and J. M. Pauly, SPIRiT: Iterative self-consistent parallel imaging reconstruction from arbitrary k-space, Magn Reson Med, vol. 64, no. 2, pp. 457-71, August, 2010; J. Zou, J. M. Balter, and Y. Cao, Estimation of pharmacokinetic parameters from DCE-MRI by extracting long and short time-dependent features using an LSTM network, Med Phys, vol. 47, no. 8, pp. 3447-3457, August, 2020; J. Duan, Y. Liu, and P. Jing, Efficient operator splitting algorithm for joint sparsity-regularized SPIRiT-based parallel MR imaging reconstruction, Magnetic Resonance Imaging, vol. 46, pp. 81-89, 2018 Feb. 1, 560 2018.]:
e-CAMP was first tested in simulation studies to mimic various acquisition parameters. The top row of
It is well known that the signal decay observed in an echo train does not only reflect pure T2 decay, primarily due to contributions from stimulated echoes. While conventional clinical T2 mapping accepts this discrepancy, we also aimed to study whether Bloch-based corrections could be applied to reconstruct a gold standard T2 as measured by a series of single spin echo experiments. Gold standard T2 maps would provide a maximally reproducible and site-independent standardization.
On the same subject of
To achieve better agreement with gold standard values, a previously published T2 correction based on Bloch simulations of a realistic spin echo train was tested. N. Ben-Eliezer, D. K. Sodickson, and K. T. Block, Rapid and accurate T2 mapping from multi-spin-echo data using Bloch-simulation-based reconstruction, Magn Reson Med, vol. 73, no. 2, pp. 809-17, February, 2015. The second row of
A similar study was also performed on a MnCl2 T2 phantom.
It should be appreciated that the motivation underlying the development of e-CAMP is different from previous studies reconstructing T2 maps from undersampled data. Previous methods focus on generating T2 maps from short scans, so they make use of the flexibility in k-space sampling to achieve high accuracy and acceleration from more distributed k-space sampling patterns. M. A. Cloos, F. Knoll, T. Zhao, K. T. Block, M. Bruno, G. C. Wiggins, and D. K. Sodickson, Multiparametric imaging with heterogeneous radiofrequency fields, Nature Communications, vol. 7, no. 1, pp. 12445, 2016/08/16, 2016; K. T. Block, M. Uecker, and J. Frahm, Model-based iterative reconstruction for radial fast spin-echo MRI, IEEE transactions on medical imaging, vol. 28, no. 11, pp. 1759-1769, 2009 November, 2009; T. J. Sumpf, A. Petrovic, M. Uecker, F. Knoll, and J. Frahm, Fast T2 Mapping With Improved Accuracy Using Undersampled Spin-Echo MRI and Model-Based Reconstructions With a Generating Function, IEEE Transactions on Medical Imaging, vol. 33, no. 12, pp. 2213-2222, 2014; C. Huang, C. G. Graff, E. W. Clarkson, A. Bilgin, and M. I. Altbach, T2 mapping from highly undersampled data by reconstruction of principal component coefficient maps using compressed sensing, Magn Reson Med, vol. 67, no. 5, pp. 1355-66, May, 2012; G. Nataraj, J. F. Nielsen, C. Scott, and J. A. Fessler, Dictionary-Free MRI PERK: Parameter Estimation via Regression with Kernels, IEEE Trans Med Imaging, vol. 37, no. 9, pp. 2103-2114, September, 2018; F. H. Petzschner, I. P. Ponce, M. Blaimer, P. M. Jakob, and F. A. Breuer, Fast MR parameter mapping using k-t principal component analysis, Magn Reson Med, vol. 66, no. 3, pp. 706-16, September, 2011; J. I. Tamir, M. Uecker, W. Chen, P. Lai, M. T. Alley, S. S. Vasanawala, and M. Lustig, T2 shuffling: Sharp, multicontrast, volumetric fast spin-echo imaging, Magnetic Resonance in Medicine, vol. 77, no. 1, pp. 180-528 195, 2017; X. Wang, Z. Tan, N. Scholand, V. Roeloffs, and M. Uecker, Physics-based reconstruction methods for magnetic resonance imaging, Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences, vol. 379, no. 2200, pp. 20200196, 2021; X. Wang, S. Rosenzweig, N. Scholand, H. C. M. Holme, and M. Uecker, Model-based reconstruction for simultaneous multi-slice mapping using single-shot inversion-recovery radial FLASH, Magnetic Resonance in Medicine, vol. 85, no. 3, pp. 1258-1271, 2021. Previous accelerated T2 mapping methods have broken down when applied to the band-undersampling of standard clinical T2w image data. This is because the increase in T2 weighting across echoes is overshadowed by the energy differences associated with different parts of k-space, as further described in the Supplementary Information.
