ORIGINAL RESEARCH article

Front. Phys., 21 October 2022

Sec. Medical Physics and Imaging

Volume 10 - 2022 | https://doi.org/10.3389/fphy.2022.1033767

Correction of the post-irradiation T1 relaxation effect for chemical exchange-sensitive MRI: A phantom study

  • Department of Radiology, University of Pittsburgh, Pittsburgh, PA, United States

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Abstract

Purpose: In many pulse sequences of chemical exchange-sensitive MRI including multi-slice chemical exchange saturation transfer (CEST) or chemical exchange sensitive spin-lock (CESL), there is a finite time delay between the irradiation preparation and the imaging acquisition, during which the T1-relaxation reduces the chemical exchange contrast and affects the accuracy for volumetric imaging. We propose a simple post-acquisition method to correct this contamination.

Methods: A simple formula was derived to evaluate the cross-slice T1-relaxation contamination in multi-slice echo-planar imaging (EPI) after the irradiation preparation. CEST and CESL experiments were performed on phantoms to examine the accuracy of this approach.

Results: Theoretical derivation showed that the cross-slice T1-relaxation contamination in multi-slice EPI imaging can be corrected by the signals of each slice at a parameter that suppresses the signal, e.g., at the water frequency for CEST, or with very long spin-lock pulse for CESL. This formula was confirmed by the results of phantom experiments, for both long and short irradiation durations with and without a steady-state, respectively. To minimize the effect of B0 inhomogeneity in the CEST experiment, a more accurate measurement of the signal at water frequency can be achieved with a higher pulse power and shorter duration.

Conclusion: We proposed and validated a simple approach to correct the cross-slice T1-relaxation effect, which can be applied to volumetric CEST and CESL studies acquired by multi-slice EPI, or other imaging modalities with similar T1-relaxation contamination.

Introduction

Chemical exchange saturation transfer (CEST) MRI is an emerging molecular imaging technique that can measure certain amounts of biomolecules with labile protons, including glucose, glycogen, amino acids, creatine, and phosphocreatine, as well as exchange rate-related environmental parameters such as pH, temperature, and the concentration of exchange catalysts [16]. Due to its versatility, CEST has shown great potential in the study of many diseases such as tumor, stroke, muscle pathology, cartilage and spinal cord injuries, and neurodegenerations [525]. In CEST, the labile proton of the biomolecule of interest is usually saturated by an irradiation module during which the bulk water signal is reduced due to the chemical exchange process, and the water magnetization is measured by an imaging module. To avoid the T1-relaxation effect and fully capture the water magnetization, the post-irradiation delay, i.e., the time delay between the irradiation module and the k-space center of the imaging module, should be minimized.

CEST measures the Z-magnetization of the bulk water and is suitable for studies where the direct water saturation effect is small, e.g., the nutation frequency of the saturation pulse is much smaller than the chemical shift difference between the labile proton and water. In contrast, CESL is another chemical exchange-sensitive MRI technique that images the whole magnetization rather than the Z-component [2629], and therefore, can be applied to studies where the direct water saturation is large, or even on the resonance of the water frequency. In on-resonance CESL [9, 30], the water magnetization after a spin-lock pulse is in the X-Y plane. For multi-slice imaging, it is often beneficial to flip the magnetization back to the Z-axis because the T1-relaxation of water along the Z-axis is much slower than the T2-relaxation in the X-Y plane.

