Dimitri MARTEL1, Benjamin LEPORQ2, Stephen HONIG3, and Gregory CHANG1
1Radiology, NYU Langone Health, New york, NY, United States, 2Université de Lyon; CREATIS CNRS UMR 5220, Inserm U1206, INSA-Lyon, UCBL Lyon 1, Villeurbanne, France, 3Osteoporosis Center, Hospital for Joint Diseases, NYU Langone Health, New york, NY, United States
Synopsis
Osteoporosis (OP) is a disease associated with low bone mass and
deterioration of bone microarchitecture leading to bone fragility and increased
fracture risk, especially in the proximal femur. Therefore,
we have developed a chemical-shift encoded acquisition performed with a spiral
k-space sampling to acquire ultrashort echo-time and longer echo time in the
echo train. This study aims to determine if
uTE acquisition can be performed for fat/water separation and if additional
information can be provided through cortical bone imaging.
Introduction
Osteoporosis
(OP) is a disease associated with low bone mass and deterioration of bone microarchitecture
leading to bone fragility and increased fracture risk, especially in the
proximal femur. OP is a severe public health problem, with over 200 million
worldwide suffering from this disease. The main imaging method to assess OP includes
Dual Energy X-ray absorptiometry (DXA) for measuring areal bone mineral density
(BMD). DXA is relatively easy to perform in the clinic and the amount of
radiation exposure is low. Recent studies using MRI to assess bone quality and
health have focused on bone marrow adipose tissue to assess its composition and
quantity1,2.
While
early MRI methods predominantly exploited the signal arising from MAT through
Chemical Shift Encoded (CSE) MRI, more recent approaches like ultrashort echo
time (uTE) imaging enable more direct
imaging of bone tissue and have only recently been applied notably to image the
cortical bone in the spine and hip3-6.
Usually, CSE-MRI is achieved with a Cartesian k space-filling multiple gradient echo
acquisitions and cannot sample enough short echo time values to recover
information about cortical bone, mainly composed of short T2
species.
Therefore,
we have developed a chemical-shift encoded acquisition performed with a spiral
k-space sampling to acquire ultrashort echo-time and longer echo time in the
echo train7,8. This study aims to determine if
uTE acquisition can be performed for fat/water separation and if additional
information can be provided through cortical bone imaging. Materials/methods
This study had institutional review
board approval, and written informed consent was obtained from all subjects.
MRI acquisitions were performed on n=5 subjects with osteoporosis
(BMI= 19.5+/- 2.4 kg/m2; 48.41+/-7.7 years ) using a 3T system (Siemens Healthcare,
Erlangen, Germany). First, we used a 3D spoiled gradient-echo sequence with an
n=12 echoes train length (n ×1.2ms) with flyback readout gradient with the following
parameters: TR/FA/NA = 16ms/5°/4 and BW= 2000 Hz/px; 32 coronal slices were
acquired; Acquisition time =4 min. Then we acquired 2 interleaved 3D uTE stack
of spirals with following parameters: TEs=0.08, 0.22, 2.4, 3.6, 4.8, 6.0, 7.2,
8.4, 9.6, 10.8, 12.0, 13.2ms; TR/FA: 16.2 ms / 5° ; BW= 975 Hz/px; Spiral
duration= 800 µs
; Number of interleaved spirals= 800; Resolution= 1.4x1.4x1.7 mm3; SPIRIT
reconstruction; Acquisition time =5min. Native time-series
magnitude and phase images were saved from the scanner and processed using a homemade
MATLAB script. We use the method previously described2 to compute Proton
Density Fat Fraction (PDFF). For uTE acquisition, we used uTE echoes to compute
porosity index9, weighted subtraction of long
and short echo image10, and a short T2
component was fitted using a mono-exponential fit using the two first echo,
(0.08 and 0.22 ms) assuming a similar long species contribution.
For each reconstructed maps,
the proximal femur was segmented and values integrated for the whole proximal
femur, femoral head, femoral neck, and shaft. Linear regression between
T-scores and uTE parameters was performed. PDFF values obtained using uTE and
CSE were compared using Pearson's correlation coefficient. Results
Typical
acquired and reconstructed maps are shown in Fig.1. The regression plot between
T-scores and uTE parameters are shown in Fig.2. Correlation between CSE and uTE
PDFF is shown in Fig.3. We find that the T-score correlates with the uTE
method's parameters in the whole hip bone and the shaft (Fig.2). T-score correlates
with T2* short (r=0.71 in whole hip; r=0.90 in shaft), porosity index (r=0.95
in whole hip; r=0.95 in shaft) and PDFF (r=0.57 in whole hip; r=0.68 in shaft).
We compared the PDFF value obtained with uTE with our standard CSE method and
found good agreement between the two, notably in the femoral region (r=0.80 in
femoral head and r=0.85 in femoral neck) (Fig.3)Conclusion
In this
preliminary study, we demonstrate the feasibility of performing a single 3T uTE
acquisition in vivo to assess metrics of bone health including T2*, cortical
bone porosity, and marrow fat. The next
step would be to compare the results in healthy vs. osteoporotic subjects.
Acknowledgements
No acknowledgement found.References
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