Shota Ishida1, Hirohiko Kimura2, Naoyuki Takei3, Yasuhiro Fujiwara4, Tsuyoshi Matsuda5, Yuki Matta1, Masayuki Kanamoto1, Nobuyuki Kosaka2, and Eiji Kidoya1
1Radiological center, University of Fukui Hospital, Eiheiji, Japan, 2Department of Radiology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan, 3Global MR Applications and Workflow, GE Healthcare Japan, Hino, Japan, 4Department of Medical Image Sciences, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 5Division of Ultra-high Field MRI, Institute for Biomedical Science, Iwate Medical University, Shiwa-gun, Japan
Synopsis
Delays alternating with nutation for
tailored excitation (DANTE) pulse is capable of uniform and flow velocity
related signal suppression. DANTE-ASL was compared to T2-mesurement
in ASL (T2-ASL) to validate what spin-compartment is suppressed by
DANTE. T2-ASL showed labeled signal remained in vascular compartment
even at a PLD of 2.0 s. However, ASL signals using DANTE were approximately
similar value in all the PLDs (0.5, 1.0, 2.0, and 3.0 s), because ASL signals
in vascular compartment were suppressed selectively and sufficiently with
concurrently preserving signals in tissue compartment. We could eliminate vascular
compartment from total ASL signal using DANTE.
Introduction
Intra-arterial signal is remaining labeled
spins in vascular compartment at the time of imaging, leading to quantification
errors of cerebral blood flow (CBF) by arterial spin labeling (ASL). Vascular
suppression (VS) is used to eliminate the intra-arterial signal. Spin-compartment
between vascular and tissue compartments can be separated by VS. Thus, a
quantitative information on cerebral arterial blood volume (aCBV) has been provided
by utilizing VS.1,2
Motion-sensitized driven-equilibrium
(MSDE) has been widely used as a VS.3 Recently, it is reported that
delays alternating with nutation for tailored excitation (DANTE) pulse could uniformly
suppress the intra-arterial signal with static signal preservation compared to MSDE.4
In addition, DANTE is capable of flow velocity related signal suppression.5
Although there are many advantages of DANTE, it remains unknown what spin-compartment
is suppressed by DANTE. On the other hand, it has been demonstrated that T2-measurement
in ASL (T2-ASL) can separate spin-compartments.2,6
In the present study, we compared signal
characteristics of DANTE-ASL and T2-ASL to validate what spin-compartment
dealt with DANTE-ASL. We also demonstrated quantitative aCBV map by DANTE-ASL using
simplified two-compartment model.7Methods
We scanned five healthy male volunteers
(25.8±3.4 years old) using a
3.0 T MRI (Discovery 750, GE Healthcare). 3-delay Hadamard-encoded ASL was performed
(Fig. 1a). In addition to the Hadamard-encoding section, multiple long-labeled single-delay
images were acquired.8 Two types of VS, DANTE and T2-preparation
were used (Fig. 1b). DANTE gradient area was 10 μs・T/m
and flip angle (FADANTE) were 5°,
10°, 15°.
Effective TEs of T2-preparation were 40, 80, 160 ms. T2-prepared
proton density images were also obtained to calculate tissue T2-values.
ASL signals and T2-values were
determined in each vascular territory. Measured signals were assessed about
each VS to obtain individual signal characteristics. Subsequently, the signal
characteristics were compared between the two methods. We computed aCBV
map from the two ASL series with and without DANTE using the simplified
two-compartment model.7,9Results
Fig.2 shows T2-values at
different PLDs for each vascular territory. T2-values were decreased
as PLD increased. However, T2-values were larger than that of the
tissue at a PLD of 2.0 s. We could not measure T2-values at a PLD of
3.0 s due to low SNR.
Fig. 3 shows relation among ASL
signal, PLD, and FADANTE. A larger FADANTE reduced larger
ASL signal. Signal reduction rate was decreased as PLD increased. While ASL
signal reduction by DANTE was observed at a PLD of 2.0 s, ASL signal was not
significantly different among all the conditions at a PLD of 3.0 s. In all the PLDs,
ASL signals using DANTE with 15° FA were approximately similar value. Representative
DANTE-ASL images with 15° FA were shown in Fig. 4. The result of multiparametric
mapping was shown in Fig. 5.Discussion
The previous
T2-ASL studies reported that a greater part of the labeled spins reached
the tissue compartment within 2 s.2,6 However, our results showed T2-values
at a PLD of 2.0 s were larger than those of the tissues. This result indicates the
labeled spins remain in the microvascular compartment, even though the PLD is 2.0
s, which has been generally considered enough time to enters the labeled spins into
the tissue compartment. In addition, T2-values in the present study with
various conditions were smaller than those of the reported values.2,6
We considered that it was originated from the different readout sequence from
previous reports.1,2,6 Most of the previous studies used gradient-echo
based sequences, which could image spins existing larger vessels compared to
spin-echo based sequences.10 In contrast to gradient-echo, almost spins
in larger vessels are not imaged by spin-echo sequences. Therefore, less signal
contamination from the macrovascular compartment on T2-measurement
may result in difference of T2-values between the current and previous
studies.
A larger ASL signal reduction with
larger FADANTE presents DANTE efficacy can be easily manipulated by FA
selection. Signal reduction rate was larger with earlier PLDs, reflecting the vascular
compartment was dominant in ASL signals at early time point. ASL signal changes
at a PLD of 2.0 s imply that the labeled spins still remain in the vascular
compartment. This is consistent with the difference between T2
of proton density image and T2 of labeled signal at a PLD of 2.0 s. Therefore,
a certain amount of labeled spins exists in the vascular compartment even at a
PLD of 2.0 s. On the other hand, ASL signal was not changed among the
conditions at a PLD of 3.0 s. It is considered that the greater part of the
labeled spins reached the tissue compartment within 3.0 s. Smaller signal
fluctuation at a PLD of 3.0 s may be derived from the nature of DANTE, because DANTE
slightly reduces static spin signals.4,5 Since ASL signals in the
vascular compartment were sufficiently suppressed by DANTE, ASL signals were
approximately similar value at any PLDs. These results indicate that DANTE is
capable of separating spin-compartments.
We demonstrated the feasibility of
multiparametric mapping from two series of ASL datasets, with and without VS
images, using simplified two-compartment model.Conclusion
DANTE-ASL could separate the
spin-compartment between vascular and tissue compartments. Homogenous aCBV map
was able to obtain by DANTE-ASL.Acknowledgements
No acknowledgement found.References
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