Assessment of diffusion tensor imaging indices in calf muscles following postural change from standing to supine position

Object

To investigate whether postural change from erect to recumbent position affects calf muscle water diffusivity.

Materials and methods

Ten healthy adults (27.2 ± 4.9 years, 3 females) were imaged at baseline (following assumption of recumbent position), and after 34 min (session 2) and 64 min (session 3) of laying supine within a 3T MRI scanner. Diffusion tensor imaging (DTI) eigenvalues, fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were evaluated in five calf muscles (anterior and posterior tibialis and triceps surae) during each of the three imaging sessions.

Results

Significant decreases were observed in all of the eigenvalues and ADC in each of the muscles with postural change. These reductions ranged from 3.2 to 6.7 % and 3.4 to 7.5 % for the various DTI metrics, following 34 and 64 min of supine rest, respectively (P < 0.05). No significant differences were noted in ADC or eigenvalues between the second and third imaging sessions for any muscle. FA did not change significantly with postural manipulation in any muscle compartment.

Conclusion

Diffusion tensor imaging indices were altered with postural change. As differences were not apparent between the latter two imaging sessions, we suggest that a short supine resting period (~34 min) is sufficient for muscle diffusivity to stabilize prior to quantitative MR imaging in healthy young adults.     

Dynamic DTI (dDTI) shows differing temporal activation patterns in post-exercise skeletal muscles

Object

To assess post-exercise recovery of human calf muscles using dynamic diffusion tensor imaging (dDTI).

Materials and methods

DTI data (6 directions, b = 0 and 400 s/mm²) were acquired every 35 s from seven healthy men using a 3T MRI, prior to (4 volumes) and immediately following exercise (13 volumes, ~7.5 min). Exercise consisted of 5-min in-bore repetitive dorsiflexion-eversion foot motion with 0.78 kg resistance. Diffusion tensors calculated at each time point produced maps of mean diffusivity (MD), fractional anisotropy (FA), radial diffusivity (RD), and signal at b = 0 s/mm² (S₀). Region-of-interest (ROI) analysis was performed on five calf muscles: tibialis anterior (ATIB), extensor digitorum longus (EDL) peroneus longus (PER), soleus (SOL), and lateral gastrocnemius (LG).

Results

Active muscles (ATIB, EDL, PER) showed significantly elevated initial MD post-exercise, while predicted inactive muscles (SOL, LG) did not (p < 0.0001). The EDL showed a greater initial increase in MD (1.90 × 10^?4mm²/s) than ATIB (1.03 × 10^?4mm²/s) or PER (8.79 × 10^?5 mm²/s) (p = 7.40 × 10^?4), and remained significantly elevated across more time points than ATIB or PER. Significant increases were observed in post-exercise EDL S₀ relative to other muscles across the majority of time points (p < 0.01 to p < 0.001).

Conclusions

dDTI can be used to differentiate exercise-induced changes between muscles. These differences are suggested to be related to differences in fiber composition.

     

Ultra-high field diffusion tensor imaging of articular cartilage correlated with histology and scanning electron microscopy

Object

To investigate the relationship of the different diffusion tensor imaging (DTI) parameters (ADC, FA, and first eigenvector (EV)) to the constituents (proteoglycans and collagen), the zonal arrangement of the collagen network, and mechanical loading of articular cartilage.

Material and methods

DTI of eight cartilage-on-bone samples of healthy human patellar cartilage was performed at 17.6 T. Three samples were additionally imaged under indentation loading. After DTI, samples underwent biomechanical testing, safranin-O staining for semiquantitative proteoglycan estimation, and scanning electron microscopy (SEM) for depicting collagen architecture.

Results

From the articular surface to the bone–cartilage interface, ADC continuously decreased and FA increased. Cartilage zonal heights calculated from EVs strongly correlated with SEM-derived zonal heights (P r ²=0.87). Compression reduced ADC in the superficial 30% of cartilage and increased FA in the superficial 5% of cartilage. Reorientation of the EVs indicative of collagen fiber reorientation under the indenter was observed. No significant correlation was found between ADC, FA, and compressive stiffness.

