Jeremy W Gordon1, Eugene Milshteyn1, Irene Marco-Rius1, Michael Ohliger1, Daniel B Vigneron1, and Peder EZ Larson1
1Radiology & Biomedical Imaging, University of California - San Francisco, San Francisco, CA, United States
Synopsis
Hyperpolarized diffusion weighted imaging has the potential
to noninvasively assess transporter expression and probe specific metabolite
microenvironments. However, the imperfect RF excitation profile and the
transient, non-recoverable hyperpolarization lead to non-uniform depletion of Mz.
After multiple RF pulses, this results in excess signal at later excitations,
potentially biasing ADC estimation. Scaling the slice-select gradient can
correct for this deviation, minimizing bias and providing more precise ADC measurements
of hyperpolarized substrates.Introduction
Diffusion weighted imaging of hyperpolarized (HP) substrates has
the potential to identify both the production and microstructural compartmentalization
of HP metabolites, providing unique insight into tumor metabolism and lactate
export. However, any deviation from the expected signal evolution will lead to
modeling bias and parameter mis-estimation. Slice profile effects, which have
previously been observed in HP gas experiments
1, are caused by an
imperfect excitation profile that results in through-slice flip angle
variation. This yields excess signal in the slice transition region after
repeated RF pulses, resulting in k-space filtering for a Cartesian acquisition.
The single-shot imaging techniques used in HP
13C imaging are especially
sensitive to this effect, as the excess signal will directly alter the signal
intensity in each diffusion weighted image. Here, slice profile effects can significantly
bias the apparent diffusion coefficient (ADC) measurements of HP substrates,
where only a few images (or spectra) are acquired at different b-values and
high flip-angles
2,3,4. The
goal of this study was to determine the impact of slice profile effects on ADC
mapping of HP substrates. Digital simulations as well as
in vivo ADC mapping using HP
13C urea in the murine liver
were performed.
Methods
HP spin simulations were performed using the RF pulse design
library5 in
MATLAB. The slice profile was simulated for a Gaussian pulse shape, and the
signal for each flip-angle was determined by integration along the slice
direction.
Three flip angle schedules were simulated (Fig. 1): a constant 30° flip angle, an RF
compensated flip schedule (RF VFA)6, and an RF and diffusion
compensated flip schedule (RF, DWI VFA)3. To account for deviation due to slice profile effects, the
slice-select gradient was scaled to yield the desired signal response. To
assess these effects in vivo, 90mg of [13C,15N2]urea was polarized in a 3.35T HyperSense
for 90 minutes and rapidly dissolved with PBS and 0.3mM EDTA. 350μL of 80 mM
urea was injected via tail-vein over 15s. Diffusion weighted imaging was
performed using a Varian 14T MRI scanner 30s after the start of injection using
a double spin-echo sequence and a single shot, flyback EPI readout, with a
variable flip-angle schedule to account for both RF decay and diffusion
weighting3. Respiratory gating was used to minimize aberrant signal loss from
bulk motion. The slice-select gradient was either held constant or scaled to
account for the simulated deviation due to slice profile effects. Eight
b-values were acquired in decreasing value, ranging from 700 to 50 s/mm2 in a total of 1-2s. Raw data were
corrected for prior RF pulses and subsequently fit voxelwise to a
monoexponential decay:
$$S_{n,corr} = \frac{S_{n,raw}}{\sin\theta_{n}\times\prod_{k=1}^{n-1}\cos\theta_{k}}$$
$$S(b)=S_{0,corr}\exp(-bD)$$
Results & Discussion
Simulations of the slice profile for HP spins can be seen in
Figure 2. While the shape of the
excitation profile is constant throughout the experiment, the longitudinal
magnetization does not recover between TRs for hyperpolarized spins and is
therefore depleted non-uniformly by previous excitations. This results in a
distorted slice profile after repeated RF pulses, giving rise to an effectively
wider slice and excess signal (
Fig.
2A,D,G). This excess signal can be corrected for by scaling the
slice-select gradient, minimizing excitation of the transition band while conforming
to the desired signal response (
Fig.
2B,E,H). These slice profile effects accumulate after repeated RF pulses,
leading to maximum excess signal of 1.65 (30°,
Fig. 2C), 2.0 (RF VFA,
Fig.
2F) and 2.7 (RF, DWI VFA,
Fig. 2I)
for the three flip angle schemes with a Gaussian pulse shape. This, in turn,
results in a systematic bias when b-values are acquired sequentially, leading
to overestimation of the measured ADC (
Fig.
3). The greatest bias is seen for small ADCs, resulting in 5 to 6-fold
overestimation for metabolites in more restricted environments.
In vivo, the murine liver ADC value of
13C
urea (
Fig. 4) without accounting for
slice profile effects is, on average, nearly a factor of two greater compared
to applying the slice-select gradient correction (1.38 ± 0.15 vs 0.70 ± 0.11 x 10
-3 mm
2/s).
The magnitude of this overestimation is in good agreement with the estimated
bias from digital simulations seen in
Fig.
3.
Conclusion
Hyperpolarized diffusion weighted imaging has the potential
to provide non-invasive measures of transporter function and metabolite
microenvironments. However, the imperfect slice profile and the transient,
non-recoverable hyperpolarization lead to excess signal at later flip-angles,
potentially biasing ADC estimation. Gradient scaling can correct for this
deviation, minimizing bias and providing more precise measurements for quantitative imaging.
Acknowledgements
This work was supported by NIH grants R01
EB016741, R00 EB012064,
P41 EB013598, and RSNA R+E Foundation.References
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[3] Koelsch, B.L., et al., Rapid in vivo apparent diffusion coefficient mapping of hyperpolarized 13C metabolites. Magnetic Resonance in Medicine, 2014: DOI: 10.1002/mrm.25422.
[4] Søgaard, L.V., et al., In vivo measurement of apparent diffusion coefficients of hyperpolarized 13C-labeled metabolites. NMR in Biomedicine, 2014. 27(5): p. 561-569.
[5]
Pauly, J., et al., Parameter relations for the Shinnar-Le Roux selective excitation pulse design algorithm [NMR imaging]. Medical Imaging, IEEE Transactions on, 1991. 10(1): p. 53-65.