Wolfgang Dreher1 and Felizitas Charlotte Wermter1,2
1FB02 (Chemistry), University of Bremen, Bremen, Germany, 2Inegrative Ecophysiology, Alfred Wegener Institute Helmholtz Centre for Polar and Marine Research, Bremerhaven, Germany
Synopsis
Chemical exchange saturation transfer (CEST) is
a powerful technique for inverse metabolic imaging and non-invasive pH measurements,
and is most efficient in the intermediate exchange regime between protons of
metabolites and water. We examined the use of ultrashort-TE, short-TR MRSI for the
direct signal detection of exchangeable protons of metabolites. If water is not
saturated, fresh z-magnetization is transferred to the protons of metabolites,
allowing a high SNR despite short TR. This approach was evaluated by
simulations and measurements on creatine phantoms using solutions with
different pH, demonstrating direct signal detection for exchange rates up to ~1000
s-1.
Introduction
Chemical
exchange saturation transfer (CEST)1,2 is a powerful technique for
inverse metabolic imaging and non-invasive pH measurements. CEST MRI exploits
the asymmetry if the water signal is measured after presaturation at positive
and negative offset frequencies with respect to water. The CEST asymmetry is predominantly
determined by the ratio between the exchanging spin pools and the exchange rate
from protons of amide (–NH), amine (–NH2) or hydroxyl (–OH) groups
of metabolites to protons of bulk water. CEST MRI has been demonstrated for
numerous metabolites, e.g., glutamate3, glucose4 or
creatine5,6, and is most efficient in the intermediate exchange regime.
If the exchange rates are too high, the necessary saturation cannot or only
partially be achieved. For low exchange rates, the decrease in the water signal
is rather small making quantitative data evaluation difficult.
In
this study, we have examined the use of ultrashort-TE, short-TR MR
spectroscopic imaging (MRSI) for the direct signal detection of exchangeable
protons of metabolites. If water is not excited at all, fresh z-magnetization
is transferred to the exchanging protons of metabolites prior to the subsequent
RF excitation, allowing a high signal intensity despite short TR. This approach
has been evaluated by numerical simulations and measurements on phantoms
consisting of creatine (Cr) solutions with different pH values.Method and Experimental
The scheme of the MRSI pulse sequence is
displayed in Fig. 1. A spectral-spatial pulse derived from composite pulses excites
the metabolite signals upfield and downfield from water, but leaves the water
magnetization unaffected. Starting with standard 1-2-1 and 1-3-3-1
sequences, asymmetric composite pulses (e.g., 5.643°-28.416°-39.549°-17.040°) were
calculated by numerical optimization as a compromise between the spectral
profile and losses by chemical exchange.
Ultrashort-TE, short-TR single-slice MRSI was achieved by spatial phase
encoding (260 μs) followed by data acquisition. Prolonging the delay Δt between the last RF pulse and data
acquisition allows for suppressing signals of rapidly exchanging protons for
improved specificity. A two-step phase cycle was used to separate the FID-like
signal S1 from the FID-like signal S2 of the SSFP MRSI sequence7. Typical
sequence parameters were: TR=25-50 ms, FOV: 40mmx40mm, 5mm slice thickness,
204.8 μs sech-pulses, interpulse delay τ=833.3 μs, Δt=365-1000 μs, SW=14 kHz, 256 or 512 complex data
points.
Simulations of the pulse sequence were carried
out in Scilab 6.00 (scilab.org) based on the Bloch-McConnell equations8.
