Thanh Phong Lê1,2, Andrea Capozzi2,3, and Jean-Noël Hyacinthe1,4
1Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland, 2Laboratory of Functional and Metabolic Imaging, EPFL (Swiss Federal Institute of Technology in Lausanne), Lausanne, Switzerland, 3Department of Health Technology, Center for Hyperpolarization in Magnetic Resonance, Technical University of Denmark, Kongens Lyngby, Denmark, 4Image Guided Intervention Laboratory, University of Geneva (UNIGE), Geneva, Switzerland
Synopsis
Hyperpolarized
MR studies of localized animal disease models, specifically our studies of
cerebral metabolism after transient ischemia in a mouse model of stroke, are
greatly improved by implementation of spatially resolved measurements. The
latter allows unfolding specific metabolic alterations in core, penumbra and peripheral
tissues taking place after ischemia. To achieve higher specificity, the
performances of a DNP polarizer were improved by installing a custom fluid path
dissolution system to achieve higher polarization levels. In parallel, we implemented
a dynamic spiral acquisition sequence to enable time-resolved MR metabolic
imaging. Herein, we present our preliminary in-vivo
proof of principle.
Introduction
Dissolution
dynamic nuclear polarization1 (dDNP) is a method for boosting by
several orders of magnitude the sensitivity of MR imaging and spectroscopy. The
technique’s main feature entails the polarization of MR-active substrates
beyond thermal equilibrium. This hyperpolarized (HP) state gifts MR with
unprecedented temporal resolution, enabling non-invasive in-vivo assessment
of metabolic conversion.
To this end, we previously employed global HP MRS to
improve our understanding of the metabolic changes in a mouse model of stroke,
as well as the neuroprotective mechanisms following injection of HP lactate and
pyruvate at a therapeutic dose2,3. The specific regional patterns of
the response to a stroke insult require an appropriate localization of those
metabolic processes. Given our experimental setup, a better outcome of the
experiment required technological improvements on both the metabolic imaging
acquisition side, and the DNP polarizer performance.
We upgraded
an existing dedicated wet polarizer by adapting the recently developed custom fluid path4–6 (CFP), and evaluated its performances. In parallel, we
implemented a spiral IDEAL acquisition scheme for dynamic imaging of the
metabolic processes following injection of pyruvate or lactate at therapeutic
doses, and performed initial in-vivo
testing on healthy animals.Methods
MR experiments were performed in
a 14.1T/260mm horizontal bore magnet (Magnex Scientific) and 1000mT/m
shielded gradient set (Resonance Research) interfaced to a BioSpec Advance NEO
MRI console (Bruker).
Polarizer upgrade: A 5T/1.2K wet DNP
polarizer7,8 was retrofitted with a new cryogenic insert (Fig.1)
to accommodate a CFP4–6.
Hyperpolarization: Neat [1-13C]pyruvic acid (PA) (Sigma Aldrich) was
doped with 15mM of OX063 radical (Albeda Research) and loaded at the bottom of the sample vial. 5.0µl and 20.0µl of sample were used for in-vitro and in-vivo experiments respectively. A stoichiometric amount of a NaOH
10M was frozen on the vial's walls to neutralize the acid during dissolution. PA was
hyperpolarized at the positive DNP enhancement maximum (139.86GHz) for 2h-3h. The
sample was dissolved in a physiological buffer preheated at 180°C and pushed to
a separator/infusion pump7 inside the 14.1T scanner bore, over a 6m line.
Polarization measurements: The HP signal
was measured in the separator/infusion pump9 (FA=10°, TR=3s). The liquid-state hyperpolarization
value reaching the scanner was estimated by computing the ratio between the
first HP signal and the thermal equilibrium signal (1024 averages, TR=5s, after
adding 1mM of Gadobutrolum). This procedure was performed three times before
and after the upgrade.
MRSI protocol: A 2D IDEAL Spiral CSI10 sequence was developed
on the BioSpec console. Image reconstruction was implemented in MATLAB with chemical-shift
modelling reconstruction10,11 prior to spatial gridding reconstruction. Acquisition
parameters were optimized to minimize the effects of strong B0
inhomogeneity and short T2* at ultra-high field. The protocol was
tested on a 3-compartment phantom with [1-13C]acetate, [1-13C]glycine
and [13C]urea.
Cerebral HP MRSI: One C57BL6/J
male mouse (29.8g) was scanned to test the MRSI protocol. The signal was
acquired with a 1H quadrature/13C linear (⌀14/11mm) surface coil placed on the animal’s head. Field map-based
shimming12 optimized B0
homogeneity. A 300µl bolus of 82mM
HP pyruvate was injected into the mouse. The acquisition was triggered at 3s post-infusion.Results
With the
CFP, the upgraded DNP polarizer yielded a liquid-state polarization of (33.3±1.6)%
with a mono-exponential build-up time constant of (2745±63)s for PA, which were
higher and faster compared to the original dissolution wand set-up (Fig.2). The
liquid-state T1 at 14.1T was (46.7±1.7)s.
In-vitro testing of the MRSI protocol successfully
resolved the different chemical shifts of the 3-compartment phantom (Fig.3).
In animal experiments,
(2.5±0.2)ml of (82±4)mM PA at pH=7.50±0.14 were collected in the separator (n=4).
