Zohaib Iqbal1, Rajakumar Nagarajan2, Manoj Sarma3, Andres Saucedo3, and Michael Albert Thomas3
1Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, United States, 2Human Magnetic Resonance Center, UMass, Amherst, MA, United States, 3UCLA, Los Angeles, CA, United States
Synopsis
For decades, one-dimensional (1D)
spectroscopy has aided in the diagnosis of several pathologies. However, 1D
approaches suffer from severe spectral overlap, possibly limiting their
application. Two-dimensional (2D) spectroscopy allows for greater spectral
separation, and many studies have successfully quantified metabolites with the
localized correlated spectroscopy (L-COSY). Here, we combine the L-COSY
technique with a T2* weighted deconvolution (TIDE) approach and develop the
TIDEL-COSY method. We show the capability of the novel TIDEL-COSY method and
compare the apparent T2* values between healthy youths and adults for a variety
of metabolites.
Introduction
Magnetic resonance spectroscopy (MRS) can
quantify several biochemicals in the human brain, and has proven to be
invaluable for the diagnosis of cancer, metabolic disorders, and several other
pathologies. While one-dimensional (1D) spectroscopy excels at a myriad of
tasks, it suffers from severe spectral overlap, possibly limiting its
application. Two-dimensional (2D) spectroscopy allows for greater spectral
separation, and many studies have successfully quantified metabolites with the
localized correlated spectroscopy (L-COSY)[1] method. Recently, it has been
demonstrated that spectral signals can be separated by their T2* values by
using a T2* weighted deconvolution (TIDE) approach [2]. We hypothesize that the
TIDE method can be applied to in vivo
L-COSY measurements, a technique termed TIDEL-COSY, to yield important T2*
information. We apply this novel method to assess the T2* changes between
healthy youths and adults for several major metabolites.Methods
The L-COSY acquisition, which utilizes a
90°-180°-t1-90°-t2 pulse sequence, was used to obtain 14 healthy adult (mean age
= 54.8 years) and 14 healthy youths (mean age = 16.2 years) in vivo data on a 3T scanner from the
anterior cingular cortex. The experimental parameters were as follows: TE=30ms,
TR = 2s, t1 points = 100, t2 points = 2048, and spectral bandwidths 2000Hz (F2)
and 1250Hz (F1), respectively. The TIDE method, a schematic of which is shown
in Fig. 1, was then applied: 1) The data were brought into the F2-t1 dimension;
2) A covariance transformation was applied to a subset of the t1 data; 3) The
covariance sub-spectra were combined with Gaussian weighting to yield final
covariance spectra for each time point. The TIDE approach yields a 3D matrix in
the form of (F2-F2’-t), where F2 and F2’ are the direct and indirect spectral
dimensions, respectively, and t represents the signal variation based on the
acquired t1 points. Signal intensities from major metabolite spectral regions
were quantified for each time point for all healthy subjects. These intensities
were fit using an exponential function of the form: S = A*exp(-TE/T2*) to yield
the apparent T2* values of the metabolites. A Student’s two-tailed t-test was
used to determine if there were any significant differences between the healthy
and adult subjects, defined as p < 0.05. Results
Figure 2 shows covariance spectra taken
from a healthy adult from the 1st time point and the 46th
time point. Signal loss is apparent in the later time point due to T2* signal
losses. The major metabolites, including lactate (Lac), macromolecules (MM), N-acetyl
aspartate (NAA), glutamate and glutamine (Glx), creatine 3.0 (Cr), choline
(Ch), myo-Inositol (mI), and the Glx cross-peak (Glx-C) can easily be
visualized. The signal decay for NAA and Glx-C for a healthy adult is shown in
Figure 3. The peaks are shown for the different time points. Fitting these curves
using an exponential yields the apparent T2* values for the metabolite.
Finally, Figure 4 shows the apparent T2* measurements for all of the healthy
subjects. No significant differences were observed, except for Ch, where the
two-tailed t-test had p=0.0132. Discussion and Conclusions
In this study we demonstrate a novel
technique that yields apparent T2* values from L-COSY experiments. The major
advantage with this method is that the T2* values are readily available without
the need for additional acquisitions. Furthermore, depending on the metabolite
of interest, the TIDEL-COSY approach can be used to highlight certain signals.
However, the robustness and accuracy of the apparent T2* values needs to be
assessed in the future. In particular, more accurate T2* measurements can be
obtained by first fitting the covariance peaks and then fitting the decay with
an exponential function. After further refinement, the apparent T2* values, in combination
with metabolite concentrations, may provide more specific biomarkers for
several pathologies.Acknowledgements
No acknowledgement found.References
[1] Thomas, M.A., et al. Magnetic
Resonance in Medicine 46, no. 1 (2001): 58-67
[2] Manu, V. S., et al. Scientific reports
9, no. 1 (2019): 8225