Nastaren Abad1, Ana Beatriz Solana2, Isabelle Heukensfeldt Jansen1, Brice Fernandez3, Florian Wiesinger2, Afis Ajala1, Thomas K.F. Foo1, Angeliki Pollatou4, J Kevin DeMarco4,5, Gail Kohls5, H Doug Morris5, Maureen N Hood4, Vincent B Ho4,5, J Kent Werner4,5, and Luca Marinelli1
1Technology & Innovation Center, GE HealthCare, Niskayuna, NY, United States, 2GE HealthCare, Munich, Germany, 3GE HealthCare, Buc, France, 4Uniformed Services University of the Health Sciences, Bethesda, MD, United States, 5Walter Reed National Military Medical Center, Bethesda, MD, United States
Synopsis
Keywords: Neurotransmission, fMRI (resting state)
Motivation: To leverage the intrinsic multi-echo capabilities of Looping Star (ME-LS) for fMRI applications to minimize susceptibility-related signal loss to enhance sensitivity to underlying neurovascular changes.
Goal(s): Our objective is to demonstrate feasibility of detecting resting state networks using a silent multi-echo fMRI approach enabled by Looping Star
Approach: Resting-state Multi-echo Looping Star fMRI was implemented on MAGNUS and scanned in healthy volunteers.
Results: This feasibility study shows established resting-state networks and connectome matrixes for multi-echo Looping Star fMRI and highlights the impact of the broad parameter space accessible with MAGNUS for Looping Star.
Impact: Silent
ME-fMRI has a multitude of advantages, ranging from increased sensitivity to neuro-correlates of sleep dysregulation,
auditory-sensory studies, neurological disorders and to provide a more
immersive experience by combining sound with visual stimuli in the MR
environment.
Introduction
A
common patient complaint of MR scanning is the acoustic discomfort during
scanning. For high performance gradient systems[1-3]
operating at maximum slew rates, scanner noise levels easily approach human auditory pain levels(>120 dB). Looping star was
introduced as a novel acoustically silent, 3D radial, multi-gradient echo MRI pulse sequence[4].
It allows for whole-brain coverage and BOLD sensitivity at just a few dB above
ambient noise, with the utility of the sequence previously demonstrated in block
design, event-related paradigms[5]. The intrinsic multi-echo capabilities of Looping Star (ME-LS)
for fMRI applications offer a practical solution to minimize
susceptibility-related signal loss by leveraging echo combination which enhances
sensitivity to underlying neurovascular changes by broadened optimal T2*
coverage than single-echo fMRI acquisitions.
In
this study MAGNUS[1] was utilized to evaluate the
performance of Looping Star by extending the implementation to silent
multi-echo resting-state fMRI. The MAGNUS platform delivers 300 mT/m and 750 T/m/s using standard clinical 3.0-T power electronics (GE HealthCare SIGNA
Premier), allowing for substantially shorter encoding pulse-widths, TEs, with reduced distortion and blurring. In addition, MAGNUS is integrated with a
local transmit ‘body’ coil resulting in higher peak
B1+ max which permits use of higher flip angle excitation[6] for a given minimum RF pulse length(8μs)
which can be used to achieve significant improvements in SNR efficiency as the
Ernst angle can be better approached. These benefits further lead to more
uniform chemical shift effects and minimization of slab selection artifacts.
Furthermore, due to the higher encoding efficiency, higher bandwidths can be
explored allowing for even shorter repetition times. These properties make
MAGNUS ideally suited for demanding acquisition sequences such as Looping Star
and ME-fMRI.Methods
Acquisition:
Three healthy volunteers were(40±5y) scanned under IRB-approved
protocols with MAGNUS. A 32-channel phased array head coil (NOVA Medical,
Wilmington, MA, USA) was used for all scans. In addition, the fBIRN phantom
was scanned with both ME-LS and ME-EPI for static quality comparisons. To match
TEs in a standard protocol for ME-fMRI using EPI on MAGNUS, the following
parameters for ME-LS were used: TR 2.98s, sub-Nyquist sampling factor-per-volume of 0.4, flip-angle 3°, 3.0-mm isotropic resolution, BW=±62.5kHz, and a total of 220 volumes.
These acquisition parameters provided echo-times TE1/TE2/TE3= 9.9/19.6/29.7 ms
in addition to the first FID (ZTE). The third echo was
assumed to be equivalent to conventional single-echo fMRI. As an anatomical
reference, a 1-mm isotropic T1-weighted image was acquired. Looping Star image
reconstruction was implemented offline[7].
Signal
processing ME-rs-fMRI: The pre-processing of resting state
data was performed using a custom-built pipeline[8]. For
the ME-LS, a T2*-weighted echo combination with ICA denoising
(OC-ICA) was performed between the time-series alignment (Figure 2), detrending and the
regressions using tedana[9]. Motion
correction parameters from first-echo processing were used for correcting the later echoes and OC-ICA data. Similarly,
co-registration to T1-weighted image and normalization to MNI atlas were
performed on first-echo data, and the same parameters were used for processing
the later echoes and OC-ICA. For functional connectivity estimation,
artifact-reduced time series were bandpass-filtered with a
frequency range of 0.01 to 0.1 Hz and smoothed by a Gaussian kernel with a 3-mm FWHM. Pearson correlation coefficient
between the seed region mean time-course and the voxel time-course for every
voxel in the brain was computed. Correlation-coefficient was converted to
functional-connectivity maps using Fisher z-transform.Results & Discussion
Results
from the fBIRN phantom highlight comparable temporal stability between both
ME-LS and ME-EPI(Figure 1b). Peak-to-peak percent fluctuations measured in the
phantom indicated typical stable values (0.74% for Looping Star and 0.39% for
GE-EPI), with a smaller drift (0.4% for Looping Star), and comparable RDC
values. Figure 2. shows the optimal combined ME-LS image. ME-LS had lower tSNR
for OC-ICA signal compared to ME-EPI potentially due to off-resonance
characteristics of 3D radial acquisitions and the difference in parameter space(Figure 3).
Representative
seed-based network maps for ME-LS are
highlighted broad
agreement in localization with conventional ME-EPI(Figure 4). Functional
connectomes highlight discretization of brain-based parcels and coherent identification of the
networks as parcel size is decreased(Figure 5). On average a lower activation extent was noted between ME-EPI and ME-LS. However, any comparisons are significantly confounded by the
difference in acquisition space (spatial resolution, TR), image-reconstruction, acceleration and the sampling depth required for stable repeatability of
FC. Conclusion
This feasibility
study highlights the impact of the broad parameter space accessible with MAGNUS
for multi-echo fMRI with Looping Star. Further optimization is planned to
encompass a wide range of paradigms and acquisition parameters to identify the limits of
sensitivity and effect size needed to reveal additional or complementary
information regarding cognitive processes.Acknowledgements
Grant funding from CDMRP W81XWH-22-2-0038
The
opinions or assertions contained herein are the views of the authors and are
not to be construed as the views of the U.S. Department of Defense, Walter Reed
National Military Medical Center, or the Uniformed Services University.
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