Synopsis
We demonstrate a high-resolution ex-vivo globe
image using 7T. With voxel size of 250μm isotropic resolution, detailed
structures of the globe were clearly identified.
Our
results show that the high-resolution MR imaging is particularly useful in
helping to visualize inner structure of eye-globe. Moreover, it is successfully
demonstrated the sensitivity to choroidal melanoma. In addition, we have performed
MRI scans using human globe specimens to investigate the contribution of
fixation to the evolution of T2 over time and measured SNR changes
as function of the number of excitations to gain some insight into the optimal
average number.Introduction
Magnetic resonance imaging (MRI) is
a medical imaging device widely used for investigating anatomical and physiological
information from in-vivo. The important role of MRI is acquiring images with
non-invasive way. Over the last decade MR imaging at ultra-high fields (UHF) is
becoming increasingly common. Stronger magnetic field leads to a higher signal-to-noise
ratio (SNR) and allow for high spatial resolution imaging. With 7T, we can
acquire sub-millimeter structural image in a clinically reasonable scan time
[1]. Moreover, if longer scan time is allowed (e.g.
ex-vivo scan) super high resolution (scale of 200μm) imaging is achievable. And
it could provide comparable image resolution to histological sections.
In general, relaxation time
constants (T
1 and T
2) of newly fixed tissue change over
time, particularly in the early stage of tissue fixation
[2]. High-resolution imaging of small tissue
samples in large bore MRI needs longer scan times because signal averaging is
necessary. Therefore, image contrast can change over time. In this work, we
have 1) performed MRI scans using human globe specimens to investigate the
contribution of fixation to the evolution of T
2 over time and 2)
measured SNR changes as function of the number of excitations(NEX) to gain some
insight into the optimal average number. We also show a high-resolution ex-vivo
globe image using 7T.
Methods
Shortly after enucleation of the eye-globe
(within 3 hours) from a
patient who has choroidal melanoma on the left eye, the specimen was
transferred for MR imaging. The globe was fixed in 10% buffered formalin. Data
were collected using 7T MRI (Siemens; IRB approved).
To examine the influence of fixation
on T
2 of the tissue, 2D single-slice multi-echo spin-echo data were
acquired with parameters as follows: TR = 1500ms, TE = 9.7 to 145.5ms (echo
spacing = 9.7ms), number of echoes = 15, in-plane resolution = 0.5×0.5mm
2,
slice thickness = 2 mm and 25 different time point data were collected over 23
hours. The averaged T
2 values and its standard deviation within the
ROI were calculated. Slice thickness of the refocusing gradient has been
increased to reduce stimulated-echo signal from multiple-refocusing
[3].
When
the evolution of T2 showed limited change, structural imaging of the globe was performed.
MP2RAGE
[4] sequence (Siemens) was
used with following parameters: TR/TE = 6000/4.42ms, TI1/TI2
= 700/2700ms, resolution = (250um)
3-isotropic voxel, scan time =
21.02 min and 25 averages. The first inversion time was optimized to enhance
tissue boundary. The ΔSNR(n) (=[SNR(n)-SNR(1)]/SNR(1)) and its standard deviation
within the ROI were measured.
Results
Figure 1 shows the T2
changes affected by fixation. Four ROIs, shown in Fig. 1A, were used for the
analysis. When the T2 spectra were plotted over time, each plot
demonstrated different amount of variation. ROI1 shows significant T2
reduction while increasing in ROI3. Any noticeable changes were not
seen in ROI2 and ROI4. Twelve hours later, all the ROIs
showed limited T2 changes.
ROIs in the specimen and ΔSNR changes in the 1st
and 2nd inversion MP2RAGE data over different number of NEX are
plotted (Fig. 2A). The signal plot shows
large SNR changes in the first 10 averaged results (NEX ≤ 10) while it is limited
(less than 3% differences) when the NEX is larger than 10. When the averaged
images were qualitatively investigated, there was not a significant SNR changes
from NEX = 11. These results suggest that the minimum number of image averages
at current resolution is 11.
Figure 3 show high-resolution ex-vivo
globe images from 7T MRI. Structures of eye-globe such as lens, vitreous body,
cornea, iris, anterior chamber, retina, outer sheath of optic nerve, optic
nerve and central retinal vein were clearly identified. Moreover, choroidal melanoma was also successfully detected (red arrows)
and it is well corresponded with histopathology result (Fig. 4).
Discussions and Conclusions
In this work, high-resolution ex-vivo
globe scan was performed using 7T MRI. With voxel size of 250μm isotropic resolution,
detailed structures of the globe were clearly identified. Our results show that the high-resolution
MR imaging is particularly useful in helping to visualize inner structure of
eye-globe with non-invasive way. Compared result with histopathology suggests a high
degree of similarity. Moreover, it is successfully demonstrated the sensitivity
to choroidal melanoma. The results from our study suggest that eye-globe shows
limited T
2 signal changes 12 hours after the tissue fixation. In
addition, with the imaging parameters used in this study the adequate number of
image averages to acquire comparable SNR is larger than 11. In conclusion, this study has shown that the super-resolution
MR images provide a useful contrast to delineate the ex-vivo tissue structures
with non-invasive way.
Acknowledgements
This
work was supported by Cleveland Clinic. Author gratefully acknowledges technical
support by Siemens Medical Solutions.References
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