Raveena Dhaliwal1,2,3, Daniel J. Korchinski1,2,3, Samuel K. Jensen1,2, V. Wee Yong1,2, and Jeff F. Dunn1,2,3
1Neuroscience, University of Calgary, Calgary, AB, Canada, 2Hotchkiss Brain Institute, Calgary, AB, Canada, 3Radiology, University of Calgary, Calgary, AB, Canada
Synopsis
Multiple Sclerosis requires treatments that stimulate
remyelination and reduce demyelination. Currently, both T1 and the quantitative
magnetization transfer parameter bound pool fraction (f) have been found to correlate
strongly with myelin content but little is known about the sensitivity of these
techniques at different signal to noise ratios. This work demonstrates that T1
is highly sensitive to changes in myelin content but f can miss significant
differences in tissue myelin content at a standard signal to noise. MS treatments should
be developed using a multi-modal approach that combines techniques with high
sensitivity (T1) and those that have high specificity (f).Target Audience:
Researchers and clinicians interested in imaging demyelination and remyelination,
to study treatments of disorders such as Multiple Sclerosis (MS). Specifically
those interested in the utility of T1 and quantitative magnetization transfer
(qMT) in the development of these treatments at clinical and preclinical levels.
Purpose:
To determine the relative sensitivity of T1 and qMT parameters to
demyelination at different signal to noise ratio’s using the lysolecithin model
of MS.
Methods:
Tissue Preparation: 0.5µl of lysolecithin
(Sigma-Aldrich) was injected into the thoracic spinal cord of 5 female C57Bl/6 mice
causing axons to demyelinate
1. Mice were perfusion fixed 7 days
post-injection (peak demyelination).
MRI Parameters:
MRI was done ex-vivo on a 9.4T Bruker Avance console with a 35mm volume coil
(n=5). FLASH-Scout, RARE-Variable TR (VTR) and FLASH qMT images were obtained. (FlASH-Scout: matrix=256x256,
FOV=1.5x1.5cm, TE/TR/α=4ms/200ms/30°, and NEX=7; RARE-VTR: matrix=128x128,
FOV=1.25x1.25cm, TE/α=11ms/180°, TRs=100/300/700/1400/5000ms, NEX=8, and RARE
Factor=2; FLASH qMT: matrix=128x128, FOV=1.25x1.25cm, TE/TR/α=6ms/70ms/10°, and
NEX=32, Off-resonance pulses= (RF amplitudes=5/10/20µT, Frequencies=1000/2000/4000/6000/10
000/ 30 000Hz at each power
2)). Imaging was repeated using a helium cooled
cryo coil (n=3). (FLASH-Scouts: FOV=2.0x2.0cm, TR/α=500ms/45°, and NEX=1. RARE-VTR: TRs=95.5/295.5/695.5/1395.5/4895.5ms,
NEX=2, RARE Factor=2. FLASH qMTs: NEX=7. Note: Parameters not listed were
unchanged between coils).
Analysis: T1 was calculated by
fitting RARE-VTR images to the saturation recovery curve
2. In order
to find the bound pool fraction (f), magnetization transfer images were normalized
and fit to the two-pool model of magnetization transfer with continuous wave
pulse equivalent approximations
2-4. The signal to noise was
calculated by taking the signal of a region of interest and dividing by the
standard deviation of the background. White matter contralateral to the lesion
site was used as a control.
Results:
The cryo coil has a higher signal to noise for all image types (
Table 1). Lesions were visible on
FLASH-Scout images (
Fig. 1). Visually
the T1 appears to higher (whiter) on the T1 map and the bound pool fraction (f)
appears to be lower (darker) on the bound pool fraction map at the lesion site
for both coils (
Fig. 1). Statistically,
the mean T1 was found to be significantly higher at the lesion site compared to
the control site regardless of coil used (p=0.01 for both coils) (
Fig. 2A,
Fig. 2C, respectively). The f
was not found to be significantly different when using the volume coil (p=0.18)
(
Fig. 2B) but it was found to be significantly
lower at the lesion site when using the cryo coil (p=0.004) (
Fig. 2D).
Discussion:
It has previously been shown that bound pool fraction (f) has a stronger
correlation to the myelin content of tissue than the T1
2. In this
study we confirm that both T1 and f can detect changes to the myelin content of
tissue. To the best of our knowledge, this is also the first study to
demonstrate that differences in f require a higher signal to noise for
detection than differences in T1. This higher signal to noise can be difficult
to obtain in both clinical and pre-clinical settings. Imaging was done ex-vivo in this study so that
the same time point could be imaged using two different coils. The chemical
fixation could have caused a decrease in the T1 and increase in the f found
5.
Conclusions:
This works supports the hypothesis that bound pool fraction (f) is not
always the ideal parameter to use when developing therapies that reduce
demyelination for the treatment of MS. Although f has a strong correlation to
tissue myelin content
2 we show that it is possible for this
parameter to miss significant differences due to its high variability at a
standard signal to noise for a volume coil. MS treatments should be developed
using a multi-modal approach that combines techniques with high sensitivity
(T1) and those that have high specificity (f).
Acknowledgements
No acknowledgement found.References
1. Keough,
MB. et al. JOVE 97, (2015).
2. Thiessen,
JD. et al. NMR in Biomedicine, (2013).
3. Henkelman,
RM. et al. Magn. Reson. Med., (1993).
4. Ramani,
A. et al. Magn. Reson. Imaging.
(2002).
5. Schmierer,
K. et al. Magn. Reson. Med., (2008).