Conclusions

Correlating ADC and FA with proteoglycan and collagen content suggests that diffusion is dominated by different depth-dependent mechanisms within cartilage. Knowledge of the spatial distribution of the DTI parameters and their variation contributes to form a database for future analysis of defective cartilage.     

Diffusion property differences of the lower leg musculature between athletes and non-athletes using 1.5T MRI

Object

To compare the differences in diffusion properties—namely fractional anisotropy (FA), three eigenvalues of the diffusion tensor (λ1, λ2, and λ3), and apparent diffusion coefficient (ADC)—between athletically-trained and untrained lower leg musculature.

Materials and methods

Twelve athletes (Group A) and 11 non-athletes (Group B) were recruited. All were females in their 20s. We scanned diffusion tensor images of both calves and compared FA, the three eigenvalues, and ADC in the gastrocnemius medialis, gastrocnemius lateralis, soleus (SOL), and anterior tibialis muscles between Groups A and B, and between the right and left sides, using two-factor fractional ANOVA.

Results

In all muscles of bilateral calves, all three eigenvalues and ADC were lower in Group A than in Group B, with statistically significant differences in all muscles for λ1, λ2, and λ3 and ADC, with a P value of <0.01. Moreover, statistical differences were also found between right and left for λ1, λ2, and λ3 (P?P?Conclusions Our results indicate that training causes a decrease of the three eigenvalues and ADC, which we hypothesize is due to an increase of density of myofilaments in the intracellular space, and deformation of the cell induced by enlargement of extracellular components.     

Spatially resolved kinetics of skeletal muscle exercise response and recovery with multiple echo diffusion tensor imaging (MEDITI): a feasibility study

Objectives

We describe measurement of skeletal muscle kinetics with multiple echo diffusion tensor imaging (MEDITI). This approach allows characterization of the microstructural dynamics in healthy and pathologic muscle.

Materials and methods

In a Siemens 3-T Skyra scanner, MEDITI was used to collect dynamic DTI with a combination of rapid diffusion encoding, radial imaging, and compressed sensing reconstruction in a multi-compartment agarose gel rotation phantom and within in vivo calf muscle. An MR-compatible ergometer (Ergospect Trispect) was employed to enable in-scanner plantar flexion exercise. In a HIPAA-compliant study with written informed consent, post-exercise recovery of DTI metrics was quantified in eight volunteers. Exercise response of DTI metrics was compared with that of T2-weighted imaging and characterized by a gamma variate model.

Results

Phantom results show quantification of diffusivities in each compartment over its full dynamic rotation. In vivo calf imaging results indicate larger radial than axial exercise response and recovery in the plantar flexion-challenged gastrocnemius medialis (fractional response: nT2w?=?0.385?±?0.244, nMD?=?0.163?±?0.130, nλ₁?=?0.110?±?0.093, nλ_rad?=?0.303?±?0.185). Diffusion and T2-weighted response magnitudes were correlated (e.g., r?=?0.792, p?=?0.019 for nMD vs. nT2w).

Conclusion

We have demonstrated the feasibility of MEDITI for capturing spatially resolved diffusion tensor data in dynamic systems including post-exercise skeletal muscle recovery following in-scanner plantar flexion.

     

Relative enhanced diffusivity: noise sensitivity,protocol optimization,and the relation to intravoxel incoherent motion

Objective

To explore the relationship between relative enhanced diffusivity (RED) and intravoxel incoherent motion (IVIM), as well as the impact of noise and the choice of intermediate diffusion weighting (b value) on the RED parameter.

Materials and methods

A mathematical derivation was performed to cast RED in terms of the IVIM parameters. Noise analysis and b value optimization was conducted by using Monte Carlo calculations to generate diffusion-weighted imaging data appropriate to breast and liver tissue at three different signal-to-noise ratios.

Results

RED was shown to be approximately linearly proportional to the IVIM parameter f, inversely proportional to D and to follow an inverse exponential decay with respect to D*. The choice of intermediate b value was shown to be important in minimizing the impact of noise on RED and in maximizing its discriminatory power. RED was shown to be essentially a reparameterization of the IVIM estimates for f and D obtained with three b values.

Conclusion

RED imaging in the breast and liver should be performed with intermediate b values of 100 and 50 s/mm², respectively. Future clinical studies involving RED should also estimate the IVIM parameters f and D using three b values for comparison.

