Abstract

Demyelination is the key pathological process in multiple sclerosis (MS). The extent of demyelination can be quantified with magnetic resonance imaging by assessing the myelin water fraction (MWF). However, long computation times and high noise sensitivity hinder the translation of MWF imaging to clinical practice. In this work, we introduce a more efficient and noise robust method to determine the MWF using a joint sparsity constraint and a pre-computed B1+-T2 dictionary.A single component analysis with this dictionary is used in an initial step to obtain a B1+ map. The T2 distribution is then determined from a reduced dictionary corresponding to the estimated B1+ map using a combination of a non-negativity and a joint sparsity constraint.The non-negativity constraint ensures that a feasible solution with non-negative contribution of each T2 component is obtained. The joint sparsity constraint restricts the T2 distribution to a small set of T2 relaxation times shared between all voxels and reduces the noise sensitivity.The applied Sparsity Promoting Iterative Joint NNLS (SPIJN) algorithm can be implemented efficiently, reducing the computation time by a factor of 50 compared to the commonly used regularized non-negative least squares algorithm. The proposed method was validated in simulations and in 8 healthy subjects with a 3D multi-echo gradient- and spin echo scan at 3 ​T. In simulations, the absolute error in the MWF decreased from 0.031 to 0.013 compared to the regularized NNLS algorithm for SNR ​= ​250. The in vivo results were consistent with values reported in literature and improved MWF-quantification was obtained especially in the frontal white matter. The maximum standard deviation in mean MWF in different regions of interest between subjects was smaller for the proposed method (0.0193) compared to the regularized NNLS algorithm (0.0266). In conclusion, the proposed method for MWF estimation is less computationally expensive and less susceptible to noise compared to state of the art methods. These improvements might be an important step towards clinical translation of MWF measurements.

Highlights

  • Myelination is a crucial aspect of brain development and is essential for the functioning of the nervous system

  • We recently proposed a new method for MC-MR Fingerprinting (MRF) based on the NNLS algorithm that applies a spatial joint-sparsity constraint leading to a small number of components across the region of interest (Nagtegaal et al, 2020)

  • We propose a two-step approach to perform multi-component T2 analysis of multi-echo T2 (MET2) data: (1) a flip angle inhomogeneity (FAI) map is computed assuming that the measured signal is dominated by a main component, and can be modeled as a single component in each voxel; (2) a multi-component T2 analysis is performed using the estimated FAI map and applying the joint sparsity constraint as stated in Eq (4)

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Summary

Introduction

Myelination is a crucial aspect of brain development and is essential for the functioning of the nervous system. In MET2 relaxometry (Whittall and MacKay, 1989; Poon and Henkelman, 1992; Mackay et al, 1994), a T2 distribution is determined from a multi-echo spin-echo (MESE) acquisition. The analysis of this distribution is normally limited to the white matter, in which the short T2 relaxation times (10–40 ms) are considered as myelin water (MW), intermediate T2 relaxation times (40–200 ms) as intra- and extracellular water (IECW) and longer T2 relaxation times (>1s) as free water (MacKay and Laule, 2016). It was shown that the method results in reproducible MWF maps, but these maps are dependent on methodological variability (Levesque et al, 2010; Meyers et al, 2013)

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