Abstract

BackgroundTo investigate the effect of using a Rician nonlocal means (NLM) filter on quantification of diffusion tensor (DT)- and diffusion kurtosis (DK)-derived metrics in various anatomical regions of the human brain and the spinal cord, when combined with a constrained linear least squares (CLLS) approach.MethodsProspective brain data from 9 healthy subjects and retrospective spinal cord data from 5 healthy subjects from a 3 T MRI scanner were included in the study. Prior to tensor estimation, registered diffusion weighted images were denoised by an optimized blockwise NLM filter with CLLS. Mean kurtosis (MK), radial kurtosis (RK), axial kurtosis (AK), mean diffusivity (MD), radial diffusivity (RD), axial diffusivity (AD) and fractional anisotropy (FA), were determined in anatomical structures of the brain and the spinal cord. DTI and DKI metrics, signal-to-noise ratio (SNR) and Chi-square values were quantified in distinct anatomical regions for all subjects, with and without Rician denoising.ResultsThe averaged SNR significantly increased with Rician denoising by a factor of 2 while the averaged Chi-square values significantly decreased up to 61% in the brain and up to 43% in the spinal cord after Rician NLM filtering. In the brain, the mean MK varied from 0.70 (putamen) to 1.27 (internal capsule) while AK and RK varied from 0.58 (corpus callosum) to 0.92 (cingulum) and from 0.70 (putamen) to 1.98 (corpus callosum), respectively. In the spinal cord, FA varied from 0.78 in lateral column to 0.81 in dorsal column while MD varied from 0.91 × 10−3 mm2/s (lateral) to 0.93 × 10−3 mm2/s (dorsal). RD varied from 0.34 × 10−3 mm2/s (dorsal) to 0.38 × 10−3 mm2/s (lateral) and AD varied from 1.96 × 10−3 mm2/s (lateral) to 2.11 × 10−3 mm2/s (dorsal).ConclusionsOur results show a Rician denoising NLM filter incorporated with CLLS significantly increases SNR and reduces estimation errors of DT- and KT-derived metrics, providing the reliable metrics estimation with adequate SNR levels.

Highlights

  • To investigate the effect of using a Rician nonlocal means (NLM) filter on quantification of diffusion tensor (DT)- and diffusion kurtosis (DK)-derived metrics in various anatomical regions of the human brain and the spinal cord, when combined with a constrained linear least squares (CLLS) approach

  • We evaluate the effect of using the Rician NLM filtering in combination with constrained linear least squares (CLLS), one of the least-squares (LS) fitting algorithms commonly used in diffusion tensor imaging (DTI) and diffusion kurtosis imaging (DKI) studies [13, 62, 63] of the human brain and spinal cord

  • signal-tonoise ratio (SNR) significantly increased in all 6 regions of interest (ROIs) using Constrained linear least squares with Rician denoising (CLLS-R) (244%, 177%, 62%, 162%, 263% and 125% for PUT, globus pallidus (GP), corpus callosum (CC), internal capsule (IC), external capsule (EC) and Cg, Table 1 Comparison of averaged SNR ± standard deviation of ­b0 images in the brain of healthy volunteers (n = 9) measured using CLLS and CLLS-R

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Summary

Introduction

To investigate the effect of using a Rician nonlocal means (NLM) filter on quantification of diffusion tensor (DT)- and diffusion kurtosis (DK)-derived metrics in various anatomical regions of the human brain and the spinal cord, when combined with a constrained linear least squares (CLLS) approach. One of the challenges in DKI measurement which reduces its practical usage in clinical research is a use of multiple and higher diffusion-weighting (b-values) as compared to a conventional DTI. This results in a low signal-tonoise ratio (SNR) of which the effect plays a large role in yielding the erroneous tensor estimation due to the bias induced by Rician nature of random noise [20, 21]. The application of DTI in the spinal cord suffers from the low SNR [24, 25] in addition to other challenges such as the small size of the cord, physiological motion, local field inhomogeneity and susceptibility artefacts [26,27,28,29]

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