Abstract
Magnetic resonance spectroscopic imaging (MRSI) offers a unique molecular window into the physiological and pathological processes in the human body. However, the applications of MRSI have been limited by a number of long-standing technical challenges due to high dimensionality and low signal-to-noise ratio (SNR). Recent technological developments integrating physics-based modeling and data-driven machine learning that exploit unique physical and mathematical properties of MRSI signals have demonstrated impressive performance in addressing these challenges for rapid, high-resolution, quantitative MRSI. This paper provides a systematic review of these progresses in the context of MRSI physics and offers perspectives on promising future directions.
I. Introduction
Magnetic resonance (MR) spatiospectral imaging techniques allow for noninvasive visualization and quantification of molecule-specific physiological processes in living animals and humans that are inaccessible by conventional anatomical and functional imaging methods. MR spectroscopic imaging (MRSI), in particular, integrates the concepts of spatial encoding used in MRI and spectral encoding used in MR spectroscopy (MRS) to produce spatially-resolved one or multi-dimensional spectra. These spectra allow simultaneous detection, quantification, and mapping of numerous endogenous molecules in the human body, providing important insights into the biochemical processes in vivo. This molecular imaging capability, since its inception in 1975 [1], [2], promised to significantly impact many basic science studies (including understanding fundamental physiological processes) and clinical applications (including diagnosis, prognosis and treatment monitoring for cancer, stroke, epilepsy, and many other neurological and psychiatric diseases) [3]–[5]. However, several long-standing technical challenges have hindered the progress and applications of in vivo MRSI, including low sensitivity, poor resolution, low imaging speed, contamination from nuisance signals and sensitivity to system imperfections. The fundamental reasons underlying these challenges are: (1) the inherently low abundance of the molecules of interest in MRSI, e.g., metabolites and neurotransmitters having three to four orders of magnitude lower concentrations than the water molecules imaged by MRI, and (2) the high dimensionality of the imaging problem due to the need to encode and decode both spatial and spectral dimensions with high resolutions. While significant efforts have been devoted to tackle these challenges, the performance of in vivo MRSI still falls short of the signal-to-noise ratio (SNR), resolution, speed, and robustness desired or required by many practical applications.
Recent advances in ultrahigh-field systems, high-sensitivity radiofrequency (RF) receiver arrays, and computational imaging methods have presented new opportunities to address the technological challenges associated with in vivo MRSI, reinvigorating this “old” but relatively unexploited field. Recent years have observed a substantial growth in the efforts pushing towards rapid and high-resolution MRSI (millimeter resolution on humans instead of the conventional centimeter resolution) [6]. Particularly, computational methods that exploit the rich prior information for spectroscopy signals derived from MR physics have been developed to address several key issues on recovering high-dimensional spatiospectral functions from limited and/or noisy data [7]–[11], and quantifying molecular parameters (e.g., concentrations, T2s) from the spatiospectral function to derive quantitative biomarkers for physiological functions and diseases [12]–[14]. We present, in this paper, a systematic review of these recent progresses in the context of MRSI physics and related imaging problems, and provide our perspectives on directions and opportunities for future pursuit. We expect that further technology developments that effectively integrate spin physics and machine learning have the potential to transform MRSI from a slow, low-SNR and poor-resolution modality into a practical, high-resolution, in vivo molecular and metabolic imaging tool for many scientific and clinical applications. These advancements may also benefit and inspire innovations in other high-dimensional spatiospectral imaging modalities.
This review is organized as follows. Section II introduces basic physical principles underlying MRSI and defines the key challenges associated with in vivo high-dimensional MRSI. Section III reviews physics-based modeling of spectroscopy signals and data-driven low-dimensional model learning approaches inspired by the physics models. Section IV discusses spatiospectral image reconstruction methods integrating physics-based and learned models. Section V extends the discussion to dynamic MRSI followed by Section VI where integrated physics-based and machine learning strategies for metabolite quantification are reviewed. Finally, Section VII presents our perspectives on future research directions.
II. MRSI Physics
Atomic nuclei with an odd number of protons and/or an odd number of neutrons possess a physical property, known as nuclear spin, which gives rise to a nonzero magnetic moment and thus detectable MR signals after an RF excitation. The nucleus of the hydrogen atom is the simplest in nature, consisting of just one proton and no neutron. Because hydrogen is the most common element found in the human body, proton MRI has been widely used for anatomical and functional imaging using mainly the MR signals from water protons (1H). MRSI, on the other hand, is designed to measure MR signals from 1H and/or other nuclei (e.g., 31P) in a range of molecules (e.g., N-Acetyle Aspartate, Choline, Creatine, etc). These signals are properly encoded in data acquisition and decoded in data processing to achieve multiplexed molecular imaging. In this section, we will first review the physical mechanisms underlying the generation of different resonance frequencies and the spatiospectral encoding strategies used in MRSI. Then we will introduce the resulting high-dimensional spatiospectral imaging problem and the unique challenges associated with MRSI.
