Imaging of thalamic substructures: T1 based approach using IR-EPI sequence at 7T
Se-Hong Oh1, Ken Sakaie1, Stephen E. Jones1, and Mark J. Lowe1

1Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH, United States

Synopsis

Accurate identification of the thalamus sub-structures is therefore important for localization of specific nuclei and for the understanding of brain function. However, sub-structures of the thalamus are so small and have intermediate signal characteristics between grey/white matter it has been difficult to identify them with conventional MR imaging technique. In this work, in-vivo T1 value at 7T are measured using fast T1 mapping technique in less than 2 min and optimized inversion time to generate optimal contrast from the thalamus. The optimized results reveal markedly improved anatomical detail of the sub-structures of the thalamus, including their detailed locations.

Introduction

The thalamus relays information to the cortex regions and controls sensori-motor[1]. Among the sub-structures of the thalamus, nucleus ventro-intermedius(V.im) and ventral posterior lateral nucleus(VPL) are important target regions for DBS[2]. Accurate identification of the thalamus sub-structures is therefore important for localization of specific nuclei and for the understanding of brain function. However, sub-structures of the thalamus are so small and have intermediate signal characteristics between grey/white matter (GM/WM) it has been difficult to identify them with conventional MR imaging technique. Previous studies have suggested segmenting nuclei by means of the local relaxation times[3]. Tissue signal suppression using inversion recovery (IR) technique provides a useful tissue contrast particularly tissue is surrounded by the other tissues which have different T1. However, it has been limited by the difficulty of obtaining high-resolution and high-contrast images at lower filed-strength. Stronger magnetic field strength leads to a higher signal-to-noise ratio (SNR) and allowing for high-resolution MR imaging. Because of increased T1 at 7T, it is necessary to understand T1 of thalamus. Several studies measured T1 at 7T but show large variations[4-6]. Moreover, measuring T1 at 7T is challenging due to the long acquisition time. In this work, 1) in-vivo T1 at 7T are measured using fast T1 mapping technique, IR prepared EPI sequence with slice reordering[7,8], in less than 2 min and 2) optimized inversion time (TI) to generate optimal contrast from the thalamus. The optimized 7T images reveal substantially improved anatomical detail of the thalamus sub-structures.

Methods

Data were collected from 4 controls in a 7T MRI (Siemens; IRB approved) with a 32-receive channel head coil (Nova Medical). Similar data acquisition scheme, an IR-EPI sequence with slice reordering, was used for the T1 mapping[7,8]. A non-slice selective adiabatic inversion pulse is applied followed by 5 interleaved slices (Fig. 1A). Due to low SNR of navigator echoes near the null point in IR sequence, data fitting for N/2 ghosting correction has not performed well (Fig. 1B). To improve SNR of navigator echo, it was separately acquired before the start of the IR-sequence. The scan parameters were 80 slices, resolution=1.2×1.2×1.5mm3. To generate T1 maps, data were processed using a voxel-wised single exponential fitting[8]. After generating T1 maps, mean T1 value was measured in GM, WM masks (generated from the T1 map segmented by SPM5) and the thalamus (manually drawn). TIs for MPRAGE[9] were estimated using simulation based on measured T1 values. Then, TIs were jittered to find maximum signal suppression in GM, WM and clearly delineate thalamus sub-structures. Scan parameters were TR/TE = 6000/2.99 ms and resolution = (0.75mm)3.

Results

Compared to the results using conventional navigator-echo acquisition (Fig. 1B), proposed method reveals qualitatively reduced N/2 ghosting artifact (Fig. 1C). A typical T1 map from a control subject is shown in Fig. 1D. As shown, GM and WM are clearly delineated in T1 map. Measured mean T1 values (and standard deviation) in the GM/WM/thalamus from 4 controls were 1851.2 (±153.6), 1178.6 (±336.5) and 1455.5 (±150.259) ms. Mean T1 value of thalamus is similar with median value of GM and WM (=1514.5ms). Estimated TIs and transverse magnetization plots based on measured T1 values are shown in Fig. 2A. Estimated TIs for GM-/WM-suppression and thalamus visualization were 1250/800/1000 ms respectively. Figures 2B-D show practically optimized TIs and resulting images. The TI (=930ms), designed to suppress mean T1 of the thalamus, also suppressed GM/WM border line (Fig. 2C).

Thalamus images using different TIs are shown in Fig. 3. Besides the obvious landmark structures such as the corpus callosum and internal capsule, sub-structures of thalamus were also clearly identified (labeled).

Discussions and Conclusions

In this study, T1 values of the in-vivo brain were investigated using IR-EPI sequence to establish parameters for optimal thalamus sub-structures contrast at 7T. The IR-EPI sequence can cover a whole brain volume in less than 2 min. Measured mean T1 value of thalamus (=1455.5ms) is similar to the median value of WM (=1178.6ms) and GM (=1851.2ms). It can be explained by tissue characteristics of the thalamus, gray matter but parts of thalamus have high axonal density. The optimized results show markedly improved anatomical detail of the sub-structures of the thalamus, including their detailed locations. These evidences suggest it may help us to better understand the brain anatomy in non-invasive way and provide clinically useful information. The estimated TIs show good similarity with practically acquired values but have a difference. It can be explained by individual variation of T1. The future extension, fast T1-mapping (using IR-EPI sequence) with high-performance processing computer could provide improved tissue contrast optimization using “real-time” individual T1-map.

Acknowledgements

This work was supported by Cleveland Clinic. Author gratefully acknowledges technical support by Siemens Medical Solutions.

References

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Figures

(A) IR-EPI sequence diagram. Reference scan data was separately acquired followed by inversion RF. Results EPI images from (B) conventional navigator echo acquisition (located between the excitation RF and the main EPI readout) method and (C) proposed method. (D) T1 map using IR-EPI.

(A) Transverse magnetization as a function of T1 in the IR sequence. TIs were determined based on ROI analysis in the T1 map. Results of (B) WM suppressed, (C) thalamus mean T1 value suppressed and (D) GM suppressed images with practically optimized TI.

Zoomed 3D-MPRAGE images focused on the thalamus region using (A) WM suppressed (TI=700ms) and (B) mean T1 value of thalamus suppressed (TI=930ms) imaging. Both results were acquired from same subject and same session.



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