Utilizing 3D Fast Spin Echo Anatomical Imaging to Reduce the Number of Contrast Preparations in $T_{1\rho}$ Quantification of Knee Cartilage Using Learning-Based Methods

Purpose: To propose and evaluate an accelerated $T_{1\rho}$ quantification method that combines $T_{1\rho}$-weighted fast spin echo (FSE) images and proton density (PD)-weighted anatomical FSE images, leveraging deep learning models for $T_{1\rho}$ mapping. The goal is to reduce scan time and facilitate integration into routine clinical workflows for osteoarthritis (OA) assessment. Methods: This retrospective study utilized MRI data from 40 participants (30 OA patients and 10 healthy volunteers). A volume of PD-weighted anatomical FSE images and a volume of $T_{1\rho}$-weighted images acquired at a non-zero spin-lock time were used as input to train deep learning models, including a 2D U-Net and a multi-layer perceptron (MLP). $T_{1\rho}$ maps generated by these models were compared with ground truth maps derived from a traditional non-linear least squares (NLLS) fitting method using four $T_{1\rho}$-weighted images. Evaluation metrics included mean absolute error (MAE), mean absolute percentage error (MAPE), regional error (RE), and regional percentage error (RPE). Results: Deep learning models achieved RPEs below 5% across all evaluated scenarios, outperforming NLLS methods, especially in low signal-to-noise conditions. The best results were obtained using the 2D U-Net, which effectively leveraged spatial information for accurate $T_{1\rho}$ fitting. The proposed method demonstrated compatibility with shorter TSLs, alleviating RF hardware and specific absorption rate (SAR) limitations. Conclusion: The proposed approach enables efficient $T_{1\rho}$ mapping using PD-weighted anatomical images, reducing scan time while maintaining clinical standards. This method has the potential to facilitate the integration of quantitative MRI techniques into routine clinical practice, benefiting OA diagnosis and monitoring.