David Lohr1, Maxim Terekhov1, Ibrahim A. Elabyad1, Franziska Veit2, and Laura Maria Schreiber1
1Chair of Cellular and Molecular Imaging, Comprehensive Heart Failure Center (CHFC), University Hospital Würzburg, Würzburg, Germany, 2Chair Tissue Engineering and Regenerative Medicine (TERM), University Hospital Würzburg, Würzburg, Germany
Synopsis
MRI
measurements of ex-vivo hearts at ultrahigh field strengths (≥7T) can provide
high resolution, high fidelity ground truth data that complement clinical
cardiac MRI. In this study we demonstrate ex-vivo sample preparation steps and capabilities
of a custom built, multiple element transceiver array dedicated to high
resolution imaging of ex-vivo hearts. Measurements included whole heart data
for T2* maps, a high resolution 3D FLASH, as well as high
resolution DTI. We found that receive sensitivity of the dedicated coil was
superior to a commercial head coil and that SNR was similar, even without the
application of B1-shim.
Introduction
Ultra-high
field strengths (≥7T) have been shown to provide improved morphological1
and functional2,3 information in the brain leading to an increasing
interest in cardiac applications as well. These improvements with respect to clinical
1.5 and 3T MRI are possible due to increased signal-to-noise and
contrast-to-noise ratios, as well as due to other/enhanced contrast mechanisms.
Increased field strength, however, demands better B0 and B1+ homogeneity.
Thus, ex-vivo measurements become an important tool, in order to achieve
ultrahigh resolution and high fidelity data. In this study we compare data
acquisition with a custom built coil with optimized filling factor for ex-vivo
pig hearts, and we compare results to those obtained with a commercially
available head coilMethods
All
hearts (n=3) were kindly provided following the animals approved use (55.2
2532-2-256, District Government of Lower Franconia, Germany) in another study.
Following excision, atria of the hearts were removed in order to ease the
release of trapped air. Fixation was achieved via immersion in 10% neutral
buffered Formalin within 3 hours of cardiac arrest. Hearts were placed in a
plastic container and the sample position fixed using Fomblin soaked sponges.
The container was then slowly filled with Fomblin and excess air removed from
the sponges and the heart using a vacuum desiccator as indicated in Figure
1a.
Measurements
were performed on a 7T whole-body MRI system (Siemens MAGNETOM™ Terra) using a
1Tx/32Rx head coil (sTx, diameter: ~20cm) and a custom built 8TX/16RX array (pTx,
diameter: ~11cm, Figure 1b and c). Total measurement time for all sequences was ~9
hours. At this point, we did not apply any B1-shim.
T2*
maps with 1mm isotropic resolution were created based on 2D gradient multi-echo
sequence data acquired with both coils for one heart. Measurement parameters were:
number of averages: 32, TR: 800ms, nine echoes per excitation (TE): 2.5ms to 18.7ms.
Ultrahigh
resolution images for both coils were acquired using a 3D FLASH sequence with
the following parameters: FOV: 160mm, FOVphase: 62.5%, 0.125 mm
interpolated in-plane resolution, slice thickness: 0.5mm, bw: 300 Hz/Px,
averages: 15. Noise for SNR calculation in each slice was determined using a
100x100 pixel ROI in the top left corner.
In
addition, we used a spin echo diffusion sequence with Stejskal-Tanner diffusion
encoding to acquire whole heart diffusion tensor images with isotropic
resolution of 0.8mm and 1.6mm. Further parameters for these acquisitions were:
TE = 56 / 73, acceleration factor R=3, 30 diffusion directions after Skare4
(b = 2000 s/mm2), averages: 50, bw = 1414 Hz/px.
All
data processing was done using DSI Studio5 and Matlab (MathWorks,
Natick, USA)Results
The
preparation setup for ex-vivo hearts is depicted in Figure 1. Regarding the
efficiency or air removal, we found that consistent vacuum throughout a whole
night was necessary to remove excess air, leading to completely soaked sponges
and no signal besides that from cardiac tissue.
