Teddy Xuke Cai1,2, Nathan Hu Williamson2,3, Rea Ravin2,4, and Peter Joel Basser2
1Department of Clinical Neurosciences, Wellcome Centre for Integrative Neuroimaging, FMRIB, University of Oxford, Oxford, UK, United Kingdom, 2Section on Quantitative Imaging and Tissue Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, United States, 3National Institute of General Medical Sciences, Bethesda, MD, United States, 4Celoptics, Inc., Rockville, MD, United States
Synopsis
The diffusion MR signal in complex tissue such
as gray matter exhibits non-Gaussian signal attenuation due to exchange and
restrictions. Existing signal models typically ignore one or both effects by
assuming Gaussian diffusion or negligible exchange. We propose a more rigorous
signal model that incorporates both effects. Subsequently, an acquisition
scheme utilizing equal double diffusion encodings ($$$b_1=b_2$$$) at
various mixing times, and single diffusion encodings with the same total
weighting $$$b=b_1+b_2$$$,
is designed to independently characterize the effects of restriction and
exchange. The method is tested on live and fixed gray matter specimen using a
low-field, high-gradient MR system.
Introduction
Diffusion microstructural MR aims to probe tissue microstructure
and extract parameters via signal models. For white matter, the field has
conjectured a “standard model”1,2 consisting of water confined in
myelinated axons and neurites, modelled as impermeable cylinders, and
extra-cellular water presumed to undergo hindered, Gaussian diffusion –
ignoring exchange. While this standard model and extensions thereof3
have been effective for understanding some features of white matter, they have
failed to translate to gray matter,1,4,5 perhaps due to higher
expected membrane permeabilities of gray matter components,6,7 e.g.,
astrocytes highly expressing aquaporin.8 In contrast, models of
exchange such as the Kärger model9 typically exclude restriction and
assume that signal components have different but otherwise Gaussian diffusivities.10,11
This assumption may underestimate exchange rates, as slower signal attenuation at
high $$$b$$$-values
is attributed to slower exchange, rather than non-Gaussian signal attenuation.
To advance
the study of complex tissue using diffusion MR, we propose a rigorous signal model for certain experimental parameters that incorporates both restriction and
exchange. With this model in mind, we design an acquisition scheme to characterize restriction and exchange independently.
The method utilizes single and double diffusion encodings (S/DDEs) with equal
total $$$b$$$-values
to remove Gaussian diffusion. Diffusion exchange spectroscopy (DEXSY) measurements,12 (i.e., DDEs with a storage time $$$t_m$$$) at a fixed $$$b$$$-value but varied $$$t_m$$$ are then used to separate restriction and exchange. The method is tested on ex vivo neonatal
mouse spinal cord (consisting mostly of gray matter13) using a
permanent magnet system with a strong static gradient (SG).Theory
Consider spin echoes
formed under an SG with constant amplitude $$$g$$$ and variable echo time $$$2\tau$$$.
The regimes of signal behavior14,15 are associated with three length
scales: (i) the diffusion length $$$\ell_d = \sqrt{D_0\tau}$$$;
(ii) the gradient dephasing length, $$$\ell_g=(D_0/\gamma^{}g)^{1/3}$$$;
and (iii) the structural length, or size of restriction in the gradient direction, $$$\ell_s$$$. The free
diffusion regime corresponds to $$$\ell_d$$$ being the shortest of $$$\ell_d,\ell_g,\ell_s$$$;
diffusion is Gaussian, and the normalized echo intensity is $$$I/I_0=\exp{\left(-bD_0\right)}$$$,
where $$$b=(2/3)\gamma^2g^2\tau^3$$$.