A common imaging readout method for CEST and CESL MRI is EPI where the post-irradiation delay is negligible for single slice imaging. However, in multi-slice EPI, T1-relaxation may contaminate the chemical exchange-sensitive signals for the slices acquired after the first slice, especially for the latter slices if the post-irradiation delay time is not negligible as compared to T1. To minimize this cross-slice T1-relaxation effect, post-processing using a T1 map to compensate for the relaxation effect on CEST contrast has been reported [31], which needs a separate acquisition of the T1 map and would thus lengthen the scan time. A similar T1-relaxation effect is present in the multi-slice fast spin-echo sequence, and a combination of primary saturation and secondary saturation pulses has been proposed to compensate for this effect [16, 32], however, the choice of primary and secondary saturation may depend on pulse power and tissue properties, therefore careful calibration may be necessary. For multi-slice spin-lock studies, the T1 contamination in the T-weighted image may be eliminated by an RF cycling technique where the longitudinal magnetization is inverted immediately after alternate spin-lock preparation [33].

In this work, we propose a simple post-acquisition correction method to compensate for the relaxation effect which can be used in multi-slice CEST or CESL MRI, and validate the method by phantom experiments. Part of the results has been reported in ISMRM 2020 [34].

Material and methods

Theory

Assuming the delay between the end of irradiation and the beginning of the acquisition of the ith slice is tdelay (i) in a multi-slice CEST experiment, the saturated signal of the ith slice acquired at an RF offset of Ω can be expressed aswhere S0 is the fully relaxed signal, and is the saturated signal after the T1 relaxation effect is corrected, or the ideal case when the T1 relaxation effect is minimal, i.e., tdelay = 0, which is approximately the case for the first slice. At an offset of Ω = 0 (i.e., the water frequency), the water magnetization is fully saturated so that the signal in the absence of the T1 relaxation effect should be zero, i.e., . ThusThis signal is only related to T1 and tdelay(i), and can fully account for the T1 recovery during the post-irradiation delay. Combine Eqs 1, 2 to eliminate the exponential term, we have

Note the correction factor used here iswhen tdelay (i) << T1. The asymmetric magnetization transfer ratio (MTRasym) has been widely used to measure the CEST contrast, which is defined as

From Eq. 3, the T1 relaxation-corrected MTRasym can be derived as

Eqs 3

,

4

show that for both the Z-spectrum and the MTR

asym

spectrum, the T

1

-relaxation effect of multi-slice imaging can be easily corrected using the signals acquired from each slice at

Ω

= 0. Another index to describe the CEST contrast is the difference between the CEST signal at a specific frequency and a baseline with minimal CE signal. The latter can be obtained by model fitting, or by a specifically designed saturation scheme, e.g., a low duty cycle saturation pulse train in the ASEF approach [

40

]:

  • Similarly, we can get

The same correction approach can be applied to a CESL experiment with a finite spin-lock time (TSL), similar to the derivation above. A very long spin-lock time, e. g, five times the T value, can be used to suppress the CESL signal, . Thus, we have

By analogy with the CEST case, the chemical exchange sensitive contrast in a CESL experiment can also be obtained as:where the baseline indicates the signal with minimal CE effect. This can be obtained by a spin-lock pulse with a nutation frequency much higher than the chemical exchange rate of interest, such as >4,000 Hz as reported in recent studies [35, 36]. We can also get

For both CEST and CESL, the correction term is a signal that is fully suppressed at the first slice. Thus, the term can also be used for the correction of CESL data to replace the term in Eqs 8, 10, if all the other imaging parameters are kept the same, such as the repetition time (TR) and echo time (TE). Note that the formula above is independent of the irradiation duration or TR, thus, the correction approach is fully applicable to cases of both CEST and CESL experiments where TR is not sufficiently long for water magnetization to fully relax before the next saturation, as well as CEST experiments where saturation pulse duration is not long enough to achieve a steady state.

MRI experiments

Phantom experiments were performed on a 9.4 T Bruker system at room temperature. A 4.0-cm inner diameter quadrature volume coil provided RF transmission and detection. After the volume of interest was shimmed, a B0 map was obtained by the WASSR method, and a T1 map was acquired using an inversion-recovery pulse sequence.