e-CAMP reconstructs a T2 map without adding a dedicated scan to the protocol. e-CAMP is designed to accept the constraints of standard clinical T2w k-space sampling. e-CAMP features that make this possible include (1) the linearized and exact form of the physics constraint, (2) the phase conjugacy property, and (3) the growing heuristic. e-CAMP is the first to successfully demonstrate that data from an unmodified T2w scan can be used to generate a T2 map.
The advantage of generating T2 maps directly from T2w imaging data is that these scans are already included in most clinical protocols. Therefore, there is no need to alter the clinical protocol, or the set of images reviewed by practicing clinicians, as these images can be generated on an auxiliary reconstruction pipeline. While e-CAMP does impose a relatively simple model and may not achieve the accuracy of dedicated state-of-the art T2 mapping acquisition, it shows consistency across different acquisitions. Combined with the ubiquity of T2w imaging scans, the consistency of e-CAMP reconstructions opens the door to massive collections of normalized MR images suitable for machine learning analyses.
Other strategies have been proposed to generate normalized or quantitative images from routine MR images, but e-CAMP is the first to do so with traditional image reconstruction techniques using only physics-based priors. Some previous approaches rely on machine learning strategies, so accuracy depends on an accurate and large training set. S. Qiu, Y. Chen, S. Ma, Z. Fan, F. G. Moser, M. M. Maya, A. G. Christodoulou, Y. Xie, and D. Li, Multiparametric mapping in the brain from conventional contrast-weighted images using deep learning, Magn Reson Med, vol. 87, no. 1, pp. 488-495, January, 2022; L. Feng, D. Ma, and F. Liu, Rapid MR relaxometry using deep learning: An overview of current techniques and emerging trends, NMR Biomed, vol. 35, no. 4, pp. e4416, April, 2022. Their performance with generalization to different equipment or scan parameters is validated case-by-case. Ad hoc normalization strategies similarly must be validated for each new learning goal. J. A. Onofrey, D. I. Casetti-Dinescu, A. D. Lauritzen, S. Sarkar, R. Venkataraman, R. E. Fan, G. A. Sonn, P. 499 C. Sprenkle, L. H. Staib, and X. Papademetris, Generalizable Multi-Site Training And Testing Of Deep Neural Networks Using Image Normalization, Proc IEEE Int Symp 501 Biomed Imaging, vol. 2019, pp. 348-351, April, 2019; R. T. Shinohara, E. M. Sweeney, J. Goldsmith, N. Shiee, F. J. Mateen, P. A. Calabresi, S. Jarso, D. L. Pham, D. S. Reich, and C. M. Crainiceanu, Statistical normalization techniques for magnetic resonance imaging, Neuroimage Clin, vol. 6, pp. 9-19, 2014; R. W. Y. Granzier, N. M. H. Verbakel, A. Ibrahim, J. E. van Timmeren, T. J. A. van Nijnatten, R. T. H. Leijenaar, M. B. I. Lobbes, M. L. Smidt, and H. C. Woodruff, MRI-based radiomics in breast cancer: feature robustness with respect to inter-observer segmentation variability, Scientific Reports, vol. 10, no. 1, pp. 14163, 2020/08/25, 2020; A. Madabhushi, and J. K. Udupa, New methods of MR image intensity standardization via generalized scale, Med Phys, vol. 33, no. 9, pp. 3426-34, September, 2006; L. G. Nyúl, and J. K. Udupa, On standardizing the MR image intensity scale, Magn Reson Med, vol. 42, no. 6, pp. 1072-81, December, 1999; X. Sun, L. Shi, Y. Luo, W. Yang, H. Li, P. Liang, K. Li, V. C. T. Mok, W. C. W. Chu, and D. Wang, Histogram-based normalization technique on human brain magnetic resonance images from different acquisitions, BioMedical Engineering OnLine, vol. 14, no. 1, pp. 73, 2015/07/28, 2015.582; E. Scalco, A. Belfatto, A. Mastropietro, T. Rancati, B. Avuzzi, A. Messina, R. Valdagni, and G. Rizzo, T2w-MRI signal normalization affects radiomics features reproducibility, Med Phys, vol. 47, no. 4, pp. 1680-1691, April, 2020. By relying on well-established physics, the quantitative mapping method of e-CAMP directly factors out site- and scan-specific details such as echo spacing, flip angle, and B1 maps at logical points in the reconstruction. Furthermore, there is no need for a training set.
