Petr Bednařík1,2,3, Ivan Tkáč1, Dinesh Deelchand1, Felipe Barreto1,4, Lynn E. Eberly5, Shalom Michaeli1, and Silvia Mangia1
1CMRR, Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 2Central European Institute of Technology, Masaryk University, Brno, Czech Republic, 3Department of Medicine, University of Minnesota, Minneapolis, MN, United States, 4Department of Physics, University of Sao Paolo, Ribeirao Preto, Brazil, 5Division of Biostatistics, University of Minnesota, Minneapolis, MN, United States
Synopsis
With the goal of evaluating whether relaxation influences functional
MRS (fMRS) results, we conducted fMRS experiments at 7T during visual
stimulation using semi-LASER at 7T at long TE and short TR. The functional
concentration changes of lactate (37%±6%) and glutamate (~5%±1%)
observed here were consistent with previous results obtained at long TR and ultra-short
TE. Small functional changes in signal intensity of NAA and Cr were also found,
consistent with small changes in relaxations of those metabolites during visual
stimulation.
Purpose
Previous fMRS studies conducted at 7T have generally utilized
long TR and short TE in order to minimize relaxations effects, while
maximizing the sensitivity to changes in metabolite concentrations. Minute changes in the order of 0.2 mmol/g have been thus reliably measured for
lactate, aspartate, glucose and glutamate in the human visual cortex during
visual activation (1,2). Since at longer TE and/or shorter TR
the signal intensities are particularly sensitive to relaxation, it is possible
that in such experimental conditions the fMRS results might be modulated by changes
in metabolite relaxation times (especially T2) during activation and/or by different
relaxation properties of metabolites in different compartments, such as extra-,
intracellular lactate. In fact, other studies conducted at lower fields and
longer TE (3) reported metabolite changes somewhat different from those reported at
ultra-short TE. Therefore, the goal of the present study was to determine functional
changes of metabolite signals at long TE
and short TR (i.e., when the system is not fully relaxed) during prolonged
visual stimulation at 7T.
Methods
13 healthy young volunteers (age
31 ± 10
years) underwent fMRS sessions at 7T . Metabolite spectra (semi-LASER, TR =
2.5s,TE = 135ms) were acquired during 25-min-long functional spectroscopy
paradigm (5min REST, 10 min STIM, 10 min REST. 64-scans blocks of metabolite spectra were
quantified in LCModel with basis set that consisted of 22 metabolites and measured
spectrum of macromolecules (N=5, TR = 2.5s, TI = 750 ms, Fig 1). For NAA, Cr
and phosphocreatine (PCr), CH3 and CH2 resonances were
fitted separately in order to accommodate the different
relaxation time constants for CH3 and CH2 resonances. Unsuppressed water spectra were acquired during
short visual stimulation (30s REST, 30 s STIM) in order to quantify the BOLD
effect as we did previously (Bednarik 2015). The visual stimulus consisted of black
and white checkerboard flickering at 8 Hz. We applied standard processing to
the NMR spectra, created linewidth-matched spectra between REST and STIM in
order to take into account the BOLD effect, and finally quantified the resulting
spectra with LCModel. Statistical significance of changes in metabolite signal
intensities during activation was inferred by two-tailed paired t-test.
Results and discussion
Water line-widths were in average 13.77±0.89 Hz. The average BOLD effect measured as line-width
change on water peaks (~0.5 Hz) was consistent with our previous studies
(Bednarik). Glutamate and lactate were quantified with CRLB ~3% and ~16%. Concentration differences (STIM-REST)
were calculated between time-points highlighted in Fig. 2 after linewidth matching
of the STIM and REST spectra (Bednarik 2015). In response to visual stimulation,
Glu and Lac significantly increased by 5%±1%(p = 0.002) and 37%±6%
(mean±SEM,
p = 0.0005), respectively. These
functional changes are slightly higher but consistent with those we reported previously
for Glu (3%±1%) and Lac (30%±7%), indicating that the contribution of
relaxation during stimulation is not critical for those metabolites. The LCModel results were confirmed by the
average difference spectrum (Fig. 3). Small
residues in the difference spectrum were also observed even after line-matching
at the frequency of the singlets of NAA and total Cr (2.01 and 3.03 ppm, respectively),
which might be ascribed to possible small changes of T1 and/or T2 of these
metabolites during activation.
Conclusions
Long TE fMRS is able to reliably detect changes in
metabolite signals which are consistent with those reported at ultra-short TE. Observed small increases in NAA and tCr signals can be ascribed to changes in relaxation of such metabolites during
neuronal activation.
Acknowledgements
NIH grants: P41 EB015894, P30 NS076408, 1R03NS082541References
[1] Mangia et al. JCBFM 2015;27:1055-1063.[2] Bednarik et al. JCBFM 2015;31:601-610. [3] Baslow et al. J Mol Neurosci 2005;32:235-245.