Dunja Simicic1,2, Veronika Rackayova1, Lijing Xin1, Bernard Lanz2, and Cristina Cudalbu1
1CIBM, EPFL, Lausanne, Switzerland, 2LIFMET, EPFL, Lausanne, Switzerland
Synopsis
Reliable
detection, post-processing and fitting of MM is crucial for quantifying
short-TE 1H-MR brain spectra. In general, an in-vivo acquired full-MM spectrum is included in the basis-set together with a relatively free
spline baseline (i.e.LCModel). Availability of high magnetic fields (better resolved
in-vivo MM) lead to a need for more sophisticated approaches such as MM parametrization. Furthermore,
effect of the stiffness of fitted baseline on the resulting metabolite
concentrations gained a lot of interest. We compared parametrized and full-MM
basis-sets, with varying DKNTMN to assess the resulting changes in metabolite
concentrations (in-vivo rat brain
1H-MRS and Monte-Carlo simulations at 9.4T).
Introduction
Reliable detection, post-processing and fitting
of mobile macromolecules (MM) is crucial for quantifying short-TE 1H-MR
brain spectra. In general, an in-vivo acquired
full MM spectrum is included in the basis-set1 together with a relatively free
spline baseline to address unpredictable spectral components2(i.e. LCModel3). The ‘baseline’ consists of
smoothly varying components and spurious signals arising through imperfections
during data acquisition. The availability of high magnetic fields lead to
better resolved MM in-vivo, thus more
sophisticated approaches need to be used for eliminating the metabolite
residuals or parametrizing the acquired MM in individual components4. Furthermore, the effect of the
stiffness of the fitted spline baseline on the resulting metabolite
concentrations gained a lot of interest5. As such, recent 7T clinical
studies showed that the parametrization of MM with appropriate soft-constrains
is feasible, with some changes in metabolite concentrations, and may facilitate
the detection of pathologically altered MM4. In addition, changes in metabolite
concentrations were observed when the stiffness of the fitted spline baseline
was varied at 9.4T in humans but no final conclusion on the best value was
drawn5 due to lack of ground truth .
In the present study parametrized and full MM
basis-sets were compared, with varying DKNTMN
parameter for both approaches, to assess the resulting changes in metabolite
concentrations using in-vivo rat
brain 1H-MR spectra and Monte Carlo simulations at 9.4T.Methods
In-vivo 1H-MRS
measurements were performed on a 9.4T system (Varian-Magnex Scientific), using
a home-built 1H-quadrature surface transceiver. First and second
order shims were adjusted using FAST(EST)MAP6. Spectra were acquired in the rat
brain using the SPECIAL7 sequence (TE=2.8ms) in a voxel located in the
hippocampus (2x2.8x2mm3, n=7, 160averages). The in-vivo spectrum of MM was acquired using a single inversion-recovery
module before SPECIAL7 sequence (2ms hyperbolic secant
inversion pulse, inversion time (TI) of 750ms, TE=2.8ms, 700averages, n=3).
Parametrization: After elimination of metabolite
residuals, ten individual MM components were parametrized with AMARES8 (Figure.1A). Individual MM components
were saved separately to create the MM basis-set (Figure.1B). To implement the
soft constraints for the individual MM each MM component was first quantified
from the three measured spectra. Signal intensity ratios of Mxx/M0.94
were then calculated for every spectrum and averaged over the three
acquisitions to obtain a value and standard deviation for each ratio
(Figure.1C). These values were included in the LCModel control files using the
parameter CHRATO as described in4.
Quantification: Each spectrum was quantified with
LCModel using full MM (standard) and parametrized MM basis-set with varying DKNTMN value (0.1, 0.25, 0.4, 0.5, 1, 5)
for every basis-set. DKNTMN (minimum
allowed spacing between spline knots)2,5 controls the stiffness of the
spline baseline. The default value is 0.15 (low stiffness) and all the values
equal or higher than 1 give a high baseline stiffness5. Metabolites concentrations where
compared for all the DKNTMN values
within groups (full and parametrized-MM) using 1-way ANOVA.
Monte-Carlo
simulation (MC): To estimate the
reliability of the estimated concentrations, artificial rat brain 1H-MR
spectra were simulated (Matlab, MathWorks, Natick, MA) (Figure.2) to mimic
optimal experimental conditions (metabolites with MM only) and real
experimental conditions (metabolites with MM and a baseline as a result of
minor outer-volume contamination and insufficient water suppression). 100 high
signal to noise spectra were generated for each experimental condition to
estimate any systematic deviation from the real values without any bias induced
by the quantification algorithm. A random normally distributed noise was also
added.Results and discussion
Ten components of MM were fitted providing
reliable values used as prior knowledge in LCModel for the parametrized MM
basis-set (Figure.1B).
When using the full MM, the in-vivo quantifications with increasing
the stiffness in the spline baseline lead to a significant decrease of
Gln(-16%), Glu(-7%) and GABA(-30%) concentrations (Figure.3-black plots). As
expected, MC studies using optimal conditions showed a negligible impact of DKNTMN on metabolite concentrations (Figure.4),
while the MC signals containing an additional baseline revealed mainly a drop
in metabolite concentrations when DKNTMN
was increased (Figure.5), consistent with our in-vivo results. As can be seen in Figure.2, there was a mismatch
between the raw data and the LCModel fit when increasing DKNTMN.
When using parametrized MM, the overall in-vivo metabolite changes over DKNTMN values became less important than
for the full MM (only Ala, Ins and Lac, Figure.3-red plots). This can be
explained by the additional flexibility of the individual MM. Findings also supported when using the MC signals with baseline (real conditions) (Figure.5-red
plots) where the metabolite changes due to DKNTMN
were less pronounced.
However, when comparing the full vs
parametrized MM, the in-vivo spectra
revealed overall increased concentrations from 15% to 45% (Asp, GABA, Gln, GSH,
NAAG, PE). These findings were confirmed by MC studies and were consistent with
previous studies4.Conclusion
Our results confirmed the metabolite changes
when using parametrized MM in the basis-set and these seemed less important
when a flexible baseline was used. Using in-vivo
and MC data we showed that a degree of flexibility in the spline baseline is required
for quantification of real/experimental data. In addition, a highly stiff
baseline lead to important metabolite changes when using the full MM for in-vivo
rat brain spectra at 9.4T.Acknowledgements
Supported
by CIBM of the UNIL, UNIGE, HUG, CHUV, EPFL, the Leenaards and Jeantet
Foundations and the SNSF project no 310030_173222/1References
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