Junfeng Kuang1, Yulong Qi2, Qiting Wu1, Yang Zhou1, Guanxun Cheng2, Hairong Zheng1, and Yin Wu1
1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2Department of Medical Imaging, Peking University Shenzhen Hospital, Shenzhen, China
Synopsis
Keywords: Fat & Fat/Water Separation, Contrast Mechanisms
Motivation: MR Z-spectral imaging (ZSI) offers a new way to generate fat spectrum. However, its feasibility for fatty acid characterization remains to be elucidated.
Goal(s): This study designed a ZSI protocol and investigated its capability in fat measurement.
Approach: The designed ZSI protocol was tested on a fat-water phantom and vertebral body marrows in healthy volunteers and osteoporosis patients at 3 T.
Results: ZSI-measured fat fraction (FF) significantly correlated with oil volumes in the phantom. Moreover, osteoporosis patients exhibited significantly higher normalized fat peak amplitudes and FF than healthy volunteers, indicating the ability of ZSI in revealing fatty acid differences under different pathological states.
Impact: The designed ZSI protocol was feasible
for fatty acid characterization. Significant differences of fatty acid metrics
were detected between osteoporosis patients and healthy volunteers, suggesting
the potentials of the designed ZSI protocol in facilitating fat-related disease
diagnosis and evaluation.
Introduction
Bone marrow fat is involved in many
bone-related and non-osseous diseases [1, 2]. MR spectroscopy and chemical
shift encoding-based water-fat MRI have been intensively employed to monitor
bone marrow alterations in pathological states [3]. However, these techniques
either suffer from relatively low spatiotemporal resolution and complicated
postprocessing strategies [4] or are prone to errors from phase wrapping, field
inhomogeneity, T2* bias, etc. [5, 6]. Recently, a Z-spectrum imaging (ZSI)
technique was proposed, which applies RF irradiation pulses sweeping over a
range of frequencies to directly saturate signals at their resonance
frequencies [7, 8]. The method is insensitive to phase artifacts and field
inhomogeneity, offering a novel way for fat fraction (FF) quantification and
brown adipose tissue detection [7, 8]. However, only the intense fat peak
from bulk methylene protons was accounted for fat measurement with other fat
signals usually ignored, making the feasibility of ZSI for fatty acid characterization remains unclear.Materials and methods
MRI study: An agar-based fat-water phantom consisting of six 20-mL vials
with oil volumes of 0, 5%, 10%, 20%, 30%, and 40% was constructed. The local
Institutional Review Board approved the human study. Fourteen healthy
volunteers and twelve osteoporosis patients with T-score<-2.5
were prospectively enrolled. Written informed consents were obtained from all
participants. MRI scans were conducted on a 3 T scanner (uMR790, Shanghai UIH,
China). ZSI images were acquired using a single-shot FSE
on a single slice (TR/saturation time/TE=1600 ms/100 ms/39 ms, B1=0.25
μT, frequency offsets from -5 to 2 ppm with intervals of 0.05 ppm), including
an unsaturated scan. Parameters for phantom experiments included: matrix
size=96×96, in-plane resolution=1.6×1.6 mm2, slice thickness=10 mm,
and NEX=1. For the human study, ZSI data was acquired on a transverse slice at
the L4 vertebral body (spatial resolution=2.4×2.4×8 mm3, FOV=270-325
× 194-230 mm2 adjusted according to the body size of participants,
and NEX=1). The imaging time was 3.8 minutes.
Data analysis: The acquired
saturated scans (S) were normalized by the control scan without RF saturation (S0)
as Z=S/S0, interpolated by smoothing splines, and corrected B0 field inhomogeneity by shifting the
water peak to 0 ppm. Multiple Gaussian-Lorentzian sum functions were employed
to resolve water and four fat signals with frequency offsets at -3.8, -3.4,
-2.7, and -1.9 ppm [9]. The fitting goodness of R2 and fitting
residue were measured to evaluate the fitting performance. Amplitudes of fat
peaks were normalized to that of the water peak. FF=Afat/(Afat+Awater),
where Awater and Afat are peak amplitudes of water and total fat signals, respectively. Normalized fat peak amplitudes and
FF were measured in the L4 vertebral body and averaged across all subjects in
each group.Results
Figure 1 shows the Z spectra of the
six fat-water vials with different oil volumes. Z spectra were well fitted with
an average fitting goodness of R2>0.99 and residues<0.1%. The
water peak amplitude decreased, and fat peak amplitudes increased with oil
volumes.
Figure 2 displays maps of normalized
fat peak amplitudes at frequency offsets of -3.8, -3.4, -2.7, and -1.9 ppm,
respectively. The normalized fat peak amplitudes increased with oil volumes.
Moreover, FF measured with the ZSI method significantly correlated with
prepared oil volumes (r=0.996, P<0.001).
Figures 3 and 4 show multiparametric
images from a representative healthy volunteer and an osteoporosis patient,
including Z spectra of L4 vertebral body marrows with resolved water and fat
signals and respective normalized fat peak amplitude maps.
Compared to the healthy volunteer, the osteoporosis patient exhibited
conspicuously elevated fat signals and reduced water signals in vertebral body
marrows, resulting in noticeable hyperintense in the normalized fat peak
amplitude and FF maps.
Table 1 summarizes the demographic information
of the participants and quantitatively compares fatty acid metrics, including
the normalized fat peak amplitudes and FF, between the healthy volunteers and the
osteoporosis patients. The osteoporosis patients exhibited significantly higher
normalized fat peak amplitudes and FF compared to the healthy volunteers (all P<0.01).Discussion and Conclusion
This study designed a ZSI protocol and
demonstrated its feasibility in fatty acid characterization in both fat-water phantom and human experiments. The developed ZSI technique revealed significantly higher
normalized fat peak amplitudes and FF in vertebral bone marrows of osteoporosis
patients than that of healthy volunteers, likely due to a shift of
differentiation of mesenchymal stem cells to adipocytes [10]. To our best
knowledge, this was the first study to report differences in four main fat
components in vertebral body marrows between healthy volunteers and osteoporosis patients. The
ZSI technique is promising to facilitate the diagnosis and evaluation of fat-altered diseases by providing complementary information.Acknowledgements
National
Natural Science Foundation of China (92259203 and 82271976), and the
Outstanding Scientific and Technological Innovation Talent Training Program of
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