Irene Marco-Rius1, Peng Cao1, Cornelius von Morze1, Matthew Merritt2, Karlos X Moreno3, Gene-Yuan Chang4, Michael A Ohliger1, David Pearce4, John Kurhanewicz1, Peder EZ Larson1, and Daniel B Vigneron1
1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Department of Biochemistry and Molecular Biology, University of Florida, Gainesville, FL, United States, 3Department of Chemistry, Engineering, Pre-Pharmacy, and Physics, South Texas College, Weslaco, TX, United States, 4Department of Medicine, Division of Nephrology, University of California San Francisco, San Francisco, CA, United States
Synopsis
13C-MR spectra of hyperpolarized [2-13C]dihydroxyacetone (DHAc),
a new agent for imaging gluconeogenesis, was acquired using specialized
acquisition methods in the rat liver and kidney in vivo. Because the resonances originating from the metabolism of
[2-13C]DHAc have a large frequency distribution, we designed a novel
spectral-spatial (SPSP), multi-band excitation pulse that corrects for chemical
shift misregistration, resulting in accurate spatial-spectral selectivity. The
metabolic products phosphoenolpyruvate (PEP) and glycerol 3-phosphate (G3P) were
detected, evidencing metabolism of the hyperpolarized substrate towards the
glycolytic pathway and activity of the enzyme glycerol 3-phosphate
dehydrogenase.Target audience
Researchers interested in hyperpolarized
13C
metabolic imaging and spectroscopy.
Purpose
Recently, [2‑
13C]dihydroxyacetone (DHAc)
has emerged as a promising molecular imaging agent for investigation of gluconeogenesis
1. In perfused livers, [2‑
13C]DHAc rapidly metabolized into
glycerol 3-phosphate (G3P) through dihydroxyacetone phosphate (DHAP) and entered
the gluconeogenic pathway at the glyceraldehyde 3-phosphate (GA3P) position
1. Subsequently, intermediates characteristic of glycolysis and
gluconeogenesis, such as glucose, phosphoenolpyruvate (PEP), pyruvate and lactate
were detected. Since the chemical shift range of [2‑
13C]DHAC and its
metabolic products spans 144 ppm (69-213ppm, over 4.6kHz at 3T), a MR scan with
spatial selectivity as well as a broadband spectral coverage is needed to optimally
detect hyperpolarized (HP) [2‑
13C]DHAc and probe the distribution of
metabolic products in different organs. This study was designed to compare the
distributions of glycolytic and gluconeogenic products in liver and kidney of
fasted rats, using HP [2‑
13C]DHAc MR.
Methods
A specialized RF excitation pulse was designed for
independent flip angle control over five spectral-spatial (SPSP) excitation
bands corrected for chemical shift misregistration effects, leveraging the
sparse nature of the spectra to achieve the desired broadband excitation as
well as the independent flip angle control over multiple frequency bands. The
RF pulse was designed using an in-house software package in Matlab
(TheMathworks Inc., Natick, MA). Technical details of this software have been
reported previously
2,3. Figure 1 shows a 15.2ms RF pulse designed for a 1-cm slab acquired in
a 3T scanner, with the following resonances and their corresponding bandwidths
and flip angles (FA): 213.0ppm ± 2ppm (DHAc), 0º; 151.0ppm ± 1ppm (PEP), 67.5º;
96.1ppm ± 1ppm (DHAc hydrate), 0º; 88.0ppm ± 1ppm (additional resonance), 45º;
and 73.0ppm ± 3ppm (G3P), 45º. The SPSP RF pulse was tested and applied in a 3T
clinical MRI system equipped with 50 mT/m, 200 mT/m/ms gradients and a
broadband RF amplifier to investigate HP [2-
13C]DHAc metabolism in five
24h-fasted Sprague Dawley rats. Dynamic
13C-MRS was acquired using an
optimal flip angle scheme to excite sequentially an axial 1cm-slab across the
liver and an axial 1cm-slab across the kidneys (acquisition parameters: TR=3 s;
FA=20-30º on the metabolic products, 2º on the DHAc hydrate, and 0.3º on the
substrate; receiver bandwidth=10 kHz; number of points=2 k; acquisition started
15 s after the beginning of the substrate injection). An axial 2cm-thick MRS
image was also acquired using the same SPSP RF pulse (acquisition parameters:
TE/TR=10/150 ms; matrix=8x8; FOV=8x8 cm
2; FA=10º; temporal
resolution=3 s/frame; random walk k-space trajectory; 3.8-fold undersampling and
compressed sensing reconstruction).
Results and Discussion
Tests on
13C-phantom solutions showed
that the multi-band SPSP RF pulses provided the desired tailored excitation,
meeting requirements for both spatial and spectral selectivity (Figure 2). Experiments
with HP [2-
13C]DHAc in rat liver and kidney in vivo showed that the five-band SPSP RF pulse allowed for acquisition
of all the resonances of interest simultaneously without chemical shift
misregistration (Figure 3). Therefore, spectral acquisition could be started
during injection of the hyperpolarized agent without saturating DHAc in other
slabs during delivery due to misregistration. The
13C-spectra
obtained with the SPSP RF pulse acquisition in
vivo produced a high-SNR G3P peak, clearly indicating that there was 19
times more G3P in the liver than in the kidney (Table 1, Figure 3c). This is
not a surprising result, since liver is the main regulator of triglyceride production. PEP was also observable, albeit with lower SNR. This study has also
demonstrated the potential of these SPSP RF pulses to perform MR spectroscopic imaging.
As an example, MRSI data localizing the G3P production within the liver is displayed
in Figure 4, and it could be extended to 3D MRSI. This feature would allow
spatial localization of the metabolic signal from within small voxels, while
preserving the spectral selectivity of the resonances of interest.
Conclusion
A specialized multiband SPSP RF pulse covering a
spectral range over 144 ppm enabled in
vivo characterization of HP [2‑
13C]DHAc metabolism
simultaneously in rat liver and kidney. This SPSP design is flexible and with
minor modifications it could be accommodated to fit the spectral profile to
study other metabolites
with
wide spectral distribution, e.g. [2-
13C]pyruvate and its products.
Acknowledgements
We thank Dr. Robert Bok for experimental
help. This work was supported by an intramural UCSF radiology department seed
grant, and NIH grants P41EB013598, P41EB015908, R21EB016197, R37HL34557 and
R01EB016741. CVM was supported by NIH K01DK099451. References
1. Moreno KX, et al.
Real-time detection of hepatic gluconeogenic and glycogenolytic states using
hyperpolarized [2-13C]dihydroxyacetone. J Biol Chem. 2014;289:35859–35867.
2. Larson PEZ, et al.
Multiband excitation pulses for hyperpolarized 13C dynamic chemical shift
imaging. J Magn Reson. 2008;194(1):121–127.
3. Kerr AB, et al.
Multiband spectral-spatial design for high-field and hyperpolarized C-13
applications. In: Proc Intl Soc Mag Reson Med. Vol. 16. Toronto; 2008. p. 226.