Diffusion-weighted fMRI (dfMRI) has been suggested to provide more direct and specific correlates to neuronal activation than BOLD fMRI. However, its underpinnings are debated. A sequence that captures BOLD and dfMRI contrasts simultaneously can play a vital role in elucidating the dfMRI contrast mechanisms. Hence, we developed a sequence that leverages the ultra-strong gradients for diffusion-weighting and spiral-in and spiral-out trajectories to acquire BOLD and dfMRI contrasts near-simultaneously. We demonstrate its functionality using visual stimulation in humans. This novel sequence enables a direct comparison between BOLD and dfMRI contrasts and offers new opportunities to improve our understanding of these contrasts.
The GRANDIOSE sequence was implemented on the Siemens 3T Connectom scanner with 300 mT/m gradients. We used full k-space, time-optimal spiral trajectories12 for all acquisitions and used a field camera (Skope Inc.) for trajectory measurements13. Fig. 1 illustrates two versions of GRANDIOSE. Fig. 1A shows a general schematic, with a spiral-in-and-out14-17 for the SE, with which one could acquire two images to boost the SNR. Alternatively, a single SE readout can be performed with a different resolution than GE as shown in Fig. 1B, which depicts timings of a particular implementation of GRANDIOSE used for the data presented here. We have implemented and tested both these versions (only one is shown).
Three healthy volunteers were scanned with the sequence depicted in Fig. 1B during visual hemifield stimulation18 using the paradigm shown in Fig. 1C, with a 32-channel receive head coil. Five fMRI runs were acquired in each session, with a single b = 50 s/mm2 scan and two repetitions of 800 and 1200 s/mm2 scans. The other sequence parameters were: FOV: 18.2 cm2, Resolution: 3 mm2 for GE and 1.75 mm2 for SE, 13 coronal slices (2 mm thick) covering the visual cortex, left-right (X) diffusion weighting direction. Data were reconstructed using gridding and optimal coil combination. The GE data was reconstructed to the same resolution as SE by zero-padding and filtering in k-space.
After motion correction, high-pass filtering and spatial smoothing (5 mm FWHM), fMRI analysis was carried out using FEAT19. Z (Gaussianised T/F) statistic images were thresholded using clusters determined by Z > 2.3 and a (corrected) cluster significance threshold of P = 0.05. We also obtained ICA results on all the datasets. We calculated the activation volume detected with GE and SE scans for different runs in a single session and estimated percentage signal change (%SC) in the activated voxels.
Discussion
Using ultra-strong gradients and spiral trajectories, we have developed a novel sequence to obtain concurrent GE and SE/dfMRI measurements which can shed new light on the dfMRI contrast mechanisms. We demonstrated its ability to discern different regions of the visual cortex using a hemifield stimulation. Statistics on a GRANDIOSE dataset revealed the expected behaviour of dfMRI contrast, which shows increases in %SC with increasing diffusion-weighting, while the GE response remains constant. We only showed the technical feasibility of GRANDIOSE here and plan to exploit its flexibility in future work to better understand dfMRI.1. Norris DG. Spin-echo fmri: The poor relation? NeuroImage, August 2012, 62:1109-1115.
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