Synopsis
The
SNR increase of high fields needs to be leveraged with the challenge of
maintaining the flexibility of tuning the MRI contrast to the molecular
dynamics of interest. Relaxation methods based on frequency-modulated pulses,
including T1ρ and T2ρ using adiabatic pulses, and the
non-adiabatic method entitled relaxation along a fictitious field (RAFF) in the
rotating frame of rank 'n' (RAFFn), offer sensitivity to molecular dynamics in intermediate
and slow regimes. The reduced power deposition of RAFFn, along with the opportunity
of enhancing sensitivity to exchange by tuning the periodicity of irradiation,
are distinct and compelling advantages of the methodology.
TARGET AUDIENCE
Scientists and clinicians who seek to explore innovative MRI methods for enhancing sensitivity to molecular dynamics in the intermediate and slow regime at high magnetic fields, with the ultimate goal of characterizing tissue properties and pathophsyiological processes in vivo.
OUTCOME/OBJECTIVES
Learners
will understand how to tune the MRI contrast to the molecular dynamics of
interest by using frequency modulated (FM) pulses, particularly those that generate Relaxation Along a Fictitious Field (RAFF) in the rotating frame of rank 'n' (RAFFn).
PURPOSE
Among the large variety of motional regimes that
water molecules experience in tissue, those in intermediate and slow regimes are
the most sensitive to the intricate nature of tissue microstructure,
composition and function [1, 2]. However, at high magnetic fields (3T and
above), the rate constant for laboratory frame longitudinal relaxation (R
1)
mostly reflects molecular fluctuations of magnetic dipolar interactions in fast
dynamic regimes, with correlation time τ
c ~ (γB
0)
-1 in nanosecond time scale. To sensitize MRI to slower
motions, relaxation in an effective field B(
n)
eff can be exploited in a rotating coordinate system of rank 'n'. The
correlation times of motion involved in this case are in the range of τ
c ~(γB(
n)
eff)
-1 [3-8]. T
1ρ relaxation can assess motional regimes with correlation times τ
c ~ 1/ω
eff in microsecond to millisecond time scale, with conventionally used
spin-locking [9-13], as well as with adiabatic RF pulses [1, 2, 14, 15]. An
interest towards in vivo exploitation of T
1ρ MRI has greatly
increased due to its sensitivity to different factors related to cell death in
several disease models [16, 17]. For example, in rat models of cerebral
ischemia, T
1ρ is one of the earliest markers that reflect irreversible
tissue damage after cessation of blood flow [18] even in those cases where
initial diffusion abnormality may transiently recover upon reperfusion [16,
19]. However, high SAR of T
1ρ methods severely limit the use of these approaches in clinical
settings, thus warranting the exploration of novel methods.
METHODS
To access motions in intermediate and slow regimes
(microsecond to millisecond time scale) with lower SAR, one can measure relaxations in higher
rotating frames with the rank n ≥ 2. Our group has recently expanded on
such concepts by introducing the method RAFFn, which includes components of T
1ρ and T
2ρ.
RAFFn utilizes amplitude and frequency modulated pulses which operate in
non-adiabatic regime while producing effective fields in higher rotating
frames [20-22].
RESULTS
The benefits of
RAFFn in reducing SAR have been demonstrated in earlier work [22].
For instance, a drastic reduction of >90% in SAR can be achieved when
comparing RAFF5 with spin-lock T
1ρ of
similar peak RF amplitude. Another compelling feature of RAFFn involves an enhanced
sensitivity to spin coupled systems resulting from the periodic nature of the RF
irradiation [23]. The periodic Hamiltonian indeed probes the exchanging spin system,
leading to a significant increase of the observed relaxation rate due to the
instantaneous flip of the effective (or fictitious) field and the generation of
sidebands. There has been considerable interest in utilizing periodic irradiation
in MR for various purposes, e.g., inducing magnetization transfer (MT) in MRI [24].
In RAFFn, the periodicity of RF irradiation can easily be tuned to generate sidebands
that are positioned optimally off-resonance to induce MT. By tuning the
irradiation period to chemical shift differences between exchanging sites, a
significant increase in the exchange-induced relaxation rate constants can thus
be achieved. Notably, exchange measured with periodic irradiation may have
reduced sensitivity to B
0 inhomogeneity as compared to other methods
providing exchange contrast such as CEST, since it is dependent on the
difference in chemical shifts rather than the absolute position of the
exchanging spins.
DISCUSSION
Unique and complementary insights into molecular
processes linked to tissue function and dysfunction can be gained by
characterizing the dynamic properties of protons. The SNR increase achieved at
high magnetic fields offers an undeniable advantage which however needs to be
leveraged with the challenge of maintaining the flexibility of tuning the MRI
contrast to the molecular dynamics of interest. Rotating frame relaxations
measured during the application of frequency-modulated pulses offer sensitivity
to intermediate and slow molecular dynamics. They offer practical advantages as
compared to continuous-wave rotating frame relaxations, including a minimized
sensitivity to B
1 distributions and a capability to simultaneously tune the
contrast to multiple effective frequencies, γB
eff(t), due to the time
dependence of the modulation functions [25]. MRI relaxation methods based on FM
pulses, including T
1ρ and T
2ρ using adiabatic pulses, and the non-adiabatic
method RAFFn
provide insights into the pathological processes of multiple brain
disorders, such as Parkinson’s disease [26-30], acute ischemia
[31], and cell death in rat glioma gene therapy model [32, 33]. They also hold
promise for elucidating pathophysiological processes that histology studies
suggest are important in MS [34-37]. Although not common yet for clinical
studies, overall rotating frame relaxations with FM pulses are robust and
sensitive methods for investigations in humans [30, 34, 38, 39].
CONCLUSION
The clinical
relevance of rotating frame relaxation contrasts motivates their continued development
especially at high fields. The reduced power deposition of the RAFFn acquisitions, along
with their flexibility in enhancing sensitivity to exchange by tuning the
periodicity of irradiation, are distinct advantages of the methodology as
compared to other quantitative MRI methods sensitive to molecular dynamics.
Acknowledgements
Work described in this contribution was supported by the EU
H2020 Marie Skłodowska RISE project #691110 (MICROBRADAM) and by the National Institutes of Health (Funding P41
EB015894, P41EB027061, P30 NS076408).
The content is solely the
responsibility of the author and does not necessarily represent the official
views of the funding bodies. The
author is also grateful to Shalom Michaeli for helpful discussions and comments.
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