This work compares the performance of pseudo-continuous ASL (PCASL) and velocity selective inversion ASL (VSI) for functional MRI using a simple, robust visual motor task. VSI showed increased sensitivity and allowed faster temporal resolution, resulting in further increases in sensitivity.
Velocity Selective Inversion (VSI) pulses have been recently demonstrated as an attractive option for Arterial Spin Labeling (ASL) perfusion imaging because of potential gains in signal to noise ratio (SNR) and decreased sensitivity to bolus arrival time variations. Figure 1 shows simulations of the input function and observed ASL signal for several ASL labeling schemes. These simulations suggest that significant gains can be expected using VSI relative to PASL and PCASL techniques. Here, we explore the utility of VSI for ASL in terms of its SNR and sensitivity to brain activity. We also explore potential gains in temporal resolution relative to (pseudo) continuous ASL, currently the most popular and efficient ASL technique.
Subjects (N=6) were scanned using a 3.0T MR750 scanner (GE, Waukesha, WI). The subjects were instructed to tap their fingers of their right hand for 20 seconds while being stimulated with an 8Hz flashing checkerboard pattern. The stimulus was repeated 5 times, preceded by 40 seconds of inactivity (total time = 300sec).
This experimental paradigm was repeated four times while the subjectswere scanned with the following four ASL sequences. (1) PCASL labeling for 1600ms, followed by 1800 ms PLD, TR = 4000 (2) VSI label followed by 1800 ms Post Labeling Delay (PLD), TR = 4000 (3) VSI label followed by 1800 md PLD, TR = 3000 ms and (4) VSI label followed by 1200 ms, TR = 2000 ms.
Acquisition in all four cases was done with a 3D stack of spirals sequence (64 x64 x 16 matrix, 3.44 x 3.44 x 6 mm voxel size). No background or arterial suppression pulses were used. VSI pulses were generated using the method described by Qin et al [Qin 2016]. Off resonance correction for the PCASL pulses was calibrated and applied, as recommended in [Jahanian 2011 ].
The time series was reconstructed, motion corrected, smoothed with 6 mm Gaussian kernel and surround subtracted. Linear regression was used to detect and estimate stimulus related activation, including nuisance regressors identified using the compCor technique. Z score maps corresponding to the activation were calculated from the resulting estimates. The number of voxels with a Z score greater than 3 within the brain were tabulated for each case. Spatial noise was defined as the standard deviation of the temporal mean magnitude of pixels outside the brain. Temporal noise was defined as the temporal standard deviation averaged over all the pixels inside the brain. Spatial and temporal SNR were defined as the mean ASL signal inside the brain divided by the temporal and spatial noise, respectively.
Activation maps (thresholded at Z>3) from a representative subject collected with the PCASL sequence (TR = 4 sec) and with the VSI sequence (TR=3) are shown in figures 2 and 3, overlaid on their corresponding perfusion weighted image. Table 1 shows the temporal and spatial SNR of the VSI acquisitions, as well as the number of active voxels and their mean z score, expressed as a percentage relative to PCASL and averaged over subjects.
Perfusion weighted images collected using the VSI labeling scheme showed significant improvement in temporal and spatial SNR relative to PCASL. VSI acquisition with the same TR as PCASL did not yield significantly higher Z scores within the regions commonly activated by all four acquisitions. However, faster VSI acquisitions increased the Z scores significantly. The number of voxels activated also increased significantly in reduced TR acquisitions. We observed that, when the post label delay was reduced to 1.2 sec (TR=2 sec), significant contribution from the vasculature was evident in the images.
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