Robin A. de Graaf1, Peter B Brown1, Henk M De Feyter1, Scott McIntyre1, and Terence W Nixon1
1MRRC, Yale University, New Haven, CT, United States
Synopsis
Proton
MRSI has great clinical potential for metabolic mapping of healthy and pathological
human brain. However, technical challenges related to poor spectral quality
caused by magnetic field inhomogeneity, limited RF transmit power and
incomplete lipid suppression have dampened the utility of MRSI. Here a novel
method for lipid suppression is presented based on localization of an
elliptical region-of-interest using pulsed second-order magnetic fields. A
high-amplitude gradient setup was designed and constructed, containing coils to
generate Z2, X2Y2 and XY magnetic fields. Simulations, phantom MRI and MRSI on
human brain in vivo demonstrate
robust localization and suppression of extracranial lipids.
Introduction
Despite
its potential, proton MRSI is not a widespread clinical imaging modality
because the method is hampered by a number of technical challenges related to
magnetic field inhomogeneity, limited RF transmit amplitude and lipid
contamination. Popular lipid suppression methods include inner volume selection
(IVS) of a large cuboidal volume based on single-volume MR techniques and outer
volume suppression (OVS) of the skull region with up to 12 slice-selective
excitation pulses. Most existing methods have limitations in terms of
attainable lipid suppression, peak and average RF power deposition and brain
coverage.
Here we present a
novel method for IVS or OVS based on high-amplitude, second-order spherical
harmonic (SH) magnetic fields. The method is referred to as ‘elliptical
localization using pulsed second-order fields’ or ECLIPSE. Experimental MR
images show the principle of elliptical volume selection using Z2 and X2Y2 magnetic fields, as well as rotation and translation with XY and linear fields,
respectively. Proton MRSI of the human brain in vivo was performed to demonstrate high-quality lipid suppression
at low RF power deposition. Methods
A short, high-amplitude gradient coil (Fig.
1) was constructed on a nylon cylinder (ID 342 mm, OD 434 mm) capable of
accommodating a 16-element volume Tx/Rx RF coil (Fig. 1A). Target field
amplitudes for the Z2, X2Y2 and XY coils were set to 2.5, 1.25 and 1.25 Hz/mm2
for a 50 A input current, respectively. Coils were manually wound from 12 AWG
(Ø 2.1 mm) polyurethane-coated copper wire and placed within the wire tracks
milled in the nylon former. Following placement of PT100 thermal sensor probes the
wires were permanently fixed with a two-part epoxy/hardener adhesive. The final
gradient coils were characterized by inductances of 859, 182, and 154 μH and resistances of 475, 240 and 238 mΩ for the Z2, X2Y2 and XY coils, respectively.Results
Fig.
2 demonstrates the localization capabilities of ECLIPSE. In the presence of a
Z2 magnetic field, a frequency-selective RF pulse selects a 2D circle (Fig. 2B).
Adding an X2Y2 magnetic field results in the selection of a 2D ellipse (Fig. 2C).
The elliptical volume can be rotated (Fig. 2D) and shifted (Fig. 2E) by adding
XY and X magnetic fields, respectively. By adjusting the RF pulse center
frequency, the outside of the ellipse shown in Fig. 2C can be selected (Fig. 2F).
The presence of different chemical shifts leads to a change in ellipse size,
rather than a shift in spatial localization (Fig. 2G-I).
Fig. 3 shows 1H
MRSI on the human brain in vivo (A-C)
without and (D-F) with 2D in-plane localization using ECLIPSE. Without OVS the
extracranial lipid signals dominate each of the MR spectra in the 21 x 21 MRSI
dataset, including spectra well within the brain (Fig. 3C). The MR image
acquired with ECLIPSE (Fig. 3D) demonstrates the high-quality elliptical
localization similar to that achieved in phantom studies (Fig. 2). The
localization performance is confirmed by the 1H MRSI data (Fig. 3E/F)
showing the absence of lipid signals in all voxels while retaining the
metabolite signals at full intensity.Conclusions
Here
we have presented a novel method for 2D volume selection for lipid suppression
in proton MRSI based on frequency-selective RF pulses in the presence of a
second-order SH magnetic field. The principle of using second-order SH magnetic
fields for field-of-view restriction in MRI was first described by Cho and
co-workers [1-3] using a dedicated Z2 gradient coil. More
recent reports have used standard second-order SH shim coils to achieve field-of-view
restriction in MRI [4-6]. The introduction of multi-coil (MC)
shimming [7, 8] has provided complex magnetic field
shaping that is ideally suited for 2D localization [9, 10]. However, the relatively small magnetic
field strengths generated by SH or MC shim setups become a significant
limitation for spectroscopic localization, where a small magnetic field
gradient is synonymous with a large chemical shift displacement. The success of
ECLIPSE for spectroscopic applications therefore rests on the availability of
high-amplitude gradients. In this study a dedicated, home-build second-order
gradient coil was designed and constructed to achieve high-quality 1H
MRSI without lipid contamination. Whereas the ECLIPSE method has been
demonstrated for lipid suppression in MRSI, it can also find application in single-volume
MRS and reduced field-of-view MRI. For MRS the main advantages would be related
to lower SAR and shorter echo-times due to the reduced minimum number of RF
pulses. In addition, ECLIPSE can be beneficial in pathologies (tumors, multiple
sclerosis) where an elliptical VOI often better mimics the shape of the lesion under
investigation.Acknowledgements
This
research was supported by NIH grant R01- EB014861.References
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