Toward Spectroscopically Selective Imaging of Hyperpolarized Pyruvate and its Metabolites Using Binomial Pulses In Balanced Steady-State Free Precession
Gopal Varma1, Patricia Coutinho de Souza1, Leo Tsai1, Rupal Bhatt2, and Aaron Grant1

1Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States, 2Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States

Synopsis

Balanced steady-state free-precession (bSSFP) offers high sensitivity and good temporal resolution, and makes efficient use of hyperpolarized magnetization. Several strategies for spectroscopically selective imaging with bSSFP have been proposed [1-5]. Here we investigate the use of simple binomial excitation pulses to selectively null the signals from either pyruvate or lactate, the two dominant metabolites in tumors, thereby obtaining images that are dominated by either lactate or pyruvate, respectively. The method is robust to off-resonance effects, and can be used to augment existing spectroscopic bSSFP techniques.

Purpose

To investigate the use of binomial pulses in balanced steady-state free-precession (bSSFP) to aid in acquisition of spectroscopically selective images of hyperpolarized pyruvate and its metabolites.

Introduction

bSSFP is an attractive technique for hyperpolarized imaging because it provides good sensitivity and makes efficient use of the magnetization. Strategies for spectroscopically selective bSSFP imaging include techniques that acquire multiple echoes per TR [1,2], selectively excite a single metabolite [3,4], or make use of a variable RF phase advance to separate signals from different metabolites [5]. These techniques generally have a high sensitivity to off-resonance effects that requires careful shimming to reduce so-called ‘bright band’ bSSFP artifacts. Here we investigate the use of a simple binomial pulse to selectively null the signal from either pyruvate or lactate in alternate frames of a dynamic acquisition. In applications where the alanine and pyruvate hydrate signals are small, the resulting images provide an approximation of spectrally selective images of pyruvate and lactate.

Methods:

A bSSFP sequence was modified to include two successive slice-selective RF excitation pulses separated by a delay τ as shown in Fig. 1. The pulse sequence was implemented for dynamic imaging where the relative phase between the two RF pulses was alternated between 0 and 180 degrees in successive images. This binomial pulse modulates the signal of a metabolite at chemical shift Δ by an overall factor of either cos(πΔτ) or sin(πΔτ) for a phase difference of 0 or 180 degrees, respectively. For imaging of pyruvate and its metabolites at 9.4T, τ was set to 0.404ms and the center frequency of the scanner was placed at the chemical shift of pyruvate. With these parameters, the signals from pyruvate and lactate (approximately 1.24kHz off-resonance) are nulled in alternating frames. TR was set to 2.20ms, a value that minimizes the likelihood of bSSFP ‘bright band’ artifacts for pyruvate and all of its metabolites. To ensure smooth entry into the steady state, the RF pulse amplitude was modulated by a Fermi function during each frame. In vivo imaging was performed using a 9.4T horizontal bore scanner (Biospec 94/20, Bruker, Billerica MA) with IACUC approval. A mouse bearing a subcutaneous A498 tumor was anesthetized and situated for imaging as described previously [5] with a 28mm 13C coil situated around the tumor. Ultrasound gel was applied over the tumor to reduce the susceptibility mismatch at the air/tissue interface. Hyperpolarized pyruvate solution was prepared using a DNP hyperpolarizer (Hypersense, Oxford Instruments, Oxfordshire UK). T2 weighted anatomical images were used to select a 5mm slice for subsequent imaging. Local shimming was performed in the tumor and surrounding vessels to obtain approximately 100Hz proton linewidth. To confirm the scanner center frequency setting, a small 50 microliter bolus of 100mM pyruvate solution was administered by tail vein during acquisition of spectra from the imaging slice. Subsequently, a 150 microliter bolus was administered, and bSSFP images were acquired with 1.5mm in-plane resolution, (net) tip angle 15 degrees, and 1.1s per frame. Slice-selective spectra were analyzed using AMARES in jMRUI [6]. bSSFP images were reconstructed using standard Fourier methods and sorted into even and odd frames.

Results:

Fig. 2 shows the bSSFP images overlaid on the proton reference images at several time points. Images on the left have relative RF phase 0, while those on the right have relative phase 180, values are chosen to null lactate and pyruvate respectively. Fig. 3 shows time courses from region of interest placed over the tumor in the bSSFP images, together data from the slice-selective spectra.

Discussion:

The images on the left and right in Fig. 2 are expected to be dominated by pyruvate and lactate, respectively. The pyruvate-dominated images on the left show the expected features, including large intravascular signal (arrow in top frame) followed by rapid arrival in the tumor. Likewise, the lactate-dominated images on the right show low intravascular signal, late buildup in the tumor, and long signal persistence. Both sets of images include contributions alanine and pyruvate hydrate, which are expected to be small. Previous studies in A498 tumors have shown that signals from these metabolites are approximately an order of magnitude smaller than those from pyruvate and lactate [5].

Conclusions:

Binomial pulses provide a simple method for nulling the signal from a chosen metabolite in bSSFP. This method is relatively robust against off-resonance errors, and can be used to obtain approximate spectrally selective images of pyruvate and lactate in applications where other metabolites are small. This technique can be readily combined with existing methods to improve their performance.

Acknowledgements

This work was supported in part by the NIH through grants R21 EB014471 and R01 CA169470.

References

[1] Leupold et al MAGMA 22:251-6 (2009) [2] Perman et al MRI 28:458-465. [3] Von Morze et al MRI 31:163-170 (2013) [4] Månsson et al MRM 68:1894-9 (2012) [5] Varma et al Proc ISMRM 2013 [6] Naressi et al. Magn Reson Mater Phys 12:141-152 (2001)

Figures

Binomial excitation pulse. The phase of the second pulse is alternated between 0 and 180 degrees during successive images.

Proton image of A498 xenograft tumor (outlined in red at top left) with 13C bSSFP images overlaid in green at 0, 3, 11, and 23s after appearance of vascular signal. Left column: images with 0 degree relative RF phase, dominated by pyruvate. Right column: images with 180 degree relative phase, dominated by lactate.

Plots of signal time courses from: a) ROI placed over tumor in bSSFP images, and b) integrated signal acquired through entire slice with slice-selective spectroscopy.



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