Synopsis
We used b-tensor encoding
and multiple echo times to estimate the separate T2 relaxation times and apparent
fractions of white matter compartments. Nineteen elderly subjects were imaged,
and data were analyzed using a constrained ‘ball-and-stick’ diffusion-relaxation
model. Results show that the ‘ball’ T2 relaxation time is inversely related to
the fraction of ‘sticks’ in white matter lesions, and that the ‘stick’ T2 relaxation
time may be sensitive to the axonal diameter. The approach could be useful to characterize
white matter damage.
Introduction
Biophysical modeling in
diffusion MRI aims to estimate the volume fractions of cellular compartments. However,
multiple effects can bias this interpretation, including compartmental
differences in relaxation times. While such differences may be near negligible
in the healthy brain1-3, this cannot
be expected in conditions with increased extracellular water, such as ischemic
white matter lesions4. Estimation of compartment-specific relaxation
times could not only improve compartment fraction estimates, but also yield
additional microstructural information since relaxation times depend on the chemical
composition and surface-to-volume ratio of cellular structures5-6. However,
estimating specific relaxation times for tissue compartments is generally
challenging7. Here, we address
the issue by using a constrained ‘ball-and-stick’ model to analyze data
acquired with b-tensor encoding and multiple echo times (TE).Methods
Nineteen subjects (age 70±9 years, 6 females), thirteen of which
had Parkinson’s disease, were examined on a MAGNETOM Prisma 3T system (Siemens
Healthcare, Erlangen, Germany). A prototype spin-echo sequence was used to
acquire data with both linear and spherical tensor encoding8-9, using
TR/TE=5200/106 ms/ms and b=[0.1,0.5,1.0,1.5,2.0]
ms/μm2 over up to 30 directions. Maxwell-compensated encoding waveforms10
were optimized numerically11. Additional data were acquired with linear
b-tensors and multiple TE, using TR=6900 ms, TE=[50,85,120,155] ms and
b=[0,0.5] ms/μm2. Image
resolution was 2×2×4 mm3.
Data
were ‘powder-averaged’ across encoding directions8, and analyzed with a
two-compartment ‘ball-and-stick’ model designed to capture compartment-specific
T2 times in white matter. A connection
between diffusion and relaxation was enforced by constraining the isotropic
diffusivity of the ‘ball’ compartment using a tortuosity constraint: DI;B = 2.8(1 – fS) μm2/ms,
where fS is the relaxation-corrected fraction of the ‘stick’
compartment. This fraction would ideally represent the axonal volume
fraction, but is still a crude approximation due to MR invisible compartments
like myelin and compartmental differences in water concentration. The isotropic
diffusivity of sticks was fixed to 0.9 μm2/ms.
Parameters maps were calculated within manually defined white
matter masks. Parameters were extracted from regions of interest (ROIs) in white matter
lesions and in normal white matter, comprising frontal white matter (FWM), the
corticospinal tract (CST), and the corpus callosum (CC) genu, body and
splenium. White matter lesions (WML) comprised ROIs placed in twenty-one
lesions distributed among six subjects.Results
Figure 1
shows maps of the ‘stick’ fraction and the T2 relaxation times of the ‘stick’
and ‘ball’ compartments. Most maps featured a flat contrast across healthy white
matter, but the corticospinal tract stood out with a longer T2 relaxation time
of its ‘stick’ compartment and a shorter T2 time of its ‘ball’ compartment. In general,
the T2 relaxation time was shorter in the ‘stick’ compartment or similar
between compartments (Table 1). The corpus callosum exhibited a large variation in T2 relaxation times of
‘sticks’, which interestingly matches known variations in axon diameters12.
The white matter lesions exhibited a reduced ‘stick’ fraction and an
increased ‘ball’ T2 relaxation time (Fig. 1, Table 1). These changes were
correlated and seemed to increase in tandem between lesions judged as ‘slight’ and
‘moderate’, while the ‘stick’ T2 relaxation time was comparatively unchanged
(Fig. 1 and 2).Discussion
We used
constrained analysis of b-tensor encoding data with multiple echo times to
estimate compartment-specific T2 relaxation times and a relaxation-corrected ‘stick’
fraction. The results allowed a tentative interpretation of the ‘stick’
compartment as approximating axons and the ‘ball’ compartment as approximating extra-axonal
space. That the T2 relaxation time of extra-axonal space should increase with a
reduced axonal density, as suggested in Fig. 2, makes sense from the
perspective of porous media science, since both T2 times and diffusivities generally
increase when the volume fraction of solid materials decreases6. Furthermore,
that the intra-axonal T2 relaxation times should be longer in regions with
large axon diameters, as suggested in the cerebrospinal tract and the body of
the corpus callosum, could be explained from a reduced axonal surface-to-volume
ratio in large axons, with an associated decreased exposure of axonal water to lipids
with exchangeable protons, which are abundant in brain lipid membranes13.
The employed tortuosity
constraint bears much similarity to a constraint that is commonly
employed14-15, but also criticized16.
Here, however, it was only employed in white matter and it relies on a relaxation-corrected
fraction rather than on a relaxation-weighted signal fraction, which is a crucial distinction that makes the
constraint more biophysically plausible. We acknowledge that the
employed constraints could be incorrect and impact the estimation accuracy.
However, the biophysical plausibility of our findings suggests that the error
is small.Conclusions
Estimation of T2 relaxation times for separate tissue
compartments is possible in white matter using constrained modeling
of b-tensor encoding and multiple echo times, and could potentially be
useful for characterization of white matter damage.Acknowledgements
We thank Siemens
Healthcare for providing access to the pulse programming environment.
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