Other normalization methods work by choosing certain image features and making them appear as identical as possible across subjects. If there is any biological variation in these features, that variation is washed out. For example, applying the White Stripe algorithm equalizes white matter values across images, making it difficult to detect the known age-related T1 and T2 changes in white matter. R. Bansal, X. Hao, F. Liu, D. Xu, J. Liu, and B. S. Peterson, The effects of changing water content, relaxation times, and tissue contrast on tissue segmentation and measures of cortical anatomy in MR images, Magnetic Resonance Imaging, vol. 31, no. 10, pp. 1709-1730, 2013 Dec. 1, 2013. Strategies to preserve specific biological variables (e.g. age) have been proposed, but these require that all the relevant non-imaging biological variables be known and available from the dataset. J. C. Beer, N. J. Tustison, P. A. Cook, C. Davatzikos, Y. I. Sheline, R. T. Shinohara, and K. A. Linn, Longitudinal ComBat: A method for harmonizing longitudinal multi-scanner imaging data, NeuroImage, vol. 220, pp. 117129, 2020 Oct. 15, 2020. CAMP reconstruction retains all relevant biological variability in the images while removing spurious acquisition effects.
In addition, full validation of the reproducibility of e-CAMP T2 maps will require many subjects to be repeatedly scanned at different locations with multiple protocols. However, our results do show that e-CAMP T2 maps from T2w data achieve good agreement with fully sampled echo train maps and, after Bloch correction, with gold standard maps. Since these have been shown to have high reproducibility across sites, it is expected that e-CAMP T2 maps will similarly show good agreement across sites. R. M. Gracien, M. Maiworm, N. Brüche, M. Shrestha, U. Nöth, E. Hattingen, M. Wagner, and R. Deichmann, How stable is quantitative MRI?—Assessment of intra-and inter-scanner-model reproducibility using identical acquisition sequences and data analysis programs, Neuroimage, vol. 207, pp. 116364, Feb. 15, 2020; S. C. L. Deoni, S. C. R. Williams, P. Jezzard, J. Suckling, D. G. M. Murphy, and D. K. Jones, Standardized structural magnetic resonance imaging in multicentre studies using quantitative T1 and T2 imaging at 1.5 T, NeuroImage, vol. 40, no. 2, pp. 662-671, 2008 Apr. 1, 2008; N. Weiskopf, J. Suckling, G. Williams, M. Correia, B. Inkster, R. Tait, C. Ooi, E. Bullmore, and A. Lutti, Quantitative multi-parameter mapping of R1, PD*, MT, and R2* at 3T: a multi-center validation, Frontiers in Neuroscience, vol. 7, 2013—Jun. 10, 2013.
It is also likely that the accuracy of e-CAMP maps will vary as a function of acquisition parameters, so a full analysis should test the method on a wider range of acquisition variables. Generally speaking, e-CAMP reconstruction becomes more challenging as (1) the span of TEs becomes narrower, providing less T2 decay across the data, and (2) the number of k-space lines acquired at each echo becomes smaller, providing less data per image. As these proof of principle studies were acquired at modest resolution, matching these features required some compromise. Compared to higher resolution clinical images, we used a similar number of lines at each echo and a similar span of echo times, albeit with longer echo spacing and shorter echo train length. Experiments with shorter echo spacing could reduce any undesirable diffusion effects, which may be limiting accuracy in the presented studies. H. Y. Carr, and E. M. Purcell, Effects of Diffusion on Free Precession in Nuclear Magnetic Resonance Experiments, Physical Review, vol. 94, no. 3, pp. 630-638, May 1, 1954.
Finally, e-CAMP requires complex-valued, multicoil, k-space data. While most sites do not save these data in the long term, the data can typically be accessed retrospectively within ˜1-7 days of acquisition. In addition, it is feasible to build a pipeline that automatically exports the raw data for processing following the acquisition, storing the resulting T2 map for future labeling and aggregation. The existing push towards standardized data formats would support this effort across all major vendors.
