To overcome the limitations of traditional magnetization contrast (MTC) preparation methods, the Multi-Banded (MB) RF-pulse Enhanced Magnetization Transfer Contrast (MBE-MTC) preparation was proposed by using the multi-banded RF pulses for the MTC preparation. Such an approach has been evaluated via studies in the skeleton muscle, kidneys and the brain with demonstrated benefits. The proposed MBE-MTC preparation provides an alternative way for MTI either for increased MTC or simultaneous and symmetric capture of the MTC or its changes in tissue.
The MBE-MTC preparation utilizes the multi-banded versions of an MT RF pulse for MTC preparation. The MB RF pulses can be applied either symmetrically or asymmetrically with respect to the central frequency of mobile water (Figure 1). Studies were performed with healthy volunteers on a Siemens 3T MRI scanner under an IRB approved protocol with written consent. These studies utilized a Gaussian RF pulse and its multi-banded versions for the MTC preparation, and employed a gradient recalled echo (GRE) sequence as the readout for 3D acquisition in the brain and skeletal muscle, or 2D acquisition of a single slice in the kidneys within a single breath-hold. Studies were first performed in the skeletal muscle, kidneys and the brain to evaluate whether the MBE-MTC preparation can increase the MTC compared to the traditional/standard method. To evaluate the ability of the MBE-MTC approach to detect the MTC asymmetry in the brain, studies were performed with two asymmetric MBE-MTC preparations with an MB factor 2, as well as the traditional method and symmetric MBE-MTC preparation for comparison purposes. For all studies, a 1.2 kHz frequency offset was applied (Figure 1). The body coil was used for RF transmission, a 32-channel phased array receive coil was used for the brain and a combined spine and flexible body coils for other body regions. In the brain study, because of the inhomogeneity of the B0 field, the MTC RF pulses with an offset frequency toward the body direction may introduce potential saturation of inflowing blood, confounding the measurement of MTC asymmetry. Therefore, MTI scans were performed utilizing two 50 mm saturation bands 10 mm below and above the imaging volume.
Post-imaging processing (e.g., co-registration, anatomic image segmentation and magnetization transfer ratio calculation) was performed with the SPM software and scripts in Matlab. Statistical analyses using paired two-tailed t test were performed within the Excel software.
Our initial study results suggest that compared to the traditional method, MBE-MTC preparation using symmetrically positioned RF pulses improved the MTC while staying under the allowed maximum RF power deposition for both methods (Figure 2). The brain study results showed the asymmetry of the MTC regardless of whether the out-of-volume saturation was performed (Figures 3 and 4). The brain studies further indicated that the MBE-MTC preparation provides significantly elevated MTC in comparison to the traditional method, and the magnetization transfer rate (MTR) difference between the positive and negative MBE-MTC preparations is significant. The MTR and MTR percent differences between two different MTC preparations in the brain study are presented in Figure 5.
Our other preliminary data indicates that using larger MB factors can further increase the MTC, which outperforms increasing the bandwidth of the standard Gaussian RF by reducing the RF duration, which requires shifting the RF pulse further away from the water peak to avoid direction saturation (data not shown). The MTR time efficiency as a function of the MB factor is under investigation.
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