Nuclear Overhauser Enhancement (NOE) mediated Chemical Exchange Saturation Transfer (CEST) imaging in glioma with different progression at 7T
Tang Xiangyong1, Dai Zhuozhi1, Shen Yuanyu1, Hu Wei1, Zhang Zhiyan1, and Wu Renhua1

12nd Affilicated Hospital, Shantou University Medical College, Shantou, China, People's Republic of

Synopsis

Nuclear Overhauser Enhancement (NOE) mediated Chemical Exchange Saturation Transfer (CEST) imaging in glioma with different progression at 7T

Background

Glioma is a kind of malignant neoplasm of Central Nervous System (CNS). The conventional diagnosis approach such as T1 weighted imaging (T1WI), T2 weighted imaging (T2WI) and contrast enhanced T1WI (CE-T1) manifests as the oversimplified presentation of anatomical structures [1]. Chemical exchange saturation transfer (CEST) as a special type of magnetization transfer (MT) imaging presents a new way to detect small solute pools through indirect measurements of attenuated water signals, and makes the probing of semi-solid macromolecular protons possible [2, 3].

Purpose

To investigate the correlation between Nuclear Overhauser Enhancement (NOE) mediated CEST effect and the progression of glioma in a rat tumor model at 7.0 Tesla.

Methods

We firstly build the rats glioma model with C6 glioma cells and then acquired NOE mediated CEST images (asymmetric magnetization transfer ratio (MTRasym) at -3.8 ppm, B1 = 0.6 μT), amide proton transfer (APT) mediated CEST images (MTRasym at 3.5 ppm, B1 = 1.6 μT) and T2 mediated images (T2WI) at the 8th day, 12th day, 16th day, 20th day after plantting tumor cells with a continuous wave pre-saturating echo planar imaging (EPI) acquisition sequence (CW-EPI sequence) at 7T. The EPI sequence parameters were set up as follows: flip angle = 90°, the repetition time (TR) = 6000 ms, the time of echo (TE) = 26.51 ms, matrix size = 64 × 64 mm2, field of view (FOV) = 30 × 30 mm2, number of acquisitions (NA) = 2, slice thickness = 2 mm, saturation duration time = 4 s.

Results

NOE mediated CEST effects decreased along with the growth of the tumor as shown in Fig. 1and Fig. 2. The NOE signal intension on the 8th day, 12th day, 16th day, 20th day is (3.84 +/- 0.114)%, (3.29 +/- 0.127)%, (2.22 +/- 0.105)%, (1.46 +/- 0.161)%, respectively (Fig. 2). A constant decrease trend of NOE effect was found in the tumor tissue, and its decrease extent continues with tumor growth (p < 0.01).

Conclusion

In this study we observed a correlation between NOE-mediated CEST signal and the glioma progression at 7T in vivo.To our knowledge, this is the first study in which NOE effect changing with tumor progression was observed. Further research is needed to confirm the explicit origin of NOE mediated CEST and its clinical applications on the neoplasm stage estimate and the curative effect assessment.

Discussion

The contributors to the NOE peaks in brain are believed to include proteins/peptides, lipids, or restricted metabolites. The lipid content of brain tissue is low, so the contribution of lipids is generally not to be assessed in the brain NOE imaging. As we know many cellular activities including intercellular and intracellular communications are performed by proteins, and a lowered protein content in the C6 tumor tissues might explain why the NOE signal dropped. These in a molecular level provide pregnant information in tumor growth in vivo and are promising for clinical application.

Acknowledgements

This work was sponsored by the National Natural Science Foundation of China (Grant No. 81471730), and the National High Technology Research and Development Program (863 Program) of China (Program No. 2014AA021101).

References

1. Paech, D., Zaiss, M., Meissner, J. E., Windschuh, J., Wiestler, B., & Bachert, P., et al. (2014). Nuclear overhauser enhancement mediated chemical exchange saturation transfer imaging at 7 tesla in glioblastoma patients.. Plos One, 9, e104181-e104181.

2. Sun, P. Z., Lu, J., Wu, Y., Xiao, G., & Wu, R. (2013). Evaluation of the dependence of cest-epi measurement on repetition time, rf irradiation duty cycle and imaging flip angle for enhanced ph sensitivity. Physics in Medicine & Biology, 58(17), N229-N240.

3. Sun, P. Z., Wang, Y., Xiao, G., & Wu, R. (2013). Simultaneous experimental determination of labile proton fraction ratio and exchange rate with irradiation radio frequency power-dependent quantitative cest mri analysis. Contrast Media & Molecular Imaging, 8(3), 246–251.

Figures

Fig .1 These figures show NOE and APT images of normal and tumor rat brain. NOER = Z (3.8 ppm, B1 = 0.6 μT) – Z (-3.8 ppm, B1 = 0.6 μT). APTR = Z (-3.5 ppm, B1 = 1.6 μT) – Z (3.5 ppm, B1 = 1.6 μT).

Fig. 2 Statistics of NOER with a 4 × 4 voxel at the field of tumor center of five SD rats at four period of tumor after planting C6 glioma cells. Independent T test was used to test difference (p < 0.01, we chose * to label it).



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
3713