Nitish Katoch1, Clémentine Lesbats2, Atul Singh Minhas3, Hyung Joong Kim1, Eung Je Woo1, and Harish Poptani2
1Department of Biomedical Engineering, Kyung Hee University, Seoul, Republic of Korea, 2Physiology, University of Liverpool, Liverpool, United Kingdom, 3School of Engineering, Macquarie University, Sydney, Australia
Synopsis
Unlike the previously reported
method of diffusion tensor magnetic resonance electrical impedance tomography
(DT-MREIT), conductivity tensor imaging (CTI) does not require external electrodes for current injection. The
low frequency conductivity (σL) value can be estimated from the high frequency
conductivity (σH) measured using B1 map. The σL is influenced by cell size and
density, which makes it an effective technique to characterize the cellular
changes in brain tumors. Rat brain tumors were studied using 9.4 T MRI
scanner using CTI protocol. Changes in ionic concentration cellular states depending
on tumor growth were reflected in both high and low-frequency CTI images.
Purpose
The purpose of this
study was to test the efficacy of CTI in the characterization of an intracranial
model of rat gliomas at ultra-high magnetic fields of 9.4T with a spatial resolution of 300x300x300 µm3.Methods
Conductivity Tensor
Imaging (CTI) has recently been proposed as a novel method to image anisotropic
conductivity of brain tissues at low frequencies1,2. Unlike the
previous method of diffusion tensor magnetic resonance electrical impedance
tomography (DT-MREIT), it does not require external electric current to probe
body for conductivity measurement1-3. To explore the potential of
CTI for low-frequency conductivity mapping, orthotopic glioblastomas models
were studied. The tumors were induced by transcranial injection of F98 cells in
the right cortex. Six F344 female (100-120 g) rats were injected with 50,000
F98 cells suspended in 5 µL PBS solution. The image of the conductivity tensor
was reconstructed using CTI formula1,2. $$C=D_e^w(χσ_H)/(χd_e^w+(1-χ)d_i^wβ)=ηD_e^w$$ where, $$$σ_H$$$ 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, $$$d_e^w$$$ and $$$d_i^w$$$ are
the extracellular and intracellular water diffusion coefficients, η is
position dependent scale factor and $$$D_e^w$$$ is
the extracellular water diffusion tensor. Longitudinal MRI, including DTI and
MREPT was performed on 8th, 11th and 14th day after tumor cell implantations.
The multi-echo spin-echo pulse sequence with multiple refocusing pulses was
adopted to obtain the B1 phase map for reconstruction of high-frequency
conductivity ($$$σ_H$$$). The imaging parameters were as follows:
TR/TE = 4341/8 ms, number of echoes = 10, NEX = 2, slice thickness = 300 µm,
number of slices = 38, matrix size = 128×64, and FOV = 40×20 mm2. Multi-b
value diffusion weighted imaging data sets were obtained using the single-shot
spin-echo echo-planar-imaging pulse sequence to calculate, χ, $$$d_e^w$$$, $$$d_i^w$$$ and $$$D_e^w$$$. The number of directions of the
diffusion-weighting gradients was 20 with b-values of 50, 150, 300, 500, 700,
1000, 1400, 1800, 2200, 2600 and 3000 s/mm2, TR/TE = 2500/23 ms,
slice thickness = 0.3 mm, flip angle = 90°, number of
excitations = 5, number of slices = 38 and acquisition matrix = 128×64. An
additional conventional T2 weighted scan of 5 minutes was also
acquired for anatomical reference. The parameter β was set to the value of 0.41 as suggested in1. The $$$σ_H$$$ and $$$σ_L$$$ images were co-registered with T2-weighted
images and mean values were extracted by drawing ROI over the tumor region,
pointed by arrows and marked by red colored boundaries in T2 images
of figure 1.Results
Figure 1 shows the
T2-weighted images, high frequency ($$$σ_H$$$) conductivity, and low frequency ($$$σ_L$$$) conductivity images from top to bottom row,
respectively. The images cover the tumor from a representative rat showing the
variation of $$$σ_H$$$ and $$$σ_L$$$ from left to right columns for 8th, 11th and 14th day
after tumor cell implantations. The low-frequency conductivity images shown in
figure 1 are isotropic, represented as $$$σ_L=(Cxx+Cyy+Czz)/3$$$, where $$$Cxx$$$, $$$Cyy$$$ and $$$Czz$$$ are the diagonal component of conductivity tensor. The mean and standard deviations of
σH and σL in tumor regions
were compared across these days in table 1. The $$$σ_L$$$ values are lower than $$$σ_H$$$ values as was
reported in earlier study4. Both of $$$σ_H$$$ and $$$σ_L$$$ values from the tumour increased over time. The
conductivity was higher in the ventricles and the tumor compared to the
contralateral healthy brain (Table 1). The low frequency conductivity
measurements were compared to the high frequency values in the same
volumes-of-interest longitudinally 8, 11, and 14 days (Table 1). There was
significant increase (p<0.05) in conductivity values of the tumor compared
to the normal brain, reflecting changes in tumor ionic concentration, which is
also reported in Na-MRI of brain tumors indicating an imbalance in the Na+/K+
pumps.Discussions
High frequency
conductivity using B1 maps produces absolute conductivity distribution
combining the intra and extracellular information in microscopic voxel. However,
the low frequency conductivity depends upon ion concentration and mobility of
charge carriers in the extracellular space only. The visualization of low
frequency conductivity added the information of cell size, density, and
swelling. Note that the bright contrast in edematous area is probably due to
higher fluid content. The values of conductivity are almost similar in edema for
low and high frequency due to the absence of tumor cells. The lower contrast
and values of conductivity in σL at central part
of tumor can be attributed to the increase in tumor cell density which appears
in high frequency conductivity as it provides contrast information from both
intra as extracellular spaces. The distinct contrast information of high and
low frequency conductivity can be helpful in better characterization of tumor
as well as the treatment monitoring.Conclusion
Unlike other imaging
modalities CTI can provide conductivity weighted images without any additional hardware
requirement. The intermediate variables of CTI such as extracellular volume fraction (χ) and intra-extra diffusion coefficients ($$$d_e^w$$$,$$$d_i^w$$$) provide the information of mobility and diffusivity
which can be helpful for assessing the tumour microenvironment.Acknowledgements
References
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