The motional averaging regime corresponds to $$$\ell_s$$$ being shortest. The localization regime – in which
there may be persistent signal localized near boundaries – corresponds to $$$\ell_g$$$ being shortest. The signal attenuation in both
non-Gaussian regimes is characterized by $$$I/I_0\propto\exp{\left(-b^{1/3}\right)}$$$ in the limit of large $$$\ell_d$$$.16
For heterogeneous
tissue, $$$\ell_s$$$ values may be distributed with a probability
density function (PDF) $$$P(\ell_s)$$$ (see Fig. 1).17 When $$$\ell_d\gtrsim\ell_g$$$,
the signal may be approximated as two signal fractions demarcated by $$$\ell_g$$$, $$$f_e$$$ ($$$\ell_s>\ell_g$$$),
and $$$f_m$$$ ($$$\ell_s\lesssim\ell_g$$$),
corresponding to freely diffusing and motionally-averaged signal attenuating
with18
$$I/I_0\simeq\exp{\left(-b^{1/3}\langle^{}c\rangle\right)},\;\;\ell_d\gg2\langle^{}R\rangle\\\langle^{}c\rangle=\frac{4}{175}\frac{\gamma^{4/3}g^{4/3}\langle^{}R^4\rangle}{(2/3)^{1/3}D_0},\tag{1}$$ respectively,
where $$$R=\ell_s/2$$$ is an effective spherical radius and $$$\langle\rangle$$$ denotes ensemble-averaging over $$$R=\left[0,\ell_g/2\right]$$$. Given that $$$\ell_d\gtrsim\ell_g$$$ and ignoring
exchange during encodings and relaxation processes, $$$I/I_0$$$ for a DEXSY experiment becomes $$\frac{I}{I_0}=f_{m,m}\exp{\left(-\left[b_1^{1/3}+b_2^{1/3}\right]\langle^{}c\rangle\right)}+f_{m,e}\exp{\left(-b_1^{1/3}\langle^{}c\rangle-b_2D_0\right)}\\+f_{e,m}\exp{\left(-b_1D_0-b_2^{1/3}\langle^{}c\rangle\right)}+f_{e,e}\exp{\left(-[b_1+b_2]D_0\right)},\tag{3}$$ where $$$f_m=f_{m,e}+f_{m,m}$$$ and $$$f_m,f_e$$$ are exchanging fractions dependent on $$$t_m$$$.
Applying the similarity transform to the sum $$$b_s=b_1+b_2$$$ and difference $$$b_d=b_1-b_2$$$ in $$$b$$$-values
described in Refs.19,20,21 and taking a finite difference approximation
of the curvature in $$$I/I_0$$$ w.r.t. $$$b_d$$$ about $$$b_d=0$$$ (fixing $$$b_s$$$),
we remove the non-exchanging Gaussian diffusion contribution, and the exchanging
fraction $$$f_{exch}=f_{m,e}+f_{e,m}=2f_{m,e}$$$ (by mass balance) can be written as $$f_{exch}(t_m)=\frac{2\left[\Delta^{}I(t_m)-\Delta^{}I(t_m=0)-f_ma_1b_s^2\right]}{b_s^2\left[a_0\exp{\left(-2^{-1/3}b_s^{1/3}\langle^{}c\rangle-2^{-1}b_sD_0\right)}-a_1\right]},\;\;t_m>0\\=2f_m(1-f_m)\left[1-\exp{\left(-t_mk\right)}\right],\tag{3}$$ where $$\Delta^{}I(t_m)=(I/I_0)\bigr|_{b_d=\pm^{}b_s}-(I/I_0)\bigr|_{b_d=0}\tag{4}$$ is the difference between equal DDEs ($$$b_d=0,b_1=b_2$$$)
and SDEs with the same $$$b=b_s$$$, $$a_0=\left(\frac{\langle^{}c\rangle}{3\left[2^{1/3}b_s^{2/3}\right]}-\frac{D_0}{2}\right)^2+\frac{2^{2/3}\langle^{}c\rangle}{9b_s^{5/3}},\;\;a_1=\frac{\langle^{}c\rangle}{18}\left(\frac{2}{b_s}\right)^{5/3}\exp{\left(-2\left[\frac{b_s}{2}\right]^{1/3}\langle^{}c\rangle\right)},\tag{5}$$ and $$$k$$$ is a first-order exchange rate.9 Restriction and exchange can be further separated by varying $$$t_m$$$.
