James R Larkin1, Manon A Simard1, Alexandre A Khrapitchev1, Kevin J Ray1, James A Meakin2, Paul Kinchesh1, Sean Smart1, Peter Jezzard2, Michael A Chappell3, and Nicola R Sibson1
1CRUK and MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 2FMRIB Centre, University of Oxford, Oxford, United Kingdom, 3Institute of Biomedical Engineering, Department of Engineering, University of Oxford, Oxford, United Kingdom
Synopsis
Arterial spin labelling perfusion imaging in the rodent
brain is easily confounded by off-resonance effects at the tagging plane. These
effects are a consequence of the higher field strengths used pre-clinically and
the nearby air cavities in the rodent head and neck, something not as
problematic in the clinic. By implementing a multiphase pCASL sequence with
eight phases spaced at 45° and lying between 0 and 315°, it is possible to
obtain data to allow fitting thereby accounting for any off-resonance effects.
This process dramatically improves image quality without excessively affecting
acquisition time. Purpose
Arterial spin labelling (ASL) is
a powerful method for non-invasively measuring blood flow in organs such as the
brain. It works by labelling blood as it passes a tagging plane and then imaging
the transit of the labelled water into the parenchyma of the organ of interest.
High quality ASL images are
dependent upon a uniform magnetic field, not only in the imaging plane, but
also in the tagging plane. Off-resonance effects arising from poor shims and
patient geometry lead to differing labelling efficiency in each vessel in the
tagging plane which ultimately leads to poor quality perfusion maps. This is a
particular problem in pre-clinical imaging studies for two reasons: (1) rodent
heads have air spaces very close to the tagging and imaging planes leading to
susceptibility artefacts (throat, oesophagus, mouth and nasal cavities);
and (2) the high field strengths used (typically ≥7T) make achieving good
quality shims harder.
One solution to this is to
implement a multiphase ASL sequence1, where instead of collecting
only two phases (here 180° and 0°), images are collected at many phases. By doing so, each
voxel can be fitted individually to minimise off-resonance artefacts.
Methods
Rats were anaesthetised with
isoflurane and imaged in a 9.4T MRI spectrometer (Agilent) using a 72mm volume
transmit coil and a 4-channel surface receive array (Rapid Biomedical). The
tagging plane was 6.2mm thick and positioned in the neck. Imaging readout was multislice
single-shot spin echo EPI with FOV=32x32mm (64x64
matrix, thickness=1mm), TR=4s, TE=12.4ms, labelling bolus duration=1.4s (a
train of 600µs 40° Hanning-shaped pulses, starting every 1.2ms; 50% duty cycle).
Multiphase pseudo-continuous ASL (pCASL) was implemented using 8 phase angles,
each 45 degrees apart and spaced from 0 to 315°. To allow modelling of bolus arrival time, 12 post-label
delays from 50ms to 2s were acquired, each with 8 phase angles. Total
acquisition time was 12m57s, reducible to 73s if bolus arrival time maps were
not required. The imaging time for only tag and control images with a single
post-label delay was 25s.
Tagging plane localisation was
determined using time of flight angiography to visualise vessels and anatomical
MRI to visualise the brain. Angiography: GE3D readout with TR=30ms, FA=30°, FOV=40x40x60mm
(128x128x192) with an axial excitation slab, acquisition time 12m17s. Anatomical
MRI: FSEMS readout with TR=1s, TE=10ms, FOV=40x60mm (128x192) single 2mm slice
at brain midline, acquisition time 2m8s.
Data from eight phases were
fitted to a modified Fermi function shown below with α=66 and β=21 (chosen by
fitting the function to experimental datasets) using a modified version of BASIL2
before processing with oxford_asl3. Reference scans acquired
with no tagging were used for absolute quantitation of CBF.
$$f(x) = -2
\left[\frac{1}{1+e^{(|x|-\alpha)/\beta}}\right]+1$$
Results
The tagging plane location across
the vessels in the neck and imaging slice locations across the brain are shown
in Figure 1. Example perfusion maps obtained by fitting eight-phase data before
producing the perfusion maps are shown in Figure 2. To compare to the
multiphase data and to simulate off-resonance effects, four pairs of images, each
taken 180° apart but taken at 45° offsets were processed as if they were single
tag and control pairs (Figure 3).
Discussion
Off-resonance effects in pre-clinical
ASL can lead to poor estimation of perfusion, often systematically affecting entire
vessel territories. This is problematic for interpretation of images in many
contexts e.g. stroke imaging where entire territories are already hypoperfused
or in tumours where compromised vasculature may affect perfusion within the
tumour as well as downstream.
The use of multiphase imaging
adds only 48 seconds to image acquisition yet allows each voxel’s specific
phase shift to be fitted, considerably improving the quality of achievable
perfusion maps. Acquisition of each phase at multiple post-label delays also
allows fitting of bolus arrival time
Conclusions
Rodent ASL quality is readily
improved at high field strengths by implementing multiphase ASL and fitting
each voxel separately.
Acknowledgements
This study was supported by Cancer Research UK (grant number
C5255/A15935 to NRS)References
(1) Jung Y,
Wong EC, Liu TT. Multiphase pseudocontinuous arterial spin labeling (MP-PCASL)
for robust quantification of cerebral blood flow. Magn Reson Med. 2010;799–810; (2) http://www.fmrib.ox.ac.uk/fsl/basil; (3) Chappell
MA, Groves AR, Whitcher B, Woolrich MW. Variational Bayesian Inference for a
Nonlinear Forward Model. IEEE Trans Signal Process. 2009;223–236.