Inbal Power1, Michal Rivlin2, Gil Navon2, and Or Perlman1,3
1Department of Biomedical Engineering, Tel Aviv University, Tel Aviv, Israel, 2School of Chemistry, Tel Aviv University, Tel Aviv, Israel, 3Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
Synopsis
Keywords: CEST / APT / NOE, CEST & MT
Motivation: Despite its demonstrated ability to provide biological insights into various pathologies, relayed nuclear Overhauser effect (rNOE) imaging is lengthy and biased by water T1 and semisolid MT contrast.
Goal(s): To develop a rapid rNOE quantification MR-Fingerprinting (MRF) method and validate its performance in-vivo.
Approach: An rNOE-MRF acquisition protocol was designed and employed at 7T for imaging three in-vitro tissue types and wild-type mice (n=7). Quantitative glycogen, rNOE, and semisolid MT maps were simultaneously reconstructed.
Results: In-vitro rNOE exchange parameter maps were highly correlated with ground truth (r>0.99, p<0.01, NRMSE<7%). The rNOE and MT quantitative trends in mice were in agreement with previous literature.
Impact: A
quantitative molecular MR-Fingerprinting method was developed,
allowing for the simultaneous extraction of rNOE and semisolid MT
proton-exchange
parameter maps. These in-vivo, bias-dismantled maps are expected to
aid in the diagnosis and
characterization of
cancer, stroke, and spinal cord injury.
Introduction
Noninvasive
imaging of the relayed nuclear Overhauser effect (rNOE) has provided
biological/clinical insights in cancer1,
stroke, liver2,
and spinal cord injury3
imaging. In the typical settings, rNOE contrast-weighted images are
obtained following a full Z-spectrum acquisition, as commonly
performed in chemical exchange saturation transfer (CEST)
experiments.
Distilling
the pure rNOE signal from confounding factors, such as water
relaxivity, direct saturation, and semisolid magnetization transfer
(MT) contrast, is challenging. While several previous works were able
to mitigate/eliminate the T1,
T2,
and semisolid MT contributions from the rNOE signals4-5,
they either required a lengthy acquisition or were still affected by
the saturation pulse settings employed. In any case, the resulting
signals still represented a combined contribution from the proton
volume fraction and exchange rate, hindering the direct extraction of
the compound of interest concentration.
Since
the establishment of magnetic resonance fingerprinting (MRF)6,
it has been further developed to quantify various biophysical
parameters7,8, including the amide and semisolid MT exchange
parameters8,9.
Here, we designed an rNOE-MRF approach aimed at the rapid
acquisition and simultaneous reconstruction of quantitative rNOE and
semisolid MT maps.Methods
Phantom Preparation
To
demonstrate applicability with a variety of rNOE-related targets,
three in-vitro phantoms were assembled, including bovine and rabbit liver glycogen (where the glycoNOE effect is centered at -1 ppm) and
bovine serum albumin (BSA, where the rNOE effect is centered at
approximately -3.5 ppm). The glycogen phantoms included six vials of
25-300 mM glucose units at pH 7.4. The BSA phantom included three
vials of 8%-12% BSA at pH 6.5.
Animal Preparation
All
animal experiments and procedures complied with the principles of the
Israel National Research Council (NRC) and were approved by the Tel
Aviv University Institutional Animal Care and Use Committee (IACUC).
Wild-type female ICR mice (3-month-old, n=7) were purchased from
ENVIGO RMS (Israel) and anesthetized during the scan using
isoflurane.
MRI
Acquisition
The
glycogen rNOE-MRF acquisition schedule fixed the saturation pulse
frequency at -1 ppm and randomly varied the saturation power (B1)
for 30 iterations between 0-0.5 μT. The saturation pulse length
(Tsat)
was 1 s, TE/TR = 20/4000 ms, and flip angle (FA) = 90°. For the BSA
and in-vivo brain rNOE imaging the saturation pulse frequency was
-3.5 ppm, B1
varied for 30 iterations between 0-4 μT, Tsat = 2.5 s, and TE/TR =
20/3500 ms. Imaging was performed using a preclinical 7T scanner
(Bruker, Germany), implementing a CW MRF sequence with a SE-EPI
readout7,8,
matrix = 64x64, field of view (FOV) = 32×32 mm (phantoms) or 19x19
mm (mice). The slice thickness was 5 mm for phantoms and 1 mm for the
in-vivo scans. The scan time for glycoNOE imaging was 120 s and 105 s
for BSA and in-vivo brain imaging.
Data
Processing
Dictionaries
of simulated signal intensity trajectories were generated using a
Bloch–McConnell equations numerical solver9,
implemented in C++ according to the pulseq-based standard10. A
total of 1,394,820, 4,757,688, or 9,336,600 entries were generated for
the BSA
phantoms, glycogen
phantoms, or the combined in-vivo rNOE and MT dictionary, respectively. Dot-product-based pattern matching took 60.20 s / 117.6
s for glycogen phantoms / in-vivo mice, respectively.Results and Discussion
rNOE-MRF
of Glycogen and BSA Phantoms
In
bovine and rabbit
liver glycogen phantoms, the MFR-matched concentrations demonstrated
excellent agreement with the ground truth (Fig.