A. Chemical Shift and MRSI
In a typical MRI experiment, the object of interest is commonly represented as a spatial function , whose values at a spatial location depend on the abundance of water molecules (or often referred to as spin density) and a few other biophysical parameters of tissue water, e.g., , , and (susceptibility). A detailed discussion on this can be found in [15]. However, there can be many different molecules other than water present in the object. Furthermore, one molecule can have the same nucleus (e.g., 1H’s) in different functional groups, which are surrounded by varying numbers of orbiting electrons. These orbiting electrons “locally” perturb the magnetic field experienced by the nuclei. This effect, called electron shielding, illustrated in Fig. 1(a), makes different nuclei in the same or different molecules resonate at a range of frequencies specified by
(1) |
where is the strength of the main magnetic field that the object experiences, is the gyromagnetic ratio (only nucleus dependent) and is the electron shielding constant (dependent on nuclei, molecules as well as the position of a nucleus in a molecule). This frequency dispersion gives rise to the chemical shift phenomenon fundamental to MR spectroscopy. As an example, different protons in N-acetylaspartate (NAA, one of the most abundant metabolites in the brain) exhibit several frequencies, producing a unique resonance structure (Fig. 1(b)). Different molecules have their unique resonance structures.
Considering the chemical shift distribution in each imaging voxel, the image function of interest becomes a spatiospectral function . Mapping this function allows one to obtain spatially-resolved spectra, from which we can measure various molecules and quantify their relative abundance, providing useful insight into the physiological conditions of the tissues/organs of interest.
In practical MRSI acquisition with pulse excitations, we use a radiofrequency (RF) coil to pick up time-domain signals called free induction decays (FIDs). Therefore, we often use the Fourier counterpart of , i.e., , to represent the spatiotemporal function of interest (where denotes the FID dimension, sometimes referred to as the spin clock). Thus, the imaging data collected is in -space, and related to by
(2) |
where denotes the imaging volume of interest, denotes the macroscopic field inhomogeneity distribution (due to system imperfection and object induced magnetic field perturbation), and denote the sampling location in the high-dimensional -space respectively (, , and are the corresponding sampling intervals), and represent the measurement noise (modeled as complex white Gaussian). Based on Eq. (2), the MR spectroscopic imaging problem is to recover from a set of -space measurement , also known as the spatiospectral encodings. Coil sensitivity can be included in Eq. (2) such that becomes . Without loss of generality, we ignore the coil index in the following discussion. An illustration of the spatiospectral imaging problem is shown in Fig. 2.
B. Challenges for MRSI
As shown in Eq. (2) and Fig. 2, MRSI is a high-dimensional imaging problem due to the need to encode and decode both spatial and spectral information. Because needs to be small enough to satisfy the Nyquist sampling requirement along the spectral dimension (i.e., 1 to 2 kHz bandwidth for 3T and even higher for ultrahigh-field systems), it is not realistic to cover extended -space during each readout. Therefore, a standard approach is to acquire all the time points needed for a single or a few -space locations after each excitation and repeat the process many times. Furthermore, many FID points (on the order of hundreds) need to be acquired to achieve sufficient spectral resolutions for accurately differentiating signals from different molecules. As a result, the imaging time for an MRSI experiment is long and grows exponentially as the desired spatiospectral resolution increases in the conventional Fourier imaging paradigm.
Another fundamental challenge with MRSI is low SNR. The MR signal from each molecule is proportional to the bulk magnetization given by [15]
(3) |
where is the number of polarized spins that can be used to generate detectable signals for the th molecules, is the Planck constant, the Boltzmann constant and the absolute temperature. As for the molecules of interest in MRSI, e.g., metabolites such as NAA, creatine (Cr) and choline (Cho) and neurotransmitters such as glutamate (Glu) and GABA, are typically three orders of magnitude smaller than that for water, much weaker signals from these molecules are expected. As a result, a common practice is to prescribe large voxel sizes (poor spatial resolution) in order to maintain sufficient SNRs within a clinically feasible scan time. A related important issue (which is often less discussed) is the large dynamic range for signals from different molecular components due to their concentration differences. An outstanding example is the strong nuisance water and subcutaneous lipid signals in 1H-MRSI, which can significantly affect our ability to reliably reconstruct and quantify metabolite signals of interest. Therefore, strong prior information is needed to address the dimensionality, SNR and dynamic range challenges to enable fast, high-resolution, high-SNR MRSI for practical applications. The well-established chemical and physical knowledge for the spectroscopic signals and advanced data-driven machine learning tools to leverage this knowledge present new opportunities to tackle these challenges.
