Koji Fujimoto1, Yuta Urushibata2, Hideto Kuribayashi2, Tobias Kober3,4,5, Tadashi Isa1, and Tomohisa Okada1
1Human Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Siemens Healthcare K.K., Tokyo, Japan, 3Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 4Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland, 5Signal Processing Laboratory (LTS 5), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
Synopsis
Healthy volunteers at the age between 20-30 (N=22) and
over 60 (N=8) were scanned using a 7T MRI and a 1ch-Tx/32ch-Rx coil with a MP2RAGE
prototype sequence at 0.7mm isotropic resolution. Cerebral cortex was segmented
based on the human connectome project pipelines with some modifications to
obtain cortical thickness and R1 on the gray-ordinate space. Results showed that
the average cortical thickness decreased from 2.58 to 2.34 (9%) between the age
groups; average R1 increased from 0.542 to 0.552 (1.9%). R1 change seems
to have spatial predominance, with the preference in the frontal area.
Introduction
It is well known that
human cerebral cortex shows atrophic change at later stages in life. However,
it is not easy to quantitatively measure and compare these changes within or
across subjects, due to the complicated morphological structure. Recently,
image processing tools such as the FSL, FreeSurfer and HCP pipelines has
enabled precise segmentation and parcellation of the individual cortex [1].
High-field 7T MRI scanner can provide high-resolution images of the brain, but
increased B1+ inhomogeneity adds additional challenges.
By acquiring two images at different time points during
the recovery from one inversion pulse, the MP2RAGE sequence [2] is capable of
mitigating B1+ inhomogeneity at 7T and enabling to generate volumetric
quantitative R1 (=1/T1) maps. The R1 of the white matter (WM) is reported to
show U-shaped change across the life-span [3]. R1 is considered to reflect the
amount of myelin and iron in the cerebral cortex, with a possible link to
degenerative disorders such as Alzheimer's disease. Recently, a longitudinal
study has shown decrease in cortical R1 in a healthy aged group using 3T [4].
For clinical translation of R1 measurements of the human
brain at 7T for diagnosis and prediction of disease outcome, accurate and
robust measurements are required. With this in mind, the purpose of this study
was to assess the capability of showing age-related change by means of cortical
thickness and R1 of the cerebral cortex.
Methods: image acquisition
Healthy volunteers at the
age between 20-30 and over 60 were enrolled under approval of institutional
review board. Twenty-five young subjects (mean 22.3, range 20-25) and eight
elderly subjects (mean 69.4, range 62-76) were scanned using an investigational
7T whole-body MRI (MAGNETOM 7T, Siemens Healthcare, Erlangen, Germany) equipped
with body gradients using a 1ch-Tx 32ch-Rx coil (Nova Medical, Wilmington, MA)
between 2017/8/1-2017/9/28.
Scanning protocol
included MP2RAGE (prototype sequence) in 0.7-mm isotropic resolution with the
following parameters: TI1/TI2/TR/TE/FA1/FA2/BW/echo
spacing/matrix/GRAPPA/total acquisition
time=800ms/2700ms/6000ms/2.9ms/4°/5°/260Hz/pix/6.8ms/284×284x256/R=3/9min20sec.Methods: data post-processing
One subject was excluded
due to motion artifacts. The cerebral cortex was segmented based on a modified HCP
pipeline using de-noised uniform images (UNI-DEN) [5] and T1 instead of MPRAGE
and T2-TSE as an input, both obtained with MP2RAGE. After cortical
segmentation, R1 values at the midline of the cortical gray matter (GM) were projected
to the inflated cortical surface map for visualization.Methods: data analysis
Two subjects were
excluded due to severe registration errors, yielding a total of 30
subjects (22 for young, 8 for elderly) for the analysis.
By using in-house Matlab scripts and Linux shell scripts
with HCP workbench commands, the following metrics were calculated for both
cortical thickness and R1 on the gray-ordinate space [1]: (1) average
surface maps two groups, (2) Relative changes of the elderly group compared to
the young group, and (3) Z-score maps for each subject in the elderly group by
using the young group as reference. In addition, by using an atlas provided
with HCP pipeline (aparca2009s), the data were averaged over each region and
were compared with an unpaired two-sample t-test.Results
Group-wise were
summarized in Figure 1. Mean and standard deviation (SD) of all the vertices
on the surface map were summarized in Table 1. Z-score maps of elderly
subjects were summarized for cortical thickness (figure 2) and cortical R1
value (figure 3).
Average cortical thickness decreased from 2.58 to 2.34
(9%). Relatively large p-values were observed at the primary sensorimotor area,
lower temporal area and frontal base. Regional difference was not apparent
on Z-score maps. Z-score maps and corresponding histogram showed decreased
cortical thickness in all elderly subjects.
Average R1 values increased from 0.542 to 0.552 (1.9%).
R1 change seems to have spatial predominance, with the preference in the
frontal area. Z-score maps and corresponding histogram showed increased R1
value except for one subject (Figure 3).Discussion
Our result of the
cortical thickness distribution confirmed previous reports [1,6] , suggesting validity
of the cortical segmentation using MP2RAGE. The average R1 map showed similar
result with a previous report [7]. The cortical thickness did not show spatial
preferences, whereas R1 value tends to decrease more in the frontal area of the
cortex.. However, precise measurement of the R1 value has to be investigated
because (1) the change is relatively small (2%), and (2) there is significant
subject-to-subject variability in our data.Conclusion
Age-related change in
cortical thickness and R1 value was successfully shown by using a 7T scanner.
The change in the cortical R1 value seems to have regional predominance.Acknowledgements
No acknowledgement found.References
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