Gisela E Hagberg1,2, Thomas Shiozawa-Bayer3, Christian Mirkes2, Jörn Engelmann2, Jonas Bause2, Bernhard Hirt3, and Klaus Scheffler1,2
1Biomedical Magnetic Resonnce, University Hospital Tübingen, Tübingen, Germany, 2High Field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 3Institute of Clinical Anatomy, University Hospital Tübingen, Tübingen, Germany
Synopsis
MRI of post mortem samples in formalin is an
essential tool for validation purposes and comparison with clinical histology,
since fixation preserve several microstructural tissue features. We found that the
dielectric properties of the fixative influences image quality attained in whole
brain post mortem samples at 9.4T. The standard fixative prevented high quality
MRI across the entire sample. By using a high conductivity fixative with less field focussing, a more
homogeneous excitation was achieved without any drop outs and T1 mapping could
be performed using rapid inversion recovery techniques.
Introduction
MRI of post mortem samples is essential for
validation purposes and comparison with clinical histology, since fixation
preserves several microstructural tissue features [1-3]. At high magnetic fields,
the dielectric properties are determining for reducing the dielectric imaging
artifact [4-5] and are key to achieve homogeneous spin excitation and prevent
tissue heating. In the present study we investigate the influence of the
dielectric properties of different fixatives on MRI image quality for whole brain imaging of post-mortem samples using clinical mesurement protocols.Materials&Methods
MRI of tissue samples and
solutions was performed at 9.4T with a 16ch transmit(Tx) /31ch receive (Rx)
array [6] operating in CP mode. A 2.8L cylindrical container, filled with
either of 2 different paraformaldehyde based fixatives (FIX2 and FIX3),
phosphate buffer (PBS), or ethanol (99% UN1107 denaturated with MEK/Bitrex) was
scanned. The 3D transmit field was mapped with the Actual Flip Angle method [7]
using a nominal flip angle of 60°; TR1/TR2=20/100ms; TE=7ms, voxel
size=3x3x5mm³; TA=3min45s. The reference voltage was set to achieve the nominal
flip angle at the maximum of the CP-mode sweet-spot, located at the center of
the container. T1 relaxometry was performed by an inversion-recovery
echo-planar imaging (IE-EPI) sequence at TI=50, 100, 150, 200, 250, 350, 450,
650, 850, 1100, 1500, 2000, 3000, 4000, 6000ms; with TE=11ms; TR=11s; voxel
size of 2x2x2mm³; partial Fourier factor=6/8; GRAPPA=3; TA=3min45s.
Three
whole brain post-mortem samples (obtained through the local body donor program)
were kept in two formalin-based fixatives (FIX1, similar to FIX2, and FIX3) for a minimum of four
months prior to MRI scanning. The brain samples occupied ca 1.2 Liter; >40%
of the container. For comparison, a smaller (1.5L) half-dome shaped container,
in which the brain sample occupied >66% of the total volume, was also used.
Besides the AFI and T1mapping used for the solutions, whole brain
T1 mapping was performed with the MP2RAGE sequence based on an optimized 13ms
long non-selective TRFOCI pulse for inversion (TI1/TI2=900/3500ms; FA=4/6°;
read-out TR =6ms; inversion TR=8894ms, 0.8mm isotropic voxel size; TA=9min40s).
The
dielectric properties of the different solutions (FIX1, FIX2, FIX3, PBS,
Ethanol) were measured at room temperature using a SPEAG (Zürich, Switzerland)
dielectric assessment kit (DAK-12 probe) and an Agilent Technologies E5071
network analyzer (Santa Clara, United States), across the frequency range
100-600MHz in steps of 1MHz. Likewise, the permittivity and the conductivity of
a sucrose-based solution, mimicking the dielectric properties of the human
brain at 400MHz was measured [5].Results&Discussion
The permittivity of each fixative was similar to PBS but was substantially
greater than the tissue mimicking solution and ethanol, while the conductivity
was generally higher (Fig1 with Table). Although ethanol is a good fixative and has low
permittivity, it yields unwanted, shifted ghost images owing to its multiplet resonance
spectra. An acceptable trade-off with slightly lower permittivity and greater
conductivity was achieved by FIX 3, albeit at the cost of an increased
coil-load and a higher voltage required to reach the nominal flip angle. The
scaling factor between the actual and nominal flip angle reached minimal values
with FIX 2, while with both FIX 3 and PBS the actual field was always at least
35% of the nominal values (Fig.2A). In accordance, it was not possible to
properly invert the spins with FIX 2, while no such unsurmountable issues were
observed with either FIX3 or PBS (Fig 2B).
Likewise, an insufficient inversion was observed in the brain sample containing
the low-conductivity fixative (FIX1). Reducing the size of the container did
not alleviate this issue, likely because the size of the brain is greater than the
RF wavelength in this fixative. Conversely, the use of the high conductivity
fixative FIX3 was sufficient to alleviate this issue and a homogeneous
inversion field could be attained (Fig 3). These observations are consistent
with the stronger field focusing occurring in conditions of low conductivity [4].Conclusion
For whole brain post mortem MRI studies performed at 9.4T, the choice of fixative determines the extent of B1 field
focusing, and hereby the image quality that can be achieved.Acknowledgements
Funding by the Max
Planck Society, and the ministry of Science, Research and the Arts of
Baden-Württemberg (Az: 32-771-8-1504.12/1/1)References
[1] Bagnato F et al. Brain.
2011 ;134(Pt 12):3602-15.
[2] Foxley S et al., Neuroimage. 2014;102
Pt 2:579-89. [3]Weiss M, et al., Brain Struct Funct. 2015;220(3):1695-703.
[4] Sengupta S et al., Neuroimage. 2017 in press [4] Hoult DI & Phil D J Magn Reson Imaging. 2000;12(1):46-66
[5] Hoffmann J et al., MAGMA. 2014;27(5):373-86 [6] Shajan, G., et al., (2013). Magn Reson
Med;71(2):870-9
[7] Avdievich NI et al. Magn
Reson Med. 2016;76(5):1621-1628. [8]
Yarnykh VL. Magn Reson Med 2007;57(1):192-200