III. Physics-Based Spatial-Spectral Priors
Strong physics-based priors can be imposed on for in vivo MRSI based on extensive studies on the signal characteristics of the molecules of interest. Specifically, each time/frequency point needs not be treated as an independent unknown during the imaging process. Given that there are only a finite number of frequencies originating from NMR-sensitive molecules in vivo [4], one straightforward choice is to model the signals as a linear combination of complex exponentials, each capturing a particular frequency
(4) |
where is a complex coefficient modeling both the decaying behaviors of FIDs and the frequency values. While this model has often been used in the analysis of solution MR data in chemistry studies [11], [16], its utility in in vivo MRSI has been limited, because (1) each molecule can have a number of frequency peaks and there are many different molecules that can be simultaneously detected, thus can be large making this constraint less effective, especially for 1H−MRSI; (2) the frequency components from the same molecule have strong dependence according to quantum mechanics (QM) [4]. Therefore, a better model for in vivo MRSI data at each spatial voxel can be introduced, i.e.,
(5) |
where are the molecular concentrations and denote a basis whose Fourier transform is the spectral structure of a specific molecule; can be predicted by QM simulations provided the chemical shifts and J-coupling constants for a particular molecule (from chemical database) and is experiment independent. and are experiment-dependent and molecule-specific apparent relaxation parameters and additional frequency shifts. As can be seen, the model order reduces from (the number of frequencies) to the number of molecules, a significantly smaller degrees of freedom. While one can attempt to directly estimate and from the noisy and often limited , the strong nonlinearity of the estimation problem requires a high SNR that is usually not available for in vivo MRSI, thus limiting the achievable spatial resolution. However, the physics-based model in Eq. (5) underlies the inherent variations of spectroscopic signals that motivate the development of low-dimensional modeling and machine learning approaches to enable better tradeoffs in speed, resolution, and SNR for MRSI. We review these developments in the following sections.
A. Subspace Model
Under physiological conditions, the parameters and have values in a narrow range (e.g., to 100ms), and is usually small, i.e., 10–15 for in vivo 1H-MRSI. Therefore, the physiologically meaningful high-dimensional FIDs/spectra we acquired should reside in or close to a low-dimensional space. One approach to exploiting this low-dimensionality is to approximate the high-dimensional using the partial separability (PS) model [7], [8], [17]:
(6) |
which represent the FIDs/spectra at individual voxels as linear combinations of a small set of basis functions , thus in a low-dimensional subspace. The PS model leads to low-rank structures for the discretized representation of , which has been used for denoising [18] or super-resolution reconstruction [19]. Such a low-rank filtering approach requires joint estimation of both the spatial coefficients and subspace basis (subspace pursuit). Subspace pursuit often requires relatively high SNR data which is well beyond that of in vivo MRSI data acquired using accelerated acquisition schemes. Alternatively, we can leverage physics-based priors to pre-learn from high-SNR training data and transform the MRSI problem into the recovery of which is significantly lower-dimensional than , thus enabling more flexible designs of data acquisition and physics-motivated low-rank reconstruction to address the speed, resolution and SNR (SRS) challenges. We will focus on this type of reconstruction methods in this review and more detailed discussions on data acquisition can be found in [20]–[22].
While subspace learning has been well studied in machine learning [23], the unique physical properties of each FID allows for unique training data generation and learning strategies [8]. More specifically, we can draw samples from pre-specified distributions of and and synthesize a large number of FIDs from which the subspace structure can be determined, e.g., through PCA, ICA or other dimensionality reduction techniques. The parameter distributions can be specified using literature data with empirical distribution assumptions (e.g.,Gaussian distributions with lower and upper bounds) [24], [25]. In addition, spectral fitting using Eq. (5) or its variants can be applied to experimentally acquired high-SNR training data to extract empirical distributions of the molecular parameters [8], [12] or to supplement the synthetic data. The subspace learned this way incorporates strong physics prior, captures the inherent molecular spectral features of interest, and is less susceptible to experimental artifacts than a direct application of dimensionality reduction to noisy experimental data.
B. Nonlinear Manifold Model
While linear subspace models have been demonstrated highly effective and enables flexible sampling of -space for the determination of spatial coefficients. Their effectiveness degrades when the range of spectral parameters increases, which motivates more general models. This is illustrated in Fig. 3. We generated spectra of glutamate (Glu) with varying ranges of , and , and compared the representation accuracy between linear subspace and a nonlinear manifold model [26]. As can be seen, as the ranges of and increase, the approximation errors of subspace increases, as shown by the error spectra in black, while the nonlinear model maintains high accuracy for the same order. Therefore, learning a nonlinear low-dimensional model can offer a more efficient representation of general in vivo MR spectra. As large quantities of training samples can be generated using the physics-based method described above, data-driven learning of nonlinear low-dimensional representations is possible, leveraging recent progresses in deep learning.
