Tzu-Wei Lee1, Chao-Wei Tso1, Kuan Chen1, Cheng-Yu Chen2, and Hua-Shan Liu1
1School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei City, Taiwan, 2Department of Radiology, School of Medicine, Taipei Medical University, Taipei City, Taiwan
Synopsis
A comparative study
of different techniques for delineation of the nigrosome-1 in substantia nigra
(SN) is needed to define the most sensitive imaging biomarker for SN-related
diseases. This study was conducted to assess the potential of multiecho susceptibility-weighted
imaging (SWI) in the delineation of the nigrosome-1. We also evaluated the
relationship between neuromelanin (NM) and relaxation times of SN. We found
that multiecho SWI can improve the contrast-to-noise ratio (CNR). The older
subjects exhibited increased CNR values. The correlation between NM-MRI and T2*
value suggested that magnetization-transfer effect may be related to the
presence of melanin-iron complex in the nigrosome-1.
Background and Purpose
Nigrosome-1 in the pars compacta of the substantia nigra (SNpc) has been demonstrated to be the most prominent part of the T2*-weighted signal loss induced by Parkinson’s disease (PD)1. Therefore, precisely outlining nigrosome-1 in the SNpc was suggested to improve the accuracy to track disease changes. The comparative study of different techniques for delineation of the nigrosome-1 of the swallow-tail sign in the SNpc may define the most sensitive technique to estimate the possible imaging biomarker of PD. T1-weighted neuromelanin-sensitive MRI (NM-MRI) can reflect the changes of neuromelanin and has shown the potential to detect alterations to SNpc morphology for PD2. However, the mechanism by which the presence of NM might give rise to signal hyperintensity on T2*-weighted signal with the nature of the relationship between hyperintensities of SNpc in the NM-MRI and T2*-weighted signals remains an ongoing question. We evaluated different MR techniques in delineation of the swallow-tail sign in the SNpc using single- and multi-echo SWI pulse sequences and compared the performance between 64- and 20-channel array coils in different subjects with different age through the contrast-to-noise (CNR) measurements. We also investigated the relationship between NM and relaxation times by performing the correlations between hyperintensities of SNpc in the NM-MRI and T2*-weighted signals.Methods
A total of 23 healthy young (20.7±1.21 years) and 25 healthy elder adults (50.28±12.15 years) were recruited. Subjects were scanned
using the 64-channel and the 20-channel receive array coils. MR imaging data were
acquired on a 3T scanner. SWI data were acquired using a 3D multi-echo gradient-echo
sequence with: TR=51 ms; resolution=0.58×0.58×1.5 mm3.
Eight echoes with TE from 7.87 to 44.83 ms. SWI data
acquired with a single echo scan was included. The averaged SWI (SWIave)
was generated by averaging the SWI from different echoes. The
averaged magnitude (Magave) and unwrapped phase images (Phaave)
from different echoes along with the SWI, magnitude (Mag) and unwrapped phase
(Pha) images from the single-echo sequence were also included. For QSM, magnetic susceptibility was obtained from the
local tissue phase using the morphology-enabled dipole inversion method3. T2* maps were computed. The CNR was calculated:CNR= (SN1-S0)/σ0 , where SN1 and S0 refer to the
mean signals within nigrosome-1 and the neighboring substantia nigra ROIs. σ0 refer to the standard deviation of the neighboring
substantia nigra ROI. T1 mapping data were acquired using a 3D sequence (TR/TE=20/5.1 ms, flip angle=50,100,150,200,250,300)4. NM-MRI was performed using T1-weighted
fast-spin-echo (TR/TE=600/13 ms). The CNRs were calculated:CNR= (SN1
– Scc)/ σcc ,
where SN1 and Scc refer to the mean signals within the
nigrosome-1 and the background ROIs defined in the bilateral cerebral crus
(CC), respectively. σcc refer to the standard deviation of the
neighboring CC.Results
The multi-echo SWI technique showed a better imaging quality in visualizing the nigrosome1 (Figure1, arrows) and optic nerves and with improved phase variation artifacts in the areas of frontal and temporal lobes (Figure1, arrow heads). Figure 2 shows a representative slice from a single subject of SWIave, SWI, T2*-map, QSM, T2-map, T1-map and NM-MRI, respectively. The table shows the results of CNRs obtained using different methods. Linear regression analyses comparing CNRs using different methods and between groups of different ages showed effects of method (F=902.896, P<0.0001) and group (F=30.076, P<0.0001). The elder group showed significantly higher swallow-tail CNR using SWIave, Magave, SWI, Mag, and T2*-map compared to the young group (P<0.05). For both groups, the multi-echo SWIave based method generated the highest CNR as compared with other methods. SWI shows higher CNR of swallow-tail sign as compared with magnitude, phase, T2* and QSM. However, no significant difference in CNR of SNpc in the swallow-tail sign between 20CH- and 64CH-array coils was observed. We observed a significant correlation between the T2* value and CNR measurements of NM-MRI in the SNpc (Rho=0.512, P=0.01).Discussion and conclusion
The most important findings of this study are:
First, multi-echo SWI can improve
the CNR in visualizing the substantia nigra nigrosome1 as compared with the
conventional single-echo SWI. The technique we used avoids complex
postprocessing compared to other approaches such as QSM. As several echoes can
be collected within one TR, the acquisition time can be potentially not
prolonged but can lead to a higher SNR in resulting SWI by averaging several
images from different echoes. Second, the elder subjects showed significantly increased CNRs as compared with young adults. This result could be attributed to the age-related iron deposits for
elder cohort, especially for the pars reticulata of the substantia nigra which surrounds
nigrosome-1 and is one of the brain areas that has high iron concentration. Third, there was no
significant difference of the CNR between 20- and 64-channel receive array coils. We attribute this finding to the similar SNR in the central brain
regions between brain arrays with different numbers of elements in the array
coils. Forth, the significant correlation between the CNR measurements of NM-MRI and T2* value in
the SNpc is consistent with previous report that MT effect which may provide
most of the contrast of NM-containing structures may be related to the presence
of melanin-iron complex in SNpc5. The complex also plays a role in determining
the relaxation times of SNpc.Acknowledgements
No acknowledgement found.References
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