In conclusion, the algorithms underlying e-CAMP provide the foundation for reconstructing quantitative T2 maps using only the data acquired in a standard T2w acquisition. The method can accommodate a range of echo spacings and other protocol variations. Thus, e-CAMP reconstruction may be useful for creating large databases of standardized T2 maps from heterogeneous and qualitative T2w image data obtained with site-specific protocols.
e-CAMP with Projected Gradient Descent
The implementation of e-CAMP described above with reference to
In accordance with an alternate embodiment as disclosed with reference to
Furthermore, this embodiment adopts Virtual Conjugate Coils (VCC) for weaker, but more tolerant, application of the background phase prior. VCC promotes reconstruction of a real-valued image series. Using this approach, violation of the phase prior penalizes the data-consistency term, rather than being completely disallowed.
Sensitive parameter tuning and time-consuming iteration of the penalty method in each k-space band group makes it impractical to generate T2 maps from T2w datasets with typical clinical parameters (higher resolution, longer echo train). The algorithmic contributions render efficiency and robustness, and for the first time we show such results.
To improve the conditioning of the optimization problem, phase-constrained algorithms are often used to decrease the number of unknowns by half [Willig-Onwuachi Jacob D., Yeh Ernest N., Grant Aaron K., Ohliger Michael A., McKenzie Charles A., Sodickson Daniel K. Phase-constrained parallel MR image reconstruction. Journal of Magnetic Resonance. 2005; 176(2):187-198. 10. Lew Calvin, Pineda Angel R., Clayton David, Spielman Dan, Chan Frandics, Bammer Roland. SENSE phase-constrained magnitude reconstruction with iterative phase refinement. Magnetic Resonance in Medicine. 2007; 58(5):910-921] and generate a real-valued image series {circumflex over ( )}ρp∈RN. In a T2w-TSE sequence, the underlying images have almost the same background phase Φ∈CN across echoes as they are refocused by the 180° pulses. The phase of the T2w image approximately equals Φ and is extracted for subsequent usage. The phase-constrained algorithm is formulated as
where ⊙ is the Hadamard product.
In practice, however, the phase may not be identical across echoes, e.g. in the presence of imperfect refocusing pulses or stimulated echoes. The estimated phase may also be inaccurate. VCC can be used as a less stringent approach to applying a background phase prior. Blaimer Martin, Gutberlet Marcel, Kellman Peter, Breuer Felix A., Köstler Herbert, Griswold Mark A. Virtual coil concept for improved parallel MRI employing conjugate symmetric signals. Magnetic Resonance in Medicine. 2009; 61(1):93-102; Blaimer Martin, Heim Marius, Neumann Daniel, Jakob Peter M., Kannengiesser Stephan, Breuer Felix A. Comparison of phase-constrained parallel MRI approaches: Analogies and differences. Magnetic Resonance in Medicine. 2016; 75(3):1086-1099. It leverages conjugate k-space symmetry by synthesizing additional virtual coils that have conjugate symmetric k-space data to that of the original coils, as illustrated in
where * denotes complex conjugation and k is the k-space index.
Despite the same magnitude as the original coils, the new phase of VCC provides additional encoding information that improves parallel imaging. The background phase is now incorporated in the coil profiles, and only a real-valued image can be perfectly compatible with both the measured and virtual coils. To allow for inaccurate or inconsistent phase Φ, both ρ and α are relaxed to be complex, where ρ contains a slight imaginary component in the VCC framework. The magnitude of α is used to derive T2(x)=−ΔTE/ln(|α(x)|). Thus, the minimization problem is as follows.
where E*p=MpF*C*, and ρ and α are complex.
The band-expanding reconstruction with VCC is illustrated in
The manifold constrained by the signal evolution model is defined as φ (ρ1, . . . , ρP, α), conceptually illustrated in
where μ is determined by backtracking line search.
At the second stage, ρ(jint) and α(j) are projected onto the manifold by minimizing the Euclidean distance. The numerical minimization is with respect to only the first image ρ(jint) 1 and α(j).
Specifically, it is implemented by minimizing the disparity between the intermediate results and the signal evolution model while controlling the change of a.
At the third stage, the rest of the image series are aligned to the signal evolution model.
The general algorithm is summarized in Algorithm 1.
All participants provided informed consent under the approval of the Institutional Review Board (Protocol #2000030538). Fully sampled multi-echo spin-echo human brain data were acquired from one healthy volunteer on a 3 T scanner (MAGNETOM Prisma, Siemens Healthineers, Erlangen, Germany) with a 16-channel head coil. The pulse sequence was performed with TR/TE=2500/20, 40, 60, 80, 100, 120, 140, 160, 180, 200 ms, FOV=220×220 mm2, matrix size=128×128, slice thickness=3 mm, slice number=1, bandwidth=219 Hz/pixel, acquisition time=6.5 minutes.
