Influence of preprocessing, distortion correction and cardiac triggering on the quality of diffusion MR images of

Kurt G Schilling1, Anna J E Combes1, Karthik Ramadass2

  • 1Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA; Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.

PubMed

Insights

Image acquisition and processing for spinal cord diffusion MRI face challenges. Distortion correction shows limited benefit within the cord, while removing cardiac triggering offers time savings with minimal impact on image quality.

Area of Science:

  • Magnetic Resonance Imaging
  • Neuroimaging
  • Biomedical Engineering

Background:

  • Diffusion MRI of the spinal cord (SC) is prone to geometric distortions and motion artifacts, impacting image quality.
  • Existing image acquisition and processing techniques to mitigate these artifacts require further validation.
  • Investigating susceptibility corrections and cardiac triggering is crucial for improving SC diffusion MRI reliability.

Purpose of the Study:

  • To evaluate the effectiveness of susceptibility corrections in reducing geometric distortions in SC diffusion MRI.
  • To assess the impact of removing cardiac triggering on image quality, artifacts, and diffusion tensor indices in SC diffusion MRI.

Main Methods:

  • Four distortion preprocessing strategies were evaluated on 7 cervical and lumbar SC diffusion MRI datasets.
  • Experiments were designed to compare triggered and untriggered cardiac sequences for SC diffusion MRI.
  • Geometric similarity to structural images, white-to-gray matter contrast, artifact prevalence, and diffusion tensor indices were analyzed.

Main Results:

  • Distortion correction techniques improved geometric similarity to structural images, primarily due to cerebrospinal fluid, but did not consistently enhance SC geometry or white-to-gray matter contrast.
  • Removing cardiac triggering resulted in qualitatively similar images without increased artifacts, yielding comparable diffusion tensor indices and reproducibility.
  • Untriggered SC diffusion MRI acquisitions were significantly shorter, offering substantial time savings with minimal sacrifice in image quality.

Conclusions:

  • Bulk-motion correction is recommended for SC diffusion MRI preprocessing; current distortion correction algorithms need adaptation for SC imaging.
  • Removing cardiac triggering for cervical SC diffusion MRI is a viable option, balancing time efficiency with acceptable image quality.
  • Further research is needed to optimize SC-specific distortion preprocessing techniques.