Figure
2a shows representative magnitude images from the four shortest echo times
during T2* measurements using the ex-vivo coil. Reducing
the image scaling factor from 1 to 0.1 was necessary to avoid signal saturation
in T2* measurements using this coil. No such saturation
was observed using the head coil. Average values for T2*
in the whole heart were 19.4±8.3ms and 18.6±7.7ms (Figure 2b and c) for the sTx
and pTx coil, respectively.
Ultra-high
resolution T1 weighted images are shown in figure 3. Mean SNR values
throughout the whole volume ranged from 95-139 and 60-141 for sTx and pTx coils,
respectively. While SNR in the measurements was similar between sTx and pTx
images, we found that signal intensities were approximately three times higher
using the pTx coil with optimized filling-factor.
Figure
4 shows representative high resolution tractography for one measurement using
the ptx coil, visualizing distinct structures of the heart.Discussion
Measured
T2* values are in good agreement with previously reported
T2* values for hearts at 7T using similar fixation
duration6.
The
high signal in both T2* and the 3D FLASH sequence
demonstrate the high sensitivity of the ex-vivo pTx coil, which was optimized for
ex-vivo imaging of the pig heart. For both coils we observed higher signal
intensities on the bottom side of the coil. For the ex-vivo coil this is due to
the fact that the lower coil part hosts 10 array elements, while the top part
hosts the remaining six lements. For the sTx coil this is most likely caused by
the bigger distance of coil elements with regard to the top of the container
and a sub-optimal filling-factor. Future assessment of coil sensitivity will be
based on the vendor-provided coil utility SNR map and B1+-mapping.
With
respect to machine and deep learning approaches, high fidelity ground truth
data, becomes increasingly important. In this study we show a dedicated setup
for sample preparation and custom built hardware, enabling the acquisition of
such data.Conclusion
The
dedicated ex-vivo coil array demonstrates high efficiency with regard to
receive properties, enabling anatomical and structural imaging with ultra-high
resolutions. With future measurements regarding transmit and B1-shim
capabilities we plan to optimize this setup for ultra-high resolution ex-vivo
imaging of the heart.Acknowledgements
Financial support:
German Ministry of Education and Research (BMBF, grant: 01E1O1504).References
1. Trattnig S, Bogner W, Gruber S, et al.
Clinical applications at ultrahigh field (7 T). Where does it make the
difference? NMR in biomedicine 2016;29(9):1316-34.
2. Goncalves NR, Ban H, Sánchez-Panchuelo
RM, et al. 7 Tesla fMRI Reveals Systematic Functional Organization for
Binocular Disparity in Dorsal Visual Cortex. The Journal of Neuroscience
2015;35(7):3056-72.
3. Bogner W, Chmelik M, Andronesi OC, et
al. In vivo 31P spectroscopy by fully adiabatic extended image selected in vivo
spectroscopy: A comparison between 3 T and 7 T. Magnetic resonance in medicine
2011;66(4):923-30.
4. Skare S, Hedehus M, Moseley ME, et al.
Condition Number as a Measure of Noise Performance of Diffusion Tensor Data
Acquisition Schemes with MRI. Journal of magnetic resonance. 2000;147(2):340-52.
5. Yeh F-C. DSI Studio.
http://dsi-studio.labsolver.org. Accessed April 22, 2016.
6. Lohr D, Terekhov M, Kress S, et al. Ex-Vivo
Diffusion Tensor Imaging of the Porcine Heart at Ultra High Field Strength -
7T: Impacts of Tissue Fixation Duration and Stimulated Echo Mixing Time. Proc.
of the 26th Annual Meeting of
the ISMRM 2019.
7. Terekhov M, Elabyad I, Lohr D, et al.
In-house Built Optimized 8TX/16RX Array for Ultra-High Resolution Ex-Vivo
Myocardial Tissue Characterization with 7T MRI: Initial Experience and Quality Assessment. Proc. of the 26th Annual Meeting of the ISMRM
2019.