Nitish Katoch1, Bup Kyung Choi1, In Ok Ko2, Ji Ae Park2, Yong Soo Cho3, Jin Woong Kim3, Hyung Joong Kim1, and Eung Je Woo1
1Kyung Hee University, Seoul, Korea, Republic of, 2Korea Institute of Radiological and Medical Sciences, Seoul, Korea, Republic of, 3Chosun University Hospital and Chosun University College of Medicine, Gwangju, Korea, Republic of
Synopsis
Human
brain mapping of the electrical conductivity can facilitate the understanding
of brain function. The low-frequency conductivity distribution of biological
tissue exhibit the anisotropic tissue property and can be expressed as tensor.
Considering the most physiological events occurs in frequency below 1 kHz, we
developed a new conductivity tensor imaging method which can be implemented in
conventional clinical MRI scanner without using any current injections for anisotropic
conductivity measurement.
Purpose
This study
reports the results of human brain imaging experiments using conductivity
tensor imaging (CTI) method. In vivo CTI of five human brains were performed
using a 3T MR scanner with 1.87 mm spatial resolution. Methods
Five
healthy volunteers without a documented history of any disease were recruited (KHSIRB-16-033).
The volunteers were 25.4 ± 4.5 years old (3 male and 2 female). All participants
were examined before and after each imaging experiment using a 3T clinical MRI
scanner (Magnetom Trio A Tim, Siemens Medical Solution, Germany). The image of
the conductivity tensor was reconstructed using the CTI formula [1]: C = [χσH / χdew +(1-χ)diwβ] Dew = η Dew (1), where σH is the high-frequency conductivity at the
Larmor frequency, χ is the extracellular volume
fraction, β is the ion concentration ratio of
intracellular and extracellular spaces, dew and diw
are the extracellular and intracellular water
diffusion coefficients, η is position dependent scale factor and Dew
is the extracellular water diffusion tensor.
The multi-echo spin-echo pulse sequence with multiple refocusing pulses was
adopted to obtain the high-frequency conductivity (σH). The
imaging parameters were as follows: TR/TE = 1500/15 ms, number of echoes = 6,
NEX = 5, slice thickness = 4 mm, number of slices = 5, matrix size = 128 × 128,
and FOV = 240
×
240 mm2.
Multi-b diffusion weighted imaging data sets were obtained using the
single-shot spin-echo echo-planar-imaging pulse sequence to calculate χ, dew,
diw and Dew
. The
number of directions of the diffusion-weighting gradients was 15 with b values
of 50, 150, 300, 500, 700, 1000, 1400, 1800, 2200, 2600, 3000, 3600, 4000, 4500
and 5000 s/mm2. TR/TE = 2000/70 ms, slice thickness = 4 mm, flip angle = 90°,
number of excitations = 2, number of slices = 5 and acquisition matrix = 64 × 64.
The matrix size of 64 × 64 was extended to 128 × 128
for subsequent data processing steps. An additional conventional T2 weighted
scan of 2 minutes was also acquired for anatomical reference. The parameter β is set to the value of 0.41 as suggested in [1].Results and Discussion
Figure
1(a-d) illustrates the reconstructed CTI images of the brain from one subject
using eq. (1). The recovered conductivity values of three different brain
tissues including the white matter (WM), gray matter (GM) and cerebrospinal
fluid (CSF) are shown in Fig. 2 for five subjects. For qualitative analysis
(Fig. 2), each T2 images was segmented into WM, GM, and CSF regions. The entire
white matter was further segmented into WM1, WM2 and WM3 regions where their
longitudinal directions were aligned to x, y and z directions, respectively.
The values of Cxx, Cyy, and Czz were largest
among the six elements of the conductivity tensors in WM1, WM2 and WM3,
respectively. The values varied from 0.08 to 0.27 S/m. The WM anisotropic ratio
(AR) varied from 1.96 to 3.25. For the GM regions, the conductivity values of Cxx, Cyy, and Czz were in the range of 0.20 to 0.30 S/m. The ARs of the GM
regions were between 1.12 and 1.19. In all WM and GM regions, σH was always larger than the recovered low-frequency
conductivity values. The values of σH in the
WM regions were between 0.33 to 0.48 S/m. In the GM regions, the values were
between 0.60 to 0.72 S/m. The low-frequency conductivity of the isotropic CSF
regions ranged from 1.55 to 1.82 S/m whereas its high-frequency conductivity
values were in the range of 1.65 to 1.90 S/m. The scale factor η
was largest in
the CSF regions and smallest in the WM regions. The gray matter conductivity
values of the human subjects were 0.20 to 0.30 S/m, which are close to the
values of 0.24 to 0.29 S/m measured from in vivo DT-MREIT experiments of human
subjects by using injection currents [2]. The ARs of the WM regions had much
larger values of 1.96 to 3.25 compared with those of the gray matter regions.
The WM regions also exhibited considerably more position and frequency
dependency. These indicate that there were different amounts of myelinated
fiber bundles with different directions in the voxels belonging to the WM
regions depending on their positions. The low-frequency conductivity values of
the GM and WM regions shown in Fig. 2 exhibited much stronger frequency
dependencies compared to the CSF regions.Conclusion
Unlike
other low-frequency conductivity imaging methods of MREIT and DT-MREIT [2,3],
CTI does not require injecting currents into the imaging subject. This allows
CTI to be readily applicable to in vivo human imaging studies without causing
any adverse effects of electrical stimulations of nerves and muscles. Without
adding any special hardware, CTI can be implemented in a clinical MRI scanner
for disease diagnosis and volume conduction modeling.Acknowledgements
This work was supported by the National Research Foundation of Korea (NRF), the Ministry of Health and Welfare of Korea, and Korea Institute of Radiological and Medical Sciences (KIRAMS) grants funded by the Korea Government (2018R1D1A1B07046619, 2019R1A2C2088573, HI18C2435, and 50461-2019).References
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