Andreea Hertanu1, Lucas Soustelle1, Arnaud Le Troter1, Julie Buron1,2, Victor Carvalho1,3, Myriam Cayre2, Pascale Durbec2, Gopal Varma4, David C. Alsop4, Olivier M. Girard1, and Guillaume Duhamel1
1Aix-Marseille Univ, CNRS, CRMBM, Marseille, France, 2Aix-Marseille Univ, CNRS, IBDM, Marseille, France, 3Aix-Marseille Univ, CNRS, ICR, Marseille, France, 4Division of MR Research, Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States
Synopsis
Inhomogeneous magnetization transfer (ihMT) is a myelin sensitive MRI technique
that provides access to multiple contrast regimes by tuning the amount of
dipolar relaxation time (T1D) weighting of the sequence. This opens
new perspectives to characterize the sensitivity and specificity of ihMT for
myelin in a pathological context. In this study, multiple T1D-weighting
ihMT imaging was investigated in the cuprizone mouse model. IhMT signals
compared to myelin imaging with fluorescence microscopy demonstrate that ihMT
techniques that are weighted towards long T1D values are more
specifically related to myelin content during the demyelinating/remyelinating
phases of the cuprizone model.
Introduction
Inhomogeneous magnetization
transfer (ihMT)1 is an MT-based imaging technique, whose contrast is
weighted by T1D, the dipolar order relaxation time2. Adjustment
of the off-resonance irradiation pattern of ihMT sequences allows exploring
various T1D-weightings and opens access to a multitude of contrast
possibilities. A recent comparative study with fluorescence microscopy, performed
on healthy genetically modified GFP mice generally validated ihMT as a
myelin-sensitive imaging technique, although distinct characteristics were
observed when varying the T1D-weigthing3. Hence, signal
attenuation of components associated with short T1Ds by applying T1D-filtering
strategies4 allowed deriving ihMT images with a specificity for myelin up to
5 times higher than that of conventional MT techniques albeit at the cost of a
loss in sensitivity. Conversely, ihMT images obtained without T1D-filtering
offered highest sensitivity but modest specificity for myelin. In the following
comparative study between ihMT MRI and GFP fluorescence microscopy, we address
the matter of T1D-weightings and the associated sensitivity and
specificity of ihMT for myelin in the pathological context of the demyelinating
cuprizone mouse model5,6.Materials and Methods
Cuprizone mouse model: Demyelination was induced
in plp-GFP mice (n=23) by cuprizone administration in standard powder chow
(0.2%) for 5 consecutive weeks and was followed by a 4 weeks remyelination
phase, triggered by the termination of the cuprizone diet. Mice were divided
into 5 groups (W0-control, W3, W5, W7 and W9), each one corresponding to the
week of MR scans and fluorescence microscopy analyses.
MR experiments: ihMT images were acquired
on a preclinical 7T Bruker scanner (equipped with a 4-channel phased array
receive-only MRI CryoProbe) using a slab-selective 3D ihMT-RAGE sequence (Fig.1) (TR/TE= 2200/2.1 ms, matrix size 192x192x8, in-plane resolution 100x100x750 µm3),
covering the whole Corpus Callosum (CC). IhMTR images with three different T1D-weigthings
were investigated (Table 1): Cosine-modulated (CM) pulses used for simultaneous dual-offset saturation
resulted in the absence of any T1D filtering, hence producing ihMTR
images sensitive to a wide range of T1Ds (All-T1Dw
ihMTR). Frequency-alternated pulses with a repetition time between pulses Δt=3.2
ms, produced ihMTR images weighted toward long T1D values (Long-T1Dw
ihMTR). Finally, the composite images made from the difference between All-T1Dw
ihMTR and Long-T1Dw ihMTR images correspond to ihMTR
images weighted toward short T1D values (Short-T1Dw ihMTR). After the MR scan, mice
were anesthetized and intracardially perfused with the fixative
paraformaldehyde (PFA 4%). Mouse brains were extracted and sectioned into 20-µm
thick slices.
Processing: Sensitivity of All-T1Dw
ihMTR, Long-T1Dw ihMTR, and Short-T1Dw
ihMTR to demyelination/remyelination processes of the cuprizone model was
assessed by comparing ihMTR values to GFP fluorescence intensity. Templates of All-T1Dw
ihMTR, Long-T1Dw ihMTR and Short-T1Dw ihMTR
were built at each time point upon averages of individual ihMTR maps registered
into a T2-weighted high-resolution template using ANTs procedures7.