Three phantom experiments were performed:

  • 1) 40 mM of creatine was dissolved in 1× phosphate-buffered saline (PBS) and titrated to pH = 7.4, with and without the addition of 0.15 mM MnCl2 to reduce the water T1 and T2 relaxation times. CEST Z-spectra was acquired by a 2 μT pulse with RF offset ranging from 7 ppm to −7 ppm. The duration of saturation pulse is Tsat = 8 s, and the repetition time between two consecutive images of the same slice is TR = 13 s. The post-saturation delay tacq was set to 50 ms or 100 ms for each slice.

  • 2) 20% of bovine serum albumin (BSA) was dissolved in PBS, titrated to pH = 7.0, and heated to 75°C for 15 min. This heating process can only denature part of the BSA so that the resulting phantom will be a mixture of mobile and immobile proteins, which is similar to the tissue. CEST Z-spectra was acquired by a 1.5 μT pulse, with RF offset ranging from 7 ppm to −7 ppm. To confirm that our correction method applies to the transient state, a short Tsat of 2 s and TR = 4 s was used. In addition, the spectra near the water resonance were measured with 0.8 μT and 5 s pulse, and a 3 μT and 1 s pulse to compare the susceptibility of the correction factor to B0 shift. The post-saturation delay tacq was set to 100 ms for each slice.

  • 3) For the 20% BSA phantom, CESL data were acquired using an on-resonance spin-lock sequence, where the spin-lock time (TSL) was varied from 0 to 100 ms. In addition, an image with TSL = 300 ms was used for correction following Eq. 8. Data were acquired for two repetition times of TR = 4 and 8 s, and tacq of 126 ms for each slice.

Immediately after the irradiation preparation, a single-shot spin-echo EPI was used to acquire five slices. Other imaging parameters are 64 × 64 matrix size, 4 × 4 cm2 field of view, 0.6-mm or 1.0 mm slice thickness with a 0.2 mm gap, echo time = 25 ms. Quantitative data were analyzed based on the region of interest (ROI), where only pixels with a B0 shift of less than 10 Hz were included.

Results

Figure 1A shows the Z-spectra of creatine in PBS with tacq = 50 ms. The cross-slice T1-relaxation effect leads to a small difference in the Z-spectra of the five slices. Due to the relative long T1 of 2.88 s, the largest delay after saturation is tdelay = 200 ms for the fifth slice, which is 7% of the T1 value. Indeed, the residue signal detected at the water resonance with slice number and reaches a ∼7% for the fifth slice (Inset), in good agreement with Eq. 4. For a longer tacq of 100 ms, the T1-relaxation effect is more significant (Figure 1B), and the residue signal detected at the water resonance reaches a ∼14% for the fifth slice (Inset), doubling the value for tacq = 50 ms. After correction with Eq. 3, the Z-spectra for all slices overlap very well for both tacq = 50 and 100 ms (Figures 1C,D). The addition of 0.15 mM MnCl2 shortens the T1 of the creatine phantom to 0.65 s so that the cross-slice T1-relaxation effect is amplified. With tacq = 100 ms, there are large distinctions among the Z-spectra (Figure 2A) and the MTRasym (Figure 2B) spectra measured from five slices. The peak of MTRasym at 1.9 ppm for the last slice is reduced by 48% as compared to the first slice (#5 versus #1). Using the data at Ω = 0, the Z-spectra and the MTRasym spectra (Figures 2C,D) from the five slices can be corrected well with Eqs 3, 5, respectively.

FIGURE 1

FIGURE 1

Multi-slice CEST Z-spectra of creatine in PBS. The raw Z-spectra show small difference of a few percent among the five slices with tacq = 50 ms (A), and the difference becomes larger with a longer tacq of 100 ms (B). The T1-relaxation effects can be clearly seen near the water frequency in the Insets. (C,D) These differences can be satisfactorily corrected by Eq. 3, leading to overlapping Z-spectra for the five slices.

