Abstract
Objectives
To develop a real-time abdominal T2 mapping method without requiring breath-holding or respiratory-gating.
Methods
The single-shot multiple overlapping-echo detachment (MOLED) pulse sequence was employed to achieve free-breathing T2 mapping of the abdomen. Deep learning was used to untangle the non-linear relationship between the MOLED signal and T2 mapping. A synthetic data generation flow based on Bloch simulation, modality synthesis, and randomization was proposed to overcome the inadequacy of real-world training set.
Results
The results from simulation and in vivo experiments demonstrated that our method could deliver high-quality T2 mapping. The average NMSE and R2 values of linear regression in the digital phantom experiments were 0.0178 and 0.9751. Pearson’s correlation coefficient between our predicted T2 and reference T2 in the phantom experiments was 0.9996. In the measurements for the patients, real-time capture of the T2 value changes of various abdominal organs before and after contrast agent injection was realized. A total of 33 focal liver lesions were detected in the group, and the mean and standard deviation of T2 values were 141.1 ± 50.0 ms for benign and 63.3 ± 16.0 ms for malignant lesions. The coefficients of variance in a test–retest experiment were 2.9%, 1.2%, 0.9%, 3.1%, and 1.8% for the liver, kidney, gallbladder, spleen, and skeletal muscle, respectively.
Conclusions
Free-breathing abdominal T2 mapping is achieved in about 100 ms on a clinical MRI scanner. The work paved the way for the development of real-time dynamic T2 mapping in the abdomen.
Key Points
• MOLED achieves free-breathing abdominal T 2 mapping in about 100 ms, enabling real-time capture of T 2 value changes due to CA injection in abdominal organs.
• Synthetic data generation flow mitigates the issue of lack of sizable abdominal training datasets.
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Data Availability
Data will be made available from the corresponding author on reasonable request.
Abbreviations
- AC-LORAKS:
-
Auto-calibrated low-rank modeling of local k-space neighborhoods
- CA:
-
Contrast agent
- CV:
-
Coefficient of variation
- DL:
-
Deep learning
- EPI:
-
Echo-planar imaging
- FLL:
-
Focal liver lesion
- FM:
-
Feature map
- GAN:
-
Generative adversarial network
- MAE:
-
Mean absolute error
- MOLED:
-
Multiple overlapping-echo detachment
- NMSE:
-
Normalized root-mean-squared error
- PD:
-
Proton density
- PDw:
-
Proton density-weighted
- RF:
-
Radio frequency
- SE:
-
Spin-echo
- SNR:
-
Signal-to-noise ratio
- T2w:
-
T2-weighted
- TCGA-LIHC:
-
The Cancer Genome Atlas Liver Hepatocellular Carcinoma
- TSE:
-
Turbo spin-echo
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Funding
This work was supported by the National Natural Science Foundation of China under grant numbers 82071913, 22161142024, 11775184, and U1805261.
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The scientific guarantor of this publication is Professor Congbo Cai.
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Lin, X., Dai, L., Yang, Q. et al. Free-breathing and instantaneous abdominal T2 mapping via single-shot multiple overlapping-echo acquisition and deep learning reconstruction. Eur Radiol 33, 4938–4948 (2023). https://doi.org/10.1007/s00330-023-09417-2
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DOI: https://doi.org/10.1007/s00330-023-09417-2