Xin Shen1, Ali Caglar Özen2, Humberto Monsivais3, Serhat Ilbey2, Antonia Sunjar1, Aparna Karnik4, Mark Chiew5, and Uzay Emir1,3
1Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, United States, 2Department of Radiology, Medical Physics, University of Freiburg, Freiburg, Germany, 3Health Science Department, Purdue University, West Lafayette, IN, United States, 4Elmore Family School of Electrical and Computer Engineering, Purdue University, West Lafayette, IN, United States, 5Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, United Kingdom
Synopsis
This study
aimed to detect brain iron content with a novel high resolution (0.94 mm
isotropic voxel) ultra-short echo time (UTE) MRI based on rosette k-space trajectory.
Non-invasive monitoring of brain iron content is beneficial, because the iron
concentration increases during normal brain development, but is associated with
many neurodegenerative diseases. With the ultra-short echo time (TE=20μs), the fast signal decay caused by high
iron concentration can be captured. The relationship between iron concentration
and signal intensity was quantified based on phantom study, and was used for
modulation of the in vivo data to produce images of iron-rich brain
regions.
Introduction
Iron is a
fundamental element in many normal brain physiological processes, involving neurotransmitter
synthesis and metabolism, mitochondrial respiration, and myelin synthesis as components
of certain enzymes 1. While iron homoeostasis needs to be maintained, abnormal iron
accumulation has been associated with many neurodegenerative diseases,
including Parkinson’s2 and Alzheimer’s diseases3. In addition, age-related brain iron
accumulation in healthy subjects has been reported within deep brain structures
such as the substantia nigra4, putamen5, and globus pallidus6. Since the iron concentration increases during normal brain
development and is identified as a risk factor for many neurodegenerative
diseases, it is vital to monitor iron concentration in the brain non-invasively.
As a non-invasive
imaging modality, magnetic resonance imaging (MRI) has been widely used in
measuring in vivo brain iron content.
Because of the paramagnetic nature of the elemental iron, its presence
increases the local magnetic field and accelerates precession, causing phase to
accumulate over the echo times (TE) and resulting in a shorter transverse relaxation
time (T2*). Previous in vivo attempts
to monitor iron in human brain using conventional gradient echo (GRE) techniques
are T2*=1/R2* fitting, susceptibility
weighted imaging (SWI)5 and quantitative susceptibility mapping (QSM)7, have resulted in inconsistent findings8,9. This could be due to the relatively long TE (on the order of
milliseconds (ms) or longer), resulting in degraded sensitivity to quantify high
iron concentration (> 25 mg/g)10,11.
Alternatively, ultra-short echo time (UTE) and zero echo
time (ZTE) with sweep
imaging with Fourier transformation (SWIFT) sequences are capable of acquiring data with TEs in the order
of microseconds (μs), which shows the
ability to capture fast signal decay caused by high iron concentration12. This study
aims to measure brain iron concentration in healthy subjects using a
high-resolution (0.94 mm isotropic voxel) UTE (20μs)
sequence with a novel 3D rosette k-space trajectory.Methods
The rosette
k-space pattern is shown in Figure 1, and described in the following equations13:
Kxy(t)=Kx(t)+i*Ky(t)=(Kmax*cos(φ))*sin(ω1*t)*eiω2t+β
Kz(t)=(Kmax*sin(φ))*sin(ω1*t)
where Kmax is the maximum extent
of k-space, ω1 is the frequency of
oscillation in the radial direction, ω2 is the frequency of
rotation in the angular direction, φ determines the
location in the z-axis, and β determines the
initial phase in the angular direction.
The study was
performed with a whole-body 3T MRI scanner (Siemens Healthineers, Erlangen,
Germany). A cylindrical phantom containing eight vials of different iron
concentrations (iron (II) chloride) from 0.5 millimoles (mM) to 50 mM were
scanned with TE=20 μs with the rosette UTE
acquisition13.
The vials were fixed in an agarose gel phantom (1% agarose by weight). In
addition, seven healthy volunteers were recruited for high-resolution rosette
UTE scans at TE=20 μs. The
parameters for the UTE acquisition were: Kmax=500/m, ω1=ω2=0.766 kHz, number of total petals= 71442 (x2 undersampling
pattern for acceleration), samples per petal=425 (only the first half samples
were used for reconstruction), φ was sampled uniformly in the
range of [-π/2, π/2], and β was sampled uniformly in
the range of [0,2π], the field
of view (FOV)=240x240x240 mm3, matrix size=256x256x256, readout
dwell time=10 μs, flip angle=7-degree, TR=7 ms, readout duration=2.1 ms per echo.
The total scan time was 8.7 minutes.
Image reconstruction
and post-processing steps were performed in MATLAB (MathWorks, USA) platform. The
non-uniform fast Fourier transform (NUFFT)14 and a sparsity constraint on total image
variation15 were used for image reconstruction. After
image reconstruction, all images were registered to a standard brain atlas
(MNI-152) with 3dunifize (AFNI)16 for bias-field correction. The
relationship between iron concentration and signal intensity was fitted and
applied to modulate the reconstructed in
vivo images.Results
The reconstructed
image of the phantom inserted of vials with different iron concentrations is
shown in Figure 2A. The relationship between iron concentration and signal
intensity is illustrated in Figure 2B. The signal intensity increases with
higher iron concentration.
The averaged
reconstructed images after registration into the MNI-152 atlas are shown in Figure
3A. There was little or no contrast between WM and GM, because of the
ultra-short TE (TE=20 μs).
After modulating according to the relationship between iron concentration and
signal intensity achieved from phantom scan (Figure 2), the GM and other brain
regions, such as substantia nigra,
putamen, and globus pallidus, were highlighted (Figure 3B).Discussion
Overall, the
results based on the phantom study aligned with previous publications using SWIFT ZTE MRI9. In 3D-UTE images acquired with 7-degree flip angle, the signal-to-noise ratio (SNR) increased up until 10
mM and then remained well above background signal intensity up to 50 mM. In
addition, 3D-UTE was able to generate a strong positive contrast for iron
accumulated brain tissues using the relationship identified by the phantom
experiment.Conclusion
This study
achieved high resolution (0.94x0.94x0.94 mm3) brain images with
ultra-short TE (TE=20 μs).
Furthermore, the modulation of the in
vivo data based on relationship between iron concentration and signal intensity
was exploited to produce images of iron-rich brain regions with a high spatial
resolution in a clinically feasible acquisition duration. Thus, this method
might be useful to measure the iron content in the human brain non-invasively.Acknowledgements
Data acquisition was supported in part by NIH grant S10 OD012336- 3T MRI Scanner dedicated to Life Sciences Research.References
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