31P-MRI using A Spectrally Selective 3D non-Cartesian FLORET Sequence at 7 T
Prodromos Parasoglou1, Ryan Brown1,2, and Guillaume Madelin1

1Department of Radiology, New York University School of Medicine, New York, NY, United States, 2NYU WIRELESS, Polytechnic Institute of New York University, Brooklyn, NY, United States

Synopsis

We developed a spectrally selective 3D non-Cartesian FLORET pulse sequence to map phosphorus-containing metabolites in the human tissue. In particular, through this highly efficient pulse sequence we mapped phosphocreatine and γ-adenosine triphosphate at 1.4 cm isotropic nominal voxel size in the human brain. In addition, we were able to map phosphocreatine in the skeletal muscle during exercise and recovery with 6 s temporal resolution. We showed that spectrally selective 3D-FLORET is an efficient pulse sequence that can be used to image 31P-containing metabolites in the human tissue when high spatiotemporal resolution is needed.

Purpose

To develop and implement an efficient pulse sequence for high-resolution 3D imaging of phosphorus containing metabolites in the human tissue.

Background

Phosphorus (31P) magnetic resonance spectroscopy (MRS) and imaging (MRI) techniques offer unique opportunities for evaluating tissue metabolism in health and disease.1,2 They allow direct detection and quantification of high-energy phosphates such as phosphocreatine (PCr) and adenosine triphosphate (ATP),3 and the ATP synthesis hydrolysis cycle (ATPase).4 31P-MR data typically suffer from low signal-to-noise ratio (SNR) due to the low concentration of 31P containing metabolites and the low MR sensitivity associated with the 31P nucleus. As a result, 31P-MR signal in the human tissue is approximately four orders of magnitude lower than 1H signal. Therefore, undesirable compromises in spatial resolution and coverage have been made in order to perform 31P-MR within reasonable acquisition times. Multiple voxel 31P-MR data are typically acquired through chemical shift imaging approaches, which are inherently slow. In this work, we developed and implemented a fast 31P-MRI approach based on the 3D non-Cartesian FLORET pulse sequence.5 Using this method, we imaged the human brain with 1.4 cm nominal isotropic resolution. We also imaged the exercising lower-leg muscles with a 6 s temporal resolution.

Methods

We performed all imaging experiments on a whole-body 7 Tesla scanner (MAGNETOM, Siemens Medical Solutions, Erlangen, Germany). Our FLORET sequence used a narrowband Gaussian shaped pulse (duration: 6 s; bandwidth: 250 Hz) in order to excite a single metabolite of the 31P spectrum. We imaged the brain using an in-house developed dual-tuned (31P/1H) array.6 We acquired images of single metabolites (i.e. PCr and γ-ATP) with 1.4 cm nominal isotropic resolution with the following parameters: TR = 5 s for PCr and 2 s for γ-ATP, FA = 75o, three hubs at 45o, with 10 interleaves per hub, and a total acquisition time of 15 min per metabolite. To image PCr levels of the exercising lower-leg muscles, we used a commercial dual-tuned quadrature volume coil (Rapid MRI, Ohio). Subjects performed a 2 min plantar flexion exercise using an in-house developed MR compatible ergometer. We collected images serially, before (baseline), during, and after completion of the exercise. The total time of image acquisition was 10 minutes. Acquisition parameters of the FLORET sequence were: TR = 0.4 s, FA = 25o, 1.6 cm isotropic resolution, acquisition time per image: 6 s, one hub at 90o, and 15 interleaves.

Results

Single metabolite images in the brain acquired using our spectrally selective 3D-FLORET sequence are shown in Figure 1. The pseudo-SNR of the PCr image was 20.1 ± 4.5, which was calculated as the mean signal divided by the standard deviation of the noise background. The ratio of PCr-to-γ-ATP was 1.5 ± 0.1, which was in good agreement with previously reported values.7 PCr images of the lower-leg muscles at rest, at the end of the plantar flexion and after recovery are shown in Figure 2, together with the signal evolution of PCr in a region-of-interest drawn in the gastrocnemius muscle.

Discussion

We developed and implemented a spectrally selective 3D-FLORET sequence for imaging 31P containing metabolites in human tissue. This highly efficient pulse sequence allowed us to map PCr and γ-ΑTP at 1.4 cm isotropic nominal resolution. To the best of our knowledge, such resolution has only been reported previously at 9.4 Tesla using a mono-tuned volume coil.7 While testing the 3D-FLORET sequence, we also attempted to image PCr and γ-ATP in the brain using a spectrally selective turbo spin echo (TSE) sequence. While this sequence has been very effective for imaging skeletal muscle,8 it only yielded very poor signal in the brain. This could be attributed to the short transverse relaxation times in the brain compared to the skeletal muscle.9,10 In the skeletal muscle, we were able to map PCr during exercise and recovery with 6 s temporal resolution. Previous imaging approaches, based on Cartesian k-space sampling, allowed imaging of PCr at 10 – 12 s temporal resolution.11,12 High temporal resolution through 3D-FLORET imaging could allow more precise estimation of PCr resynthesis rate, a marker of oxidative capacity of the muscle.

Conclusion

Spectrally selective 3D-FLORET is an efficient pulse sequence for imaging 31P-containing metabolites in the human tissue when high spatiotemporal resolution is needed.

Acknowledgements

This study was supported by NIH grant RO1 DK106292, and was performed under the rubric of the Center of Advanced Imaging Innovation and Research (CAI2R), a NIBIB Biomedical Technology Resource Center (NIH P41 EB017183).

References

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12.Schmid AI, et al. Magn Reson Med 2015; DOI 10.1002/mrm.25822

Figures

1H and single metabolite 31P images (15 min acquisition per metabolite) using a spectrally selective 3D-non uniform FLORET sequence: A) sagittal 1H image (left) and coregistered images of PCr (middle), and γ-ATP (right). B) axial 1H image and co-registered PCr and γ-ATP images.

A) PCr signal in a cross-section of the lower leg at rest (6 s) at the end of a 2 min plantar flexion exercise (162 s) and after recovery (342 s). B) PCr signal in the gastrocnemius muscle. The gray area represents the 2 min exercise period.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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