Gregory Simchick1, Jinjian Wu2, Guangming Shi2, Hang Yin3, and Qun Zhao1
1Bioimaging Research Center, University of Georgia, Athens, GA, United States, 2Xidian University, Xian, China, People's Republic of, 3Department of Biochemistry and Molecular Biology, University of Georgia, Athens, GA, United States
Synopsis
Differentiation of brown adipose tissue (BAT) from white adipose tissue (WAT) using magnetic
resonance imaging (MRI) is clinically important to treat obesity, diabetes and
heart disease. In contrast to the traditional Dixon model of single fat- and water-peak or fixed multi-fat-peak models, we propose a Multi-Varying-Peaks MR Spectroscopic
(MVP-MRS) model, based on MR imaging data acquired with multiple echoes, to better
characterize chemical structures of the fatty acid (saturated vs. unsaturated).
Compared with traditional classification of BAT and WAT using fat fraction or
proton relaxation time, the proposed
MVP-MRS model can achieve a correct classification rate of 95% between BAT and WAT for in vivo mouse data implying great potentials in future longitudinal imaging of BAT and WAT. Purpose
To better characterize chemical structures of the
fatty acid (saturated vs. unsaturated) in brown adipose tissue (BAT), a Multi-Varying-Peaks
MR Spectroscopic (MVP-MRS) model is proposed and compared to the traditional
Dixon model of single fat- and water- peak or fixed multi-fat-peaks model.
Methods
Identification of the BAT volume and distribution by
in vivo imaging is clinically important. Studies were first reported by using
PET-CT scans 1. However, the need for using
ionizing radiation (18F-FDG) limits applications of PET for longitudinal studies
in humans. Previous MRI studies have used chemical shift between muscles and fat to
differentiate the two tissues 2-5 or water fat imaging (WFI) using IDEAL algorithm 6.
However, these WFI methods assume a fixed multi-peak spectroscopic model for
both WAT and BAT and depend on fat fraction ratio and differences of relaxation
time to differentiate BAT from WAT7. There have been studies showing that this model is inaccurate when trying to identify BAT using only fat fraction. Representative MR spectra of BAT and WAT showed
that, though majority of the spectrum lies in the main peak (-(CH2)n-
at 1.3-ppm), there is a substantial amount of spectrum contained with the other
fat peaks (e.g. 2.1- and 5.3-ppm, while water peak at 4.7-ppm)7-8. The BAT and WAT
spectra show significantly more differences, e.g. relative peak magnitudes and
chemical shift (location on the spectrum chart), at a higher magnet field8.
Therefore, to differentiate the BAT from WAT, a spectroscopic signal model is
needed that approximates the major fat resonances. Here we propose a MVP-MRS
model as follows
$$s(t)=(\rho_{w}+\sum_{n=1}^N\beta_{n}e^{j2\pi f_{n}t})e^{j2\pi \phi t} $$
where ρw
is the water proton
density, fn and βn are the resonant
frequency and proton density of the nth fat peak (n=1,…,N) relative
to water. Five (N=5) fat peaks, located at 0.9, 1.3, 2.1, 4.3, and 5.3 ppm,
were selected, corresponding to different structures of the fatty acid
(saturated vs. unsaturated),
which are more representative of compositions of the fatty acid8. It is noted
that ρw and βn
are complex numbers.
In order to solve for the (N+1)
unknowns (ρw and βn), a total of 2(N+1) measurements
of MR signals are needed.
Results
MR experiments were conducted on a 7 T Varian Magnex
small animal scanner. MR data was acquired from an oil/butter phantom (a water
cylinder embedded with vials of soybean oil, butter, and water) and a 2-month
old C57BL6 mouse, approved by IAUCC (University of Georgia), using a 2D
gradient-echo sequence with 12 echoes (first TE=5.70 ms, with incremental
spacing of 0.525 ms).MR data was analyzed with a modified Matlab water-fat analysis
toolbox (http://ismrm.org/workshops/FatWater12/data.htm)
using the proposed MVP-MRS model. All
components of ρw and βn are normalized to the main/highest fat peak
(-(CH2)n- at 1.3 ppm). Figure 1 presents MRI images of
the butter/oil and mouse intercapsular water/fat distribution. BAT and WAT areas were identified by their fat fraction (BAT: 50.69% ±6.61%, WAT: 85.10%
±6.84%.)
Figure 2 presents the averages and standard
deviations of the 5 fat peaks for the oil/butter data and mouse BAT/WAT data.
It was seen that the butter and oil have similar fatty acid structures and
homogenous distributions (small standard deviations), while the BAT and WAT
have different compositions and inhomogeneous distributions (large
standard deviations).
To
differentiate BAT from WAT, a machine learning algorithm, AdaBoost, is adopted
for classification. We randomly selected 80% of the data for classifier
training, and the rest (20%) for testing. The train-test procedure was repeated 100 times. Figure 3 presents the classification rates. Since butter and oil
have similar fatty acid structures, a classification rate of only 90% was achieved; while
the BAT and WAT have different compositions, resulting in a classification rate of 98%.
Discussion and Conclusion
Traditional Dixon or multipeak IDEAL methods requires accurate knowledge of the
fat spectrum, including the frequency shifts and the relative amplitudes of the
peaks.
However, the fat spectrum may likely change from subject to subject and sequence to sequence with different T1 and T2 weightings9-10. Additionally, due to inhomogeneous
distribution of the BAT and WAT, and partial volume
effect resulting from limited spatial resolution, a fixed-peaks signal model
can no longer unbiasedly represent the fat spectrum. Our MR imaging-based MVP
spectral model is built upon high spatial resolution MR images, so it is therefore
capable of providing high resolution spatial distribution of BAT in the tissues of
interest. This will also allow for a longitudinal monitoring of WAT beiging, which is induced by either a pharmaceutical or physical approach, e.g. exposure
to cold environment or exercising.
Acknowledgements
The authors wish to
thank the grant support of National Institute of Health grant (S10RR023706), Dr. Khan Hekmatyar for assistance in MR data acquisition, and Dr. Houchun Hu, Phoenix Children’s Hospital, AZ, for
helpful discussions and assistance in MR data analysis, . References
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