Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease

Recent literature suggests that tri-exponential models may provide additional information and fit liver intravoxel incoherent motion (IVIM) data more accurately than conventional bi-exponential models. However, voxel-wise fitting of IVIM results in noisy and unreliable parameter maps. For bi-exponen...

Full description

Bibliographic Details
Main Authors: Marian A. Troelstra, Anne-Marieke Van Dijk, Julia J. Witjes, Anne Linde Mak, Diona Zwirs, Jurgen H. Runge, Joanne Verheij, Ulrich H. Beuers, Max Nieuwdorp, Adriaan G. Holleboom, Aart J. Nederveen, Oliver J. Gurney-Champion
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.942495/full
_version_ 1798002302079991808
author Marian A. Troelstra
Anne-Marieke Van Dijk
Julia J. Witjes
Anne Linde Mak
Diona Zwirs
Jurgen H. Runge
Joanne Verheij
Ulrich H. Beuers
Max Nieuwdorp
Adriaan G. Holleboom
Aart J. Nederveen
Oliver J. Gurney-Champion
author_facet Marian A. Troelstra
Anne-Marieke Van Dijk
Julia J. Witjes
Anne Linde Mak
Diona Zwirs
Jurgen H. Runge
Joanne Verheij
Ulrich H. Beuers
Max Nieuwdorp
Adriaan G. Holleboom
Aart J. Nederveen
Oliver J. Gurney-Champion
author_sort Marian A. Troelstra
collection DOAJ
description Recent literature suggests that tri-exponential models may provide additional information and fit liver intravoxel incoherent motion (IVIM) data more accurately than conventional bi-exponential models. However, voxel-wise fitting of IVIM results in noisy and unreliable parameter maps. For bi-exponential IVIM, neural networks (NN) were able to produce superior parameter maps than conventional least-squares (LSQ) generated images. Hence, to improve parameter map quality of tri-exponential IVIM, we developed an unsupervised physics-informed deep neural network (IVIM3-NET). We assessed its performance in simulations and in patients with non-alcoholic fatty liver disease (NAFLD) and compared outcomes with bi-exponential LSQ and NN fits and tri-exponential LSQ fits. Scanning was performed using a 3.0T free-breathing multi-slice diffusion-weighted single-shot echo-planar imaging sequence with 18 b-values. Images were analysed for visual quality, comparing the bi- and tri-exponential IVIM models for LSQ fits and NN fits using parameter-map signal-to-noise ratios (SNR) and adjusted R2. IVIM parameters were compared to histological fibrosis, disease activity and steatosis grades. Parameter map quality improved with bi- and tri-exponential NN approaches, with a significant increase in average parameter-map SNR from 3.38 to 5.59 and 2.45 to 4.01 for bi- and tri-exponential LSQ and NN models respectively. In 33 out of 36 patients, the tri-exponential model exhibited higher adjusted R2 values than the bi-exponential model. Correlating IVIM data to liver histology showed that the bi- and tri-exponential NN outperformed both LSQ models for the majority of IVIM parameters (10 out of 15 significant correlations). Overall, our results support the use of a tri-exponential IVIM model in NAFLD. We show that the IVIM3-NET can be used to improve image quality compared to a tri-exponential LSQ fit and provides promising correlations with histopathology similar to the bi-exponential neural network fit, while generating potentially complementary additional parameters.
first_indexed 2024-04-11T11:49:46Z
format Article
id doaj.art-7d3f47e3e2a64397869ab0de5bffe129
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-04-11T11:49:46Z
publishDate 2022-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-7d3f47e3e2a64397869ab0de5bffe1292022-12-22T04:25:24ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-09-011310.3389/fphys.2022.942495942495Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver diseaseMarian A. Troelstra0Anne-Marieke Van Dijk1Julia J. Witjes2Anne Linde Mak3Diona Zwirs4Jurgen H. Runge5Joanne Verheij6Ulrich H. Beuers7Max Nieuwdorp8Adriaan G. Holleboom9Aart J. Nederveen10Oliver J. Gurney-Champion11Department of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Pathology, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, NetherlandsDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, NetherlandsRecent literature suggests that tri-exponential models may provide additional information and fit liver intravoxel incoherent motion (IVIM) data more accurately than conventional bi-exponential models. However, voxel-wise fitting of