Nonlinear dimensionality reduction has been used for classifying single-voxel spectroscopy (SVS) data and demonstrated superior performance than linear dimensionality reduction [27], [28]. But these works did not focus on representation accuracy and did not consider the use of low-dimensional representations for image reconstruction. A deep autoencoder (DAE) based approach was proposed recently to learn an accurate low-dimensional representation for ensembles of spectroscopic signals (FIDs) [26]. Denoting each voxel FID as a vector , an encoder and a decoder network can be learned such that a low-dimensional embedding encoded from can accurately reconstruct , i.e., . The idea has been extended to multi-echo-time (multi-TE) spectroscopy data [29], and the improved representation efficiency of learned nonlinear low-dimensional models over linear subspace model has been shown, for not only 1H but also other nuclei data [25], [26], [29]. Figure 4 provides a conceptual illustration of physics-model-based training data generation incorporating QM priors and empirical distributions of spectral parameters, and data-driven learning of low-dimensional representations for high-dimensional spectroscopic signals.
These learned low-dimensional models enabled new ways to formulate the recovery of the high-dimensional image function (a.k.a. spatiospectral reconstruction) from noisy or often sparsely sampled spatiospectral encodings, which are reviewed in the next sections.
IV. Spatiospectral Reconstruction Using Learned Models
A. Subspace-Based Reconstruction
Using the discretized representation, i.e., representing at a set of sampled locations , the subspace model in Eq. (6) can be rewritten in a matrix form [17], where and are matrix notations for the spatial coefficients and learned subspace. Accordingly, the reconstruction problem can be formulated as estimating the unknown spatial coefficients (with a significantly less number of degrees-of-freedom than) [17]
(7) |
where captures the field inhomogeneity induced linear phases (i.e., ), is a spatial Fourier transform operator and denotes a -space sampling operator. Note that can be different from as truncated FID sampling can be easily implemented. The vector contains all the noisy spatiospectral encodings. is a regularization that can be used to impose spatial constraint on or the images at individual FID time point, e.g., an edge preserving penalty [20] or sparsity constraint [30], and is the regularization parameter. The final reconstruction can be formed as . This joint subspace and spatial constrained reconstruction has achieved impressive improvement in resolution, SNR and speed for both 1H and X-nuclei MRSI in brain and muscle applications over traditional methods [9], [20], [31].
It is possible to extend Eq. (7) to jointly update both and [30], which is a special form of low-rank matrix recovery. This type of generic low-rank-model-based methods have been successful in several MRI applications, e.g., dynamic imaging [32], [33], MR relaxometry [34] and hyperpolarized 13C-MRSI [35], where SNR is not a major bottleneck. However, they do not work well when using MRSI data with very low SNRs for subspace pursuit, and are not flexible for incorporatingfuture development physics-motivated subspace learning. Substantial bias may be present in the reconstructed spectra due to errors of subspace estimation from very noisy data, especially for less dominant but important spatiospectral features [20]. A comparison of reconstructions from simulated MRSI data produced by direct low-rank filtering and using a learned subspace is shown in Fig. 5 to demonstrate this effect. Locally low-rank models offer better representation accuracy and capability than global low-rank models [33], [34], [36], [37], but are still limited by the SNR challenge and subspace estimation errors in MRSI applications.
B. Nonlinear Manifold Constrained Reconstruction
As discussed above, generalizing the linear subspace model to nonlinear low-dimensional manifold models can enable more accurate approximation of general spectroscopic signal variations, thus reducing potential modeling errors for diverse physiological and pathological conditions. A key issue is how to integrate such a learned nonlinear model into the reconstruction formulation. One approach is to incorporate a “network representation error” penalty term into a regularized reconstruction formalism:
(8) |
with representing the learned DAE . While the first term imposes data consistency same as previous formulations, the second term enforces the prior that the desired FIDs of interest at each voxel, , should yield small representation errors for the learned low-dimensional model captured by . If reduces to a linear network, this regularization can be viewed as penalizing the error for projection onto a learned subspace, a softened version of the explicit subspace model in Eqs. (7) – (12). is an additional regularization term that can be flexibly incorporated and used to impose spatial constraints, either hand-crafted or learned (see the next section for more discussion). Similar to the reconstruction strategies discussed above for the learned subspace, because we kept the forward encoding model and the learned is imposing a prior on the underlying true FIDs, once pre-trained, can be used synergically with different acquisition designs. This is an important difference with another popular unrolling approach, in which an unrolled network is motivated from but does not exactly solve a regularized least-squares problem (the regularization term can not be explicitly defined) and the network typically needs to be retrained for different acquisition schemes. However, the disadvantage of actually solving the optimization problem in Eq. (8) is the need to invert the deep network (involving backpropagation) for each reconstruction, thus higher computational cost compared to the trained end-toend mapping network that only requires forward pass at the inference stage. Figure 6 provides an example to demonstrate the superior denoising reconstruction performance by using the learned nonlinear model (over linear subspace) for an in vivo 1H-MRSI data.
