A geometric anthropomorphic phantom for quantitative susceptibility mapping: accuracy and repeatability

Quantitative Susceptibility Mapping (QSM) relies on a tissue's underlying macroscopic geometry to lead to measurable orientation-dependent field perturbations. To understand and assess QSM error in vivo, anthropomorphic phantoms provide a useful model that mimic the electromagnetic properties and morphology of underlying tissue. Herein, we designed and manufactured an MRI compatible anthropomorphic phantom with cylindrical and spheroid compartments containing realistic susceptibilities to mimic hemorrhages, calcifications, and blood vessels. We estimated accuracy ({epsilon}, bias, RMSE) and repeatability (RC) of MEDI-susceptibility measurements within ROIs. We evaluated voxel-based agreement to validate susceptibility mapping under different acquisition conditions (3T versus 7T) and reconstruction algorithms (COSMOS versus MEDI). Reliable MEDI-based susceptibility measurements were obtained from ellipsoids but not from straws. The ellipsoids (|{epsilon}| = 0.007 to 0.083 ppm at 3T; 0.050 to 0.118 ppm at 7T) were more accurate than the straws (|{epsilon}| = 0.084 to 0.190 ppm at 3T; 0.105 to 0.160 ppm at 7T). The repeatability coefficient across all 6 ROIs (RC = 0.652 ppm at 3T; 0.459 ppm at 7T) was substantially larger than across the 4 ellipsoid ROIs only (RC' = 0.168 ppm at 3T; 0.141 ppm at 7T). The accuracy at 3T (bias = -0.002 ppm, RMSE = 0.082 ppm) was better than the accuracy at 7T (bias = -0.056 ppm, RMSE = 0.092 ppm). Using voxels from the 4 ellipsoid ROIs, we observed excellent agreement between COSMOS and MEDI susceptibility maps at 3T, with linear regression of y=1.00x-0.01 (r=0.99). We observed some underestimation of MEDI susceptibility maps relative to COSMOS at 7T, with linear regression and y=0.93x-0.04 (r=0.99). The results imply that QSM reconstructions are reliable with 3T scanners but can be challenging with 7T scanners at high magnetic susceptibilities.