Synopsis
We use native T1 (qT1) mapping to measure tissue T1 changes in
response to precisely targeted, graded hyperoxic respiratory challenges at 7T.Introduction
Increasing the
concentration of oxygen dissolved water is known to increase the recovery rate
(R1) of longitudinal magnetization (T1)[1-3]. Recent work exploiting changes
in the T1-dependent steady state MR signal have relied on indirect O
2-dependent
T1 changes, induced via high flow hyperoxic gas mixtures, as potential
surrogate markers of tissue oxygenation status [4]. Nevertheless, direct T1
changes in response to precise hyperoxic gas challenges have not yet been
quantified and the actual effect of increasing arterial oxygen concentration ([O
2]
A)
on tissue T1 remains unclear. The aim of this work was to use native T1 (qT1) mapping
to measure tissue T1 changes in response to precisely targeted hyperoxic
respiratory challenges.
Materials & Methods
5 Healthy subjects (2
female, 35.5±10.5 years) were scanned on a Philips 7 tesla MRI scanner using a 32 channel
TX coil. End-tidal O
2 pressure (PetO
2) was modulated
(under normocapnia) using a RespirAct (Thornhill Research, Toronto). Separate
whole brain qT1 maps (sequence information in [5]) were acquired throughout
four targeted PetO
2 levels: baseline ~ 110 mmHg,
250 mmHg, 350 mmHg and 500 mmHg). Scan parameters were as follows: multi-slice FFE
with EPI readout, TR/TE: 10000/9.42 ms, scan duration: 4 min, voxel dim: 1 x 1
x 1.5 mm, slices: 46, FOV: 224 x 224 x 91.5 mm,
SENSE factor: 3.6, Halfscan factor: 0.61. A whole brain histogram, averaging
all subject data, was created. Binary ROI masks were created by thresholding T1 maps using voxel intensities derived from the mean whole brain
histogram: white matter (WM): 800-1300ms, grey matter (GM): 1300-1900ms, and cerebrospinal
fluid (CSF): 3000ms+). ROI masks were eroded to minimize partial volume effects. The
regional mean/standard deviation and median/range of T1 values were calculated.
The T1 of venous blood was also considered for a single subject. Here, the sagittal
sinus (SS) was manually delineated (fig 3A), and voxels within the SS mask were thresholded based on literature data to include values between 1950-2250ms [6][7].
Results
Average attained PetO
2
values are shown on the x-axis of fig 2B. Neither GM,
WM or vessel T1 values appeared affected by the hyper-oxic stimulus (fig 2
A/B). CSF, on the other hand, showed a
significant linear decrease as a function of PetO
2. A linear fit to
the mean T1 (4275±50, 4206±53, 4172±72 and 4108±63 for baseline, 250mmHg,
350mmHg and 500mmHg, respectively) in CSF yielded the following equation: T1
CSF(ms)
= -0.4335*PetO
2+4320 (R2=0.99, RMSE = 5.28). Fitting in
terms of the relaxivity (R1=1/T1) as a function of PetO
2 yielded: R1
CSF(ms
-1)
= 2.47e
-8*PetO2 + 2.31e
-4 (R2
= 0.99, RMSE 2.90
e-7). Mean T1 values in the sagittal sinus of a
single subject increased with PetCO
2 (T1 values shown in fig 3B).
Discussion
Despite the longer T1
relaxation constants at 7T, the qT1 mapping method used in this work did not identify
changes in GM/WM tissue T1 in response to hyperoxia.
A considerable decrease was observed in CSF, however. The CSF compartment
provides a considerable reservoir of unbound water, into which a large amount of
plasma O
2 can freely diffuse. Furthermore, large surface arteries come in contact with CSF before penetrating into cerebral
tissue. These circumstances may result in a significant reduction in plasma
dissolved O
2 before the vasculature penetrates deeper into the
cerebrum, thus mitigating an increase in the O
2 gradient between the
vasculature and brain tissue. Hyperoxia induces a BOLD effect due
to increased venous hemoglobin ([HbV]) [8], which implies that the O
2
gradient driving oxygen diffusion into the tissues is increased. This is
supported by the apparent increase in venous T1 (which increases proportional
to HbV [7][9]), and suggests that tissue O2 demand is satisfied with
an increased proportion of plasma dissolved O
2 rather than O
2
bound to hemoglobin. It remains unclear, however, whether hyperoxia causes a lasting
increase in extracellular [O
2] since no T1 effects were observed. It
should be noted that in cases of disease, tissue properties are highly variable
and local hypoxia may influence the tissue response to elevated O
2
delivery.
Conclusion
Hyperoxia did not
result in changes in brain tissue T1. It did, however shorten
T1 in CSF. Our results challenge the notion that mapping of T1
changes using steady state imaging methods are able to give insight into the
actual oxygenation status of tissues. Care should be taken to distinguish
actual tissue T1 changes from those which may be related to T2* effects,
partial volume effects or increased fluid content such as edema. Furthermore, qT1
mapping is able to distinguish O
2-level dependent changes in venous T1, which
may also be used to gain insight into venous hemoglobin saturation.
Acknowledgements
This study was part of
the EU Artemis High Profile Project and supported by the European Research
Council, ERC grant agreement n°337333 (JJMZ)References
[1] Silvennoinen et al., MRM 2003 [2]
Zaharchuck et al., MRM 2005 [4] Remmele
et al., MRM 2012 [5] Polders et al.,
JMRI 2012 [6] Zhang et al., MRM 2013 [7] Grgac et al., MRM 2013 [8] Faraco
et al,. JCBFM 2015 [9] Siero et al., NMR in Biomed 2015