Graeme A. Keith1, Sydney N. Williams1, Belinda Ding2, Jon Trinder1, Amir Seginer3, Rita Schmidt4, Shajan Gunamony1,5, Natasha E. Fullerton6, and David A. Porter1
1Imaging Centre of Excellence, University of Glasgow, Glasgow, Scotland, 2Siemens Healthcare Ltd, Frimley, United Kingdom, 3Life Sciences Core Facilities, Weizmann Institute of Science, Rehovot, Israel, 4Department of Brain Sciences, Weizmann Institute of Science, Rehovot, Israel, 5MR CoilTech Limited, Glasgow, Scotland, 6Dept. of Neuroradiology, NHS Greater Glasgow and Clyde, Glasgow, Scotland
Synopsis
Keywords: Spectroscopy, High-Field MRI, Metabolism, Neuro
Motivation: 7T MRI is adversely affected by inhomogeneity in the B1 transmit field. In MRSI applications, this can manifest as spatial variability in water-suppression and signal excitation, which may adversely affect quantification.
Goal(s): To use B1+ shimming to decrease the inhomogeneity of the transmit field and improve water suppression and metabolite quantification in RS-COKE MRSI.
Approach: B1+ shim weights for all RF pulses were optimised using magnitude least-squares and data compared with a circularly polarised mode acquisition.
Results: Metabolite quantification showed greater consistency, lower error estimates and improved water-suppression efficiency, in some subjects, when B1+ shimming was applied to the RS-COKE MRSI sequence.
Impact: The use of B1+
shimming in RS-COKE MRSI improves the quantification of metabolite concentrations
in some subjects. This increased robustness will allow for its application to
patient populations in future clinical research.
Background
7T offers such advantages for MRSI as higher SNR and greater
spectral resolution1, but suffers from
inhomogeneity in the RF transmit field (B1+). This leads
to a range of actual flip-angles across the imaging volume, resulting in spatial
variability in water-suppression (WS) and signal excitation.
A previously presented Echo-Planar Spectroscopic Imaging
(EPSI)2,3 variant, Readout-Segmented COnsistent K-t
space EPSI (RS-COKE)4, employs readout-segmentation
to decouple the echo spacing from the spatial resolution5, resulting in greater
spectral bandwidth, necessary for 7T EPSI. This is combined with COKE6, which introduces alternating
phase-encoding blips between readout lobes to move Nyquist ghosts from the
spectral to image domain, where they are more easily corrected.
Here we present RS-COKE with B1+
shimming7, a parallel-transmit
(pTx) technique, which varies RF pulse phase and amplitudes to achieve a more
homogenous B1+ at 7T. Methods
Healthy subjects were scanned, with local ethical approval, on
a 7T scanner (MAGNETOM Terra pTx, Siemens Healthcare, Erlangen, Germany), using
a custom-built, 8-channel transmit, 64-channel receive head coil8,9.
A T2-weighted-TSE was acquired for RS-COKE slice
placement, followed by a GRE image used to estimate receive channel weights for
combination10. Parameters for all sequences are reported
in Table 1. RS-COKE was run four times, in circularly-polarised (CP) mode (i)
with and (ii) without VAPOR WS11 and with B1+ shimming
applied to WS, excitation and refocussing pulses (iii) with and (iv) without WS.
Per-channel B1+ maps were collected for pulse design. The
slice-selective B1+ shim-weights for each pulse were
optimised by magnitude least-squares12 with constraints on
peak RF amplitude (B1+max = 175V) and standard
deviation of flip angle (15% of nominal).
A bespoke processing pipeline13 was employed for
frequency-dependent phase correction, k-space trajectory correction and
smoothing at readout-segment transitions, which suppresses strong ghosting
artifacts from subcutaneous lipids. No further lipid suppression was used. Automatic
zero- and first-order phase correction were performed, as were residual eddy-current
correction and water-scaling. The processed data were fitted voxel-wise in
LCModel14. Metabolite
concentrations are reported in arbitrary units as no a priori knowledge of
relaxation times or tissue composition were included.
Finally, WS efficiency (%), was calculated as:
$$WS_{eff} = \frac{I_{un} - I_{su}}{I_{un}} x 100\%$$
where Iun is the intensity of the unsuppressed
water peak and Isu of the suppressed water peak15.Results
All data presented are for one volunteer. Figure 1 shows the
RS-COKE slice position, the GRE image, the T2-weighted-TSE at the
RS-COKE slice and spectra for three voxels. Concentrations and Cramér–Rao Lower Bounds
(CRLB) for total n-acetyl aspartate (tNAA), glutamate (Glu) and myo-inositol
(mIns) for CP mode, and with B1+ shimming are reported in
Table 2. Metabolite and CRLB maps are shown in Figure 2 for tNAA, Glu and mIns for
both modes. WS efficiency boxplots are shown in Figure 3 along with voxel-wise
WS efficiency maps, simulated flip-angle maps for CP mode and B1+
shimming, and a flip-angle difference map.Discussion
Data presented for CP mode show that a high-quality spectrum
was acquired for the red voxel, but those in the green and blue voxels are of poor
quality with fitting of metabolite peaks largely not possible, as evidenced by
high CRLB values. With B1+ shimming, the spectrum from
the red voxel is comparable with CP mode, with similar values of concentration
and CRLB, but the fitting is improved for the green and blue voxels. This can
be seen in both the quality of the spectra where clear, resolvable metabolite
peaks are evident, and in, the CRLB error estimates, which are all below 20%.
The metabolite and CRLB maps show that B1+
shimming significantly improves the uniformity of concentration and error
estimates for each of the metabolites, particularly in lateral regions.B1+
shimming also shows improvements in the WS efficiency across the slice, particularly
evident in the right frontal lobe, even though the WS pulses are not slice
selective.
In volunteers with smaller heads, high-quality results were
achieved in CP mode, with B1+ shimming results comparable.
In two volunteers with larger heads, significant lipid contamination was observed
in CP mode, but not with B1+ shimming. Upon further
investigation, this proved not to be related to the segment transitions, which
was a possible source of ringing artefact in the readout direction. The source
of the lipid signal in CP mode remains unclear and further investigation is
underway.Conclusion
This study shows the capacity of B1+
shimming in RS-COKE MRSI to improve spectral quality and quantification in some
subjects. In particular, the use of B1+ shimming improves
the capability of the RS-COKE technique to perform robust mapping of metabolites
in the human brain in vivo.Acknowledgements
No acknowledgement found.References
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