Pei Han1,2, Karandeep Cheema1,2, Hsu-Lei Lee1, Zhengwei Zhou1, Tianle Cao1,2, Sen Ma1, Nan Wang1, Anthony G. Christodoulou1,2, and Debiao Li1,2
1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, UCLA, Los Angeles, CA, United States
Synopsis
We propose a fast 3D steady-state CEST
(ss-CEST) method at 3T using MR Multitasking. By exploiting the correlation among
images throughout the spatial, time, and offset frequency dimensions, the
low-rank tensor framework shows a possibility for at least 2x acceleration of ss-
CEST. High-quality quantitative maps can be generated from ss-CEST images. The
Z-spectrum acquisition with whole-brain coverage can be done within 5.5min.
Introduction
Chemical
exchange saturation transfer (CEST) is a non-contrast imaging technique that indirectly
detects exchangeable protons in the water pool by pre-saturation at different frequency
offsets. A dense and wide sampling of the Z-spectrum is often needed for
multi-pool analysis1.
To ensure a clinically acceptable total scan time, the acquisition duration per
frequency offset must be in seconds, including the long pre-saturation module.
Therefore, it often allows only single-shot k-space acquisition, making 3D CEST
challenging. One approach is to optimize the sampling efficiency, which was the
focus of the recent snapshot-CEST method2-4.
Another approach, steady-state CEST (ss-CEST), is to perform pre-saturation and
k-space sampling in an interleaved way with repeated modules5,6.
However, it requires more than 12 min to acquire the whole Z-spectrum, which is
still too long for practical use. In this work, we propose a new 3D ss-CEST
method using MR Multitasking7.
With low-rank tensor modeling, the correlation among images acquired at different
offset frequencies is exploited to further reduce the scan time and to enhance
image quality. Methods
Image model:
5D images were modeled as a 3-way low-rank
tensor $$$\mathcal{A}$$$ with dimensions of voxel
index $$$\bf{x}$$$, pre-saturation frequency
offset
$$$z$$$, time to reach steady-state $$$\tau$$$:
$$\mathcal{A}=\mathcal{G}\times_1{\bf{U_x}}\times_2\textbf{U}_{z}\times_3\textbf{U}_{\tau}\qquad\text{(1)}$$
where columns of each $$$\bf{U_x}$$$,
$$${\textbf U}_z$$$ and
$$${\textbf U}_{\tau}$$$ contain the basis functions for spatial, offset frequency,
and time to reach steady-state, respectively, and $$$\mathcal{G}$$$ denotes the core tensor. The
core tensor $$$\mathcal{G}$$$ and non-spatial basis
matrices $$${\textbf U}_z$$$ and $$${\textbf U}_{\tau}$$$ were first recovered from frequently sampled training data,
and the spatial bases $$$\bf{U_x}$$$ were
then reconstructed by fitting $$$\textbf{U}_z$$$ and $$$\textbf{U}_{\tau}$$$ to the remaining
imaging data. Last 3D images of each offset frequency, i.e. $$$\tilde{\bf{A}}(\textbf{x},z)=\textbf{A}(\textbf{x},z,\tau_\max)$$$, were extracted to represent
the Z-spectrum images at steady-state for CEST analysis.
Data acquisition:
Data were acquired in five (n=5) healthy volunteers on a 3T system (MAGNETOM Vida,
Siemens Healthcare) with a 1Tx/16Rx-channel head/neck coil. Fig. 1 illustrates
the proposed pulse sequence and k-space sampling pattern. Each ss-CEST module contains
a single-lobe Gaussian saturation pulse (tsat=30ms, flip angle=500°),
followed by a spoiler gradient and eight 5° FLASH readouts. Other parameters
were: FOV=220x220x120mm3, matrix size=128x128x40, spatial
resolution=1.7x1.7x3.0mm3. The acquisition time was 5.6s for each frequency. Images of 53 frequency
offsets (from -100 to 100ppm) were acquired, with a prolonged unsaturated
acquisition (S0) at the beginning. The total imaging time was 5.5min.
Single-slice single-shot FLASH CEST images were
acquired as a reference. The Z-spectrum was sampled as in ss-CEST. Other
parameters were: slice thickness=10mm, TR/FA=3000ms/5°, averages=2 . For
pre-saturation, a train of 30 Gaussian pulses of tsat=30ms (duty
cycle=50%) and flip angle=500° were used. The total imaging time was 5min54s.
T1w images were also acquired for gray/white matter (GM/WM) segmentation.
CEST analysis:
Four-pool (NOE,
APT, MT, and DS) Lorentzian fitting1 using a probabilistic model8 was employed for CEST quantification. For each pool, the probability is assumed
to follow Lorentzian distributions:
$$L_i(x,A_i,W_i,C_i)=A_i\cdot\frac{W_i^2/4}{W_i^2/4
+ (x-C_i)^2}\qquad\text{(2)}$$
Then, the Z-spectrum is described
as
$$F(x)=1–P(\text{DS}\cup\text{MT}\cup\text{NOE}\cup\text{APT})\qquad\text{(3)}$$
Fitted CEST maps were compared
within GM and WM regions among different subjects.Results
Fig. 2
shows representative NOE, APT and MT maps of three different slices fitted from
the proposed method. The image qualify is consistent among different slices,
except for edge slices at the boundary of the 3D volume.
Fig. 3 shows
the comparison between maps generated from the proposed method and the 2D
single-shot FLASH method. It can be clearly seen that, while consistent with
each other, the maps from Multitasking ss-CEST are less noisy.
Fig. 4
shows the statistics of mean Lorentzian amplitudes within GM and WM regions among
different volunteers. It can be seen that the mean amplitude is consistent
among healthy subjects. The contrast ratios of WM/GM for NOE, APT, MT are 1.21,
1.10, 1.22 for Multitasking ss-CEST, which are similar to 1.20, 1,02, 1.35 for
2D single-shot FLASH CEST.Discussion and conclusion
The steady-state
CEST method not only allows more k-space acquisition windows than the
single-shot method, but also ensures that the steady-state is maintained during
the acquisition. The Multitasking based ss-CEST has several crucial advantages
by reconstructing the data from different offset frequencies all together in
one tensor model: (1) further reduction of imaging time is made possible over the
Nyquist criterion and limited parallel imaging factor; (2) the approach to
reach steady-state within each offset frequency is modeled so that uncorrupted
steady-state values will be used for quantification; (3) the Z-spectra are automatically
denoised with the low-rank constraint. It also has the potential to resolve
head motion within the reconstruction process9.
Potential future improvements include optimization of readout trajectories
(e.g., from Cartesian to spiral), further reduction of total scan time, and
improving the spatial resolution.
In conclusion, the
proposed 3D steady-state CEST method using MR Multitasking significantly
reduces acquisition time compared with traditional methods. High-quality NOE and
APT maps can be generated from the proposed method.Acknowledgements
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