Shraddha Pandey1, Michael S. Yao2,3, Mukund Balasubramanian4,5, and M. Dylan Tisdall1
1Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 2Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 4Harvard Medical School, Boston, MA, United States, 5Department of Radiology, Boston Children’s Hospital, Boston, MA, United States
Synopsis
Keywords: Pulse Sequence Design, Pulse Sequence Design, Neurodegenerative disease, Quantitative, GESTSE, relaxometry
Motivation: Need for quantitative relaxometry at the spatial scale of cortical laminae to detect layer-specific pathology.
Goal(s): Demonstrate feasibility of Line-Scanned Gradient Echo Sampling of Turbo Spin Echo (GESTSE)
Approach: Novel 1D GESTSE sequence was developed, and data acquired in water phantom and pineapple at 7T. Data fitting algorithm was developed to accurately fit observed measurements and extract quantitative relaxometry data.
Results: With specific gradient spoiling and phase cycling, and a fitting algorithm that accounts for system imperfections, transverse relaxation constants can be estimated at a 150 µm resolution along a 1D line-scan.
Impact: Our novel line-scan GESTSE sequence and fitting algorithm
enables accurate quantitative relaxometry at spatial scales sufficient to
resolve human cortical laminae. This method offers a new avenue to efficiently
detect layer-specific cortical structure and pathology in vivo.
Introduction
Previous work using ex vivo MRI and histopathology
has demonstrated significant variations in iron within both healthy cortical
laminae and layer-specific pathology in neurodegenerative disease [1,2].
However, the spatial resolution of these features is difficult to acquire with in
vivo MRI. Recent work has proposed 1D line-scan gradient echo sampling of
spin echo (GESSE) to quantify T2 and T2’ at 250 µm depth resolution with a 3 mm
diameter line [3]. However, the previous 1D GESSE sequence uses only a short
readout train each TR (e.g., ~40 ms of readout per 2 s TR [3]), reducing
overall temporal SNR efficiency. In this study, we developed a 1D line-scan
gradient echo sampling of turbo spin echo (GESTSE) sequence with longer readout trains increasing SNR efficiency per TR, enabling efficient measurement across broader range of echo times. We demonstrate that a six-parameter model,
including transverse relaxation times, accurately fits data from all echoes,
using a specific gradient spoiling and phase cycling scheme to suppress
stimulated echoes.Method
A prototype 1D line-scan GESTSE pulse sequence was
implemented on a whole-body 7 T scanner (Magnetom Terra, Siemens Healthineers,
Erlangen, Germany). 1D signal is achieved via a slice-selective 90 deg
excitation pulse followed by a train of 180 deg refocusing pulses with their
slice-selection gradients rotated orthogonal to the excitation axis. Each spin
echo is encoded using a train of bipolar gradient echo readouts. Crusher
amplitudes decrease and the sign alternates over the spin echo train to
minimize coherence of unwanted echo pathways [4] (see Figure 1), with the
minimum spoiling gradient moment matched to the previously reported optimal
value of 62.6 ms mT/m for a 3mm column diameter [3]. Additionally, after every
two TRs, the phase of the inversion pulses is negated, enabling further
cancellation of unwanted FID signals when the TRs are averaged for analysis [5].
To compensate for inconsistency between polarities of gradient echo readouts,
the polarity of the gradient echo train was reversed after each TR, enabling
collection of data with both polarities at every echo-time.
A water-based phantom and a pineapple were both scanned with
the 1D GESTSE sequence using the vendor’s 32-channel head coil. We acquired two
different resolutions having approximately equivalent spin echo train
durations: 250 µm (7 echoes) and 150 µm (4 echoes) (see Table 1 for
parameters).
Raw data was reconstructed and analyzed using custom Python
software. Major processing steps were: 1. “Reshuffle” data to create datasets
with only positive- or negative-polarity measurements; 2. Complex average all
repetitions within each polarity; 3. FFT data in the readout direction; 4. RMS
combine all coils within each polarity; 5. Average the magnitudes of the two
polarities. This results in a magnitude-valued 2D dataset with the readout axis
representing depth along the excited column, and the second axis encoding the
echo times (i.e., gradient echo train length $$$×$$$ spin echo train length).
