Measuring Perfusion with a Hyperpolarised Ultra-Long T1 15N Glutamine Compound
Rolf F Schulte1, Enrico Chiavazza2,3, Axel Haase2, Silvio Aime3, Marion I Menzel1, Markus Schwaiger2, and Markus Durst1,2

1GE Global Research, Munich, Germany, 2Technische Universität München, Munich, Germany, 3Università di Torino, Turin, Italy

Synopsis

An experimental setup for 15N was established on a clinical 3T whole-body scanner, in order to measure perfusion with an ultra-long T1 15N compound. The substance α-trideuteromethyl[15N]glutamine was synthesised, polarised and injected into healthy rats to study the perfusion of the kidneys. With a T1 time in vivo of 146s, it was possible to acquire perfusion images for over 5 minutes.

Target audience

Researchers interested in measuring perfusion and hyperpolarisation of ultra-long T1 15N compounds.

Introduction

Hyperpolarisation and imaging of isotopically labelled compounds is an active research field, focusing mainly on the NMR-active, stable 13C isotope. Main limitation of the technology is still T1 relaxation, which in case of [1-13C]pyruvate is approximately one minute in vitro and 20s in vivo at B0=3T. While this is relatively long as compared to normal MR T1 times, it is short as compared to radioactive decay in case of PET imaging (eg half-life of 18F=110min). The physiological processes must therefore be rapid to be detectable with hyperpolarised 13C compounds. 15N labelled compounds can exhibit extremely long T1 relaxation times, such as 4-5 minutes in case of α-trideuteromethyl[15N]glutamine (in vitro) [1]. Goal of this work was to establish an MRI experimental setup including hard- and software for 15N and measure perfusion in healthy rats with this 15N glutamine compound.

Methods

The resonance frequency of 15N is -12.95 MHz at 3T, roughly 40% of 13C and 10% of 1H. All experiments were performed on a 3T HDx scanner (GE Healthcare), using a commercially purchased 15N TR switch (Rapid Biomedical) and a custom-built butter-fly transmit-receive coil. 15N images were encoded using a single-shot spiral trajectory (nominal matrix size 32×32, FOV=8cm) in a slice through the rat kidneys (slice thickness = 2cm; flip angle=10°). Image acquisition started at the beginning of the injection, with 16 images being acquired with TR=1s and the rest with TR=5s. Gradients were nulled every 16th excitation to acquire a slice-selective spectrum for control purposes. The data was reconstructed using NUFFT [2], after a 15-Hz Gaussian apodisation. α-Trideuteromethyl[15N]glutamine (15N-Gln) (Fig. 1) was synthesised according to [1] and polarised using a mixture of 3M 15N-Gln, 28mM OX063 radical (GE Healthcare) and 2.5mM Dotarem (Guerbet) dissolved in ethylene glycol and D2O (Sigma Aldrich). A small amount of [1-13C]pyruvate was added to monitor the build-up of polarisation. After polarising for 1-3 hours in a HyperSense DNP polariser (OxfordInstruments), the sample was dissolved rapidly in a D2O solution to a concentration of ~100mM 15N-Gln.The excretion of 15N-Gln was evaluated by mass spectrometry of tissue, blood and urine samples. Four healthy male Lewis rats (Charles River) were anaesthetised with 1-3% Isoflurane gas inhalation and injected with 1ml of hyperpolarised 15N-Gln or ~150mM [13C,15N2]urea solution in a separate injection to compare it to 13C perfusion measurements. The setup for 15N-Gln experiments is shown in Fig. 2. All animal experiments were approved governmentally by the Tierschutzbehörde (Regierung von Oberbayern).

Results and Discussion

α-Trideuteromethyl[15N]glutamine yields clear, localised images of the rat kidneys (Fig. 3). It is possible to detect signal much longer with 15N-Gln as compared to 13C urea (Figs. 4 and 5). T1 of 15N-Gln in vivo is with 146s approximately eight times as long as that of 13C urea. 15N-Gln shows a strong localisation in the kidneys with little background signal as compared to urea. The rapid excretion of 15N-Gln within the time scale of the hyperpolarised experiment was confirmed by the mass spectrometry.

Conclusion

The investigated 15N-Gln compound exhibits an extraordinarily long T1 relaxation both in vitro [1] and in vivo. Cellular uptake and enzymatic conversion are limited, hence its main application is as a perfusion agent. Due to its long T1, it is a promising candidate to observe renal function and filtration, happening in the order of a few minutes. The advantage of 15N-Gln over gadolinium chelates is its smaller size and direct, positive contrast.

Acknowledgements

Co-funding BMBF grant #13EZ1114.

References

[1] Contrast Media Mol Imaging. 2013;8:417-21. 15N-permethylated amino acids as efficient probes for MRI-DNP applications. Chiavazza E, Viale A, Karlsson M, Aime S.

[2] Journal of Magnetic Resonance. 2007;188:191-195. On NUFFT-based gridding for non-Cartesian MRI. Fessler JA.

[3] Clin N Am 2008;16(4):597-611, viii. Assessment of renal function with dynamic contrast-enhanced MR imaging. Magn Reson Imaging Bokacheva L, Rusinek H, Zhang JL, Lee VS.

Figures

Fig. 1: Structure of α-trideuteromethyl[15N]glutamine (15N-Gln). The 15N labelled methyl group added to glutamine is fully deuterated in order to increase T1 of 15N further. Because of this additional methyl group, the physiological properties (such as cellular uptake) of glutamine are altered, rendering it metabolically inactive.

Fig. 2: Experimental setup. The outer, larger birdcage coil is used for 1H anatomical imaging, while the directly attached, butterfly coil is used for 15N transmission and reception. The box on the left is the 15N TR switch.

Fig. 3: Time averaged hyperpolarised 13C and 15N images of a slice through the rat kidneys overlaid to the corresponding anatomical images. The 15N signal is much more localised to the kidneys.

Fig. 4: Time-resolved images of 13C urea (top) and the 15N glutamine compound (bottom), acquired with a 10° flip angle and a single shot spiral readout (FOV=8cm; nominal matrix size=32×32). Each image is individually scaled to its maximum.

Fig. 5: Signal evolution from region-of-interests through blood vessel (AIF=arterial input function), left and right kidney (not corrected for depletion through RF excitation). Note the different scale of the time axis: even after 6 minutes, 15N signal is still detectable.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
3668