Laura Boehmert1, Andre Kuehne2, Helmar Waiczies2, Daniel Wenz1, Thomas Wilhelm Eigentler1, Armin M. Nagel3, and Thoralf Niendorf1,2
1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2MRI.TOOLS GmbH, Berlin, Germany, 3Institute of Radiology, University Hospital Erlangen, Erlangen, Germany
Synopsis
Cardiorenal syndrome (CRS) describes disorders
of the heart and the kidneys in which a dysfunction of one of the organs induces
a dysfunction in the other. Sodium MRI at ultrahigh magnetic fields offers an
appealing strategy to gain a better functional and metabolic understanding of
CRS and detect these diseases earlier. This work describes the design,
construction and application of an 8-channel 1H/23Na RF
coil tailored for cardiorenal imaging at 7.0 Tesla.
Introduction
The cardiorenal syndrome (CRS) defines the
interaction between heart and kidney disorders whereby the dysfunction of one
organ induces a dysfunction of the other organ1.
There is ample evidence to suggest that sodium metabolism changes during CRS.
Measurements of sodium concentrations might provide important
information about pathophysiological changes which could be crucial in
diagnosing and preventing the progression of renal and cardiac diseases2,
3. Ultrahigh field
MRI has the potential to visualize sodium metabolism at a functionally relevant
scale with the use of tailored radiofrequency (RF) coils. To approach this goal this work
focus on the optimization and application of an 8-channel 1H/23Na
RF coil4 for use in
cardiorenal imaging at 7.0 Tesla (T).Methods
The dual-frequency RF
coil described here is composed of a planar posterior section and modestly curved
anterior section. Each section consists of two larger semi rectangular loop
elements tailored for sodium (23Na-channel) and two smaller
loopole-type5 rectangular
elements customized for proton (1H-channel) as demonstrated in Figure 1 A-D. The width of the element
conductors is 10 mm and the layout was manufactured from a copper coated
substrate (FR-4) with a thickness of 1 mm with 35 µm of copper
coating. The total size of the loop array is 310 x 235 mm. The RF coil was
submitted to an independent panel and duly approved for clinical studies.
Bench measurements were
carried out to assess the performance of coil on an eight-channel vector
network analyzer (ZVT 8, Rohde & Schwarz, Memmingen, Germany). S-parameter
were measured for diverse loading conditions (phantom, female and male
volunteers), then exported from the network analyzer, analyzed in MATLAB (The
MathWorks, Natrick, MA, USA) and compared with simulations carried out under
the same conditions (phantom, Ella, Duke). Numerical electromagnetic field
(EMF) and specific absorption ratio (SAR) simulations were performed for both cardiac (Setup 1) and renal (Setup
2) setups (Fig. 1 E, F) using CST
Studio Suite 2018 (CST AG, Darmstadt, Germany). B1+ maps
were acquired using
the phase-sensitive method6 for 23Na
and pre-saturation based B1+ mapping for 1H7.
All MR experiments were carried out on a 7.0T
whole-body MR scanner (Magnetom Siemens Healthineers, Erlangen, Germany). A
density adapted 3D radial sequence (DA-3DPR) was used for sodium imaging8. The scan parameters
were: TR=11ms, TE=0.55ms, FA:70°, Projections=50000, voxel size=(5x5x5)mm³ for renal
MRI, and (6x6x6)mm³ for cardiac MRI, with an acquisition time of: 18min20s. The
scans were carried out under free breathing. Anatomical images were acquired
with a gradient echo technique, with the following scan parameter: Setup 1: TR=4.14ms,
TE=1.84ms, voxel size=(1.4x1.4x4)mm³, 2D CINE mode, number of cardiac phases=30,
acquisition time=16s, Setup 2: TE=3.57ms, TR:130ms, voxel size:(0.8x0.8x3)mm³, field
of view=400mm, acquisition time=31s.Results
Figure 2 shows the average S-parameter
values of the RF coil measured on the bench on four different volunteers and
demonstrate a decoupling level (Sij) below -15.5 dB for 78.6 MHz
and 297.2 MHz for the renal and cardiac MRI setup. The B1+
simulation results for both 1H and 23Na frequencies were
validated in MR experiments. The central transversal B1+ map
profile is shown in Figure 3 for the
simulated and measured B1+ map. They show good agreement
for both frequencies taking into account the losses (-2 to -3.5 dB) caused
by the interface (cables, T/R switch and phase shifting cables).
With the results of the SAR simulations (Figure 4) the input power was limited to 19.8 W at 297.2 MHz
and 48.0 W at 78.6 MHz to stay within the SAR10g limits of 10 W/kg
for the normal operating mode under IEC guidelines9.
Figure 5 shows the 1H and
23Na in vivo images of the
heart and kidney as well as the overlay. 23Na images were acquired in 18 min 20 s with
an isotropic resolution of 5 mm (kidney) and 6 mm (heart).Discussion & Conclusion
The transceiver array described here enables
sodium imaging of the human heart and kidney at 7.0T within clinical acceptable
scan times. Our proof-of-principle study in healthy subjects constitutes a
precursor to broader clinical studies and for further explorations into densely
packed multichannel transceiver coil arrays tailored for 23Na
cardiac and renal MR. Such improvements are an important step toward exploring
the potential of 23Na MRI in the assessment of cardiac and renal
diseases; at 7.0T such studies will help resolve questions regarding Na+
balance and storage in myocardial and renal tissues and provide a novel strategy
toward diagnosing and guiding decisions about treatments for conditions
affecting these tissues.Acknowledgements
This work was supported in part by the
Bundesministerium für Bildung und Forschung (BMBF, German Federal Ministry for
Education and Research; grants 13GW0009A, NAMRIS and 03VP00081, renalMROXY) and
by the Program on personalized medicine (iMED) of the Helmholtz Association.References
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