Ahmad Alhulail1,2, Pingyu Xia1, Xin Shen3, Miranda Nichols1, Srijyotsna Volety1, Nicholas Farley1, Armin M Nagel4, Ulrike Dydak1,5, and Uzay E Emir1,3
1School of Health Sciences, Purdue University, West Lafayette, IN, United States, 2Department of Radiology and Medical Imaging, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia, 3Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, United States, 4Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany, 5Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States
Synopsis
Sodium signal decays quickly and
bi-exponentially, which make T2 relaxation fitting and absolute
quantification challenging. Estimating T2 with enough data points
using multiple echoes requires an impractical acquisition time. Alternatively,
we propose a fast sodium 2D-FID-MRSI sequence to collect the decaying signal
with a high sampling frequency (625 Hz) starting at 0.55 ms within only 4 minutes
at 3T. We demonstrate an absolute concentration map and separate maps of fast
(mean: 0.4 ±0.4 ms) and slow (mean: 19.6 ±5.7 ms) T2* components from
human calf muscles, showing that rapid data collection for T2*
correction is feasible with this 23Na-MRSI method.
Introduction
Sodium (23Na) plays an important role
in maintaining several vital functions in the human body. In healthy tissues,
the 23Na concentration in the intracellular space is 10-fold lower
than within the extracellular space.1 The abnormal increase of the
intracellular 23Na concentration can be a marker for several
disorders such as muscle channelopathies,2 cancers and strokes.3
In addition, some common diseases, like diabetes and hypothyroidism, have been
demonstrated to be related to the Na+/K+ pump dysfunction in skeletal muscle.4
The in vivo 23Na signal decays bi-exponentially, with fast (T2fast
= 0.5 - 3.0 ms) and slow (T2slow = 15 - 30 ms) components of the
transverse relaxation time (T2),5 resulting in a significant
signal loss even with ultra-short TE (UTE). Additionally, for quantification,
external 23Na references are usually used which are prepared either
within an aqueous solution or an agarose gel environment,
where the relaxation pattern is different than that in the biological system.5
Thus, a relaxation correction is needed to minimize these confounders. Furthermore, an accurate measurement of 23Na T2 relaxation
has the potential to provide additional physiological information since a
change in its value has been noticed after exercise.6 However,
performing in-vivo 23Na T2* mapping is challenging. Recently,
several studies have shown the feasibility of T2* mapping in the
brain using 8 to 38 echoes, but these methods require long acquisition times
(26 min - 1 h).7-11 Moreover, most of these methods are acquired
with a long echo space and/or few samples which reduces the quality of data
fitting. Therefore, the purpose of this work was to develop a fast density-weighted
concentric ring trajectory (DW-CRT) MRSI acquisition to measure in vivo 23Na
relaxation times in the lower leg muscles at 3T with a high sampling frequency.
Additionally, to mitigate the long TE limitation when using slice-selective
gradients, outer volume suppression (OVS) bands were used instead to reach UTE. Methods
In-vivo scans were performed on healthy volunteers
using a Siemens Prisma 3 Tesla (Siemens, Germany) scanner and a
frequency-adapted mono-resonant transmit/receive birdcage knee coil (32.6 MHz,
Stark-Contrast, Erlangen, Germany). 23Na-MRI was performed with two
sequences, a GRE sequence 12 [TE/TR: 1.9 ms/100 ms, FA: 90°, 128
averages, resolution: 3×3×30 mm3, FOV: 192x192 mm2, total
acquisition time (TA): 13.7 min], and a density-adapted 3D radial acquisition
sequence 13 [UTE: 0.3 ms, TR: 100 ms, FA: 90°, 1
averages, 4x4x20 mm3 resolution, and FOV=192x192 mm2, AT:
6.66 min]. For the MRSI study, before excitation, an inversion pulse with
inversion time (TI) of 20 ms was applied, followed by 2 OVS pulses on the
z-direction. The FID MRSI parameters were: FOV 240×240 mm2, matrix
size: 48×48, slice thickness: 20 mm, acquisition delay: 0.55 ms, TR: 650 ms.
DW-CRT14 was implemented
with the
following parameters: points-per-ring=64, temporal samples=128,
resolution=5×5×20 mm3, 24 rings, spatial interleaves=4, time acquire=96
s and spectral bandwidth = 625 Hz. The number of averages was 4, corresponding
to a total acquisition duration of 4 minutes. The localization method was
tested using simulation, in-vitro, and in-vivo studies. The acquired FID data were fitted to the
biexponential decay to calculate the T2* relaxation time of the fast
(T*2fast) and slow (T*2slow) components:
$$SI = S_{fast}e^{\frac{-t}{T^*_{2fast}}}+S_{slow}e^{\frac{-t}{T^*_{2slow}}}$$
Sfast and Sslow are the signals from
the fast and slow component, respectively; t indicates time Results and Discussion
The OVS method was highly sensitive to the choice
of TI. Our TI (20 ms) was determined based on the 23Na T1
(~29 ms)15 and judged by the simulation to achieve a good slice
profile (Figure 1). The OVS localization performance was also validated by
using 23Na phantoms (contain 2.9 g/L CuSO4 to mimic the
in-vivo T1), as illustrated in Figure 2. Only signals from the
phantoms between the assigned OVS bands were obtained. In vivo data was
acquired by all three 23Na sequences (Figure 3). The MRSI maps agreed
with the MRI images. Compared to the conventional GRE sequence, MRSI provided a
higher signal in a shorter acquisition time (4 min compared to 13 min) taking advantage of its shorter delay time and
adapted acquisition scheme. Indeed, the MRSI outputs were close to the UTE 3D
sequence. The only drawback of the MRSI was the relatively lower spatial
resolution. Using the MRSI FID data, the T2* relaxation components
were evaluated, and their maps were generated, as illustrated in Figure 4. The
measured T*2fast was 0.4 ± 0.4 ms with 0.6 ± 0.1 signal contribution
(fraction) and T*2slow was 19.6 ± 5.7 ms, with 0.4 ± 0.1 signal
fraction which agrees with previous reports.5 Finally, these maps
were used to correct for the T2* and generate an absolute 23Na
concentration map (Figure 5). This method provided 128 sample points starting
at UTE of 0.55 ms, which gave enough time points for fitting. T*2fast
and T*2slow maps show considerable regional variability and
demonstrate the potential for future characterization of 23Na in
conditions such as muscle diseases, cancers, strokes, and cartilage
degeneration. The feasibility of localizing species with very short T2*
has been shown previously with 13C.16 This is the first
time this method has been applied to 23Na imaging.Conclusion
The proposed method allows fast data collection for sodium T2* correction.Acknowledgements
Supported by the Indiana CTSI, funded in part by
grant #UL1TR001108 from the NIH, NCATS, CTS Award.References
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