A mouse brain atlas8 was projected onto the T2w template allowing
for automatic segmentation of brain structures in the ihMTR templates. Values
in corpus callosum and Cortex (Cx) taken at -1 mm and +0.7 mm from bregma were
then compared to GFP fluorescence intensity measured using ImageJ (NIH, Bethesda,
MD, USA) in regions of interest manually selected in the same structures at
the same levels of the brain. Finally, a voxel-based analysis of ihMTR in the
whole 3D volume during the demyelinating (W0-W3-W5) and remyelinating (W5-W7-W9)
phases was performed using SPM to extract clusters with significant signal
variations. Results and discussion
As shown in images of Fig.2A, and particularly evidenced in the CC (Fig.2B), the temporal dynamics of All-T1Dw
ihMTR, Long-T1Dw ihMTR, and Short-T1Dw
ihMTR and GFP show similar tendencies: following a decrease from W0 to W5,
ihMTRs and GFP signals increased after interruption of the cuprizone diet
tending toward a partial recovery at W9. Fig.3 compares the variations (in
absolute units) of ihMTR values and the GFP signal between W0 and W5, the peak
of demyelination. The largest decrease (-2.5%) obtained for All-T1Dw ihMTR indicates a
higher sensitivity to alterations occurring during the demyelination phase.
Conversely, ihMTR weighted towards long T1D values relates more
specifically myelin content in the cuprizone model, as indicated by the
stronger correlations with GFP obtained for Long-T1Dw ihMTR
compared to that of All-T1Dw ihMTR and Short-T1Dw
ihMTR (Fig. 4). More generally, the loss of myelin specificity observed when
short-T1D components contribute to the ihMTR values (Fig.4A and
Fig.2B W0 versus W3) is an interesting observation, which warrants further
investigation. Finally, Figure 5 summarizes the results of the SPM analysis,
showing significant clusters of ihMTR variations (F-contrast, p < 0.001) in
the whole brain for the demyelinating (W0-W3-W5) and remyelinating (W5-W7-W9)
phases of the cuprizone model. This analysis illustrates the potential of 3D
ihMT MRI for characterizing spatially and longitudinally demyelination.Conclusion
A comparative study between
ihMTR and GFP intensity on the cuprizone mouse model allowed exploring the
sensitivity and the specificity of ihMT to demyelination/remyelination
processes with the help of a multi T1D-weighted ihMT approach.Acknowledgements
This work was performed by a
laboratory member of France Life Imaging network (grant ANR‐17‐ CE18‐0030, VERISMO project).References
1. G. Varma, et al.,
Magnetization Transfer from Inhomogeneously Broadened Lines: A Potential Marker
for Myelin, Magn Reson Med. 2015 February; 73(2): 614–622.
2. G. Varma, et al.,
Interpretation of magnetization transfer from inhomogeneously broadened lines
(ihMT) in tissues as a dipolar order effect within motion restricted molecules.
J Magn Reson. 2015 Nov; 260:67-76.
3. G. Duhamel, et al.,
Validating the sensitivity of inhomogeneous Magnetization Transfer (ihMT) MRI
to myelin with fluorescence microscopy, NeuroImage, 199 (2019) 289-303.
4. V. Prevost, et al.,
Optimization of inhomogeneous magnetization transfer (ihMT) MRI contrast for
preclinical studies using dipolar relaxation time (T1D) filtering. NMR Biom.,
vol 30, June 2017; e3706.
5. Stidworthy MF, Genoud S,
Suter U, Mantei N, Franklin RJM. Quantifying the Early Stages of Remyelination
Following Cuprizone-induced Demyelination. Brain Pathology 2003; 13(3): 329–339.
6. Steelman AJ, Thompson JP,
Li J. Demyelination and remyelination in anatomically distinct regions of the
corpus callosum following cuprizone intoxication. Neuroscience Research 2012;
72(1): 32–42.
7. Avants BB, Tustison N, Song G.
Advanced Normalization Tools (ANTS). Insight J. 2 2009:1–35.
8. A.E. Dorr, et al, High
resolution three-dimensional brain atlas using an average magnetic resonance
image of 40 adult C57Bl/6J mice, NeuroImage, vol 42, Aug. 2008, pp. 60-69.
9. S. Mchinda, et al, Whole
brain inhomogeneous magnetization transfer (ihMT) imaging: Sensitivity
enhancement within a steady-state gradient echo sequence, Magn Reson Med. 2018
May;79(5):2607-2619.