FIGURE 2

FIGURE 2

Multi-slice CEST MRI of creatine in PBS with MnCl2. The T1-relxation effect is very significant with tacq = 100 ms in both the Z-spectra (A) and the MTRasym spectra (B), which can be satisfactorily corrected by Eqs 3, 6, respectively, leading to overlapping spectra for the five slices (C,D).

Figure 3A shows the cross-slice T1-relaxation effect in a BSA phantom heated to 75°C. This phantom is closer to in vivo tissue due to the presence of both mobile and immobile protein, as shown by the CEST and NOE signal dips at 2.8 ppm, −3.5 ppm, and the magnetization transfer (MT) effect at larger offsets (i.e., 6.5 ppm), and the separation between slices can be clearly seen for the whole −7 to 7 ppm range (Figure 3A). With a T1 value of 1.9 s and a tacq of 100 ms, , the difference between the first and fifth slices is ∼22% at Ω = 0 which matches well with Eq. 4, and reduce to 3.2% at 7 ppm. Again, the T1-relaxation effect can be corrected using Eq. 3 for the multi-slice spectra (Figure 3B). For CEST study, our approach relies on an accurate measure of Ssat (Ω = 0). When significant B0-inhomogeneity is present, this data point can be obtained by interpolation and fitting of Z-spectrum, including the use of high order polynomials, or by a separate WASSR measurement. Alternatively, because the bandwidth of a saturation pulse is correlated with the B1 power, a high-power pulse can saturate the water signal for a wider B0 range. Figure 3C indicated that for a saturation pulse of 0.8 μT and 5 s, there was significant variation in Ssat (Ω = 0) of the heated BSA sample if the B0 shift is large (e.g., >50 Hz). In contrast, the Ssat (Ω = 0) is insensitive to the B0 shift when a pulse of 3 μT and 1 s were used (Figure 3D).

FIGURE 3

FIGURE 3

(A) Multi-slice Z-spectra of partially-denatured BSA shows the cross-slice T1-relaxation affects multiple signal contributions, including CEST, magnetization transfer (MT), NOE, and direct water saturation. (B) The cross-slice T1-relaxation can be satisfactorily corrected. The saturated signal near the water frequency is strongly dependent on the B0 shift with a lower saturation power of 0.8 μT (C), and becomes insensitive to the B0 shift with a higher saturation power of 3 μT (D).

In CESL experiments, the TSL-dependent signal of the BSA phantom is shown for TR = 8.5 s (Figure 4A). Similar to the CEST results, there is a clear T1-relaxation effect for later slices. A mono-exponential fitting of the TSL-dependent data yields T value of 48.7 ms and 68.8 ms for the first and fifth slice, respectively. For a shorter TR = 4 s, the T1-relaxation effect is slightly larger than that of TR = 8.5 s for later slices (Figure 4B), as shown by the signals at TSL = 300 ms. After a correction with Eq. 8, the TSL-dependent data overlaps well for both TR values (Figures 4C,D), and the fitted T value, averaged for the 5-slices, are 47.40 ± 0.75 ms and 47.38 ± 0.73 ms for TR = 8.5 s and 4 s, respectively, indicating good consistency.

FIGURE 4

FIGURE 4

CESL signal as a function of TSL for (A) TR = 8.5 s and (B) TR = 4 s before and (C,D) after the correction of the cross-slice T1-relaxation effect.

Discussions

In CEST or CESL MRI, chemical exchange contrast can be affected by the T1-relaxation between the irradiation preparation and the imaging module. The contamination is dependent on the ratio of tdelay and T1, and thus, may be exacerbated at lower magnetic field strengths where T1 is shorter. In this work, we reported a simple post-acquisition correction method with good accuracy. Multi-slice EPI was used as an example because the T1-relaxation is minimal in the first slice, and thus, its first slice data can be used to determine the accuracy of the correction approach. Our approach only corrects the T1-relaxation occurring between the irradiation pulse and the image acquisition, rather than the T1-relaxation, if any, during the irradiation pulse. The CEST contrast competes with T1 relaxation because the saturation transfer reduces the Z-magnetization of the water, whereas the T1 relaxation brings the magnetization back to equilibrium. Therefore, the CEST effect is strongly affected by the water T1, which is often corrected by a normalization of the water T1 in CEST studies.