Weighted least-squares fitting was performed voxel-wise [6],
using a 6-parameter model, derived from the symmetric alpha-stable model of
transverse relaxation [7]:
$$s_{i,j}(S_0,T_2,\sigma,\alpha,n,\epsilon) = \sqrt{[S_0n^{i+1}exp(\frac{-\tau_{i,j}}{T_2})exp(-2^{1-\alpha}\mid\frac{t_j}{\sigma}\mid^\alpha)]^2 +\epsilon^2} $$
where $$$s_{i,j}$$$ is the observed signal magnitude at the $$$j^{th}$$$ gradient
echo of the $$$i^{th}$$$ spin echo, $$$S_0 > 0$$$ is
the signal magnitude, $$$T_2$$$ is the irreversible relaxation time, $$$\sigma>0$$$ is the width parameter for the intra-voxel
frequency distribution (e.g., $$$T'_2$$$ when $$$\alpha = 1$$$), $$$\alpha \in (1,2)$$$ is the shape parameter for the intra-voxel
frequency distribution, $$$n \in (0,1)$$$ is a multiplicative factor accounting for
losses due to imperfect refocusing pulses, $$$\epsilon>0$$$ is the noise floor of the measurements,$$$\tau_{i,j}$$$ is the time
(relative to the excitation pulse) of the$$$j^{th}$$$ gradient
echo of the $$$i^{th}$$$ spin echo,
and $$$t_j$$$ is the time
of the $$$j^{th}$$$ gradient
echo relative to the center of the gradient echo train.
Results
Figure 2 shows results of the two protocols in
both the water phantom and pineapple. As expected, the water phantom returns a
stable $$$T_2$$$ of 50 ms
and long $$$\frac{1}{\sigma}$$$, while the pineapple
has short $$$T_2$$$ and $$$\frac{1}{\sigma}$$$. Results are largely
consistent between 250 µm and 150 µm datasetsDiscussion and Conclusion
Our results suggest that the proposed 6-parameter model
accurately fits data from our novel 1D GESTSE sequence. In the water phantom,
the resulting T2 estimate is unbiased relative to the known 50 ms value across
a range of SNRs and B1+ conditions. Further work will more quantitatively evaluate the
benefit of these additional parameters, particularly in in
vivo human brain data. In addition, we intend to explore modifications to
the acquisition and modeling to fit multiple pools within each voxel, improving
quantification of microstructure.Acknowledgements
The authors would
like to acknowledge the support of NIH awards 1R01AG080734 and T32EB009384.References
1. Fukunaga M, Li TQ, van Gelderen P, et
al. Layer-specific variation of iron content in cerebral cortex as a
source of MRI contrast. Proceedings of the National Academy of Sciences.
2010;107(8):3834-3839. doi:10.1073/pnas.0911177107
2. Tisdall MD, Ohm DT,
Lobrovich R, et al. Ex vivo MRI and histopathology detect novel iron-rich
cortical inflammation in frontotemporal lobar degeneration with tau versus
TDP-43 pathology. NeuroImage: Clinical.
2022;33:102913. doi:10.1016/j.nicl.2021.102913
3. Balasubramanian
M, Mulkern RV, Polimeni JR. In vivo irreversible and reversible transverse
relaxation rates in human cerebral cortex via line scans at 7 T with 250 micron
resolution perpendicular to the cortical surface. Magnetic Resonance Imaging.
2022;90:44-52. doi:10.1016/j.mri.2022.04.001
4. Poon CS, Henkelman RM.
Practical T2 quantitation for clinical applications. J Magn Reson Imaging.
1992;2(5):541-553. doi:10.1002/jmri.1880020512
5. Mugler JP. Optimized
three-dimensional fast-spin-echo MRI. Journal of Magnetic Resonance Imaging.
2014;39(4):745-767. doi:10.1002/jmri.24542
6. Bonny J, Zanca M,
Boire J, Veyre A. T 2 maximum likelihood estimation from
multiple spin‐echo magnitude images. Magnetic Resonance in Med.
1996;36(2):287-293. doi:10.1002/mrm.1910360216
7. Steidle G, Schick F. A
new concept for improved quantitative analysis of reversible transverse
relaxation in tissues with variable microscopic field distribution. Magn
Reson Med. 2021;85(3):1493-1506. doi:10.1002/mrm.28534