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

Synopsis

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

Tmapping is rapidly emerging as a promising tool for non-invasive tissue characterization in cardiac MRI and beyond. T 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, T mapping has shown diagnostic value for both ischemic and non-ischemic cardiomyopathies. In this educational we will explore the origin of T relaxation, discuss how to measure myocardial T times and give a brief overview of current applications and challenges.

Background

Recently, rotating-frame relaxation methods, like T, 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 T and T, instead of T1 and T2.

Objectives

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