RAFF4 MRI in detection of demyelinating lesions induced by lysophosphatidyl choline injections in rat
Lauri J Lehto1,2, Alejandra Sierra1, Aloma Albors1, Shalom Michaeli2, Antti Nurmi3, Laura Tolppanen3, Lynn E Eberly4, Silvia Mangia2, and Olli Gröhn1,2

1A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3Charles River Laboratories, Kuopio, Finland, 4Division of Biostatistics, University of Minnesota, Minneapolis, MN, United States

Synopsis

An MRI contrast sensitive to demyelination would be invaluable in assessing a multitude of neurodegenerative diseases. Here, we demonstrate the benefits of a novel rotating frame method entitled Relaxation Along a Fictitious Field in the rotating frame of rank n (RAFFn) in detection of demyelinating lesions induced by lysophosphatidyl choline (LPC) injections in the rat corpus callosum (CC) and dorsal tegmental tract (DTG). RAFFn performed better than magnetization transfer in CC and DTG, and clearly outperformed diffusion tensor imaging in DTG, an area with heterogeneous fiber orientation distribution. Our results demonstrate high potential of RAFFn for imaging demyelinating lesions.

Introduction

Myelin loss or damage is a pathological condition that occurs in a variety of neurological disorders, yet non-invasive MRI techniques for myelin quantification in vivo are underdeveloped. An MRI contrast specifically sensitive to myelin would permit the elucidation of mechanisms of demyelination and remyelination, quantification of neuronal loss, and the development more effective treatments in several neurological diseases. Recently, the relaxation time measured with a novel rotating frame method entitled Relaxation Along a Fictitious Field in the rotating frame of rank n (RAFFn)1,2 was shown to correlate better with myelin content than, e.g., T1, T2 and magnetization transfer (MT) ratio (MTR) in healthy perfused rat brains3 and in assessing dysmyelination in the mouse model of mucopolysaccharidosis I (MPS I)4. The aim of this work was to demonstrate the benefits of RAFFn in assessing demyelination using lysophosphatidyl choline (LPC) induced lesions, where injections of LPC create demyelination lesions with very little inflammation and gliosis. Changes in tissue were verified with histology.

Materials and Methods

Demyelination lesions were induced in rats (Sprague-Dawley, Charles River) using lysophosphatidyl choline (LPC) injections to the corpus callosum (CC; nlesion = 6, nvehicle = 4) which has well-defined fiber orientation and in the dorsal tegmental tract (DTG; nlesion = 6, nvehicle = 4) which has heterogeneous fiber orientations. The vehicles were injected with phosphate-buffered saline. The animals were imaged in vivo three days after injection. RAFF4 pulses were used in the pulse train placed prior to a single slice fast spin echo imaging readout (TR = 4 s, TEeff = 8.3 ms) with ω1max/(2$$$\pi$$$) = 324 Hz. RAFF4 pulse train durations were: 0, 27, 54, 81, 108 ms. For MT, hard pulses (ω1/(2$$$\pi$$$) = 200 Hz) with incremental durations of 0, 0.3, 0.6, 0.9 and 1.2 s were placed +8 kHz from the carrier frequency. DTI parameters were: 42 directions and b = 1000 s/mm2 with EPI readout (TR = 2 s, TEeff = 30 ms, 6 shots). The resolution for all images was 125 x 125 x 500 μm3. After MRI, the animals were perfused and stained for myelin and Nissl, the latter indicating changes in cell density including cell death and gliosis. The changes in MRI metrics were assessed with a region of interest (ROI) analysis.

Results

When comparing lesions induced by LPC in the ipsilateral side versus that of vehicle animals in CC (Fig 1), mean diffusivity (MD) and fractional anisotropy (FA) showed significant differences with the largest contrast (Fig 2) as compared to the other MRI metrics in contrast CTR = [mean higher value – mean lower value]/mean higher value *100%: 36.4% (p < 0.01; MD) and 27.8% (p < 0.01; FA). The CTR with RAFF4 was 20.0% (p < 0.01), while the CTR of MTR and T1sat were 9.2% (p < 0.01) and 7.1% (p < 0.01), respectively. Noticeably, in DTG (Fig 3), DTI metrics did not show significant differences (Fig 4), whereas TRAFF4 showed a significant 26.2% difference (p < 0.01). MTR and T1sat showed lower CTR: 15.1% (p < 0.01) and 11.3% (p < 0.01), respectively. Our histological analysis demonstrated that demyelination and gliosis took place in both CC and DTG, with greater extent of gliosis in DTG (Fig 5).

