Sebastian Mueller1, Kai Herz1, Klaus Scheffler1,2, and Moritz Zaiss1,3
1High-field Magnetic Resonance Center, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Department of Biomedical Magnetic Resonance, Eberhard Karls University Tuebingen, Tuebingen, Germany, 3Department of Neuroradiology, University Hospital Erlangen, Erlangen, Germany
Synopsis
CEST MRI becomes a frequently
applied tool, however, a lot of method development is still done on
pre-clinical scanners. Here we propose an approach that allows a fully
automatic combination of existing MRI readouts for Bruker systems with open
source pulseq-files for definition of CEST pre-saturation, without additional
sequence programming. We believe that our work facilitates both basic research
on CEST MRI and straightforward implementation of sophisticated, precisely
defined CEST experiments on Bruker systems. Additionally, the use of Pulseq provides
a universal, sharable standard to run the exact same pre-saturation in
simulations and on clinical devises at a later stage.
Introduction
Chemical Exchange Saturation Transfer (CEST) MRI (1,2)
is gaining increased attention in the field of clinical MR imaging as it
provides not only anatomic but also metabolic and micro-environmental information without the need of external
contrast agents. CEST MRI requires a specific pre-saturation module depending on
the targeted CEST contrast, which means the MR imaging sequence needs to be
adapted. Recently it was shown that the open source Pulseq project (3)
provides an elegant framework of sharing information on the CEST pre-saturation (4).
In this work, we propose an implementation that automatically combines an
existing Bruker readout with a pulseq-file, generating a fully functional CEST
MR sequence. The implementation does not require any manual sequence
programming in the Bruker framework and should therefore facilitate a faster
development and broader application of preclinical CEST MRI, as well as direct
comparison with clinical systems. Finally, the same pulseq-file can be used for
numerical simulations to directly compare with Bloch-McConnell theory.Methods
Code to generate sequences is implemented in MATLAB (The
Mathworks Inc., USA; code: https://gitlab.com/SebMue/pulseq_cest_hybrid_bruker)
and consist of two parts: first the pulseq-file is parsed and converted to a
Bruker-compatible format; second a Bruker (Bruker BioSpin GmbH, Germany) “method”
is read. This Bruker "method" is analyzed in a way that the pulseq-file can be integrated
automatically. Finally, an adapted version of the original sequence is returned,
now containing the CEST pre-saturation as defined by the pulseq-file and the
original readout subsequently. The returned “method” can directly be copied
onto the MR scanner and maintains full flexibility of the readout settings.
With this, it becomes possible to perform snapshot (5)
CEST MRI acquisitions without the need of any sequence programming. The CEST
pre-saturation module is included into the outermost repetition (Bruker
notation: NR) loop of the readout (order: slice-3D-averages-NR). Due to the
flexibility of Pulseq, complex saturation patterns can be implemented easily. This
for instance also enables CEST fingerprinting (6)
experiments. All measurements were exemplarily performed in a model solution that
contained phosphate buffered saline (1X stock solution; according to (7)),
agarose (Agarose NEEO ultra‐quality, Carl Roth, Germany) and L-arginine (Fluka
Chemie, Switzerland). The pH value was adjusted using hydrochloric acid (Sigma-Aldrich
Laborchemikalien, Germany) and Gd-DOTA (gadoterate meglumine (dotarem® 500 mmol/L),
Guerbet, Germany) was used to reduce T1.Results
As a proof of principle, three published APTw pre-saturation
modules [APTw_001-003 on https://pulseq-cest.github.io/] as well as WASABI (8)
and T1 weighted (saturation recovery with adiabatic half passages)
preparation modules were considered. The referring pulseq-files were exemplarily
combined with Bruker’s RARE, EPI, FISP, FLASH and SPIRAL readouts and measured
in the L-arginine model solution at a 14.1 T animal scanner (Magnex Scientific, United
Kingdom/Bruker Biospin, Germany). An exemplary Bruker simulation of the
sequence diagrams for a single pre-saturation offset is shown in Figure 1. As
the pulseq-files contain all information about the CEST pre-saturation, they can
directly be used to simulate the Z-spectrum and compare this expectation to the
measured data, or to fit a Bloch simulation to the data. One exemplary
simulation is shown in Figure 2 with used Bloch parameters stated in the caption. Arbitrary pre-saturation pulse shapes are
supported, for instance matched adiabatic spinlock pulses (9),
too. Resulting Z-spectra for different readouts and different pre-saturation
modules for the vendor provided FLASH readout are shown in Figures 3 and 4.Discussion
Herein we presented a fully automatic approach to combine
CEST pre-saturation modules with established readout methods for Bruker,
without the requirement of sequence programming in the Bruker framework. While
the CEST pre-saturation is strictly defined by the corresponding pulseq-file,
all settings for the readout method can be adapted in the user interface in the
typical way. As only the outermost NR-loop is modified, the user may stick to
the established read out, which solely gets extended by the possibility of
performing CEST MRI. This should also allow well designed CEST experiments even
though the user might not be specialized on CEST MRI.Conclusion
The proposed method provides a straightforward way to
perform sophisticated CEST MRI experiments on Bruker MR systems without
explicit knowledge on CEST MRI or sequence programming. Additionally, by
exploiting the benefits of pulseq-files for sharing information on CEST pre-saturation
it is possible to share exact pre-saturation blocks and perform the same experiments
on different platforms, this especially
bridges the gap between pre-clinical and clinical implementations.Acknowledgements
The financial support of the Max
Planck Society is gratefully acknowledged.References
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