Hoby Patrick Hetherington1, Tiejun Zhao2, Victor Yushmanov1, and Jullie Pan3
1Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 2Siemens Medical Systems, New York, NY, United States, 3Neurology, University of Pittsburgh, Pittsburgh, PA, United States
Synopsis
To provide near whole brain coverage for both anatomical imaging and
MRSI we used an 8x2 transceiver array with 8 independent RF channels and eight 1 to 2 splitters. This configuration provided a
homogeneous RF distribution (<12% SD, 750Hz peak B1) while enabling
3D RF shimming based outer volume suppression to minimize extra-cerebral lipid signals. MRSI data was acquired at 7T from control subjects and patients with mTBI with a multi-band MRSI sequence (four simultaneous slices) using two RF distributions. Increases in choline/NAA were seen in both
the anterior frontal lobe and the hippocampi.Purpose
Achieving
adequate B
1 amplitude, homogeneity and coverage are critical components
for MRSI at 7T. Previously we demonstrated that RF shimming with an 8 element
transceiver array enables peak B1 amplitudes of a 1.0 kHz at
moderate peak total powers (2-4kW) and RF shimming based outer volume
suppression for MRSI[1]. However, to maintain high efficiency, an 8
element transceiver array is inherently limited and does not provide simultaneous
homogeneous whole brain coverage. Further, due to limited homogeneity in the
axis along the coil, RF shimming based outer volume suppression typically
requires multiple RF shim values. Combined these factors make multi-slice or 3D
acquisitions challenging. To extend the coverage for both anatomical imaging
and MRSI we used an 8x2
transceiver array [2] (Fig. 1A) that provides homogeneous whole brain coverage
for multiband excitation and enables 3D RF shimming based outer volume suppression
to minimize contamination from extra-cerebral lipids.
Methods
All
data were acquired on an 8 channel parallel transmit 7T Siemens human MRI system
using an 8x2 transceiver array and a higher order shim insert (Resonance
Research Inc.). Using 8 independent RF channels the 16 coil transceiver array was
driven using eight 1 to 2 splitters. In this configuration (Fig 1B), each
independent RF channel drives two coils (same “column” across 2 rows). A
homogeneous (Fig 2A) and ring distribution (Fig 2B) are achieved using RF
shimming without gradients. A multi-band MRSI acquisition (Fig
3;TR/TE=1500/30ms) was used to excite 4 contiguous slices (8mm thick, 2mm gap)
that are un-aliased using the sensitivity profile of the individual coils. Four
cascaded RF excitation pulses are used to provide high peak B
1 and
minimize chemical shift registration artifacts. The phase of each excitation
pulse is toggled by 180 degrees in phase depending upon the values of kx
and ky to distribute the aliased signals from each slice in both phase encoding
directions (Fig. 3). This minimizes slice overlap and contamination. The excitation
and refocusing pulses were driven with the homogeneous distribution. A single
broad-band semi-selective refocusing pulse is used for water suppression. Outer
volume suppression is provided by a double inversion recovery sequence using the
ring distribution.
Data
were acquired from 5 control subjects and 5 subjects with mild traumatic brain
injury (mTBI). Using the homogenous distribution a B
1 amplitude of 750Hz
was achieved (11.8% SD – Fig 2A) over the entire cerebrum using less than 160V
per channel (before splitting). The ring distribution was achieved using less
than 80V per channel. Displayed in Fig. 4 are representative MRSI data from a
healthy control and an MRI negative subject with mTBI. The spectrum from frontal gray matter demonstrates a large increment in the choline/NAA ratio,
consistent with axonal and neuronal injury, despite being MRI negative. For
mTBI, where the site of injury is variable and cannot be routinely identified
by clinical MRI, providing extended brain coverage for MRSI is critical. To
further evaluate the extent to which a single set of RF shim values (I.e. those
used for the MB-MRSI) could also be used for more inferior locations and
oblique slices we also acquired single slice MRSI data along the hippocampi. Despite
the use of an oblique slice orientation excellent spectral quality and lipid
suppression was obtained from the hippocampi (Fig. 5). Elevations in choline/NAA were also detected from anterior hippocampal regions in the
subjects with mTBI consistent with previous reports in veterans with mTBI [3].
The
8x2 transceiver array provides for near whole brain homogeneous coverage and RF
shimming based outer volume suppression. The spatial extent of the homogeneous
and ring distributions enables multi-band excitations to be used for MRSI.
Using phase toggling to distribute the aliased data in two dimensions enables a
multiband factor of 4 to be used while preserving spectral quality. We have
used these methods to identify areas of axonal and neuronal injury (increased
choline/NAA) in MRI negative subjects with mTBI.
Acknowledgements
NIH R01-NS081772, R01-EB011639,
R01-NS090417References
1. Hetherington, H.P., et al., RF shimming for spectroscopic localization
in the human brain at 7 T. Magn Reson Med, 2010. 63(1): p. 9-19.
2. Avdievich,
N.I., Transceiver-Phased Arrays for Human
Brain Studies at 7 T. Appl Magn Reson, 2011. 41(2-4): p. 483-506.
3. de
Lanerolle, N.C., et al., Concussive brain
injury from explosive blast. Ann Clin Transl Neurol, 2014. 1(9): p. 692-702.