TSE human brain data were acquired from one healthy volunteer. The T2w-TSE data was acquired with the following parameters: ETL=9, ES=20 ms, acquisition time=44 seconds. The other parameters are the same as the retrospectively undersampled dataset. For validation, fully sampled multi-echo data were acquired from the same volunteer with TE=20, 40, 60, 80, 100, 120, 140, 160, 180, 200 ms and other matched parameters. The ground truth T2 map was derived from the multi-echo fully sampled data using exponential fitting.
Furthermore, a similar pair of T2w-TSE and multi-echo spin-echo data were acquired with common parameters in clinical practice: matrix size=256×256, ETL 19 and ES=12 ms.
The coil sensitivity maps were estimated from the central band(s) of TSE data using ESPIRiT. Uecker Martin, Lai Peng, Murphy Mark J., et al. ESPIRiT—an eigenvalue approach to autocalibrating parallel MRI: where SENSE meets GRAPPA. Magnetic Resonance in Medicine. 2014; 71(3):990-1001. To enable fast reconstruction in the case of large coil numbers, the multi-coil data were compressed [Zhang Tao, Pauly John M., Vasanawala Shreyas S., Lustig Michael. Coil compression for accelerated imaging with Cartesian sampling. Magnetic Resonance in Medicine. 2013; 69(2):571-582.] and the first half of the principal components were retained.
Implemented on MATLAB (MathWorks Inc, Natick, MA), the reconstruction was first divided into expanding cycles. In each cycle, the objective function J in equation (26) was minimized with gradient descent as an outer loop. It updated the intermediate results of the image series, where the step size was determined by the Armijo-Goldstein rule. Armijo Larry. Minimization of functions having Lipschitz continuous first partial derivatives. Pacific Journal of Mathematics. 1966; 16(1):1-3. Publisher: Pacific Journal of Mathematics, A Non-profit Corporation. After a step of gradient descent, the intermediate results were projected onto the manifold as an inner loop, as described in Equations (28) and (29). For robust and fast convergence, the projection was implemented with ADAM optimizer. Kingma Diederik P., Ba Jimmy. Adam: A Method for Stochastic Optimization. In: International Conference on Learning Representations (ICLR); 2015; San Diego, CA, USA. The outer loop was bounded by a maximum iteration number, which decreases as the band group expands because the edge bands play a less important role.
With PGD, the remaining few hyperparameters of e-CAMP are the initial step size, the shrinking factor of the back-tracking line search, TV weights, and the initial value of the multi-echo image series. Robustness to the hyperparameters was tested by varying them over a wide range of practical values.
The modern methods for T2 map reconstruction, subspace-constrained and model-based reconstructions [Wang Xiaoqing, Tan Zhengguo, Scholand Nick, Roeloffs Volkert, Uecker Martin. Physics-based reconstruction methods for magnetic resonance imaging. Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences. 2021; 379(2200):20200196. Publisher: Royal Society], were implemented with BART toolbox [Uecker Martin, Ong Frank, Tamir Jonathan I., et al. Berkeley Advanced Reconstruction Toolbox. In: Proceedings of the ISMRM 27th Annual Meeting & Exhibition: 2486; 2015; Toronto, ON, Canada], with the detail in Supplementary Material. A dictionary of 100 T2 values ranging from 10 to 1000 ms was generated for the subspace-constrained method, with l1-norm regularization. There was a total of 100 iterations for reconstruction. The model-based method had 100 inner iterations and 8 Newton steps.
The reconstruction results were evaluated by the normalized root mean square error (NRMSE). Only the parenchyma region was included in the evaluation, excluding the abnormally high T2 values (T2>250 ms) from cerebrospinal fluid (CSF).
The necessity of e-CAMP using the retrospectively undersampled 8-echo data was demonstrated. While e-CAMP yields a reasonable T2 map in
The comprehensive reconstruction results of the retrospectively undersampled 8-echo data are displayed in
Two sets of T2w-TSE data are shown in
The embodiment disclosed with reference to
The previously disclosed embodiment (with reference to
Like all clinical T2 mapping, e-CMP with PGD employs spin echo trains to characterize the T2 decay, and this embodiment focuses on matching the clinical standard (i.e., decay across spin echo trains). Echo train decay differs from gold standard single echo T2 in that it includes stimulated echoes.
