Lorenz Pfleger1,2, Albrecht Ingo Schmid2,3, Stefan Wampl2,3, Martin Gajdošík1,2,4, Siegfried Trattnig2,5, Michael Krebs1, and Martin Krššák1,2,5
1Division of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, Vienna, Austria, 2High-field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 3Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 4Department of Biomedical Engineering, Columbia University, New York, NY, United States, 5Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria
Synopsis
This
study focuses on the in vivo
determination of the longitudinal relaxation time (T1)
of phosphatidylcholine (PtdC) in the gallbladder at 7T and its
challenges. In most cases, it was possible to assess T1
with a 1D-ISIS sequence. In cases where the gallbladder is further
away from the coil a STEAM sequence, which does not depend on 180°
RF pulses, can be used. The T1
values of PtdC ranged between 290 and 480ms.
Purpose
Phosphatidylcholine
(PtdC)1
is a dominant signal visible in the 31P
MR spectrum. Changes in its
concentration could be an indicator of an altered metabolism2
and hepatobiliary pathologies3,4.
Previously reported PtdC quantification4
assumed a constant concentration of internal reference of γ-ATP in
the liver as well as a T1
of PtdC in the gallbladder being equal to that in liver. The
determination of T1
of the human bile’s PtdC is necessary for the correction of partial
saturation and its changes could also be induced by pathologies5.
Thus, this study focuses on the development of a robust method for
measuring T1
of PtdC in the gallbladder as a necessary step for true absolute
quantification.Subjects/Methods
Nine
healthy volunteers (age: 24–34y, BMI: 24.1±3.0kg.m
-2)
were measured after overnight fasting on a 7T MR System (Siemens
Healthcare, Erlangen, Germany) using double-tuned
1H/
31P
surface coil (
31P-loop:
14cm, Rapid Biomedical, Rimpar, Germany). Initial measurements (n=4)
were carried out with the volunteer lying on the right side on top of
the coil with the gallbladder centered. These measurements were
performed with T
R
of 6s to assure full relaxation of PtdC. Later on positioning was
changed due to discomfort to supine position with the coil strapped
down to the chest (n=5) and the T
R
adjusted to 3s based on fast relaxation of PtdC. Proper setup was
confirmed by scout images and the position of the coil adjusted if
necessary. Shimming was based on a field mapping sequence provided by
the vendor and manually readjusted on a volume including the
gallbladder and liver tissue but avoiding air filled cavities. For T
1
determination, several sequences were used:
-
1D-image-selected-in-vivo-spectroscopy
(ISIS) based inversion recovery (IR) sequence (slice thickness=30mm,
TR=3000ms,
TE=0.4ms,
8 averages, 10 inversion times TI=40–1500ms)
as preferred method,
-
1D-depth-resolved-MR-spectroscopy
(DRESS) based IR sequence (same parameters except for TE=2ms,
16 averages) for experimental comparison,
-
Single-voxel-spectroscopy
(SVS) with stimulated-echo-acquisition-mode (STEAM) based saturation
recovery (SR) sequences (16 times with TR=150-1000ms,
TE=9.4ms
(12.4ms for short TR),
256-512 averages) in case of exceeding the SAR limits.
The
VOI in all sequences was covering the gallbladder. For the 1D-slab
selective methods (ISIS/DRESS) it was positioned in a parallel manner
to the coil/chest wall (Fig.1). For all the spectra in each series
(Fig.2) the signal peak of PtdC at 2.1ppm downfield from
phosphocreatine was fitted in jMRUI using AMARES
6,7
with a single Lorentzian line and a fixed linewidth. In case of IR,
the
resulting intensities (
I)
were fitted according to
I=
I0*(1-
s*exp(-
TI/
T1)),
with
I0
being the amplitude without inversion (fully relaxed) and
s
being a factor for inversion efficiency (total inversion:
s=2)
(Fig.3). In case of SR, the same function is used with T
R
instead of T
I
and and ideal
s
of 1. Fitting was done using the
Curve Fitting Tool in MATLAB
(R2018a, MathWorks, Natick, USA).
Results
Using
data from IR-1D-ISIS experiments (Fig.2) we could derive T1
values of 372±71ms (n=5, range: 291-473ms, Fig.3). In one
alternative measurement using SR with STEAM we obtained a T1
value of 515ms. A comparison between ISIS-IR and DRESS-IR in another
volunteer yielded in a T1
of 319ms and 395ms, respectively. Additionally, T1
of γ- and α-ATP (originating from liver tissue) was evaluated in
one volunteer resulting in values of 598ms and 592ms, respectively.Discussion
The
initial measurements showed that T1
of PtdC is short enough to half our TR.
Additionally, a shorter TR
suppresses the signals arising from phosphodiesters (PDE) due to
their longer T1s
(~4-6ms8,9).
This is of advantage since the signal of glycerophosphocholine is
only 0.7ppm downfield of PtdC and might lead to an overfitting of
PtdC due to signal contamination especially in case of different
signal phase (Fig.4A). Phase differences can arise from different
signal origins within the VOI (e.g. PDE presence in liver tissue) and
different relaxation states (T1).
This could be the reason for an overshot in fitted amplitude during
the IR experiment at around TI
of 1000–1500ms (Fig.4B). The alternative scan employing SR can be
used in cases when the gallbladder is located further away from the
surface coil and the scanner prevent the use of an ISIS sequence due
to a high power demand. The drawbacks of the SR method are the lower
dynamic range and increased motion artifacts due to breathing
(Fig.1).
The
evaluation of the T1
value of γ- and α-ATP is in accordance with literature values in
liver tissue (γ-ATP: 500±80ms8/570±150ms9,
α-ATP: 460±70ms8/560±90ms9).
Previously, a much higher T1
value for PtdC in the liver (1050ms±280ms) was reported9.
Explanation for significantly shorter T1
could be the presence of PtdC in lipid containing vesicles in the
bile and the possible presence of phosphoenolpyruvate in the hepatic
parenchyma with very similar chemical shift and longer T1.
Using
our results of T1
for PtdC and applying the saturation correction on the previous
quantification2
the concentration of PtdC was 9.7±1.0mM, which is in good agreement
with the measurement using mass spectrometry on the whole bile in
healthy controls: 8.0±1.8mM10. Conclusion
T1
values of PtdC in the gallbladder were assessed with 1D-sequences
(DRESS/ISIS) and with a SVS sequence (STEAM) at 7T. For the latter, a
motion correction technique
is
favorable alike
one study has shown on the heart11.Acknowledgements
This
study was supported by the Project “Sammelauftrag § 27 PL Prof.
Krebs“ (SA716A0012).References
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