Brown adipose tissue (BAT) is a special adipose tissue which burns fat and dissipates energy in heat. As a result, it is considered to be the next potential therapeutic target for treating obesity and other metabolic diseases. The ability of heat dissipation of BAT is thought to be highly related to the BAT activity. In this study, we intended to use MR thermometry to map the temperature change distribution in BAT after activated by Norepinephrine. The preliminary results show the PRFS based thermometry can observe the temperature change in BAT after activation, implying that MR thermometry might be a useful tool to characterize the BAT activity.
Methods:
Four SD rats with age of 11 weeks were used in this study with IRB approval. During the experiments, the rats were anesthetized by isoflurane and the rectal temperature was monitored by using an MR-compatible fluorescent optic-fiber thermometer. Before the experiment, the rat was placed in the MR room over 1 hour for acclimation. The MRI scans were completed using a 3.0T scanner with high performance gradient system (uMR 790, Shanghai United Imaging healthcare, Shanghai, China). A 12-channel rat/mouse coil was used to acquire images. MRI parameters are summarized in Table1. The imaging slices were located in the interscapular area. A total of 60 successive measurements (total time 300 minutes) were acquired. BAT was activated by injecting NE in a dose of 1 mg/kg through intraperitoneal injection immediately after 12th measurement (60 minutes).
A fat-referenced dual-step iterative temperature estimation (DITE) proton resonance frequency shift (PRFS) method4 was adopted to calculate the temperature map of each measurement in the iBAT area identified in the FF image ranging from 20% to 80%. The accuracy and precision performance of this method had been demonstrated using ex vivo BAT experiment4. For each measurement, fat fraction (FF) map could be also generated by DITE method from the separated water and fat images, which was used to monitor the change of fat content in BAT.
Temperature map along with the FF change in iBAT after NE activation was successfully observed by DITE algorithm using a clinical 3.0T system. In contrast to previous studies using spectroscopy which only gave an overall temperature information at each time point, the temperature distribution maps obtained in this study provide the spatial information of the capacity of heat production in activated BAT. Beside, our work was implemented in a clinical 3.0T system rather than ultra-high field system, which might facilitate the translation of relevant studies to human.
In our study, temperature and FF change can be observed simultaneously. It is found that during the activation of BAT, the local temperature increases while the FF decreases, indicating that the fatty acid released from the triglycerides in brown adipocyte were initially the main source of mitochondria. As the local fatty acid is consumed continuously, the main substrates for the heat production were supplemented through the blood circulation, and it was observed that the FF recovered gradually after 60~70 minutes after NE injection.
For our future work, the relationship between the BAT activity and temperature change pattern will be explored, which can be used to assess the ability of activated BAT to resist obesity and other metabolic diseases and evaluate the therapeutic effect of the related drugs in vivo.
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4. Cheng C, Zou C, Wan Q, et al. Dual-step iterative temperature estimation method for accurate and precise fatāreferenced PRFS temperature imaging[J]. Magnetic resonance in medicine, 2018.