Ping-Huei Tsai1,2, Tsai-Jou Su1, Hua-Shan Liu3, Fei-Ting Hsu4, Yu-Chieh Kao5, Chia-Feng Lu6, Hsiao-Wen Chung7, and Cheng-Yu Chen5
1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, 3School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan, 4Department of Biological Science and Technology, China Medical University, Taichung, Taiwan, 5Research Center of Translational Imaging, School of Medicine, Taipei Medical University, Taipei, Taiwan, 6Department of Biomedical Imaging and Radiological Sciences, Yang Ming University, Taipei, Taiwan, 7Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
Synopsis
Information of myelin
content can reflect the microstructural difference between brain white matter (WM)
and gray matter (GM), and particularly facilitating in detection of WM abnormalities
during disease progression. This study aims to optimize a quantitative R2
mapping method of rat brain at 7T MRI and to evaluate the relationship between
the measured R2 values and myelin content in discrepant brain tissues. Our
findings demonstrated that quantitative R2 measurements could be an alternative
to provide information of myelin content in rat brain at 7T, which may have
potential to assess microstructural changes of brain WM and GM in demyelinating
diseases.
Introduction
Information of myelin
content can reflect the microstructural difference between brain white matter (WM)
and gray matter (GM), and particularly facilitating in detection of WM abnormalities
during disease progression [1]. In clinical examination of the
demyelinating diseases, WM lesions have been frequently assessed using
conventional MR T2-weigted FLAIR images, on which hyperintensities indicates
possible underlining neural inflammation and demylination. Although several
advanced imaging techniques, such as myelin water imaging and diffusion-based
schemes, have been proposed [1,2], the specificity is not good and need more
validations due to the complicated pathophysiological mechanism of brain
demyelination. The transverse relaxation rates, R2 (1/T2) values, has been
demonstrated to have the ability to reveal tissue composition and differentiate
the enhancing lesions from normal brain tissues in patients with multiple
sclerosis [3]. However, there is still lack of histological confirmation for further
applications. Therefore, the purpose of this study is to optimize a quantitative
R2 mapping method of rat brain at 7T MRI and to evaluate the relationship
between the measured R2 values and myelin content in discrepant brain tissues. Methods
Four
Sprague Dawley (SD) rats (8 weeks of age) had stand rodent lab chow were
enrolled in this preliminary study. The MR imaging was performed on a 7.0T
animal MR scanner (PharmaScan, Bruker, Erlangen, Germany) with a 72 mm
transmitting coil and a quadrature surface
coil for receiving after anesthesia. After conventional sequences, a multislice multiecho spin-echo imaging was
used to obtain 25 images with different echo time (TE) ranging from 6.5 to 163.6
ms. Other imaging parameters are as follow: TR = 2000 ms, FOV=25x25
mm2, matrix size = 256x256 (zero-filled to 512x512), slice thickness
= 1 mm, NEX = 4, and total scan time less than 1.5 hour. The R2 maps were calculated using the
least-square single exponential curve-fitting method on the Matlab 2013b
software platform. Region-of -interests (ROIs) were manually selected on the
area of the corpus callosum, thalamus, hippocampus, and brain cortex, based on
the previous report [4]. Mean R2 value and the standard deviation of each region
were calculated first. Additionally, immunohistochemical (IHC)
analysis of myelin basic protein (MBP) was performed to assess the discrepant
myelin contents of the brain tissues. Results
The
obtained proton density-weighted (PDW) image and the corresponding R2 map from
one normal rat were shown in Figure 1. Four WM and GM brain structures
abovementioned were selected for further comparison of discrepant myelin
contents. The mean and standard deviations of the R2 values in the corpus
callosum, thalamus, hippocampus, and brain cortex were displayed in Figure 2,
respectively. Significant differences were found in the R2 values among the
four selected brain structures consisting with discrepant myelin contents using
one-way ANOVA analysis conjugated with post-hoc correction (P < 0.05). Figure 3 (a) shows the IHC analysis of the
myelin basic protein (MBP) in rat brains. Dark brown color on the WM, such as corpus
callosum, reveals a more dense MPB content as compared with other GM structures
in the rat. More importantly, a great correlation (R = 0.9435) between the mean
R2 values and the quantified myelin contents in the four regions was shown in
figure 3 (b).Discussion
To
our best knowledge, this is the first report to demonstrate the relationship
between the measured R2 values and quantified myelin content with histological
confirmation in rat brain at 7T. Our findings indicated the feasibility of assessing
information of myelin content in in vivo
rat brain using non-invasive quantitative MR R2 mapping. Although some reports indicated
that R2* mapping could provide information about myelin content as well as
white matter orientation, the results can be dramatically interfered by the field
inhomogeneity and susceptibility effect, restricting further clinical
applications [5]. In our preliminary result, significant differences of the R2
values were shown among the selected WM and GM structures, and the values
correlate well with the quantified myelin content from IHC analysis, suggesting
the possibility of detecting demyelination. To sum up, quantitative R2
measurements could provide information of myelin content in rat brain at 7T,
which may have potential to assess microstructural changes of brain WM and GM in
demyelinating diseases.Acknowledgements
This
study was supported by the Ministry of Science and Technology, Taipei, Taiwan
(MOST 107-2314-B-040-027).
References
1. Bouhrara M, Reiter
DA, Bergeron CM, et al. Evidence of demyelination in milde cognitive impairment
and dementia using a direct and specific magnetic resonance imaging measure of
myelin content. Alzheimers Dement 2018;14(8):998-1004.
2. Jelescu IO, Zurek
M, Winters KV, et al. In vivo quantification of demyelination and recovery
using compartment-specific diffusion MRI metrics validated by electron
microscopy. Neuroimage 2016;132:104-114.
3. Blystad I, Håkansson
I, Tisell A, et al. Quantitative MRI for analysis of active multiple sclerosis
lesions without Gadolinium-based contrast agent. AJNR Am J Neuroradiol
2016;37(1);94-100.
4. Liachenko S, Ramu J. Quantification and
reproducibility assessment of the regional brain T2 relaxation in naïve
rats at 7T. J Magn Reson Imaging 2017;45(3);700-709.
5. Rudko DA, Klassen LM, de Chichera SN, et al.
Origins of R2* orientation dependence in gray and white matter. Proc Nati Acad
Sci USA 2014;111(1):E159-167.