Haotian Li1, Yi-Cheng Hsu2, Tao Zu1, Zhiyong Zhao1, Ruibin Liu1, Yi Sun2, Yi Zhang1, and Dan Wu1
1Key Laboratory for Biomedical Engineering of Ministry of Education, Department of Biomedical Engineering, College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, China, 2MR Collaboration, Siemens Healthcare China, Shanghai, China
Synopsis
Oscillating
gradient diffusion MRI enables diffusion
measurement at short diffusion-time (td), but it is challenging on the clinical system. Here we proposed an inversion-recovery
prepared 3D oscillating gradient (IR-OGprep-GRASE)
sequence to improve td–dependency
measurements in the human brain. The result indicated that in brain regions
that are possibly contaminated by CSF signals, such as the hippocampus, td-dependent ADC changes were not evident with OGprep-GRASE but can be recovered by adding the IR
module. With IR-OGprep-GRASE, we identified different td-dependent patterns
between the gray and white matter, as well as between the head, body, and tail
of hippocampus.
Introduction
Oscillating gradient
(OG)1 has
been used to assess diffusion at short diffusion-time (td), and to infer about the tissue microstructures2-5.
This technique is limited in the clinical application due to the low gradient
strength on the human MRI system, which results in a long echo time (TE) and repetition
time (TR) to reach a reasonable oscillating frequency and b-value. We recently
proposed a 3D oscillating gradient-prepared gradient spin-echo (OGprep-GRASE)
sequence to target these two problems6.
Moreover, we found that the td-dependency
could be affected by CSF signals due to partial volume and
point-spread-function effects, for tissues close to the ventricle and sulci,
such as the hippocampus and cortical gray matter (GM).
The present study aimed to investigate
the effect of CSF contamination by examining the td-dependency measured with
or without an inversion recovery (IR) module in the OGprep-GRASE sequence.
Moreover, we accelerated the OGprep-GRASE sequence with parallel imaging using the
Generalized
auto-calibrating Partial Parallel Acquisition (GRAPPA)7 method
to further shorten the TE and readout duration. We tested the proposed 3D
IR-OGprep-GRASE sequence with GRAPPA acceleration in measuring td-dependency in several GM
and white matter (WM) regions of the human brain on a 3T system.Methods
Pulse
sequence: Figure 1 shows the 3D IR-OGprep-GRASE sequence, which consisted of four
modules: the inversion recovery module, diffusion
preparation module, fat saturation module, and GRASE
readout module. An inversion recovery module with an inversion time (TI) of
2500 ms was added at the beginning of the sequence to null the CSF signal.
GRAPPA acceleration was achieved in the EPI phase-encoding direction but not
the turbo-echo direction.
Data acquisition: Six healthy volunteers were
enrolled with IRB approval. All scans were performed on a 3T MAGNETOM Prisma
scanner with a 64-channel head coil. dMRI data were acquired using the 3D
OGprep-GRASE sequence with or without the IR module with a PG-encoding (Δeff
= 40ms, 0Hz) and OG-encodings
at frequencies of 20 Hz (1 cycle), 40 Hz (2 cycles), and 60 Hz (3cycles) (effective
td = 25, 12.5, and 8.3 ms).
The other parameters were kept the same: FOV = 220 × 200 mm2, voxel
size = 2 × 2 × 4 mm3, TR/TI/TE1 (TE of the diffusion module)/TE2 (TE
of the GRASE module) = 9000/2500/103.46/31.94 ms, NEPI = 39, NTSE
= 12, b = 420 s/mm2 with 6 directions and two averages, b = 0 with 4
averages, GRAPPA accelerated factor = 2.
Data analysis: The acquired
K-space data were reconstructed by GRAPPA reconstruction8 with Tikhonov
Regularization9. Regions of interest (ROIs) including the hippocampal
subfields (head, body, and tail), cortical GM, thalamus, posterior
WM, and splenium of the corpus callosum (CC) were
manually delineated on b0 images (Figure 2). The differences in ADC between the
multi-frequency OG-dMRI and PG-dMRI data were assessed by ANOVA followed by post-hoc
t-tests with Bonferroni correction. Besides,
we estimated the apparent diffusion dispersion rate (Λ) and exponent (θ) based
on the diffusion dispersion model: Dω =Λωθ +Dω03,10.Results
Figure 2 shows the b0 and ADC images acquired with
PG- and OG-dMRI at different frequencies. Pairwise comparisons of ADC at
different tds are summarized in Figure 3, which demonstrated
td-dependent changes in the thalamus
and posterior WM regions (p< 0.001) using both IR-OGprep-GRASE and OGprep-GRASE
sequences. However, in the hippocampus,
cortical GM, and splenium of CC that are
close to the CSF, td-dependent ADC changes were only clear
with the IR module. Also, ADCs
measured with the IR sequence was significantly lower than that of the non-IR
sequence
(p< 0.001).
Comparing
the ADC values from different ROIs, we found ADCs in
the hippocampal head were lower than that in the body or tail, and its td–dependent change was faster (from PG to OG-20Hz) than the other two sub-regions
(Figure 4A). For the other ROIs (Figure 4B), we found the td–dependency pattern of cortical GM was distinct compared to other GM and
WM regions, with a slower change from PG to OG-20Hz.
The
diffusion dispersion parameters Λ and θ are displayed in Figure 5. We found θ>1
in most GM ROIs except for the hippocampal head, and θ < 1 in all WM ROIs. Λ
was considerably higher in the hippocampal head than that in the hippocampus body/tail
and cortical GM. The other GM and WM regions
showed an intermediate Λ. Discussion and Conclusion
In this work, we proposed
a 3D IR-OGprep-GRASE
sequence to investigate td-dependent
diffusivity in the human brain. Compared with the previously developed OGprep-GRASE
sequence, the proposed sequence with IR preparation can effectively suppress
the CSF signal, and therefore improve the td-dependency measurements in the
hippocampus, cortical GM, and CC. Besides,
the current sequence is equipped with parallel acceleration to reduce the TE
and improve the PSF profile.
Based on IR-OGprep-GRASE measurements,
we identified distinct td-dependency profiles in the human
brain; moreover, sub-regions (head, body, and tail) of the hippocampus
exhibited different td-dependency, possibly related to the
different structural-functional organization of the sub-regions. The diffusion
dispersion model showed the estimated θ < 1 in the splenium of CC, which was
consistent with the recent report10,11.
Interestingly, θ of the GM was larger than in the WM regions,
indicating different structural disorder between GM and WM. Acknowledgements
This
work is supported by the Ministry of Science and Technology of the People’s Republic
of China (2018YFE0114600), National Natural Science Foundation of China
(61801424 and 81971606).References
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