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 = 75
o, three hubs at 45
o, 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 = 25
o, 1.6 cm isotropic
resolution, acquisition time per image: 6 s, one hub at 90
o, 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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