Li An1, Maria Ferraris Araneta1, Milalynn Victorino1, and Jun Shen1
1National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States
Synopsis
Optimal detection of many metabolites
requires a specific TE, at which significant macromolecule signals are often present.
The presence of macromolecule signals complicates the measurement of metabolite
T1 because different spectral models may be necessary for
macromolecules at different inversion recovery stage, therefore, potentially
introducing additional errors. To minimize interference from macromolecules, we
chose inversion times in such a way that the metabolite signals were changed by
as much as 60% while the macromolecule signals were essentially unchanged. This
avoided the T1 relaxation effect of macromolecules, and thus
simplified data acquisition and post-processing.
INTRODUCTION
Because of scalar couplings, many metabolites are best
detected at a predefined TE. Except at very long TEs, the presence of varying
macromolecule signals may interfere with measuring metabolite T1. High field MRS provides increased sensitivity and spectral resolution
compared to lower field strengths. However, metabolite T1 relaxation
times become longer at high field strengths, which often makes it necessary to characterize
metabolite T1 values to obtain accurate quantification of metabolite
concentrations and/or optimize the TR of a pulse sequence for optimal
signal-to-noise performance. A previously described spectral editing technique1
can simultaneously measure glutamate (Glu), glutamine (Gln), γ-aminobutyric acid
(GABA), and glutathione (GSH) at 7 T. The editing RF pulse was set to OFF, ON
at 1.89 ppm, and ON at 2.12 ppm. By numerical optimization of sequence timing
in the presence of an editing pulse, all four metabolites form relatively
intense pseudo singlets at TE = 56 ms with maximized peak amplitudes and
minimized peak linewidths in one of the three interleaved spectra. In this
work, we propose to combine the spectral editing technique with inversion
recovery (IR) to measure metabolite T1 relaxation times in the presence
of substantial macromolecule baseline signals. METHODS
To incorporate IR, a 180° hyperbolic secant pulse was placed before the
water suppression pulses in the spectral editing pulse sequence1 (Figure
1). Three IR settings were used: no inversion, TI = 2150 ms, and TI = 1600 ms.
With average T1 = ~430 ms, 99% of macromolecules were recovered at TI = 2150 ms
and 95% were recovered at TI = 1600 ms2. Therefore, macromolecule
signals were minimally affected by the IR pulse. In contrast, with T1 = ~1600
ms, metabolite signals only recovered by 62% at TI = 2150 ms and 41% at TI =
1600 ms. Hence, the metabolite signals were significantly modulated by the TI
values.
Five healthy volunteers were recruited and consented for the study in
accordance with procedures approved by our institutional review board.
Experiments were performed on a Siemens Magnetom 7 T scanner. MRS data were
collected using the proposed pulse sequence from a 2 × 2 × 2 cm3
voxel in the pregenual anterior cingulate cortex (pgACC) of the volunteers. To
compute within-subject coefficient of variation (CV) values on each subject,
the same MRS measurement was performed three times in the same exam using the
same voxel prescription. Interleaved data acquisitions were performed using
nine different parameter settings which were a combination of the three
spectral editing settings and three IR settings. The spectra corresponding to
the nine parameter settings were simultaneously fitted in the range of 1.8 –
3.7 ppm by a linear combination of numerically computed basis functions of acetate,
N-acetylaspartate (NAA), N-acetylaspartylglutamate (NAAG), GABA, Glu, Gln, GSH,
aspartate, total creatine (tCr), total choline (tCho), myo-inositol (mIns),
taurine, scyllo-inositol, and glycine, as well as cubic spline baselines which approximate
the macromolecule signals. Each basis function consisted of three FIDs which
correspond to the three different spectral editing settings. The unknown
variables in the fitting process were concentrations, T1s, frequency
shifts, linewidths, and lineshape of the metabolites, as well as zero-order
phases of the nine spectra and control points of the cubic spline baselines.
Because of the low concentrations of Gln and GABA, it was difficult to measure
their T1 values. Hence, the T1 values of Gln and GABA
were set to be the same as that of Glu. Due to the long TIs, macromolecule
signals were barely affected by the IR pulse. Hence, baselines were not changed
for the three different IR settings. RESULTS
Reconstructed spectra and corresponding fits from one
healthy volunteer are displayed in Figure 2. The spectra showed progressively
reduced metabolite signals as TI decreased, whereas the same baselines were used
for the three different IR settings. The in vivo spectra were fitted very well
and the fit residuals were small. Metabolite concentrations (/[tCr]) and T1
relaxation times (n=5) are given in Table 1. The metabolite concentrations and
T1 values agree well with previous studies1, 3.DISCUSSION AND CONCLUSION
In this study, the TI values were chosen in such a way
that the metabolite signals were changed by as much as 60% while the
macromolecule signals were essentially intact. This
avoided the complex T1 relaxation effects of different components of
macromolecules, and thus simplified data acquisition and post-processing by
using the same baselines for data acquired at different TIs. If shorter TI values were used, macromolecule
signals could not fully recover and the T1 distribution of
macromolecules needs to be determined as in a previous study4, which
would require much longer scan time and more time-consuming post-processing. Despite the reduced sensitivity for
measuring metabolite T1 values due to using only relatively long TI
values, high precision for metabolite concentrations and T1s was
still achieved. In summary, this work combined inversion recovery with a
previously described spectral editing technique to measure metabolite T1
relaxation times at TE = 56 ms in the presence of substantial macromolecule
baseline signals. Metabolite concentrations and T1 relaxation times
were measured with high precision.
Acknowledgements
This work was
supported by the intramural programs of the NIH.References
1.
L. An, M.F. Araneta, C.
Johnson, J. Shen, Simultaneous measurement of glutamate, glutamine, GABA, and
glutathione by spectral editing without subtraction, Magn Reson Med, 80 (2018)
1776-1786.
2.
L. An, C. Johnson, M.
Victorino, and J. Shen, Determination of Macromolecule Baselines by Variable
Inversion-Recovery of Metabolites. ISMRM 2019:0402, Montreal, Canada.
3.
L. An, S. Li, J. Shen, Simultaneous
determination of metabolite concentrations, T1 and T2 relaxation times, Magn
Reson Med, 78 (2017) 2072-2081.
4.
L. Hofmann, J. Slotboom,
C. Boesch, R. Kreis, Characterization of the macromolecule baseline in
localized H-1-MR spectra of human brain, Magnetic Resonance in Medicine, 46
(2001) 855-863.