The human spinal cord exists in a particularly unfavorable magnetic field environment. Technical development of diffusion and functional MRI methods would be facilitated by a phantom to model spatially and temporally periodic field inhomogeneities. We have designed a phantom capable of simulating these specific field disturbances. The spinal canal was machined from acrylic, and the cord was cast of polyvinyl alcohol. The phantom was imaged using anatomical CT and MRI, and functional and diffusion EPI protocols. The phantom has relaxation and diffusion properties similar to the human cord, and air-filled vials create spatially periodic frequency shifts of -100 Hz.
Phantom: The spinal cord and canal between the C1 and L1 vertebral levels were modelled in SolidWorks CAD software (Dassault Systèmes, Waltham, MA) based on in vivo measurements4,5,6. The two halves of the canal were machined on two optically clear acrylic sheets, and the sheets were trimmed of excess material outside the canal. A solution of 16% w/w polyvinyl alcohol (PVA)7,8,9 in distilled water was injected into a 3D printed mold of the spinal cord and allowed to solidify before removal from the mold. The denticular ligaments, 8 in the cervical cord and 4 in the thoracic cord, were attached to the walls of the acrylic canal with silicone epoxy adhesive, and the two halves of the acrylic canal were sealed together using acrylic adhesive (Weld-On 4, SciGrip, Durham, NC). The phantom was filled with distilled water through a filler hole drilled in one end, and sealed with a silicone rubber stopper.
CT and MRI: The phantom was imaged using Force CT and Skyra 3T MRI scanners (Siemens, Erlangen, Germany). Axial CT images were reconstructed at 250x250x500 µm3 resolution. Anatomical MR images were acquired using 3D sagittal T2-weighted turbo-spin echo (SPACE, 0.5 mm isotropic, TR/TE = 3200/569 ms, GRAPPA R=2) and T1-weighted inversion-recovery GRE (MP-RAGE, 1.0 mm isotropic, TR/TE/TI = 3000/1.31/1000 ms, flip angle = 8°) sequences. Echo-planar imaging and field mapping were performed with the phantom immersed in a tub of water with and without three 50-mL vials of air tethered to the phantom to create susceptibility-induced field distortions. Illustrative EPI data were acquired using BOLD fMRI (GRE-EPI, 1.75x1.75x5.0 mm3, 12 slices, 5-mm gap, TR/TE = 1200/50 ms, flip angle = 77°, phase encoding AP, BW = 1502 Hz/px, ETL = 72, echo spacing = 0.75 ms) and diffusion MRI (SE-EPI, 1.75x1.75x5.0 mm3, 1 slice, TR/TE = 2000/200 ms, flip angle = 90°, 4 averages, b = 0, 400 s/mm2, otherwise identical to above). Field maps were computed from dual-echo GRE scans (1.5 mm isotropic, TR/TE1/TE2 = 1200/4.7/9.4 ms).
This phantom was designed to accurately reproduce normal adult human anatomy and mimic MR properties in healthy human spinal cord10,11. Both T1 and T2 relaxation times and ADC are determined by the concentration of PVA, and are all within reasonable ranges in our current phantom prototype. Our design did not allow distinction of gray and white matter due to the anatomical complexity; neither did we attempt to fully reproduce every dentate ligament in the human spinal cord or other small structures in the spinal canal. Similar consideration (i.e., trade-off between design complexity and realistic anatomical and physiological representation) has led us to exclude mimicking pulsation of cerebrospinal fluid (CSF) in our initial phantom design.
The phantom was constructed with minimal excess material outside the spinal canal, making it possible to place materials which create field inhomogeneities as near as possible to the spinal cord. Optimal choice and placement of the materials will be explored to create spatially periodic field inhomogeneities. In addition, future phantom development will make use of inhomogeneities that are periodic in both space and time to simultaneously simulate the effects of vertebrae and respiratory motion on the magnetic field in the spinal canal.
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