     

颈椎扩散张量成像数据处理系统构建

颈椎扩散张量成像能够清晰地反应颈髓的病变情况,已经广泛应用于临床诊断.基于对核磁共振成像数据的前处理、扩散张量成像数据的计算、感兴趣区域选取、各向异性分数和平均扩散率等临床诊断指标的计算以及扩散张量成像数据插值等问题进行研究,构建了针对颈椎扩散张量成像数据的处理系统,实现了对扩散张量数据的可视化显示和系统处理,为准确的临床诊断提供了重要参考依据,并构建了扩散张量成像的数学研究平台.     

Quantitative brain MR imaging in amyotrophic lateral sclerosis

Object  

To evaluate the potential of quantitative MR techniques [voxel-based morphometry (VBM), T2-relaxometry, mean diffusivity (MD), fractional anisotropy (FA)] in the diagnostics of amyotrophic lateral sclerosis (ALS).     

ESMRMB 2016, 33rd Annual Scientific Meeting,Vienna, AT,September 29–October 1: Abstracts,Thursday

Objective

To evaluate the feasibility of in vivo measurement of the fatty acid (FA) composition of breast adipose tissue by MRS on a clinical platform.

Material and methods

MRS experiments were performed at 3 T, using a STEAM sequence, on 25 patients diagnosed with breast cancer. MR spectra, acquired on healthy breast tissue, were analysed with the LCModel.

Results

The measured values of the saturated fatty acid (SFA), mono-unsaturated fatty acid (MUFA) and poly-unsaturated fatty acid (PUFA) fractions were 23.8 ± 7.1 %, 55.4 ± 6.8 % and 20.8 ± 4.4 %, respectively.The values of SFA, MUFA and PUFA observed in the current study are in the same range as those found in two previous studies performed at 7 T.

Conclusion

The results of the current study show that it is possible to quantify the fatty acid composition of breast tissue in vivo in a clinical setting (3 T).

     

Quantitative liver ADC measurements using diffusion-weighted MRI at 3 Tesla: evaluation of reproducibility and perfusion dependence using different techniques for respiratory compensation

Object

Diffusion weighted imaging (DWI) of the liver suffers from low signal to noise making 3 Tesla (3 T) an attractive option, but 3 T data is scarce. It was the aim to study the influence of different b values and respiratory compensation methods (RCM) on the apparent diffusion coefficient (ADC) level and on ADC reproducibility at 3 T.

Materials and methods

Ten healthy volunteers and 12 patients with malignant liver lesions underwent repeated (2–22 days) breathhold, free-breathing and respiratory triggered DWI at 3 T using b values between 0 and 1,000 s/mm².

Results

The ADCs changed up to 150 % in healthy livers and up to 48 % in malignant lesions depending on b value combinations. Best ADC reproducibility in healthy livers were obtained with respiratory triggering (95 % limits of agreement: ±0.12) and free-breathing (±0.14). In malignant lesions equivalent reproducibility was obtained with less RCM dependence. The use of a lower maximum b value (b = 500) decreased reproducibility (±0.14 to ±0.32) in both normal liver and malignant lesions.

Conclusion

Large differences in absolute ADC values and reproducibility caused by varying combinations of clinically realistic b values were demonstrated. Different RCMs caused smaller differences. Lowering maximum b value to 500 increased limits of agreement up to a factor of two. Serial ADC changes larger than approximately 15 % can be detected confidently on an individual basis in both malignant lesions and normal liver parenchyma at 3 T using appropriate b values and respiratory compensation.     

High resolution morphologic imaging and T2 mapping of cartilage at 7 Tesla: comparison of cartilage repair patients and healthy controls

Object

Our objective was to use 7 T MRI to compare cartilage morphology (thickness) and collagen composition (T2 values) in cartilage repair patients and healthy controls.

Materials and methods

We scanned the knees of 11 cartilage repair patients and 11 controls on a 7 T MRI scanner using a high-resolution, gradient-echo sequence to measure cartilage thickness and a multi-echo spin-echo sequence to measure cartilage T2 values. We used two-tailed t tests to compare cartilage thickness and T2 values in: repair tissue (RT) versus adjacent cartilage (AC); RT versus healthy control cartilage (HC); AC versus HC.

