T1ρ Contrast in Cardiovascular MRI
Chiara Coletti1
1Delft University of Technology, Delft, Netherlands

Synopsis

Keywords: Contrast mechanisms: Rotating frame relaxometry, Cardiovascular: Myocardium

T1ρ mapping is rapidly emerging as a promising tool for non-invasive tissue characterization in cardiac MRI and beyond. T1ρ relaxation is sensitive to molecular interactions in the low frequencies range, from tenths to thousands of Hz, making it a great candidate to probe the interactions betweeen water and macromolecules without the use of external contrast agents. In cardiac MR, T1ρ mapping has shown diagnostic value for both ischemic and non-ischemic cardiomyopathies. In this educational we will explore the origin of T1ρ relaxation, discuss how to measure myocardial T1ρ times and give a brief overview of current applications and challenges.

Background

Recently, rotating-frame relaxation methods, like T1ρ, have gained prominence for their potential to provide insight into the macro-molecular environment of biological tissues without having to inject external contrast agents [1]. Rotating-frame relaxation refers to the relaxation processes measured during continuous RF irradiation, as opposed to conventional relaxation probed during free decay. Thus, rotating-frame relaxation reflects different physical interactions compared with conventional relaxation times. Specifically, it has shown higher sensitivity than native T1 or T2 to interactions between water and macro-molecules.Compared with contrast-based techniques, rotating-frame relaxation mapping entails less risk, better cost-effectiveness, and the potential for repeated assessments over time. These advantages have led to agrowing number of technical and clinical studies [1,2].Specific signal preparations, during which the RF field is kept at a moderately high value for long durations (usually 10-50 times longer than for RF excitation pulses) are used to induce rotating-frame relaxation. These RF pulses are called spin-locking pulses because they are not used to excite the magnetization but to lock it along their axis. Spin-locking effectively suppresses certain mechanisms that would conventionally induce relaxation under free-decay conditions. Thus, during spin-lock preparations, longitudinal and transverse relaxation are relative to the spin-locking RF pulse, instead of the main magnetic field, and are called T1ρ and T2ρ, instead of T1 and T2.

Objectives

  • Understanding the meachanism behind T1ρ relaxation and the differences with conventional T1/T2
  • Describing spin-lock signal preparations used to map T1ρ relaxation
  • Being aware of the technical challenges of in vivo cardiac T1ρ mapping
  • Discussing successful T1ρ mapping applications in vivo and their relevance in clinical practice
  • Identifying future directions in cardiac T1ρ mapping

Acknowledgements

No acknowledgement found.

References

[1] I. A. Gilani and R. Sepponen. “Quantitative rotating frame relaxom-etry methods in MRI”. In: NMR in Biomedicine 29.6 (2016), pp. 841–861.

[2] A. Bustin, W. R. Witschey, R. B. van Heeswijk, H. Cochet, and M.Stuber. “Magnetic resonance myocardial T1ρ mapping: Technicaloverview, challenges, emerging developments, and clinical appli-cations”. In: Journal of Cardiovascular Magnetic Resonance 25.1(2023), p. 34

Proc. Intl. Soc. Mag. Reson. Med. 32 (2024)