Fast measurement of blood T1 in the internal carotid artery at 3T
Wenbo Li1,2, Peiying Liu1, Hanzhang Lu1, John J. Strouse3, Peter C.M. van Zijl1,2, and Qin Qin1,2

1Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Division of Pediatric Hematology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Synopsis

The knowledge of arterial blood T1 is important to quantify cerebral blood flow with ASL or the inversion time for VASO experiments. We used a fast blood T1 protocol to measure the arterial T1 values in the internal carotid artery in vivo. Ex-vivo experiments were conducted to validate our method. Excellent correlation and agreement was found between in vivo and ex vivo results. The group-averaged arterial blood T1 value over 9 healthy volunteers was 1864+/-92ms (Hct=0.41+/-0.04), which is 200 ms longer than the widely adopted number obtained from bovine blood experiments. The arterial T1 value per subject was found to have significant correlation with the individual Hct values.

INTRODUCTION

The T1 value of blood is an important parameter in several vascular imaging sequences such as arterial spin labeling to cerebral blood flow (CBF)1, vascular space occupancy (VASO) MRI to measure cerebral blood volume (CBV)2, and black-blood angiography3. At present, the standard practice is assuming a constant blood T1 across all individuals. However, blood T1 is known to have dependence on hematocrit (Hct) (e.g. due to individual variation or in anemia or polycythemia) and oxygenation4-5 (e.g. in ischemia), and may vary with abnormal blood composition (e.g. in sickle cell disease). Here, we used a fast method to measure blood T1 in the internal carotid artery (ICA) in vivo, and verify the measurements with the ex vivo experiments from the participants’ sampled blood.

METHODS

The arterial T1 was measured using the fast inversion recovery technique that has been previously used at internal jugular vein (IJV)7, in which multiple inversion time points can be acquired rapidly due to constant refreshing of blood (Fig 1a). The main difference between the T1 measurement protocols at ICA and IJV is the position of the subjects. To acquire proper inversion recovery curves from the fast flowing arterial blood, it is crucial to invert all blood within heart, lung, aorta and common carotid before it reaches the ICA. Thus for the measurement of T1 at ICA, subjects need to be centered at the clavicle, instead of the eyes as for the protocol of measuring T1 of IJV (Figs 1b,c,d). To reduce artifacts due to the turbulence of arterial blood, the imaging plane is placed at the ICA above the bifurcation of the common carotid (Fig 1c). Fig 1e shows the acquired inversion recovery curve from the ICA (red) with the whole chest covered by the inversion, compared to the one corrupted by the fresh in-flow effect (black) from the venous protocol with only the whole brain inverted. An inversion pulse with less sensitivity to B0 and B1 inhomogeneities (a 20ms HSn inversion pulse (n=4, b=4, Dw=1250Hz, B1max=13.5mT)9) was employed to ensure more reliable inversion recovery curves. To validate our approach, arterial and venous T1 of 9 healthy volunteers (27-51 years old, 6 females) were measured both in vivo and ex vivo for comparison at a 3T Philips Achieva scanner (body coil for transmission and a 32-channel head coil for reception). In vivo experiments were conducted with multiple-shot TFE acquisition (FOV = 169x169mm2, acquisition matrix=212x210, TFE shot=7, TFE factor=15, flip angle=50o, TR/TE=13/4.9ms, reconstruction resolution 0.8x0.8mm2, slice thickness=5mm, ~1min). The venous T1 was conducted using the protocol reported before7. Following the in-vivo experiments, 4mL blood samples were drawn from the volunteers and oxygenated to 96%-99% before T1 measurements. Oxygenation was again confirmed after the experiment. Traditional inversion-recovery experiments (Fig 2) were performed on these blood samples on the same day of the in vivo scans with a 2s fixed delay between acquisition and the next inversion pulse and TI = [0.2, 0.5, 1, 2, 3, 5, 9, 15]s. To prevent RBC precipitation and temperature variation, the ex vivo experiments were completed within 4 min.

RESULTS

Fig. 3 shows linear regression and Bland-Altman plots of individual’s arterial T1 values measured in vivo comparing to the ones obtained ex vivo. Excellent correlation and agreement across different subjects are demonstrated. As expected, the arterial T1 values measured in vivo correlated significantly with Hct: 1000/T1(ms) = 0.61Hct+0.29 (P=0.006) (Fig. 4). For this group of healthy adult volunteers (Hct=0.41+/-0.04, range: 0.36-0.47), the average arterial T1 was 1864+/-92ms (range: 1720-2037ms) which is 68+/-27ms longer than the venous T1 (1796+/-84ms, range: 1685-1966ms) (Fig. 4).

DISCUSSION AND CONCLUSION

The measured­­ ICA T1 values compare well with a previous arterial T1 study on abdominal aorta (1779+/-80ms with Hct=0.47+/-0.03) using the traditional inversion-recovery method10 and with recent venous values in humans6-8. The averaged arterial T1 value (1864ms with Hct=0.41) is 200ms longer than the result from the ex vivo bovine blood (1664ms with Hct=0.42)4. A recent theoretical model has shown that this is most likely due to increased methemoglobin in the bovine samples11. It is known that CBF values estimated using ASL are negatively correlated with the arterial blood T1 values12. For the highest arterial blood T1 value obtained in this study (2037ms, Hct: 0.36), using an 18% undervalued blood T1 (1664ms) would cause a 34% overestimation of CBF. The proposed fast method can be performed for a subject-based arterial blood T1 determination, When not performing such a determination, we recommend use of 1864ms for T1 of arterial blood.

Acknowledgements

This project was supported by the National Institute of Health (NIH) (P41EB015909 and K25 HL121192).

References

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Figures

Figure 1. a) Pulse diagram for measuring arterial T1. THK=slice thickness; v=blood velocity. b) The volunteer was centered at clavicle. c) angiographic scout image. Imaging plane is perpendicular to ICA. d) one representative image from fast T1 protocol (TI=9850ms). e) Effect of the center location on the arterial T1 measurement.

Figure 2. The experimental setup (a-b) and one representative inversion recovery curve (c) for the ex-vivo blood T1 measurement. The white jar was used as water bath and a 10mm-diameter tube with blood sample was fixed under the black lid

Figure 3. a) correlation and b) agreement (Bland-Altman plot) between arterial blood T1 values measured in vivo and ex vivo

Figure 4. The linear dependence of arterial longitudinal relaxation rate (R1a = 1/T1a) on the Hct (a), and the difference between blood T1 values measured at ICA and IJV from the same subjects (b).



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