Besides EPI, imaging modules that have been used for CEST or CESL MRI include rapid acquisition with refocusing echoes (RARE), steady-state free precision (FISP), etc. In some of these imaging methods, there is a non-negligible delay between the end of saturation and the beginning of the central k-space even for a single slice imaging. For example, In FISP-CEST [37], the T1-relaxation effect at the water resonance can be 10%–20% (as determined from the Z-spectrum signal at the water resonance frequency) for centric-encoding and even higher for linear-encoding, depending on the matrix size.

3D-CEST has recently been developed where the short saturation pulse and the imaging acquisition module are interleaved, so that the saturation reaches a steady state after a certain number of repetitions. Compare to multi-slice MRI, 3D acquisitions often require dedicated hardware for parallel imaging to speed up the acquisition. One drawback of this pulsed saturation approach is that the saturation frequency bandwidth is broader for shorter RF irradiation pulses which can affect the specificity of the CEST signal. Moreover, this approach has limitations because the optimal sensitivity for some CEST applications, such as those with a fast exchange, occurs with a relatively high power pulse at the transient state before reaching the steady-state.

This method is highly dependent on the accuracy of the correction term, i.e., the signal at 0 frequency offset for CEST or with long TSL for CESL. Thus, a high SNR for this correction image is critical. In addition, while correction methods that minimize the T1-relaxation effect using specially designed irradiation schemes may be able to maintain CE contrast during acquisition [16, 32], post-acquisition correction such as the current method cannot artificially restore lost chemical exchange effects as the correction signal only contains T1-information. Thus, our approach should only be applied to compensate for T1-relaxation in cases where this relaxation has not fully diminished the chemical exchange contrast to noise ratio.

Although we only demonstrated our correction for CEST and CESL, this approach can be extended to other variants of chemical exchange sensitive MRI such as chemical exchange rotation transfer [38], on-resonance variable delay multiple pulse [39], or average saturation efficiency filter [40]. More generally, this method can also be applied to other imaging modalities where the imaging is acquired after a magnetization preparation and there is a delay between the preparation and the imaging module, such as multi-slice T1-weighted imaging or diffusion-weighted imaging.

Conclusion

We reported a post-acquisition method to compensate for the T1-relaxation effect in the CEST signal with multi-slice EPI imaging. This method is simple and easy to perform and can also be applied to other imaging modalities where there is a delay between the saturation and the imaging of the center k-space line.

Statements

Data availability statement

The raw data supporting the conclusion of this article will be made available by the authors, without undue reservation.

Author contributions

TJ derived the formula, designed the experiment, performed part of the experiments, and write the manuscript. JC performed part of the experiments and manuscript writing.

Funding

This work is supported by NIH grant NS100703.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

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Summary

Keywords

CEST, CESL, multi-slice, T1-relaxation, post-irradiation delay

Citation

Chung JJ and Jin T (2022) Correction of the post-irradiation T1 relaxation effect for chemical exchange-sensitive MRI: A phantom study. Front. Phys. 10:1033767. doi: 10.3389/fphy.2022.1033767

Received

31 August 2022

Accepted

10 October 2022

Published

21 October 2022

Volume

10 - 2022

Edited by

Ping Wang, Barrow Neurological Institute (BNI), United States

Reviewed by

Yuxi Pang, University of Michigan, United States

Weitian Chen, The Chinese University of Hong Kong, China

Updates

Copyright

*Correspondence: Tao Jin,

This article was submitted to Medical Physics and Imaging, a section of the journal Frontiers in Physics

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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