However, the clinical significance of the difference has not been established. One approach to account for this disparity is an EMC framework [Ben-Eliezer Noam, Sodickson Daniel K., Block Kai Tobias. Rapid and accurate T2 mapping from multi-spin-echo data using Bloch-simulation-based reconstruction. Magnetic Resonance in Medicine. 2015; 73(2):809-817], which derives the gold standard T2 map by matching the multi-echo TSE images to a Bloch-simulated dictionary created using experimental parameters such as flip angle and T1. The prior embodiment of e-CAMP shows that matching the e-CAMP reconstructed image series to an EMC dictionary, even using nominal parameters, matches gold standard T2 values. The T2 map of the brain may be contaminated by ringing artifacts due to the undersampling. This artifact is expected to be more obvious in certain organs, such as abdominal or prostate imaging, where ringing from fat can be quite pronounced. Advanced regularization terms may be necessary to suppress these ringing artifacts.
e-CAMP with PGD provides for efficient standardization of clinical T2-weighted images to a method that requires neither parameter tuning nor a highly accurate phase prior. The proposed algorithm enforces the T2-decay model by Projected Gradient Descent and implements the phase prior by Virtual Conjugate Coils. It is robust to hyperparameters, and the reconstruction results are close to the ground truth, even for a long echo train and short echo spacing. The proposed algorithm is promising to utilize the massive TSE data in clinical scanners.
Both e-CAMP and e-CAMP with PGD are implemented in traditional MRI systems. As shown with reference to schematic of Figure ##, a superconducting magnet 14 of the MRI system 10 applies a spatially uniform and temporally constant main B0 magnetic field. Further, excitation of nuclear spin magnetization within the examination volume of the magnetic housing 12 is applied by RF coils 20. More particular, the RF coils 20 apply a radio frequency pulse sequence, the B1 field, which is superimposed perpendicular to the B0 field at an appropriate proton resonant frequency.
These components of the MRI system 10 are combined with a plurality of magnetic gradient coils 18 that apply nonlinear magnetic gradient fields to the examination volume of the magnetic housing 12. The nonlinear magnetic gradient fields facilitate spatial encoding of the nuclear spin magnetization. During MRI procedures, pulse sequences composed of magnetic gradient fields (applied by the magnetic gradient coils 18) and radio frequency fields (applied by the RF coils) are applied to a targeted subject (such as a live patient) while subject to the temporally constant main B0 magnetic field (applied by the superconducting magnetic 14) to generate magnetic resonance signals, which are detected, stored and processed to reconstruct spectra and images of the object. These procedures determine the characteristics of the reconstructed spectra and images such as location and orientation in the targeted subject, dimensions, resolution, signal-to-noise ratio, and contrast. The operator of the magnetic resonance device typically selects the appropriate sequence, and adjusts and optimizes its parameters for the particular application.
As briefly explained above, the MRI system 10 includes a traditional magnet housing 12, a superconducting magnet 14 generating the magnet field B0 to which the patient is subjected, shim coils 16, RF coils 20, receiver coils 22, and a patient table 23. The MRI system 10 also includes gradient coils 18 creating nonlinear magnetic gradient fields.
As is well known in the art, the superconducting magnet 14 produces a substantially uniform magnetic B0 field within its design field of view (FOV). This B0 field is directed along the positive Z-axis. As for the gradient coils 18, the present MRI system 10 employs a plurality of such gradient coils.
The MRI system 10 also includes measurement circuitry 24 producing data used to reconstruct images displayed on a display 26. The algorithm of either e-CAMP 28 or e-CAMP with PGD 28′ is integrated with the measurement circuitry 24 to produce images in accordance with the present invention. Preferably, the application of control signals is achieved via a control system 30 linked to the various operational components of the MRI system 10 under the control of an operator of the MRI system 10.
While the preferred embodiments have been shown and described, it will be understood that there is no intent to limit the invention by such disclosure, but rather, is intended to cover all modifications and alternate constructions falling within the spirit and scope of the invention.
The application claims the benefit of U.S. Provisional Patent Application Ser. No. 63/506,230, entitled “A physics-based algorithm to universally standardize routinely obtained clinical T2-weighted images,” filed Jun. 5, 2023, which is incorporated herein by reference.
Number | Date | Country | |
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63506230 | Jun 2023 | US |