Discussion

RAFF4 allowed the detection of LPC-injected vs. vehicle differences in MRI contrast in both CC and DTG. Although DTI has been shown to detect myelin loss in highly anisotropic structures such as CC5, a major limitation of DTI is crossing fibers6. Our results demonstrate an advantage of RAFF4 in DTG, where RAFF4 outperforms DTI due to independence of the TRAFFn measures from fiber orientation. We have recently demonstrated that RAFFn is predominantly sensitive to slow / ultra-slow motional regimes2 which allows detection of demyelination processes. Noticeably, RAFFn also outperforms MT in detecting myelin loss which we attribute to its ability to probe slower motional regime as compared to MT4. Furthermore, this regime of motion most likely corresponds to the conformational exchange of methylene groups, which is in the millisecond time scale of motion.

Conclusion

The insensitivity of RAFFn to fiber orientation distribution, excellent sensitivity to myelin content in healthy and pathological tissues, and low SAR1 show the promise of RAFFn to become a useful technique for visualizing demyelinating lesions. Future work will aim at employing a 3D acquisition with later time points to follow also remyelination of the LPC injected animals.

Acknowledgements

We gratefully acknowledge our funders EU H2020,Marie Sklodowska-Curie, #691110; Academy of Finland, NIH grants: P41 EB015894, P30 NS076408; and Fulbright-Saatamoinen Grant in Health and Environmental Science.

References

1. Liimatainen T, Sorce DJ, O’Connel R, et al. MRI contrast from relaxation along a fictitious field (RAFF). Mag Reson Med. 2010; 64(4):983-994.

2. Liimatainen T, Hakkarainen H, Mangia S, et al. MRI contrasts in high rank rotating frames. Mag Reson Med. 2015; 73(1): 254-262.

3. Hakkarainen H, Sierra A, Mangia S, et al. MRI relaxation in the presence of fictitious fields correlates with myelin content in normal rat brain. Mag Reson Med. 2015; DOI: 10.1002/mrm.25590.

4. Satzer D, DiBartolomeo C, Ritchie MM, et al. Assessment of Dysmyelination with RAFFn MRI: Application to Murine MPS I. PLOSOne, 2015; 10(2): 1-14.

5. Song S-K, Yoshino J, Le TQ, et al. Demyelination increases radial diffusivity in corpus callosum of mouse brain. NeuroImage 2005; 26(1): 132-140.

6. Wheeler-Kingshot CAM and Cercignani M. About “axial” and “radial” diffusivities. Mag Reson Med. 2009; 61(5):1255-1260.

Figures

Figure 1­. Representative maps of MRI parameters in CC of one LPC-injected rat. Relaxation times of (A) RAFF4, MT parameters (B) T1sat, (C) MTR, and DTI parameters (D) FA and (E) MD. Arrowheads indicate the lesion. The best contrast for the lesion was seen with MD.

Figure 2. ROI analyses from the ipsilateral CC of animals injected with LPC and the vehicles. Relaxation times of (A) RAFF4, MT parameters (B) T1sat, (C) MTR, and DTI parameters (D) FA and (E) MD. *p < 0.01, Mann-Whitney U-test.

Figure 3. Representative maps of MRI parameters in DTG in one LPC-injected rat. Relaxation times of (A) RAFF4, MT parameters (B) T1sat, (C) MTR, and DTI parameters (D) FA and (E) MD. Note the superior conspicuity of the lesion (arrowhead) using RAFF4.

Figure 4. ROI analyses from the ipsilateral DTG of animals injected with LPC and the vehicles. Relaxation times of (A) RAFF4, MT parameters (B) T1sat, (C) MTR, and DTI parameters (D) FA and (E) MD. *p < 0.01, Mann-Whitney U-test.

Figure 5. Representative photomicrographs of myelin and Nissl stained sections in (A, B) CC and (C, D) DTG, respectively. Both lesions showed clear demyelination (A, C; white arrowheads). The lesion in CC exhibited less gliosis (B) than in DTG (D; black arrowheads). Scale bar: (B, D) 0.5 mm.



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