Jan Willem van der Veen1, Stefano Marenco2, Karen Berman2, and Jun Shen1
1Magnetic Resonance Spectroacopy Core, NIH, NIMH, Bethesda, MD, United States, 2NIH,NIMH,CTNB, Bethesda, MD, United States
Synopsis
Patient motion and magnetic field drift may shift the frequency of the GABA editing pulse relative to that of metabolites. Using the frequency location of the residual water we corrected for changes caused by frequency variations by using averaged reference signals simulated at specific editing frequency offsets. Our analysis also showed that GABA editing with a top-hat editing pulse is highly robust in the presence of frequency variations.Introduction
γ-aminobutyric acid (GABA) is
the primary inhibitory neurotransmitter in the CNS, believed to be
involved in a variety of psychiatric and neurological disorders. GABA
can be measured using proton MRS with a PRESS-based two-step editing
sequence (1). However due to the low concentration of GABA, 20
minutes are usually needed to achieve a sufficient precision of the
GABA value to detect small differences in many psychiatric disorders.
During this scan time the frequency offset of the measured voxel can
fluctuate because of patient movement and even magnetic field drift.
This drift will move the frequency of the editing pulse relative to
the metabolite frequencies and editing efficiency can fluctuate
accordingly if the performance of the editing pulse is sensitive to
frequency fluctuations. Here we describe an editing frequency drift
compensation method by post acquisition fitting. The results also
demonstrate the remarkable robustness of a GABA editing technique in
the presence of frequency fluctuations.
Methods
141 normal volunteers were
scanned on a 3 Tesla
whole body scanner (GE, Milwaukee, WI, 14M4 platform). The
spectroscopy voxel was placed immediately superior to the ventricles in mostly gray matter,
NS=768, TR/TE=1500/68 ms, NEX=2. A total of 384 edited and non-edited
FID pairs were acquired for a total of 20 minutes. The non-edited,
edited and the difference time domain data were fitted simultaneously using a
Levenberg-Marquardt non-linear fitting program written in IDL
(ITTVIS). The fitting was performed using simulated reference signals
for: NAA, NAAG, creatine (CRE), 1/2 creatine and 1/2 phospho-creatine
(2), choline, 1/3 PCH and 2/3 GPC (2), myo-inositol (MIO), glutamate
(GLU), glutamine (GLN), scyllo-inositol (SCI), glutathione (GSH), and
GABA, with GABA2 at 3.0 ppm combined with a macromolecular
contribution (MM) modelled by a gauss line (linewidth 14 Hz, GABA/MM =
0.61 (3)).
An updated GAMMA library
(4) from duke.edu (5) was used to simulate the effects of frequency
shifts on the GABA editing sequence. Also effects of RF shapes,
crusher gradients and various coherence pathways were fully simulated
(6,7). Simulations were
made for a range of editing pulse offsets with a resolution of 1Hz
around the default position. The
editing frequency offset drift during the scan was estimated from the
offset of the residual water. An average simulated reference signal
was created based on these offsets.
Results and discussion
The amplitude of the NAA peak
at 2.01 ppm is in the transition area of the editing pulse (Fig 1),
therefore, it is most sensitive to frequency shifts. To demonstrate
the effectiveness of our correction method, the effect of frequency
offset of the editing pulse on the amplitude of NAA in the edited
spectra is shown in the left panel of figure 2. Strong correlation
between editing frequency offset and NAA amplitude is visible for
theedited spectrum with R
2
equal to 0.42. The
correlation is absent in the unedited data. Correcting for the
editing offset (Fig 2 center panel) eliminates the dependency on
frequency offset with R
2
equal to 0.002 and
results in an equal amplitude and scatter pattern for the edited and
unedited data. The GABA amplitude is not affected by the editing
pulse frequency offset over the range of frequency fluctuation seen
experimentally (right panel of Fig 2). The R
2
for GABA is 4e-6.
The results of the estimated
NAA amplitude show the high accuracy of numerical simulation and the
capacity of our method to correct for variations in editing
efficiency due to frequency shifts originated from patient motion and
scanner frequency drift. For an editing pulse (1) that has a flat top
over the edited GABA frequencies (as shown by the dotted line in Fig.
1), the effect of the correction is negligible, demonstrating the
robustness of the GABA editing sequence described in ref (1). The
correction method described here can also be applied to other editing
sequences that are sensitive to frequency fluctuations due to
employing an editing pulse with a sharper frequency profile.
Acknowledgements
This work is supported by NIMH, IRP.References
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ISMRM 9:1011 (2001).
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et al, J. Magn. Reson. 106a, 75-105, (1994).
5. http://scion.duhs.duke.edu/vespa/gamma
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Van der Veen, JW et al, Proc ISMRM 21:2032 (2013)