Weitian Chen1
1The Chinese University of Hong Kong, China
Synopsis
Keywords: Contrast mechanisms: Rotating frame relaxometry
MRI can be used for non-invasive imaging and
characterization of metabolites and macromolecules in human tissues based on
chemical exchange (CE) and magnetization transfer (MT). It is popular to use
off-resonance saturation radiofrequency (RF) pulses to study CE and MT based contrasts.
Alternatively, relaxation times in the presence of a spin-lock field can also
be used to measure CE and MT signal. This leads to many promising applications
of spin-lock MRI, including, but not limited to, diagnosis of brain cancer, Alzheimer’s’
disease, demyelination, MSK diseases, cardiac diseases, and fibrosis.
MRI can be used for
non-invasive imaging and characterization of metabolites and macromolecules in
human tissues based on chemical exchange (CE) and magnetization transfer (MT).
It is popular to use off-resonance saturation radiofrequency (RF) pulses to
study CE and MT based contrasts. Principally, off-resonance saturation RF pulse
is applied to saturate the protons bound to macromolecules or labile protons
associated with metabolites, which exchange with free water protons due to MT
and CE effects. This results in water signal attenuation, which allows indirect
measurement of metabolites and macromolecules.
Alternatively, spin-lock-based techniques can
also be used to measure CE and MT signal. Spin-lock is often achieved by applying a
radiofrequency (RF) pulse to create an effective spin-lock field along the magnetization, which results in MR signal relaxation with a time constant T1rho. Spin-lock MRI can also be performed so that the magnetization
is perpendicular to the spin-lock field, which results in MR signal relaxation
with a time constant T2rho.
Multiple methods have been
developed to measure chemical exchange effect based on spin-lock.
- T1rho dispersion. For on-resonance spin-lock, T1rho
value depends on the applied amplitude of the spin-lock RF pulse, known as
T1rho dispersion effect. This effect has been used to probe chemical exchange
effect.
- Composite R1rho-R2. Similar to T1rho dispersion,
the composite R1rho and R2 acquisition can be used remove dipole-dipole terms
and measure the chemical exchange effect.
- Chemical
exchange spin-lock (CESL). In CESL, the spin-lock is applied at a range of
resonance frequency offsets. This allows analysis like MTR asymmetry used
in CEST to measure chemical exchange effect.
- One advantage of spin-lock over saturation RF
pulse is that spin-lock can be used to quantify relaxation rate. R1rho
(=1/T1rho) measured at multiple resonance frequency offsets has been shown to
reduce contamination from water pool when measuring chemical exchange effect.
- Dynamic glucose enhanced imaging. Glucose has labile protons which can be detected based on
chemical exchange effect. Dynamic T1rho mapping can be used for dynamical
glucose enhanced imaging after glucose uptake.
Recently, methods
have also been reported to measure the magnetization transfer effect based on a spin-lock
approach. During the off-resonance spin-lock, the magnetization transfer affects the R1rho relaxation
rate. This effect can be controlled by the sequence parameters such as spin-lock RF
amplitude and the resonance frequency offset. By measuring multiple R1rho values with the same contribution from the water pool but different contributions from the MT
pool, the water pool signal can be removed. The resulting signal is only
associated with MT parameters and can be used to quantify MT parameters.
The
measurement of metabolites and macromolecules based on spin-lock techniques have various promising applications. In this lecture, we will review applications of spin-lock MRI in brain cancer, demyelination, Alzheimer’s diseases, multiple sclerosis,
cartilage characterization, cardiac imaging, and fibrosis imaging.
Acknowledgements
The author would like to acknowledge the ISMRM organization
committee and the funding support from the Chinese University of Hong Kong, the
Research Grants Council of the Hong Kong SAR, and the Innovation and
Technology Commission of the Hong Kong SAR. References
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