Results

Mean thickness in RT, AC, HC were: 2.2 ± 1.4, 3.6 ± 1.1, 3.3 ± 0.7 mm. Differences in thickness between RT–AC (p = 0.01) and RT–HC (p = 0.02) were significant, but not AC–HC (p = 0.45). Mean T2 values in RT, AC, HC were: 51.6 ± 7.6, 40.0 ± 4.7, 45.9 ± 3.7 ms. Differences in T2 values between RT–AC (p = 0.0005), RT-HC (p = 0.04), and AC–HC (p = 0.004) were significant.

Conclusion

7 T MRI allows detection of differences in morphology and collagen architecture in: (1) cartilage repair tissue compared to adjacent cartilage and (2) cartilage repair tissue compared to cartilage from healthy controls. Although cartilage adjacent to repair tissue may be normal in thickness, it can demonstrate altered collagen composition.     

Water exchange-minimizing DCE-MRI protocol to detect changes in tumor vascular parameters: effect of bevacizumab/paclitaxel combination therapy

Objective

The purpose of this study was to assess changes in the tumor microvasculature induced by combination antiangiogenic therapy in MCF-7 breast tumor mouse models, using a noninvasive DCE-MRI method that minimizes the effect of water exchange.

Materials and methods

3D quantitative DCE-MRI images were acquired with a heavily T ₁-weighted saturation recovery gradient echo sequence with a recovery delay of 20 ms. Tumor vascular volume (VV) and vascular permeability-surface area product (PS) were obtained through a linear regression of the albumin-Gd-DTPA-enhanced dynamic image intensity on MCF-7 breast tumor mouse models treated with combination bevacizumab/paclitaxel therapy.

Results

Measured tumor VV values were significantly higher than the values that have been reported previously using quantitative T ₁ mapping, and are in good agreement with micro-CT (computed tomography) results reported earlier from other tumor models. A trend of decreasing tumor PS was detected in the group of MCF-7 tumor bearing mice treated with the bevacizumab/paclitaxel combination regimen.

Conclusion

VV and PS maps obtained by a heavily T ₁-weighted acquisition protocol revealed the large peripheral blood vessels as well as the permeable areas within the tumor. A 12-day/three-dose combination treatment of bevacizumab and paclitaxel resulted in delayed tumor growth and a trend of decreasing tumor vascular permeability surface area product.     

Increased hepatic fatty acid polyunsaturation precedes ectopic lipid deposition in the liver in adaptation to high-fat diets in mice

Objective

We monitored hepatic lipid content (HLC) and fatty acid (FA) composition in the context of enhanced lipid handling induced by a metabolic high-fat diet (HFD) challenge and fasting.

Materials and methods

Mice received a control diet (10% of kilocalories from fat, N = 14) or an HFD (45% or 60% of kilocalories from fat, N = 10 and N = 16, respectively) for 26 weeks. A subset of five mice receiving an HFD (60% of kilocalories from fat) were switched to the control diet for the final 7 weeks. At nine time points, magnetic resonance spectroscopy was performed in vivo at 14.1 T, interleaved with glucose tolerance tests.

Results

Glucose intolerance promptly developed with the HFD, followed by a progressive increase of fasting insulin level, simultaneously with that of HLC. These metabolic defects were normalized by dietary reversal. HFD feeding immediately increased polyunsaturation of hepatic FA, before lipid accumulation. Fasting-induced changes in hepatic lipids (increased HLC and FA polyunsaturation, decreased FA monounsaturation) in control-diet-fed mice were not completely reproduced in HFD-fed mice, not even after dietary reversal.

Conclusion

A similar adaptation of hepatic lipids to both fasting and an HFD suggests common mechanisms of lipid trafficking from adipose tissue to the liver. Altered hepatic lipid handling with fasting indicates imperfect metabolic recovery from HFD exposure.

     

Magnetic resonance imaging of solid dental restoration materials using 3D UTE sequences: visualization and relaxometry of various compounds

Object

Due to an increasing scientific interest in MR-imaging of carious lesions and teeth, an accurate signal characterization of dental restoration materials is necessary for optimization of MR sequence protocols and evaluation of material degradation. Therefore, signal yield and relaxation behavior of common dental restoration materials in comparison to those of dentine of extracted human teeth were assessed in vitro by ultrashort echo time (UTE) sequences.

