Sanjay Kumar Verma1, Bhanu Prakash KN1, Jadegoud Yaligar1, Julian Goggi1, Venkatesh Gopalan1, Swee Shean Lee1, Tian Xianfeng1, Shigeki Sugii2, Melvin Khee Shing Leow3,4, Kishore Bhakoo1, and S. Sendhil Velan1
1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, 2Laboratory of Metabolic Medicine, Singapore Bioimaging Consortium, Singapore, 3Singapore Institute for Clinical Sciences, Singapore, 4Department of Endocrinology, Tan Tock Seng Hospital, Singapore
Synopsis
There
are two types of fat tissues, white adipose tissue (WAT) and brown adipose
tissue (BAT), which essentially perform opposite functions in whole body energy
metabolism. Cold exposure activates adrenergic receptor in the brown adipose tissues,
and improve the separation of WAT and BAT. In this study we have evaluated the
longitudinal changes of fat fraction (FF), and relaxation times (T2
and T2*) of interscapular brown adipose tissue (BAT) of rats under
thermoneutral and short term cold exposure, and validated with histology and
UCP1. PET-CT was performed to visualize the activated BAT.Purpose
To
study longitudinal changes of fat fraction and relaxation in
brown adipose tissues in rats by multi-modal imaging, and
validated by histology and UCP1.
Introduction
There are two types of fat tissues, white
adipose tissue (WAT) and brown adipose tissue (BAT), which essentially perform
opposite functions in energy metabolism.
1 There is a large interest
in exploring brown adipose tissue as a therapeutic target for obesity and
diabetes.
2 Cold exposure activates
adrenergic receptors in brown adipose tissues and improves the separation of
WAT and BAT.
3, 4 In this study we have evaluated the
longitudinal changes of fat fraction (FF) and relaxation in BAT, and validated with histology
and UCP1.
Methods
Seven, eleven and fifteen weeks old male Wistar rats (n = 6) were
maintained at either thermoneutral body temperature (36 °C ± 0.5 °C) or short
term cold exposure (26 ± 0.5 °C) prior to imaging. MRI
experiments were performed using a 7T (ClinScan, Bruker, Germany) with a volume
transmit coil and surface coil. Dixon imaging was
performed on twenty slices with thickness of 1mm, in-plane resolution of 216x216 μm
2, TR = 8ms, number of averages = 1, flip angle = 6°. Spin echo and Gradient echo based imaging were
performed on the same slices with identical matrix size, average and spatial
resolution for quantitation of T
2 and T
2* respectively.
Twelve spin echoes images with initial echo time of 6.9ms and step size of
6.9ms with TR = 4000ms, and ten gradient echo images with initial echo time of
2.0ms and a step size of 1.5ms with TR = 1030ms were acquired. Respiration gated static PET scans were
acquired using a small-animal PET scanner (Inveon, Siemens) for visualization
of activated BAT. CT scans were acquired immediately after the PET scan. A two-layer
feed-forward neural network (NNet)
having scaled conjugate gradient based learning/training, and cross-entropy
based performance evaluation was adopted.
5 Multi-parametric images including fat fraction, T
2, and T
2*
were provided as inputs for NNet based segmentation and quantification. Isolated tissues were
subjected to histology and UCP1 analysis.
Results
Figure
1a-c, shows the FF, T
2 and T
2* maps of the interscapular
region of an eleven week rat which is very complimentary for differentiating
the BAT, WAT and muscle. The H&E stained (Figure 1d) image shows the boundaries
between BAT and WAT. Figure
1e shows the UCP1 gene expression which was significantly higher in BAT. Quantitative box plots of FF, T
2 and T
2* from 7, 11
and 15 week old rats are shown in Figure 2. Increasing trend of FF and T
2 was
observed as a function of age. The FF,
T
2 and T
2* were different for cold and thermoneutral
groups. The FF of BAT was reduced significantly
in cold exposed groups compared to thermoneutral groups. FF,
T
2 and T
2* values had significant overlap (Figure 3a) between
WAT, BAT and muscle tissues compared to cold exposed condition
(Figure 3b). This separation increased the specificity for NNet based classification
of BAT, WAT and muscle tissues. There was a decrease in the BAT volume (~10%) at 11
week as compared to 7 week old rats in both cold exposed and thermoneutral groups.
Cold exposed group at 7 and 11 weeks showed increase in BAT volume by ~5%. Figure
4a-c shows co-registered PET-CT images under cold stimulus.
Discussion and Conclusions
FF, T2 and T
2* images provided a clear contrast in
differentiating the BAT, WAT and muscle. T
2 and T
2* images offer
complimentary contrast for muscle in relation to fat tissues. T
2
relaxation is sensitive to tissue composition, structure, water content, and
iron levels and eliminates the fluctuations due to magnetic field inhomogeneity
and suscepibility effects. T
2*
relaxation measures the decay of the transverse magnetization caused by
both spin-spin relaxation and magnetic field inhomogeneities. Blood
perfusion and oxygenation tend to increase in cold activated BAT and
increases the levels of deoxyhemoglobin contributing to relaxation
differences between WAT and BAT.
4 In our current study, we have
observed lower FF in BAT for both thermoneutral and short term cold stimulated
animals compared to WAT.
6 This observation was supported by mRNA
analysis showing significant increase of UCP1 in BAT compared to WAT. The FF
increased significantly in 11 and 15 weeks old rats compared to seven week
animals which might be due to increased WAT in different compartments. T
2
relaxation increased in eleven and fifteen week old rats due to changes in
microenvironment including fat, water and vasculature. Better separation
of WAT and BAT with cold exposure improved the classification and NNet based
segmentation with high accuracy.
Acknowledgements
This
research was supported by the intramural funding of Singapore Bioimaging
Consortium, A*STAR, Singapore.References
1. Bartelt A, Heeren J. Adipose tissue browning
and metabolic health. Nat Rev Endocrinol. 2014; 10 (1):24-36.
2. Cypess AM, Kahn CR. Brown fat as a therapy for obesity and
diabetes.Curr Opin Endocrinol Diabetes Obes. 2010;17(2):143-9.
3. Virtue S, Vidal-Puig A.
Assessment of brown adipose tissue function. Front Physiol. 2013; 4:128.
4. Lundström E, Strand R, Johansson L, et al. Magnetic
resonance imaging cooling-reheating protocol indicates decreased fat fraction
via lipid consumption in suspected brown adipose tissue. PLoS One.
2015;30;10(4).
5. Najarian K, Splinter R. Biomedical signal and image
processing. 2012; CRC Press, London.
6. Hu HH, Smith DL Jr, Nayak KS, et al. Identification
of brown adipose tissue in mice with fat-water IDEAL-MRI. J Magn Reson Imaging.
2010; 31 (5):1195-1202.