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An external reference to enable quantitative susceptibility mapping (QSM) in absolute terms: theoretical
Anna Lundberg1, Ronnie Wirestam2, Jimmy Lätt3
1Department of Medical Radiation Physics, Lund University, Skåne University Hospital, 22185, Lund, Sweden. anna.lundberg@med.lu.se.
Magma (New York, N.Y.)
|August 6, 2026
Summary
A new phase-based method provides an external reference for quantitative susceptibility mapping (QSM), enabling absolute magnetic susceptibility measurements. This approach overcomes limitations of current QSM techniques for longitudinal studies.
Area of Science:
- Medical Imaging
- Biophysics
- Magnetic Resonance Imaging
Background:
- Quantitative susceptibility mapping (QSM) is a semi-quantitative MRI technique.
- Current QSM methods lack a stable internal reference, hindering longitudinal and inter-subject comparisons.
- Absolute magnetic susceptibility quantification is crucial for advanced MRI applications.
Purpose of the Study:
- To propose and validate a novel phase-based approach for QSM using an external reference.
- To establish a theoretical framework linking phase measurements to absolute magnetic susceptibility.
- To enable accurate and reproducible QSM across different subjects and time points.
Main Methods:
- Developed a theoretical framework by modeling object geometry and analyzing induced magnetic field distortions.
- Validated the approach using a numerical head phantom and 3T MRI scans of phantoms and a healthy volunteer.
- Utilized accurate phase measurements to derive absolute mean magnetic susceptibility.
Main Results:
- Demonstrated excellent accuracy in numerical simulations.
- Achieved encouraging, though slightly underestimated, susceptibility values in MRI phantom measurements.
- Showed excellent correlation (r=0.98, p=0.004) between measured and theoretical susceptibility.
- Obtained an absolute mean susceptibility of 0.02 ppm relative to water in vivo.
Conclusions:
- The proposed phase-based method is feasible and provides a proof of concept for absolute QSM.
- This approach offers a valuable alternative reference solution for conventional QSM.
- Potential to facilitate the generation of absolute QSM maps for enhanced clinical and research applications.