Materials and methods

Eighteen material samples and dentine of two freshly extracted human teeth were investigated on a 3T whole-body clinical MR-scanner. Transverse (T2*) and longitudinal relaxation times (T1) were quantified using a recently published modified Ernst equation that takes relevant in-pulse relaxation effects into account.

Results

All investigated samples could be successfully visualized but maximum signal yield was highly variable between samples. T1-values of the investigated dental restoration materials ranged between 28 and 365 ms, whereas T2*-values ranged between 96 and 917 μs. In contrast, T1-values of dentine (T1 = 545 ms ± 299 ms) were higher, while T2*-values (T2* = 478 μs ± 271 μs) showed similar values.

Conclusions

Dental restoration materials and dentine of extracted human teeth can be visualized by UTE sequences and show a broad range of signal yield and relaxation times.     

In vivo chlorine and sodium MRI of rat brain at 21.1 T

Object

MR imaging of low-gamma nuclei at the ultrahigh magnetic field of 21.1 T provides a new opportunity for understanding a variety of biological processes. Among these, chlorine and sodium are attracting attention for their involvement in brain function and cancer development.

Materials and methods

MRI of ³⁵Cl and ²³Na were performed and relaxation times were measured in vivo in normal rat (n = 3) and in rat with glioma (n = 3) at 21.1 T. The concentrations of both nuclei were evaluated using the center-out back-projection method.

Results

T ₁ relaxation curve of chlorine in normal rat head was fitted by bi-exponential function (T _1a = 4.8 ms (0.7) T _1b = 24.4 ± 7 ms (0.3) and compared with sodium (T ₁ = 41.4 ms). Free induction decays (FID) of chlorine and sodium in vivo were bi-exponential with similar rapidly decaying components of $ T_{{2{\text{a}}}}^{*} = 0.4 $  ms and $ T_{{2{\text{a}}}}^{*} = 0.53 $  ms, respectively. Effects of small acquisition matrix and bi-exponential FIDs were assessed for quantification of chlorine (33.2 mM) and sodium (44.4 mM) in rat brain.

Conclusion

The study modeled a dramatic effect of the bi-exponential decay on MRI results. The revealed increased chlorine concentration in glioma (~1.5 times) relative to a normal brain correlates with the hypothesis asserting the importance of chlorine for tumor progression.     

Topography of brain sodium accumulation in progressive multiple sclerosis

Object

Sodium accumulation is involved in neuronal injury occurring in multiple sclerosis (MS). We aimed to assess sodium accumulation in progressive MS, known to suffer from severe neuronal injury.

Materials and methods

3D-²³Na-MRI was obtained on a 3T-MR-scanner in 20 progressive MS patients [11 primary-progressive (PPMS) and nine secondary-progressive (SPMS)] and 15 controls. Total sodium concentrations (TSC) within grey matter (GM), normal-appearing white matter (WM) and lesions were extracted. Statistical mapping analyses of TSC abnormalities were also performed.

Results

Progressive MS patients presented higher GM–TSC values (48.8 ± 3.1 mmol/l wet tissue vol, p < 0.001) and T₂lesions-TSC values (50.9 ± 2.2 mmol/l wet tissue vol, p = 0.01) compared to GM and WM of controls. Statistical mapping analysis showed TSC increases in PPMS patients confined to motor and somatosensory cortices, prefrontal cortices, pons and cerebellum. In SPMS, TSC increases were associated with areas involving: primary motor, premotor and somatosensory cortices; prefrontal, cingulate and visual cortices; the corpus callosum, thalami, brainstem and cerebellum. Anterior prefrontal and premotor cortices TSC were correlated with disability.

Conclusion

Sodium accumulation is present in progressive MS patients, more restricted to the motor system in PPMS and more widespread in SPMS. Local brain sodium accumulation appears as a promising marker to monitor patients with progressive MS.     

Chlorine and sodium chemical shift imaging during acute stroke in a rat model at 9.4 Tesla

Object

A triple-resonant coil setup with an ¹H linear resonator and a double-tuned ²³Na/³⁵Cl surface coil was used to study the evolution of T ₂ ^* and M ₀ for ³⁵Cl and ²³Na in a rat stroke model during the acute phase at 9.4 Tesla.

