Pan ki Kim1, Chul Hwan Park2, Yoo Jin Hong1, and Byoung Wook Choi1
1Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, Seoul, Republic of Korea, 2Department of Radiology and Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University Medical Center, Seoul, Republic of Korea
Synopsis
Chemical Exchange
Saturation Transfer (CEST) has been attracting attention as a molecular imaging
method to investigate myocardial muscle energetics according to creatine
changes. In this study, we proposed a robust CEST imaging technique from cardiac and respiratory motion
using golden angle radial readout to achieve CEST imaging at the heart of the
rat. We investigated the feasibility of the proposed method for the creatine
phantom and a normal rat.
INTRODUCTION
Chemical Exchange
Saturation Transfer (CEST) has been attracting attention as a molecular imaging
method to investigate myocardial muscle energetics according to creatine
changes. In this study, we proposed a robust CEST imaging technique from cardiac and respiratory motion
using golden angle radial readout to achieve CEST imaging at the heart of the
rat. We investigated the feasibility of the proposed method for the creatine
phantom and a normal rat.METHODS
As shown in
Figure 1, motion-robust radial readout was used to apply CEST images to the
heart of small animals. And golden angle radial trajectory was used to enable
self-gating to remove the influence of breathing motion from the navigation
echo. The train of magnetization transfer (MT) pulses were used for the CEST
effect, and the MT pulse using the gaussian
pulse had the properties of 270deg flip angle and 200Hz bandwidth. A segmented
radial scan was performed in the mid-diastolic phase with CEST pulse for 10 seconds
over 50 heart beats to give a sufficient
CEST effect. Thereafter, it had a quiescent
time of 5 seconds for T1 recovery. To investigate the feasibility of the
radial CEST, we experimented with Creatine Phantom and normal Rat. Analysis of
CEST was performed at 2 ppm using multiple Lorentzian fittings.2RESULTS
Figure 2 shows
the result of the CEST experiment with Creatine phantom. The Cr sample with a
concentration of 100 mM showed a high CEST contrast in the Z-spectrum and the
CESTasym in the 2 ppm. Figure 3 shows the result of applying
respiratory gating using the navigation echoes in a rat. Figure 4 shows the
possibility of a radial CEST method in the heart of a normal rat. Weak CEST contrast was observed in the 2 ppm.
DISCUSSION
We proposed a
CEST imaging technique using a radial trajectory to obtain CEST images from the
heart of a rat with rapid cardiac and respiratory cycles. As shown in the
phantom experiment in Figure 2, the samples with creatine at 2 ppm showed a
high CEST contrast but no distilled water
(DW). In Figure 4, CEST contrast was also seen at 2 ppm in the heart of the in
vivo rat. The navigation echo obtained at the end of a segmented radial scan
can be used as a source of respiratory gating because it can detect changes due
to breathing. The radial scan itself is
robust to the artifacts associated with movement, but the use of respiratory
gating has shown that the boundary between the myocardium and the blood becomes
clearer.
Acknowledgements
This work was supported by the National Research Foundation of
Korea (RF) grant funded by the Korea government (MISP) (No. 2016R1C1B1013837)References
-
Haris, Mohammad, et al. "A technique for in vivo mapping of myocardial
creatine kinase metabolism." Nature medicine
20.2 (2014): 209-214.
- http://www.cest-sources.org/doku.php?id=cest_eval