Magnetisation transfer (MT) has been found to contribute to parameter estimation bias in sequences used in the two-pool relaxometry technique, mcDESPOT. Recent work shows that using controlled saturation magnetisation transfer (CSMT) RF-pulses, a two-pool system (free- and bound-pools) can behave as a single pool with modified equilibrium magnetisation and longitudinal relaxation rate. Here, we investigate the use of CSMT to model MT-effects in a three-pool system (exchange + MT) and show that under these conditions, signal behaves as a two-pool system and matches a mcDESPOT model but characterised by different parameters than those originally assumed.
Multicomponent DESPOT (mcDESPOT) models tissue response using a system of two or more exchanging ‘free’ (i.e. MR-visible) magnetisation components.1 In its two-pool form, mcDESPOT has been used for characterisation of white matter (WM), with the two components usually identified as intra/extracellular water (slow-relaxing) and myelin-water (fast-relaxing). The myelin water fraction (MWF) calculated from these estimates has been shown to consistently overestimate the value derived from multiecho CPMG methods.2,3 WM is known to yield a strong magnetisation transfer (MT) effect that is not ordinarily modelled in mcDESPOT; other work has suggested this to be a source for MWF overestimation.4,5
The MT-effect may be modelled by the addition of a ‘bound’ (i.e. macromolecular) pool of magnetisation.5,6 RF-pulses rotate ‘free’ magnetisation, but saturate ‘bound’ magnetisation according to applied RF-power $$$W$$$ (Equation 1), where $$$B_{1,rms}$$$ is RMS pulse amplitude over the whole sequence and $$$G$$$ is bound-pool absorption factor.
$$ W=\pi G(\Delta)\gamma^2B_{1,rms}^2 $$
The recently proposed controlled saturation magnetisation transfer (CSMT) approach has been shown to allow a simple two-pool MT-system (i.e. one free-pool, one bound-pool) to behave as a single free-pool during DESPOT-style relaxometry by keeping $$$W$$$ constant over all acquisitions, irrespective of the applied flip angle (FA).7
In this work, we aim to extend this approach to consider a system with two free components, of the type typically modelled in mcDESPOT. We consider how a ‘ground-truth’ scenario with three pools (i.e. two free-pools and one bound-pool) will produce parameter estimation bias when fitted using a two-pool model that does not include any bound component (hereafter referred to as the ‘mcDESPOT’ model).
Figure 1 illustrates our three-pool configuration, including a bound-pool to account for MT-effects.5 We use the Bloch-McConnell equations to model the evolution of magnetisation for such a system and calculate steady-state solutions independently for SPGR and bSSFP. We then fit a mcDESPOT model to three-pool (ground-truth) signals, simulated using either controlled (i.e. same $$$W$$$ regardless of FA) or uncontrolled saturation methods. Least-square criteria, using fmincon in Matlab2016b, were applied.
Comparison of the differential equations governing mcDESPOT and three-pool models suggests that the latter can be fitted using a mcDESPOT model, with 'apparent' parameters shown in Figure 2. Note that the assumption made in this derivation is that the bound-pool is in a steady-state.
When saturation is uncontrolled, a mcDESPOT model fits poorly (NRMSE = 6.4%) to simulated three-pool data, particularly for SPGR (Figure 3a). This results in inaccurate parameter estimation due to the dependence of each apparent parameter on RF-power. In contrast, the same model fits very well (NRMSE = 0.03%) for simulated controlled saturation data (Figure 3b). The signal predicted using the mcDESPOT model with the apparent parameter values in Figure 2 also fits very well (NRMSE = 0.25%), although not perfectly because the bound-pool steady-state assumption is an approximation. Using CSMT, a three-pool system behaves as a two-pool model, characterised by the parameters in Figure 2; model dimensionality is reduced without explicit modelling of a bound-pool, as has been performed previously.5
Figure 2 indicates that given no direct exchange between MR-visible pools, an apparent exchange ($$$\Delta k_{FS}$$$) remains that is solely mediated by the bound-pool; these additional exchange pathways are highlighted in Figure 1. This implies that the exchange rates observed using mcDESPOT could reflect exchange mediated purely by MT. $$$\Delta k_{FS}$$$ increases almost linearly with $$$k_{B} $$$ but decreases for larger $$$B_{1,rms}$$$, as magnetisation entering the bound-pool is lost through saturation.
Figures 4 and 5 use the derived parameter expressions to investigate how mcDESPOT fitting would be influenced by the presence of a bound-pool, assuming $$$k_{FS}$$$ = 0 and $$$k_{B}$$$ = $$$k_{BF}$$$ = $$$k_{BS}$$$. Figure 4 suggests that the apparent MWF (in Figure 2) is not the same as the true MWF, defined as $$$\frac{M_{0F}}{M_{0F}+M_{0S}}$$$, but the relationship is monotonic and relatively insensitive to changes in bound-pool fraction. It also consistently overestimates MWF, as others have observed. However, Figure 4c shows that MWFapp is strongly influenced by RF-power level, with lower $$$W$$$ leading to a closer relationship to the ground-truth.
Figure 5 demonstrates that higher $$$B_{1,rms}$$$ leads to reduced apparent longitudinal relaxation times, as has been reported before.7 This has clear implications for the use of $$$T_{1}$$$ as a quantitative tissue parameter.
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