Synopsis
Diffusion MRI that goes beyond DTI is
challenging at 7T due to the short transverse relaxation time. We address this
inherent limitation of 7T by employing asymmetric gradient waveforms for
diffusion encoding, and demonstrate that imaging of microscopic diffusion
anisotropy is feasible at a 7T system.Higher magnetic field-strength (B0)
leads to improved signal-to-noise ratio (SNR). However, a higher B0-field
also reduces the transverse relaxation time (T2) in the brain, which
incurs a SNR penalty on techniques that require long echo times. Imaging of
microscopic diffusion anisotropy is an example of such a technique, since it depends
on the use of strong gradients with long durations to yield sufficient
diffusion encoding [1–4]. Assuming values of T2 in white matter of
70 and 46 ms at 3T and 7T [5], respectively, the ‘break-even’ echo time is
approximately 110 ms. At longer echo times, the benefit of ultra-high fields is
debatable.
The
aim of this work was to investigate the feasibility of microscopic diffusion
anisotropy imaging at 7T. In order to minimize the required echo time, we implemented
asymmetric gradient waveforms, optimized in the framework suggested by Sjögren
et al. [6].
Methods
Diffusion-weighted
imaging was performed in two healthy volunteers (male, 31 years old) on a
Philips Achieva 7T (60 mT/m, 100 T/m/s, 32-channel head coil) and on a
Siemens Prisma 3T (80 mT/m, 200 T/m/s, 20-channel head coil). Diffusion encoding was
performed in a spin-echo sequence with SPIR fat suppression and EPI-readout. Imaging
parameters at 7T were TR=4000 ms, TE=103 ms, SENSE=3, partial Fourier=0.6, resolution=2×2×4
mm
3, slices=9,
b=100, 500,
1000, 1500 and 2000 s/mm
2, resulting in a total scan time of 14 min.
All relevant parameters were approximately equal on the 3T apart from three
parameters: TR=3000 ms, TE=100 ms, GRAPPA=2. Directional encoding was performed
in 20 directions, and the isotropic encoding was repeated 20 times, for each
b-value. Diffusion encoding was achieved by modulating the gradient amplitude
according to Fig. 1, where the waveform is asymmetrical around the refocusing
pulse (i.e., the shape is not identical before/after refocusing), and optimized
to yield effective directional and isotopic encoding during 43 and 37 ms (before/after
refocusing) [6]. This is unlike previous implementations based on magic angle
spinning of the q-vector (qMAS) [7], where a symmetrical encoding design was
used [1,3]. All images were corrected for motion and eddy-currents prior to
analysis [8]. Parameter maps were calculated according to the framework
suggested by Lasic et al. [1]. Briefly, KT is the total kurtosis observed in the
signal, according to KT=3·var(D)/MD2, where var(D) is the variance
of the underlying distribution of apparent diffusion coefficients, and MD is the
mean diffusivity [1,9]. The isotropic and anisotropic kurtosis (KI and KA) are
components of KT that are due to ‘heterogeneous isotropic components’ and
‘microscopic anisotropy’, respectively. Finally, the microscopic fractional
anisotropy was calculated according to µFA=(2/3+4/45/KA)
–1/2,
which may be interpreted as the FA that would be observed in the tissue if all
tissue components were parallel [1,3]. The voxel-wise SNR was estimated from
the isotopically encoded images for
b=2000
s/mm
2 (n = 20).
Results
Figure
2 shows that parameter maps from 3T and 7T systems are qualitatively comparable,
although the present 7T protocol appears more sensitive to imaging artifacts. The
kurtosis maps in particular showed a substantial dependency on field strength,
probably due to difference in relaxation times in CSF. Figures 3 and 4 show the
signal-vs-
b curves measured on the 7T
system in ROIs placed in the corticospinal tract and in the lateral ventricles.
Figure 5 shows the calculated voxel-wise SNR for
b=2000 s/mm
2 at 7T in a single axial slice of the brain
where the average SNR was approximately 8, which is sufficient for accurate
quantification of the microscopic anisotropy.
Discussion and Conclusions
To
our knowledge, we present the first example of microscopic diffusion anisotropy
imaging at a 7T human MRI system. We demonstrate that it is feasible to reach
echo times that are short enough to benefit from the higher signal at the 7T
platform, although additional optimization is warranted to further motivate the
move to 7T. In this project, the use of asymmetrical waveforms were
instrumental since a corresponding isotropic encoding by qMAS would increase
the required echo time from 103 of 155 ms, translating into a signal loss of
approximately 70% in white matter. Moreover, we note that image quality at 7T was
adversely affected by fat artifacts and geometrical distortions. However, the
current implementation is a work in progress, and we expect that such effects
can be alleviated.
In
conclusion, we demonstrated that imaging of microscopic anisotropy is feasible
at 7T provided that asymmetrical waveforms are employed for the diffusion
encoding.
Acknowledgements
The authors acknowledge grants from the National Institutes of Health (R01MH074794, P41EB015902, P41EB015898), the Swedish Research Council (2012-3682, 2014-3910), and the Swedish Foundation for Strategic Research (AM13-0090). The authors acknowledge Philips Healthcare and Siemens Healthcare for granting access to product sequence source code.References
1.
Lasic et al., Front. Physics, 2014, 2:11; 2. Lawrenz et al., NeuroImage, 2015,
109; 3. Szczepankiewicz et al., NeuroImage, 2015, 104; 4. Jespersen et al., NMR
Biomed, 2013, 26:12; 5. Rydhög et al., MagnResonImaging, 2014, 32:10; 6. Sjölund et al., JMR, 2015, in press; 7. Eriksson et al.,
JMR, 2013, 226; 8. Nilsson et al., PlosOne, 2015, 10:10; 9.
Jensen et al., MRM, 2005, 53