To effectively take advantage of the learned nonlinear model without significantly compromising computational efficiency, projected gradient descent (PGD) based algorithms can be considered. For example, the recently proposed RAIISE method (LeaRning nonlineAr representatIon and projectIon for faSt constrained MRSI rEconstruction) [38] seeks to learn a projection network to extract low-dimensional embedding from high-dimensional, noisy FIDs and use it in an accelerated PGD algorithm. More specifically, the network-constrained reconstruction can be formulated as
(9) |
where enforces the prior that the underlying signals should yield a low-dimensional representation (residing on a low-dimensional manifold) and is the decoder from the representation network . The PGD update step can be realized via a projection operator , where is a learned projector that recovers the latent representations from noisy FIDs and trained as follows:
(10) |
where and are individual training FIDs and their noisy counterparts, respectively. A range of SNRs were considered to generate for training parameterized by and assess the “projection” errors for the low-dimensional features as well as the full signals, respectively, and balances the two losses. The encoder and decoder D(.)are from the representation network discussed above.The projector can be trained with different structures adapted to the data characteristics (single or multi-TE FIDs), and and can be chosen separately. It has been demonstrated that leveraging GPU acceleration RAIISE achieved similar or slightly better denoising performance for both single-TE and multi-TE MRSI with dramatically improved computation time compared to directly minimizing in the regularization formulation of Eq. (8) [38].
C. Integrating Learned Spatial and Spectral Priors
While the effectiveness of learned spectral priors incorporating both physics modeling and machine learning have been well documented, the investigations into learned spatial priors have been scarce. One of the major challenges is the difficulty in acquiring high-resolution, high-SNR MRS images as the “gold standard”, for either supervised training as commonly done in deep-learning-based MRI reconstruction or self-supervised representation learning. One solution is to simulate spatial distributions of spectra by combining anatomical images and metabolite concentrations and lineshapes from tissue/brain-regionspecific literature values and/or experimental data. For example, a dense U-Net trained completely by synthetic data was used to produce high-resolution metabolite maps from the low-resolution counterpart plus a T1w MRI [10]. The main issue, however, is that the synthetic spatial distributions of metabolites may not capture sufficient variations in real data, especially those related to different pathological conditions.
An alternative approach is to construct generic network-based image representations that do not require high-SNR, high-resolution data for supervised training of image mapping. Recently, efforts have been made to combine subspace constraint and generative network based image representation. The work in [39] used deep image prior (DIP) to model the spatial function as , where is a network with trainable parameters , the reconstruction in Eq. (7) is then changed to
(11) |
With a chosen network architecture (e.g., U-net in [39]), the parameters are estimated from noisy data with being an anatomical image. This method assumes that the network can account for the contrast difference between the desired spatial coefficient maps and an MR image to leverage high-resolution anatomical prior information. However, DIP can overfit noise by allowing all the network parameters to be updated and anatomical image being the input, the network may introduce undesirable bias into the spatial reconstruction. Thus, choosing a proper early stopping criterion to balance the two factors may be challenging [40]. Another strategy is to leverage a generative network model pretrained using anatomical, multicontrast MRIs with sufficient representation power for images with different contrasts, and solve for the latent variable instead of network parameters during reconstruction. As is usually lower dimensional than the voxel-wise image representation, noise reduction is possible. For example, a GAN-regularized subspace reconstruction can be formulated as [41]
(12) |
where is a pretrained GAN (e.g., using T1 and T2w images). This problem can be solved using alternating minimization and the step for updating is a GAN inversion problem, which is an active research topic at the intersection of inverse problem and deep learning. While different GAN designs can be considered for , StyleGAN combined with intermediate layer optimization (ILO) has been shown to achieve the best inversion performance [42]. A more comprehensive review on this topic can be found in [43]. One important feature of these reconstruction methods is the integration of the physical spatiospectral encoding model and deep learning priors, in contrast to training an end-to-end network for direct mapping from data/noisy images to reconstructions. As a result, the pretrained model can work for any sampling pattern, sequence parameters, and different resolution and SNRs, without the need of retraining for each case. Meanwhile, the computation time required for the network parameter update or GAN inversion is one limitation/consideration.
