Teddy Xuke Cai1,2, Nathan Hu Williamson2,3, Peter Joel Basser2, Mohamed Tachrount1, and Karla Loreen Miller1
1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2Section on Quantitative Imaging and Tissue Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD, United States, 3National Institute of General Medical Sciences, NIH, Bethesda, MD, United States
Synopsis
Keywords: Diffusion Acquisition, Diffusion/other diffusion imaging techniques, Exchange
Motivation: Exchange is an important effect in diffusion MR of the brain but remains difficult to quantify using conventional methods and signal models due to parameter degeneracy.
Goal(s): To develop and demonstrate robust measurement of exchange in the mouse brain.
Approach: A method based on double diffusion encoding was previously developed to probe exchange isolated from other effects, yielding robust exchange time measurements. We apply this method in vivo for the first time.
Results: We report a fast in vivo exchange time of approximately 38 ms as compared to 146 ms in a fixed sample, obtained by averaging through a slice.
Impact: Cellular
water exchange reflects not only structural characteristics but has also been linked to metabolism. Quantifying exchange may yield rich information, yet
methods to do so are not mature. Here, we demonstrate a unique, isolated
measurement of exchange in vivo.
Introduction
The exchange of water
between biological microenvironments, namely the intra- and extracellular space,
is increasingly recognized as an important effect in diffusion MR of the brain.1-3
Exchange has also recently been linked to steady-state, metabolic activity4-6,
and may thus be a valuable biomarker. Despite growing interest, a standard
diffusion MR method to measure exchange has yet to emerge. Various methods
have been proposed3,7-9 (e.g., NEXI10), but these
generally do not isolate exchange – rather, exchange is modelled in tandem with
microstructural parameters, resulting in issues of parameter degeneracy. The
difficulty of incorporating exchange into compartment signal models may explain,
in part, the wide range of reported exchange times $$$\tau_k$$$ in the literature, which span from $$$\tau_k\approx3-500$$$ ms, even in similar tissue.1,3 These
disparate reports indicate that the quantification of exchange remains an open
problem.
Previous work based on
diffusion exchange spectroscopy (DEXSY)11 – a double diffusion
encoding method – showed that with just two acquisitions per mixing time, one can separate exchange from other effects.12-15 Thus, this
method overcomes the issue of parameter degeneracy, and $$$\tau_k$$$ can be quantified without simultaneously
estimating parameters such as intra-/extracellular diffusivities. Here, we
provide the first proof-of-concept demonstration of this method in mouse
brain, in vivo and in a fixed sample, paving the way for future
developments towards quantitative exchange imaging. Theory
The method is based on
sub-sampling the 3D parameter space of the DEXSY experiment, which consists of
two diffusion encodings $$$(b_1,b_2)$$$, separated by a longitudinal storage/mixing time, $$$t_m$$$.
As previously shown12,14, holding the sum of $$$b$$$-values constant – $$$b_s=b_1+b_2$$$ – removes
the effect of non-exchanging, Gaussian diffusion, leaving non-Gaussian diffusion and exchange.14,15 These effects can be captured in the log-ratio of two acquisitions: (i) with equal diffusion-weighting $$$b_1=b_2=b_s/2$$$, denoted $$$S_{b_1=b_2}$$$, and (ii) with $$$b_1=b_s,\;b_2=0$$$, denoted $$$S_{b_1=b_s}$$$. The evolution of this log-ratio
with $$$t_m$$$ separates exchange from
non-Gaussian diffusion, as non-Gaussian diffusion does not vary with $$$t_m$$$, but manifests in the intercept. Exchange can then be fit to a first-order model:
$$-\ln\left(\frac{S_{b_1=b_2}}{S_{b_1=b_s}}\right)=C_1\exp\left(-\frac{t_m}{\tau_k}\right)+C_0,$$
where $$$C_0$$$ captures non-Gaussian diffusion, exchange during the encoding, and $$$T_2$$$-$$$T_2$$$ exchange, and $$$C_1$$$ is
proportional to the experimentally observable exchange. Taking a
log-ratio also removes $$$t_m$$$-dependent effects, namely $$$T_1$$$-relaxation.Methods
A stimulated echo DEXSY
sequence was implemented on a horizontal-bore $$$7$$$-$$$T$$$ Bruker
BioSpec 70/20 (Ettlingen, Germany),
using an $$$86\;\mathrm{mm}$$$ transmit RF coil and a 4-channel CryoProbe for the receive coil
(Bruker, Germany). The sequence uses bipolar gradients to achieve double
diffusion encoding with a chosen $$$b_s=3500\;\mathrm{s/mm^2}$$$, varying the amplitude to acquire either $$$S_{b_1=b_2}$$$ or $$$S_{b_1=b_s}$$$ (Fig. 1). Gradients were oriented in the slice direction
(rostral-caudal). A standard EPI readout was used for imaging $$$(0.4\times0.4\;\mathrm{mm}$$$ in-plane, $$$0.75\;\mathrm{mm}$$$ slice thickness).
