A novel test procedure for evaluation of MRS quantitation methods F. Schubert, F. Seifert, C. Elster, A. Link, M. Walzel, H. Rinneberg Physikalisch-Technische Bundesanstalt Medical Physics and Metrological Information Technology Division, IO587 Berlin INTRODUCTION Quantitative MRS requires reliable methods of data analysis. This holds particularly for short echo time spectra, which contain a wealth of information, but are complicated by overlapping background features. For evaluation of time domain (TD), frequency domain (FD) and combined (TDFD) methods of analysis of MR spectra both simulated and measured MRS data have been employed. The former approach is not directly transferable to real world applications where model assumptions might not be valid; the latter suffers from the true metabolite concentrations not being known, making exact quantitative assessment of a method’s accuracy impossible. This study presents a novel simulation technique to evaluate and compare methods for quantitative MRS. Test problems are constructed as linear combination of measured and pretreated brain proton spectra with simulated, i.e. exactly known, MRS data. The generated test sets were employed to compare a TD with a TDFD method. MATERIALS e 50. TD method 0 4d 40. Q .z g 30. 8 g 20. I ! .; 10. d‘5 0. AND METHODS MR spectroscopy The brain spectra used for constructing the test problems were obtained by proton MRS on 5 healthy volunteers and 5 patients having multiple sclerosis (MS). Measurements were carried out at 3 T on a MEDSPEC 30/100 scanner (Bruker Medical, Ettlingen, Germany). Voxels of 2 x 2 x 2 cm3 were centered on a MS lesion in the patients and in parietal white matter in the controls. Water suppressed spectra were acquired with PRESS (Ta = 3 s, TE = 30 ms, n = 128). In a sixth control, 10 spectra were acquired on 10 occasions within a period of 3 weeks. After Fourier transformation of the in vivo data the 3 methyl resonances of NAA, creatine + phosphocreatine (tCr), and choline containing compounds (tCho) were removed by using three different methods. A: the spectral ranges [-380 Hz, -290 Hz], [-240 Hz, -170 Hz] were replaced by values of a median filter; B, C: the resonances were approximated using Prony’s method (1) in the ranges [-380 Hz, -280 Hz], [-250 Hz, -160 Hz] (B) and [-350 Hz, -310 Hz], [-220 Hz, -170 Hz] (C), and the approximations were then subtracted. To these pretreated data a simulated MRS signal consisting of 3 corresponding resonances of known parameters (amplitudes, equal linewidths and equal phases) was added, resulting in 3 sets of 10 test problems each. Data analysis For TD analysis AMARES (2) was applied with appropriate prior knowledge. Broad baseline parts in the region of interest were included in the model. Model parameters belonging to simulated and original resonances were varied independently from each other. The used TDFD method (3) utilizes TD models whose parameters were determined by fitting a selected part of the discrete Fourier transform of the TD model to that of the test data. The background signal was approximated by wavelets (4). Here, as prior knowledge equal linewidth and equal phase for the three desired (simulated) signals was imposed. RESULTS AND CONCLUSIONS With both the TD and the TDFD method best recovery of the simulated signals was obtained for test set B, where the 1950 o : TDFD method i o 0 y -10. 3 -20. NAA tCr tCho NAA tCr tCho Figure: Deviations from simulated signal amplitudes, test set C Table: Metabolite amplitudes and relative standard deviations (RSD) for analysis of 10 spectra of a healthy volunteer. Method Construction of test problems Proc. Intl. Sot. Mag. Reson. Med. 8 (2000) background in the region around the resonances of interest had been almost completely removed before adding the resonances. The two methods performed equally well. For test sets A and C, which reflect realistic situations better since background features are still present around the resonances of interest, the TDFD method performed better than the TD method (Figure). Consequently, these test problems permit to distinguish between the two quantitation methods regarding their performance. For 10 spectra measured in the brain of a healthy volunteer (Table) no significant differences between the mean metabolite values as analyzed by TD and TDFD could be detected. The TDFD method, however, led to results with smaller variability. TD TDFD RSD, % Resonance Mean amplitude, a.u. NAA tCr 22380 13917 11.7 tCho 11786 9.3 NAA tCr 21958 6.3 14658 7.6 tCho 12118 8.4 10 The proposed test approach permits a quantitative assessment of results of analysis of MR spectra due to the simulated part of the data and, at the same time, includes real world problems, like overlapping background features, contained in the measured part of the data. Thus, results on the test problems give insight into the accuracy achievable for real spectra. In some cases the TDFD method performed better due to the sophisticated background treatment involved. REFERENCES Hayes, M. H., Statistical digital signal processing and modeling. New York: Wiley; 1996. van den Boogaart, A., Van Hecke, P., van Huffel, S.; et al., SMRM; 13’h meeting, 1996: 318. http:Nwww.mrui.uab.es/mrui/mruiHomePage.html Slotboom, J., Boesch, C., Kreis, R., Magn. Reson. Med. 39, 899;1998. Young, K., Soher, B. J., Maudsley, A., Magn. Reson. Med. 40, 816; 1998.
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