V. Dynamic MRSI using learned models
Typical MRSI experiments produce spatially-resolved spectra that reflect a “steady-state” molecular profile, which may not be sufficient to capture the complex in vivo metabolic activities that are time varying in nature. To this end, dynamic MRSI, by introducing an additional time axis (world clock) and producing time-resolved spectra, offers the opportunity to noninvasively visualize metabolism in real time and thus significantly richer biological insights. For example, dynamic 31P-MRSI has been used to study depletion and resynthesis of phosphocreatine (PCr) during exercise-recovery or ischemiareperfusion to assess mitochondrial function in the muscle [44], [45]. Dynamic 13C - and 2H-MRSI, using isotope-enriched endogenous molecules, have become popular to map the imbalance between oxidative phosphorylation and glycolysis pathways in cancer applications [46], [47]. Figure 7 provides an illustration for such a high-dimensional imaging problem. As one would expect, introducing an additional temporal dimension to the already SNR-, speed- and resolution-limited modality further exacerbated these challenges. Therefore, existing studies have been limited by insufficient spatial and/or temporal resolutions, as a result, inaccurate characterization of heterogeneous metabolism. Low-dimensional models with learned priors offer a promising path to addressing these challenges, which we review in this section.
A. Low-Rank Tensor Models with Learned Subspaces
To tackle the increased dimensionality problem, the PS model in Eq. (6) can be generalized to represent new image functions of interest , with denoting the additional time dimension : [9],[49]
(13) |
where is the total number of time frame, denote the basis functions that span the space of temporal variations and are the model coefficients. Eq. (13) implies a low-rank tensor structure (generalized from the low-rank matrices) that exploits the spatial-spectral-temporal correlations in dynamic MRSI data with referred to as the core tensor [49], [50]. , and are the respective model orders (typically much smaller than and ). Similarly as the spectral basis can be learned by incorporating physics-based model, the temporal basis can be predetermined from temporal training data [9], leaving only and as the unknown in the imaging problem. Eq. (13) can be further adapted into a molecule-dependent tensor model [51]
(14) |
where is the number of molecules of interest, and are the spectral and temporal model orders of the th molecule, combines the core tensor coefficients and molecule-dependent spatial basis. This model offers up to two orders-of-magnitude reduction in the degrees of freedom (DOF) [51] compared to the canonical truncated Fourier series representation, thus significantly improved resolution and SNR tradeoffs. Furthermore, the model in Eq. (14) provides the flexibility to incorporate molecule-specific physics- and biochemistry-based priors [44]. The spectral basis can be obtained as described in section III.A and the temporal basis can be derived by exploiting existing physiological and metabolic knowledge. More specifically, the temporal variations of the spatially-resolved spectra are often results of metabolic process in living organs, which can be approximated by a set of parametric curves specified by some time constants [51], e.g., the exponential recovery of PCr after ischemia or exercise. The variable can be used to impose molecule-specific spatial support and distribution priors from high-resolution reference images available, further improving the performance (see [51] for more details). Accordingly, the dynamic MRSI reconstruction can be formulated as follows:
(15) |
where describes the forward model as discussed above (capturing field inhomogeneity effects and spatiospectral encoding process), , , and are tensor forms of , , and respectively, where , , and . and denote column-wise and tensor products. The algorithm in [51] first performed a series of reconstruction of time-dependent spatial coefficients (using per-estimated ), i.e., , and then fit the temporal variations to biochemical models for each molecule to determine . Finally, Eq. (15) was solved using estimated spectral and temporal basis. imposes regularization to encourage spatial smoothness or sparsity.
Considering the unique properties of the dynamic spectroscopic signals, Eq. (14) can be reformulated by imposing strict separability between the spatial-spectral and spatial-temporal variations [48], i.e.,
(16) |
where and are the new spatial coefficients for the spectral and temporal bases, respectively. With this model, the number of unknowns at each voxel is reduced from to . This does not necessarily increase modeling error for dynamic MRSI specifically, because it is accurate to assume all FID/frequency points corresponding to the same molecule should share the same dynamics at each voxel. Using matrix notations for and , a similar regularized least-squares problem to Eq. (15) can be formulated.