Additionally, $$$\delta/\Delta=4.5/8\;\mathrm{ms}$$$, and $$$\mathrm{TE}=21.6\;\mathrm{ms}$$$. $$$\mathrm{TR}$$$ was variable with a recovery time
of $$$3.6$$$ or $$$7.2\;\mathrm{s}$$$ ($$$\mathrm{NR}=10$$$ or $$$5$$$, using the median)
in the fixed sample or in vivo, respectively. $$$18$$$ mixing times were acquired from $$$t_m=2-500\;\mathrm{ms}$$$, for a per-slice, per-repetition scan time of $$$4\;\mathrm{min}$$$.
Animal
procedures were approved by the local Animal Welfare and Ethical Review Body. A C57BL6J
wild-type adult
mouse ($$$n=1$$$, male)
was scanned.Results
In Fig. 2, the raw in vivo images $$$S_{b_1=b_2}$$$ and $$$S_{b_1=b_s}$$$ at
selected $$$t_m$$$ are shown for an exemplar slice. The
slice means after masking of the brain were analyzed (rather than individual
voxels) due to SNR difficulties arising from the combination of images. In Fig. 3a, the slice means from Fig. 2 are plotted
vs. $$$t_m$$$. While both means exhibit decay with $$$t_m$$$ primarily
due to $$$T_1$$$-relaxation, $$$S_{b_1=b_2}$$$ exhibits additional decay attributable to exchange. The log-ratio was then fit to Eq. 1, shown in Fig. 3b, yielding $$$\tau_k\approx38\;\mathrm{ms}$$$.
Analogous results are shown
in Figs. 4 and 5 for a fixed sample, yielding $$$\tau_k\approx146\;\mathrm{ms}$$$. Discussion and Conclusions
The
estimated $$$\tau_k\approx38\;\mathrm{ms}$$$ in vivo lies on the faster end of estimates
in the literature1,3 and is of the same order-of-magnitude as previous results $$$\tau_k\approx13\;\mathrm{ms}$$$ obtained in viable, ex vivo neonatal mouse spinal cord6,13,15, which is mostly gray
matter. The longer $$$\tau_k$$$ here may result from averaging through
a slice containing (less permeable) white matter. The even longer $$$\tau_k\approx146\;\mathrm{ms}$$$ in fixed tissue supports the hypothesis that exchange is
linked to activity.
Importantly, these
results also suggest that exchange cannot be ignored in diffusion MR measurements with typical encoding times of $$$\Delta\sim20-40\mathrm{ms}$$$.
The
presented results, while preliminary, demonstrate the feasibility of an
isolated exchange measurement. No microstructural parameters are estimated in Eq. 1, and the parameters $$$C_0,\;C_1$$$ correspond merely to an intercept and limit in
the log-ratio. With
further SNR developments, robust in vivo imaging of $$$\tau_k$$$ may be achieved using this method.Acknowledgements
MT and KLM contributed equally to this work.
TXC and PJB were supported by the IRP of the NICHD.
NHW was funded by the NIGMS PRAT Fellowship Award #FI2GM133445-01.
The Wellcome Centre for Integrative Neuroimaging is supported by core funding from the Wellcome Trust (203139/Z/16/Z), which funds MT. KLM is supported by a Wellcome Trust Senior Research Fellowship (224573/Z/21/Z).
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