Ping-Huei Tsai1,2,3, Hua-Shan Liu4,5, Fei-Ting Hsu6, Yu-Chieh Kao3, Chia-Feng Lu3, Li-Chun Hsieh2, Pen-Yuan Liao2, Hsiao-Wen Chung7, and Cheng-Yu Chen1,2,3
1Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, 2Department of Medical Imaging, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan, 3Translational Imaging Research Center, Taipei Medical University, Taipei, Taiwan, 4Graduate Institute of Clinical Medicine, Taipei Medical University, Taipei, Taiwan, 5Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan, 6Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan, 7Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
Synopsis
GlucoCEST have
been proposed to assess the discrepant concentrations of glucose in vitro. However, it is still a
challenge to obtain accurate signals from glucose in vivo. Our preliminary finding demonstrated that the
proposed analytical scheme provides an alternative to extract glucose profile
and could be more robust to the field inhomogeneity, which may be helpful in
further implementation in disease models.Introduction
Chemical
exchange saturation transfer (CEST) method is an advanced MR imaging approach
to detect the signal from metabolites with low concentration, such as protons
from amine, amide or hydroxyl. GlucoCEST measurements have been proposed to successfully
assess the discrepant concentrations of D-glucose or 2-deoxy-D-glucose (2-DG) in vitro [1]. Using asymmetric analysis,
the asymmetric magnetization transfer ratio (MTRasym) and glucoCEST contrast
maps can be derived directly from the z-spectrum, which may provide opportunities
to quantify altered glucose levels in
vivo. Although some previous reports demonstrated the potential
role of glucoCEST in detecting the altered
glucose assimilation in mouse tumor model, revealing comparable information to 18FDG-PET
findings [2,3], poor reproducibility due to its high sensitivity to
field inhomogeneity and possible contamination from asymmetric MT and signals
from adjacent metabolites, which restrict its further application. More recently, Lorentzian function has been performed
to fit the z-spectrum as a combination of multiple components [4], which in
corporation with specific mathematical manipulation may provide some possibility
for extracting the glucose signal with better accuracy and reliability. As a result, the purpose of this study is to develop
the analytical scheme and assess the reliability in simulation as well as
phantom study for glucoCEST imaging, and finally validate it in application of
the rat brain in vivo.
Theory
& Method
In vivo z-spectrum consists of
multiple components including direct water proton saturation, asymmetric MT, aliphatic
nuclear Overhauser effect(NOE), amide proton transfer(APT) and other CEST phenomena
[5], leading to a challenge of deriving glucoCEST contrast by asymmetric
analysis. Fortunately, the signals from the individual components could be
approximated using Lorentzian function, which provides some room to calculate
the individual signal from Lorentzian line fitting on the inverse z-spectrum more
efficiently and accurately. Based on this concept, we first simulated the
z-spectrum with signals from the five components at 0(Water), -1.5(MT), -3.2(NOE),
1(Glucose), and 3.5 ppm (APT), to mimic the situation. After testing the reliability
of the developed fitting models, this approach was performed with a phantom of
50 mM D-glucose and in vivo rat scan.
The glucoCEST imaging was performed on 3 Sprague Dawley rats at a 7.0T animal
MR scanner (PharmaScan, Bruker, Erlangen, Germany) with a 72 mm transmitting
coil and a quadrature surface coil for receiving. After manual
shimming, a turbo rare based CEST sequence
with a continuous form MT saturation pulse (duration =800 ms, B1=2.5 μT) was performed before and after administration of 0.2
ml 2-DG (6 mM) with TR/TE=1000/20 ms, FOV=20x20
mm2, matrix size=128x128, slice thickness=1 mm, rare factor=8, acquisition
time=16min 16sec, and z-spectrum offset=±5 ppm
with 0.167 ppm steps. After data acquisition, a 2D median filter was performed
first to alleviate the noise effect. Inverse z-spectrum analysis was then
applied to fit the 5 individual components. For glucoCEST contrast in rat
brain, the signal was derived by subtracting the fitted pre-contrast z-spectrum
from the post-contrast z-spectrum.
Results
The demonstration of
the fitted inverse z-spectrum and the 5 individual components were in consistent
with the simulated data(Figure 1(a)). With decreasing of the sampling rates, similar
glucose profiles were obtained with less than 1% differences(Figure 1(b)). Moreover,
MTRasym derived from the 50 mM glucose phantom using conventional asymmetric
analysis shows a shift of the profile as compared with that from the inverse
Lorentzian analytical scheme(Figure 2). The results became even worse when the
glucose level decreased. Significant overestimation of the altered glucose
contrast was shown in rat brain using asymmetric analysis(Figure 3(a)) as
compared to that derived from the proposed method(Figure 3 (b)).
Discussion
This present
study demonstrated the ability to extract glucose profile from CEST imaging
using the inverse z-spectrum analytical scheme and indicated the feasibility of
detecting the altered glucose assimilation in rat brain. Although the
acquisition time is relative longer for the clinical application, results from
the simulations suggest that there are still some rooms for further
acceleration. In addition, greater than 6% increase of the glucoCEST
enhancement was observed in vivo after
administration of 2DG using the proposed analytical method. The finding also
shows more reliable changes of glucose assimilation in both cortical and
subcortical regions of the brain due to that the contamination from creatine
signal at 2 ppm was eliminated by the subtraction. In conclusion, our preliminary
finding demonstrated that the proposed analytical scheme provides an alternative
to extract glucose profile and could be more robust to the field inhomogeneity,
which may be helpful in further implementation of glucoCEST imaging in disease
models.
Acknowledgements
This project is supported by TMU grant (TMU103-AE1-B20). We also thank Dr. Gang Zhu, in Bruker U.S.A. for technical consulting support.References
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