Quantitative longitudinal mapping of radiation-treated prostate cancer using MR fingerprinting with radial acquisition and subspace reconstruction Journal Article


Authors: Yu, V. Y.; Otazo, R.; Wu, C.; Subashi, E.; Baumann, M.; Koken, P.; Doneva, M.; Mazurkewitz, P.; Shasha, D.; Zelefsky, M.; Cervino, L.; Cohen, O.
Article Title: Quantitative longitudinal mapping of radiation-treated prostate cancer using MR fingerprinting with radial acquisition and subspace reconstruction
Abstract: MR fingerprinting (MRF) enables fast multiparametric quantitative imaging with a single acquisition and has been shown to improve diagnosis of prostate cancer. However, most prostate MRF studies were performed with spiral acquisitions that are sensitive to B0 inhomogeneities and consequent blurring. In this work, a radial MRF acquisition with a novel subspace reconstruction technique was developed to enable fast T1/T2 mapping in the prostate in under 4 min. The subspace reconstruction exploits the extensive temporal correlations in the MRF dictionary to pre-compute a low dimensional space for the solution and thus reduce the number of radial spokes to accelerate the acquisition. Iterative reconstruction with the subspace model and additional regularization of the signal representation in the subspace is performed to minimize the number of spokes and maintain matching quality and SNR. Reconstruction accuracy was assessed using the ISMRM NIST phantom. In-vivo validation was performed on two healthy subjects and two prostate cancer patients undergoing radiation therapy. The longitudinal repeatability was quantified using the concordance correlation coefficient (CCC) in one of the healthy subjects by repeated scans over 1 year. One prostate cancer patient was scanned at three time points, before initiating therapy and following brachytherapy and external beam radiation. Changes in the T1/T2 maps obtained with the proposed method were quantified. The prostate, peripheral and transitional zones, and visible dominant lesion were delineated for each study, and the statistics and distribution of the quantitative mapping values were analyzed. Significant image quality improvements compared with standard reconstruction methods were obtained with the proposed subspace reconstruction method. A notable decrease in the spread of the T1/T2 values without biasing the estimated mean values was observed with the subspace reconstruction and agreed with reported literature values. The subspace reconstruction enabled visualization of small differences in T1/T2 values in the tumor region within the peripheral zone. Longitudinal imaging of a volunteer subject yielded CCC of 0.89 for MRF T1, and 0.81 for MRF T2 in the prostate gland. Longitudinal imaging of the prostate patient confirmed the feasibility of capturing radiation treatment related changes. This work is a proof-of-concept for a high resolution and fast quantitative mapping using golden-angle radial MRF combined with a subspace reconstruction technique for longitudinal treatment response assessment in subjects undergoing radiation treatment. © 2023
Keywords: prostate cancer; radiation therapy; mr fingerprinting; quantitative parameter mapping; subspace reconstruction
Journal Title: Magnetic Resonance Imaging
Volume: 101
ISSN: 0730-725X
Publisher: Elsevier Science, Inc.  
Date Published: 2023-09-01
Start Page: 25
End Page: 34
Language: English
DOI: 10.1016/j.mri.2023.03.019
PROVIDER: scopus
PUBMED: 37015305
PMCID: PMC10623548
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF and PubMed -- Corresponding author is MSK author: Ouri Cohen -- Source: Scopus
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MSK Authors
  1. Michael J Zelefsky
    754 Zelefsky
  2. Daniel Shasha
    13 Shasha
  3. Ergys David Subashi
    33 Subashi
  4. Ouri Cohen
    13 Cohen
  5. Victoria Yuiwen Yu
    21 Yu
  6. Can Wu
    21 Wu