Materials and methods

In vivo measurements were performed 1.5–7 h after onset of stroke (n = 2), ten days after onset (n = 1) and on a healthy control rat by a chemical shift imaging sequence. Measurement times were 15 min (²³Na) and 57 min (³⁵Cl).

Results

The relaxation times ten days after onset [T ₂ ^*  = 14.3 ± 1.8 ms (²³Na) and 6.0 ± 1.3 ms (³⁵Cl)] are clearly prolonged in comparison to a healthy rat [T ₂ ^*  = 4.8 ± 0.6 ms (²³Na) and 2.1 ± 0.3 ms (³⁵Cl)] and the acute phase [T ₂ ^*  = 5.6 ± 0.2 ms (²³Na) and 1.9 ± 0.1 ms (³⁵Cl)].

Conclusion

M ₀ in the infarcted region clearly rises later and slower for chlorine than for sodium. To the best of our knowledge, these are the first combined proton, sodium, and chlorine measurements in an animal stroke model during the acute phase.     

Magnetization transfer imaging of cortical bone in vivo using a zero echo time sequence in mice at 4.7 T: a feasibility study

Objective

To investigate the feasibility of magnetization transfer (MT) imaging in mice in vivo for the assessment of cortical bone.

Materials and methods

MT-zero echo time data were acquired at 4.7 T in six mice using MT preparation pulses with two different flip angles (FAs) and a series of ten different off-resonance frequencies (500–15000 Hz). Regions of interest were drawn at multiple levels of the femoral cortical bone. The MT ratio (MTR) was computed for each combination of FAs and off-resonance frequencies. T1 measurements were used to estimate the direct saturation (DS) using a Bloch equation simulation. Estimation of the absorption line width of cortical bone from T2* measurements was also performed.

Results

MTR values were higher using 3000° FA than 1000° FA. MTR values decreased toward higher off-resonance frequencies. Maximum mean MTR ± standard deviation (SD) of 58.57 ± 5.22 (range 50.44–70.61) was measured with a preparation pulse of 3000° and off-resonance frequency of 500 Hz. Maximum “true” MT effect was estimated at around 2–3 and 5 kHz, respectively, for 1000° and 3000° FA. Mean full width at half maximum ± SD of 577 ± 91 Hz was calculated for the absorption spectral line of the cortical bone.

Conclusion

MT imaging can be used for the assessment of cortical bone in mice in vivo. DS effects are negligible using preparation pulses with off-resonance frequencies greater than 3 kHz.

     

Measuring liver triglyceride content in mice: non-invasive magnetic resonance methods as an alternative to histopathology

Object

Quantitative assessment of liver fat is highly relevant to preclinical liver research and should ideally be performed non-invasively. This study aimed to compare three non-invasive Magnetic Resonance (MR) and two histopathological methods against the reference standard of biochemically determined liver triglyceride content (LTC).

Materials and methods

A total of 50 mice [21 C57Bl/6OlaHsd mice (C57Bl/6), nine low-density lipoprotein (LDL) receptor knock-out ?/? (LDL ?/?) mice and 20 C57BL/6 mice] received either a high-fat, high-fat-high-cholesterol or control diet, respectively. Mice were examined 4, 8 or 12 weeks into the diet using MR [¹H-MR Spectroscopy, Proton Density Fat Fraction (PDFF), mDixon] and histopathological methods (visual scoring or digital image analysis (DIA) of Oil-Red-O (ORO) stained liver sections). Correlations [Pearson’s coefficient (r)] were studied with respect to LTC.

Results

Microvesicular steatosis was seen in 42/50 mice. ¹H-MRS values showed normal to moderately elevated liver fat content. Visual scoring and DIA of ORO-sections correlated moderately with LTC at r = 0.59 and r = 0.49 (P < 0.001), respectively. ¹H-MRS, PDFF and mDixon correlated significantly better, at r = 0.74, r = 0.75 and r = 0.82, respectively.

Conclusion

Non-invasively determined MR measures of normal to moderately elevated liver fat in mice had a higher correlation with LTC than invasive histopathological measures. Where available, MR is the preferred method for fat quantification.