Tsang-Wei Tu1, Wael Ibrahim1, Neekita Jikaria1, William Reid1, George Z. Papadakis1, Dima Hammoud 1, and Joseph A. Frank1
1Radiology and Imaging Sciences, National Institutes of Health, Bethesda, MD, United States
Synopsis
The present glucose
measurements from the brain are still insufficient to provide the
essential spatial-temporal information. This study presents longitudinal
glucose chemical exchange saturation transfer (glucoCEST) MRI to noninvasively
detect the glucose metabolism in a rat model of mild traumatic brain injury (mTBI) and compares
to the gold-standard 2-deoxyglucose (2DG) autoradiography. The current
glucoCEST results parallel with 2DG-autoradiography results showing glucose
uptake largely decreased after mTBI, that persisted over time. GlucoCEST is
capable of delivering better image quality, higher image resolution and
sensitivity to identify the potential window for effective treatments to
increase the survival of injured brain.Purpose
Currently, the glucose
measurements from the brain are mostly invasive or insufficient to provide high
spatial-temporal information to interrogate areas of the brain. This study performed
non-invasive glucose chemical exchange saturation transfer (glucoCEST) MRI without
the need for a radioisotope and compared the results with the 2-deoxyglucose (2DG)
autoradiography for measuring glucose levels in the rat model of mild traumatic
brain injury (mTBI).
Methods
Female 10-week-old SD rats (n=15) had
mTBI using a 2m height/450g weight drop model. DTI and glucoCEST were acquired
in vivo using a Bruker 7T scanner at baseline, 1, 10, 20, and 30
days-post-injury (DPI). Parameters for DTI: 3D spin echo EPI; TR/TE 700ms/37ms;
b-value 800s/mm
2 with 17 encoding directions; voxel size 200 (μm, isotropic). Diffusion
weighted images were corrected for B
0 susceptibility induced EPI distortion,
eddy current distortions, and motion distortion with b-matrix reorientation
using Tortoise.
1 CEST data were corrected for B0/B1 field inhomogeneity and WASSR water referencing.
2 Parameter for glucoCEST: 2D fast spin echo with (M
T)
and without (M
0) magnetization transfer (MT) pulses
(TR/TE 3.5s/11.5ms; in plane resolution: 200µm, thickness: 0.8mm; MT pulse: 2μT,
2s). The MT offset frequences (Δω) were set from -2kHz to +2kHz with 100Hz
stepping to detect the proton metabolites of glucose (1.2ppm, 2.1ppm, 2.9ppm).
3
Fractional anistropy (DTI-FA) and the asymmetry of magnetization transfer ratio
(MTR
asym) were derived for mapping diffuse axonal injury (DAI) and
glucose levels. After each scan, 3 rats were selected and processed for 2DG
autoradiography (2DG-ARG). One-way ANOVA with repeated measures was performed
by Prism v6.0. Except for those processed by the aforementioned software, all
other imaging data were processed via in house Matlab scripts.
Results
Longitudinal T2W images were not different
following mTBI, except for the subcutaneous edema at 1DPI showing hyperintensity
(Fig 1A). DTI-FA maps clearly showed DAI in corpus callosum (outlined) from
mTBI (Fig 1B). Compared to the baseline, the MTR
asym maps for glucoCEST
revealed the glucose levels post injury that persisted up to 30DPI (Fig 1C).
2DG-ARG demonstrates a comparable trend of glucose levels indicating the hypometabolic areas following mTBI
with nadir at 10DPI (Fig 1D). Compared to the baseline
level, DTI-FA decreased 18% in corpus callosum at day 1 after trauma (Fig 2A). The
MTR
asym progressively
decreased down to 42% from day 1 to day 20 (Fig 2B). After reaching the lowest
level at day 20, MTR
asym slightly returned to
63% of the baseline at day 30. 2DG-ARG substaintiates this trend
showing comparable results that the lowest glucose uptake was seen at 10DPI and
then normalized at 30DPI (Fig 2C).
Discussion
In mild TBI,
energy substrate supply and consumption is crucial for the survival of
traumatized brain. The widespread hypometabolism
could affect the brain functions in learning and
memory and result in progressive cerebral atrophy. The current glucoCEST results
parallel with 2DG-autoradiography data showing glucose uptake largely decreased
after TBI that persisted over 30 days. GlucoCEST produced higher image resolution and
sensitivity MR images to monitor the changes of glucose metabolism in vivo, and
be used to identify the potential window for effective treatments to increase the
survival of stunned or injured parenchyma.
Acknowledgements
No acknowledgement found.References
[1] Irfanoglu, Med Image Comput
Comput Assist Interv, 2008; 11:1041-22. [2] Kim, MRM 2009 Jun;61(6):1441-50. [3] Walker-Samuel, Nat.Med, 2013; 19:1067-72.