1a-d, Fig.
2a-b, Pearson’s
r>0.99, p<0.01, normalized root mean squared error (NRMSE)
<7%). The matched proton exchange rates (Fig.1e-h,
Fig. 2c-d)
were successfully decoupled from the concentration dynamics,
demonstrating a slow exchange rate of ~20 s-1,
as expected2.
The MRF-matched rNOE proton volume fractions were correlated with
ground truth BSA concentrations (Fig.
3, Pearson’s r>0.99,
p<0.05).
In
vivo MRF
Representative
quantitative images from the simultaneous quantification of brain
rNOE and semisolid MT exchange parameters are shown in Fig.
4. The rNOE and the
semisolid MT proton volume fractions (fs
and fss,
respectively) were significantly higher in the white matter compared
to the gray matter (p<0.01), with quantitative values (Fig.
5) comparable to
previous literature11-14.
The semisolid MT proton exchange rates were significantly higher in
the gray matter (p<0.05) compared to the white matter, as
expected, yet slightly lower than previous reports15.
While the dot-product reconstruction yielded several noisy pixels,
these effects are expected to be mitigated by incorporating
neural-network-based reconstruction, as previously reported in
CEST-MRF8.Conclusion
A
quantitative molecular MR-Fingerprinting method was developed,
providing a noninvasive and rapid means for simultaneously extracting
rNOE and semisolid MT proton exchange parameter maps in-vivo. These
bias-dismantled maps are expected to become beneficial for cancer,
stroke, and spinal cord characterization.Acknowledgements
This project received funding from the European Research Council under the Horizon Europe program (grant agreement no. 101115639), the Ministry of Innovation, Science and Technology, Israel, and a Tel Aviv University Center for AI and Data Science (TAD) grant.References
1.
Zaiss, Moritz, et al. "Relaxation-compensated CEST-MRI of the
human brain at 7 T: unbiased insight into NOE and amide signal
changes in human glioblastoma." Neuroimage 112 (2015):
180-188.
2.
Zhou, Yang, et al. "Magnetic resonance imaging of glycogen using
its magnetic coupling with water." Proceedings of the
National Academy of Sciences 117.6 (2020): 3144-3149.
3.
Wang, Feng, et al. "Sensitivity and specificity of CEST and NOE
MRI in injured spinal cord in monkeys." NeuroImage: Clinical
30 (2021): 102633.
4.
Huang, Jianpan, et al. "Relayed nuclear Overhauser enhancement
imaging with magnetization transfer contrast suppression at 3 T."
Magnetic Resonance
in Medicine
85.1 (2021): 254-267.
5.
Desmond, Kimberly L., Firas Moosvi, and Greg J. Stanisz. "Mapping
of amide, amine, and aliphatic peaks in the CEST spectra of murine
xenografts at 7 T." Magnetic Resonance
in Medicine
71.5 (2014): 1841-1853.
6.
Ma, Dan, et al. "Magnetic resonance fingerprinting." Nature
495.7440 (2013): 187-192.
7.
Cohen, Ouri, et al. "Rapid and quantitative chemical exchange
saturation transfer (CEST) imaging with magnetic resonance
fingerprinting (MRF)." Magnetic Resonance
in Medicine
80.6 (2018): 2449-2463.
8.
Perlman, Or, et al. "Quantitative imaging of apoptosis following
oncolytic virotherapy by magnetic resonance fingerprinting aided by
deep learning." Nature Biomedical
Engineering
6.5 (2022): 648-657.
9.
Perlman, Or, Christian T. Farrar, and Hye‐Young Heo. "MR
fingerprinting for semisolid magnetization transfer and chemical
exchange saturation transfer quantification." NMR in
Biomedicine 36.6 (2023): e4710.
10.
Herz, Kai, et al. "Pulseq‐CEST: Towards multi‐site
multi‐vendor compatibility and reproducibility of CEST experiments
using an open‐source sequence standard." Magnetic Resonance
in Medicine 86.4 (2021): 1845-1858.
11.
Liu, Dapeng, et al. "Quantitative characterization of nuclear
overhauser enhancement and amide proton transfer effects in the human
brain at 7 tesla." Magnetic Resonance in Medicine 70.4
(2013): 1070-1081.
12.
Van Zijl, Peter CM, et al. "Magnetization transfer contrast and
chemical exchange saturation transfer MRI. Features and analysis of
the field-dependent saturation spectrum." Neuroimage 168
(2018): 222-241.
13.
van Gelderen, Peter, Xu Jiang, and Jeff H. Duyn. "Rapid
measurement of brain macromolecular proton fraction with transient
saturation transfer MRI." Magnetic Resonance in Medicine
77.6 (2017): 2174-2185.
14.
Perlman, Or, et al. "An end‐to‐end AI‐based framework for
automated discovery of rapid CEST/MT MRI acquisition protocols and
molecular parameter quantification (AutoCEST)." Magnetic
Resonance in Medicine 87.6 (2022): 2792-2810.
15.
Stanisz, Greg J., et al. "T1, T2 relaxation and magnetization
transfer in tissue at 3T." Magnetic Resonance in Medicine 54.3 (2005): 507-512.