Key result
A deep-learning neural network generated calf muscle perfusion maps in ~1 second, providing significantly more accurate estimates than regular model fitting (MAE 15.9 vs 22.3 ml/min/100g, p<.001).
Why the study?
MRI can quantify exercise-induced calf muscle hyperemia, but processing MRI data to obtain muscle-perfusion maps is time-consuming.
Does a deep-learning artificial neural network accelerate and accurately estimate exercise-induced calf muscle perfusion mapping compared to tracer kinetic model fitting in healthy subjects and PAD patients?
Does a deep-learning artificial neural network accelerate and accurately estimate exercise-induced calf muscle perfusion mapping compared to tracer kinetic model fitting in healthy subjects and PAD patients?
A deep learning neural network approach can dramatically accelerate MRI perfusion mapping of calf muscles with high accuracy, facilitating its potential clinical use for peripheral artery disease assessment.
May accelerate MRI perfusion mapping in PAD; leaves open prospective validation before clinical use.
Exercise-induced hyperemia in calf muscles was recently shown to be quantifiable with high-resolution magnetic resonance imaging (MRI). However, processing of the MRI data to obtain muscle-perfusion maps is time-consuming. This study proposes to substantially accelerate the mapping of muscle perfusion using a deep-learning method called artificial neural network (NN). Forty-eight MRI scans were acquired from 21 healthy subjects and patients with peripheral artery disease (PAD). For optimal training of NN, different training-data sets were compared, investigating the effect of data diversity and reference perfusion accuracy. Reference perfusion was estimated by tracer kinetic model fitting initialized with multiple values (multigrid model fitting). Result: The NN method was much faster than tracer kinetic model fitting. To generate a perfusion map of matrix 128 × 128 on a same computer, multigrid model fitting took about 80 min, single-grid or regular model fitting about 3 min, while the NN method took about 1 s. Compared to the reference values, NN trained with a diverse group gave estimates with mean absolute error (MAE) of 15.9 ml/min/100g and correlation coefficient (R) of 0.949, significantly more accurate than regular model fitting (MAE 22.3 ml/min/100g, R 0.889, p < .001). Conclusion: the NN method enables rapid perfusion mapping, and if properly trained, estimates perfusion with accuracy comparable to multigrid model fitting.
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Zhang et al. (2020) studied Peripheral artery disease (PAD) and healthy subjects (n=21). Deep-learning artificial neural network (NN) for perfusion mapping vs. Regular tracer kinetic model fitting was evaluated on Mean absolute error (MAE) of perfusion estimates compared to reference values (p=< .001). A deep-learning neural network generated calf muscle perfusion maps in ~1 second, providing significantly more accurate estimates than regular model fitting (MAE 15.9 vs 22.3 ml/min/100g, p<.001).
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