Maria Yanez Lopez1 and Peter J Lally2
1Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Department of Brain Sciences, Faculty of Medicine, Imperial College London, London, United Kingdom
Synopsis
The aim of this work was to
investigate the effect of receiver bandwidth and number of points in the
fitting of MRS spectra acquired in healthy controls, using a LASER MRS sequence
at 3T. Our results highlight the need for harmonisation between different
studies in terms of BW/number of points wherever possible, since variations
across clinical populations might not be detected due to systematic errors
induced from variations in these parameters alone. Optimisation of BW/number of
points is also encouraged when setting up a new study.
INTRODUCTION:
MR Spectroscopy (MRS) is a non-invasive tool
for measuring quantitative in vivo metabolic concentrations in the human brain, widely available in clinical settings. However,
routine clinical
adoption of MRS is limited by a range of factors, hindering robustness and
reproducibility. These include spectral overlap, low SNR, B0 homogeneity,
chemical shift displacement, and a wide range of MRS sequences/implementations
and analysis choices, which have been addressed in several recent efforts1,2,3.
Receiver bandwidth (BW, or
equivalently ADC dwell time) and number of points are two important factors which
have not been explored in detail in the literature.AIM:
To investigate the effect
of receiver bandwidth and number of points in the fitting of MRS spectra
acquired in healthy controls, using a LASER MRS sequence at 3T.METHODS:
Subjects N= 11
healthy control subjects were recruited.
Imaging
MRI
was performed on a Siemens Verio 3T (32-channel head coil). Each subject had
T1-MPRAGE (TE=2.98ms, TR=2.3s, 1mm isotropic, 5min scanning time), to guide the
positioning of the voxel. After an initial fieldmap-based shim, two iterations
of FASTESTMAP4 were performed in the chosen voxel (posterior
cingulate cortex 20x20x20mm3), followed by LASER MRS (C2P5,
TE=72ms, TR=3s, 512 acquisitions, 16348 points, BW=16kHz (readout duration of
1s), VAPOR water suppression, 26min scanning time). A spectrum without water
suppression was also acquired from the same voxel as reference and for
subsequent eddy current correction ECC (NA=16).
Analysis MRS data were pre-processed in Matlab,
using FID-A6 (spectral
registration) and scripts developed in-house (eddy current correction7,
automatic zero and first order phase correction). One dataset was excluded from
further analysis due to a poor shim. Each spectrum was resampled to generate different
bandwidths/number of points combinations (2 to 16kHz; 1024 to 16384 points). All
the resultant spectra were fitted in the time domain using TARQUIN8,
with the default “1h_brain” basis set and fitting parameters as described in
Figure 2. Metabolites with consistently low CRLBs (<30%) were included in
the statistics (total creatine tCr, glutamate + glutamine Glx, myo-inositol Ins,
total N-acetyl-aspartate tNAA (NAA+NAAG), NAA and total choline tCho). Results
are expressed as average metabolic concentrations or CRLBs (TARQUIN’s
concentration and CRLBs estimates) ± standard error on the mean.RESULTS:
Figure
1 illustrates the MRS voxel, located in the posterior cingulate cortex (20x20x20mm3) and Figure 2 contains
examples of MRS spectra and TARQUIN fitting for a representative subject.
Figure
3 shows the average metabolic concentration
estimates and CRLBs for different BWs (dwell times) for the same total FID
sampling duration (i.e. 1s). Figure 4 shows the average NAA
estimates and standard error across all subjects for all BW/number of points
combinations, including those which produced a shorter FID sampling duration. Very
short FID sampling durations resulted in markedly poorer fitting precision.DISCUSSION:
The estimated error (CRLB) underestimates
the variation of fitted concentrations results produced by different BWs/number
of points even though these have been resampled from the same raw data (only a single
acquisition per subject). In many cases, variation in BW/number of points had a
larger effect on concentration estimates than the variation between subjects.CONCLUSION:
Our results highlight the
need for harmonisation between different studies in terms of BW/number of
points wherever possible, since variations across clinical populations might
not be detected due to systematic errors induced from variations in these
parameters alone. Optimisation of BW/number of points is also encouraged when
setting up a new study.Acknowledgements
No acknowledgement found.References
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