GluCEST imaging at 7.0T has been promising in clinical applications as demonstrated in small subset of temporal lobe epilepsy subjects and in early psychosis. However, these studies employed 2D GluCEST limiting to single slice and limited coverage of anatomy of interest. Here, we tried to implement the partial 3D GluCEST in order to capture the glutamate contrast from the entire hippocampus as opposed to single slice in the same amount of time.
All of the human studies were conducted under an approved Institutional Review Board study protocol. Five volunteers (4M, 1F) aged between 25-67 years participated in the study. The study protocol consisted of the following steps: a localizer, MPRAGE and T2-weighted imaging followed by 3D GluCEST. 3D GluCEST was performed on oblique slab covering the entire hippocampus in 7.0T Siemens scanner with a 32 channel phased array head coil using Siemens turbo flash sequence with a saturation preparation segment followed by a turbo flash read out (12) on an axial slice with the following parameters: number of slices = 12, slice thickness = 2mm, in-plane resolution = 1x1mm2, matrix size = 240x180, GRE readout TR/TE = 3.5/1.79ms, averages = 1, shot TR = 6000ms, dummy shots = 2, shots per slice = 3, PAT mode = GRAPPA, Acceleration factor PE = 2, Reference lines PE = 24, Elliptical scanning = on, Reordering = combined slice and phase encode spiral, and a saturation pulse of B1rms = 3.06μT with 800ms long saturation pulse train consisting of a series of 99ms Hanning windowed saturation pulses with a 1ms inter pulse delay (100ms pulse train). CEST images were acquired from ±1.8 to ±4.2ppm (water set at 0ppm) with a step-size of 0.3ppm and also at ±20 & 100ppm. To compute B0 maps water saturation shift referencing (WASSR) images (13) were collected from ±0 to ±1ppm (step-size 0.1ppm) with a saturation pulse of B1rms = 0.29μT with 200ms duration and imaging parameters identical to those used for CEST as described above. MP2RAGE which is a 2D multi-slice Siemens product sequence was used with the same spatial parameters as described for CEST to generate a T1 map which was further used for segmentation of gray and white matter for in vivo data. A relative B1 map was generated using square preparation pulses with flip-angles of 20°, 40° and 80°. The total acquisition time for the CEST images, and B0 and B1 field maps was approximately 10 min for each imaging session. GluCEST contrast map for the imaging slice were generated using in-house MATLAB routines, as described by Cai, K., et al (4).
Phantom: 10 mM Glutamate phantom was prepared at pH 7. For phantom in addition to the 3D GluCEST, 2D GluCEST was also performed with same parameters as above with the exception of being a single slice with a thickness of 4mm and the averages set to 2.
Due to fold over artifacts in the first and last slices in the 3D data set, they were removed from analysis and the data presented are from rest of the slices.
For phantom as shown in Figure 1, the GluCEST contrast from the 2D slice was 4.7 ± 0.4% and the corresponding slices from 3D are 6th & 7th slice and the GluCEST contrast were 4.69 ± 0.4% & 4.64 ± 0.6%, respectively, while the mean GluCEST from all the slices were 4.55 ± 0.08% (range 4.43 - 4.69). Therefore, the contrast loss from 3D GluCEST is negligible when compared to 2D.
One set of representative GluCEST maps from all the slices covering the hippocampus region is shown in Figure 2 with the corresponding region of interest (i.e hippocampus) overlayed as shown in Figure 3. Mean GluCEST from the 3D scan of all the human volunteers from the slices corresponding to right and left hippocampus are 11.21 ± 0.7% (range 10.61% to 12.39%) and 11.56 ± 0.5% (range 10.83% to 12.05%), respectively.
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