Petr Bulanov1, Petr Menshchikov2, Andrei Manzhurtsev3, Alexey Yakovlev3, Tolib Akhadov3, Richard Edden4, and Natalia Semenova3,5
1Lomonosov Moscow State Univesity, Moscow, Russian Federation, 2Emanuel Institute of Biochemical Physics of RAS, Moscow, Russian Federation, 3Clinical and Research Institute of Emergency Pediatric Surgery and Traumatology, Moscow, Russian Federation, 4Johns Hopkins University, Baltimore, MD, United States, 5Semenov Institute of Chemical Physics of the Russian Academy of Sciences, Moscow, Russian Federation
Synopsis
Changes in Aspartate (Asp) concentrations are a
potential biomarker of malate-aspartate shuttle dysfunction, as well as disturbances
in the synthesis of NAA. J-difference editing allows the detection of a
resolved Asp signal at δAsp ≈ 2.71ppm. This resonance
has a complex shape and therefore approximation of the Asp signal is a
challenging task. In our study we compare the performance of six Asp-approximation
models applied to data from three brain regions (anterior cingulate gyrus
(ACC), dorsolateral pre-frontal area (DLPFA) and visual
cortex (VC)). A model consisting
of four Gauss signals shows the best performance for all brain regions studied.
Introduction
Aspartate (Asp) is known to be
an important amino acid that aids in the proper functioning of the central
nervous system. To begin with, due to the Asp carries reducing equivalents in malate-aspartate
shuttle (MAS)[1], changes in Asp
concentrations could be used as a biomarker for MAS dysfunction. Furthermore, Asp is a precursor of
N-acetyl-aspartate (NAA). Decreased NAA levels have been linked to a variety of
diseases[2–4]. Simultaneous
estimation of Asp and NAA using 1H MRS could be useful for figuring out why NAA
levels are decreasing.
J-difference editing methods,
such as MEGA-PRESS[5] sequence, allows
to obtain resolved Asp signal at δAsp ≈ 2.71ppm. Due to the intricate form of
the Asp resonance in the MEGA-PRESS spectrum, approximating the Asp signal is a
difficult operation.
Therefore, the primary goal of
this research was to optimize the approximation of the edited Asp signal at
2.71 ppm using several fitting models. Materials and methods
75 Asp-edited MEGA-PRESS
spectra acquired in healthy volunteers (mean age – 21.2±3.3 years) were
retrospectively analyzed: 33 spectra from the anterior cingulate gyrus (ACC)
(voxel size: 50x25x25 mm); 23 spectra from the dorsolateral pre-frontal area
(DLPFA) (voxel size: 50x19x27 mm); 19 spectra from the visual cortex (VC)
(voxel size: 20x40x30 mm) (figure 1).
We used Philips Achieva dStream 3.0T MRI scanner (Philips
Healthcare, The Best, The Netherlands). The MEGA-PRESS pulse sequence had the
following parameters: TE = 90 ms; TR = 2000 ms; 2048 points; spectral bandwidth
2 kHz; NSA = 288; MOIST water suppression, 25-ms editing pulses applied at δON
= 3.89 ppm and δOFF = 5.21 ppm). 8 water reference transients were also
acquired as a part of MEGA-PRESS.Data Processing
Using a combination of Gannet
v3.120[6] and in-house
scripts, spectral preprocessing and quantification were performed in MATLAB
(MATrix LABoratory). Processing included
zero filling, rejection of bad
averages, aligning and averaging.
We used six approximation
models to estimate Asp signal intensity from the DIFF spectra between 2.62 and
2.83 ppm: a model of between one and four Gaussians, a measured phantom
spectrum, and a simulated spectral line. For Asp approximation with
experimental spectral line, phantom spectra were registered from prepared Asp
(30 mM) and Cr (18 mM) solutions with pH = 7.2. The same MEGA-PRESS parameters
as for in vivo spectral registration were utilized. Simulated spectral lines
were obtained in FID-A[7] using density
matrix simulations.
The Asp and tCr peak
(tCr = 3.01 ppm) signal-to-noise (SNR) levels, as well as the FWHM (full width
at half maximum) values of the tCr, were computed for each spectra. The
coefficient of variation (CV) of Asp-to-tCr ratios for three brain areas was
measured for between-subject fitting techniques. The Spearman rank criteria in
GraphPad Prism 8.4.3 (GraphPad Software, San Diego) software was used to
investigate correlations between CV and fitting errors across the locations. Results
Samples of Asp
approximation by various models were presented at figure 2. The main results were demonstrated in table
1. It is presented Asp SNR,
creatine FWHM, fitting errors (FE) and CV for different approximation models. values for
4-gauss model were also presented.
The main finding is that 4-Gaussian approximation
shows the lowest fitting errors for all regions as compared to other approaches. The contrast in fitting approaches is clearly seen in
ACC, where Asp SNR is substantially larger than in the other two regions: from
the poorest values for 1-Gaussian to the best for 4-Gaussian, with phantom and
simulation approximation fitting errors lying between 2- and 3-Gaussian models. In addition, for ACC, CV rises as the fitting error
decreases, as evidenced by the substantial linear correlation between these
variables (p=0,05, r= 0,83). ). For regions with low SNR (DLPFA, VC) the choice
of fitting approach does not have significant effect on the fitting errors and
between-subject CV values.
Discussion
The 4-gauss model demonstrated the lowest fitting
errors and the best approximation qualities. Probably it is due to the best
matching of 4-gauss shape with in-vivo
Asp spectra structure. It is interesting that simulated and phantom spectra
approximation show the intermediate fitting errors and concede to 4-gauss
model. This can be explained by the large number of degrees of freedom in the
4-gauss model. SNR values were also
found to be much greater in the ACC than in the VC and DLPFA. This is tightly
linked to the voxel volume as well as the gray matter fraction which are lower
in DLPFA and VC respectively. Therefore, the low amplitude of outer parts of
Asp multiplet compared with noise level in VC voxels with lowest SNR may add
additional uncertainty in phantom and simulation modeling. However, for robust
Asp quantification spectra with high SNR, fitting using phantom and simulated
spectra may be considered. Conclusion
The major finding is that, when compared to other approaches, the 4-Gaussian approximation has the lowest fitting errors for all regions. Fitting with phantom and simulated spectra may be explored for robust Asp quantification in spectra with high SNR.Acknowledgements
No acknowledgement found.References
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