B. Combining Low-Rank Tensor and Manifold Modeling
As in the “static” MRSI case, it is straightforward to incorporate nonlinear manifold constraints on spectral variations into the reconstruction problems in Eqs. (15) or (16). For example, the learned network can be used to regularize individual FID’s at every time point, i.e.,
(17) |
This formulation assumes that the desired FIDs at each voxel and each time point (i.e., ) reside on the same learned manifolds and can be solved using alternating minimization. Note that the ensemble temporal variations are still captured by the linear subspace model. To further exploit the prior information available along individual dimensions, the subspace model for temporal variations can be generalized to nonlinear manifolds as well. To this end, the separability representation in Eq. (16) offers additional flexibility to learn and incorporate low-dimensional manifold constraints on molecule-specific temporal dynamics. Specifically, a set of molecule-dependent DAEs, denoted as , were trained (using both synthetic and experimental dynamic data) and integrated into the following low-rank-tensor-based reconstruction problem [48]:
(18) |
where and are matrix forms of and with and . denotes the operation defined in Eq. (16), and and are regularization parameters controlling the trade-off between data consistency and manifold (spectral and temporal) representation errors. Additional regularization terms on the spatial distribution of and may also be included. The problem in Eq. (18) can be solved via alternating minimization of and , which also involves backpropagation of the learned networks. Details of the exact algorithm can be found in [48]. While parallelizable, the reconstruction can be computationally demanding due to the need to invert multiple networks for signals at many time points. The formulation used in RAIISE described in Section IV.B may be helpful in addressing this issue. A set of denoising dynamic 2H-MRSI results is shown in Fig. 8 to illustrate the capability of the low-rank-tensor-model-based reconstruction using learned spectral and temporal subspaces. Comparisons of estimated metabolite maps, spatially-resolved spectra and temporal dynamics from standard Fourier reconstruction, direct low-rank tensor truncation and learned-subspace-based methods were made.
C. The Motion Issue
The formulations discussed above do not fully consider motions (involuntary or voluntary) during the time window when the dynamic metabolic activities are monitored. This may be an issue when the imaging time is long (e.g., more than just a few minutes) and/or the organ of interest is more susceptible to motion. Prospective and retrospective motion tracking and correction may be used to mitigate its effects [22], [52]. Another possibility is to incorporate motion models into the dimension, which might lead to an increased model order and degradation in the accuracy of capturing metabolite dynamics. A new dimension can be introduced to represent different motion phases for motion-resolved dynamic MRSI using a higher-order tensor model [50].
VI. Spectral QuAntification using LeARNED Models
With the ability to reconstruct high-SNR, high-resolution spatiotemporal function from noisy data, a key remaining challenge is to extract and quantify individual molecular components from the spatially-resolved FIDs or MR spectra, referred to as the spectral quantification problem. An apparent choice is to use a parametric model similar to Eq. (5) and perform parameter estimation voxel by voxel, e.g., through a nonlinear least-squares (NLLS) fitting [53]:
(19) |
where is the reconstructed FID at the th voxel and is a molecule-independent modulation function to account for additional spectral distortion, e.g., due to residual intravoxel inhomogeneity and eddy current effects etc. A Gaussian lineshape function is often used for . Commonly used NLLS solvers such as quasi-Newton methods or variable projection (VARPRO) [53] can be used to solve Eq. (19), but the problem is highly nonlinear, sensitive to noise and model mismatch. It can be time-consuming to solve these voxel-wise nonlinear least-squares for high-resolution acquisitions and computationally expensive to incorporate spatial constraints. Learning-based methods have been recently proposed to address these challenges.
Following a similar motivation from Eq. (5) for constructing the subspace model, a union-of-subspaces (UoSS) approach was described for spectral quantification [12]. Specifically, the FID signals corresponding to individual molecular components can be assumed to reside on their own subspaces spanned by , i.e.,
(20) |
The basis ( in matrix form) can be learned using the strategy described in Section III with ensemble molecule-specific FIDs, either synthesized or obtained from an initial NLLS estimation of the spectral parameters from the reconstruction . Quantification can then be done by solving a UoSS fitting
(21) |
where are molecule-specific spatial coefficients that can be converted into concentration values (see [12] for more details). This formulation offers stronger robustness against model mismatch owing to the representation power of the subspace model at individual voxels, less sensitivity to noise by transforming the nonlinear fitting into low-dimensional linear problems. It also allows for easier incorporation of spatial priors on individual components through . Extension of this UoSS approach to “local” subspaces has also been recently explored [54]. This method was motivated by the linear tangent space concept in smooth manifold recovery which allows a further reduction in the degrees-of-freedom in .
Going beyond subspace models, deep convolutional networks (CNNs) have been used to learn a nonlinear mapping from noisy FIDs/spectra to spectral parameters [13], [55] or clean, lineshape corrected metabolite only spectra [14], [24] for simplified quantification. A self-supervised training strategy was proposed in [13] where a CNN-based regressor ( the network parameters) was concatenated with a physics-based parametric model to resynthesize spectra from the parameters produced by the CNN. Errors between this resynthesized and original spectra were minimized, which can be formulated as the following optimization problem
(22) |
where the spectral parameters were replaced by the CNN output. This strategy does not require ground truth values for training which are difficult to obtain from practical, in vivo MRS/MRSI data. Processing time reduction was emphasized rather than estimation accuracy compared to standard voxel-wise fitting method. Generalizability may be an issue if there are spectral distortion and contamination not captured by the training data. Since a parametric model is still used to resynthesize the final fits, parameter estimation accuracy still needs to be carefully investigated in the presence of model mismatch. Instead of training a network that directly maps noisy data to spectral parameters, [24] proposed to learn a CNN that is able to extract metabolite-only, lineshape corrected spectra from noisy data with macromolecule (MM) and baseline “contaminations” and lineshape distortion. Estimating of metabolite concentrations from the corrected metabolite-only spectra can then be easily done using a linear least-squares fit to metabolite basis. All these methods are voxel wise thus difficult to incorporate spatial constraints. The learned mapping can be sensitive to changes in acquisition parameters, such as spectral bandwidth, resolution and SNR etc.
