Vessel segmentation for X-separation

$\chi$-separation is an advanced quantitative susceptibility mapping (QSM) method that is designed to generate paramagnetic ($\chi_{para}$) and diamagnetic ($|\chi_{dia}|$) susceptibility maps, reflecting the distribution of iron and myelin in the brain. However, vessels have shown artifacts, interfering with the accurate quantification of iron and myelin in applications. To address this challenge, a new vessel segmentation method for $\chi$-separation is developed. The method comprises three steps: 1) Seed generation from $\textit{R}_2^*$ and the product of $\chi_{para}$ and $|\chi_{dia}|$ maps; 2) Region growing, guided by vessel geometry, creating a vessel mask; 3) Refinement of the vessel mask by excluding non-vessel structures. The performance of the method was compared to conventional vessel segmentation methods both qualitatively and quantitatively. To demonstrate the utility of the method, it was tested in two applications: quantitative evaluation of a neural network-based $\chi$-separation reconstruction method ($\chi$-sepnet-$\textit{R}_2^*$) and population-averaged region of interest (ROI) analysis. The proposed method demonstrates superior performance to the conventional vessel segmentation methods, effectively excluding the non-vessel structures, achieving the highest Dice score coefficient. For the applications, applying vessel masks report notable improvements for the quantitative evaluation of $\chi$-sepnet-$\textit{R}_2^*$ and statistically significant differences in population-averaged ROI analysis. These applications suggest excluding vessels when analyzing the $\chi$-separation maps provide more accurate evaluations. The proposed method has the potential to facilitate various applications, offering reliable analysis through the generation of a high-quality vessel mask.

$χ$-sepnet: Deep neural network for magnetic susceptibility source separation

Magnetic susceptibility source separation ($\chi$-separation), an advanced quantitative susceptibility mapping (QSM) method, enables the separate estimation of para- and diamagnetic susceptibility source distributions in the brain. The method utilizes reversible transverse relaxation (R2'=R2*-R2) to complement frequency shift information for estimating susceptibility source concentrations, requiring time-consuming data acquisition for R2 in addition R2*. To address this challenge, we develop a new deep learning network, $\chi$-sepnet, and propose two deep learning-based susceptibility source separation pipelines, $\chi$-sepnet-R2' for inputs with multi-echo GRE and multi-echo spin-echo, and $\chi$-sepnet-R2* for input with multi-echo GRE only. $\chi$-sepnet is trained using multiple head orientation data that provide streaking artifact-free labels, generating high-quality $\chi$-separation maps. The evaluation of the pipelines encompasses both qualitative and quantitative assessments in healthy subjects, and visual inspection of lesion characteristics in multiple sclerosis patients. The susceptibility source-separated maps of the proposed pipelines delineate detailed brain structures with substantially reduced artifacts compared to those from conventional regularization-based reconstruction methods. In quantitative analysis, $\chi$-sepnet-R2' achieves the best outcomes followed by $\chi$-sepnet-R2*, outperforming the conventional methods. When the lesions of multiple sclerosis patients are assessed, both pipelines report identical lesion characteristics in most lesions ($\chi$para: 99.6% and $\chi$dia: 98.4% out of 250 lesions). The $\chi$-sepnet-R2* pipeline, which only requires multi-echo GRE data, has demonstrated its potential to offer broad clinical and scientific applications, although further evaluations for various diseases and pathological conditions are necessary.

A human brain atlas of chi-separation for normative iron and myelin distributions

Iron and myelin are primary susceptibility sources in the human brain. These substances are essential for healthy brain, and their abnormalities are often related to various neurological disorders. Recently, an advanced susceptibility mapping technique, which is referred to as chi-separation, has been proposed successfully disentangling paramagnetic iron from diamagnetic myelin, opening a new potential for generating iron map and myelin map in the brain. Utilizing this technique, this study constructs a normative chi-separation atlas from 106 healthy human brains. The resulting atlas provides detailed anatomical structures associated with the distributions of iron and myelin, clearly delineating subcortical nuclei and white matter fiber bundles. Additionally, susceptibility values in a number of regions of interest are reported along with age-dependent changes. This atlas may have direct applications such as localization of subcortical structures for deep brain stimulation or high-intensity focused ultrasound and also serve as a valuable resource for future research.