At small $$$t_m$$$ (i.e., $$$t_m\ll^{}1/k$$$), $$$f_{exch}\approx^{}0$$$,
such that $$$\Delta^{}I$$$ depends only on $$$f_m,\langle^{}c\rangle$$$, $$\Delta^{}I(b_s,t_m=0)=f_m\left[\exp{\left(-b_s^{1/3}\langle^{}c\rangle\right)}-\exp{\left(-2^{2/3}b_s^{1/3}\langle^{}c\rangle\right)}\right].\tag{6}$$ Eq. (6) can thus be fit for $$$f_m,\langle^{}c\rangle$$$,
after which Eq. (3) can be fit for $$$k$$$ (see Fig. 2).Methods
DEXSY (SG-DEXSY) and double spin echo (SG-SE-SE) pulse sequences
(Fig. 3) were implemented on a PM-10 NMR MOUSE single-sided magnet ($$$\omega_0=13.79\;\mathrm{MHz}$$$, $$$B_0=0.3239\;\mathrm{T}$$$, $$$g=15.3\;\mathrm{T/m}$$$) with a home-built solenoid RF coil and test
chamber. RF pulse lengths $$$=2/2\;\mathrm{\mu^{}s}$$$,
pulse powers $$$=-22/-16\;\mathrm{dB}$$$, $$$\mathrm{TR}=2\;\mathrm{s}$$$,
2000 or 8000 echo CPMG train with $$$\mathrm{TE}=25\;\mathrm{\mu^{}s}$$$, 8 points per echo, and $$$0.5\;\mathrm{\mu^{}s}$$$ dwell time. Normalization $$$I_0$$$ corresponds to $$$b=0.089\;\mathrm{ms/\mu^{}m^2}$$$.
Viable and fixed ex vivo neonatal (postnatal day 1–4) mouse spinal cords
were studied. Spinal cords were bathed in artificial cerebrospinal fluid at 95%
O2/5% CO2 and 25$$${}^\circ$$$C.
More experimental details can be found in Refs.20,21
Curvature along $$$b_d$$$ was assessed at $$$b_s=[0.3,1,6]\;\mathrm{ms/\mu^{}m^2}$$$ on a viable spinal cord using both sequences. In addition, $$$\Delta^{}I$$$ was assessed at $$$b_s=[2,3,3.5,4,4.5,5,6,8,10,13,20,30,60,100]\;\mathrm{ms/\mu^{}m^2}$$$ and $$$t_m=[0.2,2,10,20,160] \;\mathrm{ms}$$$ on a fixed spinal cord using the SG-DEXSY
sequence.20Results
Increasing curvature depth with $$$b_s$$$ is observed in viable spinal cord (Fig. 4). Exemplar
plots of Eq. (6) are shown (Fig. 4B). SG-DEXSY data ($$$t_m=0.2\;\mathrm{ms}$$$)
acquired on fixed spinal cord was fit to Eq. (6) using all $$$b_s$$$ values or $$$b_s=[2,3,3.5,4,4.5,5]\;\mathrm{ms/\mu^{}m^2}$$$,
corresponding to $$$1.37\,\ell_g<\ell_d<1.6\,\ell_g$$$ (Fig. 5A). The truncated fit (i.e., whilst $$$\ell_d\gtrsim\ell_g$$$)
is better and yields $$$f_m\approx0.61,\,\langle^{}c\rangle\approx0.072\;(\mathrm{\mu^{}m^{2}/ms})^{1/3}$$$.
Fixing $$$b_s=5\;\mathrm{ms/\mu^{}m^2}$$$, calculated $$$f_{exch} (t_m)$$$ values were fit to Eq. (3), yielding $$$k=75\;\mathrm{s^{-1}}$$$ (Figs. 5B–C).Conclusion
Good fits are obtained to
experimental data whilst $$$\ell_d\gtrsim\ell_g$$$,
demonstrating the feasibility of the signal model and experimental approach. Apparent
tissue parameters $$$f_m,\langle^{}c\rangle$$$ characterizing restrictions similar to and smaller than $$$\ell_g=(D_0/\gamma^{}g)^{1/3}$$$ and an exchange rate are measured. Approaches
leveraging well-designed multidimensional ($$$b_1,b_2,t_m$$$)
diffusion MR experiments may thus enable the isolation of restriction and
exchange, though challenges remain in adapting such methods to high-field
scanners. Acknowledgements
TXC, RR, and PJB were all supported by the IRP of the NICHD, NIH. TXC is a graduate student in the NIH-Oxford Cambridge Scholars program. NHW was funded by the NIGMS PRAT Fellowship Award #FI2GM133445-01.
We thank Dr. Alexandru Avram and Dr. Michal Komlosh for helpful discussions about double diffusion encoding and Dr. Denis Grebenkov for discussions about the implications of non-Gaussian signal attenuation in DEXSY experiments.
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