VII. Future Directions
Recent advances in computational MRSI using physics-based machine learning have demonstrated good potential for addressing high-dimensional MRSI reconstruction and quantification problems, achieving impressive performance in the combination of speed, resolution, SNR and robustness to system imperfection and practical experimental conditions. These “software” advances are highly synergistic with the on-going “hardware”/instrumentation developments, e.g., higher field systems, better field inhomogeneity monitoring and shimming devices, and more sensitive coils. We expect to see that synergistic developments in advanced data acquisition and processing will significantly enhance the capability and clinical utility of next generation MRSI technologies.
One area that will see more innovations is MRSI data processing using deep learning networks trained using high-resolution images. Currently, the lack of high-quality MRSI training data makes supervised training, commonly used in learning-based image reconstruction, not directly applicable. One potential direction is to construct an MRSI atlas from highly dedicated experimental data (with many averages followed by artifact correction and registration), to which statistical variations in concentrations, linewidths and other spectral parameters as well as geometry may be introduced for synthetic MRSI data generation as was done in [10], [48] but with more realistic variations. Another potential direction of pursuit is developing learning strategies that do not require companion high-SNR/”clean” data. Unsupervised and self-supervised learning strategies have gained attraction for image denoising and reconstruction applications [56]–[59]. These formulations may offer some inspiration for learning and using models with only noisy MRSI data. As water spectroscopic images are often acquired in an MRSI scan, e.g., through a separate or simultaneous nonwater-suppressed acquisition [21], [22], approaches to leverage these high-dimensional, multicontrast water images beyond just extracting and maps to introduce effective spatial constraints should be of great interest. The generative-model-based methods discussed in Section IV.C represent some initial attempts while more work can be done.
While the topics related to spatial-spectral-temporal reconstruction have been the main emphasis in this review, we note that spectral quantification as a critical step towards quantitative MRSI for clinical and basic science applications remains under-investigated. A number of sophisticated parametric models have been presented, mostly for single-voxel spectroscopy, but they often yield significant voxel-to-voxel estimation variations and are computationally demanding for high-resolution data. The notion of voxelby-voxel fitting should continue to be challenged, by new ways to integrate spatial constraints with deep-learning-based solutions. In dynamic or multidimensional MRSI scenarios, quantification is usually done for individual points along time or other additional dimensions (e.g., different TEs). Novel methods for joint quantification, e.g., models and algorithms that simultaneously fit the time-resolved spectra in dynamic MRSI (with reduced number of parameters), should be developed with potential significant practical impact.
We have focused this review on MRSI, but the methodologies discussed here are also adaptable to other high-dimensional spatiospectral imaging problems, where physics-based models and/or simulations can be used to describe the signal changes from which low-dimensional representations of the intrinsic variations may be learned. Authors in [60] proposed to use a fully-connected feedforward network trained using simulated data to perform voxel-wise quantification of PCr concentration, exchange rate and other system-related parameters from Z-spectra data generated by chemical exchange saturation transfer (CEST) imaging. The learning-based method demonstrated advantages in both performance and computational cost. Applications of physics-based machine learning to other quantitative MRI problems have also been explored (see other reviews in this issue). Similar strategies may also be extended to other spatiospectral imaging modalities besides MR, e.g., mass spectrometry imaging [61]. Beyond addressing the reconstruction and quantitative analysis problems within a single modality, we also expect to see more progresses in connecting and fusing imaging information from different modalities across spatiotemporal scales by integrating physics-based modeling and data-driven learning.
Acknowledgments
This work was supported in part by NSF, grant number: NSF-CBET 1944249 and NIH, grant number 1R35GM142969-01. The authors thank Yahang Li and Yudu Li for their help on the figures.
Contributor Information
Fan Lam, Department of Bioengineering, University of Illinois Urbana-Champaign, Urbana, IL, 61801 USA; Beckman Institute for Advanced Science and Technology, Department of Electrical and Computer Engineering and Cancer Center at Illinois, University of Illinois Urbana-Champaign..
Xi Peng, Department of Radiology, Mayo Clinic, Rochester, MN, 55905, USA.
Zhi-Pei Liang, Beckman Institute for Advanced Science and Technology, Department of Electrical and Computer Engineering and Cancer Center at Illinois, University of Illinois Urbana-Champaign..
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