IVIM results in noisy and unreliable parameter maps. For bi-exponential IVIM, neural networks (NN) were able to produce superior parameter maps than conventional least-squares (LSQ) generated images. Hence, to improve parameter map quality of tri-exponential IVIM, we developed an unsupervised physics-informed deep neural network (IVIM3-NET). We assessed its performance in simulations and in patients with non-alcoholic fatty liver disease (NAFLD) and compared outcomes with bi-exponential LSQ and NN fits and tri-exponential LSQ fits. Scanning was performed using a 3.0T free-breathing multi-slice diffusion-weighted single-shot echo-planar imaging sequence with 18 b-values. Images were analysed for visual quality, comparing the bi- and tri-exponential IVIM models for LSQ fits and NN fits using parameter-map signal-to-noise ratios (SNR) and adjusted R2. IVIM parameters were compared to histological fibrosis, disease activity and steatosis grades. Parameter map quality improved with bi- and tri-exponential NN approaches, with a significant increase in average parameter-map SNR from 3.38 to 5.59 and 2.45 to 4.01 for bi- and tri-exponential LSQ and NN models respectively. In 33 out of 36 patients, the tri-exponential model exhibited higher adjusted R2 values than the bi-exponential model. Correlating IVIM data to liver histology showed that the bi- and tri-exponential NN outperformed both LSQ models for the majority of IVIM parameters (10 out of 15 significant correlations). Overall, our results support the use of a tri-exponential IVIM model in NAFLD. We show that the IVIM3-NET can be used to improve image quality compared to a tri-exponential LSQ fit and provides promising correlations with histopathology similar to the bi-exponential neural network fit, while generating potentially complementary additional parameters.https://www.frontiersin.org/articles/10.3389/fphys.2022.942495/fullmagnetic resonance imagingdiffusion magnetic resonance imagingnon-alcoholic fatty liver diseaseintravoxel incoherent motion (IVIM)deep learningtri-exponential
spellingShingle Marian A. Troelstra
Anne-Marieke Van Dijk
Julia J. Witjes
Anne Linde Mak
Diona Zwirs
Jurgen H. Runge
Joanne Verheij
Ulrich H. Beuers
Max Nieuwdorp
Adriaan G. Holleboom
Aart J. Nederveen
Oliver J. Gurney-Champion
Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease
Frontiers in Physiology
magnetic resonance imaging
diffusion magnetic resonance imaging
non-alcoholic fatty liver disease
intravoxel incoherent motion (IVIM)
deep learning
tri-exponential
title Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease
title_full Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease
title_fullStr Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease
title_full_unstemmed Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease
title_short Self-supervised neural network improves tri-exponential intravoxel incoherent motion model fitting compared to least-squares fitting in non-alcoholic fatty liver disease
title_sort self supervised neural network improves tri exponential intravoxel incoherent motion model fitting compared to least squares fitting in non alcoholic fatty liver disease
topic magnetic resonance imaging
diffusion magnetic resonance imaging
non-alcoholic fatty liver disease
intravoxel incoherent motion (IVIM)
deep learning
tri-exponential
url https://www.frontiersin.org/articles/10.3389/fphys.2022.942495/full
work_keys_str_mv AT marianatroelstra selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT annemariekevandijk selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT juliajwitjes selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT annelindemak selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT dionazwirs selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT jurgenhrunge selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT joanneverheij selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT ulrichhbeuers selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT maxnieuwdorp selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT adriaangholleboom selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT aartjnederveen selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease
AT oliverjgurneychampion selfsupervisedneuralnetworkimprovestriexponentialintravoxelincoherentmotionmodelfittingcomparedtoleastsquaresfittinginnonalcoholicfattyliverdisease