All
measurements were performed on a 7T animal scanner (Bruker 70/20) equipped with
BGA12S2 gradients (440 mT/m/ms, 130 μs) and a birdcage resonator (72mm i.d.). Data
processing was performed by programs written in IDL (Exilis, USA). Beside
standard processing steps, the matrix pencil method (MPM) was used for
extracting water signals9 prior to FFT in the time domain. The
phantom (T=18.5 °C) consisted of six 5mm NMR tubes embedded in agarose and filled
with 10 mM Cr aqueous solutions with different pH values (5.52,6.01,6.49,6.99,7.50,8.01).Results and Discussion
Figure 2 shows simulations
of the MRSI sequence for different exchange rates k and a nominal total excitation
angle of 5°-180° for short TR values (50-12.5 ms). High signal intensities are
obtained for exchange rate up to ~1000 s-1. Considering
averaging effects, high SNR values per unit measurement time can be achieved, although the linewidth increases with increasing k, thus reducing the SNR in the frequency range.
The signal dependence on k and the nominal flip angle indicates that varying
the sequence parameters will, in addition
to the measured linewidth, allow estimating the exchange rate and thus pH.
For a reliable spectrum
evaluation, including downfield signals of exchangeable protons, the quality of
water suppression is of central importance. This was achieved by combining the minimal excitation of water signals by optimized
spectral-spatial pulses with the
extraction of water signals during postprocessing using MPM. In the phantom
measurements (cf., Fig.3), downfield signals of Cr were detected for 5.5-7.5 pH,
with highest signal intensities for 6.5-7.0 pH. For 8.0 pH, the k value was too
high. These findings are in good agreement with the simulation results,
considering published exchange rates for Cr6, i.e. k-values of 4.3, 14, 35, 135, 430,
1360 s-1 obtained by interpolation for T=18.5 °C and pH 5.5, 6.0,
6.5, 7.0, 7.5, 8.0, respectively.Conclusion
Ultrashort-TE, short-TR MRSI with optimized
spectral-spatial RF pulses and adjusted data processing allows the direct
detection of downfield signals of exchangeable protons, particularly for exchange
rates up to 1000 s-1. Thus, this approach is a potential alternative
to CEST MRI in case of slow or even intermediate exchange rates. This will be
of particular interest for CEST applications at lower temperatures10,
e.g. for in vivo measurements on
marine organisms such as polar fishes.Acknowledgements
No acknowledgement found.References
1. Ward
KM, Aletras AH, Balaban RS. A new class of contrast agents for MRI based on
proton chemical exchange dependent saturation transfer (CEST). J. Magn. Reson.
2000;143:79-87.
2.
Zhou
J, van Zijl PCM. Chemical exchange saturation transfer imaging and spectroscopy.
Prog. Nucl. Magn. Reson. Spectrosc. 2006;48:109-136.
3. Cai
K, Haris M, Singh A et al. Magnetic resonance imaging of glutamate. Nat. Med.
2012; 18: 302-306.
4. McMahon
MT, Kato Y, Liu G et al.. Natural D-glucose as a biodegradable MRI contrast
agent for detecting cancer. Magn. Reson. Med. 2012;68:1764-1773.
5. Haris
M, Nanga RP, Singh A et al.. Exchange rates of creatine kinase metabolites:
feasibility of imaging creatine by chemical exchange saturation transfer MRI.
NMR Biomed. 2012;25:1305-1309.
6. Goerke
S, Zaiss, M, Bachert P. Characterization of creatine guanidinium proton
exchange by water-exchange (WEX) spectroscopy for absolute-pH CEST imaging in
vitro. NMR Biomed. 2014;28:507-518.
7. Dreher
W, Geppert C, Althaus M, Leibfritz D. Fast proton spectroscopic imaging using
steady-state free precession methods. Magn. Reson. Med. 2003;50:453-460.
8. Woessner
DE, Zhang S, Merritt ME, Sherry AD. Numerical solution of the Bloch equations
provides insights into the optimum design of PARACEST agents for MRI. Magn.
Reson. Med. 2005;53:790-799.
9. Lin
YY, Hodgkinson P, Ernst M, Pines A. A novel detection-estimation scheme for
noisy NMR signals: applications to delayed acquisition data. J. Reson. Magn.
1997;128:30-41.
10. Wermter
FC, Bock C, Dreher W. Investigating GluCEST and its specificity for pH mapping
at low temperatures. NMR Biomed. 2015;28:1507-1517.