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Improving PCASL at ultra-high field using a VERSE-guided parallel transmission strategy.

ABSTRACT: PURPOSE:To improve the labeling efficiency of pseudo-continuous arterial spin labeling (PCASL) at 7T using parallel transmission (pTx). METHODS:Five healthy subjects were scanned on an 8-channel-transmit 7T human MRI scanner. Time-of-flight (TOF) angiography was acquired to identify regions of interest (ROIs) around the 4 major feeding arteries to the brain, and B1+ and B0 maps were acquired in the labeling plane for tagging pulse design. Complex weights of the labeling pulses for each of the 8 transmit channels were calculated to produce a homogenous radiofrequency (RF) -shimmed labeling across the ROIs. Variable-Rate Selective Excitation (VERSE) pulses were also implemented as a part of the labeling pulse train. Whole-brain perfusion-weighted images were acquired under conditions of RF shimming, VERSE with RF shimming, and standard circularly polarized (CP) mode. The same subjects were scanned on a 3T scanner for comparison. RESULTS:In simulation, VERSE with RF shimming improved the flip-angles across the ROIs in the labeling plane by 90% compared with CP mode. VERSE with RF shimming improved the temporal signal-to-noise ratio by 375% compared with CP mode, but did not outperform a matched 3T sequence with a matched flip-angle. CONCLUSION:We have demonstrated improved PCASL tagging at 7T using VERSE with RF shimming on a commercial head coil under conservative SAR limits at 7T. However, improvements of 7T over 3T may require strategies with less conservative SAR restrictions.

SUBMITTER: Tong Y

PROVIDER: S-EPMC7216913 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Improving PCASL at ultra-high field using a VERSE-guided parallel transmission strategy.

Tong Yan Y Jezzard Peter P Okell Thomas W TW Clarke William T WT

Magnetic resonance in medicine 20200123 2

<h4>Purpose</h4>To improve the labeling efficiency of pseudo-continuous arterial spin labeling (PCASL) at 7T using parallel transmission (pTx).<h4>Methods</h4>Five healthy subjects were scanned on an 8-channel-transmit 7T human MRI scanner. Time-of-flight (TOF) angiography was acquired to identify regions of interest (ROIs) around the 4 major feeding arteries to the brain, and B1+ and B<sub>0</sub> maps were acquired in the labeling plane for tagging pulse design. Complex weights of the labeling ...[more]

PMID: 31971634

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Project description:The main objective of this study was to utilize high field (7T) in vivo proton magnetic resonance imaging to increase the ability to detect metabolite changes in people with ALS, specifically, to quantify levels of glutamine and glutamine separately. The second objective of this study was to correlate metabolic markers with clinical outcomes of disease progression. 13 ALS participants and 12 age-matched healthy controls (HC) underwent 7 Tesla MRI and MRS. Single voxel MR spectra were acquired from the left precentral gyrus using a very short echo time (TE = 5 ms) STEAM sequence. MRS data was quantified using LCModel and correlated to clinical outcome markers. N-acetylaspartate (NAA) and total NAA (tNA, NAA + NAAG) were decreased by 17% in people with ALS compared to HC (P = 0.004 and P = 0.005, respectively) indicating neuronal injury and/or loss in the precentral gyrus. tNA correlated with disease progression as measured by forced vital capacity (FVC) (P = 0.014; Rρ = 0.66) and tNA/tCr correlated with overall functional decline as measured by worsening of the ALS Functional Rating Scale-Revised (ALSFRS-R) (P = 0.004; Rρ = -0.74). These findings underscore the importance of NAA as a reliable biomarker for neuronal injury and disease progression in ALS. Glutamate (Glu) was 15% decreased in people with ALS compared to HC (P = 0.02) while glutamine (Gln) concentrations were similar between the two groups. Furthermore, the decrease in Glu correlated with the decrease in FVC (P = 0.013; Rρ = 0.66), a clinical marker of disease progression. The decrease in Glu is most likely driven by intracellular Glu loss due to neuronal loss and degeneration. Neither choline containing components (Cho), a marker for cell membrane turnover, nor myo-Inositol (mI), a suspected marker for neuroinflammation, showed significant differences between the two groups. However, mI/tNA was correlated with upper motor neuron burden (P = 0.004, Rρ = 0.74), which may reflect a relative increase of activated microglia around motor neurons. In summary, 7T 1H MRS is a powerful non-invasive imaging technique to study molecular changes related to neuronal injury and/or loss in people with ALS.

Dataset Information

Improving PCASL at ultra-high field using a VERSE-guided parallel transmission strategy.

Publications

Improving PCASL at ultra-high field using a VERSE-guided parallel transmission strategy.

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