Angéline Nemeth1, Benjamin Leporq1, Amandine Coum2,3, Giulio Gambarota2,3, Kévin Seyssel4, Bérénice Segrestin5, Pierre-Jean Valette6, Martine Laville5, Olivier Beuf1, and Hélène Ratiney1
1Univ. Lyon, INSA‐Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, F69621, VILLEURBANNE, France, Lyon, France, 2INSERM, UMR 1099, Rennes, France, Rennes, France, 3Univ Rennes 1, LTSI, Rennes, France, Rennes, France, 4Department of Physiology, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Lausanne, Switzerland, 5Centre de Recherche en Nutrition Humaine Rhône-Alpes (CRNH-RA), Centre Hospitalier Lyon Sud, Pierre-Bénite, Lyon, France, 6Hospices Civils de Lyon, Département d'imagerie digestive, CHU Edouard Herriot, Lyon, Lyon, France
Synopsis
Monte Carlo simulations and in vivo measurements on human abdominal adipose tissue were used to
analyze the effect of the phase variation induced by eddy currents on localized
spectroscopy fatty acid composition quantification (proportion of
polyunsaturated, monounsaturated and saturated fatty acid). Monte Carlo
simulations showed that base line distortions were able to strongly impact
estimation of fatty acid composition. So we proposed a simple method to correct
the base line using a second signal acquired with a longer TE. Test-retest
variability of quantitative results was reduced using this correction.
Introduction
The quantification of fatty acid –i.e. proportion of
polyunsaturated (PUFA), monounsaturated (MUFA) and saturated (SFA) fatty acid-
with lipid MRS is a simple and fast tool to analyze metabolic modifications. However
these modifications could be very small against the measurement uncertainties related
to the current methods. Thus, any source of variability needs to be tracked. In
the case of lipid signal, localized short TE (~ 20 ms) MRS sequences, which are
widely available on clinical scanners, are typically used. However, short TE
and small voxel prescription imply rapidly switched gradients which in turn
create eddy currents and lead to base line distortion in the acquired MR
spectra.
In this work, we study the effect of the base line distortion
due to phase variation on the fatty acid quantification and we propose a simple
method to correct the effect of eddy current on in vivo lipid MRS using two acquisitions with different TE.Methods
The lipid resonances are fitted by two different methods as
a combination of Gaussian and Lorentzian line shapes: LCModel and Mpeak as
described below:
LCModel
LCModel with the Control parameter SPTYPE set to ‘Lipid-8’
was used only on in vivo data. In the
case of lipid signals, this quantification method fits a flexible combination
of Gaussian and Lorentzian line shapes to the lipid resonances1,2.
Mpeak
To perform Monte Carlo simulations, we used a model function
which permitted to fit Voigt lines shapes3
described by:
[1]
$$f(t)=e^{i\phi_0}\sum_{k=1}^9c_k*e^{\alpha_kt+(\beta_kt)^2+i2{\pi}f_kt}$$
where
$$$\phi_0$$$ is
the zero order phase, $$$c_k$$$
the amplitudes,
$$$\alpha_k$$$ the Lorentzian damping factors, $$$\beta_k$$$
Gaussian damping factors,
$$$f_k$$$ the frequency of the kth proton
group. The algorithm implementing of Mpeak3 used multiple random starting values for the
$$$f_k$$$, $$$\alpha_k$$$ and
$$$\beta_k$$$ to compute the starting
values of $$$c_k$$$ and $$$\phi_0$$$ using a linear least
squares as in AMARES4. Then a
nonlinear least squares algorithm was employed to fit the global model function
given in [1].
In the Table 1, amplitudes ($$$c_k$$$) were expressed
in terms of ndb, nmidb, CL5, Aw and
Af. Ratio of amplitudes permitted to estimate ndb and nmidb (Table 1). The
proportion of the different fatty acid was then calculated by:
$$PUFA=\frac{nmidb}{3}*100$$
$$MUFA=\frac{(ndb-2*nmidb)}{3}*100$$
$$SFA=100-PUFA-MUFA$$
Monte Carlo Simulation
The fatty acid composition of human subcutaneous abdominal
adipose tissue6 (18% PUFA, 54.6% MUFA
and 27.4% SFA) was used as reference in the simulated data which corresponded
to ndbtarget = 2.7,
nmidbtarget = 0.54
and CL = 17.47. Monte Carlo simulation was performed using 10-peak lipid
signal. A gold standard signal was designed with the equation [1] and one
hundred Gaussian noise realizations with zero mean and a variance determined
according to the desired SNR were randomly generated and added. $$$c_k$$$
were defined
as described in the Table 1 with ndbtarget ,nmidbtarget ,
Aw = 1 and Af = 37 and then multiplied by exp(-TE/T2k)
with TE = 14ms, $$$\alpha_k$$$ were equal to 1 /T2k (T2k
in Table 1), $$$\beta_k$$$ = 27.29Hz (T2' = 22ms
$$$\beta_k=\sqrt{\frac{1}{4*log(2)*(T2^{'})^2}}$$$) and $$$\phi_0=0$$$. Additionally, phase distortions were introduced
to simulate the effect of eddy currents, as illustrated in Figure 1.
In vivo acquisitions
Nine volunteers underwent a STEAM sequence, using
respiratory triggering, on a Philips Ingenia 3T system on abdominal
subcutaneous adipose tissue using two TE (parameters in Figure 2). MR spectra
were acquired twice in a row to measure the test-retest variability of the
quantification methods as:
$$Var=\frac{1}{9}\sum_{i=1}^9\frac{{\mid}test_i-retest_i{\mid}}{(test_i-retest_i)/2}*100$$
LCModel and Mpeak
methods were applied only on the spectrum of the first echo with and without
the phase correction, described in details in Figure 2, which exploit the phase
term of the second echo acquisition free from phase variation due to eddy
current.
Results
Monte Carlo simulation (Figure 3) showed an increase of the
error and of the variability in the estimation of ndb and nmidb with the base
line distortion.
LCModel results were compared without and with phase
correction (Table 2). The mean estimated values of ndb, nmidb, PUFA, MUFA and SFA
was equivalent in both cases. Test-retest variability percentage was better
with the phase correction than without this correction.Discussion/ Conclusion
Base line distortions due to eddy current can strongly
impact estimation of fatty acid composition. So we proposed a simple method to
correct the base line, but with the constraints of acquiring a second signal. In
the implementation of LCModel, there is probably a method to correct the base
line. However, here we demonstrated that processing a correction of the
spectrum before using LCModel permitted to reduce the test-retest variability.Acknowledgements
LABEX
PRIMES (ANR-11-LABX-0063), program "Investissements d'Avenir"
(ANR-11-IDEX-0007), IHU Opera and PHRC-IR Visfatir.References
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