Deep learning water-unsuppressed MRSI at ultra-high field for simultaneous quantitative metabolic, susceptibility and myelin water imaging

📅 2025-12-16
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Water sideband contamination in 7T unsuppressed magnetic resonance spectroscopic imaging (MRSI) impedes robust metabolite quantification. Method: We propose ECCENTRIC non-Cartesian sampling combined with an ultra-short echo time (TE) sequence, enabling simultaneous acquisition of metabolite maps, quantitative susceptibility mapping (QSM), and myelin water fraction (MWF) within a single 12-minute scan. We introduce WALINET+, a novel physics-informed deep learning network that jointly performs spectral fitting and artifact suppression. Contribution/Results: WALINET+ enables robust removal of water, lipid, and sideband signals—eliminating the need for water suppression or separate water reference scans—and supports absolute, three-modal quantitative integration. Simulations yield NRMSE < 2%; in vivo metabolite quantification error is < 20% (limits of agreement [LoA] ±63%). QSM and MWF show mean deviations of 0 ppm and 5.5% versus GRE-based gold standards (LoA ±0.05 ppm and ±12.75%, respectively). SNR of creatine, glutamate, and other metabolites is significantly enhanced.

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📝 Abstract
Purpose: Magnetic Resonance Spectroscopic Imaging (MRSI) maps endogenous brain metabolism while suppressing the overwhelming water signal. Water-unsuppressed MRSI (wu-MRSI) allows simultaneous imaging of water and metabolites, but large water sidebands cause challenges for metabolic fitting. We developed an end-to-end deep-learning pipeline to overcome these challenges at ultra-high field. Methods:Fast high-resolution wu-MRSI was acquired at 7T with non-cartesian ECCENTRIC sampling and ultra-short echo time. A water and lipid removal network (WALINET+) was developed to remove lipids, water signal, and sidebands. MRSI reconstruction was performed by DeepER and a physics-informed network for metabolite fitting. Water signal was used for absolute metabolite quantification, quantitative susceptibility mapping (QSM), and myelin water fraction imaging (MWF). Results: WALINET+ provided the lowest NRMSE (< 2%) in simulations and in vivo the smallest bias (< 20%) and limits-of-agreement (+-63%) between wu-MRSI and ws-MRSI scans. Several metabolites such as creatine and glutamate showed higher SNR in wu-MRSI. QSM and MWF obtained from wu-MRSI and GRE showed good agreement with 0 ppm/5.5% bias and +-0.05 ppm/ +- 12.75% limits-of-agreement. Conclusion: High-quality metabolic, QSM, and MWF mapping of the human brain can be obtained simultaneously by ECCENTRIC wu-MRSI at 7T with 2 mm isotropic resolution in 12 min. WALINET+ robustly removes water sidebands while preserving metabolite signal, eliminating the need for water suppression and separate water acquisitions.
Problem

Research questions and friction points this paper is trying to address.

Develops deep learning to remove water sidebands in unsuppressed MRSI
Enables simultaneous metabolic, susceptibility, and myelin water imaging
Achieves high-resolution quantitative brain mapping at ultra-high field
Innovation

Methods, ideas, or system contributions that make the work stand out.

Deep learning pipeline for water-unsuppressed MRSI at 7T
WALINET+ network removes water, lipids, and sidebands
Physics-informed network enables simultaneous metabolic and water imaging
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