Upon infusion, spectra of slice-selective free-induction decays indicate lactate labelling from
pyruvate (Fig.4). Dynamic spectroscopic images show the influx of pyruvate and pyruvate hydrate from
the vasculature followed by a diffuse labelling of lactate (Fig.5). The nominal in-plane
resolution was 0.92x0.92mm2. To fully evaluate the protocol
performances, no additional zero filling, filtering or masking
was applied.Discussion
The CFP offers
better hyperpolarization performances compared to the original design,
achieving 52% higher and 30% faster polarization when PA and trityl radical are
employed. This could be related to the higher microwave power density achieved by
reducing the microwave cavity volume by 54%. Moreover, compared to the
traditional dissolution wand system, the CFP provided a better reproducibility
in both the concentration and pH level of the pyruvate solution. The improved
accuracy in dissolution performance will minimize the experimental variability for
animal studies.
Initial experiments
successfully provided submillimetric dynamic spectroscopic images of cerebral [1-13C]pyruvate
metabolism. However, the acquisition presented a poor dynamic range and
sensitivity: the influx of pyruvate prevented imaging lactate in the first four
images, and the pyruvate hydrate signal was insufficient beyond the fifth
repetition. Additionally, the surface coil could not achieve whole-brain
coverage. Further
improvements are underway to refine the sensitivity and dynamic range, to match
the requirement specifications of our mouse model of stroke.Conclusion
In this work,
we upgraded an existing wet DNP polarizer to accommodate a CFP. This
technological improvement enabled better polarization performances to the
benefit of MR applications. Despite our modest results, we also show our
preliminary implementation of dynamic HP MRSI at ultra-high field, which will bring
deeper insights for in-vivo studies after
further optimizations.Acknowledgements
This study
is supported by the Swiss National Science Foundation (170155 to JN. Hyacinthe,
190547 and 193276 to A. Capozzi). The authors gratefully thank Drs. Mario
Lepore, Analina Hausin and Stefan Mitrea for their assistance in the animal
preparation, Yves Pilloud and Dr. Hikari Yoshihara for their technical advices,
Dr. Mor Mishkovsky for taking care of the animal authorization, as well as the
Center for Biomedical Imaging of the University of Lausanne, EPFL, University
of Geneva, Geneva University Hospitals, Lausanne University Hospital, and the
Leenaards and Louis-Jeantet Foundations.References
1. Ardenkjaer-Larsen, J. H. et al. Increase in
signal-to-noise ratio of > 10,000 times in liquid-state NMR. Proc.
Natl. Acad. Sci. U. S. A. 100, 10158–63 (2003).
2. Hyacinthe, J.-N. et
al. Evaluating the potential of hyperpolarised [1-13C] L-lactate as a
neuroprotectant metabolic biosensor for stroke. Sci. Rep. 10,
5507 (2020).
3. Lê, T. P. et al.
Metabolism of the hyperpolarized neuroprotective agents [1-13C] lactate and
[1-13C] pyruvate in a mouse model of transient ischemic stroke. in Proc.
Intl. Soc. Mag. Reson. Med. 28 0689 (2020).
4. Capozzi, A., Karlsson,
M., Petersen, J. R., Lerche, M. H. & Ardenkjaer-Larsen, J. H. Liquid-State
13C Polarization of 30% through Photoinduced Nonpersistent Radicals. J.
Phys. Chem. C 122, 7432–7443 (2018).
5. Pinon, A. C., Capozzi,
A. & Ardenkjær-Larsen, J. H. Hyperpolarized water through dissolution
dynamic nuclear polarization with UV-generated radicals. Commun. Chem. 3,
1–9 (2020).
6. Pinon, A. C., Capozzi,
A. & Ardenkjær-Larsen, J. H. Hyperpolarization via dissolution dynamic
nuclear polarization: new technological and methodological advances. Magn.
Reson. Mater. Physics, Biol. Med. (2020) doi:10.1007/s10334-020-00894-w.
7. Comment, A. et al.
Design and performance of a DNP prepolarizer coupled to a rodent MRI scanner. Concepts
Magn. Reson. Part B 31B, 255–269 (2007).
8. Cheng, T., Capozzi, A.,
Takado, Y., Balzan, R. & Comment, A. Over 35% liquid-state 13C polarization
obtained via dissolution dynamic nuclear polarization at 7 T and 1 K using
ubiquitous nitroxyl radicals. Phys. Chem. Chem. Phys. 15,
20819–20822 (2013).
9. Cheng, T. et al.
Automated transfer and injection of hyperpolarized molecules with polarization
measurement prior to in vivo NMR. NMR Biomed. 26, 1582–1588
(2013).
10. Wiesinger, F. et al.
IDEAL spiral CSI for dynamic metabolic MR imaging of hyperpolarized [1-
13C]pyruvate. Magn. Reson. Med. 68, 8–16 (2012).
11. Reeder, S. B., Brittain,
J. H., Grist, T. M. & Yen, Y. F. Least-squares chemical shift separation
for 13C metabolic imaging. J. Magn. Reson. Imaging 26, 1145–1152
(2007).
12. Kanayama, S., Kuhara, S.
& Satoh, K. In vivo rapid magnetic field measurement and shimming using
single scan differential phase mapping. Magn.
Reson. Med. 36, 637–642 (1996).